Cesarean Section in Nulliparous Women

Cesarean Section in Nulliparous Women
Presentation by:
Noelle Lefitz, RN, BSN, SNM
Nicole Carlson, RN, BSN, SNM
Nancy K. Lowe, CNM, PhD, FACNM, FAAN

Background

C-section rate for low-risk (full-term, singleton, vertex) nulliparous women:
Risks of Cesarean Section
Long term Maternal Risks
More Risks of C-Section
Aim of Study
Review of Literature
Characteristics of nulliparous women associated with CDD
BMI
Advanced Maternal Age
Epidural
Occiput Posterior (OP) Presentation
Anxiety
Continuous Labor Support
Decreased Hydration in Labor
Induction of Labor
Low Bishop Score/Unengaged Vertex Presentation
Diagnostic decision-making practices around dystocia
The Definition of Dystocia
Recommendations: SOGC (& ACOG)
Elective Induction
Questioning the Definition
CNMs: The Protective Effect from Cesarean Birth
Study Design
Variables Examined
Results
Conclusions
Pain Control
The OHSU CNMs

Cesarean Section in Nulliparous Women.ppt