Originally Posted by Coco Belle
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AFAIK about 10% of births are safer via c-section due to things like dangerous positioning of the baby, pelvic problems (those this is actually very rare -- something like 1% of babies are too big for mom's pelvis), infection, pre-eclampsia/eclampsia, that sort of thing. Basically, what would have killed a woman in the past.
However, in the US in particular many many doctors push the c-section because it's a "procedure" and is more controllable than a vaginal birth in terms of timing, possible complications, etc. Tort law in the US means doctors are wide open to lawsuits, so they tend to prefer something that they're fully in charge of. When the woman is left in charge of her own body, some doctors start to freak out.
And most ladies just "listen to the man/woman in the white coat", since what else are you supposed to do? Your dr is freaking out and insisting that a c-section would be better, so you take them at their word, right? it's kinda sad, since it's not the best choice and should only be used when really really necessary.
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I agree and disagree with some of this. The World Health Organization (WHO) says the c-section rate should be 10 to 15%. The c-section rate in the U.S. is too high (30%), but it's even higher in many other countries. It's pretty high in most Western countries and around the world. In China it's 46%! I'm in Spain (I'm from the U.S.) and it's about 40% and there's a similar percentage in Greece and Italy and some other European countries. Even in the UK where it's a lot lower, it's still 20%.
The 10-15% that is recommended is a bit of an arbitrary number. I think there are some doctors that do a c-section for convenience, but that is not my experience or my friends' experience. Most doctors you talk to don't want to do a c-section, they want their patients to give birth vaginally, since it's better for mother and baby. I had a c-section here even though I didn't want one. My doctor actually has a lower c-section rate, but in the end I needed one. I had a rare complication and had to have an emergency hysterectomy immediately afterwards. I took my medical records, including the fetal monitor readings and showed them to a couple of other doctors that are family friends (since this happened in a foreign country, I wanted to make sure the right decisions were made). Those doctors said the right decisions were made, from choosing to do an emergency c-section to having the emergency hysterectomy.
I think many people are into natural childbirth and it's been a bit of a movement. In most ways it's a great thing, because isn't childbirth natural? But I honestly don't think most doctors are out to give us c-sections to make more money for themselves or the hospital or to save time and get home for dinner. I think we need to be our own best advocates, but I also choose doctors that are highly recommended and have the experience to know what's best.
As for elective c-sections, I honestly don't know anyone who has gotten one. I had three girlfriends who wanted a c-section (it was their first child and the thought of childbirth terrified them, and they didn't know any better) and in each case their doctors said, "um, no." I've heard that some girls that insist on an elective c-section have to shop around a lot to find a doctor that's willing to do it, because most won't. Doctors aren't jumping at the chance to do c-sections as much as we think (at least in the U.S.) and I'd rather have a doctor who knows when to intervene instead of sticking to the WHO's arbitrary 10% preferred c-section rate.
While some doctors are too c-section happy, c-sections have saved many lives and the infant and maternal mortality rates have gone down drastically since the modern age of medical technology.