Sunday, October 30, 2011

NHS Permits "Caesarian on Maternal Demand"

An update of a new guidance document being developed by the UK's National Institute for Health and Clinical Excellenct ("NICE") would permit caesarian section on maternal request, even when there are no medical indications for the procedure. In the US context, I'm skeptical even of the language of "maternal request" or "maternal demand," since I believe that there is significant evidence that physician preferences and reimbursement drive our sky-high c-section rates here in the US, and elsewhere (such as Brazil); and also that physician preferences and conversations can end up driving what is later called "maternal demand". The new guidelines make me worry that the official availability of c-section on maternal request in the UK will lead to some non-medically-indicated c-sections being performed for reasons other than "maternal request," like physician scheduling convenience. But it may work differently in the NHS; and anyway, the NICE guidelines include a number of steps to be taken before acquiescing in mom's request for CS, like counseling on fear of childbirth, and proper discussion of the comparative risks of CS and vaginal birth. Let's see what happens to the overall CS rate, and how many maternal requests for CS crop up, after the new guidelines are finalized.

14 comments:

  1. Smart post admin but i think you need more explanation and more Pics
    and I hope to visit my blog and subscribe to me :)
    Psoriasis Symptoms and Scabies Symptoms

    ReplyDelete
    Replies
    1. My names is Sandra I was diagnosed of Herpes disease 2017, I was told by my doctor that there’s no cure. I was so worried anytime i think about it,i was spending alot on medication,and i was sacked from work,because i was always sick,infact my life was a mess..i was just researching online I saw a lot of testimonials about Dr Odila on how he uses herbal medicine to cure so many deadly disease …. I contacted him via email: drodilaherbalhome@gmail.com and told him my problems, then he said i will be totally cured within 14days,my heart was full on joy when he said that i will be totally cured within 14days ,i just had faith and believe,then i purchased the herbal medicine and sent him my details such as NAME,HOME ADDRESS,PHONE NUMBER ,Then Dr Odila sent me the herbal medicine to me through courier service and I used the herbal medicine for good 14days, then I went for check-up and my doctor confirmed thats am totally free from Herpes it work like a miracle to me ,please viewers out there this is real am so happy to share this testimony .thanks to perfect health GOD WILL BLESS U . contact him through drodilaherbalhome@gmail.com or whatsapp +2348159047935. view his website https://drodilaherbalhome.weebly.com here is my private email sandraprecious100@gmail.com

      Delete
    2. Hello I'm cambell by name, I'm giving a testimony about Dr.Emmanuel the great Herbalist, he has the cure to all manner of diseases, he cured my herpes disease, though I went through different website I saw different testimonies about different spell casters and herbalist, I was like: 'Many people have the herpes cure why are people still suffering from it?' I though of it, then I contact Dr. Emmanuel via email, I didn't believe him that much, I just wanted to give him a try, he replied my mail and Needed some Information about me, then I sent them to him, he prepared it (CURE) and sent it to Airfreight Online Courier Service for delivery, he gave my details to the Courier Office, they told me that 3-5 days I will receive the package and i took the medicine as prescribed by him and I went for check-up 2 weeks after finishing the medicine, I was tested herpes negative, if you are herpes positive do me a favor for you to contact him and I will try my possible best to make sure you get cured, when you contact him, make sure you tell him that I referenced you.. contact him via: nativehealthclinic@gmail.com or WhatsApp +2348140073965 

      Delete
    3. Greetings to the general public, I want to tell about how I was cured of
      HIV disease by a Doctor called Dr. voodoo . I was browsing the Internet
      searching for remedy on HIV and I saw a comment of people talking about how
      Doctor voodoo cured them. I was scared because I never believed in the
      Internet but i was convince to give him a try because i having no hope of
      been cured of HIV so I decided to contact him with his email that was
      listed on the comment voodoospelltemple66@gmail.com when I contacted
      him he gave me hope and send a Herbal medicine to me that I took and
      it seriously worked for me, am a free person now without problem,
      my HIV result came out negative. I pray for you Dr. voodoo God will give
      you everlasting life, you shall not die before your time for being sincere
      and great men. Am so happy, you can also contact him if you have any
      problem Email: voodoospelltemple66@gmail.com
      or Add him up on WhatsAp +2348140120719

      Delete
  2. Hello Friends i am so glad to write this article today to tell the world how Dr Onokun cured my HPV virus that have been in body since five years ago, ever since then my life has been in complete,i have used so many drugs that was prescribed to me by several doctors,but it didn't cure my HPV VIRUS neither did it reduce the pain, i was checking for solution on the internet then miraculously came across Dr Onokun the powerful herbalist that cure HPV INFECTION,then i contacted his email, i explained everything to him and he prepared a herbal cure and send it to me that was how i got cured from HPV disease totally after receiving his herbal medicine, so my friends viewers why waiting and be suffering with this HPV virus when there is someone like Dr Onokun that can cure any disease HIV/ CANCER/ HEPATITIS B VIRUS,HERPES VIRUS,ALS VIRUS. you can contact his via: dronokunherbalcure@gmail.com OR WHATSAPP HIM +2349064844957

