© 1995

Cesarean Section

Guidelines for Appropriate Utilization

  • Bruce L. Flamm
  • Edward J. Quilligan

Table of contents

  1. Front Matter
    Pages i-xvi
  2. T. J. Broadhead, D. K. James
    Pages 9-21
  3. Emanuel A. Friedman
    Pages 23-42
  4. Peter Boylan
    Pages 43-49
  5. Bruce L. Flamm
    Pages 51-64
  6. Luis A. Cibils
    Pages 65-93
  7. David A. Miller, Richard H. Paul
    Pages 95-114
  8. Hung N. Winn, John C. Hobbins
    Pages 115-124
  9. Cornelia R. Graves, Frank H. Boehm
    Pages 125-129
  10. Zane A. Brown
    Pages 131-139
  11. Norbert Gleicher, Richard H. Demir, Jeanne B. Novas, Stephen A. Myers
    Pages 141-162
  12. Jeffrey P. Phelan
    Pages 163-171
  13. Laura B. Gardner
    Pages 173-190
  14. Thomas E. Elkins, Douglas Brown
    Pages 191-205
  15. Bruce L. Flamm
    Pages 207-221
  16. Back Matter
    Pages 263-278

About this book


Cesarean section rates Percentage Indication Low High Failure to progress 2. 0 4. 0 Repeat cesarean section 2. 0 6. 0 Breech and abnormal lie 1. 3 3. 5 Fetal distress 1. 5 3. 0 Third-trimester bleeding 1. 0 1. 0 Totals 7. 8 17. 5 l From Quilligan, by permission of Contemporary Obstetrics and Gynecology. vaginal delivery, I have yet to meet a physician who would do something they believed would harm their patient even if they were paid ten times as much for a section. On the other hand, there are fears and misconceptions. I have heard many doctors say "I have never been sued for a section I did, but I have been sued for the section I did not do. " The fear of not having performed a section in my opinion is real, although difficult to prove, and until the public can be educated that cesarean section delivery cannot eradicate fetal death and damage, this fear will remain and will be responsible for some unnecessary cesarean sections. Bruce Flamm and I hope this book will correct misconceptions that have been responsible for many unnecessary cesarean sections. I am still frequently asked the same old question: What is an ideal cesarean section rate? I still give an answer similar to the 1983 answer, perhaps somewhat modified.


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Editors and affiliations

  • Bruce L. Flamm
    • 1
  • Edward J. Quilligan
    • 2
  1. 1.Kaiser PermanenteSouthern California Permanente Medical GroupRiversideUSA
  2. 2.Department of Obstetrics and GynecologyUniversity of California-Irvine Medical CenterOrangeUSA

Bibliographic information

  • Book Title Cesarean Section
  • Book Subtitle Guidelines for Appropriate Utilization
  • Editors Bruce L. Flamm
    Edward J. Quilligan
  • Series Title Clinical Perspectives in Obstetrics and Gynecology
  • DOI
  • Copyright Information Springer-Verlag New York 1995
  • Publisher Name Springer, New York, NY
  • eBook Packages Springer Book Archive
  • Hardcover ISBN 978-0-387-94238-4
  • Softcover ISBN 978-1-4612-7556-5
  • eBook ISBN 978-1-4612-2482-2
  • Series ISSN 0178-0328
  • Edition Number 1
  • Number of Pages , 278
  • Number of Illustrations 0 b/w illustrations, 0 illustrations in colour
  • Topics Ecology
  • Buy this book on publisher's site
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