From Gail Tully Reflecting on a father and second wife I helped with his second family after his first wife died of complications during a routine repeat cesarean after a cesarean for a previous breech baby, I comprehend the harsh reality of cesarean complications are also as real as a baby death. The real question becomes do women get to decide which risks they would rather take. The results of the term breech trial had a major impact on clinical practice. In the Netherlands, caesarean section (CS) rate increased to 78%, decreasing perinatal mortality rate from 0.35 to 0.18% (OR 0.53; 95%CI 0.33-0.83). But as a consequence, more women have a scarred uterus in subsequent pregnancies with accompanying risks of maternal and fetal morbidity and mortality. - abstract from Vlemmix, Floortje, et al. 764: Effect of increased caesarean section rate due to term breech presentation on maternal and fetal outcome in subsequent pregnancies. American Journal of Obstetrics & Gynecology 208.1 (2013): S321-S321.
Posted on: Thu, 14 Aug 2014 17:38:45 +0000
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