Menu

Eye Injuries From Fireworks Have Nearly Doubled

Eye Injuries From Fireworks Have Nearly Doubled

By Robert Preidt
HealthDay Reporter

SUNDAY, June 30, 2019 (HealthDay News) — As communities across America enjoy fireworks this July Fourth, folks should keep eye safety in mind.

The number of eye injuries caused by fireworks nearly doubled from 2016 to 2017, and the American Academy of Ophthalmology (AAO) is urging Americans to take proper safety precautions this holiday.

Fireworks-related eye injuries rose from 700 in 2016 to 1,200 in 2017, according to the U.S. Consumer Product Safety Commission. Those injuries included ruptured eyeballs and damaged corneas and retinas.

“An average of 280 people a day will go to the emergency room with fireworks-related injuries during the two weeks before and after July Fourth,” said Dr. Dianna Seldomridge, clinical spokesperson for the AAO.

“Don’t be a part of these alarming statistics. Learn how to protect yourself and your children,” she urged in an AAO news release.

Most injuries are caused by legal fireworks that parents buy for their children, including sparklers, firecrackers, bottle rockets and Roman candles, according to the AAO.

The academy offered the following fireworks safety tips.

  • Keep a safe distance from fireworks: A recent study found that bystanders account for 65% of people injured by fireworks. Stacy Young was one of those. She was 100 yards away when shrapnel from an illegal firework penetrated her skull. Her eye couldn’t be saved and had to be removed.
  • Don’t pick up duds and misfires: Ohio firefighter Jay Northup took all the right precautions for his backyard Fourth of July fireworks celebration, but a decision to inspect a “dud” was almost fatal and nearly cost him his sight.
  • Supervise children closely: Sparklers seem like harmless fun for children, but they cause about 1,400 eye injuries each year. Even tiny poppers or snappers can be dangerous.
  • Wear protective eyewear: Buy American National Standards Institute (ANSI)-approved safety glasses for the entire family.

The safest way to see fireworks is to watch a professional show.

If a fireworks-related eye injury occurs, the AAO outlines what to do: Seek medical attention immediately. Do not rub the eye. Rubbing may make the injury worse. Do not attempt to rinse the eye. Do not apply pressure to the eye. Do not remove objects from the eye. Do not apply ointments or take pain medications before seeking medical help.

WebMD News from HealthDay

Sources

SOURCE: American Academy of Ophthalmology, news release, June 20, 2019

Copyright © 2013-2018 HealthDay. All rights reserved.

‘); } else { // If we match both our test Topic Ids and Buisness Ref we want to place the ad in the middle of page 1 if($ .inArray(window.s_topic, moveAdTopicIds) > -1 && $ .inArray(window.s_business_reference, moveAdBuisRef) > -1){ // The logic below reads count all nodes in page 1. Exclude the footer,ol,ul and table elements. Use the varible // moveAdAfter to know which node to place the Ad container after. window.placeAd = function(pn) { var nodeTags = [‘p’, ‘h3′,’aside’, ‘ul’], nodes, target; nodes = $ (‘.article-page:nth-child(‘ + pn + ‘)’).find(nodeTags.join()).not(‘p:empty’).not(‘footer *’).not(‘ol *, ul *, table *’); //target = nodes.eq(Math.floor(nodes.length / 2)); target = nodes.eq(moveAdAfter); $ (”).insertAfter(target); } // Currently passing in 1 to move the Ad in to page 1 window.placeAd(1); } else { // This is the default location on the bottom of page 1 $ (‘.article-page:nth-child(1)’).append(”); } } })(); $ (function(){ // Create a new conatiner where we will make our lazy load Ad call if the reach the footer section of the article $ (‘.main-container-3’).prepend(”); });
WebMD Health

Eye Injuries From Fireworks in U.S. Have Nearly Doubled

SUNDAY, June 30, 2019 — As communities across America enjoy fireworks this July Fourth, folks should keep eye safety in mind.

The number of eye injuries caused by fireworks nearly doubled from 2016 to 2017, and the American Academy of Ophthalmology (AAO) is urging Americans to take proper safety precautions this holiday.

