Presentation of follow-up findings
At the three month follow up of maternal morbidity for the Term Breech Trial (Hannah, et al. 2002) 1596 or 1940 women from 110 centers were surveyed. The first page summary conclusion reads “Planned cesarean delivery for pregnancies with breech presentation at term may result in a lower risk of incontinence and is not associated with an increased risk of other problems for women at 3 months post partum, although the effect on longer-term outcomes is uncertain” (Hannah, et al. 2002:1822) . While this conclusion seems to advocate cesarean section, buried within the text of the article are additional differences between the two groups, not least of which was that women in the cesarean section group reported they did not like being in the trial because they did not like the method of delivery to which they were assigned (RR=2.0; 95% CI 1.31-3.04; P=.001). Additionally, fewer cesarean sectioned women breastfed their baby within a few hours of birth (RR=0.94; 95% CI, 0.89-1.00; P=.05), women in the cesarean group had more pain on the outside of the abdomen (RR=1.76; 95% CI, 1.24-2.50; P=.002) or deep in the abdomen (RR=1.89; 95% CI, 1.29-2.79; P<.001) than did vaginal birth women, and fewer c-sectioned women had pain in the bottom or genital area (RR=0.32; 95% CI, 0.18-0.58, P<.001).
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