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Hadassah doctors show importance of head circumference in deciding on cesarean

 

Professor Simcha Yagel and his team of physicians and researchers have shown that a baby born with a big head circumference is more likely to cause an unplanned cesarean or instrumental delivery, rather than high birth weight as was previously thought. These results will impact the entire obstetrics industry, as was documented by all major national news outlets.

​Over the period of January 2010 to December 2012, medical records were collected and analysed and as head of the Division of Obstetrics and Gynecology, Prof. Yagel has said that the research provides good reason to change the medical protocol relating to a baby with high birth weight. He explains that, “many mothers could be allowed to have a natural vaginal birth that is safer both for the mother and the baby.”
The team also showed that if the head circumference was larger than normal, vacuum delivery was three-times as likely to fail, resulting in a cesarean. “These results show,” Prof. Yagel added, “a baby’s suffering could be reduced by not using a vacuum when it is unnecessary.”
The article, which was published in the American Journal of Obstetrics and Gynacology and selected as “Editor’s Choice” for the issue, demonstrates the need to include head circumference measurements in professional recommendations for vaginal or interventional delivery.

http://www.ajog.org/article/S0002-9378(15)00846-7/fulltext

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