{"id":39211,"date":"2011-02-11T10:27:20","date_gmt":"2011-02-11T14:27:20","guid":{"rendered":"https:\/\/today.uconn.edu\/?p=39211"},"modified":"2011-07-29T16:09:47","modified_gmt":"2011-07-29T20:09:47","slug":"can-c-sections-influence-evolution","status":"publish","type":"post","link":"https:\/\/today.uconn.edu\/2011\/02\/can-c-sections-influence-evolution\/","title":{"rendered":"Can C-sections Influence Evolution?"},"content":{"rendered":"<figure id=\"attachment_39213\" aria-describedby=\"caption-attachment-39213\" style=\"width: 212px\" class=\"wp-caption alignright\"><a href=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh.jpg\"><img decoding=\"async\" class=\"size-medium wp-image-39213 img-responsive lazyload\" data-src=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh-212x300.jpg\" alt=\"Joseph Walsh, M.D.\" width=\"212\" height=\"300\" data-srcset=\"https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh-212x300.jpg 212w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh-297x420.jpg 297w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh-70x100.jpg 70w, https:\/\/today.uconn.edu\/wp-content\/uploads\/2011\/06\/walsh.jpg 354w\" data-sizes=\"(max-width: 212px) 100vw, 212px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 212px; --smush-placeholder-aspect-ratio: 212\/300;\" \/><\/a><figcaption id=\"caption-attachment-39213\" class=\"wp-caption-text\">Dr. Joseph Walsh has a letter to the editor published in the February American Journal of Obstetrics &amp; Gynecology. <\/figcaption><\/figure>\n<p>A UConn Health Center obstetrician-gynecologist suggests there are human  evolutionary implications to the advent of cesarean section as a reasonably safe  delivery method and the subsequent rise in the rate of C-section births.<\/p>\n<p>Specifically, <a href=\"http:\/\/uconndocs.uchc.edu\/PhysicianProfile.aspx?ID=130\">Dr. Joseph  Walsh<\/a> believes the rise in C-sections may be both a cause and effect of the  trend toward higher birthweight babies.<\/p>\n<p>It\u2019s a concept Walsh introduced less than three years ago and is reinforcing  with a <a href=\"http:\/\/download.journals.elsevierhealth.com\/pdfs\/journals\/0002-9378\/PIIS0002937810011555.pdf\">letter  to the editor of the <em>American Journal of Obstetrics &amp;  Gynecology<\/em><\/a>, considered among the most prestigious journals in ob-gyn.  It\u2019s published in the February issue. February 12, 2011, marks the 202nd  anniversary of the birth of English naturalist Charles Darwin, generally  accepted as the father of the theory of evolution.<\/p>\n<p>Walsh suggests a <a href=\"http:\/\/download.journals.elsevierhealth.com\/pdfs\/journals\/0002-9378\/PIIS0002937810003637.pdf\">Canadian  study linking a rise in induced labor to declines in birthweight and gestational  age<\/a> left out evolution as a potential factor in the trend toward increased  birthweights before the study period.<\/p>\n<p>\u201cPrior to the availability of cesarean section, women with a small pelvis,  and babies of large birthweight, were at risk of significant morbidity and  mortality. With cesarean section, selection against a small pelvis or large  birthweight has been all but eliminated,\u201d Walsh writes. \u201cThe maternal pelvis can  get smaller over time, and fetal birthweight can get greater over time, because  there is now nothing to limit these changes.\u201d<\/p>\n<p>In the same letter Walsh refers to <a href=\"http:\/\/www.bioone.org\/doi\/pdf\/10.1662\/0002-7685(2008)70[401:ETCSR]2.0.CO;2\">his  article published in the September 2008 American Biology Teacher<\/a>, in which  he wrote, \u201cThe C-section rate will continue to rise, because the ability to  perform a safe C-section has liberated human childbirth from natural selection  directed against too small a maternal pelvis and too large a fetal head. Babies  will get bigger and pelves will get smaller because there is nothing to prevent  it.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>A UConn Health Center obstetrician-gynecologist suggests there are human evolutionary implications to the advent of cesarean section as a reasonably safe delivery method and the subsequent rise in the rate of C-section births. Specifically, Dr. Joseph Walsh believes the rise in C-sections may be both a cause and effect of the trend toward higher birthweight [&hellip;]<\/p>\n","protected":false},"author":111,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_crdt_document":"","wds_primary_category":0,"wds_primary_series":0,"wds_primary_attribution":0,"footnotes":""},"categories":[179,1],"tags":[],"magazine-issues":[],"coauthors":[57,2010],"class_list":["post-39211","post","type-post","status-publish","format-standard","hentry","category-uconn-health","category-uncategorized"],"pp_statuses_selecting_workflow":false,"pp_workflow_action":"current","pp_status_selection":"publish","acf":[],"publishpress_future_action":{"enabled":false,"date":"2026-05-11 12:09:20","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category","extraData":[]},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/39211","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/users\/111"}],"replies":[{"embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/comments?post=39211"}],"version-history":[{"count":5,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/39211\/revisions"}],"predecessor-version":[{"id":39226,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/posts\/39211\/revisions\/39226"}],"wp:attachment":[{"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/media?parent=39211"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/categories?post=39211"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/tags?post=39211"},{"taxonomy":"magazine-issue","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/magazine-issues?post=39211"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/today.uconn.edu\/wp-rest\/wp\/v2\/coauthors?post=39211"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}