    ReplyDelete
  3. My names is Sandra I was diagnosed of Herpes disease 2017, I was told by my doctor that there’s no cure. I was so worried anytime i think about it,i was spending alot on medication,and i was sacked from work,because i was always sick,infact my life was a mess..i was just researching online I saw a lot of testimonials about Dr Odila on how he uses herbal medicine to cure so many deadly disease …. I contacted him via email: drodilaherbalhome@gmail.com and told him my problems, then he said i will be totally cured within 14days,my heart was full on joy when he said that i will be totally cured within 14days ,i just had faith and believe,then i purchased the herbal medicine and sent him my details such as NAME,HOME ADDRESS,PHONE NUMBER ,Then Dr Odila sent me the herbal medicine to me through courier service and I used the herbal medicine for good 14days, then I went for check-up and my doctor confirmed thats am totally free from Herpes it work like a miracle to me ,please viewers out there this is real am so happy to share this testimony .thanks to perfect health GOD WILL BLESS U . contact him through drodilaherbalhome@gmail.com or whatsapp +2348159047935. view his website https://drodilaherbalhome.weebly.com here is my private email sandraprecious100@gmail.com

    ReplyDelete
  4. I want to share a testimony of how Dr.Omohan herbal mixture cream saves me from shame and disgrace, my penis was a big problem to me as the size was really so embarrassing,and i was also having weak erection problem. I can't make love to my wife and my penis was just too small a full grown man like me having 4 inches penis and to worsen it i don't last in sex i cant even last two minutes it was really a thing of shame to me. My wife was really tired of me because my sex life was very poor,she never enjoyed sex,i was always thinking and searching for solutions everywhere until when i saw a testimony of how Dr.omohan herbal mixture cream have been helping people regarding their sex life, so i decided to give him a try and to my greatest surprise in less than one week of taking the herbs my penis grow to 8 inches i couldn't believe my eyes and as i speak now my penis is now 8 inches and i do not have week erection again. I can make love to my wife longer in bed. And my marriage is now stable,my wife now enjoy me very well in bed. can contact him dromohanherbalmedicine@gmail.com or call or what-apps him through +2348164816038. . .he also specialize on the following things

    1. HIV / AIDS
    2. HERPES 1/2
    3. CANCER
    4. ALS (Lou Gehrig's disease)
    5. Hepatitis B
    6. chronic pancreatic
    7. emphysema
    8. COPD (chronic obstructive pulmonary disease)
    Thanks for the Enlarging my penis sir, you indeed save my marriage...I am really grateful sir,

    ReplyDelete
  5. I was diagnosed of HERPES in 2015, i have tried everything possible in life from one doctor to another, one hospital to another, series of tests different kinds of medication i had already lost hope until i meet Great DR OBUDU online testimonies, a specialist in herbal medication from Africa, i contacted him true his email OBUDU.MIRACLEHERBALHOME@GMAIL.COM and he prepared HERPES herbal medication for me which i took for 7days and now i am completely cured i want to use this medium to express my gratitude to him for saving my life and curing me from HERPES VIRUS for taking away all my pains and sorrows, I''m indeed grateful and i am so happy I''m now cured totally, I will continue to tell the good news of your great works to everyone, if you have HERPES or other disease contact him true his Email: OBUDU.MIRACLEHERBALHOME@GMAIL.COM Or whatsApp him via +2347035974895 thank you my great DR OBUDU for curing me keep up your great work

    ReplyDelete
  6. I found out, that taking herbal treatment is the best to get rid of hpv as soon as i feel the symptoms of hpv is appearing, i took the healing process by contacting Dr onokun for natural treatment it works wonders, amazingly ever since I had the herbal treatment i have not feel these horrible disease anymore and my doc told me the virus is gone, i am glad i finally got cured out from this horrible disease. every hpv or herpes patients should also get in touch with this herbalist Dr to get ride of these disease forever his email address;
    dronokunherbalcure@gmail.com

    ReplyDelete
  7. 2 WEEKS AGO I ENDED NATURAL HERBAL TREATMENT FROM TRADITIONAL HEALER WHO IS IN AFRICAN, I GOT RID OF HPV VIRUS OUT OF MY BODY WITH HIS HERBAL TREATMENT. It SO AMAZING I'M FREE FROM THIS VIRUS FOREVER. YOU CAN REACH HIM ON; DRONOKUNHERBALCURE@GMAIL.COM

