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Although many doctors have long advised women against having repeated C- sections, the high rate of surgical deliveries has continued for a number of reasons. Among them: advanced fetal monitoring, which is more sensitive to the signals of fetal distress; a trend toward larger babies, who are more difficult to deliver vaginally; and more requests from mothers exhausted by labor...

Author: /time Magazine | Title: Medicine: Safer Births the Second Time After Caesareans | 11/7/1988 | See Source »

Another significant factor is that many doctors perform caesareans at the first signs of fetal distress to protect themselves from malpractice suits. Moreover, caesareans demand less time for physicians in the delivery room. "It's a lot easier for a doctor to schedule a woman for caesarean and come in at 8 in the morning and be done by 8:30," says Mortimer Rosen, director of obstetrics and gynecology at New York's Presbyterian Hospital...

Author: /time Magazine | Title: Medicine: Safer Births the Second Time After Caesareans | 11/7/1988 | See Source »

...mounted. Caesarean sections carry all the risks of major surgery, including complications associated with anesthesia, blood transfusions and infection, especially of the uterus. The incidence of maternal mortality is twice as high for women who undergo repeat caesareans, and infants are at increased risk for respiratory problems and distress caused by anesthesia given to the mother. On balance, the benefits of vaginal deliveries after C-sections have long outweighed the advantages of surgical births. Says R. Harold Holbrook Jr., director of maternal-fetal medicine at the Stanford Medical Center: "It's been clearly proved that it's safe to have...

Author: /time Magazine | Title: Medicine: Safer Births the Second Time After Caesareans | 11/7/1988 | See Source »

...three gray whales, they may have to face new, intensified dangers from polar bears and killer whales that might sense their distress, as well as the danger that they might again become lost or trapped by the ice. As naturalist Roger Caras remarked last week on Nightline: "They are exhausted, they are stressed, and they've got a gamut to run." Caras and others did not believe that Putu, Siku and Kanik would ever reach their wintering grounds off the coasts of California and Mexico. Meanwhile, conservationists and whale lovers might reflect on this conundrum: How can the human outpouring...

Author: /time Magazine | Title: Nature: Helping Out Putu, Siku and Kanik | 10/31/1988 | See Source »

...Ralph Baruch, former president of Viacom International and now a senior fellow at the Gannett Center for Media Studies. "They didn't fully comprehend the extent of technological changes." Norman Lear, creator of All in the Family and now the owner of six independent TV stations, sees the networks' distress as retribution for their copycat programming. "If these guys were standing in a circle with razors at each other's throats," he asserts, "they could not be committing suicide more energetically...

Author: /time Magazine | Title: Video: The Big Boys' Blues | 10/17/1988 | See Source »

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