剖腹产流行中国(59页).pptx

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Overview;Background;Cesarean Rates;Cesarean Delivery – Around the Globe ;Background;Maternal Mortality;Maternal Mortality;Subsequent Pregnancies;C/S and Previa / Accreta;Effects of Current CD Trend ;Effects of Current CD Trend ;Why rising cesarean rates? ;Demographic Changes ;Demographic Changes ;Maternal Preferences ;Maternal Preferences ;Maternal Preferences ;;Medical-legal Environment;Medical-legal Environment;Effect of Malpractice Award Caps on Cesareans; Med-Legal Environment;Economic Incentives;What can we do?;Trial of Labor After Cesarean;Trial of Labor After Cesarean;Breech – External Cephalic Version;Effect on CD Rate;Labor Dystocia Disorders;Labor Dystocia Disorders;Labor Dystocia Disorders;Extending Active Phase Arrest Dx;Extending Active Phase Arrest Dx;APA - Effect on CD Rate;‘Prolonged’ Second Stage;;Extending 2nd Stage;Operative Vaginal Delivery;Operative Vaginal Delivery;Operative Vaginal Delivery;Manual Rotation of OP/OT;Results: Rotation and Cesarean;Reichman et al, Eur J Obstet Gynecol 2006;Manual Rotation;Changing Practice Environment;Changing Practice Environment;Changing Practice Environment;Changing Practice Environment;Changing Practice Environment;Overall Effect;Thank You

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