Navigation Links
Caesarean births pose higher risks for mother and baby
Date:10/31/2007

Women having a non-emergency caesarean birth have double the risk of illness or even death compared to a vaginal birth, according to a study from Latin America published today on bmj.com.

However, the researchers found caesarean delivery prevented deaths in breech born babies.

The risks linked to caesarean births (whether chosen by the woman or her clinicians) are higher, regardless of variables such as demographics, medical and pregnancy history, gestational age of the foetus, pregnancy complications, where the baby is born and the skills of those helping to deliver the baby.

Researchers randomly selected eight Latin American countries and from those, 120 also randomly selected health facilities provided complete data on 97,307 deliveries of babies during a three-month study period. These data came from the Latin American component of the WHO Global Survey on Maternal and Perinatal Health, specifically carried out for this study in 2005.

They wanted to compare the risks and benefits of caesarean delivery compared to vaginal delivery. Of the 97,307 cases, 33.7% were caesarean and 66.3% vaginal. Overall, perinatal outcomes were good in these 120 hospitals, not far from those in developed countries.

They found that a woman having a caesarean delivery had twice the risk of illness and mortality (including death, hysterectomy, blood transfusion and admission to intensive care) as a woman having a vaginal delivery.

There was a five times higher risk of having to have antibiotic treatment after birth for women who had a caesarean delivery (elective or decided by clinicians) than those who had a vaginal delivery.

Risk of having to stay in a neonatal intensive care unit for newborn babies who were born head-first was doubled after a caesarean delivery compared to a vaginal birth.

The authors also found that the risk of neonatal death was also significantly increased (more than 70% higher) up to hospital discharge for babies who were born head first from both an elective and a clinician chosen caesarean delivery, compared to a vaginal delivery.

However, caesarean delivery had a large protective effect in preventing foetal deaths in cases of breech born babies and reduced overall risks in those cases.

The authors conclude that there are no net benefits from the very liberal use of caesarean delivery on maternal and neonatal outcomes, both at the institutional or individual level, and it can do harm. The exceptions are fewer postpartum severe vaginal complications, and better foetal outcomes among breech presentations.

An accompanying editorial says that more accurate estimates of probabilities from other populations are needed to support informed childbirth choices.


'/>"/>

Contact: Emma Dickinson
edickinson@bmj.com
44-020-738-36529
BMJ-British Medical Journal
Source:Eurekalert

Related medicine news :

1. Caesarean may aid twins
2. Women Less Likely To Conceive Post-Caesarean
3. Caesareans In U.S. At All-Time High
4. Women warned against Caesareans
5. Normal Delivery Is Better Than Caesarean Birth
6. Skilled Obstetricians to avoid unnecessary Caesareans
7. More Women Opting for Caesarean, Unaware of Consequences
8. Alarming Rise in Caesarean Births a Cause of Concern
9. One-fifth of Obese Women Undergo Caesarean Due to Uterus Failure
10. Doctors Warned Against Encouraging Elective Caesareans
11. Placental Problems in Women Linked With Caesarean Section
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/4/2016)... ... May 04, 2016 , ... All-Star Insurance ... to assist the people of their local community. The agency pledges to select ... leaders. Their hope is to bring awareness to important local causes with fundraising ...
(Date:5/4/2016)... ... ... Dr. Elyson and Dr. Assili, dentist in Northridge , announce that ... a common dental procedure, is performed for many adolescents and young adults today. While ... of complications. By providing wisdom tooth removal surgery at their office, Dr. Elyson and ...
(Date:5/4/2016)... , ... May 04, 2016 , ... Francesca Loparco, Co-Founder ... her life forever with a same-day LASIK procedure at Christenbury Eye Center. ... Dr. Jonathan Christenbury performed her surgery the same day as her in-office consultation and ...
(Date:5/4/2016)... (PRWEB) , ... May 04, 2016 , ... ... all-LED multi-function small and compact tactical (6.7 inch) dual-light flashlights in models ... Vegas, model NSP-9842XL (average retail starting at $59.95) uses 2 included CR-123 batteries ...
(Date:5/4/2016)... ... May 04, 2016 , ... Warren L. Smith M.D. , There ... UTIs, have plagued people since the beginning of recorded medical history, and in ... every year. It's not just a matter of inconvenience; bladder infections cost us billions ...
Breaking Medicine News(10 mins):
(Date:5/3/2016)... -- Research and Markets has announced the ... Market Outlook 2020" report to their offering. ... technology has improved significantly in past years due to ... coming years. Many cancer drugs have been developed by ... also expected to be developed with its help. They ...
(Date:5/3/2016)... , May 3, 2016   BIOTRONIK , ... today announced Food and Drug Administration (FDA) approval ... that provides heart failure patients with access to ... also have remote monitoring with daily automatic transmission ... heart rate in response to physiological demands. ...
(Date:5/3/2016)... May 3, 2016 Pharmaceutical giant ... million to a woman who says its talc-based powder ... Gloria Ristesund $5 million in compensatory damages ... (Logo: http://photos.prnewswire.com/prnh/20160330/349511LOGO ) , This ... the company. In February, the same court awarded $72 ...
Breaking Medicine Technology: