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  • Response to Natural childbirth ideology is endangering women and babies/Every CS must count (Letter)

    Author(s)
    Ellwood, David
    Oats, Jeremy
    Griffith University Author(s)
    Ellwood, David A.
    Year published
    2017
    Metadata
    Show full item record
    Abstract
    We thank the author for highlighting the important issue of maternal mortality related to mode of birth and in particular the increased risk of mortality associated with caesarean section (CS). We agree that the balance of evidence is that there is a measurably higher risk of mortality associated with CS, but we chose not to focus on this for several reasons. First, it is an extremely rare adverse outcome. Second, it is the individual's own risk that is most important in counselling and gaining informed consent. The population‐based data are informative but not especially useful for a woman who is very low‐risk for surgical ...
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    We thank the author for highlighting the important issue of maternal mortality related to mode of birth and in particular the increased risk of mortality associated with caesarean section (CS). We agree that the balance of evidence is that there is a measurably higher risk of mortality associated with CS, but we chose not to focus on this for several reasons. First, it is an extremely rare adverse outcome. Second, it is the individual's own risk that is most important in counselling and gaining informed consent. The population‐based data are informative but not especially useful for a woman who is very low‐risk for surgical or anaesthetic complications, but has a strong obstetric indication for CS. However, we entirely agree that when significant numbers of women are choosing CS for no obstetric indication these increased risks of mortality must be discussed and included in the consent process.
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    Journal Title
    Australian and New Zealand Journal of Obstetrics and Gynaecology
    Volume
    57
    Issue
    3
    DOI
    https://doi.org/10.1111/ajo.12638
    Funder(s)
    NHMRC
    Grant identifier(s)
    APP1081026
    APP1067363
    APP1029613
    APP1116640
    Subject
    Paediatrics and Reproductive Medicine
    Public Health and Health Services
    Science & Technology
    Life Sciences & Biomedicine
    Obstetrics & Gynecology
    Publication URI
    http://hdl.handle.net/10072/402599
    Collection
    • Journal articles

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