Fireworks-related eye injuries rose from 700 in 2016 to 1,200 in 2017, according to the U.S. Consumer Product Safety Commission. Those injuries included ruptured eyeballs and damaged corneas and retinas.

“An average of 280 people a day will go to the emergency room with fireworks-related injuries during the two weeks before and after July Fourth,” said Dr. Dianna Seldomridge, clinical spokesperson for the AAO.

“Don’t be a part of these alarming statistics. Learn how to protect yourself and your children,” she urged in an AAO news release.

Most injuries are caused by legal fireworks that parents buy for their children, including sparklers, firecrackers, bottle rockets and Roman candles, according to the AAO.

The academy offered the following fireworks safety tips.

  • Keep a safe distance from fireworks: A recent study found that bystanders account for 65% of people injured by fireworks. Stacy Young was one of those. She was 100 yards away when shrapnel from an illegal firework penetrated her skull. Her eye couldn’t be saved and had to be removed.
  • Don’t pick up duds and misfires: Ohio firefighter Jay Northup took all the right precautions for his backyard Fourth of July fireworks celebration, but a decision to inspect a “dud” was almost fatal and nearly cost him his sight.
  • Supervise children closely: Sparklers seem like harmless fun for children, but they cause about 1,400 eye injuries each year. Even tiny poppers or snappers can be dangerous.
  • Wear protective eyewear: Buy American National Standards Institute (ANSI)-approved safety glasses for the entire family.

The safest way to see fireworks is to watch a professional show.

If a fireworks-related eye injury occurs, the AAO outlines what to do: Seek medical attention immediately. Do not rub the eye. Rubbing may make the injury worse. Do not attempt to rinse the eye. Do not apply pressure to the eye. Do not remove objects from the eye. Do not apply ointments or take pain medications before seeking medical help.

More information

The U.S. Consumer Product Safety Commission has more on fireworks safety.

© 2019 HealthDay. All rights reserved.

Posted: June 2019

Drugs.com – Daily MedNews

Nearly Half of Juul Twitter Followers Are Teens, Young Adults: Study

MONDAY, May 20, 2019 — Juul became the dominant brand of e-cigarettes in the United States by targeting teens with its clever use of social media, a new study suggests.

Nearly 70% of U.S. e-cigarette sales are Juul products, and most vapers are teens and young adults. The study determined that nearly half of Juul’s Twitter followers are under age 18, with the majority of followers 24 and under.

“The rise of e-cigarettes and the lack of regulation around marketing with its appeal to youth is now addicting a whole generation of youth on nicotine,” said lead researcher Annice Kim of the Center for Health Policy Science and Tobacco Research in Research Triangle Park, N.C., who noted that nicotine is not healthy for developing brains.

She said Juul’s initial marketing aimed to corral a group of influencers on Twitter and other platforms to push its flavored vaping system to teens and young adults. More needs to be done, Kim added, to limit exposure of age-restricted products to underage youth.

Juul said in a statement that it voluntarily shut down its Facebook and Instagram accounts last year. Its Twitter account no longer contains promotional material, the statement added, only such information as study results, executive hires and the company’s support for policies to reduce youth access to tobacco products.

“We don’t want youth using our product,” the company said. “As a result, we share the researchers’ stated interest in restricting underage engagement with our limited social-media activities.”

Kim said Juul’s previous social media marketing has had an effect.

For the study, her team collected data on people who followed Juul on Twitter. Of nearly 10,000 individual Twitter followers, researchers estimated that 45% were 13- to 17-year-olds and 44% were 18- to 24-year-olds. Under 12% were 21 or older.

In its statement, Juul questioned the study’s methodology. It said the findings differ “significantly from data Twitter made available to us,” which show that 13- to 17-year-olds made up 3.9% of the company’s followers on the platform in May 2018.

But Vince Willmore, a spokesman for the Campaign for Tobacco-Free Kids, said the study is further evidence that Juul’s social media marketing helped fuel the youth e-cigarette epidemic. He said the company did too little, too late to stop it.

