(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  
----------------------------------------------------------------------   
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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