Archive
The Myth of the Unnecessary Cesarean
nec·es·sar·y: being essential, indispensable, or requisite
One thing I have learned by being active in the obstetrics and birthing blogosphere is that there are a whole lot of people out there that think that most cesarean deliveries are unnecessary. While most of them will admit that some cesareans are medically required, its pretty rare that the ones that have had a cesarean looks at their cesarean that way.
A popular term bandied about is “Unnecesarean”, a catchy little phrase that implies the underlying belief that most cesareans are unnecessary. Frequently, commenters state that they had a cesarean that they didn’t want, and that at some point later in their life someone let them in on the secret that their cesarean wasn’t really necessary, and this is completely accepted as fact. In some cases, people believe that they were robbed of the vaginal birth they were destined to have, or even that they were somehow raped by the their physician.
Frankly, I am tired of it.
Academic OB/GYN Podcast Episode 23 – Journals for June and July 2010
In this episode I discuss articles from the June and July Green and Grey Journals. Topics include vertical vs transverse skin incisions for cesarean, staples vs suture, the republished thrombophila ACOG statement, and more!
Academic OB/GYN Podcast Episode 23 – Journals for June and July 2010
Green Journal – Vertical vs Transverse Skin Incisions for Emergent Cesarean
Junes’s Green Journal had an interesting article on vertical versus transverse skin incisions for emergent cesarean deliveries that seemed worth some comment.
The point of the article was to look at a large retrospective cohort of emergent cesarean deliveries, stratify them by vertical or transverse skin incision, and then look at operative times and patient and fetal outcomes. This dataset was drawn from recorded data from many different centers, as part of the MFMU Network system of studies.
Academic OB/GYN 