Navigation Links
Skilled Obstetricians to avoid unnecessary Caesareans

A recent report has cautioned that junior doctors’ poor training is resulting in unnecessary emergency Caesarean births in many cases. Senior doctors have reported in this// week’s British Medical Journal (BMJ) that expert obstetricians can prevent several emergency Caesareans.

Currently, in the UK, the decision whether to try a vaginal birth, using forceps or a ventouse, or carry out a Caesarean is taken in the delayed second-stage labor by trainees. Experts revealed that there were "substantial differences" in the views of trainees and senior consultants.

The experts said: "A consultant obstetrician who performed a vaginal assessment was more likely to reverse a decision made by an obstetric trainee for a Caesarean and proceed to a safely conducted instrumental delivery." They said that although Caesareans were sometimes appropriate, "many could be prevented by the attendance of a more skilled obstetrician".

The facts from the Royal College of Obstetricians and Gynaecologists were mentioned in the study. Lack of labor progression is the reason given for 35% of Caesareans for single pregnancies of which 1/4th will develop labor after complete dilation of the cervix. However, no effort was taken to use forceps or a ventouse for a normal vaginal delivery in 55% of such cases. The rate of failure with instruments was 35% for ventouse and 2% for forceps.

The risk of major haemorrhage, bladder trauma and tearing are some of the risks associated with second-stage Caesareans. A recent Scottish study reveals that women who have had their first child by Caesarean section have less chances of conceiving again than those who gave birth naturally.

The experts said: "Without increases in junior doctors' experience and recruitment into the speciality, the problems with second-stage Caesareans will rise. Furthermore, women who undergo a Caesarean section are less likely to have a vaginal birth in subsequent pregna ncies because they tend to request repeat elective Caesarean delivery."

The repeat operations present an elevated risk of low-lying placenta that can lead to bleeding by blocking the birth canal during the labor. According to the experts, an emergency Caesarean section is advised for women with unanticipated breech baby or for the second baby in twins.

They wrote: "About 10% of second twins are delivered by Caesarean section after the first has been delivered vaginally: 10 years ago the rate was 5%. As many as two-thirds of these Caesareans are preventable and are due to operator inexperience."

Chris Spencer, a consultant obstetrician at St John's Hospital in Chelmsford, Essex; Deirdre Murphy, a professor at Trinity College at the University of Dublin; and Susan Bewley, a consultant obstetrician at Guy's and St Thomas's NHS Foundation Trust in London were the BMJ experts.

The number of Caesarean births in UK and Scotland are high with it being over 1 in 5 infants and 1 in 4 respectively.
GY
'"/>




Related medicine news :

1. Many Medical Students Unprepared for Skilled Prescribing
2. Campaign Against Cosmetic Surgeries Performed By Less-Skilled Non-physicians Launched
3. Lack of Equipment and Skilled Doctors Costing Civilian Lives in Iraq
4. Surgeons Skilled in Playing Video Games are Good at Simulated Surgery
5. No-scalpel Vasectomies by Skilled Surgeons may Speed Recovery
6. How to avoid a bad hair day
7. Women on HRT should avoid alcohol
8. Damage to arteries from injury can be avoided with carbon monoxide
9. Should we avoid energy drinks to protect our teeth?
10. People with abnormal heart rhythms must avoid fish oil
11. Health check up to Hajj pilgrims to avoid bird flu
Post Your Comments:
*Name:
*Comment:
*Email:


(Date:10/13/2017)... ... October 13, 2017 , ... While it’s often important to take certain medications ... from Austin, Texas, has identified a solution. , She developed a prototype for MOTION ... As such, it eliminates the need to turn on a light when taking medication ...
(Date:10/13/2017)... Las Vegas, Nevada (PRWEB) , ... October 13, 2017 , ... ... of 7® Hemp CBD Oil utilizing Purzorb™ technology. Applying the Purzorb™process to full spectrum ... CBD dose required and providing a CBD form that can be easily incorporated into ...
(Date:10/13/2017)... ... 13, 2017 , ... Apple Rehab Shelton Lakes , which specializes in ... the facility as part of a disaster drill on October 3rd. , Apple Rehab ... City Emergency Manager, as well as the Connecticut Long Term Care Mutual Aid ...
(Date:10/13/2017)... (PRWEB) , ... October 13, 2017 , ... Ellevate Network, ... in business to advocate for action towards gender equality at their inaugural Summit in ... around the globe, and reached a social audience of over 3 million. To watch ...
(Date:10/13/2017)... ... October 13, 2017 , ... Talented host, actor Rob Lowe, ... in a new episode of "Success Files," which is an award-winning educational program ... investigates each subject in-depth with passion and integrity. , Sciatica occurs when the ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... ORANGE COUNTY, Calif. , Oct. 10, 2017  NDS received ... Mobile  — a medical-grade battery-powered display stand specifically designed for ... aims to transform technology into a clinical solution to support the ... costs. Innovative Design ... NDS ZeroWire Mobile Wireless Solution ...
(Date:10/5/2017)... ROSEMONT, Ill. , Oct. 5, 2017 /PRNewswire-USNewswire/ ... American Association of Oral and Maxillofacial Surgeons (AAOMS) ... than opioids – to be used as a ... post-surgical pain. ... relationship, the AAOMS White Paper "Opioid Prescribing: Acute ...
(Date:10/4/2017)... , Oct. 4, 2017 ... single-use, self-contained, illuminating medical devices, today announced regulatory ... Health Surveillance Agency (or Agência Nacional de Vigilância ... first single-use, cordless surgical retractor with integrated LED ... optimal access, illumination and exposure of a tissue ...
Breaking Medicine Technology: