Birth, The American Way

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  • Posted By: blessedw/2boys @ 01/29/2008 5:54:13 PM

    Both my boys were delivered via c-section (19 1/2 months apart). My first was an emergency, as I was in labor for 3 days and did not progress past 4 cm. His heart rate was also dipping. My second was born c-section and not VBAC as I developed an umbilical hernia and it was risky to chance a normal birth. Am I disappointed that I didn't have natural births? You bet - but had I not, I'm sure that I'd be having other things to worry about than having been cut open.
    I can't believe these Hollywood and music stars having elective c-sections. It hurts like hell to recover, and I think it's the "lazy" way out. To me it's certainly not a cool thing to do. Medically necessary - yes. But "cosmetically"? - no way!!!!!

  • Posted By: lovinmommyhood @ 01/29/2008 5:34:02 PM

    I do believe I start most of my comments with the following word: "OY" People, there are good reasons for "natural" childbirth. There are good reasons for "assisted" or "augmented" birth. There are good reasons for surgical intervention. There are even good reasons for scheduled c-sections. What there is no good reason for is undue danger, stress, pain, medication, or expense for any party. I think that is the whole point. I think we've come to believe as a society that everything is open to discussion. Here's one truth there is no way to get around: getting a kid from womb to world is gonna hurt. Period. I've had two kids, got another coming in a couple months. I had a 38-hour labor with the first that would have been a c-section at the first blip of my daughter's heart rate. I made the mistake of going to the hospital too early. They felt the need to augment my labor with pitocin, which made for very painful contractions and made it very hard for me to relax. I had an epidural the second I was 4 cm because it took 26 hours to get there and I had 2 more to progress or go under the knife. With my 2nd, I had a 55-hour (no kidding) labor, had to good sense to stay out of the hospital and on my feet for as long as I could, did fine, and delivered 2 hours after I got to the hospital with no augmentation. That said, I have had more than my share of friends with horror stories about baby getting stuck in the birth canal, even with full epesiotomy, breaking baby's collar bone, only to shove baby back up the birth canal and have a c-section. Or of a woman who has a rare allergy to most anasthetics and narcotics, so she knew drugs would have to be used in a life-or-death situation only--because there was a good chance she WOULD die, even with proper care. Or of a woman attempting a VBAC only to have her uterus rupture, and her life and her baby's saved by the quick actions of the doctor literally grabbing a scalpel and cutting the baby out of her, nicking the baby's shoulder in the process. SOOO....there is a place and time for pretty much everything, when it comes to childbirth...EXCEPT DOING THINGS STRICTLY FOR CONVENIENCE. There is nothing convenient about having a baby. Want convenience? Get a goldfish.

  • Posted By: einzeit @ 01/29/2008 4:30:59 PM

    The article stated that everyone agrees C-section is neccessary in certain cases. However, I agree that the perception people have of birth, more of a medical situation than a natural procedure, needs to be more open. I have always thought hollywood has been a little over the top with birth scenes. It can be a good laugh, but it does change people's perception as well. I believe people use the drugs too often and too soon; that they just assume that every birth needs an epidural, etc. That the pregnant woman has been indoctrinated to think it is necessary to have a successful vaginal birth. As I was sitting on a bench in the mall a woman sat down beside me and told me the first thing I should do when I got to the hospital was ask for those drugs, not to be one of those 'tough' women and try to do it natural! Well I didn't tell her I had no intention of using anything. Today, however, I would be more outspoken having gone through two births without anything. A few friends have said that their pregnancies had been moving along and the nurses had commented it wouldn't be long and then they received their epidurals and the labor seemed to just quit. I just don't think people realise they don't have to have one. Intervention can be neccessary, but it should not be the norm, the ritual. I had a low lying placenta during my first birth and a chunk broke off during a contraction. My water had not broken yet, so they did intervene to tear the sac to avoid undue stress. However, they wanted to brake my friends shortly after arriving just to hurry it along. Fortunately she was strong enough to say let's wait and it broke by itself within twenty minutes. I had another friend who started throwing up hours before and had a miserable birth experience, I do believe it became a c-section. To those who are having a normal pregnancy and are otherwise healthy I'd ask you to really look at non-intervention, it can actually make for a more comfortable birth! (Possibly a quicker one, and no unneccessary after effects. I have another friend who had pain for years at the spot in her back where she got her epidural.)

