The cesarean delivery rate safely decreased. These data suggest the importance of the commitment of attending physicians to a lower cesarean delivery rate, of service improvements, and of detailed feedback.
Uterine procidentia is relatively common among white multiparous women. The incidence increases with age in association with other predisposing factors. Conservative management of uterine prolapse is rare today, perhaps due to definitive results with surgical therapy and the high incidence of earlier hysterectomy. Still, physicians should become familiar with pessary use and its complications. Three conservatively managed cases of pessary incarceration are reported. Applications of estrogen cream improved the condition of the vagina, permitting removal of the incarcerated pessary a few days later. Careful instruction of patients and relatives about follow‐up care can prevent such complications.
Birth weights affect cesarean delivery rates. Small and large newborns have more cesarean deliveries than those of average weight, whereas cesarean for dystocia increases with birth weights. Cesarean rates for non-reassuring fetal status are similar in all groups. A decline in repeat and cesareans for dystocia determined the lower total cesarean rate during the second period. and snhtetricrr
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