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The cesarean catastrophe
Authors:Lothian Judith A
Affiliation:JUDITH LOTHIAN is a childbirth educator in Brooklyn, New York, and a member of the Lamaze International Board of Directors. She is also an associate professor in the College of Nursing at Seton Hall University in South Orange, New Jersey.
Abstract:The cesarean rate has reached an all-time high at 29.1% of all births in the United States. In this column, the risks inherent in cesareans are discussed within the context of the current climate of "intervention-intensive" labor and birth, forced cesareans, the precipitate decrease in vaginal births after cesarean, and the alarming increase in primary cesarean, including "patient-choice" cesareans. Strategies to increase women's confidence and to promote, protect, and support normal birth are discussed as ways to decrease the cesarean rate.
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