>
> Hello Wise Ones-


I am looking for research to help two clients.

I have two clients who both have breech babies. Their OBs want to schedule a
c/s right at 39 weeks. (In our area, C/S is the only option when babies are
breech.) Both of my clients would like to wait to go into labor before their
surgeries. They are concerned about iatrogenic prematurity and its possible
effect on breastfeeding.

Both OBs have said no, that the surgery will be safer if it is scheduled
because "no one will be pulling extra hours after a double shift, you don't
run the risk of a tired anesthesiologist, there will be less waiting time
for an OR, etc".  I don't work in a hospital, so I couldn't say if these
arguments are true or if they are just nice costumes for the old
it-is-easier-for-us thinking. Neither OB has suggested that there is any
health advantage for the baby in doing scheduling over waiting for labor to
begin. At this hospital the primary c/s rate is around 29% for moms
intending to give birth vaginally, so it would seem to me that they must be
pretty well set up to do unplanned surgeries, but maybe I am wrong. The
hospital does many thousands of births per year.

In any case, my clients would like to bring research to their doctors that
would back them up in their argument that waiting to go into labor before
performing the surgery is connected to better outcomes for baby and/or
better outcomes for breastfeeding. Is there any recent work on this topic?

Thank you so much!

Molly

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome