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Dear Deb
Thank you for summarising and circulating
these!!
Denise Hynd
----- Original Message -----
Sent: Wednesday, April 28, 2004 11:06
PM
Subject: [ozmidwifery] NICE guidlines for
C Section published
The National Institute for Clinical Excellence
(NICE) in the UK have just published their CS guidelines.
Haven't studied them in detail (it's about 60 odd
pages), but here are summaries of some of the points I picked up (I
think):
- CS should not be offered before 39 weeks;
- Women should be advised that a homebirth will
reduce their risk of a section, but using midwifery-led units doesn't
!!!
- Continous support in labour reduces risk of
CS;
- Induction should not be offered until after 41
weeks;
- Maternal request should not be a reason for a
section;
- Active managment and early amniotomy should not
be offered, but a four hour partogram should be used !!;
- EFM increases the likelihood of a CS;
- Breech presentation should be offered ECV before
a section is offered;
- Twin pregnancies should try vaginal birth if
first twin is cephalic;
- VBAC should be supported
Interestingly, it says there should be RCT's to
compare vaginal birth and sections !!!
Debbie
Perth, WA
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