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Electing for Caesarean
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, its surely time to question the trend of Caesareans for convenience.
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, its 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
- Increased likelihood of premature birth, since elective Caesareans are often booked in a week ahead of the due date. This is because its 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)
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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