tag:blogger.com,1999:blog-4018807052430601812.post1827090014907801830..comments2023-10-23T12:07:35.557-06:00Comments on BINSI Blog: Elective cesarean sections are too risky, WHO study saysBirth Skirt Bloghttp://www.blogger.com/profile/17722800280479850349noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-4018807052430601812.post-18720599399278054472010-01-21T05:28:10.963-07:002010-01-21T05:28:10.963-07:00If you read this survey in full, you'll see th...If you read this survey in full, you'll see that the WHO's interpretation of its own data is wholly unsubstantiated and scientifically flawed. <br /><br />In fact, in relation to "antepartum cesarean delivery without indications" its survey found:-<br /><br />*There were no maternal deaths in this group.<br />*There were no cases of neonatal mortality up to hospital discharge.<br />*There were no cases of hysterectomy.<br />*Only infants delivered by antepartum cesarean had a significantly lower risk of fetal death than those born vaginally.<br /><br />The WHO also admits:-<br /><br />*For 3rd- and 4th-degree perineal tears, “as expected caesarean section had a protective effect compared with vaginal delivery (data not shown)”<br />*The calculated odds ratio might overestimate the risk of caesarean section."<br />*"some outcomes might therefore have been underestimated, especially for women delivering vaginally”<br /><br />I'd also like to pick up on your opening sentence, "Despite medical advances and increasing access to improved obstetric care across the globe, surgical childbirths are still more risky...".<br /><br />This survey was conducted in nine Asian countries, and 68% of the facilities surveyed are described by WHO as “low facility complexity resources”; financial incentives for cesarean delivery was reported in 62%. Most facilities in North America, Europe and Australia are of a higher standard than this, and this should be remembered when making global comparisons.<br /><br />I have written about this further here:<br />http://cesareandebate.blogspot.com/2010/01/study-advises-against-non-medial.htmlcesarean debatehttps://www.blogger.com/profile/01711913972260724246noreply@blogger.com