➡ It is uncertain whether there are any differences in maternal or perinatal mortality
between caesarean sections performed by non-physician clinicians and by doctors.
It is uncertain whether there are any differences in maternal or perinatal mortality
between caesarean sections performed by non-physician clinicians and by doctors (very low - certainty evidence)(Wilson 2011).
Not exact matches
This includes that the mother must have no significant pre-existing disease, no significant disease arising during pregnancy, a singleton pregnancy (no twins or higher order multiples), the baby must be head - down, labor must start
between 37 and 41 weeks of pregnancy, the mother must have had no more than 1 previous
caesarean section, and labor must begin spontaneously.
Whether the key outcomes of
caesarean section differ
between non-physician clinicians and medical doctors was explored in one review that included six studies conducted in low - income countries.
On the whole, there was no evidence of a difference
between the caseload and team subgroups for any of the outcomes included in the subgroup analysis, which included
caesarean section, instrumental vaginal birth, spontaneous vaginal birth, intact perineum, preterm birth < 37 weeks and all fetal loss before and after 24 weeks plus neonatal death.
INTERPRETATION: Planned
caesarean section is better than planned vaginal birth for the term fetus in the breech presentation; serious maternal complications are similar
between the groups.
The WHO reiterates the view of its health experts, who have said since 1985 that the «ideal rate» for
caesarean sections is
between 10 % and 15 % of births.
«The anti natal clinic and maternity unit is well used and his team deliver
between 350 - 600 births a year but any
Caesarean sections have to be taken to a larger hospital.