Thursday, March 25, 2010

Pseudo-live Blogging - Maternal morbidity elevator speech

What is the one thing I'd say to a woman on an elevator about her risks from cesarean delivery?

"Try really hard not to have a cesarean.  It can be very dangerous to your health."

A longer version - I'm really impressed with the data that are available about the risks of adverse outcomes for women after their first cesarean.  It is also shocking how much strong evidence there is about how dangerous the 2nd and 3rd and upward cesareans are.

Given what we know from these data, it seems clear that the lack of VBAC availability is not driven by concern for women's health outcomes.

A lot of the reasearch for this conference was compiled by OHSU's evidence-based practice center.  Go Oregon!

On with the webcast...

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