| Problem: The incidence of cesarean sections (CS) is rising worldwide. CS are associated with greater healthcare risks and costs than vaginal delivery methods. This review of the literature attempts to evaluate if prenatal education programs for women regarding delivery options can be implemented to inform, educate, include women in the decision-making surrounding childbirth, and ultimately decrease the rate of CS. Methods: The Weill Cornell Medical College Library online, in particular PubMed and Ovid databases, were used. Various governmental vital statistical reports were reviewed. Only articles published in English after the year 2000 were included in this review. Results: A total of 26 articles were discussed. In addition, statistics and data from various US Department of Health websites were included. The evaluated studies originate in several countries and discuss not only the characteristics associated with the women who undergo CS, but also include data on the rising global costs linked to this procedure. They also show how certain interventions can decrease this rate and examine the power of prenatal education in various areas of perinatal interest. Conclusions: There is extensive statistical evidence that the rate of CS worldwide is on the rise. There is also literary evidence that prenatal programs offered to women can make a difference in several parameters associated with the health of mother and baby. This knowledge can be used to find a way to decrease the current rate of CS. We can create tailored programs that inform and educate pregnant women about their delivery choices with the attempt to get them involved in the decision-making and ultimately decrease the rate of CS performed annually. |
