Caesarean delivery in the second stage of labour: Consider the value of a functionally intact perineum

doi:10.1136/bmj.333.7571.753-a

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Michelle J Thornton, consultant colorectal surgeon (Michelle.Thornton@lanarkshire.scot.nhs.uk)

Wishaw General Hospital, Wishaw ML2 0DP

EDITOR—Spencer et al say that instrumental delivery may reduce the caesarean section rate in the second stage of labour.1 Although this may be important for the 2006 NHS budget—saving anaesthetic, operating theatre, and hospital costs in the short term—the longer term health outcomes and …