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Will there ever be an end to the Caesarean section rate debate?
Article first published online: 11 MAR 2004
DOI: 10.1111/j.1479-828X.2004.00193.x
Issue
Australian and New Zealand Journal of Obstetrics and Gynaecology
Volume 44, Issue 2, pages 103–106, April 2004
Additional Information
How to Cite
Dietz, H. P. and Peek, M. J. (2004), Will there ever be an end to the Caesarean section rate debate?. Australian and New Zealand Journal of Obstetrics and Gynaecology, 44: 103–106. doi: 10.1111/j.1479-828X.2004.00193.x
Publication History
- Issue published online: 11 MAR 2004
- Article first published online: 11 MAR 2004
- Received 18 November 2003; accepted 26 November 2003.
- Abstract
- Article
- References
- Cited By
Keywords:
- Caesarean section rate;
- operative delivery;
- pelvic floor trauma;
- risk assessment;
- Term Cephalic Trial
Abstract
Caesarean section rates continue to rise. To date, no serious attempt has been made to address this issue. There are no scientific grounds for identifying an ‘appropriate’ level for Caesarean section rates. A ‘Term Cephalic Trial’ may provide such information, but poses major logistic and ethical challenges. The authors propose that a combination of known and newly developed predictors of emergency operative delivery may allow an antenatal risk assessment that could make intervention trials both ethically sound and logistically feasible.