    ReplyDelete
  8. Here is a great herbal doctor who cured me of Hepatitis B. his name is Dr. Imoloa. I suffered Hepatitis B for 11 years, I was very weak with pains all over my body my stomach was swollen and I could hardly eat. And one day my brother came with a herbal medicine from doctor Imoloa and asked me to drink and I drank hence there was no hope, and behold after 2 week of taking the medicine, I started feeling relief, my swollen stomach started shrinking down and the pains was gone. I became normal after the completion of the medication, I went to the hospital and I was tested negative which means I’m cured. He can also cure the following diseases with his herbal medicine...lupus, hay fever, measles, dry cough, diabetics hepatitis A.B.C, mouth ulcer, mouth cancer, bile salt disease, fol ate deficinecy, diarrhoea, liver/kidney inflammatory, eye cancer, skin cancer disease, malaria, chronic kidney disease, high blood pressure, food poisoning, parkinson disease, bowel cancer, bone cancer, brain tumours, asthma, arthritis, epilepsy, cystic fibrosis, lyme disease, muscle aches, cholera, fatigue, muscle aches, shortness of breath, alzhemer's disease, Rheumatoid Arthritis, Anxiety Disorders, Back Pain, Crohn's Disease, Chronic renal failure, acute myeloid leukaemia, acute pancreatitis, chronic inflammatory joint disease, inflammatory bowel disease, Addison's disease, back acne, breast cancer, allergic bronchitis, Celia disease, bulimia disease, congenital heart disease, cirrhosis, fetal alcohol spectrum, constipation, fungal nail infection, fabromyalgia, (love spell) and many more. he is a great herbalist man. Contact him on email; drimolaherbalmademedicine@gmail.com. You can also reach him on whatssap- +2347081986098.

    ReplyDelete
  9. Life is always beautiful when you have good health. For almost a year had Hpv and I was lonely and sad luckily I was directed to a very kind and Great Dr Onokun who helped me cure my Hpv and today I am free from Hpv and very healthy thank you so much Dr Onokun Email him via: Dronokunherbalcure@gmail.com  or website: https://dronokunherbalcure.wordpress.com/ or  https://www.facebook.com/naturaltreatmentcenter1

    ReplyDelete
  10. I'm 61 years old, I contracted hpv in 2011' I has be taking lot treatment for it and embarrassed some months ago the wart stated coming out seriously, I used lot recommendation because there was lot warts around my anus and was so . but today I'm totally happy I got the virus eliminated by using natural treatment from Dr Onokun herbal center after his treatment I got cured. all the warts went away' seriously believed Dr Onokun he have the cure for human papillomavirus because he has eliminated hpv been in my body since 2011, Dr Onokun make it possible for me. Here is Dr Onokun email:  dronokunherbalcure@gmail.com or website: https:// Dronokunherbalcure.wordpress.com/ page at: https://www.facebook.com/naturaltreatmentcenter1 he is welled capable of curing terrible diseases.      

    ReplyDelete
  11. I'm Trisha Nelson, from the USA. I contracted HIV 4 years ago, I was told by my doctor that there's no possible cure for HIV/AIDS. I started taking my ARV's, My CD4 was 77 and the viral load was 112,450. I did research on a herbal remedy and I saw Dr. James Herbal mixed medicine, also I saw a lot of testimonials about him on how he uses His strong herbal mix medicine to cure HIV/AIDS and other illnesses. I contacted him and told him my problems, He told me not to be worried anymore that I will benefit and get cured of his herbal medicine for HIV/Aids. I never doubted Him because I believed I will be cured as nature has the power to cure all kinds of sickness when herbal medicine is being used in the right proportion. He prepared his herbal drink and sent it to me, and I took it for 3 weeks morning and evening in a quantity he told me, after that, I went for a check-up, and I was cured of HIV. His herbal mix medicine has NO SIDE EFFECT AND EASY TO DRINK, there's no special diet when taking Dr. James herbal mix medicine. He told me he got cures for diseases like Alzheimer's disease, Cancer, Bipolar disorder, Herpes, Hepatitis, Schizophrenia, Fibromyalgia. Dupuytren's disease, Neoplastic, Diabetes, Celiac disease, Cerebral Amyloid Antipathy, HPV, Weak Erection, Wart Remover. Ataxia, Arthritis, Amyotrophic Lateral Sclerosis, Adrenocortical carcinoma. Asthma, Allergic, Wart Remover, Melanoma, Parkinson, pectoral dermatitis, thyroid, HPV, ALS, KIDNEY DISEASES, SHINGLES. Pile, You can reach him on his Email address [GREATCUREMAN@GMAIL.COM] INFO @ DRJAMESHERBALMIX@GMAIL.COM

    ReplyDelete