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Tuesday
Feb022010

The Term "Unnecesarean" Used in Midwifery Today

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I haven’t read the article but I heard about it a few months before it was to be published.

 

Documented Causes of UnneCesareans by Judy Slome Cohain, Midwifery Today Issue 92.

 

It’s spelled in the title as seen above and in the abstract as “unne-Cesarean.” If any subscribers want to send me the article or save me a copy, that would be dandy.

 

Another interesting place the term has popped up is on something called “BirthWiki”:

Unnecesarean

Unnecesarean is an unnecessary cesarean.  Most cesareans are unnecessary.  Research into reasons for emergency cesareans found that 66% occur between the 25% of day shift hours of 8am and 3pm, and the least between 5am and 6am leading the authors to conclude that physician convenience is a leading cause of “emergency cesareans” or unnecesareans. (1)

Dr. S. Bewley has written extensively about the issues surrounding unnecesareans, which are often given the misnomer: ‘cesarean by choice’. (2)  A cesarean is a life threatening medical procedure that is obviously ultimately decided upon by a doctor or several doctors.

 

(1) Goldstick O, Weissman A, Drugan A.  The circadian rhythm of “urgent” operative deliveries.  Isr Med Assoc J. 2003 Aug;5(8):564-6.

(2) Bewley S, Cockburn J.  The unfacts of ‘request’ caesarean section.  BJOG.  2002 Jun;109(6):597-605.

 

(This entry was copied directly from http://en.wikipedia.org/wiki/Unnecesarean before it was deleted due to Non-noted Neologism.)

 

So apparently someone stuck it on Wikipedia, then on this BirthWiki. Hmm.

 

I take credit for posting it on Urban Dictionary back in 2008 and I’m trying to figure out why it says “January 17, 2009” on the entry.

 

Have you seen the term used anywhere interesting?

 

 

 

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Reader Comments (3)

I have the article Jill, I can copy it and send it to you. Email me.

February 2, 2010 | Unregistered CommenterNora

The article about times when babies are born is *very* interesting. Here is the abstract:

IMAJ 2003: 5: August: 564-566

*****

Abstract
Background: Even operative deliveries defined as “urgent” show marked diurnal variation with a significant increase during regular working hours.
Objective: To investigate the diurnal variation of urgent operative deliveries and its potential implications on the outcome of newborns.
Methods: We conducted a retrospective study of all deliveries in a public hospital from 1 January 1990 to 31 December 1998. Delivery mode variables analyzed were spontaneous vaginal delivery, urgent cesarean section and operative vaginal delivery. Deliveries were stratified hourly throughout the day. The rate of operative deliveries was calculated and the analysis was then performed according to the daily routine shifts of the medical staff. Birth weight and Apgar scores at 1 and 5 minutes were retrieved as outcome measures.
Results: The rate of urgent cesarean deliveries increased significantly between 8 a.m. and 2 p.m. (150%–230%) from that predicted. The lowest rate of urgent cesarean sections was found between 5 a.m. and 6 a.m. (5.3%). Mean birth weight in spontaneous deliveries was higher in the morning hours than during the night shift (3,293 ± 520 g vs. 3,277 ± 510 g, respectively, P < 0.005). Apgar scores of newborns delivered by urgent cesarean section during the morning were higher compared to those delivered during night shifts and the rate of low Apgar scores was lower in the morning than in evening and night shifts.
Conclusions: Our results indicate a marked diurnal variation in urgent operative deliveries, caused perhaps by varying definition of “urgency” according to the time of day.

February 3, 2010 | Unregistered CommenterMonkey Mama

I first hear it used by mothers in the Joyous Birth group from 2006 onwards.

February 5, 2010 | Unregistered CommenterIlithyia Inspired Sarah
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