“Young customers continue to do the marketing for them through their social media posts,” Willmore said.

He called on social media platforms to prohibit marketing of all tobacco products, including e-cigarettes, and for the U.S. Food and Drug Administration to develop regulations to prevent their marketing on social media to young people.

Meanwhile, Stanton Glantz, director of the Center for Tobacco Control Research and Education, said e-cigarette makers have responded to the marketing backlash by targeting adults. Unfortunately, he added, they have already gotten their youth message across.

“It’s like they set a forest fire, they don’t need to keep going around lighting trees,” Glantz said. “They’re continuing to addict kids — without fingerprints.”

Glantz called on the FDA to make Juul and other e-cigarette makers to submit the products for approval. The FDA has said it will begin enforcing the requirement in 2022, but a federal court in Maryland last week told the agency to start now. Experts expect that ruling to be appealed.

Rather than waiting for the FDA to act, some states and cities are already restricting sale and marketing of e-cigarettes to kids, he said.

The report was published online May 20 as a letter in the journal JAMA Pediatrics.

More information

The Center on Addiction has more about e-cigarettes.

© 2019 HealthDay. All rights reserved.

Posted: May 2019

Drugs.com – Daily MedNews

Kids’ ER Trips for Swallowed Objects Nearly Double

By Alan Mozes

HealthDay Reporter

FRIDAY, April 12, 2019 (HealthDay News) — About 100 kids a day are rushed to U.S. emergency rooms after accidentally swallowing a toy piece, battery, magnet or other foreign object, according to new research.

That’s almost twice as many as in the mid-1990s.

“The sheer number of these injuries is cause for concern,” said Dr. Danielle Orsagh-Yentis, lead author of the study published in the May issue of Pediatrics.

It reported that ER visits among kids under age 6 due to accidental ingestion rose by an average of more than 4% every year between 1995 and 2015.

Over that period, an estimated 800,000 kids in that age group were treated after swallowing foreign objects. Coins are the main culprit, followed by jewelry, batteries and toy parts.

In 1995, there were about 9 cases of accidental ingestion for every 10,000 children. By 2015, that figure had shot up to nearly 18.

So, what the reason for the surge — an actual rise in accident rates or are experts simply getting better at logging and reporting such accidents?

While the jury is still out, Orsagh-Yentis said, the answer is probably both.

Some products investigated — particularly the small circular batteries known as “button batteries” — are increasingly being used around the house or have become more readily available to consumers, she said. And, she added, it’s likely that the nationwide injury surveillance system is capturing more cases than before.

Orsagh-Yentis is a pediatric gastrointestinal fellow at Nationwide Children’s Hospital in Columbus, Ohio.

For the study, her team reviewed data on nearly 30,000 swallowing cases, then developed nationwide estimates.

Most cases — 62% — involved 1- to 3-year-olds, a time when kids are naturally curious about their surroundings and learn about it by putting things in their mouths. In all, 1-year-olds accounted for more than 21 percent of ER cases.

Just over half (53%) of the cases involved boys. And coins — most often pennies — were the most commonly swallowed object, accounting for almost 62% of accidents.

This was followed by toys (10%), jewelry (7%), and batteries (almost 7%). Almost 9 out of 10 batteries gobbled down were button batteries.

Continued

Nine out of 10 kids fared well in the ER and were able to be promptly discharged.

To reduce the risk of accident, safe storage and choosing age-appropriate toys are key, Orsagh-Yentis said.

“Keep small items, especially button batteries, high-powered magnets, and loose change, up, away and out of sight of young children,” she advised. “Check age recommendations on toy packaging to ensure the toy is appropriate for your child’s age. Read and follow manufacturer’s instructions for toy assembly and use.”

If you think your child may have swallowed something, first call your pediatrician for advice, Orsagh-Yentis suggested. And act fast.

“If you think your child may have ingested a button battery or high-powered magnet, go to your local emergency department as quickly as possible,” Orsagh-Yentis said. “Taking a picture of the ingested item or bringing in its packaging can be incredibly helpful to the physician treating your child.”

