Is vaginal birth after cesarean less expensive than repeat cesarean delivery?

Article Abstract:

A vaginal birth by pregnant women with a history of cesarean section probably will not save substantial amounts of money. In order to reduce costs, the vaginal birth success rate would have to exceed 70% and the babies would have to be relatively healthy with few injuries.

Economic aspects, Vaginal birth after cesarean

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Amniotic fluid embolism: analysis of the national registry

Article Abstract:

Common beliefs about the cause of amniotic fluid embolism appear to be in error. Amniotic fluid embolism is a rare complication of childbirth in which the mother's circulatory and respiratory systems collapse without warning. In most cases, mother and baby die, and few survive free of brain damage. Researchers collected 46 cases from a national registry of women who developed amniotic fluid embolism during labor or delivery and analyzed their medical records. There was no association between amniotic fluid embolism and prolonged labor or oxytocin-stimulated contractions. Forty-one percent of the women had a history of allergy, and many exhibited symptoms similar to patients who are in anaphylactic shock. Data from this study and others strongly support the theory that amniotic fluid embolism is a misnomer and that it is a type of allergic reaction to small amounts of fetal cells entering maternal circulation.

Patient outcomes, Mortality, Complications and side effects, Physiological aspects, Pregnant women, Childbirth, Delivery (Childbirth), Amniotic fluid embolism

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Institutional influences on the primary cesarean section rate in Utah, 1992 to 1995

Article Abstract:

Sophisticated medical facilities and personnel may be associated with lower rates of cesarean sections in Utah. According to discharge data from 1992 to 1995, institutions with more highly trained physicians and better equipped neonatal departments performed fewer cesarean sections than other medical centers. Pertinent advantages during delivery included access to 24-hour in-house anesthesiologists and obstetrician-gynecologists.

Health aspects, Medical centers, Demographic aspects, Surveys, Utah

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