Throwing the baby out with the spa water?

Sarah J Buckley
Med J Aust 2005; 182 (2): . || doi: 10.5694/j.1326-5377.2005.tb06594.x
Published online: 17 January 2005

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.

  • Anstead, QLD.


  • 1. de Costa CM, Robson S. Throwing out the baby with the spa water? Med J Aust 2004; 181: 438-440. <MJA full text>
  • 2. Matthews TG, Crowley P, Chong A, et al. Rising caesarean section rates: a cause for concern? BJOG 2003; 110: 346-349.
  • 3. O’Driscoll K, Foley M. Correlation of decrease in perinatal mortality and increase in cesarean section rates. Obstet Gynecol 1983; 61: 1-5.
  • 4. 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.
  • 5. Smith GC, Pell JP, Dobbie R. Caesarean section and risk of unexplained stillbirth in subsequent pregnancy. Lancet 2003; 362: 1779-1784.
  • 6. King JF, Slaytor EK, Sullivan EA. Maternal deaths in Australia, 1997–1999. Med J Aust 2004; 181: 413-414. <MJA full text>
  • 7. 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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