must agree that our YOUNG teens, 12-16,
seem to have a higher c/s rate than those women over 16.
After years of OB nursing (yes, I 'm old),
I would attribute this increased rate to:
1) smaller, immature pelvic structures
2) MD wanting to avoid extensive lacerations/repairs on such childlike perineums, so, if any question of macrosomia or shoulder dystocia, the MDs tend to jump into c/s quicker
3) heavier, denser anesthesia required to keep pt comfortable slows/arrests their labors. Higher doses necessary due to fear, anxiety, and never having to deal with pain before in their lives.
Leastways, this is one nurses' unsubstantiate opinion!