Wednesday, March 5, 2008

Planned Cesarean Surgery Is No Safer for Breech Births

Despite one study's conclusion that planned cesarean surgery results in superior outcomes for babies and equivalent outcomes for mothers, flaws in this research indicate otherwise. In "When Research is Flawed," obstetric research expert Henci Goer finds several problems in how the Hannah study—a randomized trial to compare planned cesarean surgery vs. planned vaginal birth for breech births—was conducted and its interpretations of the results.
Other studies, based on a good selection of patients, contradict these findings and report that with a good selection of patients, properly trained medical staff and careful management during labor, vaginal birth is safe for breech babies.
"When Research is Flawed," developed by the Lamaze Institute for Normal Birth, provides brief critiques of some of the most influential research studies published on topics that shape and affect policy and practice in maternal-child health care, such as breech birth. These research study critiques help childbirth professionals evaluate the quality of evidence and communicate that evidence to expectant parents, who may be misled or confused by information they receive from the media.
Read the complete critique on the Hannah study on breech birth, as well as critiques of studies on epidural analgesia, home birth, induction of labor and vaginal birth after cesarean (VBAC) at "When Research is Flawed" on the Research page of www.lamaze.org.

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