  • Posted By: kierstensmomma @ 01/29/2008 4:29:48 PM

    i was 19 when i delivered my daughter by ceasarean. but i fell under one of those health risks, i had contracted genital herpes from her father while i was pregnant. even still knowing i was going to be facing the c-section, i didn't get to pick when i was "due". i am fortunate i had a doctor who stood strong at all my complaints about pain and when i thought i should deliver being as how i was due new years day. i remember so clear him telling me he had 12 women due from christmas to new years that year, and he didnt care whos husband, mother, sister would be home that he would let them have their babies when it was the right medical time and i was one of them that would have to just let life be the boss. my ob-gyn had 6 children of his own, which he had delivered, and had been practicing for a good 25-30 years before i came into his office,so he was an intelligent man who i am grateful to have had for a doctor. i believe as long as you have doctors like i did (just so you know we didnt always agree on everything either) they wouldnt even bend to the pressure of "convience" or even the health ins $$ business. i agree very firmly that a c-section should be used for the upmost emergency reasons. ill tell you personally it was no walk in the park; learning to walk again, not being able to cough w/o crying which also hurt, not to forget the beautiful scars we get, not being able to lean over and pick up my baby and having to call someone to hand her to me and yes, the huge bill thats left over. altogether i believe my bill was easily over 60,000 for 4 days for my daughter and i, w/ her in ICU due to other issues. i for the life of me cant see how someone would prefer this over a "natural"birth. me i would have rather had an epidural and had a part of my daughters birth instead of lying there, what i would describe as, feeling helpless while everyone rushed around me. but i guess to each their own, i mean its their money, their bodies, their doctors and for god's sake ... their child they are assuming the cost for!

  • Posted By: mrsavizdrav @ 01/29/2008 4:24:33 PM

    I had a C-section because I lost all the amniotic fluid and my baby was breach. That was not what I wanted but I didn't want to have a premature baby either, and it happened. We can't choose when and how will our babies be born. Having a C-section because it is convenient is wrong, very wrong.

  • Posted By: Juliet0225 @ 01/29/2008 4:03:32 PM

    Jen123, you're right. All pregnant women need to be prepared for anything to happen in labor, and that includes unnecessary medical intervention. I encourage everyone to become more educated on labor and birth--normal, natural labor and birth--and to relay on that knowledge to make decisions that expectant parents are comfortable with, and will be ultimately *solely* responsible for. (Doctors are just people, and they can--and do--make mistakes. We can't rely on their signular opinions and expertise to make our choices for us).

    • Posted By: jwshowpigs @ 01/29/2008 4:18:00 PM

      Drs. in our area will tell you flat out if you don't do it my way find another dr. and all the other drs are the same...with the same views. So you don't have much of any say in the matter.

  • Posted By: bryanv82 @ 01/29/2008 3:33:10 PM

    Personally I much prefer women that don't have kids at all because it's more sexy, however, if a woman can't resist having kids she should at least have a c-section. C-sections save some of the tightness of the vagina and I love tight vaginas!

    • Posted By: tehanismom @ 01/29/2008 4:06:17 PM

      fine, you've got your preference. law of attraction...if you're seeking a woman who prefers not to have kids, would opt for a c-section to spare her vagina, then you'll get her....because that girl is probably looking for a boy just like you to call her own. happy hunting!

    • Posted By: jwshowpigs @ 01/29/2008 3:42:33 PM

      Then I guess you shouldn't be here, since your mom shouldn't have had kids...

  • Posted By: VA reader @ 01/29/2008 2:41:58 PM

    One thing the article doesn't note is that far many more "older" (late 30s and even 40s) women these days are having babies. These women are considered (as I was) "high-risk pregnancies" and high-risk pregnancies naturally carry a greater chance of needing a C-section.

    PS -- to the poster below: so God doesn't support kids born via C-section? Hmmm.. somehow my priest missed that and here he is, helping us plan my baby's baptism! Sheesh....

    • Posted By: claireoconnell @ 01/29/2008 2:50:29 PM

      I did not say he doesn't support c-sections. I said he designed us to give birth vaginally, so he supports vaginal birth.

      • Posted By: jwshowpigs @ 01/29/2008 3:02:45 PM

        God gave us feet too, but are we not supposed to use cars?

        • Posted By: tehanismom @ 01/29/2008 3:59:56 PM

          when you find out the answer to that ridiculous question, do let us know.

    • Posted By: jwshowpigs @ 01/29/2008 2:44:05 PM

      True plus there are many women who are having babies now that childbirth not to long ago would have been a death sentence...many women with lots of physical problems.

  • Posted By: chelendani @ 01/29/2008 1:22:07 PM

    I think that some of you are missing the point. Yes, there are necessary c-sections but there is also a growing number of convenience c-sections. Either the mother or the doctor want to deliver at a time that is good for them and that is not always what is good for the baby. There is a reason why women go into labor-the baby is ready to be born. These are the kinds of c-sections that need to be eliminated. And I have worked labor and delivery.

    • Posted By: tehanismom @ 01/29/2008 3:54:38 PM

      THANKYOU! finally someone who got the just of it.

