C-section vs. letting Mom go naturally - page 2

Why am I hearing more and more of Dr.'s that ASK their patient's if they want to have a c-section instead of waiting and letting nature take it's course and baby comes naturally? I just don't get it!... Read More

  1. Visit  handyrn profile page
    2
    @alohagirljam-the documentary was called "The Business of Being Born." I watched it on Netflix.
    Another thing they mentioned on there was the lack of bonding between baby and mom with C-sections. I don't remember exactly what was said but it just sticks out in my head that the bonding process was interrupted with C-sections. I think it had to do with the lack of pitocin/oxytocin (?) release when you have a CS.
    emmyers and JRP1120, RN like this.
  2. Visit  msn10 profile page
    0
    The decreased litigation (perceived or real) and the convience of scheduled c- sections IMO is why most obstetricians have increased the amount of elective c-sections.
    I agree. I had my second daughter via cesarean because she was undeliverable breach. I then had my youngest VBAC. I liked both vaginal deliveries so much because I was able to get back to normal within a couple of days (cesarean took a few weeks).

    My doc always went vaginal first if he could, but he told me if I got pregnant now, he would have to do a cesarean because of the liability and the OB profession now basically requires it. He said he would have no chance in court if he had complications from a VBAC because professionally it is no longer advised especially in local hospitals. Most local hospitals do not always have the staff for an emergency cesarean. So if you go into normal labor on a night or weekend, and have an emergency, you may have to wait longer than you should.
  3. Visit  Ashley, PICU RN profile page
    0
    Another reason that c-sections are on the rise is the increase in fertility treatments and resulting multiple pregnancies. Most twin and triplet pregnancies are delivered via c-section and these are usually scheduled c-sections. This doesn't relate to the original post about offering c-sections in favor of natural births, but I'm sure these multiples are included in the c-section statistics.
  4. Visit  leanne.roberts profile page
    1
    Locally we are seeing this, it's my understanding that the increase is driven by lawsuits. As one care provider here explained, 'you can't sue for doing a cesarean but you can sue for not doing one'. I don't agree with that, but that's the mentality behind it.
    JRP1120, RN likes this.
  5. Visit  klone profile page
    1
    Quote from Ashley, PICU RN
    Another reason that c-sections are on the rise is the increase in fertility treatments and resulting multiple pregnancies. .
    In addition - women are fatter and older now. Sorry to be blunt, but it's true. Obesity increases risk of C/S. As does AMA (which goes back to what you're saying about increased use of fertility treatments).
    melmarie23 likes this.
  6. Visit  caregiver1977 profile page
    3
    I couldn't agree with the OP more if our brains were somehow wired together.

    But as a patient, I can tell you that if the patient doesn't educate themselves and advocate for what they want then doctors and nurses will often push many things off on the patient that are not necessary (not saying any of you do that . I actually got told off several times by a nurse during the labor of my first child (induced) because I didn't want an epidural.

    And I don't think the lawsuit excuse applies when a pregnant woman's due date is several weeks away and the only reason for doing a c/s is a 9 lbs. baby and the cervix is still closed and thick. Many times when the baby is actually born he/she doesn't weigh as much as what was GUESSED while the baby was in the womb.
    ktliz, GooeyRN, and JRP1120, RN like this.
  7. Visit  caregiver1977 profile page
    2
    BTW, the whole c/s push is why I always waited until the last minute possible to go to the hospital when I was in labor (when I wasn't being induced).
    GooeyRN and JRP1120, RN like this.
  8. Visit  JRP1120, RN profile page
    2
    Quote from klone
    I completely agree. I don't believe that it's out of greed at being able to bill more for a C/S. I believe it's out of fear of litigation.
    Fear of litigation over what? A healthy mom more than likely vaginally delivering a normal, healthy baby? We've been doing it for centuries and it's more safe now than ever before. I still agree that c-sections pose more risks, elective or not and should be a last resort based on any adverse health risks to mom and/or baby, not done for convenience of the Dr and/or the mom.

