There has been a thread running on the OBGYN page about the incease in patients requesting c-sections for reasons of vanity, eg..vaginal stetching. This article raises some interesting points. Not so sure about the sentance that states women who have C-sections are 4 times more likely to die during childbirth. I would have to see that study for myself. It is a very sweeping statement and makes no note of why the c-section was performed in the first place. If the study is looking at only emergency c-sections, you would expect a higher rate of fatalities due to the very nature of the section being an 'emergency!'
Anyway, link below:
Dec 13, '07
I believe it. When I hear a c/s baby is coming to the nursery, I automatically assume they are going to be a little junky, a little grunty, and a little pale. I put their crib as close to the pulse ox machine and hook up the O2 just in case. I'm pleasantly surprised when they end up NOT needing any of the above.
I believe the increased mortality of c/s moms too. In the years that I've been working OB/GYN/mother-baby, I've seen hemorrhages from retained frags/membranes post NSVD but nothing like the crap I've seen happen after c/s. Of course, stuff CAN happen in a vag delivery but not nearly as much. In my years there, ALL the readmits I've seen for endometritis/other postpartum infections have been c/s moms. ALL the patients I've seen go into DIC have been post c/s. All the r/o DVTs I've seen have been post c/s. Pulmonary edema? You guessed it. Nothing but c/s. (The last is probably r/t the massive amounts of fluid pumped into these moms, but that's because they had c/s. They don't get that much fluid with a NSVD.)
Of course there are good reasons to have a c/s. Nobody's going to tell a mom with a complete previa to birth vaginally. At least not anyone who deserves their license, anyway! But the risks to VBACs for healthy women are lower than the risks of repeat c/s. Just most people don't know that. People with 3-4 c/sections, I'm just waiting for one to either bleed out or rupture silently.
Last edit by ElvishDNP on Dec 13, '07