Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

The Mount Sinai cesarean section reduction program: an update after 6 years

S A Myers1, N Gleicher

  • 1Department of Obstetrics and Gynecology, Mount Sinai Hospital Medical Center, Chicago, IL 60608.

Social Science & Medicine (1982)
|November 1, 1993
PubMed
Summary

A six-year cesarean reduction program achieved target rates of 10-12% without increasing harm to mothers or infants. This demonstrates that comprehensive programs can lead to sustained reductions in cesarean utilization.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Evidence for Topological Protection Derived from Six-Flux Composite Fermions.

Nature communications·2024
Same author

Preliminary report of intraovarian injections of autologous platelet-rich plasma (PRP) in extremely poor prognosis patients with only oocyte donation as alternative: a prospective cohort study.

Human reproduction open·2022
Same author

In science truth ultimately wins, and PGT-A is no exception.

Human reproduction (Oxford, England)·2022
Same author

IVF outcomes of embryos with abnormal PGT-A biopsy previously refused transfer: a prospective cohort study.

Human reproduction (Oxford, England)·2022
Same author

The ovarian sensitivity index is predictive of live birth chances after IVF in infertile patients.

Human reproduction open·2020
Same author

The 2019 PGDIS position statement on transfer of mosaic embryos within a context of new information on PGT-A.

Reproductive biology and endocrinology : RB&E·2020

Area of Science:

  • Obstetrics and Gynecology
  • Maternal-Fetal Medicine
  • Public Health in Healthcare

Background:

  • Cesarean section rates have been a growing concern globally.
  • Previous attempts at reduction programs have shown variable success.
  • Ensuring maternal and fetal safety during cesarean reduction is paramount.

Purpose of the Study:

  • To evaluate the long-term effectiveness of a cesarean section reduction program over six years.
  • To determine if cesarean utilization could be lowered without compromising safety outcomes.
  • To assess the feasibility of achieving a prospective target cesarean delivery rate.

Main Methods:

  • Implementation of obstetric practice guidelines focused on cesarean reduction.
  • Prospective determination of a target cesarean delivery rate.

Related Experiment Videos

  • Six-year follow-up evaluation of the program's impact on cesarean rates and maternal/fetal outcomes.
  • Analysis of operative vaginal procedure rates.
  • Specific analysis of breech delivery outcomes based on mode of delivery.

    • Main Results:

    • Consistent achievement of total cesarean rates between 10-12% over six years.
    • No evidence of adverse outcomes for mothers or fetuses associated with the reduced cesarean rates.
    • Operative vaginal procedures were utilized in less than 3% of cases.
    • Analysis of 580 breech deliveries showed no significant effect of delivery route on mortality.

    Conclusions:

    • Long-term reductions in cesarean utilization are achievable with a comprehensive departmental program.
    • A target rate of 11% for cesarean sections is attainable without adverse maternal or fetal outcomes.
    • The program successfully integrated safety and reduction goals, offering a model for other institutions.