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