Healthy women schedule C-sections to prevent vaginal stretching - page 6

Has anyone personally encountered this, or known a doctor who would do it? There's been press about this in the past few years, along with a "too posh to push" philosophy, and it seems very... Read More

  1. by   magz53
    I repeat everything I said on my October post ........WHY ARE INSURANCE COMPANIES PAYING FOR UNNECCESSARY SURGERIES ??? I have seen docs make up reasons, such as repeat C/S.......on a primip. High leaks are a good one too. We have one doc who is inducing and sectioning 35 weekers as that is our limit at our facility. Last night he pondered inducing a 15 year old 34 weeker !!! ( He is leaving on vacation ........can't miss out on a fee !! ) He mumbled something about being "borderline". Isn't a normal pregnancy 40 weeks !!!!!!!!!!

    Bottom line, we are helpless pawns in an industry like any other where the bottom line is the almighty dollar. I am tired of leaving work every night knowing #1. I was not able to give the care I am capable of giving and # 2. I was not able to give the care the patient deserves. And even worse, NO ONE CARES except other helpless nurses caught in the same beaurocratic mess !!
  2. by   ElvishDNP
    I think having to pay for elective primary c/s out-of-pocket is a fabulous idea.
  3. by   alianeco
    I think having a 4th degree tear with one baby is a perfectly good reason to have a c/s for your next. Jeepers! She'll probably have pelvic floor problems for the rest of her life.
  4. by   MamaMadge
    I have also experienced vaginal birth (twins born vaginally) and a c-section. I would take that vaginal birth over and over rather than try to recover from major abdominal surgery while caring for a newborn! OUCH! Having your belly cut is never more comfortable than some stitches down below! With that said, I would fully support my patient who had previously delivered a 10pounder over a 4th degree and wanted to opt for a c-section the second time around!
  5. by   dbmc
    And that is why I left nursing...
  6. by   magz53
    Quote from dbmc
    And that is why I left nursing...
    And MANY MANY MORE NURSES TO FOLLOW YOU !!!!!!!!!!!!!!!!
  7. by   Kiwimid
    i just laugh when they say they dont want to get all stretched. What, the weight of the baby and uterus does most of the stretching anyway, blah, noobs. I just dont get it. If they want an elective, make them watch a video of one first, then make them pay.......mmmhhwwhwhwhwhahahahahahahahah
  8. by   OzMW
    Quote from MamaMadge
    I have also experienced vaginal birth (twins born vaginally) and a c-section. I would take that vaginal birth over and over rather than try to recover from major abdominal surgery while caring for a newborn! OUCH! Having your belly cut is never more comfortable than some stitches down below! !
    I find the majority of women who have had both prefer vaginal birth! There are studies to show that very few women actually ask straight out for CS ( and they often have a morbid fear of birth or have had a bad expereince with the previous.) I think what that means is careprovidors influence womens "choice" and then blame women for the freaking rise in the section rates!
  9. by   toreyjane
    I have had three babies...one vaginally and two C-sections.

    I would have a C-section any day of the week before another vag delivery. I labored hard for 36 hours and pushed for four. It took me four days to get out of bed, I was in pain, it was an awful experience. My second child was breech, I had a scheduled C-section, within hours after surgery I took a shower and was cruising the hallways. My third child was also a c/s and had a great experience with it as well.
  10. by   rph3664
    Quote from Kiwimid
    i just laugh when they say they dont want to get all stretched. What, the weight of the baby and uterus does most of the stretching anyway, blah, noobs. I just dont get it. If they want an elective, make them watch a video of one first, then make them pay.......mmmhhwwhwhwhwhahahahahahahahah
    Remember the Discovery Channel show "The Operation", from the mid-1990s? By far the most popular episode was the c-section. I did not know that they take the uterus out to sew it up and clean it! That completely freaked me out.

    Every 12-year-old should be required to watch that, IMHO.
  11. by   RNmama05
    Quote from rph3664
    Remember the Discovery Channel show "The Operation", from the mid-1990s? By far the most popular episode was the c-section. I did not know that they take the uterus out to sew it up and clean it! That completely freaked me out.
    Not only that, after they make the initial incision, they take both hands and riiiiiiiiiiipppp the belly wide open to get to the uterus. It isn't pretty.
  12. by   OzMW
    Quote from toreyjane
    I have had three babies...one vaginally and two C-sections.

    I would have a C-section any day of the week before another vag delivery. I labored hard for 36 hours and pushed for four. It took me four days to get out of bed, I was in pain, it was an awful experience. My second child was breech, I had a scheduled C-section, within hours after surgery I took a shower and was cruising the hallways. My third child was also a c/s and had a great experience with it as well.
    In your situation I would choose the same route! Some women just don't birth vaginally easily, but they are not as common as they are made out to be.
    A 36 hour labour is a shocker. After that an Elective would have been a breeze.
  13. by   skinnedknees
    Quote from feebebe23
    i have been a l&d nurse for over 5 years and i can argure both sides of this debate. the end result is "a women's choice"......

    in this contry if you can have all the risks of surgery ie anesthesia, bleeding, infection to inject saline into your boobs, suck fat out of your a$$, or cut pounds of fat off your stomach.....all just because you want to, then why can't you have an elective cs?
    my take on this is that there are two lives involved in the process, not just mom.
    this topic has concerned me for a long time. i even wrote an ethics research paper on the subject. i'm a nursing student, but one of my prime areas of interest is women's health. i worry that if i was to seek a position in ob that i would go crazy trying to keep my mouth shut and not beat the education band wagon. my first child was born via "emergency" c-section. it was a total nighmare. it took me 3 months to feel right again, and i was very depressed about having what felt like a "surgical removal" rather than a "birth".
    my second child was born with a hard fought for vbac. i read everything i could get my hands on. i even hired a midwife to act as a doula/advocate for me in the hospital. after fairly long labor the md told me he'd give me (and the doula) 20 more minutes to push before a section. that was the incentive i needed! that kid came flying out!
    the third time was a charm. i exercised hard all though the pregnancy and had an awesome, short labor and delivery. it was an incredible and positive-spiritual experience. i was ready to go home an hour later and cook everyone dinner. (not that it happened : )
    the last baby was born 4 years ago. you would be hard pressed to find an md here that would allow for a vbac now. so, if a woman has an "elective" section there is no going back with future pregnancies. i really do believe that education is the key!

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