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what is interesting is the RCT in the
BMJ which showed water was effective in decreasing the need for
intervention/augmentation in women with 'dystocia'. So in these cases maybe
getting the women i to water would have encouraged their labour to progress and
avoid CS altogether
Belinda
----- Original Message -----
Sent: Wednesday, March 03, 2004 7:24
PM
Subject: [ozmidwifery] Caesareans
From the USA- An Agency for Healthcare Research and Quality (AHRQ)
retrospective study of 733 women who delivered fullterm, nonbreech infants by
unplanned cesarean found that as many as 24% of c-sections for "lack of
progress in labor" are performed too early. This group comprises women who
undergo a c-section when their cervix has dilated 0 to 3 centimeters. The
American College of Obstetrics and Gynecology (ACOG) guidelines recommend that
dilation should be 4 cm or more before a failure to progress diagnosis is
made. The researchers postulated that many doctors are more comfortable with
the risks of c-section than they are with labors that do not progress as
rapidly as expected. In addition, many doctors either do not agree with ACOG
guidelines or interpret them differently.
- Obstetrics and Gynecology,
April 1, 2000
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