LEADER 00000cam  2200625 i 4500 
001    ocn841516535 
003    OCoLC 
005    20170412105522.0 
008    130417s2013    nyu      b    001 0 eng   
010      2013015226 
016 7  101619882|2DNLM 
016 7  016564380|2Uk 
019    936057238 
020    9780814764114|q(cl ;|qalk. paper) 
020    0814764118|q(cl ;|qalk. paper) 
035    (OCoLC)841516535|z(OCoLC)936057238 
040    DLC|beng|erda|cDLC|dOCLCO|dYDXCP|dBTCTA|dBDX|dUPZ|dIEB|dVP
       @|dFMU|dCDX|dIHI|dCGN|dNSB|dMNE|dUKMGB|dOCLCF|dNLM|dOCLCQ
       |dSTJ 
042    pcc 
043    n-us--- 
049    STJJ 
050 00 RG761|b.M67 2013 
060 00 2013 J-313 
060 10 WQ 430 
082 00 618.8/6|223 
092    618.86|bM877C 
100 1  Morris, Theresa,|d1956- 
245 10 Cut it out :|bthe C-section epidemic in America /|cTheresa
       Morris. 
264  1 New York :|bNew York University Press,|c[2013] 
300    x, 244 pages ;|c24 cm 
336    text|btxt|2rdacontent 
337    unmediated|bn|2rdamedia 
338    volume|bnc|2rdacarrier 
504    Includes bibliographical references (pages 201-232) and 
       index. 
505 0  The Root of the Problem. The liability threat in 
       obstetrics. -- Control Systems Embedded in Hospitals. The 
       tyranny of the rules ; Too much information: how 
       technology raises the stakes. -- The Effects of 
       Organizational Constraints. The big kahuna: repeat c-
       sections ; Women's lack of choice in labor and birth. -- A
       roadmap for change. 
520    This work examines the exponential increase in the United 
       States of the most technological form of birth that exists
       : the cesarean section. While c-section births pose a 
       higher risk of maternal death and medical complications, 
       can have negative future reproductive consequences for the
       mother, increase the recovery time for mothers after birth,
       and cost almost twice as much as vaginal deliveries, the 
       2011 cesarean section rate of 33 percent is one of the 
       highest recorded rates in U.S. history, and an increase of
       50 percent over the past decade. Further, once a woman 
       gives birth by c-section, her chances of having a vaginal 
       delivery for future births drops dramatically. This 
       decrease in vaginal births after cesarean sections (VBAC) 
       is even more alarming: one third of hospitals and one half
       of physicians do not even allow a woman a trial of labor 
       after a c-section, and 90 percent of women will go on to 
       have the c-section surgery again for subsequent 
       pregnancies. Of comparative developed countries, only 
       Brazil and Italy have higher c-section rates; c-sections 
       occur in only 19 percent of births in France, seventeen 
       percent of births in Japan, and sixteen percent of births 
       in Finland. How did this happen? Here the author 
       challenges most existing explanations of the unprecedented
       rise in c-section rates, which locate the cause of this 
       trend in physicians practicing defensive medicine, women 
       choosing c-sections for scheduling reasons, or women's 
       poor health and older ages. The explanation of the c-
       section epidemic is more complicated, taking into account 
       the power and structure of legal, political, medical, and 
       professional organizations; gendered ideas that devalue 
       women; hospital organizational structures and protocols; 
       and professional standards in the medical and insurance 
       communities. She argues that there is a new culture within
       medicine that avoids risk or unpredictable outcomes and 
       instead embraces planning and conservative choices, all in
       an effort to have perfect births. Based on 130 in-depth 
       interviews with women who had just given birth, 
       obstetricians, midwives, and labor and delivery nurses, as
       well as a careful examination of local and national level 
       c-section rates, this book provides a comprehensive look 
       at a little-known epidemic that greatly affects the lives,
       health, and families of each and every woman in America. 
650  0 Cesarean section. 
650  0 Cesarean section|xPrevention. 
650  0 Surgical indications. 
650  0 Women|xHealth and hygiene. 
650  7 Cesarean section.|2fast|0(OCoLC)fst00851536 
650  7 Cesarean section|xPrevention.|2fast|0(OCoLC)fst00851543 
650  7 Surgical indications.|2fast|0(OCoLC)fst01139449 
650  7 Women|xHealth and hygiene.|2fast|0(OCoLC)fst01176758 
650 12 Cesarean Section|xcontraindications. 
650 12 Cesarean Section|xtrends. 
651  2 United States. 
650 22 Unnecessary Procedures. 
650 22 Liability, Legal. 
650 22 Women's Health. 
994    C0|bSTJ