C-sections and health care

her209

No Lifer
Oct 11, 2000
56,336
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I recently saw a report that C-sections are more popular than ever. My guess is that the majority of these sections are purely elective for whatever reason, e.g., convenience, kid born on a certain day, etc. C-sections also increase the risk of the women having complications resulting post-procedure.

So should C-sections be treated [by the government] similar to abortion, i.e. no funds for C-sections unless the life of the mother/child is in danger? C-sections can still be obtained using private money.
 

highland145

Lifer
Oct 12, 2009
43,973
6,337
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Wife had one. Toxemia. And I paid for it because of no maternity insurance.

Edit: The downside of making a living and not living on the system.
 

shiner

Lifer
Jul 18, 2000
17,112
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I recently saw a report that C-sections are more popular than ever. My guess is that the majority of these sections are purely elective for whatever reason, e.g., convenience, kid born on a certain day, etc. C-sections also increase the risk of the women having complications resulting post-procedure.

So should C-sections be treated [by the government] similar to abortion, i.e. no funds for C-sections unless the life of the mother/child is in danger? C-sections can still be obtained using private money.

Most C-sections are performed for the convenience of the doctor, not the patient. At least that seems to be the case according to a lot of L&D nurses I know.
 

EagleKeeper

Discussion Club Moderator<br>Elite Member
Staff member
Oct 30, 2000
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For many females, it is not a convince but a necessity.

A normal birth would result in health/safety issues.
 

wetech

Senior member
Jul 16, 2002
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I recently saw a report that C-sections are more popular than ever. My guess is that the majority of these sections are purely elective for whatever reason, e.g., convenience, kid born on a certain day, etc. C-sections also increase the risk of the women having complications resulting post-procedure.

So should C-sections be treated [by the government] similar to abortion, i.e. no funds for C-sections unless the life of the mother/child is in danger? C-sections can still be obtained using private money.


My wife is a labor and delivery nurse. Many are not elective, but instead Dr's being overly cautious in fear of lawsuits. If there's even a slight chance of any complications delivering naturally, they'll order one. Add to that, until recently (within the past few weeks), the recomendation was that once you have a c-section, all future deliveries are c-sections as well, meant that all of your children would be delivered with one if you sneezed wrong during the first birth.
 

woolfe9999

Diamond Member
Mar 28, 2005
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For many females, it is not a convince but a necessity.

A normal birth would result in health/safety issues.

That is true for many. However, I read the same report, which says that purely elective c-sections are becoming extremely common these days. It has to do with trying to control the precise date of birth as a matter of convenience. I personally think there should be no coverage for purely elective c-sections any more than there should be for cosmetic surgery.

- wolf
 

GroundedSailor

Platinum Member
Feb 18, 2001
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I recently saw a report that C-sections are more popular than ever. My guess is that the majority of these sections are purely elective for whatever reason, e.g., convenience, kid born on a certain day, etc. C-sections also increase the risk of the women having complications resulting post-procedure.

So should C-sections be treated [by the government] similar to abortion, i.e. no funds for C-sections unless the life of the mother/child is in danger? C-sections can still be obtained using private money.

There has to be more than convenience for certain days. Labor can be induced on a specific day if needed. Does not have to be C-section.
 

woolfe9999

Diamond Member
Mar 28, 2005
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There has to be more than convenience for certain days. Labor can be induced on a specific day if needed. Does not have to be C-section.

The rate of c-sections in the U.S. has risen to over 31%. That is nearly one-third of all births. I didn't believe it when my wife mentioned that to me yesterday, but here is wiki on the subject:

http://en.wikipedia.org/wiki/Caesarean_section

Caesarean sections are in some cases performed for reasons other than medical necessity. Reasons for elective caesareans vary, with a key distinction being between hospital or doctor-centric reasons and mother-centric reasons. Critics of doctor-ordered Caesareans worry that Caesareans are in some cases performed because they are profitable for the hospital, because a quick caesarean is more convenient for an obstetrician than a lengthy vaginal birth, or because it is easier to perform surgery at a scheduled time than to respond to nature's schedule and deliver a baby at an hour that is not predetermined.[39].

In this context, it is worth remembering that many studies have shown that operations performed out-of-hours tend to have more complications (both surgical and anaesthetic) [40]. For this reason if a caesarean is anticipated to be likely to be needed for a woman, it may be preferable to perform this electively (or pre-emptively) during daylight operating hours, rather than wait for it to become an emergency with the increased risk of surgical and anaesthetic complications that can follow from emergency surgery.