Morag MacKay, director of research for Safe Kids Worldwide, said it also can be helpful to try to see the world from your child’s point of view.

“Get on the floor so that you are at your child’s eye level,” she advised. Then, look for attractive nuisances.

MacKay, who wasn’t involved with the study, also highlighted the importance of considering a child’s age when buying a toy or game. Parents should make sure there are no small parts or other potential choking hazards before settling on the perfect toy, she said.

“We know that very young children love to explore and if something is in their hand, it usually goes in their mouth,” MacKay added. “[But] parents and caregivers can help reduce these preventable injuries with a few simple steps.”

WebMD News from HealthDay

Sources

SOURCES: Danielle Orsagh-Yentis, M.D., pediatric gastroenterology fellow, Nationwide Children’s Hospital, Columbus, Ohio; Morag MacKay, research director, Safe Kids Worldwide, Washington, D.C.;Pediatrics, May 2019

Copyright © 2013-2018 HealthDay. All rights reserved.

‘); } else { // If we match both our test Topic Ids and Buisness Ref we want to place the ad in the middle of page 1 if($ .inArray(window.s_topic, moveAdTopicIds) > -1 && $ .inArray(window.s_business_reference, moveAdBuisRef) > -1){ // The logic below reads count all nodes in page 1. Exclude the footer,ol,ul and table elements. Use the varible // moveAdAfter to know which node to place the Ad container after. window.placeAd = function(pn) { var nodeTags = [‘p’, ‘h3′,’aside’, ‘ul’], nodes, target; nodes = $ (‘.article-page:nth-child(‘ + pn + ‘)’).find(nodeTags.join()).not(‘p:empty’).not(‘footer *’).not(‘ol *, ul *, table *’); //target = nodes.eq(Math.floor(nodes.length / 2)); target = nodes.eq(moveAdAfter); $ (”).insertAfter(target); } // Currently passing in 1 to move the Ad in to page 1 window.placeAd(1); } else { // This is the default location on the bottom of page 1 $ (‘.article-page:nth-child(1)’).append(”); } } })(); $ (function(){ // Create a new conatiner where we will make our lazy load Ad call if the reach the footer section of the article $ (‘.main-container-3’).prepend(”); });

Pagination

WebMD Health

23rd FILMART Draws Nearly 9,000 International Buyers to Hong Kong

The 23rd edition of Hong Kong International Film and TV Market (FILMART), organized by the HKTDC, drew to a successful close Thursday. The four-day event attracted nearly 9,000 buyers. Exhibitors took advantage of this influx, securing content sales on site.

Acort International, a U.S. exhibitor and long-time FILMART participant, reached a distribution agreement for war film World W4R with buyers from Korea, Vietnam and India on the second day of the exhibition. Horizon Motion Pictures from Canada featured Wedding and Lovers Tourist around the World and discussed with filmmakers from the Philippines, India, Indonesia and the United Kingdom. This documentary will have two episodes on each place to introduce local wedding ceremonies and cultural traditions.

Sil-Metropole Organisation Ltd. from Hong Kong said its martial arts films were popular among Southeast Asian buyers at FILMART, with a number of investment discussions ensuing, including for The Shaolin Temple 2. Sil-Metropole also revealed that a virtual reality production company from the U.K. intends to remake its action movies and micro-movies with VR technology.

Mainland China-based China Central Television (CCTV) does a lot of international business, with 60% to 70% of the buyers of its drama series coming from overseas. CCTV said many new-media platforms, including Facebook, in addition to TV stations, negotiated with them at FILMART this year. Mainland animator Fantawild Animation Inc. from Guangdong Province reached a broadcasting agreement with an Indian TV station for the company’s animation Boonie Bears on the third day of FILMART.

FILMART’s seminars featured an impressive line-up of nearly 60 leading industry representatives from the film, digital entertainment, animation and other sectors. The 14 seminars organized by the HKTDC solely or in conjunction with other institutions attracted more than 3,000 attendees.

