Saturday, 7 April 2007

NSW Health issues new policy on elective Caesareans


April 3. The NSW Department of Health has issued a new policy about elective caesareans. The full document can be read here. The key point is that maternal request for a c-section is not an indication by itself. Mothers must be provided evidence-based consent which includes risks, and the implications for future pregnancies. The policy, along with other data about risks of repeat caesareans, is reported on the front page of the Sydney Morning Herald - 'Tough new rules for caesareans'
Most of the NSW policy is based on the 2004 Policy of the UK Royal College of Obstetricians. These concerns about the the risk of caesarean sections were also covered in the March 1 editorial in the New England Journal of Medicine.

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