The nurse explains to a class of nursing students that which of the following are the main predictors of medically indicated and elective cesarean birth? (Select all that apply.)
A.
Use of assisted reproductive technology
B.
Induced labor before 39 weeks of gestation
C.
Maternal age greater than 35
D.
Multiple-gestation pregnancy
E.
Native American ethnicity
ANS: A, B, C, D
The main predictors of elective or medically indicated cesarean births are assisted reproductive technology, induced labor prior to 39 weeks' gestation, maternal age older than 35, and multiple-gestation pregnancy (especially higher-order multiples). Native Americans have only a 28% rate of cesarean delivery, the lowest among major ethnic groups.
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