WHO warns on c-sec­tions

Lesotho Times - - Health -

GENEVA –– Women should only give birth by Cae­sarean sec­tion if it is med­i­cally nec­es­sary, the World Health Or­gan­i­sa­tion (WHO) has warned.

the global health body is­sued guid­ance sug­gest­ing the “ideal rate” of Cae­sarean births was be­tween 10 per­cent and 15 per­cent, sug­gest­ing un­nec­es­sary op­er­a­tions could be “putting women and their ba­bies at risk of short and long-term health prob­lems”.

around one in four ba­bies are born each year by Cae­sarean sec­tion in the uk, ac­cord­ing to the lat­est fig­ures, and cur­rent Na­tional In­sti­tute for Health and Clin­i­cal Ex­cel­lence (nice) guide­lines al­low for ex­pec­tant moth­ers to choose to have one, ir­re­spec­tive of need.

the WHO cited united na­tions-backed stud­ies sug­gest­ing there is “no ev­i­dence” the death rate de­creases when the C-sec­tion rate goes be­yond 10 per­cent of births.

In a state­ment, it warned “Cae­sarean sec­tions can cause sig­nif­i­cant com­pli­ca­tions, dis­abil­ity or death, par­tic­u­larly in set­tings that lack the fa­cil­i­ties to con­duct safe surg­eries or treat po­ten­tial com­pli­ca­tions.

“across a pop­u­la­tion, the ef­fects of Cae­sarean sec­tion rates on ma­ter­nal and new-born out­comes such as still­births or mor­bidi­ties like birth as­phyxia are still un­known. More re­search on the im­pact of Cae­sarean sec­tion on women’s psy­cho­log­i­cal and so­cial well-be­ing is still needed.

“Due to their in­creased cost, high rates of un­nec­es­sary Cae­sarean sec­tions can pull re­sources away from other ser­vices in over­loaded and weak health sys­tems.”

Dr Mar­leen tem­mer­man, direc­tor of WHO’S Depart­ment of Re­pro­duc­tive Health and Re­search, said: “th­ese con­clu­sions high­light the value of Cae­sarean sec­tion in sav­ing the lives of moth­ers and new­borns.

“they also il­lus­trate how im­por­tant it is to en­sure a Cae­sarean sec­tion is pro­vided to the women in need –– and to not just fo­cus on achiev­ing any spe­cific rate.

“We urge the health­care com­mu­nity and de­ci­sion-mak­ers to re­flect on th­ese con­clu­sions and put them into prac­tice at the ear­li­est op­por­tu­nity.”

Fig­ures re­leased by the Health and So­cial Care In­for­ma­tion Cen­tre (HSCIC) in Jan­uary showed 26.2 per­cent of uk births were by C-sec­tions last year.

Over­all, the num­ber of women hav­ing Cae­sarean sec­tions has in­creased over the past two decades, ris­ing from 15 per­cent of de­liv­er­ies in 1993 to 1994.

the op­er­a­tions are of­ten car­ried out when there are com­pli­ca­tions with a nat­u­ral de­liv­ery, such as pro­longed labour or the baby be­ing in an ab­nor­mal po­si­tion, but some are pre-planned.

–– WHO.

WOMEN should only have a Cae­sarean sec­tion if it is med­i­cally nec­es­sary, the World Health Or­gan­i­sa­tion says.

Newspapers in English

Newspapers from Lesotho

© PressReader. All rights reserved.