Why a C-Section?

nurse4theplanet, RN · Nov 5, 2005

Really? I went a confrence recently and the common opion seemed to be that a C/S did'nt decrease the incedence of transmition. Do you have info, indicating otherwise? If you do can you post some links? That confrence has really influanced the way we care for our HIV positive patients. If their is newer or differnt reaserch I'd love to see it.

The risk for transmission greatly depends on the mothers viral load. Here is a sample followed by a link to the entire document:

If your viral load is less than 1,000 copies/ml, there is currently no evidence showing that elective cesarean section will reduce the risk of perinatal HIV transmission. C-section is major abdominal surgery -- you want to avoid it unless it's considered beneficial to you or your baby, because of the increased risk of post-operative complications in mothers who give birth by C-section. Women with viral loads under 1,000 can consider a normal lady partsl birth to be the safest option for both them and their baby, unless there are other factors (baby in difficult position for birth, obstetric emergency, etc.) that necessitate C-section.

If your viral load is over 1,000 copies/ml, research shows that elective cesarean section done prior to rupture of membranes can reduce the risk of HIV transmission by preventing contact between the fetus and the blood and cervical secretions that are present during the birth process ("elective" means you choose to do it, rather than have it done for emergency reasons). C-section after the membranes have been ruptured for at least four hours has not shown to be statistically helpful in reducing HIV transmission, so elective C-sections done to reduce HIV transmission are usually performed at 38 weeks gestation (well before most women's water breaks on its own). Because of the increased risk of post-operative infections in women who give birth by C-section, your care provider may give you antibiotics to take after the surgery.

The choice of how to give birth is ultimately yours. Your healthcare provider should discuss your options with you and provide their professional opinion based on your lab tests and overall health of both you and your fetus, but you are still the person who makes the final decision.

http://www.thebody.com/tpan/septoct_03/perinatal.html

fergus51 · Nov 6, 2005

I have not worked with Mother/Baby in years but when I did it was not up to the patients if they recieved a C-Section it was up to the Doctors.. Can you now choose? We only preformed them mostly in emergency situations..

n

As long as you can find a doc willing to do it, you can schedule your c-section. Most docs nowadays are business people and want the customer (mother) to be happy, so I can't imagine many of them refusing.

sjrn85 · Nov 6, 2005

I would think that ears being pinned and removing an extra digit would be cosmetic. How does having big Dumbo ears interfere with ones daily life (other than teasing)

Wow...talk about cruel! :stone

sjrn85 · Nov 6, 2005

I think a lot of it has to do with our celebrity-driven culture. Actresses/models have sections so they can get their tummy tuck right away and go back to their pre-pregnancy, size-zero status, and they get publicity and applause for it. People magazine, talk-shows, etc. provide the perfect, airbrushed images, and before you know it, "Joan Public" is at her OB's office asking for the same thing. :rolleyes:

I fear for the gene pool when the public starts taking its cues from Britney and K-Fed.

robmom1 · Nov 6, 2005

I DO NOT agree with this statement. If the mother has a negative experiance even if she was able to choose how she delivers, it DOES affect how she parents.
Thank you.

NO NO NO it doesn't! I had an emergency c-section (horrible, but good recovery) with child number 1 and I love her as much as any parent ever has, even as much as number 2, born by elective c-section.

TweetiePieRN · Nov 6, 2005

Wow...talk about cruel! :stone

What is cruel....the procedure or the way I worded it??? Reread the post. I have a sense of humor.

sjrn85 · Nov 6, 2005

The way you worded it..."Dumbo ears"? Making fun of someone with a physical deformity? Not funny, IMO. Perhaps if it were your child, you wouldn't find it so amusing/easy to joke about.

fergus51 · Nov 6, 2005

I find it easy to joke about and do have big ears if that matters. My baby pictures look like Dopey from Snow White.

sjrn85 · Nov 6, 2005

Poking fun at yourself is one thing; making fun of others is a different matter.

christinaRN · Nov 6, 2005

Let's think about the baby for a minute---it is meant for the baby to leave the mother's body via the birth canal. If a C/S is requirred for the mother's or baby's safety--then sure go ahead. If its for vanity reasons--poor child who is born to a mother who loves herself more than her child.

Christina RN

TweetiePieRN · Nov 7, 2005

The way you worded it..."Dumbo ears"? Making fun of someone with a physical deformity? Not funny, IMO. Perhaps if it were your child, you wouldn't find it so amusing/easy to joke about.

I think its hilarious, being that I have dumbo ears!! Lighten up!!

Do you actually think I run around making fun of little kids and others with deformities? I think you are being a little too sensitive if this part of my entire is the one phrase you decided to focus on. Did you even read the entire thing? This really was not the main point of my post.

If someone were to make fun of my child outright, sure it would bother me. But, remember...sticks and stones!

judyblueeyes · Nov 7, 2005

Let's think about the baby for a minute---it is meant for the baby to leave the mother's body via the birth canal. If a C/S is requirred for the mother's or baby's safety--then sure go ahead. If its for vanity reasons--poor child who is born to a mother who loves herself more than her child.
Christina RN

deleted for TOS compliance.