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Mary M. Murry, R.N., C.N.M.
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Mary M. Murry, R.N., C.N.M.
Mary M. Murry, R.N., C.N.M.
Mary Murry is a certified nurse-midwife in the Department of Obstetrics & Gynecology at Mayo Clinic, Rochester, Minn.
Murry, a Cincinnati native, has been a nurse-midwife practitioner for more than 20 years and is an instructor at the College of Medicine, Mayo Clinic. She was a contributing reviewer and writer of the "Mayo Clinic Guide to a Healthy Pregnancy" book.
Her research interests include adult female survivors of sexual abuse, women's perception of pain in labor, and obesity in pregnancy.
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Pregnancy and you blog
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Jan. 23, 2009
Study looks at C-section before 39 weeks
By Mary M. Murry, R.N., C.N.M.
Some of you might have heard or read in the news lately about elective delivery before 39 weeks gestation.
There was a study published Jan. 9th in the New England Journal of Medicine concerning the timing of elective repeat C-section delivery at term and the outcomes for the newborns.
The conclusion was that elective repeat C-section before 39 weeks is associated with respiratory complications and other adverse neonatal outcomes.
The American College of Obstetrics and Gynecologists has clear criteria for performing elective repeat C-sections. They include, for example, amniocentesis to ensure fetal lung maturity, and date confirmation from early ultrasound.
Some deliveries must occur before 39 weeks due to mom or baby's health. These situations were not included in the study. I think what we can take away from this study is that no matter how miserable you are, wait for that 39 weeks for your delivery.
Also, if your care provider is scheduling your surgery and you will be less than 39 weeks, speak up and ask why. We do so much to protect our babies during pregnancy, we don't want to cause any unnecessary risk due to physical complaints and misery or to match someone's schedule, even your own.
30 comments posted
February 5, 2009 11:23 a.m.
I think its wrong to judge someone for choosing to have a c-section. If that is what the mother feels comfortable with then so be. It doesn't mean that she won't have a bond with that child or that she loves her child less than if delivery was vaginal. I think if a mothers chooses a c-section then she must have a good reason. I am sick of people treating c-section mothers like they are less than par.
- Scrappy
January 31, 2009 8:30 p.m.
I think that the bigger issue over major abdominal surgery is that the baby is at risk for respiratory distress before 39 weeks. Scheduling CSections to avoid having a baby on a holiday or whatever is already on the schedule wont be worth it to a mother if she has to go home without her baby because they are in the NICU.
- Heather
January 31, 2009 11:31 a.m.
My daughter is 4.5 months pregnant. Four about two weeks, she has been experiencing excruciating back pain which is localized right under her left shoulder blade. It is completely unbearable when she sits. Standing or lying down seems to help aleviate the pain. Her doctor recommended Pepsid but this has not helped at all. She is unable to sit at her desk at work. I don't think the doctor understands how severe and localized the pain is. What should she do?
- Tess
January 27, 2009 11:05 p.m.
I can't imagine any benefit from choosing surgery if it is not needed, the way nature intended allows your body to do what is necessary to fall in love with your baby. I think if a mom thinks she wants an elective surgery maybe she should have to watch a full video of what it would really be like first and talk to women who have had infections and staples and nerves cut through and went on antidepressants afterwards. Besides all that, there is a hormone released to start labor once the baby's lungs are healthy enough for he/she to arrive. Surgery should be the last resort. Why would any mother choose surgery?
- scooby
January 27, 2009 1:43 p.m.
Why would anyone have an elective c-section--it's major abdominal surgery with all associated potential complications. Babies should be born vaginally unless there are significant medical complications posed by such a birth. Just because a doctor will perform an elective c-section does not mean a mother should follow that path, regardless of whether the touted 39 weeks have passed.
- sg
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30 comments posted