Caesarean section or vaginal birth?
Vol. 18 No 4 | Summer 2016
It is common to read in the lay press that there is an ‘epidemic’ of caesarean sections (CS), or that there is an ever-rising ‘tide’ of caesarean births in the learned journals. These terms sound very worrying, and maternity carers are commonly asked about this. To make things worse, we are told the World Health Organization (WHO) recommends that the maximum rate of caesarean birth should be no more than about 15 per cent. Why is this happening? Is the news all bad? Who is to blame for this ‘disaster’?
Rheumatic heart disease (RHD) is a preventable condition resulting in damage to cardiac valves with added risk in pregnancy. Overall a rare disease, it is prevalent among (particularly remote dwelling) Aboriginal and Torres Strait Islander peoples in Australia.