    My friend I speak of is very young, it's her first baby, and she never attended any child birthing classes, even though they've been offered and encouraged. Her young age and being scared of giving birth naturally probably helped the easy-going Dr offer her the option of just coming in and taking the baby out. As I said before, I'm old-school...I'm an advocate of letting that baby simmer until done, and barring no health issues of either mom or baby, waiting for mom's body to give birth as it was made to do.
    GooeyRN and caregiver1977 like this.
  9. Visit  JRP1120, RN profile page
    1
    Quote from patient1977
    I couldn't agree with the OP more if our brains were somehow wired together.

    But as a patient, I can tell you that if the patient doesn't educate themselves and advocate for what they want then doctors and nurses will often push many things off on the patient that are not necessary (not saying any of you do that . I actually got told off several times by a nurse during the labor of my first child (induced) because I didn't want an epidural.

    And I don't think the lawsuit excuse applies when a pregnant woman's due date is several weeks away and the only reason for doing a c/s is a 9 lbs. baby and the cervix is still closed and thick. Many times when the baby is actually born he/she doesn't weigh as much as what was GUESSED while the baby was in the womb.
    My thoughts exactly!! Our brains are wired!

    My friend is very young and didn't even attend any kind of child birthing class to even know her options. She's simply tired of being pregnant and afraid of having a big baby, that's it. IMO, shame on her Dr for taking advantage of that and offering to just cut her open for convenience sake! Arrrrgh, makes me mad! Lol. I bet dollars to doughnuts her baby won't be 9 lbs or more once it's born!
    caregiver1977 likes this.
  10. Visit  leanne.roberts profile page
    3
    Quote from JRP1120, RN
    Fear of litigation over what? A healthy mom more than likely vaginally delivering a normal, healthy baby? We've been doing it for centuries and it's more safe now than ever before. I still agree that c-sections pose more risks, elective or not and should be a last resort based on any adverse health risks to mom and/or baby, not done for convenience of the Dr and/or the mom.
    Exactly, it's as normal as sneezing... we've been doing that since the beginning of time too and very rarely have trouble doing so. So why are 1/3 of babies born surgically?

    Unfortunately, in today's society care providers are sued far too often for not doing a cesarean when something isn't perfect .... the caveat is that we create the not-so-perfect scenarios by: not being healthy before pregnancy, not getting optimal prenatal care, utilizing surgeons for primary care for low-risk pregnancies when midwifery care is proven safe, relying (in my opinion) too heavily on technology to guide us, intervening when unnecessary.... the list goes on and on. The US doesn't support our pregnant women or postpartum families the way other countries do. In '06 our country was reported to have the 2nd worst newborn mortality rate in the world, Latvia was the only country that had more deaths. So, we are definitely not saving more babies by doing cesarean sections. Around that same time the maternal mortality rate, specifically for cesarean sections, was 4x higher than in vaginal birth. We desperately need a change.
  11. Visit  caregiver1977 profile page
    0
    To the OP:

    Do you think you could talk to your friend and try to educate her? Would that be out of order? Is it too late to do so? A c/s is going to be rough unless she has a person or person(s) to do a lot of helping while she is recovering. Everyone (including myself) doesn't have a whole host of family and friends to take care of everything while new mom rests.
  12. Visit  darkangel83 profile page
    0
    Quote from klone
    Generally the dressing is removed after about 24 hours. There is typically no dressing change unless there is a complication like a dehiscence.
    Oops! Sorry, my message wasn't very clear! I meant dressing changes after a post-op wound infection. Our docs are re-opening more and more! Those are the dressing changes I am referring to!
  13. Visit  JRP1120, RN profile page
    0
    Quote from patient1977
    To the OP:

    Do you think you could talk to your friend and try to educate her? Would that be out of order? Is it too late to do so? A c/s is going to be rough unless she has a person or person(s) to do a lot of helping while she is recovering. Everyone (including myself) doesn't have a whole host of family and friends to take care of everything while new mom rests.
    I have already tried with no luck. She's made up her mind she has family ready and willing to help out, which will be good for her and a young husband that works a lot. I'm praying all goes well for her; I'm sure it will...I just wonder if by the time she's older and more mature and pregnant again, she'll wish she hadn't done this the first time around because now she's pretty much stuck with having c-sections. I think someday she will regret not educating herself or listening to her family and friends and letting her body do what it was made to do. It saddens me for her but I love her anyway! :heartbeat

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