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Re: OB: C/S vs. Vaginal From: art fougner, md (evsono@pipeline.com) Tue Dec 8 17:00:45 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Ealgail@aol.com: "Re: VBAC's by nurse-midwives" Previous message: Efrain Ramirez MD: "Re: OB: C/S vs. Vaginal" In reply to: Dr Eberhard W Lisse: "Re: OB: C/S vs. Vaginal" Next in thread: Gail Waldby, MD: "Re: OB: C/S vs. Vaginal" el, you're not the only one - Cesarean section-related maternal mortality in Massachusetts, 1954-1985. Obstet Gynecol 1988 Mar;71(3 Pt 1):385-8 (ISSN: 0029-7844) Sachs BP; Yeh J; Acker D; Driscoll S; Brown DA; Jewett JF [Find other articles with these Authors] Department of Obstetrics and Gynecology, Charles A. Dana Research Institute, Boston, Massachusetts. We analyzed the data of the Maternal Mortality Committee of the Massachusetts Medical Society to investigate cesarean section-associated maternal deaths. Between 1954-1985, the number of cesarean section-related deaths per 100,000 live births did not significantly change despite a quadrupling of the cesarean section rate. Between 1976-1984, there were 649,375 births and 121,217 cesarean sections in the state. Seven deaths were directly related to cesarean section, a rate of 5.8 per 100,000 cesarean sections. In contrast, the rate for vaginal deliveries was 10.8 per 100,000 vaginal deliveries. We conclude that the risk of maternal death from cesarean section is low. art At Tue, 8 Dec 1998, Dr Eberhard W Lisse wrote: > >In message <19981208200217138.AAA238@obgyn_0776>, Holmes, Harnath LT writes: > >> Overall I got the impression from him that if elective c/s and vaginal >> delivery are the same risk (for mortality) why are we pushing VBAC and >> vaginal breech so hard? > >Been saying this for ages. > >In the US the reason is obviously HMO pressure. > >el > >-- >Dr. Eberhard W. Lisse\ / Swakopmund State Hospital ><el@lisse.NA> * | Resident Medical Officer >Private Bag 5004 \ / +264 81 1246733 (c) 64 461005(h) 461004(f) >Swakopmund, Namibia ;____/ Domain Coordinator for NA-DOM (el108) > -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Ealgail@aol.com: "Re: VBAC's by nurse-midwives" Previous message: Efrain Ramirez MD: "Re: OB: C/S vs. Vaginal" In reply to: Dr Eberhard W Lisse: "Re: OB: C/S vs. Vaginal" Next in thread: Gail Waldby, MD: "Re: OB: C/S vs. Vaginal"

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