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Study shows Caesarean section linked with harm.

Researchers at the Universidade Federal de Pelotas in Brazil set out to assess the association between Caesarean section (CS) delivery and pregnancy outcome at the institutional level. They obtained data for all women admitted for delivery to 120 institutions selected from 24 regions in eight Latin American countries. The median rate of CS delivery was 33%, with highest rates noted in private hospitals.

The rate of CS delivery was positively associated with postpartum antibiotic treatment and severe maternal morbidity and mortality, even after adjustment for risk factors.

Increase in the rate of CS delivery was linked with an increase in fetal mortality and more babies admitted to intensive care for seven days or longer, even after adjustment for preterm delivery.

Interpretation: High rates of caesarean delivery do not necessarily indicate better perinatal care and can be associated with harm.

Victora CG, Barros FC. Beware: unnecessary caesarean sections may be hazardous. Lancet 2006; 367:1796-7.
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Title Annotation:caesarean section delivery may cause fetal mortality
Publication:International Midwifery
Article Type:Brief article
Geographic Code:3BRAZ
Date:Jun 1, 2006
Previous Article:The Innocenti Declaration 1990-2005.
Next Article:ICM--keeping our members in touch: ICM Deputy Director Bridget Lynch reports on the June 2006 board meeting.

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