Cesarean Sections: The Easy Way Out?

Ask any first time mom, and she'll probably tell you the same thing. Most of us only skimmed over the chapters on cesarean birth in the pregnancy book. Yet, over 30 percent of births in the U.S. were by c-section last year. Seems like a high number? The World Health Organization thinks
 so. In fact, they recommend rates of no higher than 15 percent in any country. This brings up many questions, namely, what constitutes the necessity of this procedure, and are patient-requested cesarean sections a serious danger?

Cesarean section, as defined by American Heritage Science Dictionary: A surgical incision through the abdominal wall and uterus, performed to deliver a fetus. According to the American College of Obstetrics and Gynecology (ACOG), there are many reasons why a woman would need to deliver her child by cesarean section. If a woman is carrying more than one child, it may be necessary if the babies are being born too early or are in unfavorable positions for a natural birth. If a woman's labor is not progressing, if her blood pressure is too high, or if fetal heart monitors pick up on baby's distress, these may medically warrant a cesarean section being performed.

There is also a condition known as placenta previa, where the placenta is blocking the cervix, preventing the baby from exiting the uterus. Placental abruption is another dangerous condition where the placenta separates and cuts off the baby's oxygen supply, requiring immediate delivery. Other reasons include baby's size, being breech, and some maternal infections, such as HIV.

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This is very informative! I have been curious about the C-section procedure, especially because it seems that hollywood startlets are opting in so frequently. Thank you for the info.

Posted on 02/20/2007 at 8:02:00 AM

Great article! I agree with Heather B. below. In my opinion, c-sections are too risky. Especially when planned out of convenience.

Posted on 02/11/2007 at 11:02:00 PM

A C-section delivery carries a longer recovery time for the mother, a higher risk of breathing problems for the infant, and can interfere with breastfeeding. It makes her more likely to hemorrhage and also, next time around, her uterus may rupture, causing severe results for her and her unborn child. I personally do not think C-section should be chosen for non-medical reasons, except in dire circumstances. Believing that labor is going to be too painful, or the baby might be too big, to me, just isn't enough. It is up to the woman, but that doesn't mean the choice does not carry risks that far outweigh that of vaginal delivery iin the average situation.

Posted on 02/08/2007 at 2:02:00 PM

Jennifer- I hate to tell you this, but the doctor did that on purpose. There is no reliable way to know how large a baby is in the womb. A doctor will 'estimate,' but the estimate has such a large margin of error that it is useless. You were told that the baby was huge in order to scare you into a c-section. It happens all the time. The doctor made a few thousand more off you and got to go golfing that weekend instead of being on call.

Posted on 01/25/2007 at 11:01:00 AM

Thanks everyone for their comments. I addressed this earlier in the comments, but I just wanted to clarify: I am not against any women that gives birth naturally or by c-section by choice. I think labor is such a tough thing regardless of the method that women should not be judging each other, making another feel like they are wrong or freaks. I just wanted to shine a spotlight on what I thought was a interesting phenomenon, moms choosing a surgical procedure for reasons other than medical ones. I hope that all mothers can find that competent physician to help them to come to a decision that benefits both baby and mom. I am glad to read everyone's thoughts on this, and hope that this at least keeps us aware of the different advances and choices that are being presented in the field of obstetrics.

Posted on 01/25/2007 at 7:01:00 AM

Jennifer, childbirth doesn't have to be horrible, nor is it really something to be feared. Our bodies are built to do it and we've been told for about a century now that women's bodies are inherently faulty and incabable. I'm surprised it's not a bigger feminist issue, given that obstetrics started as a male-dominated profession and led to women "submitting" in so many ways to male interference and male management. ;)

Posted on 01/25/2007 at 6:01:00 AM

I had an emergency C-section because the placenta was in her way and she couldn't get out. The recovery was hell but she would have died otherwise. In the old days before C-sections, I would have died.

Posted on 01/25/2007 at 3:01:00 AM

Ms. James: Perhaps you didn't get it. Taking ownership of one's body means just that. You make your choice, I make mine, but let's each mind our own business. Good for you as far as no tearing, but many women do. I had my reasons for making my choice, and the point is that it's just fine if every woman were to choose a C-section. Every woman's body is her own. Now do you understand my point?

Posted on 01/24/2007 at 9:01:00 PM

I guess my entire point is the the PRIMARY CHOICE should be the woman's. When are we going to start taking ownership of our lives?

Posted on 01/24/2007 at 6:01:00 PM

Continued - But, it is known that a C-section delivery is less traumatic for mother and child. Tip: C-section moms should have physical rehab afterward though; those thick muscles that are cut help support the back. But here's my point; no matter what, it should be the mother's choice, no matter the reason. Hello, ladies! It's YOUR body! Why get defensive and preface, "I had a C-section," with "it was purely for medical reasons." So what if it was or wasn't? Who said you had to earn your stripes? Who said it was our duty to endure something horrible? Who said it's bad to be scared of childbirth?

Posted on 01/24/2007 at 6:01:00 PM

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