I'm all for reducing the cesarean rate, particularly the "elective" ones,
but it seems tenuous (and unfair to the mothers of mentally ill persons) to
assert that in and of itself having a c section places one's offspring at a
greater risk of mental illness. The Verdoux article suggests that among
diagnosed schizophrenics, early age of onset is correlated with a
"complicated birth" and Cesarean delivery. I was only able to find one
Appleby article on pubmed from 1998 that correlated suicide with obstetric
complications, and from a cursory read it seemed to suggest that it was
opiate use and traumatic delivery that was correlated with later suicide.
Please correct me if I'm missing something here. It doesn't seem that the
sorts of birth described in these articles would be "elective", however
suboptimal.
The Rev. Anisa Cottrell Willis, M.Div, MSW/CSW
LLL Leader
-----Original Message-----
From: Lactation Information and Discussion
[mailto:[log in to unmask]]On Behalf Of Nikki Lee
Sent: Friday, March 05, 2004 11:23 AM
To: [log in to unmask]
Subject: Choice about Cesarean section
"The cost difference is not great any more, she said. Women with an elective
C-section go home on the third day, after an hour in surgery. Women who
deliver vaginally stay only one to two days but need nursing care while in
labour."
Dear Friends:
This paragraph gives me the impression that nursing care in labor might
be perceived as more expensive than the 1 hour of surgery.
This Canadian article makes no mention whatever of the baby, and the
risks to the baby and to the mother of cesarean section: including
iatrogenic
prematurity, more GI and Respiratory system problems, compromise to milk
supply
(changes in prolactin and oxytocin secretion after c/s, studied by
Uvnas-Moberg), increased risk of schizophrenia if male baby (Verdoux 1997),
later mental
illness (Appleby 1998), 5x greater risk of primary pulmonary hypertension in
infant (Levine 2001), greater chance of poor placental positioning in
subsequent
pregnancy compromised early mother-infant interaction (Rowe-Murray and
Fisher
2001), higher risk of asthma in child ( Xu 2000, change in family size
planning ( Br J Ob Gyn 1999; 106:227-232) .....
Seems like the trend is to look at cesarean section as if it was like
plastic surgery. A choice for some vanity; the difference is that there is
another person involved.
Scary, isn't it?
warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE, CIMI
Maternal-Child Adjunct Faculty Union Institute and University
Film Editor, Journal of Human Lactation
Support the WHO Code and the Mother-Friendly Childbirth Initiative
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
***********************************************
To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]
The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html
|
