Intended for healthcare professionals

Letters NICE on caesarean section

NICE says caesarean section is not available on demand unless clinically indicated

BMJ 2013; 347 doi: (Published 30 July 2013) Cite this as: BMJ 2013;347:f4649
  1. Mandie Scamell, lecturer in midwifery1,
  2. Alison Macfarlane, professor in women’s and child health1,
  3. Christine McCourt, professor in women’s and child health1,
  4. Juliet Rayment, research fellow1,
  5. Judith Sunderland, lecturer and programme lead in midwifery1,
  6. Mary Stewart, research midwife2
  1. 1Early Years Division, City University London, London EC1A 7PN, UK
  2. 2Life Study, University College London, London WC1N 1EH, UK
  1. mandie.scamell.1{at}

We were alarmed by the letter from Mascarenhas and colleagues entitled, “NICE promises on infertility and caesarean section are unmet.”1 We agree with the authors that current underfunding in the NHS is having grave consequences on national maternal health service provision and deserves careful scrutiny and critical comment, …

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