A study has been released demonstrating that there is no added safety in birthing twins via cesarean section as compared to birthing them vaginally. In Canada, it has been the preferred practice of most OBs to deliver twins via c-section. Without justification, it was thought to be safer. Today, we know that is not true.
This is reminiscent of The Society of Obstetricians and Gynaecologists of Canada‘s recent policy change on breech birth. In 2000, the SOGC decided that breech birth was unduly risky and that a baby presenting breech demanded a c-section. The decision was based on faulty research – the flaws of which were quickly exposed by the midwifery and birth communities in Canada. These communities spent much of the oughts protesting and in 2009 the SOGC (finally) acknowledged their error and released a new position: that breech was indeed safer… if the doctor was comfortable with it. Of course, after spending a decade eradicating the practice of catching breech babies from Canada, women are still being pressured to go under the knife.*
It is easy for the medical community to decry snake oil salesman (though sometimes the salesman is one of their own) and ridicule activist groups who are seeking changes to the way patients are treated. But it is the intransigence of certain doctors (as well represented by the SCOG), including their reliance on intuition at the expense of scientific research, that leads many of us to view their proclamations with scepticism.
* I should note, this seems to be slowly changing in Canada, thankfully.