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Women who deliver their first baby by cesarean section are more likely to need blood transfusions and be admitted to intensive care units than women who opt for a vaginal delivery

More Evidence That C-Sections Should Be Avoided When Possible

More complications and lower chances of vaginal delivery for subsequent births
For twin pregnancies

Fetal/Infant Death Risk Lowest at 37 Weeks in Twin Pregnancies

Relative risk of mortality lower with immediate delivery versus expectant management at 37 weeks
An Internet-based cognitive behavioral therapy program can improve attitudes among nulliparous women with severe fear of childbirth

Internet-Based CBT Helps Women With Fear of Childbirth

After therapy, women have more realistic attitude toward childbirth, more self-confidence
Neonatal outcomes are no worse with rotational instrumental delivery than with cesarean delivery for persistent fetal malposition

Rotational Instrument Delivery OK for Fetal Malposition

Neonatal outcomes similar to those seen with cesarean section
A variety of shoulder dystocia maneuvers are not associated with neonatal morbidity after adjusting for duration

Shoulder Dystocia Maneuvers Not Tied to Neonatal Harm

No findings of morbidity, injury tied to maneuvers, when adjusting for duration
Using chlorhexidine to clean the umbilical cords of infants born outside of a hospital lowers infant infection and death rates in developing countries

Cleaning Umbilical Cord With Chlorhexidine Lowers Mortality

Findings useful for home births in developing countries
Augmentation of labor with the medication oxytocin does not seem to raise the risk of having a child with attention-deficit/hyperactivity disorder

Oxytocin in Labor Not Linked With Later ADHD in Child

Previous research with animals had suggested a possible connection
A planned labor and vaginal birth after cesarean is an appropriate option for most women with a history of prior cesarean birth

AAFP Advocates for Planned Vaginal Birth After Cesarean

Clinicians should counsel, encourage, and facilitate planned vaginal birth after cesarean
The incidence of episiotomy has been declining since the 1990s because of concerns regarding related risks and benefits

Fewer Episiotomies, but Nonmedical Factors May Persist

Almost 12 percent of deliveries still involve the surgical procedure