Espai on poder compartir, mares i pares, una de les experiències més importants de la nostra vida: tenir un fill/a

La Sociedad Canadiense de obstetricia y ginecologia acaba de revisar sus protocolos y ya no recomiendan la cesárea electiva para los bebés que vienen de nalgas. En vez de ello recomiendan una ecografía detallada previa al parto que detecta en que casos puede haber problemas con el cordón que hagan necesaria una cesárea, y que se opte por el parto vaginal en el resto. También se recomienda que los osbtetras vuelvan a aprender como atender partos de nalgas.

Us adjunto la notícia i els enllaços perquè val la pena difondre-ho!

The Society of Obstetricians and Gynecologists of Canada revised their practice guidelines on breech birth.
As of this week (June 2009) They no longer recommend routine cesarean for breech babies.

The announcement from the SOGC is here :

http://www.sogc. org/media/ advisories- 20090617a_ e.asp

And the guidelines themselves are here :

http://www.sogc. org/media/ pdf/advisories/ CpgBreechJune09_ e.pdf

Until now, those who relied on the 2000 “Term Breech Trial,” which was the
study that caused so many health organizations to recommend automatic
cesarean, had statistics to point out that laboring with a breech baby was
more harmful than automatic cesarean with no labor. Those statistics are
now shown to be problematic. For example, a good part of the problems babies had with laboring ended up being caused by cord problems. Because the studies didn’t require ultrasounds, those problems weren’t picked up in advance, so doctors were unable to identify those women for whom vaginal breech birth might carry additional risks and those for whom it was more likely to carry FEWER risks than cesarean. The new SOGC guidelines recommend careful ultrasound screening to rule out cord problems before proceeding with labor as one way
to identify women who would benefit from vaginal breech birth.

The SOGC also now recognizes that although there were some short-term
problems, babies are no healthier in the longer term (beyond two years old)
because of having been born by cesarean. The combination of lack of
long-term problems, and the lack of careful screening for problems for
individual breech babies is what now leads the SOGC to reject cesarean as
the automatic choice.

Incidentally, the SOGC also now recognizes that a problem that was caused by accepting the flawed studies in the 2000 Term Breech Trial is that because cesarean was accepted, no one kept teaching doctors how to attend vaginal breech births. The Society intends to begin a training program to revive the skill of attending healthy vaginal breech birth.

Comentarios en: "Partos Eutócicos en Podálica" (2)

  1. I do not leave a response, however I read a few of the responses here Partos Eutócicos en Podálica Embaràs conscient, Part
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