Caesarean section fully equally comparable to symphysiotomy
"Symphysiotomy has been extensively studied, modified and refined over the last century. It is a minimally invasive life saving surgical procedure. Severe long term complications are rare." [1][2]
A systematic review and meta-analysis demonstrated that symphysiotomy compared to caesarean section had no difference in maternal deaths, perinatal deaths, neonatal deaths, haemorrhage, infections, pain, activity, incontinence, dyspareunia. [3]
Inequalities in caesarean section rates do not necessarily mean those vulnerable women in developing Countries enjoyed inferior obstetric care.
In fact, since symphysiotomies are common substitutes in rural areas, one can conclude that those women received comparable interventions.
Advocating for more caesarean sections in deprived rural areas of developing Countries risks medicalisation of the birth process.
References
[1] http://associateclinicians.org/ANAC/wp-content/uploads/downloads/2013/01...
[2] https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/j.1471-0528.2002....
[3] https://www.youtube.com/watch?v=2kddmLcTWBo
Rapid Response:
Caesarean section fully equally comparable to symphysiotomy
"Symphysiotomy has been extensively studied, modified and refined over the last century. It is a minimally invasive life saving surgical procedure. Severe long term complications are rare." [1][2]
A systematic review and meta-analysis demonstrated that symphysiotomy compared to caesarean section had no difference in maternal deaths, perinatal deaths, neonatal deaths, haemorrhage, infections, pain, activity, incontinence, dyspareunia. [3]
Inequalities in caesarean section rates do not necessarily mean those vulnerable women in developing Countries enjoyed inferior obstetric care.
In fact, since symphysiotomies are common substitutes in rural areas, one can conclude that those women received comparable interventions.
Advocating for more caesarean sections in deprived rural areas of developing Countries risks medicalisation of the birth process.
References
[1] http://associateclinicians.org/ANAC/wp-content/uploads/downloads/2013/01...
[2] https://obgyn.onlinelibrary.wiley.com/doi/full/10.1111/j.1471-0528.2002....
[3] https://www.youtube.com/watch?v=2kddmLcTWBo
Competing interests: No competing interests