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:8/16/2017)... ... ... Maury Regional Health has announced a large-scale adoption of AccuVein vein visualization ... Regional Medical Center is making vein visualization part of their standard of care. , ... importantly, helps our staff members locate a vein that will provide good access to ...
(Date:8/16/2017)... ... August 16, 2017 , ... A global leader in the treatment ... clinics in all 29 Indian states—bringing the country one step closer to eliminating clubfoot ... the nonprofit organization is on track to enroll 10,000 children in the clubfoot treatment ...
(Date:8/16/2017)... ... , ... Fusion Flix Inc., a Telly Award Winning, Non Profit Corporation has ... viewers in a partnership with the Amazon Video Direct Streaming Distribution Platform. , Their ... Ray disc in 2018. Proceeds will be going to further health research. , ...
(Date:8/16/2017)... (PRWEB) , ... August 16, 2017 , ... TopConsumerReviews.com recently ... Lab Testing . , The healthcare industry in the United States has undergone ... are the days of needing to have a doctor’s order to get a blood ...
(Date:8/16/2017)... , ... August 16, 2017 , ... First Choice ... States, named Dr. Douglas J. Harrison, as the new Medical Director of its Sienna ... new facility Medical Director of our Sienna Plantation location,” said Dr. Michael (Derek) Caraway, ...
Breaking Medicine News(10 mins):
(Date:8/15/2017)... , Aug. 15, 2017  AOTI Inc. announced today that its ... Inc., has recently opened a New York City Office in ... of its unique Topical Wound Oxygen (TWO 2 ) homecare therapy. ... Accreditation Commission for Health Care (ACHC) under the company,s DMEPOS accreditation ... ...
(Date:8/8/2017)... Israel, Aug. 8, 2017  BioLineRx Ltd. (NASDAQ/TASE: BLRX), ... today reports its financial results for the second quarter ... during the second quarter 2017 and to date: ... clinical development programs for the Company,s lead project, BL-8040: ... pivotal study with BL-8040 as novel stem cell mobilization ...
(Date:8/7/2017)... Mich. , Aug. 7, 2017 Diplomat Pharmacy, ... of Joel Saban as president, effective Aug. 7, ... Urick has decided to pursue other interests and will ... "During his tenure, Paul has served us in multiple leadership ... Specialty Pharmacy in Jun. 2015 and has provided decisive, strategic ...
Breaking Medicine Technology: