Preview

Cesarean Section

Satisfactory Essays
Open Document
Open Document
442 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Cesarean Section
A new paper in the British Medical Journal by Jan Blustein, MD, PhD, of New York University's Wagner School and a professor of Medicine and Population Health at NYU School of Medicine and Jianmeng Liu of Peking University examines the evidence as to whether newborns delivered by C-section are more likely to develop chronic diseases later in life. While the jury is still out and research is ongoing, recent studies underscore the need for health care providers to discuss with expectant parents the risk of babies born through cesarean section developing obesity, asthma, and diabetes, according to the paper by Blustein and Liu.

Cesarean section is sometimes a medical necessity, or even an emergency. But it is increasingly a choice made in cooler
…show more content…
The authors review this evidence from a variety of sources. These include observational studies where researchers locate large samples of children, assess the extent of disease, and look back to see how the children were delivered. They also include a clinical trial, in which mothers were prospectively randomized to undergo cesarean or vaginal delivery. The authors find that the evidence warrants concerns that C-section may lead to worse long-term child …show more content…
"It's time to update the guidelines to include information about possible risks to long-term child health," comments Dr. Blustein.

She acknowledges that the evidence linking cesarean to worse child health is not unequivocal. "It is clear that cesarean-born children have worse health, but further research is needed to establish whether it is the cesarean that causes disease, or whether other factors are at play," Dr. Blustein says. "Getting definitive answers will take many years of further research. In the interim, we must make decisions based on the evidence that we have. To me, that evidence says that it is reasonable to believe that cesarean has the potential for long-term adverse health consequences for children."

"It takes awhile for research findings to reach clinicians and patients," says Blustein. "This research isn't widely known. It is time for that to change, so that doctors, midwives and patients can weigh the risks and benefits of elective cesarean, and decide

You May Also Find These Documents Helpful

  • Good Essays

    Atul Gawande

    • 441 Words
    • 2 Pages

    Gawande highlights some flaws of Obstetrics such as their lack of double blind, controlled randomized trials (obstetrics uses the least double blind controlled trials in all of medicine), use of fetal heart rate monitoring device, forceps eliminated even though better for mothers…

    • 441 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    Preterm birth is a significant public health problem, as the prematurity rate at in the United States was 12.7% in 2007. Preliminary data for 2008 indicates a slight decline to about 12.3% (Martin, Hamilton, Sutton, Ventura, Mathews, Kirmeyer, & Osterman, 2010). Behrman & Butler (2007) reported that annual societal preterm births cost more than $26.2 billion in 2005, or $51,600 per infant born preterm, including maternal delivery, medical care, early intervention services, and loss of…

    • 2109 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Doula Supported Births

    • 634 Words
    • 3 Pages

    This review provides a clear pattern of evidence that shows doula-supported births lead to a reduction in cesarean rates. A reduction in cesarean rate can be explained due to the fact that doula-supported births are also shown to decrease the length of labor, the amount and type of analgesic used, factors that greatly influence cesarean births. The reduction of cesarean rates through the use of continuous doula support is relevant because it provides a way to minimize the negative health outcomes and complications of the mother and baby and promote crucial aspects of the birthing process. With these results, medical professionals can continue to implement and promote the use of doulas in the hospital setting.…

    • 634 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Mph 606 Week 1 Research

    • 590 Words
    • 3 Pages

    Weiss, J., Malone, F., Emig, D., Ball, R., Nyberg, D., Comstock, C. (2004). Obesity, obstetric complications and cesarean delivery rate: A population-based screening study. American Journal of Obstetrics and Gynecology, 190(4), 1091-1097.…

    • 590 Words
    • 3 Pages
    Powerful Essays
  • Good Essays

    While it may be beneficial in the short run, the long term effects of birth…

    • 847 Words
    • 4 Pages
    Good Essays
  • Better Essays

    March of Dimes Outline

    • 848 Words
    • 4 Pages

    3) Other programs educate doctors and nurses about reducing the rates of elective labor inductions and c-sections before the 39th week of pregnancy…

    • 848 Words
    • 4 Pages
    Better Essays
  • Good Essays

    434V Week1DQ1

    • 532 Words
    • 2 Pages

    severe short- and long-term health consequences. Low birth weight is a major determinant of mortality,…

    • 532 Words
    • 2 Pages
    Good Essays
  • Powerful Essays

    The babies are given scores of 1 to 2 on five factors (for example, heart rate, colour), with 10 being the top (healthiest) total score. Most babies have scores between 7 and 9 a minute after birth, and 8 to 10 after five minutes. Babies with scores of 0 to 3 are in distress. (Ritzer: 274-275) Overall, the healthcare system has allowed itself to be McDonaldized and mothers-to-be have helped to keep McDonaldization with childbirth. By adopting procedural ideas from corporations, healthcare has become efficient, predictable, and controllable, but at a cost of increased risks, which have lead to inefficiencies, unpredictability, and uncontrollability within medicine. Mothers-to-be have helped to keep it by voluntarily opting for medical interventions, mainly caesarean sections, during childbirth, which has created a social phenomenon called too-posh-to-push. If every woman would opt to labour and delivery their child without medical interventions, the risks of complications would decrease dramatically and babies would be born…

    • 1657 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Business of Being Born

    • 693 Words
    • 3 Pages

    There’s this idea since hospitals are a business that once they “facilitate” an intervention has been started and it becomes a domino effect after that. When these interventions have started, the questions: “what’s best for the baby?” “Is the baby going to benefit from this or not?” need to be well thought out. According to Overview of Maternity, “medical evidence shows that the routine use of unnecessary interventions put mothers and babies at risk.” In the film Marsden Wagner M.D., stated that there is no history of worthy obstetrical practices and careful studies of the long-term effects of the interventions.…

    • 693 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Child birthing practice allows us to decide on which birth methods we prefer, but some…

    • 1270 Words
    • 6 Pages
    Better Essays
  • Powerful Essays

    have an impact on your child for life. It can be good or ill. The choice is…

    • 2018 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Preterm and low birth weight infants possess greater risk not only for the infants, but also for the families and the society as well. The impact of very low-birth-weight infants on the family is long lasting. Preterm infants born at less than 34 weeks are at high risk for poor outcomes, including chronic health conditions, long-term disability, and death. The loss of a baby can be a devastating experience for a family. Many preterm and low birth weight infants that survive the perinatal period are vulnerable to a host of childhood morbidities such as cerebral palsy, chronic lung disease, and attention deficit/hyperactivity disorder. Adolescents born prior to 35 weeks of completed gestation have been shown to have a higher degree of abnormal brain development and cognitive and behavioral problems than adolescents born full-term. These poorer birth outcomes have also been associated with serious health conditions in adulthood, such as cardiovascular disease, Type II diabetes, and hypertension. The financial costs associated with treating preterm labor and delivery is quite…

    • 736 Words
    • 3 Pages
    Good Essays
  • Better Essays

    Now a day a major concern which is affecting communities on overall pertaining to childbirth is preterm births in the United States of America. In fact, preterm births and low birth weight have negative consequences not only for the infants and their families but also on the society. Actual delivery before 37 weeks of gestation is the primary concern and low birth weights have a major impact on the functional domains, such as cerebral palsy, chronic lung disease, and hyperactivity disorder (Brooks-Gunn J., McCarton C. M., Casey P. H., McCormick M. C., Bauer C. R., Bernbaum J. C., Tonascia J. (1994).…

    • 790 Words
    • 4 Pages
    Better Essays
  • Good Essays

    Midwife Vs Midwives

    • 742 Words
    • 3 Pages

    Every year, more than three million infants are born in the United States. For the mother, one of the most important things is bringing the baby out from the womb safely into the world. The majority of women choose to birth their children in hospitals with doctors, mainly because it is believed that hospitals are the safest environment to birth a child. Others, decide to stick to what they consider a more natural option: at home births with midwives. Whatever the situation may be, the mothers have their child’s best interest at hand. The fact of the matter is, no matter how well one plans, and no matter how excellent a medical professional may be, sometimes complications are inevitable. Historically midwives did not have to be doctors, because…

    • 742 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Premature Babies

    • 442 Words
    • 2 Pages

    There have been many medical advances in both prevention and intervention that will hopefully lead to lower premature birth rates. Premature births affect 500,000babies-which is 1 of every 9 infants born in the United States. Worldwide, more than 15 million babies are born to soon each year. Prematurity exponentially increases a variety of complications such as breathing problems. Teen pregnancy falls in this category too; one of the reasons being is that infants born to teen mothers are at risk of being born premature and at a low birth rate. With that it also puts newborns at greater risk for infant death, respiratory distress syndrome, bleeding in the brain, vision loss, and serious intestinal problems. Teen mothers are also more likely to smoke during pregnancy than mothers over the age of 25, and smoking can also cause babies to be born at a low birth rate, and being born premature. The nation’s preterm birth rate in 2012 was 11.5%, which is a 15 year low, according to the March of Dimes report. Premature birth not only takes a high toll on families, but it also cost society more than $26 billion dollars a year.…

    • 442 Words
    • 2 Pages
    Satisfactory Essays