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Date: | Tue, 14 Jun 2005 15:47:10 EDT |
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(http://www.medscape.com/viewarticle/506298_print)
Dear Friends:
Dr. Odent has talked about the risks of non-labor cesarean sections in his
book, The Cesarean. Now here is a study supporting his observations
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Elective Repeat C-Section May Negatively Affect Neonatal Outcomes
NEW YORK (Reuters Health) Jun 09 - Compared with intending to deliver
vaginally, undergoing a scheduled repeat cesarean delivery apparently raises the
risk that the newborn will be admitted to an advanced care nursery, according
to a brief report. The researchers say women should be alerted to the possible
negative effects.
In a retrospective cohort analysis, the investigators assessed the neonatal
outcomes of 3134 mothers intending to deliver vaginally and 117 mothers who
underwent elective repeat cesarean section.
In the overall analysis, the risk ratio for admission to an advanced care
nursery was 3.58 for infants in the elective c-section group compared to those
from the intended vaginal group (p < 0.001). Transient tachypnea was also
more common in the elective cesarean group (p = 0.0009).
"The decision to undergo elective cesarean delivery appears to have a
negative impact on immediate neonatal outcomes," the authors state. They advise
that for women considering a scheduled cesarean delivery, "physicians should
counsel patients about potential neonatal issues in addition to concern for
maternal well-being."
Am J Obstet Gynecol 2005;192:1433-1436.
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct Faculty Union Institute and University
Film Reviews Editor, Journal of Human Lactation
www.breastfeedingalwaysbest.com
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