More Hospitals Banning Elective C-Sections - page 2

by gamecock_24 9,036 Views | 62 Comments

Saw this article today and I think it is a great idea, wanted to see what everybody else thought.... Read More


  1. 1
    Quote from mjmoon
    I don't think anyone should be induced/c-section before the 39 to 40 week point but the whole 'c-sections are evil' movement annoys me a bit too. When I was 38 weeks with my oldest my doc sent me for a level 2 ultrasound because I was measuring large and my pelvis is very narrow and was not widening at all to prepare for the birth. When he got the results he was concerned about how large his head was and the problems I might face laboring. He diagnosed me with cephalopelvic disproportion. He told me my delivery had some risks (like my son getting stuck in the birth canal and various other possibilities) we needed to be aware of. I asked him straight out what my chances of needing an emergency c-section with a condition like this and he notified me that it was a very good possibility. I asked him if I could bypass the possible trauma to my son and have a c-section and he said, 'other than vbac, this is one of those conditions I'll do elective c-sections for).. We scheduled for a day (after my due date) and that was that. I don't regret it. I wasn't looking for convenience, I was thinking 100% about the safety of my son. I had my second son c-section too, at 40 weeks.. no vbac..

    My mom almost died giving birth to my older brother- before the days of C-sections, the nurse was literally sitting on top of her chest pushing down to help get him out-- he was too big for her.. it tore her up, literally.

    Those who think c-sections need to be stopped altogether apparently have never almost died or worried about the well being of their child having a so-called 'natural' birth.
    Nowhere did I say c/sections should be banned altogether, as clearly there are times when they're needed, just electives.

    I'm not going to comment on your situation, as it's personal to you, and every individual situation is way more nuanced than generalizations put forth.
    Last edit by Elvish on Nov 17, '11
    Altra likes this.
  2. 3
    Quote from mjmoon
    How would you define elective? My doctor said that my case was one of the time he agreed to do 'elective' c-sections.
    Optional, chosen, not necessary, any time vaginal birth is possible but not chosen... It's now being called "patient choice cesarean". The biggest problem here being elective c-section before the baby has a chance to reach full term.
  3. 10
    Quote from CrazierThanYou
    Optional, chosen, not necessary, any time vaginal birth is possible but not chosen... It's now being called "patient choice cesarean". The biggest problem here being elective c-section before the baby has a chance to reach full term.
    This terminology only contributes to the problem. "Patient choice" C-section fails to acknowledge that the physician is complicit in conducting unnecessary surgery. It's not like Mom can do a C-section on herself.

    Any C-section, at any gestational age, without a legitimate medical need is a problem, placing mother and baby at unnecessary risk for complications and contributing to needless health care costs that we all pay.
    Alikatz, crissrn27, ShifraPuah, and 7 others like this.
  4. 2
    Quote from Jolie
    This terminology only contributes to the problem. "Patient choice" C-section fails to acknowledge that the physician is complicit in conducting unnecessary surgery. It's not like Mom can do a C-section on herself.

    Any C-section, at any gestational age, without a legitimate medical need is a problem, placing mother and baby at unnecessary risk for complications and contributing to needless health care costs that we all pay.
    Exactly. Most of the time its in the name of "convenience".
    ShifraPuah and RNLaborNurse4U like this.
  5. 0
    Quote from CrazierThanYou
    Exactly. Most of the time its in the name of "convenience".
    I've never known anyone to get a c-section for convenience. I've known many get induced for convenience, but not a c-section.
  6. 7
    Quote from mjmoon
    I've never known anyone to get a c-section for convenience. I've known many get induced for convenience, but not a c-section.
    I have. I've known many who are "afraid" to do it vaginally.
    Alikatz, ShifraPuah, caregiver1977, and 4 others like this.
  7. 4
    Quote from CrazierThanYou
    I have. I've known many who are "afraid" to do it vaginally.
    I guess those are out there too... I don't know anyone who isn't a little afraid to push a melon out of there.. lol I find the knife pretty freaking scary too. lol
  8. 5
    Quote from Elvish
    They're not banning them altogether, which would be nice too, just the ones before 39 weeks. I'm almost certain it's to do with the March of Dimes initiative, which is not brand new. When I was pregnant with DD (now almost 6mo old) my OB handed me a MoD pamphlet that basically said - unless there is a true medical need, we are not going to deliver you by any fashion before 39 weeks, so don't bother asking. I am glad to see this, because your average lay person doesn't realize the tremendous amount of fetal brain growth/development that occurs between 35 and 39 weeks.

    I had a patient a few months ago who was set to be induced at 34 weeks (PPROM on long term bedrest) who was genuinely shocked that her baby would end up in NICU for more than a couple days.

    This quote at the end was what galled me the most:

    "I feel like I'm ready?" You might feel like you're ready, but your babies likely aren't, or they'd be letting you know. Taking the choice of induction/section away from you would add to the pressure of being pregnant? Come on. I know those last few weeks are uncomfortable, but that's part of the bargain. You don't get to have your baby delivered just because you feel like you are ready. Or, you shouldn't anyway.

    Sorry for the soapbox rant. I am just of the opinion, having seen it too many times, that if you push Mother Nature enough, she will eventually push back, and hard.
    I was appalled by that quote too. I am currently 37 weeks pregnant and I am uncomfortable, can't sleep, tired all the time and everything hurts. I would love to have my baby girl in my arms today. But that doesn't mean I think I am entitled to have an induction just because I'm ready. Clearly baby is not ready yet or I would be in labor right now, not browsing the internet because I can't sleep d/t pregnancy insomnia! I don't understand why anyone would want an induction/c-section if it wasn't medically necessary, but I guess I have a more natural view of pregnancy/childbirth than a lot of people. I trust my body to do what it needs to do and as long as baby and I are doing well, I see no need to intervene.
    Alikatz, ShifraPuah, CCRNDiva, and 2 others like this.
  9. 3
    When I had DS five years ago, they wanted to crash section me. I asked if there was anything else we could try first b/c I really didn't want a section if it could be avoided without compromising his safety. Thankfully we were able to, and less than fifteen minutes later I delivered him. Everything cooperated and it only took one push once everything in the room was set up.

    I'm grateful to this day that I had a doc who was willing to try something else first and a situation where we could wait that extra handful of minutes to do so. She was surprised that I didn't jump on getting sectioned, told me that she usually has to argue with pts who want elective ones about why they're a bad idea, and that the number of people willing to try less invasive alternatives in an emergent situation is almost zero.

    I'm not sure where the attitude of adjusting pregnancy length for the sake of Mom's comfort came into vogue, but it seems pretty common sense that if the baby was ready to come out, Mom would be in labor. Women do whatever they can, generally speaking, to ensure proper development in all those weeks leading up to the big day, so why would anyone want to cut that time in the womb short and rob the baby of those last few days for convience's sake is beyond me.
    Alikatz, ShifraPuah, and RNLaborNurse4U like this.
  10. 5
    Quote from mjmoon
    How would you define elective? My doctor said that my case was one of the time he agreed to do 'elective' c-sections.
    I think the doc misused the term.....this would be a "planned" not elective....


Top