Tag Archives: caesarean section

WHO recommendations: non-clinical interventions to reduce unnecessary caesarean sections

Who caesarean section
Image Source: WHO

This new guideline on non-clinical interventions to reduce unnecessary caesarean sections incorporates the views, fears and beliefs of both women and health professionals about caesarean sections. It also considers the complex dynamics and limitations of health systems and organizations and relationships between women, health professionals and organization of health care services. The primary audience for this guideline includes healthcare professionals responsible for developing regional, national and local health protocols and policies, as well as obstetricians, midwives, nurses, general medical practitioners, managers of maternal and child health programmes and public health policy-makers in all settings and countries.

Download the full report and executive summary from here


Maternal request caesarean research highlights postcode lottery

Image Source: Wikipedia 

Birthrights has published research concerning the treatment of women who request a caesarean section at different NHS Trusts.  Birthrights, the human rights in childbirth charity, used a Freedom of Information request to ask 153 trusts that provide maternity care how they applied The National Institute for Health and Care Excellence (NICE) guidelines on caesareans.

Of the 146 that replied, 26% fully complied with the guidelines, 47% partially complied, 15% refused maternal requests outright and 12% did not seem to have a clear position.

Read the response to these findings from the Royal College of Midwives (RCM) here

and the Royal College of Obstetricians & Gynaecologists (RCOG) RCOG statement here

NIHR Signal: Caesarean section is better for extremely premature breech babies but not necessarily for their mothers

Preterm baby - pixabay

Delivering extremely preterm breech babies (23 to 27 weeks) by caesarean reduced the risk of infant death or brain bleeds by around 40% compared with vaginal delivery.

Choice of delivery is a balance of risks for mother and baby. There are immediate risks to the mother associated with anaesthesia and surgery but also risks in subsequent pregnancies following surgery on the immature uterus. In this review, there was limited information on outcomes for the mothers.

NICE recommend that the mother is informed of the potential harms and benefits of all options. The harms to the mother remain unclear, which is an important gap in knowledge.

“This publication (admittedly flawed) suggests a protective effect of CS for these babies. Our counselling should now acknowledge that CS is probably in the interests of the baby (if we are sure birth will occur soon), but not of the woman.”

Rhona Hughes, Clinical Director for Obstetrics & Neonatology, NHS Lothian

Read the full signal here