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Electing for Caesarean

by Pat Thomas
continued from page 2
Some mothers and babies obviously do need surgical intervention in the birth process. But the World Health Organization recommends that the optimum rate for Caesareans should be 9% of births. Latin America has some of the highest rates in the world, with Brazil at around 32% and Chile at 40%. The USA rate stands at 25%, while Holland is the closest to the WHO recommendations, with a Caesarean rate of 9.5%. The UK rate is more than double that, and with substantial evidence to show that the risks of choosing a Caesarean genuinely outweigh the benefits, it’s surely time to question the trend of Caesareans for convenience.

Risks to mum

  • Risk of death is 3-6 times higher
  • Risk of infection is higher – 20% of women may develop infection and fever
  • Increased use of painkillers and antibiotics by Caesarean mums during their recovery period
  • Longer recovery time – few women are fully recovered by six weeks post-partum
  • Increased risk of miscarriage and ectopic pregnancy next time around
  • Increased risk of placenta praevia (the placenta covering the cervix) and placenta abruptio (the placenta prematurely separating from the uterine wall) in next pregnancy
  • Increased risk of uterine rupture in next birth
  • Increased incidence of post-natal depression following a Caesarean
Risks to baby
  • Increased likelihood of premature birth, since elective Caesareans are often booked in a week ahead of the due date. This is because it’s easier and safer to cut a non-contracting muscle (the uterus) and do an operation when all the theatre staff are on site and prepared.
  • Significant increase in respiratory distress syndrome (RDS)
If you have had or may need a Caesarean, contact:

Caesarean Support Network
55 Cooil Drive
Douglas
Isle of Man IM2 2HF
01624 661269
Emotional support and practical advice for women who have had or may need a Caesarean delivery.

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