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C-section rates: Consider this when deciding where to have your baby

January 8, 2016

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Hope Ricciotti, MD, Editor in Chief, Harvard Women's Health Watch

Hope A. Ricciotti, MD, is Editor in Chief of the Harvard Women’s Health Watch. She is an Associate Professor of Obstetrics, Gynecology, and Reproductive Biology at Harvard Medical School and leads the Department of Obstetrics, Gynecology, … See Full Bio
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monica wood
February 15, 2016

Hi all…
This is am indeed a very interesting article!

Every one has different opinions about child birth. I can say that birth is a beautiful experience. One should go for natural birth and let the nature do its work until there is a complication .

Vaginal Birth vs. C-Section: Pros & Cons
by Cari Nierenberg, Live Science Contributor | March 20, 2015 08:50pm ET



delivery, vaginal, c-section, cesarean
Pin It Expectant parents should talk to their healthcare professional about a birthing plan that takes all risks and benefits into account.

Babies can enter this world in one of two ways: Pregnant women can have either a vaginal birth or a surgical delivery by Caesarean section, but the ultimate goal is to safely give birth to a healthy baby.

In some cases, C-sections are planned because of medical reasons that make a vaginal birth risky. A woman may know in advance that she will need a C-section and schedule it because she is expecting twins or other multiples, or because the mother may have a medical condition, such as diabetes etc.

When first measured in 1965, the national U.S. cesarean birth rate was 4.5%.1 Since then, large groups of healthy, low-risk American women who have received care that supported their bodies’ innate capacity for giving birth have achieved 4% to 6% cesarean birth rates and good overall birth outcomes.2,3,4 However, the national cesarean rate has increased seven-fold.

It peaked in 2009 at 32.9% and had dropped slightly, to 32.2%, in 2014.5 So, about one mother in three now gives birth by cesarean section the nations most common operating room procedure.
In my view one should go for natural birth because it has less pain and is naural.
Thanks in advance :00

January 18, 2016

Increase in c-section rate is a big issue now because in some cases it is quite difficult for middle class family to pay high amount in c-section case.So, only solution to this problem is take full care of yourself and your baby during pregnancy. If you are healthier then these are low chances that you will have c-section.

January 12, 2016

Maybe looking indiscriminately at data is not the best way to determine the ideal c-section rate. Maybe we should look at was is possible, instead at the mediocre general practice.

19% is still unnecessarily high. The Austrian Professor Alfred Rockenschaub was responsible for the deliveries of over 30.000 babies in Vienna up until the mid 80s with c-sections not exceeding 2 % by providing excellent midwife care (European standard). The midwives took full charge of the births. The outcomes were generally better (!) than in the surrounding hospitals, where the rates of c-sections were around 15-20 %. Breech and twin births were no problem, as the midwives were excellently trained to handle all variations of the normal birth process. One other major aspect for their success was their high standard of ante- and post-natal care (healthy happy moms equal healthy happy births and baybs more often than not).

Ina May Gaskin also delivers breech births and twins naturally and her mortality rate is way below national average, while her c-section rate is nill. She also takes excellent care of the mothers. They are not a number, nuisance, or cost centre, but a person.

While the article makes some good points, it is still tamely mainstream. If you want to have a higher than 1:1 or 1:2 chance for natural delivery you will have to get down to business and do some serious research on the net. Get rid of the myths and fears fed to us all by the media. Ask questions. Make demands, You got a voice – make yourself heard. The birth is about you and the baby. Don’t just say yes to everything. Remember in health care, it is mostly about cost, regulations and law-suits, not about what is best for the patient. Don’t put your ob/gyn on a pedestal, who is … just a person who whatever (s) he may promise, (s)he can’t guarantee anything. Nobody can. Life is full of risks, but birth is relatively safe, if handled by true experts. Rely on your own strength and trust in your ability to to give birth. It worked for me twice. Good Luck!

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