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	<title>Cesarean rates &#8211; Cincy Link</title>
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		<title>Cleveland Clinic working to reverse rising rates of cesarean sections</title>
		<link>https://cincylink.com/2020/04/04/cleveland-clinic-working-to-reverse-rising-rates-of-cesarean-sections/</link>
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					<description><![CDATA[According to a recent &#13; &#13; report,&#13; &#13; &#13; &#13; &#13; cesarean sections, or 'C-section', rates are the highest in nearly two decades. The Cleveland Clinic said the trend is so high that 1 in 3 babies in the U.S. are now born via C-section. "It's a significant health burden, it's a significant medical burden &#8230;]]></description>
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<p>According to a recent <span class="Enhancement">&#13;<br />
            &#13;<br />
                <span class="Enhancement-item"><a class="Link" href="https://www.thelancet.com/series/caesarean-section">report,</a></span>&#13;<br />
            &#13;<br />
        </span>&#13;<br />
    &#13;<br />
&#13;<br />
 cesarean sections, or 'C-section', rates are the highest in nearly two decades.</p>
<p>The Cleveland Clinic said the trend is so high that 1 in 3 babies in the U.S. are now born via C-section.</p>
<p>"It's a significant health burden, it's a significant medical burden and economical burden," Dr. Selena Zanotti said. "1 in 3 is definitely a high rate and there are things we can do to lower that rate." </p>
<p>Dr. Libby Buckley,  dentist in Berea, is a mom of two. She gave birth to both of her children via C-section.</p>
<p>"Both of my kids wanted to stay inside me forever. They didn't want to come out." </p>
<p>Dr. Buckley said her doctor decided to induce her during her first pregnancy because her son was a week overdue. However, she wasn't dilating. Then came the emergency procedure. </p>
<p>The surgery itself went well, however it was her recovery that was a bit rocky.</p>
<p>"I was shaking a lot. Then they gave me my son and I was scared. I didn’t want to hold him I was afraid I was going to drop him. I was kind of freaking out a little bit," Dr. Buckley said. "I think it was the pitocin. Coming off of that was a bit rough."</p>
<p>So when Dr. Buckley was pregnant with her daughter about two years later, she wanted to try to give birth naturally. </p>
<p>“I didn’t want to pick out the date of my child’s birth," she said.</p>
<p>But naturally, her daughter was also a week overdue, so again she gave birth via cesarean. </p>
<p>Dr. Buckley's story is just like so many others across the country.</p>
<p>Dr. Zanotti said there are several contributing factors to the increase rate, including obesity, the number of older first time mothers plus a change in the medical legal system. </p>
<p>"There are a lot of physicians who practice safer medicine. There's a lot of fear of being sued in this country and because of that cesareans may be getting done earlier than before," Dr. Zanotti said.</p>
<p>However, the rising rates is catching the attention of national agencies, like the American College of of Obstetricians and Gynecologists’, ACOG. </p>
<p>The ACOG recently updated their opinion called <span class="Enhancement">&#13;<br />
            &#13;<br />
                <span class="Enhancement-item"><a class="Link" href="https://www.acog.org/-/media/Committee-Opinions/Committee-on-Obstetric-Practice/co761.pdf?dmc=1&amp;ts=20190127T2325013316">'Cesarean Delivery on Maternal Request.'</a></span>&#13;<br />
            &#13;<br />
        </span>&#13;<br />
    &#13;<br />
&#13;<br />
 In the opinion, it states "in the absence of maternal or fetal indications for cesarean delivery, a plan for vaginal delivery is safe and appropriate and should be recommended." </p>
<p>Dr. Zanotti said the Cleveland Clinic is also working towards reversing the trend. She said last year the Clinic had a 22% rate for cesareans for first-time moms.</p>
<p>“Which is fantastic. That’s taken a lot of work on our part as well," she said. </p>
<p>Dr. Buckley's advice - give birth naturally if you can. </p>
<p>"To me, it’s not worth it. A surgery is a surgery, I’d rather do it the way we’re supposed to unless the doctor comes in and says this is the only way to go," she said.  </p>
<p>But it is important to remember, C-sections may be the only option for some mothers for a chance at a healthy baby.</p>
<p>“C-sections are needed, c-sections are definitely indicated in a lot of medical conditions but we just need to be cautious on how many we’re doing,” Dr. Zanotti said. </p>
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<br /><a href="https://www.wcpo.com/news/local-news/cleveland-metro/cleveland-clinic-working-to-reverse-rising-rates-of-cesarean-sections">Source link </a></p>
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