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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Introduction of Intracapsular Rotary-cut Procedures (IRCP): A Modified Hysteromyomectomy Procedures Facilitating Fertility Preservation
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Preventing primary cesarean sections: intrapartum care.

Tekoa L King1

  • 1Department of Obstetrics, Gynecology and Reproductive Sciences, University of California San Francisco, San Francisco, CA, USA. tking@acnm.org

Seminars in Perinatology
|September 27, 2012
PubMed
Summary

Certain intrapartum care practices influence cesarean section rates. Continuous support and midwifery care are linked to lower rates, while electronic fetal monitoring and the Friedman graph may increase them. Evidence-based strategies are recommended.

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Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine

Background:

  • Intrapartum care practices significantly impact delivery outcomes.
  • Cesarean section rates vary globally, necessitating an examination of contributing factors.

Purpose of the Study:

  • To review evidence linking specific intrapartum care practices to cesarean section rates.
  • To recommend strategies for optimizing intrapartum care to promote vaginal birth.

Main Methods:

  • Literature review of studies examining intrapartum care practices and their association with cesarean section.
  • Analysis of evidence on interventions such as electronic fetal monitoring, Friedman graph use, continuous support, and midwifery management.

Main Results:

  • Electronic fetal monitoring and Friedman graph use are associated with increased cesarean section rates.
  • Continuous one-to-one support and midwifery-led care models are associated with decreased cesarean section rates.

Conclusions:

  • Specific intrapartum care choices can either promote vaginal birth or increase the risk of cesarean section.
  • Implementing strategies like continuous support and midwifery management can help reduce cesarean rates in contemporary obstetrics.