Planned C sections may be less risky for some moms, babies: study co-author
|globalnews.ca 03 May 2021 at 09:28|
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Planned caesarean sections are safe for low-risk deliveries and may be associated with a lower chance of complications for both mother and baby compared with vaginal deliveries, according to the co-author of a study published Monday in the Canadian Medical Association Journal.
Still, maternal-fetal medicine specialist Dr. Darine El-Chaar said women should consult their doctor on what’s best for them, and called for more research on the long-term effects of planned caesareans, including how the health of babies born this way differs from their vaginally born counterparts.
El-Chaar said the research compared the outcomes of C-section deliveries that were requested and found that about 60 per cent of the mothers and their babies fared better.
Researchers analyzed birth-registry data from Ontario on 422,210 low-risk pregnancies between 2012 and 2018 and found 46,533 babies were born by C-section. They focused on 1,827 cases, or nearly four per cent, involving women who’d requested the procedure in advance.
They then looked for 10 common problems that can stem from labour and delivery, including rupture of the uterus, tears to the pelvic floor as well as whether the newborn was admitted to neonatal intensive care for issues such as respiratory distress.
“The findings are significant from a statistical point of view but we’d love to see this in a larger population,” said El-Chaar, associate scientist at the Ottawa Hospital.
She said multiple factors including medical history may influence someone’s decision to opt for a C-section.
The study found women who chose a caesarean delivery were more likely to be white, aged 35 or older and live in a higher-income neighbourhood. They were also more likely to have conceived by in-vitro fertilization, and be delivering their first baby.