Increased risks of planned cesarean births must be clearly conveyedFebruary 13, 2007A three-fold rate of severe complications overall is reported among women having a planned cesarean section compared with those who planned a vaginal delivery. Liu and colleagues studied women who delivered a child between 1991 and 2005 in Canada (excluding Quebec and Manitoba). The rate of severe complications in 46,766 healthy women who had a non-urgent cesarean delivery for a breech baby was compared with that among 2,292,420 healthy women who delivered (non-breech) babies vaginally. The rate of severe complications (such as major infection and blood clots) in the planned cesarean group was found to be 27.3 per 1000 deliveries, compared with 9.0 per 1000 deliveries in the planned vaginal delivery group. Because breech babies are at greater risk during vaginal birth, breech position is an accepted medical indication for planned cesarean birth. This may not hold true for non-breech babies, however, and the authors express concern about the growing number of women who request delivery by cesarean section without an accepted medical indication. In a related commentary, Armson notes that in Canada, the cesarean birth rate has increased from 5.2% in 1969 to 25.6% in 2003. He reviews the complex interplay of obstetric and nonobstetric factors that contribute to this trend. Canadian Medical Association Journal |
|||||||||||||||||||||
| Related Cesarean Current Events and Cesarean News Articles Global death toll: 1 million premature babies every year More than one million infants die each year because they are born too early, according to the just released White Paper, The Global and Regional Toll of Preterm Birth. Planned home birth with registered midwife as safe as hospital birth The risk of infant death following planned home birth attended by a registered midwife does not differ from that of a planned hospital birth. Mayo researchers find anesthesia not harmful for babies during birth process Mayo Clinic researchers have found that children exposed to anesthesia during Cesarean section are not at any higher risk for learning disabilities later in life than children not delivered by C-section. Children's Hospital Oakland scientists first to discover new source for harvesting stem cells A groundbreaking study conducted by Children's Hospital & Research Center Oakland is the first to reveal a new avenue for harvesting stem cells from a woman's placenta, or more specifically the discarded placentas of healthy newborns. MIT: New system monitors fetal heartbeat Tiny fluctuations in a fetus's heartbeat can indicate distress, but currently there is no way to detect such subtle variations except during labor, when it could be too late to prevent serious or even fatal complications. Study suggests obese women should not gain weight For years, doctors and other health-care providers have managed pregnant patients according to guidelines issued by the American College of Obstetricians and Gynecologists (ACOG). Regional blocks superior to general anesthesia for cesarean section General anesthesia (GA) is associated with an increased risk of infant intubation and low Apgar scores, relative to regional anesthesia. Study: Health undervalued in reproductive rights debate Women's health is increasingly undervalued in conflicts over reproductive rights, including clashes based on moral objections under so-called conscience clauses, a new study by a University of Illinois legal expert found. Ben-Gurion U researchers -- bariatric surgery minimizes pregnancy complications for obese women Women who undergo bariatric surgery to treat obesity will reduce the risk of medical and obstetric complications when they become pregnant, according to a study by researchers from Ben-Gurion University of the Negev's (BGU) Faculty of Health Sciences. Repeat C-section before 39 weeks raises risk of neonatal illness Women choosing repeat cesarean deliveries and having them at term but before completing 39 weeks gestation are up to two times more likely to have a baby with serious complications including respiratory distress resulting in mechanical ventilation and NICU admission. More Cesarean Current Events and Cesarean News Articles |
|||||||||||||||||||||
|
|||||||||||||||||||||
|
|||||||||||||||||||||