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Caesarean section and subsequent births

Front cover of Caesarean section and subsequent births
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Why the caesarean rate has increased? Caesareans (C/S) are much safer now than they were 60 years ago, which is why doctors, when balancing the risks during labour, choose to perform a C/S where there is concern about the health of the mother and/or her baby.

This concern may arise when the mother becomes ill, or when the conditions inside the womb become unhealthy for the baby.

One reason why there has been an increase in the number of C/S is the success of intensive care in saving the lives of premature and very low birth weight babies. This means that doctors are more likely to perform a C/S for premature labour (labour that starts too early), cases of severe pre-eclampsia (high blood pressure in pregnancy) or where there are problems with the baby`s growth and development.

There has also been publicity that the increasing rate of caesarean births is due to the fact that this operation is now seen as a consumer `choice` - where some women choose to opt for one where there are no obvious medical reasons. Little research has been carried out on the actual numbers of women requesting caesarean section but evidence suggests that women who request it are more likely to have had a previous caesarean and/or wish to avoid a difficult situation in their next pregnancy.
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Contributors include:
Mr. Peter Young, MB; ChB; MRCOG;
Consultant Obstetrician and Gynaecologist
Prof. Moira Plant, RN; RMN; PhD;
Professor of Alcohol Studies
Anne Viccars, MA; BSc (Hons); PGDipEd; RM; RN;
Senior Lecturer in Midwifery
Dr. AP Madden, MA; BM; BCh; FRCA;
Consultant Anaesthetist
Dr. Julie Dallison, MSc; DPhil
Dr. Jenny Ingram, PhD; BSc (Hons)
Dr. Mary Stewart, PhD; RN; RM; ADM; BSc (Hons);
MSc; PGDipHE
Prof. Christine MacArthur, PhD;
Professor of Maternal and Child Epidemiology
Dr. Sally Marchant, PhD; RN; RM; ADM; DipEd
Prof. JG Thornton, MD; FRCOG;
Professor of Obstetrics and Gynaecology
Rona McCandlish, RM; RMN; RN; MSc (Epid);
Sarah Beake, MSc; RM; RN; Research Midwife
Prof. Alison Macfarlane, BA; Dip Stat; C Stat; FFPH;
Professor of Perinatal Health
April Bolding, DPT; Childbirth Educator; Doula, USA
Dr. Helen Churchill, PhD; BA (Hons); Senior Lecturer
Dr. Louise Howard, PhD; MSc; MRCP; MRC Psych;
Senior Lecturer in Women's Mental Health
Sharon Hodgkiss, RN; RM; DipHE; BSc (Hons); MPH;
West Midlands Regional NSC Antenatal & Child Health
Screening Coordinator
Vicky Carne, MSc; BA (Hons); ADM; RM; RN;
Head of Midwifery, MIDIRS
Glenda Augustine, MPH; BSc (Hons); RM; DipHV, RGN
Debra Kroll, MSc; PGCEA; ADM; RM; RN;
Midwifery Lecturer in Practice
Michelle Lynn, BEd (Hons); ADM; RM; RN;
Midwifery Advisor, Nursing and Midwifery Council
Chrissie Hammonds, MSc; RM; RN;
Midwife Ultrasonographer
Sara Wickham, MA; BA (Hons); RM; PGCE (A);
Midwife & Author
Dr. Sandy Oliver, PhD; BA; Reader in Public Policy
Sally Cottrell, RM; BSc; MSc; MICG; NNEB; Consultant
Midwife Public Health, Women & Family
Dr. Gillian Flett, FRCOG; FFSRH; MIPM; Consultant in
Sexual and Reproductive Health Clinical Lead, NHS Grampian
Amanda Mansfield, BSc (Hons); MSc; RM;
Consultant Midwife
Dr. Joyshri Sarangi, MBBS (Lond.); MBA; MRCP (UK);
MRCGP; FFPH; Consultant in Communicable Disease Control

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	Download the fully referenced booklet

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Registered office: 9 Elmdale Road, Clifton, Bristol. BS8 1SL. Email: support@choicesforbirth.org. Tel: 0800 581 009.
Terms & Conditions

The MIDIRS Informed Choice website is provided for reference information only. MIDIRS is not responsible or liable for any diagnosis made by a user based on the content of the website. Although great care is taken to ensure reference information is both suitable and accurate, MIDIRS is not liable for the contents of any external internet sites referenced, nor does it endorse any commercial product or service mentioned or advised on any of these sites.


Informed Choice titles
Support in labour
Listening to your baby`s heartbeat during labour
Ultrasound scans - what you need to know
Alcohol and pregnancy
Positions for labour and birth
Epidural pain relief in labour
Feeding your baby - breast or bottle?
Is my baby alright?
If your baby is in the breech position, what are your choices?
Where will you have your baby?
Do you want a waterbirth?
When your baby is overdue
Eating well - for your baby and for you
Non-epidural pain relief
Caring for yourself and feeling well after you have had your baby
How will your baby be born?
Caesarean section and subsequent births
Vitamin K for your baby
Information for women who are Rhesus negative
Mood changes after childbirth
Sickle cell and thalassaemia disorders: screening offered to mothers and babies
Sexual health and contraception before and after childbirth
Anaemia - preventing, detecting and treatment in pregnancy and beyond
Infections in pregnancy - prevention, detection and treatment
Health for parenthood - practical advice on how to maintain a healthy lifestyle for you and your baby