3 ms·

In 2015 the WHO has issued this [0] [1]: >Conclusions Based on the available data, and using internationally accepted methods to assess the evidence with the

by jaclaz 8y ago

In 2015 the WHO has issued this [0] [1]: >Conclusions Based on the available data, and using internationally accepted methods to assess the evidence with the most appropriate analytical techniques, WHO concludes: 1. Caesarean sections are effective in saving maternal and infant lives, but only when they are required for medically indicated reasons. 2. At population level, caesarean section rates higher than 10% are not associated with reductions in maternal and newborn mortality rates. 3. Caesarean sections can cause significant and sometimes permanent complications, disability or death particularly in settings that lack the facilities and/or capacity to properly conduct safe surgery and treat surgical complications. Caesarean sections should ideally only be undertaken when medically necessary. 4. Every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate. 5. The effects of caesarean section rates on other outcomes, such as maternal and perinatal morbidity, paediatric outcomes, and psychological or social well-being are still unclear. More research is needed to understand the health effects of caesarean section on immediate and future outcomes. [0] https://www.who.int/reproductivehealth/publications/maternal_perinatal_health/cs-statement/en/ https://www.who.int/reproductivehealth/publications/maternal... [1] (PDF) http://apps.who.int/iris/bitstream/10665/161442/1/WHO_RHR_15.02_eng.pdf http://apps.who.int/iris/bitstream/10665/161442/1/WHO_RHR_15...

nickwalton00 8y ago
Well said, I think where all things indicate it will be healthy normal births should be the default, but when medical risks indicate otherwise than c sections can provide life saving help.
- jaclaz 8y ago
  Yep, if you think about it, the above advice is nothing but "common sense" and good medicine practice. The point is that the decision between a normal birth and a C-section is to be taken on a case by case basis by a (hopefully) competent doctor and not "planned" (one way or the other) in advance or decided because of other reasons. Anecdata, my uncle was a surgeon and he always repeated us that "if it is really-really, and I mean really needed, than go for it, but otherwise never let anyone cut through your body".

by jaclaz 8y ago

nickwalton00 8y ago

Well said, I think where all things indicate it will be healthy normal births should be the default, but when medical risks indicate otherwise than c sections can provide life saving help.

jaclaz 8y ago
Yep, if you think about it, the above advice is nothing but "common sense" and good medicine practice. The point is that the decision between a normal birth and a C-section is to be taken on a case by case basis by a (hopefully) competent doctor and not "planned" (one way or the other) in advance or decided because of other reasons. Anecdata, my uncle was a surgeon and he always repeated us that "if it is really-really, and I mean really needed, than go for it, but otherwise never let anyone cut through your body".