Elective Primary C/S

2curlygirls · Feb 7, 2009

Not L&D, but we see quite a few @ our hospital. Some MD's have cash patients that come from other countries. They schedule a c/s (which, to me is mind boggling, esp if you're paying in cash), stay in a hotel for 6 weeks, then go nack to country of origin. Others choose to have c/s because the date is auspicious.

My hospital also sections at the drop of a hat. It's really disheartening. My old hospital wasn't this bad.

SmilingBluEyes · Feb 8, 2009

I have heard rumblings whereby elective inductions and c/s for convenience and non-medical reasons are being looked at HARD by entities like insurance companies and other folks. There is even talk about compensation being the same across the board for c/s or lady partsl birth, based on lady partsl birth rates. THIS would prove painful I think, to many hospitals and physicians. BUT we need to look at WHY our (USA) neonatal mortality rates are so poor and what, if anything, does all this intervention have to do with poor outcomes. I have said it many times, and will again: If we push Mother Nature too hard, she will push back, even harder. This is no more true than it is in childbirth.

nkochrn, RN · Feb 17, 2009

I don't understand why any person in their right mind would WANT to have a c-section! I know lady partsl delivery doesn't always sound appealing, but I honestly thought my own Drug Free lady partsl delivery was not that bad. Having my doc tell me my baby is breech or for some reason ending up with a c-section with my next baby is my biggest fear.

In the time I have worked at my current hospital we have had one patient request to have an elective c/s. It was made clear to her that it was not considered necessary and she was told she would have to sign something saying that she was aware of this. Her insurance was not going to pay for it. I don't remember how they got around it but she did end up with a c/s. The same patient also threw a fit with her next baby b/c she did not want her foley inserted until after she had her spinal. Anesthesia refused to let this happen since it would delay delivery even further.

kishinne · Feb 17, 2009

in the hospital that i worked at...elective C/S cases are minimal.It also depends with the situation,if the patient is for repeat C/S then you can categories it as elective. i guess there are morse stat C/S rather than elective...

peytonsmom · Feb 17, 2009

I don't understand why any person in their right mind would WANT to have a c-section

I think I would agree w/ you in most cases. It blows my mind to see mom's give birth and then be up and around the next day, can't do that w/ a c/s! But, on the other hand, I ended up w/ the lovely 4th degree tears due to a vacuum delivery (6lbs 5oz btw, but the kid has his dad's huge head lol) and I think I would have given just about anything to have a c-section instead! My sister had a c/s (emergency) in October and I couldn't believe how much quicker her recovery was than mine. It litterally took months before I could more than walk w/o being uncomfortable. Right then I was really wishing I would have gotten one of those c/s happy doctors!

nkochrn, RN · Feb 17, 2009

, I ended up w/ the lovely 4th degree tears due to a vacuum delivery (6lbs 5oz btw, but the kid has his dad's huge head lol) and I think I would have given just about anything to have a c-section instead!

I only had a first degree tear and it did hurt for quite a while, but I can't imagine a 4th degree, I can understand why someone might elect to have a c/s if they have a history of a 4th degree tear.