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Should obstetricians support a term cephalic trial?

Date

Authors

Robson, Stephen

Ellwood, David

Publisher

Blackwell Publishing Ltd

Abstract

Recent analyses of the published data suggest that the risks of elective Caesarean delivery in an uncomplicated pregnancy may not outweigh the benefits of vaginal birth by as much as has been supposed. Indeed, this balance may be so close that the place of elective Caesarean delivery of a term cephalic baby might be considered as a worthwhile subject of a randomised controlled trial. We discuss the potential consequences of such a trial and what effect it could have on obstetric practice.

Keywords

Keywords: article; cesarean section; clinical trial; controlled clinical trial; elective surgery; evidence based medicine; female; health care cost; human; medical decision making; medical ethics; medical specialist; obstetrics; outcomes research; pregnancy; priori Caesarean; Ethics; Randomised controlled trial

URI

http://hdl.handle.net/1885/75416

Collections

ANU Research Publications

Source

Australian and New Zealand Journal of Obstetrics and Gynecology

Type

Journal article

DOI

10.1046/j.0004-8666.2003.00113.x

Restricted until

2037-12-31

Downloads

File

Description

01_Robson_Should_obstetricians_support_a_2003.pdf (52.14 KB)