Word: cesarean
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Back to Basics The only way to decrease the rate of Cesarean sections is to go back and teach residents the art of obstetrics, which includes the proper use of the forceps and the vacuum extractor [The Trouble with Repeat Cesareans, April 27]. We should also stop the interference of lawyers in the management of deliveries by making litigation very difficult. During the 1960s the institution with the lowest rate of cesareans was considered the best for training residents. Neonatologists agree that increasing the rate of cesareans does not necessarily mean better babies. Fayez Suidan M.D., AMERICAN UNIVERSITY OF BEIRUT...
...majority of victims of the virus - there have been more than 4,700 probable and confirmed cases in the U.S. - have recovered without complications, Dominguez Trunnell grew sicker, eventually being placed on a ventilator. Early this month Dominguez Trunnell passed away, weeks after her baby daughter was delivered via cesarean section. "She was a fun and caring person," Trunnell tells TIME. "She didn't deserve this." (See pictures of H1N1 flu hitting Mexico...
...caused a furor. Abortion is illegal in Brazil except in cases of rape or when the mother's life is in danger, both of which apply in this case. (The girl's immature hips would have made labor dangerous; the Catholic opinion was that she could have had a cesarean section.) When the incident came to light in local newspapers, the Church first asked a judge to halt the process and then condemned those involved, including the 9-year-old's distraught mother. Even Catholic Brazilians were shocked at the harshness of the archbishop's actions. "In this case, most...
Thank you for your article on vaginal birth after cesarean (VBAC) [March 2]. I gave birth to my son in 2007 and felt pressured into a cesarean after 12 hours of labor. I regretted it later. Not all women who have a C-section elect to do so, and they should be given the chance to try again "the old-fashioned way." Rebecca Morris, SIOUX FALLS...
...course, the alternative to a VBAC isn't risk-free either. With each repeat cesarean, a mother's risk of heavy bleeding, infection and infertility, among other complications, goes up. Perhaps most alarming, repeat C-sections increase a woman's chances of developing life-threatening placental abnormalities that can cause hemorrhaging during childbirth. The rate of placenta accreta--in which the placenta attaches abnormally to the uterine wall--has increased thirtyfold in the past 30 years. "The problem is only beginning to mushroom," says ACOG's Zelop...