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Monday, January 20, 2014

Risks of Cesarean Birth, First Think of Risks in Perspective

When discussing risk, you have to understand your personal health history, and then you can learn about specific risks of a condition or a procedure. Once you are given risks you have to be able to interpret what is called the absolute risk as opposed to the relative risk. In the study from the Consortium on Safe Labor, published by Boyle in OBSTETRICS and GYNECOLOGY in July 2013 they highlight the risks of Cesarean birth as a reason to try to reduce the American C-section rate which in 2009 was at 32.9 % and appears to still be rising. Although there may be many reasons to have a c-section to increase the safety for mom and the baby(s) in the current pregnancy there are reasons that c-section also may produce risk in a future pregnancy. Remember in pregnancy you are at risk for blood clots, whether you have a vaginal birth or a c-section. Yet some women will be at more risk if they have the c-section. That involves the hazzard ratio. It increases the risks in the next pregnancy of having a ruptured uterus, and a placenta that is implanted improperly. At the time of the c-section and in the next pregnancy it increases the risk that that the mom will have hemorrhage, a hysterectomy, or even die. Proponents of increased c-sections talk about fewer cases of shoulder dystocia (stuck babies) and less bladder problems for mom as she ages and o
ther benefits. And there are many arguments for both increasing and decreasing c-section rates.

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