Re: Promotion of Family-Centered Birth With Gentle Cesarean Delivery

摘要

Because we promote “gentle” cesarean delivery,1 I trust it is in the larger context2,3 of avoiding cesarean delivery,4,5 whenever feasible, by “active conservative” management of labor (eg, partographs and decision making that considers alternatives to cesarean delivery). Through the American Academy of Family Physicians Advanced Life Support in Obstetrics6 course, family doctors are already leaders in this effort in the United States and abroad.7 This is likely already being done at Brown and other places where this advance in mother/child-centered birthing is working so well. If Magee et al1 could include the proportion of deliveries by cesarean delivery within their cohorts, this would frame that context.