Re: Breech Trail

From: Dr Eberhard Lisse (el@lisse.NA)
Tue Jan 24 15:23:23 2006


Actually,

it has not beeen *PROVED* or *PROVEN* for this matter, there was just one opinion.

And you should probably *READ* the Cochrane review:

Three trials (2396 participants) were included in the review. Caesarean delivery occurred in 550/1227 (45%) of those women allocated to a vaginal delivery protocol. Perinatal or neonatal death (excluding fatal anomalies) or serious neonatal morbidity was reduced with planned caesarean section (relative risk (RR) 0.33, 95% confidence interval (CI) 0.19 to 0.56). This reduction was less for countries with high national perinatal mortality rates. Perinatal or neonatal death (excluding fatal anomalies) was also reduced with planned caesarean section (RR 0.29, 95% CI 0.10 to 0.86). The proportional reductions were similar for countries with low and high national perinatal mortality rates. Planned caesarean section was associated with modestly increased short-term maternal morbidity (RR 1.29, 95% CI 1.03 to 1.61). At three months after delivery, women allocated to the planned caesarean section group reported less urinary incontinence (RR 0.62, 95% CI 0.41 to 0.93); more abdominal pain (RR 1.89, 95% CI 1.29 to 2. 79); and less perineal pain (RR 0.32, 95% CI 0.18 to 0.58).At two years, there were no differences in the combined outcome 'death or neurodevelopmental delay'. Maternal outcomes at 2 years were also similar.

That means the surviors!

on 1/24/06 5:21 PM Bernard Cristalli said the following: > Yes.
> The recent Hannah trial has been proved to be biased and the 2 year
> outcome of mothers and children has been found to be equivalent in both
> groups vaginal and cesarean, to begin with.
> BC
>
> Dr Eberhard Lisse a écrit :
>
>> Can you prove yours?
>>
>> el
>>





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