Elective Cesareans/On Demand

wannabemw · Aug 4, 2005

do you know if elective cesareans/on demand are legal? i thought they were not but i remember watching "birth day" on the discovery channel and a woman had a schedule cesarean because her ob was going out of town. i am taking a political science class so i can transfer for a bsn and have to write a paper on a political issue. i thought this could be a good one but if it is still illegal no sense in arguing that it should be.... does any one know? i tried to look it up on line but got no where.

if u r looking for a good issue, breastfeeding is quickly becoming one of the "hot issues" of today (perhaps equal to abortion or elective c/s?). i am sure most of us have heard about starbuck's making a mom leave, or about barbara walter discussion on "the view" when she talked about how disturbing it was to see a baby nursing next to her on her flight. some states have had to make a law making it legal to nurse in public! (like fla). these r just 2 of many times a mother has been asked to leave when she was nursing (and yes i do believe in descreit nursing & practiced it myself & give moms tips on how to do it). what astounds me is that a lot of times it is other women who are judging those that do it. (btw did i mention this is world breastfeeding week? see my thread )

good luck on your paper! i loved poly sci!

~mj

i found a book that u might want to ck out. it's called:

the politics of birth

book by sheila kitzinger

sounds as if it is simular to the original topic u introduced!

Lu'sMom · Aug 5, 2005

You also might want to read "What If I Have a C-Section?" by Rita Rubin. There's a chapter about "patient-choice" c-sections and another about VBACs.

camay1221_RN · Aug 5, 2005

National csection rate is 50%? I thought it was more like 26%. Where did you get that figure, out of curiosity? (not trying to start a debate, but I am really behind the times if these rates are that high). Thanks in advance for any info you can provide me.

I have only heard the 26%. Our director informed us of this at one of our staff meetings, just to let us know we are below the national average at 24%.

camay1221_RN · Aug 5, 2005

i know that some of the younger girls are opting for c-sections because their mothers and grandmothers are having incontinent problems and because of the lady parts muscular tone
don't know how to advise them..they don't believe that there are any dangers from surgery..they see everyone having 'beauty tx surgs and breast agumentations and this is just something else

I can't help but think even women with c-sections are predisposed to incontinence just d/t having the weight of the baby on the bladder.

camay1221_RN · Aug 5, 2005

What gets me about the whole elective primary c-section, is that these women are doing it because they think it is best for them. What about what is best for their baby?

I have a question to pose to all of you, but I will post another thread.

wannabemw · Aug 6, 2005

What gets me about the whole elective primary c-section, is that these women are doing it because they think it is best for them. What about what is best for their baby?
QUOTE]
Hear, hear! :yelclap: If I hear about one more celeb who opts 2 deliver 1m early to avoid "stretching out her belly more" I am gonna SCREAM!
Do they not realize that they set the standard for young & impressionable girls? Society on the whole looks up too much 2 celebs. Gee, I wonder what would happen if the media actually printed/televised something helpful? Instead of "she can no longer stand the pain of childbirth, so she makes the decision to have the epidural" & " next will mom & baby be okay after baby's hr gets dangerously low?" Stay tuned!
I guess the industry would go broke!
:lol2:
~MJ

adoyo · Aug 15, 2005

Maybe its time we did put change on our agendas. I find OBGYN's to be pretty much under the thumbs of the patients. 45 year primips are allowed to labor "for the experience" and the c-section goes at 10 p.m. so we can get the patient out of the OR before we have to use the night call team. No one can have a baby anymore without a garden hose in her back. Giving birth used to be such a growth experience for women - it definitely helped your self-esteem that you were able to experience some short-term pain (nothing like the pain, however, that a snotty teenager will give you later).
Kowtowing to so many ridiculous, expensive patient demands is just a form of whoring. Lets give labor and delivery back where it belongs - to the midwives.

After a thorough health education on the advantages and disadvantages of C/S vs Normal Labour, the mother to be should be given the chance to choose the method she wishes to use in having her baby.

I have always worked in a system whereby the clients are not allowed to opt for elective C/S and in some cases they either end up with emergency C/S when there is fetal distress or maternal distress or worse still , the end story is a stillbirth who in the first place was meant to be a preciuos baby!!!

Fortunately, suing in such cases do not go very far since the obstetrician in question would always use some convincing reasons that might have caused the loss of the baby in such circumstances!!

I had my first two babies normaly and the last one by C/S and is still convinced that elective C/S would have been my first priority. Men would always vote for normal labour since they would never understand what exactly normal labour involves.....agony, overstretched perineum, vvs, lady partsl tears, loss of ruggaes, possible separation of symphysis joint, just to mention a few of the dangers of which some of them are usually the cause of divorce in some marriages!!-loss of sexual interest.This is my opinion.

SuzieQ_Scrapper · Aug 16, 2005

I am all for a woman choosing an elective C/S or elective inductions IF she is willing to pay for it with cash. I don't think it is fair that our insurance companies should pay for it (including Medicaid). It makes me so mad when doctor's think up a "reason" to use as a dx when in fact it is elective. In fact I think it is fraud.

I am all for choice--but just like an elective augmentation, etc. It should be paid for by the individual.

fergus51 · Aug 16, 2005

I am all for a woman choosing an elective C/S or elective inductions IF she is willing to pay for it with cash. I don't think it is fair that our insurance companies should pay for it (including Medicaid). It makes me so mad when doctor's think up a "reason" to use as a dx when in fact it is elective. In fact I think it is fraud.
I am all for choice--but just like an elective augmentation, etc. It should be paid for by the individual.

Amen to that! Plus they should have to pay for the extra time spent in the hospital.

SuzieQ_Scrapper · Aug 17, 2005

Amen to that! Plus they should have to pay for the extra time spent in the hospital.

Exactly!

ttt · Aug 18, 2005

National csection rate is 50%? I thought it was more like 26%. Where did you get that figure, out of curiosity? (not trying to start a debate, but I am really behind the times if these rates are that high). Thanks in advance for any info you can provide me.

I've also heard the 50% rate. We're building a new birthing center & are adding another OR room for this. One of the reasons....suppose a woman asked for a C/S because of intuitively feeling something was wrong, but it was denied & there were complications (abruption, ruputre, etc). The woman could have a very strong case in litigation.

SmilingBluEyes · Aug 18, 2005

I think in the USA, the national rate is 26% (roughly). 50 % is way inflated. I hope we never see 50%, but the way we are going, we certainly will. Esp since the "customer is always right".