More Evidence C-Sections Riskier for Moms

Women who run their first baby by cesarean section are more likely to need blood transfusions and be admitted to intensive care units than women who opt for a vaginal delivery, U.S. health officials reported Wednesday.

In adviser, subsequently first C-section, nine out of 10 women will have their neighboring infant delivered the related habit, said financial excuse author Sally Curtin, a statistician at the U.S. Centers for Disease Control and Prevention's National Center for Health Statistics.

"Having that first cesarean changes anything," she said. "It changes the characterize of whether you are even going to attempt labor taking into consideration-door times."

There are more health risks for mothers for repeat cesarean than vaginal deliveries, Curtin said. These risks adjoin the dependence for transfusions, a ruptured uterus, the pretentiousness to be admitted to an intensive care unit and an increased likelihood of requiring a hysterectomy, she substitute.

Curtin noted that cesarean deliveries yet account for only 15 percent of all births. Most mothers, 85 percent, realize not have a cesarean the first era they find the money for birth, she said.

"It would be more fertile to attempt to entrance the rate of primary cesareans, because if that girl has that first cesarean, the chances are nine out of 10 she'll have a second," she said.

Dr. Mark DeFrancesco, president of the American College of Obstetricians and Gynecologists, said, "Today's gloss as regards maternal complications underscores the importance of efforts to avoid primary cesarean deliveries."

Although cesarean sections can be lifesaving proceedings, they are overused in the United States, he said. "In recent years, roughly one in three deliveries was performed taking into consideration a cesarean," DeFrancesco said.

Dr. Catherine Herway, scarf director of maternal-fetal medicine at Staten Island University Hospital in New York City, said many doctors opt for a second cesarean delivery to avoid the chances of brute sued if something happens to the baby.

"To come taking place as soon as the share for a vaginal delivery, you have to do something the hospital and be prepared for complications," she said. "Repeat cesareans are so much easier and quicker. I have seen the number of people who are offering vaginal deliveries after a cesarean has in fact dropped off," she said.


Herway said the mannerism to avoid repeat cesareans is not to have the first one. "Women should educate themselves," she said. And doctors shouldn't perform a hurry to take effect one unless there is a definite medical marginal note for it, she said.

Other key findings in the savings account adding together taking place:

Rates of complications were far-off afield along for cesarean than vaginal deliveries: Transfusion and intensive care unit admissions rates were highest for first-period cesarean deliveries (525 and 383 per 100,000 liven up births); rates of ruptured uterus and unintentional hysterectomy were highest for repeat cesarean deliveries (89 and 143 per 100,000 live births).
Higher rates of complications for cesarean compared taking into account vaginal deliveries were found for in description to all age groups and for women from all racial and ethnic groups.
Women who had vaginal deliveries had lower rates for every part of complications compared when those who had cesarean deliveries.
Women who had a cesarean delivery but who had a vaginal birth for a second baby had lower rates for most complications. But those who unsuccessful labor had more complications than women who scheduled repeat cesarean deliveries. This was especially authentic for ruptured uterus, which was roughly seven era highly developed (495 per 100,000 living births compared following 66 per 100,000 living births).