New NHS Guidelines to Bring Down Caesarean Birth (caesareans on request)

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The National Institute for Health and Clinical Excellence (NICE) issued guidelines to the NHS asking that no woman, who prefers caesarean delivery, should be refused, but health care providers should explain to the woman the health risks of a surgery.

It is expected that such information would bring down the rate of surgeries performed.

NICE committee believes most women would choose a vaginal delivery if they are given proper information and the latest guidelines do not recognise that women choose a caesarean because they were "too posh to push."

Contrary to the phrase often used by media "too posh to push," most women opted for a caesarean for reasons related to physical or mental safety, the Nice committee said.

Once women have a discussion about the risks and benefits with health professionals, "they want to opt for the safest option. A lot of the anxiety is related to lack of information and lack of knowledge," ...

Women may have the wrong impression from listening to friends and relatives or using the internet ...

... The Guardian reports that new recommendations to the NHS will bring the numbers down marginally ...

... Some women fear vaginal delivery ... usually during first birth or those who have suffered a traumatic experience during an earlier delivery.

... Lack of midwife support can contribute to a traumatic delivery and cause women to seek a caesarean next time ...

"Our services fail women badly at the moment ... We hear from too many women who have found their experience traumatising in some way."

"If caesarean rates go up following the change to the guidelines, it will be evidence that women are not getting the quality of midwifery support they need to instill confidence and feelings of safety while giving birth."

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