(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 *********************************************** 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