Speakers included Esther van Messel, CEO of First Hand Films; Lex Zhu, Producer of A Bite of China; David Weiland, EVP Asia at BBC Studios; Jonathan Spink, CEO of HBO Asia; Sean Park, Marketing Director of YouTube International Markets; Jim Packer, President of Worldwide TV and Digital Distribution, Lionsgate; Yu Gong, Founder and CEO of iQIYI, Inc and President of Worldwide TV and Digital Distribution; Joe Aguilar, Emmy Award-winning producer; Belle Avery, Producer of The Meg; Pang Ho-cheung, Director of Love in a Puff; Derek Tsang, Director of Soul Mate; and Sunny Chan, Director of Men on the Dragon.

FILMART this year focused on the development of film and TV in the Guangdong-Hong Kong-Macau Greater Bay Area. Leading industry representatives in the Greater Bay Area explored the cooperation opportunities and future development for Guangdong, Hong Kong and Macau film, TV and music in events including the “TV World 2019 – Opening Ceremony cum International Forum; Greater Bay Area: Golden Opportunity to Spearhead Film-TV business”, “Cantonese Movies Opportunities in the Greater Bay Area Forum” and “Hong Kong Asian-Pop Music Festival Business Forum: Greater Bay Area – New Business Opportunities for Cantopop”.

Allan Zeman, Chairman of Lan Kwai Fong Group, believes the film and TV industries in the Greater Bay Area need to understand each other and how everyone can work together to grasp those opportunities. Sin Kwok-lam, Honorary Chairman & Founder of National Arts Entertainment and Culture Group Ltd, hopes the mainland could further relax the restrictions and quotas on Hong Kong films, allowing them to be released directly in the Greater Bay Area, which has a population of about 70 million.

The rapid emergence of OTT platforms in recent years was a hot topic of discussion at FILMART. Jonathan Spink, CEO of HBO Asia, said despite the challenges, the future is looking very healthy for OTT services. “You will see people not just selecting and paying for one platform, but for two or three, and people are watching more content than ever before.”

Sean Park, Marketing Director of YouTube International Markets, shared that YouTube has become part of everyday life, and 500 hours of YouTube content are now uploaded every minute. “Some 70 percent of views are on phones, for an average of an hour a day — about the time many spend commuting.”

At this year’s FILMART, more than 60 scheduled events — including professional seminars, new film launches and networking activities — facilitated exchanges and business matching. Major film and TV production companies announced new projects on-site, including Emperor Motion Pictures, Media Asia Distribution Limited, Mega-Vision Project Workshop, Mei Ah Entertainment, One Cool Film Production Limited, TVBI Company Limited and PCCW Media Limited. There were also more than 300 screenings, including over 100 world or Asia premieres and numerous award-winning productions. FILMART featured the Online Catch-Up Screening facility for the first time this year. The facility enables buyers and visitors to view exhibitors’ works at any time.

Another key event taking place as part of Entertainment Expo Hong Kong, The 17th Hong Kong – Asia Film Financing Forum (HAF), successfully concluded. Widely recognized as one of the most important film-financing platforms in the region, HAF showcased 42 shortlisted projects, including 19 Work-in-Progress projects. This year also marks the third edition of the WIP program in which, for the first time, a separate section for documentary projects is organised. The program offers a great opportunity for fiction and documentary filmmakers to secure post-production funds, sales agents and film festival support.

Hong Kong International Film Festival Society Curator and HAF Director Jacob Wong called the 17th Hong Kong – Asia Film Financing Forum a resounding success. “Both the number and total value of this year’s awards have set new records, affording more resources and opportunities for filmmakers to realise their dreams. As a mission, HAF will continue to support the robust development of emerging talents in Hong Kong and Asia by seeking out promising filmmakers with interesting film projects,” Mr. Wong said.

More information at www.hkfilmart.com/filmart.


Animation Magazine

Denver Dispensaries Have Collected Nearly $2.4 Billion Since Legalization

Denver no longer has the distinction of being the only major city with retail marijuana dispensaries, but that hasn’t stopped weed from flying off the shelves here. This city has seen almost $ 2.4 billion in marijuana sales since the first retail dispensary opened on January 1, 2014, according to our calculations based on Colorado Department of Revenue data.

