Indications contributing to the increasing cesarean delivery rate.
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...In a 2011 population-based study, the most common indications for primary cesarean delivery included, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia (Figure 3).(16) Arrest of labor and abnormal or indeterminate fetal heart rate tracing accounted for more than half of all primary cesarean deliveries in the study population....
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...nate fetal heart rate”) and the rarity of category III patterns, it can be deduced that category II tracings likely account for most cesarean deliveries performed for nonreassuring fetal status.(16) Thus, one important consideration for health care providers who are making the diagnosis of nonreassuring fetal status with the intent to proceed with cesarean delivery is to ensure that clinically indicated measures have been undertaken to resolve the concerning elements of the category II tracing or provide reassurance of fetal well-being....
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...In many centers, the number of cesarean deliveries performed for “nonreassuring fetal status” has increased more than any other indication despite the fact that the number of women classified as high risk has not increased concomitantly.(35,36) All of these factors are compounded by the belief among many patients that cesarean delivery is safer for the fetus....
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