Planned C section may be less risky for some mothers, infants: study co-author

According to a co-author of a study published Monday in the Canadian Medical Association Journal, planned cesarean sections are safe for low-risk deliveries and may be associated with vaginal delivery as well as a lower likelihood of complications for both mother and baby. .

Nevertheless, maternal-fetal medicine specialist Drs. Darin El-Char said that women should consult their doctor about what is best for them, and called for more research on the long-term effects of planned caesareans, including how the health of infants born in this way is different From their vaginal-born counterparts.

L-Char said research compared the results of C-section delivery requested and found that about 60 percent of mothers and their children had better health.

Read more:

Why are C-section rates still climbing in Canada?

Researchers analyzed birth-registry data from Ontario on 422,210 low-risk pregnancies between 2012 and 2018 and found that 46,533 babies were born by c-section. They focused on 1,827 cases, or about four percent, involving women who had previously requested the procedure.

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He then looked for 10 common problems that may have stemmed from childbirth and delivery, including uterine rupture, as well as tears to the pelvic floor, as well as whether the newborn was admitted to neonatal intensive care for issues such as respiratory distress I went.

“The findings are important from a statistical standpoint, but we would love to see this in a larger population,” said Ottawa Hospital associate scientist El-Cher.

He said that many factors, including medical history, can influence someone’s decision to opt for a C-section.

The study found that women who chose cesarean delivery were more likely to be white, who were 35 years of age or older, and live in high-income neighborhoods. They were also likely to conceive by in-vitro fertilization and to give birth to their first child.

Click to play video: 'Why are C-section rates in Canada continuing?'

Why do c-section rates continue in Canada?

Why do c-section rates continue in Canada? – May 28, 2019

Ontario is believed to be the only province with a birth registry that contains information on scheduled C-sections, so it is not known how many other women in Canada ask for the procedure.

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El-Cher said that some of his older patients requested a C-section to reduce the risk of complications with vaginal birth, but fear of childbirth was one of the most common reasons for seeking the procedure.

“I see, as a physician, women who are just too afraid of labor, and pain, that they can’t really argue in the process of vaginal delivery,” L-Char said .. “Women often get out of it. Scares. In the first pregnancy, but as you talk to them, because they take prenatal classes, they are used to the idea and they are very comfortable for it. “

“There are also patients who have suffered traumatic sexual assaults and are simply not comfortable,” he said. “These are very rare.”

C-section carries its own risks, including infection, blood clots, pain, and a longer recovery period.

Al-Char stated that scheduled C-sections are medically necessary for older women if there are occasional conditions such as high blood pressure, diabetes and arthritis, which are at greater risk of complications with vaginal birth .

He stated that an abnormal fetal heart rate is the most common reason for cesarean delivery.

The World Health Organization states that the ideal rate for a C-section is between 10 and 15 percent.

READ MORE: 5 things women need to know about C-section

Data from the Canadian Institutes of Health Information show that about 30 percent of deliveries in Canada were from C-section between 2019 and 2020. British Columbia had the highest rate, around 38 percent and the northwestern region the lowest at 19 percent. St. Ontario was closest to the national average.

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British Columbia recently launched an online interactive program to help women decide how they want to deliver after the last C-section.

Sarah Munro, who led the project’s research and development and is an adjunct professor in obstetrics and gynecology at the University of British Columbia, said the goal is to tell families about the potential benefits and disadvantages of whatever decision they make.

“We’re putting a lot of effort into different parts of the health care system to improve shared decision-making, so to provide patients with choices about modes of birth and to provide care providers with strategies to make those interactions Are providing. “

© 2021 Canadian Press


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