Denver has been the center of the statewide marijuana industry since its inception, and by 2018 it was home to over 210 medical, recreational and dual-use dispensaries. DOR data shows that Denver County dispensaries accounted for well over one-third of Colorado’s $ 6 billion in marijuana sales from 2014 through 2018, and brought in over $ 536 million last year alone.

Continue Reading

But that Denver sales figure reflects a slight 7 percent drop from the year before, falling from $ 577.5 million in 2017. Meanwhile, statewide sales increased around 2.5 percent from 2017 to 2018.

Over the past sixteen months, more than a dozen new dispensaries have opened in north Denver suburbs such as Commerce City, Federal Heights, Thornton and Longmont. But more states also began recreational pot sales in 2018, such as California and Nevada. And then there’s Canada….

Data for Colorado marijuana sales in 2019 are not yet available. Here are the annual sales numbers for the City and County of Denver from 2014 through 2018:

  • 2014 — $ 325.9 million
  • 2015 — $ 413 million
  • 2016 — $ 501.6 million
  • 2017 — $ 577.5 million
  • 2018 — $ 536.6 million


Toke of the Town

Nearly 1 In 10 in U.S. Battle Sexual Urges

By Serena Gordon

HealthDay Reporter

FRIDAY, Nov. 9, 2018 (HealthDay News) — The #MeToo movement has given many Americans a glimpse into an unfamiliar world that may have left many wondering, “What were they thinking?”

It turns out they might not have been thinking much at all. New research suggests that almost 9 percent of people in the United States have distress caused by difficulty controlling their sexual feelings, urges and behaviors.

But the gap between genders was very small: Just over 10 percent of men showed compulsive sexual behavior, compared to 7 percent of women.

“Historically, it’s been thought that compulsive sexual behaviors affect mostly men. But women are showing that they are experiencing difficulty controlling sexual urges and behavior, too,” said study author Janna Dickenson. She is a postdoctoral fellow at the University of Minnesota, in Minneapolis.

Dickenson explained that such behaviors can vary widely. “Some people might masturbate excessively so that it interferes with the ability to work, or someone might be paying for sex so much that it’s damaging financially,” she explained, adding that sexual behaviors become a problem when they influence your life in a way that’s destructive.

So, does that mean people like Hollywood mogul Harvey Weinstein should be excused for aberrant and potentially criminal behavior?

“When anyone faces a problem and there’s a classification for that problem, it doesn’t mean that it excuses that behavior. [In these cases], there’s this link between hypersexuality and non-consent, but these are two separate issues that can be hard to tease apart,” Dickenson explained.

Michael Klein, a psychologist at Gracie Square Hospital in New York City, said it’s difficult to comment on individual cases, but “it’s possible that these high-profile cases reflect examples of compulsive sexual behavior. However, it may also be better explained by something else, such as taking advantage of a power dynamic, in the context of another [psychological] condition, or any combination of factors.”

Mental health professionals have long debated whether or not sexual addiction is an actual addiction or an impulse disorder. What is common to problematic sexual behavior, no matter how it is classified, is substantial difficulty controlling sexual feelings, urges and behaviors to the point that it causes distress and impairment.

Continued

Distress and impairment includes neglecting social activities or personal health, repeatedly attempting to control sexual behavior unsuccessfully, and engaging in sexual behavior despite adverse consequences or minimal pleasure from his or her sexual activities, according to the researchers.

Using this definition, the study team asked more than 2,000 people to complete a screening test for compulsive sexual disorder. The study participants were already a part of a nationally representative study on sexual health and behavior. They were all between the ages of 18 and 50.

The researchers expected between 1 percent and 6 percent of the study group would meet the definition of compulsive sexual behavior disorder (CSBD). Instead, 8.6 percent of those screened were found to possibly have CSBD.

Dickenson said it’s important to note that this study only used a screening tool. Someone who tests positive on this test should be referred for further evaluation.

