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This is where the story came from – it’s still a draft report, subject to change:
http://news.sky.com/home/uk-news/article/16099301
From: LUCIA ROCCA <mailto:[log in to unmask]>
Sent: Sunday, October 30, 2011 11:05 PM
To: [log in to unmask]
Subject: Re: c-section for all women who request it by NICE?
Yes, and also in a bleak economic climate it seems quite wrong to increase expenses without reason.
Plastic surgery is getting safer and safer....
are we going to have cosmetic breasts inplans for free as well for all women who request it?
I am quite shocked if NICE publishes a report in support of free CS without medical indication and I think we should look into protesting against it.
Best wishes
Lucia
2011/10/30 Soo Downe <[log in to unmask]>
Hmm - CS is now safe? Maybe it depends on what outcomes you look at: These are the risks cited in the current NICE CS guidelines:
NICE 2004 Cesarean section: Quick reference guide. Available at: http://www.nice.org.uk/nicemedia/live/10940/29333/29333.pdfdopwnloaded on 6th Oct 2011 <http://www.nice.org.uk/nicemedia/live/10940/29333/29333.pdfdopwnloaded%20on%206th%20Oct%202011>
Longer term, CS has also been linked to type one diabetes in the neonate, athsma, excema, and, most recently, multiple sclerosis:
Mult Scler. <http://www.ncbi.nlm.nih.gov/pubmed/21982872#> 2011 Oct 7. [Epub ahead of print]
Cesarean delivery may increase the risk of multiple sclerosis.
Maghzi AH <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Maghzi%20AH%22%5BAuthor%5D> , Etemadifar M <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Etemadifar%20M%22%5BAuthor%5D> , Heshmat-Ghahdarijani K <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Heshmat-Ghahdarijani%20K%22%5BAuthor%5D> , Nonahal S <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Nonahal%20S%22%5BAuthor%5D> , Minagar A <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Minagar%20A%22%5BAuthor%5D> , Moradi V <http://www.ncbi.nlm.nih.gov/pubmed?term=%22Moradi%20V%22%5BAuthor%5D> .
Source
IRCOMS, Iran/Neuroimmunology Unit, Centre for Neuroscience & Trauma, Blizard Inst. of Cell &Molecular Sci.,UK/Med. Schl, Isfahan Uni. of Med.Sci, Iran.
Abstract
Background: Prenatal and perinatal factors are believed to contribute to the risk of developing multiple sclerosis (MS). Objective: This study was designed to evaluate whether mode of delivery (vaginal versus cesarean section), as a perinatal factor, affects susceptibility to MS. Methods: MS patients were recruited from the MS registry of Isfahan Multiple Sclerosis Society (IMSS) and were compared with their healthy siblings. Data regarding mode of delivery, birth order, and gestation week of birth were obtained through a specially designed questionnaire. Preterm or post term deliveries were excluded. We used conditional logistic regression statistics and adjusted for gender and birth order. Results: This study included 1349 participants (449 MS patients and 900 controls). Subjects who were born by cesarean sectionhad significant risk of MS (odds ratio, OR = 2.51; 95% confidence interval, CI: 1.43-4.41; p = 0.001). There was significant MS risk for females who were born by cesarean section (OR = 2.69, 95% CI: 1.30-5.58; p = 0.008), but not for males (OR = 2.25, 95% CI: 0.90-5.63; p = 0.082). The mean age at onset was lower in MS patients born by cesarean section (24.58 ± 6.33) compared with that of patients born by vaginal delivery (27.59 ± 7.97; p = 0.041). There was no significant difference between the two groups for birth order (p = 0.417). Conclusion: Our results suggest that those born by vaginal delivery are at a lower risk of subsequent MS. These preliminary findings will need to be addressed in a much larger and preferably prospective study.
PMID: 21982872 [PubMed - as supplied by publisher]
From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] on behalf of Pamela Harnden [[log in to unmask]]
Sent: Sunday, October 30, 2011 10:25 PM
To: [log in to unmask]
Subject: Re: c-section for all women who request it by NICE?
Dear Lucia,
The impression in Australia is that it is true and that the risks are so small now because the obstetricians are so expert at it, the suggestion is that it is actually safer than birthing normally!
Pam
On Mon, Oct 31, 2011 at 9:18 AM, LUCIA ROCCA <[log in to unmask]> wrote:
Dear All,
I am sure this must be misinformation but I am a bit worried about the news from Sky news:
http://news.sky.com/home/uk-news/article/16099301
about NICE publishing a new report saying that women must have the right to ask, at NHS expenses, a CS without medical indication.
could please somebody reassure me ( while I am on holiday...) that I got it wrong?
Thanks
Lucia
--
Lucia Rocca-Ihenacho
Senior Midwife and Research Fellow
Barts and the London NHS Trust
07989 230313