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Cesarean Wars

Just the facts, Ma'am.

By Robin Elise Weiss, LCCE, About.com

Nicette Jukelevics, author and educator states, "There is strong evidence to suggest long-term effects of cesareans-increased risk for placenta previa, placenta accreta, miscarriage, premature labor, infertility, post-partum depression and post-traumatic stress. So far the debate has not included these risks."

"The medical literature letters and opinion pieces reflect that. The latest ACOG Guidelines, July 1999, read more like a legal "expert opinion" piece against the HMO's than guidelines based on evidence-based medicine. Some of the references they use to back up their position are not from controlled studies..."

This makes the facts a bit more difficult to decide than before. It's not simply a case of X option being best for all women, or the worst for all women. Which is why the dialog between the woman, her partner and the careprovider should begin and continue until a decision is reached, in either direction.

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