To the Editor: In a recent article, de Costa and Robson1 suggest that Australia’s high rates of caesarean surgery — currently among the highest in the Western world — may be beneficial, and causally related to our low perinatal mortality rate.
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Throwing the baby out with the spa water?
Sarah J Buckley
Med J Aust 2005; 182 (2): 95-96.
Matthews TG, Crowley P, Chong A, et al. Rising caesarean section rates: a cause for concern? BJOG 2003; 110: 346-349.
O’Driscoll K, Foley M. Correlation of decrease in perinatal mortality and increase in cesarean section rates. Obstet Gynecol 1983; 61: 1-5.
Sepkowitz S. Birth weight-specific fetal deaths and neonatal mortality and the rising cesarean section rate. J Okla State Med Assoc 1992; 85: 236-241.
Smith GC, Pell JP, Dobbie R. Caesarean section and risk of unexplained stillbirth in subsequent pregnancy. Lancet 2003; 362: 1779-1784.
Enkin M, Keirse MJNK, Neilson J, et al. A guide to effective care in pregnancy and childbirth. 3rd ed. Oxford: Oxford University Press, 2000: 486.
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