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THURSDAY, DECEMBER 4, 2008 7:07 pm
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WEEK IN REVIEW
Wednesday


Marysville tries to decide fate of high school
Transit use stays high as gas prices fall
Father, daughter: 2 types of heroes
Tuesday


SPEEA workers OK Boeing's contract offer
Keystone run to get new ferry by 2010
At a stalemate, lawmakers put off decision on s...
Monday


Crops attract snow geese; hunts control field-d...
County budget cuts hit courts, will affect cities
Man sold Lowe's gift cards from stolen goods, p...
Sunday


Fighting foreclosure: How one couple got caught...
Monroe man's family remembers a life devoted to...
155-year boys club comes to an end
Saturday
How to avoid holiday thieves
Burn ban orders will have new teeth
Get a flu shot now, officials urge
Friday


A community in limbo
Ideas arise on housing sex offenders
Turnout for historic election breaks county and...
Thursday


Ways to Give: Where you can make a difference
Ways to give: Charities hit hard from both sides
County Council cuts deeply from most staff exce...
 

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CONTACT THE HERALD
Robert Frank, City Editor
frank@heraldnet.com
 
Published: Saturday, August 23, 2008

Cesarean section rates climbing in Washington state

More babies are being delivered by cesarean section at the same time as medical groups are trying to reduce the procedures' frequency.

MONROE -- Dr. William Thot says he's seen the trend noted in this week's state Department of Health report: Delivering babies by cesarean section is becoming increasingly common.

"It's definitely been true," said Thot, medical director of Valley General Hospital. "It's been creeping up for a number of years," even though medical groups such as the American College of Obstetricians and Gynecologists have been trying to decrease C-section rates.

"The fact is, patients are getting bigger and babies are getting bigger," Thot said. "Those changes make it more difficult" to deliver babies vaginally.

Obesity and increasing rates of diabetes are both factors in mothers weighing more, he said.

The state Department of Health study found that each year, about 21,800 Washington women deliver by C-section, about 26 percent of all births in Washington.

Of these, about 13,300 are first time C-sections and about 8,500 are repeat C-sections.

About 14 percent of C-section births may not have been necessary, the study says.

Women in the Puget Sound region had about 10 percent more C-sections per year than women living in other areas of the state, according to the study.

Larger women are having more C-sections, Thot said, in part because they're at higher risk of their contractions not being as strong as they should be.

"It makes it hard to get people into good labor patterns" and deliver the baby, he said.

Larger babies can exceed the size of the mother's bone structure, meaning the mother may be too small to deliver the baby vaginally, he said.

Some moms ask for their baby to be delivered by C-section, Thot said.

In part that's because it allows moms to plan their delivery, he said. But it also allows them to avoid the labor pains.

Although C-sections sometimes are necessary, the procedure can be risky to both the mother and child, according to Dr. Maxine Hayes, Washington State Heath officer.

Women can face higher risks of infection and infertility and their newborns can be at higher risk for asthma and other respiratory problems, she said.

Women who have had a C-section are more likely to repeat the procedure if they have another baby, the study found.



Reporter Sharon Salyer: 425-339-3486 or salyer@heraldnet.com.

1. Waitress tied up during Marysville robbery
2. Man sentenced in brother's slaying
3. Marysville tries to decide fate of high school
4. Father, daughter: 2 types of heroes
5. Fire destroys Monroe triplex, leaves families without homes
6. Snohomish County raises sales tax to pay for drug treatment
7. Transit use stays high as gas prices fall
8. Rockin' at holiday tree auction
9. Is teen cheating, shoplifting on the rise?
10. Abandoned school bus destroyed by fire
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