Klein added that “a large study such as this helps to increase our understanding of compulsive sexual behavior and related phenomena, as well as provide for future directions of study,” but there are a lot of issues left to sort out.

“There is a difference between feelings and actions, and thoughts and actions; having trouble controlling urges is not the same as acting on urges,” he said. And cultural, social and religious norms and beliefs can impact how someone feels about sexual behavior.

Both experts said that if someone is concerned about their sexual behaviors, they should seek help.

“People need to realize there is a wide spectrum of sexuality. Thoughts and feelings are one thing, but behavior that you are unable to control is another matter. If certain behaviors interfere with your life or cause distress for you or others, you may want to speak with a professional,” Klein said.

The study was published online Nov. 9 in the journal JAMA Network Open.

WebMD News from HealthDay

Sources

SOURCES: Janna Dickenson, postdoctoral fellow, program in human sexuality, department of family medicine, University of Minnesota, Minneapolis; Michael Klein, Ph.D., licensed clinical psychologist, Gracie Square Hospital, and assistant attending psychologist, New York-Presbyterian Hospital, New York City; Nov. 9, 2018,JAMA Network Open, online

Copyright © 2013-2018 HealthDay. All rights reserved.


WebMD Health

Study: C-Section Rates Nearly Doubled Since 2000

By Steven Reinberg

HealthDay Reporter

FRIDAY, Oct. 12, 2018 (HealthDay News) — The number of women delivering babies via cesarean section has nearly doubled worldwide since 2000, to about 21 percent, new research shows.

That’s significantly higher than the 10 percent to 15 percent considered medically necessary, researchers said.

When complications develop, C-sections can save the lives of mothers and their babies. But the surgery is not risk-free and has been linked to difficulties with future births.

“The large increases in C-section use — mostly in richer settings for nonmedical purposes — are concerning because of the associated risks for women and children,” said Dr. Marleen Temmerman, lead author of three studies published Oct. 11 in The Lancet.

Temmerman is a professor of obstetrics and gynecology at Aga Khan University in Nairobi, Kenya.

Worldwide, C-sections rose nearly 4 percent a year between 2000 and 2015, the study found. That translates to 16 million of the 132 million live births in 2000 and 30 million of the 141 million live births in 2015.

The fastest rise (6 percent) took place in South Asia, where researchers said C-section deliveries were underused in 2000 but overused 15 years later.

C-sections were also overused in the North America, Western Europe, Latin America and the Caribbean, where rates rose about 2 percent a year over the study period of 2000 to 2015. In North America alone, C-section births rose from about 24 percent to 32 percent during that time span, the study found.

Fifteen nations, including Mexico and Cuba, had C-section rates that topped 40 percent.

Some women choose an elective cesarean delivery because it allows them to skip the pain and uncertain timing of natural labor. A C-section is medically necessary when complications develop such as bleeding, high blood pressure or the baby is in an abnormal position in the womb, endangering mother or child.

But the procedure is unavailable to many women in low-income countries and overused in many middle- and high-income countries, the researchers found.

Six out of 10 nations do too many C-sections and a quarter perform too few, the study found. Moreover, wide differences exist between rich and poor, public and private sectors, and between regions, the researchers said.

Continued

“In cases where complications do occur, C-sections save lives, and we must increase accessibility in poorer regions, making C-sections universally available, but we should not overuse them,” Temmerman said in a journal news release.

For the three studies, researchers used data from 169 countries in World Health Organization and UNICEF databases. One study dealt with disparities around the world. A second looked at the harms of overuse and underuse of cesarean delivery, and the third at ways to curb unnecessary ones.

Publication of the three studies coincided with their presentation at a meeting of the International Federation of Gynecology and Obstetrics, scheduled to begin Sunday in Rio de Janeiro, Brazil.

WebMD News from HealthDay

Sources

SOURCE:The Lancet, Oct. 11, 2018, news release

Copyright © 2013-2018 HealthDay. All rights reserved.


WebMD Health

C-Section Rates Have Nearly Doubled Since 2000: Study