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    Questions? Ask Henci!


    Find out what other moms-to-be are asking. Join in the discussion with Henci Goer, whose expertise is determining what the research tells us best promotes safe, healthy birth. If you would like to contact Henci outside of the Ask Henci forum, send an email to Goersitemail@aol.com.

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    May 17
    2010

    Cesarean for Retinal Detachement

    Archived User

    Hi Henci

    I have a client who has been advised to have a cesarean for her first baby as she has a history of retinal detachment. This doens't make any sense to me. Do you have any research on this? Thanks, Nicole

    Henci Goer

    I don't have any research on this, but I can suggest questions your client should be asking whomever is giving her this advice:

    • What is the likelihood of retinal detachment?
    • What causes it? If, for example, it is caused by the increases in blood pressure during Valsalva maneuver pushing, the solution is to engage in spontaneous pushing, which is a better idea anyway.
    • If it happens, is it treatable? How likely is it that I will suffer permanent harm?

    As for the other side of the equation, "What are the risks of cesarean surgery?", here is a link to a pamphlet that covers that base. As you can see, they are numerous and potentially severe so unless the risk of permanent blindness is high and unavoidable, I would stick with planned vaginal birth if I were her.

    -- Henci


    All Times America/New_York

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