Cost effectiveness of alternative planned places of birth in woman at low risk of complications: evidence from the Birthplace in England national prospective cohort study

Short stature should be excluded in considering women as low risk for adverse pregnancy outcome

22 April 2012

The methodology of the paper includes the low risk pregnancies for home-births etc. as per NICE Guidelines (1) which gives an exhaustive list of medical and obstetric risk factors that should be excluded before labeling the woman low-risk. However, short stature (less than 155 cms in European women) is and independent risk factor/ indication for cesarean section (2,3) is not included included in obstetric risk factors in NICE guidelines.

References:

1.National Institute for Health and Clinical Excellence (NICE). Intrapartum care of healthy women and their babies during childbirth. National Collaborating Centre for Women’s and Children’s Health. RCOG, 2007. www.nice.org.uk/nicemedia/pdf/IPCNICEguidance.pdf

2. Sheinera E, Levyb A, Katza M, Mazora M. Shortstature—an independent riskfactor for Cesarean delivery. European Journal of Obstetrics & Gynecology and Reproductive Biology 120 (2), 1 June 2005,175–178.

3.Kappel B, Eriksen G, Hansen KB, Hvidman L, Krag-Olsen B, Nielsen J, Videbech P, Wohlert M. Short stature in Scandinavian women. An obstetrical risk factor. Acta Obstet Gynecol Scand. 1987;66(2):153-8.

Competing interests: None declared

Neeru Gupta, neerujani@yahoo.co.in

Indian Council of Medical Research, Ansari Nagar, New Delhi-110029

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