There is no scientific evidence that doing over 10 percent of births with a cesarean improves the outcome for the woman or improves the outcome for the baby.
A study of interactions between women and obstetricians offers an explanation. It described three levels of increasing power imbalance: In the first, you fight and lose; in the second you don't fight because you know you can't win. However, in the highest level of power differential, your preferences are so manipulated that you act against your own interests, but you are content. Elective [meaning requested for no medical reason, not to be confused with needed surgery planned in advance] repeat cesarean exemplifies that highest level.
Beyond the immediate risks to her health and the health of her baby, when a woman chooses c-section, she decreases the chance that she will be able to get pregnant again and increases the chance that if she does get pregnant, the pregnancy will occur outside the uterus, a situation that never results in a live baby and is life-threatening to the woman. Furthermore, the risk of having an unexplained stillbirth doubles when a woman has had a previous c-section.
The best a health care system can do is to equip itself to meet the needs of each individual woman and birth. Those needs run the gamut from undisturbed home birth to planned cesarean section.
I actually think being involved in the cesarean would be... I just can't wait!
I did marry, I did get pregnant, but as I was giving birth, my daughter and I almost died. We were rushed to the hospital. I had an emergency cesarean and in that moment, in the emergency room, I felt my grandmother come to me. She was with me and when my daughter was born, instead of naming her Hailey, I named her Lucy after my grandmother. Hailey lives in the pages of my books.
I was born an ugly duckling due to my mother's ill health. She wasn't supposed to be pregnant, there were all kinds of complications, she couldn't survive a cesarean section etc. She said, "They didn't hand me a child, they handed me a purple melon." I heard that when I had grown up and had no idea of the whole story because the family album had pictures of a covered carriage and my mother smiling so I assumed I was asleep.
My mom said giving birth was the most excruciating thing she's ever gone through in her life. So...if [a cesarean] doesn't happen, I'll be like, `Epidural, please!' Hopefully my athletic abilities will take over.
The only significant effect of continuous electronic fetal monitoring was an increase in the cesarean rate.
My mother-in-law was with me during all four of my births and when she was sitting next to me holding my hand during the cesareans, well, I craved that.
If birth matters, midwives matter. In Europe, there are hospitals where the cesarean rate is less than 10%, and you'll find midwives in these hospitals, you'll see a lot less re-admissions with infections and complications, and you'll see a lot less injury to mothers.
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