Camann, an early adopter of what the Brigham calls "gentle cesareans
Further discussion with a consultantobstetrician is needed when the womanwith one previous cesarean
has a complicated current pregnancy or there were difficulties at previous cesarean
, she has had two previous cesareans
or the woman requires induction of labour.
Note that this includes some women with multiple cesareans
According to this retrospective matched case-control study from Australia, women who undergo elective primary cesarean
have a higher risk of placenta accreta in subsequent pregnancies than women who undergo primary cesarean
during labor (odds ratio, 3.
Because of its physical and emotional consequences, cesarean
section has historically been performed only when a mother's or baby's safety is threatened; but elective cesarean
deliveries (those performed in absence of a medical necessity) have greatly increased in recent years.
Reporting on the rising cesarean
rate feels like playing a broken record--that's because it is the tenth year in a row that the National Center for Health Statistics has reported an increase in the cesarean
births, we do know that cesareans
carry risk for both women and their babies.
Women whose previous delivery had been by cesarean
had a rate of stillbirth in their subsequent pregnancy similar to that of women who had had a vaginal delivery, according to a longitudinal study of Missouri births.
The study's 10,600 subjects included 8,000 who had given vaginal birth and 2,600 who had prior cesareans
None of the babies delivered via planned cesareans
had brain injury, the researchers report in the Dec.
One might think that the elective nature of these cesareans
has fostered such resistance.