There has been a considerable increase in the number of repeat cesarean deliveries in the United States over the recent years. The 8-year study conducted between 1996 and 2003 survey has further found that 10% of the cesarean births were due to unexplained reasons.
According to National statistics, there has been a 63% decrease in the rate of vaginal births in women who have had a cesarean. Concomitantly, there has been a parallel increase in the rate of repeat cesarean delivery. Inspired by this finding, researchers ventured into examining reasons behind the observation.
The researchers examined more than 4500 women with a history of vaginal delivery. 493 of the study participants underwent repeat cesarean delivery, even before going into labor. 36% of the women had undergone elective cesarean section. Maternal request was the next important reason for the surgical produce. In nearly 10% of the cases, the reasons for repeat cesarean delivery were unexplained.
Some of the clinical reasons for repeat cesarean delivery include surgical history of two or more cesarean deliveries and breech birth, a condition in which the baby's head in the top portion of the uterus as against the normal head-down position.
Based on the above observation, the researchers feel that a complete understanding of repeat cesarean section would not be possible without an improvement in the medical record keeping. Only then can mechanism contributing to such a trend can be identified and managed accordingly.
Childbirth decisions should be an informed one, and women should be allowed to discuss their anticipations regarding childbirth and prenatal care in general. This would enable obstetricians; family practice physicians and nurse midwives face the challenge of providing quality prenatal and antenatal care.