Trends in cesarean section use in California, 1983 to 1990

Article Abstract:

The number of cesarean sections performed in California may have dropped between 1988 and 1990 after an increase between 1983 and 1988. Much attention focused on reducing cesarean section rates during the 1980s. A study examined California hospital delivery information to determine the number of cesarean sections performed per year between 1983 and 1990. Twenty-two percent of hospital deliveries were by cesarean section in 1983, compared with 25% in 1987. The cesarean section rate dropped to 23% in 1990. The number of repeat cesarean sections fell between 1983 and 1987, and this decrease was even larger between 1988 and 1990. Women with private health insurance were more likely to undergo a cesarean section than those without. Cesarean section is an expensive procedure that may sometimes be performed unnecessarily.

Usage, Cesarean section

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Low rates of hormone replacement in visits to United States primary care physicians

Article Abstract:

Several demographic factors may explain the variation seen in the number of middle-aged female patients taking hormone replacement therapy who see primary care physicians. Questionnaires were completed by 6,341 women older than 40 years of age during a routine office visit with their primary care physician. The rates of hormone replacement use increased from 4.7% during 1989-1990 to 8.0% during 1993-1994. Hormone replacement therapy was more common among women who were white, had menopausal features, were 50 to 59 years old, had high cholesterol or osteoporosis, lived in the western United States, or were seeing an obstetrician-gynecologist.

Health aspects, Analysis, Practice, Hormone therapy, Estrogen, Estrogens, Physicians (General practice), General practitioners

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Evaluation of a protocol for selecting fetuses in breech presentation for vaginal delivery or cesarean section

Article Abstract:

It appears that many infants can be safely delivered vaginally if they are in the breech position. Medical records were analyzed of 1,212 infants in the breech position delivered between 1984 and 1992. The percentage of infants in the breech position delivered vaginally increased from 45% to 57% with a corresponding decrease in cesarean deliveries for similar infants during this time period. Slightly more infants delivered vaginally in the breech position were admitted to the neonatal intensive care unit or had birth complications compared to matched infants in the head down position.

Breech delivery, Breech birth

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