I need help writing a reaction paper for: Caesarean section versus… I need help

I need help writing a reaction paper for: Caesarean section versus… I need help writing a reaction paper for: Caesarean section versus vaginal delivery for preterm birth for women with a single baby (not multiple birth)There is not enough evidence to show the effects of a policy of planned immediate caesarean delivery rather than a policy of planned vaginal delivery for the birth of premature babies.Caesarean section is an operation performed to deliver a baby through a cut in the abdomen and womb. Planned caesarean delivery for women thought to be in preterm labour may be protective for the baby, also preventing an intrapartum emergency surgery with its associated complications, but could also be traumatic for both the mother and her baby. More often than not, women thought to be in preterm labour deliver weeks later, often at term. There is, therefore, a real possibility that a policy of planned caesarean section may increase the number of babies born preterm.We included six randomised studies (involving 122 pregnant women) but only four studies (involving 116 women) contributed to the analyses. Our review found that there is not enough reliable evidence to compare planned caesarean delivery with planned vaginal delivery. Sometimes a planned caesarean cannot happen because labour progresses too quickly and sometimes, even though vaginal delivery is planned, complications arising during labour may make a caesarean section necessary. The review found that not enough women have been recruited into trials and, therefore, the decision how best to deliver a preterm baby, either cephalic or breech presentation, remains opinion and current practice within a hospital, rather than being evidence-based.All four trials were stopped early, due to difficulties with recruiting women. There were no data on serious maternal complications including admissions to intensive care unit. However, there were seven cases of major maternal postpartum complications in the group allocated to planned caesarean section (wound dehiscence, deep vein thrombosis, endotoxic shock and puerperal sepsis) and none in the group randomised to vaginal delivery. Excess blood loss from the birth canal after childbirth (postpartum haemorrhage) was not clearly different between the two groups, nor was birth asphyxia or respiratory distress syndrome or injury to the baby at birth.Source: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD000078.pub2/abstract Health Science Science Nursing NURS 6122 Share QuestionEmailCopy link Comments (0)

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