Evidence-based guidelines for decisions on Caesarean section set in UK.

• Tenlastelegging: Brief Article

The UK's National Institute for Clinical Excellence issued guidelines (for England and Wales) on Caesarean section in April 2004; these had been developed in conjunction with the National Collaborating Centre for Women's and Children's Health, which includes representation from the Royal College of Midwives.

The guideline provides summaries and references to a substantial amount of data related to CS. For example, there are lists of the dangers and disorders that are associated with birth by CS and those that are less likely with CS. The former includes: abdominal pain; bladder injury; ureteric injury; need for further surgery; hysterectomy; intensive therapy/high dependency unit admission; thromboembolic disease; length of hospital stay; readmission to hospital; maternal death; antepartum stillbirth in future pregnancies; placenta praevia; uterine rapture; not having more children; neonatal respiratory' morbidity.

For the midwife discussing mode of delivery, with a woman, there are circumstances...