Caesarean-Sections Should Be Available To All Women, New NHS Guidelines Recommend

Caesarean

First Posted: 23/11/11 06:49 Updated: 23/11/11 06:49   PA

Women who want a Caesarean section, including those who have suffered a previous traumatic birth, should be able to have one, according to new NHS guidelines.

A review says women who are anxious about childbirth should have their "fears taken seriously" and be offered mental health support.

If a woman still wants a section after receiving counselling and weighing up the risks of the operation, she should be granted one.

And those women who do not have a medical or mental health reason for wanting a section should also be given one, according to the guidance from the National Institute for Health and Clinical Excellence.

For this group of women, they should first be given full information on the risks and benefits and the opportunity to discuss their views with a member of the obstetrics team.

Just under one in four births in the UK are by Caesarean section.

Between half and two-thirds of these are carried out in an emergency because of problems with the birth, but the rest are planned.

These planned operations include women who have had complications in pregnancy, such as a low lying placenta, but the majority are women who have had a previous Caesarean.

Caesarean rates vary across the world, from 14% in Nordic countries to more than 40% in Italy.

Malcolm Griffiths, consultant obstetrician at Luton and Dunstable hospital and chair of the guideline, said one of the key differences between countries with low and high Caesarean rates was one-to-one support for women in labour from health professionals and a supportive family.

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Women who want a Caesarean section, including those who have suffered a previous traumatic birth, should be able to have one, according to new NHS guidelines. A review says women who are anxious ab...
Women who want a Caesarean section, including those who have suffered a previous traumatic birth, should be able to have one, according to new NHS guidelines. A review says women who are anxious ab...
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Lawyer13
retired Lawyer, General and Psychiatric Nurse, wit
10:30 on 23/11/2011
I have generally been in favour of the decisions made by National Institute for Clinical Excellence, but in this case i DO NOT AGREE C-Section should only be carried out when it is in the interest of the health of the mother or unborn child, not on the whim of the mother (too posh to push), it is a MAJOR OPERATION, and carries many risks to both mother and unborn child, not least the risk of anaesthetic, infection, and other surgical risks. Giving mothers this choice is WRONG !!!
12:17 on 23/11/2011
1. "Too posh to push" is a derogatory phrase developed by the tabloids. Please avoid using it; our patients deserve better.
2. There is good evidence that elective C/S before the 4th repeat C/S is actually safer than vaginal delivery. If we're really serious about safety and the health of the mother and unborn child, we should consider this. The data that we have applies to elective C/S (not emergencies, where we have no choice, and risks are higher) and C/S at term, not pre-term (
19:14 on 23/11/2011
I have 4 kids (incl two emergency c's) and your posints in number 2 are spot on (I also agree with your comment about the tabloid saying "too posh to push") but surely there is something to be said about "And those women who do not have a medical or mental health reason for wanting a section should also be given one, according to the guidance from the National Institute for Health and Clinical Excellence." A c-section is major surgery and prone to complications after the birth that a v-delivery does not. In the case of any emergencies or problems (mother or child) in the run up, a Csection makes the best sense, but I query whether it is in the best interest of the mother or child when no problems are evident, apart from a fear of giving birth (which, as a woman, I certainly had, as did all women I know who have had kids - it's a natural human reaction to the idea of what you expect child birth to be like). But I think it is disengenuous to tell women with no problems during the 9 months (either to themselves or the child) that a csection is a better option. Mildly less painful in some respects, vastly more in others (and I know from experience, two labours of over 26 hrs, 2 emergency c sections, 1 planned....all very very painful. Moreover Csections can take take upwards of 8mths to fully recover from.