Another contributing factor for doctor-ordered procedures may be fear of medical malpractice lawsuits. Italian gynaecologyst Enrico Zupi, whose clinic in Rome Mater Dai was under media attention for carrying a record of caesarian sections (90% over total birth), explained: “We shouldn't be blamed. Our approach must be understood. We doctors are often sued for events and complications that cannot be classified as malpractice. So we turn to defensive medicine. We will keep acting this way as long as medical mistakes are not depenalized. We are not martyrs. So if a pregnant woman is facing an even minimum risk, we suggest her to [get a c-section]” [29]

Studies of United States women have indicated that married white women giving birth in private hospitals are more likely to have a Caesarean section than poorer women even though they are less likely to have complications that may lead to a Caesarean section being required. The women in these studies have indicated that their preference for Caesarean section is more likely to be partly due to considerations of pain and vaginal tone.[41] In contrast to this, a recent study in the British Medical Journal retrospectively analysed a large number of caesarean sections in England and stratified them by social class. Their finding was that Caesarean sections are not more likely in women of higher social class than in women in other classes.[42] While such mother-elected Caesareans do occur, the prevalence of them does not appear to be statistically significant, while a much larger number of women wanting to have a vaginal birth find that the lack of support and medico-legal restrictions led to their Caesarean.[citation needed]

Some 42% of obstetricians blame expectant mothers (among other sources) for the rising caesarean section rates[43]. Studies from Sweden also confirm this.

- wolf
 

GroundedSailor

Platinum Member
Feb 18, 2001
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The rate of c-sections in the U.S. has risen to over 31%. That is nearly one-third of all births. I didn't believe it when my wife mentioned that to me yesterday, but here is wiki on the subject:

http://en.wikipedia.org/wiki/Caesarean_section

Caesarean sections are in some cases performed for reasons other than medical necessity. Reasons for elective caesareans vary, with a key distinction being between hospital or doctor-centric reasons and mother-centric reasons. Critics of doctor-ordered Caesareans worry that Caesareans are in some cases performed because they are profitable for the hospital, because a quick caesarean is more convenient for an obstetrician than a lengthy vaginal birth, or because it is easier to perform surgery at a scheduled time than to respond to nature's schedule and deliver a baby at an hour that is not predetermined.[39].

In this context, it is worth remembering that many studies have shown that operations performed out-of-hours tend to have more complications (both surgical and anaesthetic) [40]. For this reason if a caesarean is anticipated to be likely to be needed for a woman, it may be preferable to perform this electively (or pre-emptively) during daylight operating hours, rather than wait for it to become an emergency with the increased risk of surgical and anaesthetic complications that can follow from emergency surgery.

Another contributing factor for doctor-ordered procedures may be fear of medical malpractice lawsuits. Italian gynaecologyst Enrico Zupi, whose clinic in Rome Mater Dai was under media attention for carrying a record of caesarian sections (90% over total birth), explained: “We shouldn't be blamed. Our approach must be understood. We doctors are often sued for events and complications that cannot be classified as malpractice. So we turn to defensive medicine. We will keep acting this way as long as medical mistakes are not depenalized. We are not martyrs. So if a pregnant woman is facing an even minimum risk, we suggest her to [get a c-section]” [29]

Studies of United States women have indicated that married white women giving birth in private hospitals are more likely to have a Caesarean section than poorer women even though they are less likely to have complications that may lead to a Caesarean section being required. The women in these studies have indicated that their preference for Caesarean section is more likely to be partly due to considerations of pain and vaginal tone.[41] In contrast to this, a recent study in the British Medical Journal retrospectively analysed a large number of caesarean sections in England and stratified them by social class. Their finding was that Caesarean sections are not more likely in women of higher social class than in women in other classes.[42] While such mother-elected Caesareans do occur, the prevalence of them does not appear to be statistically significant, while a much larger number of women wanting to have a vaginal birth find that the lack of support and medico-legal restrictions led to their Caesarean.[citation needed]

Some 42% of obstetricians blame expectant mothers (among other sources) for the rising caesarean section rates[43]. Studies from Sweden also confirm this.

- wolf

Billing, convenience for the doctor and delivery staff explains the increase. Unfortunately mothers too prefer the lack of discomfort - although the discomfort is arguable.
 

cubeless

Diamond Member
Sep 17, 2001
4,295
1
81
Sure, but you're talking hours instead of days or even couple of weeks.

but we're talking not even getting you hair sweated up convenience here... walk in; get sliced; no little conehead in the baby pics; stitches are in a less itchy area; etc...
 

Atreus21

Lifer
Aug 21, 2007
12,001
571
126
I recently saw a report that C-sections are more popular than ever. My guess is that the majority of these sections are purely elective for whatever reason, e.g., convenience, kid born on a certain day, etc. C-sections also increase the risk of the women having complications resulting post-procedure.

So should C-sections be treated [by the government] similar to abortion, i.e. no funds for C-sections unless the life of the mother/child is in danger? C-sections can still be obtained using private money.

My wife is due in May, and the OBGYN has impressed upon me the following unofficial rule:

Vaginal delivery is the goal, and C-sections the last resort. If a mother wants it, I suppose it should be up to her.
 

piasabird

Lifer
Feb 6, 2002
17,168
60
91
Sometimes if the cervix does not open it is mandatory to have a c-section. Other times they cant get the baby to turn and there is a danger of the baby suffocating or getting stuck on its embillical cord. There is a danger of the baby developing a birth defect if the oxygen does not reach the baby during the birthing process.
 
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