The c-section rate is still on the rise, up to 34%, and Dr. John Queenan predicts the rate will soon approach 50% in his article “How to Stop the Relentless Rise in Cesarean Deliveries,” published in August in Obstetrics and Gynecology. Queenan is deputy editor of said publication, and his editorial is a call to care providers to rein in the rate before stakeholders or governmental action take them by force. Queenan offers two solution to his complex question: 1)”make VBAC more accessible and more desirable” and 2)”prevent primary deliveries in the first place.”
His strategies include
- implementing hospital quality improvement programs,
- increasing utilization of midwives,
- addressing problems in the liability system, and
- improving shared decision making.
Woman, take note. The decision makers are hearing the alarms, too.