Bmj Usa: Minerva


BMJ 2003; 327 doi: (Published 19 November 2003) Cite this as: BMJ 2003;327:E247

From BMJ USA 2003;August:546

Soaring cesarean section rates in the United States provide food for thought. The rate in 2001 reached an all time high of 24.4%, while that of women having a vaginal delivery after a previous section dropped to an all time low of 16.5%. An editorial in the Journal of Obstetric, Gynecologic, and Neonatal Nursing (2003;32:283–284) asks whether this situation has arisen because the demand for perfection forces unnecessary intervention, and calls for a return to common sense guided by evidence rather than fear of litigation.

Chlamydial infection in men may not be as devastating as it can be in women, but as it's largely asymptomatic, the implications of having it and passing it on unawares are critical. Recent prevalence figures (Lancet 2003;361:1792) indicate that nearly 10% of men could be infected, and 90% of these were asymptomatic. Although the men studied were young army recruits, they were |P‘no more sexually active than the average young male population.|P’

Patients who return home from a tropical country with a fever can cause problems to …

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