Category Archives: csections commentary

Practitioners ignoring clear medical evidence from their NICE guidelines

RCOGs latest report looking at practises and outcomes across the UK has found that some hospitals have been carrying out planned caesareans prior to 39 weeks when there is no clear medical reason to do so. 39 weeks has been … Continue reading

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Special requests when planning a caesarean

With any request  you make about how a planned caesarean proceeds it is worth discussing these well in advance. Some requests can be accommodated, others cannot but the hospital may be able to suggest alternatives for you. Examples of things … Continue reading

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Urinary Incontinence more likely following vaginal birth

A recent study looking at the likelihood of experiencing urinary incontinence in later life found that the likelihood is far greater following a single vaginal birth than following a single caesarean birth. The study questioned 6148 women and found that … Continue reading

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Repeat caesarean or VBAC?

There has been a lot of coverage in the media over the last few years quoting research looking at the comparative safety of a repeat caesarean versus a vaginal birth after caesarean (VBAC). The findings are invariably such that the … Continue reading

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Caesareans, breastfeeding and gut bacteria

Once again the media have gone rather mad about a research paper without assessing the details of paper itself in an attempt to deliver sensational headlines about caesarean birth. This paper actually describes gut bacteria in 24 infants at 4months … Continue reading

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Survey – when is a caesarean required?

I have been investigating how far antenatal education is meeting the information needs of women with regards caesarean birth. As part of this I have a quick question that should take no more than 2 minutes to answer (unless you … Continue reading

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An increase in the UK rate of forceps deliveries

The forceps rate has doubled in the last few years, according to a recent report picked up by the Mail On-line (over 42,000 last year) but is that really a surprise given: The suggestion in 2010 (from within the medical … Continue reading

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NICE Caesarean Section Quality Statement Review

NICE (National Institute for Clinical Excellence) issued new Caesarean Section Guidelines back in 2011 and since then they have been going through the process of defining Quality Standards (QS) for some of the recommendations from that Guideline. Csections.org are actively … Continue reading

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Should antenatal education be answering basic caesarean questions?

YES! On a daily basis I have emails from women with questions and worries. Many of which originate in stories and myths they have been told by friends, health practitioners or read in the media. A classic one: ‘Will my … Continue reading

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Recovering from a second caesarean birth

There is no clinical evidence which concludes that recovery is longer or more difficult after a second caesarean. That said, anedotally you will always find women who say this was the case for them. For some it may be the … Continue reading

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