Panel finds insufficient evidence to recommend for or against maternal-request Caesarean delivery

An independent panel convened by the National Institutes of Health announced today that the available information comparing the risks and benefits of Caesarean delivery on maternal request (CDMR) versus planned vaginal birth do not provide the basis for a recommendation in either direction.

The panel defined CDMR as a Caesarean delivery for a pregnancy with a single baby at the mother's request when she has no established medical indication for the procedure. CDMR is a subset of elective Caesarean delivery, and distinct from both emergency Caesarean delivery and Caesarean performed following attempted vaginal delivery.

Potential benefits of CDMR as compared with planned vaginal delivery include a decreased risk of hemorrhaging for the mother, and a reduced risk of certain birth injuries for the baby. Potential risks of CDMR include an increased risk of respiratory problems for the baby and a longer maternal hospital stay.

The panel added that each woman requesting CDMR deserves individualized counseling regarding the potential risks and benefits of both vaginal and Caesarean delivery. When counseling patients, providers should also consider such factors as societal and cultural conventions, ethical issues, available resources, and other factors pertaining to the individual patient.

Panel members did find evidence to suggest caution in certain situations. They concluded that CDMR should be avoided for women desiring large families. This is because the risk of serious complications for subsequent pregnancies increases with each additional Caesarean delivery.

The panel further stressed that CDMR should not be performed before the 39th week of pregnancy or without verification that the fetus' lungs have matured sufficiently to avoid newborn respiratory complications.

In its report, the panel also expressed concern that a woman might choose a Caesarean delivery because effect

Contact: Kelli Marciel
NIH/National Institutes of Health, Office of Disease Prevention

Page: 1 2 3

Related medicine news :

1. Panel offers guidelines on skin reactions to new class of cancer drugs
2. Panel offers expert analysis on causes, prevention of stent thrombosis
3. Panel presents Agricultural Biosecurity & Sustainability Strategies at 2007 AAAS Meeting
4. Panel updates guidelines for treatment of adult HIV infection
5. Panel calls for a new look at treatments commonly used for chronic insomnia
6. A broader look at cardiac CTA images often finds diseases/disorders beyond the heart
7. RAND finds cases of undiagnosed diabetes drop sharply
8. MRI finds breast cancer before it becomes dangerous
9. Penn study finds pro-death proteins required to regulate healthy immune function
10. Even older women at high risk have little interest in being tested for HIV, study finds
11. Old McDonalds has a hold on kids taste buds, Stanford/Packard study finds

Post Your Comments:

(Date:9/3/2020)... ... 03, 2020 , ... BluePearl Specialty and Emergency Pet ... (AFSP) annual signature event, Out of the Darkness (OOTD), which unites more than ... awareness of suicide prevention. To ensure Associate safety, BluePearl will not be participating ...
(Date:9/3/2020)... (PRWEB) , ... September 03, 2020 , ... ... with memory impairment, has announced the Best Memory Care Facilities in Louisville, KY. ... facility features and amenities. , According to the Alzheimer’s Association , ...
(Date:9/1/2020)... Calif. (PRWEB) , ... September 01, 2020 , ... ... a new practice in Glendale. While the office will be the ... as breast augmentation, tummy tucks, buttock augmentation (Brazilian butt lift), as well as ...
(Date:9/1/2020)... ... , ... As fall and winter swiftly approach and many businesses cut costs ... this time to expand and grow into a full-fledged natural health clinic over the ... be relaunching its brand new website, expanding its services menu and has recruited top-tier ...
(Date:8/31/2020)... ... 2020 , ... The Lymphoma Research Foundation (LRF) ... and serving the lymphoma community through a comprehensive series of education programs, outreach ... Awareness Month (BCAM) and its international Light it Red for Lymphoma ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... Neil ... serve as Secretary to the Board of Trustees and committee chair of the ... Way is a Denver-based nonprofit organization that fights for the education, health, and ...
(Date:8/31/2020)... ... 2020 , ... If you live in New York City you will always pay more for ... the law of supply and demand, but are plastic surgeons in New York worth the ... their patients that make the four-hour trip to have expert aesthetic treatments by some of ...
(Date:8/28/2020)... ... August 28, 2020 , ... Dr. ... bringing a unique perspective and approach. Armed with her qualifications from Ross University ... share her knowledge of the human body with the nation and world. With ...
Breaking Medicine Technology:
Cached News: