1 in 3 Western Australia babies are delivered by caesarean - is that too high?
An ABC radio show has examined if doctors have become too risk averse, the push for more midwifery led care and concerns that some midwives have deskilled because of the decline of natural births.
The show hears from a mother who had interventions during labour, an obstetrician and a midwife exploring the high rate of caesarean deliveries.
Listen to the full discussion below.
In which groups of pregnant women can the caesarean delivery rate likely be reduced safely in the USA? A multicentre cross-sectional study
A study has looked into caesarean rates to determine areas where it may be reduced without compromising safety. 19 hospital participated in the study with 228 562 deliveries between 2002 and 2008.
The study concluded:
‘women with repeat CD, term non-cephalic presentation, term twins or other multiple gestation and preterm births may be the potential targets for safely reducing prelabour CD rate, while nulliparas or multiparas with spontaneous or induced labour, women with repeat CD, term non-cephalic presentation, term twins or other multiple gestation and preterm births are potential targets for reducing intrapartum CD rate without compromising maternal and neonatal safety in the USA. On the other hand, CD may still be associated with better perinatal outcomes in women with singleton preterm breech presentation or preterm twins with the first twin in non-cephalic presentation.’
Read the full paper here.
Safety and Quality of Maternal and Neonatal Pathway: Implementation of the Modified WHO Safe Childbirth Checklist in Two Hospitals of the Tuscany Center Trust, Italy