  • Posted By: wyosummit @ 01/29/2008 11:50:30 AM

    My first child weighed 10 lbs. 12 oz., my second child weighed 9 lbs. 8 oz., my third child weighed 10 lbs. 5 oz. and my fourth child weighed 11 lbs. 4 oz. I gave birth to all four angels vaginally and completely drug-free and say to women who don't want a C-section or drugs used during birth that if I could do it, anyone can. I'm the biggest wimp on the planet yet I had outstanding coaching and alternative modalities that enabled my body to perform such miracles. Your doctor just wants the baby out as fast as possible; your midwife wants your body to set the schedule. It's up to women to decide who they want to be in charge: their doctors or their own bodies.

    • Posted By: tehanismom @ 01/29/2008 3:49:33 PM

      you go girl!!! that is awesome. hats off to you. those babies were huge! not everyone could do it without putting themselves at risk...there are many with tiny, frail bodies.....but totally awesome...i also delivered naturally. it's an awesome experience...

  • Posted By: tehanismom @ 01/29/2008 3:44:02 PM

    oh come on now...so some people need and require c-sections, other do not want or need it, and some who don't need it, want it. just do what's best for yourself and the baby. not just what's easiest, or more convenient. i, myself delivered naturally,on 3 hours of sleep, no drugs or anything, to a healthy 8.13 pound baby girl, and it was tough. but my baby was worth it and i gave it my all that night. it was the most awesome sacrifice of my life and i'm proud of myself for doing so.

  • Posted By: Amy TuteurMD @ 01/19/2008 10:22:54 PM

    Homebirth advocates like to quote statistics on infant mortality as an indictment of American obstetrics, but infant mortality is the WRONG statistic, because it includes deaths up until 1 year of age. The correct statistic is perinatal mortality (death from 28 weeks of pregnancy to 28 days of life). According to the World Health Organization 2006 report on perinatal mortality, the US has one of the lowest rates in the world, lower than Denmark, the UK and the Netherlands.

    The deceptive use of infant mortality instead of perinatal mortality is characteristic of homebirth advocacy. To make their case, homebirth advocates use mistruths, half truths and outright deceptions. That's because virtually all the existing scientific evidence to date shows that homebirth has an increased rate of preventable neonatal death compared to hospital birth for low risk women. Even studies that CLAIM to show that homebirth is as safe as hospital birth mislead by comparing homebirth to hospital births including high risk women or by comparing homebirth to hospital births in decades past.

    Amy Tuteur, MD

    • Posted By: cb1121 @ 01/29/2008 3:43:14 PM

      I have been told that when the mother has gestational diabetes, which leads to larger than normal babies, doctors often choose to do a c-section because complications can develop with vaginal deliveries. If this is true, that could be the main reason for the uptick in c-sec births--three of my friends who have been pregnant had gestational diabetes, and all had c sections. And we all know that gestational diabetes is on the rise in this country, due in part to overweight moms and older moms.

    • Posted By: shanonmom @ 01/23/2008 11:51:56 PM

      Actually, when dealing with the repercussions of babies being born early and electively through cesarean, the year long statistic is a much better one for determining longer term complications and death due to the surgery. Many children born via elective surgery don't show immediate repercussions but have higher rates of asthma, allergies, respiratory illnesses in the long term. Frankly, it's disingenous to think that the method of birth has no further impact past the first 28 days of life. Given that women have complications for LIFE from every surgery done, we have to stop pretending that we can't make births safer through LACK of unnecessary interventions such as early inductions (which lead to more cesareans) and elective cesareans without medical indication. Most of the women I know who choose homebirth due so largely for the dignity of being able to make their own medical decisions, which is denied to them in a hospital setting, as well as the increasing safety in not having their births interfered with unnecessarily. Hospitals bias their own research all the time through terms like "elective" cesarean when a mother is told by her physician that she HAS to have a cesarean or that her baby is too big. Bias? Thy name is hospital birth and it's just sad when physicians pretend otherwise.

    • Posted By: MichelleBreen @ 01/23/2008 10:13:22 PM

      Dr. Tuteur is correct about the use of infant mortality statistics. Many people don't understand the infant mortality measures deaths through the first year of life. This statistic is not the statistic scientists, like epidemiologists, use when comparing birth outcomes. Perinatal mortality, often referred to as newborn mortality, is a better outcome measure when comparing maternity models of care. Dr. Tuteur, however, is mistaken about how the US ranks in terms of newborn mortality. Newborn mortality in the US is higher than most other industrialized nations. In fact, among industrialized nations, the US is tied for 2nd to last place. http://www.savethechildren.org/publications/technical-resources/saving-newborn-lives/snl-publications/State-of-the-World-s-Mothers-2006-Saving-the-Lives-of-Mothers-and-Newborns.pdf, page 37.

      How does the US compare in terms of maternal mortality?

      The US maternal mortality ratio is one of the highest among industrialized nations (WHO/UNICEF/UNFPA, 2007). In 2004, 540 maternal deaths, the highest number in decades, were reported. The true level of maternal deaths may be 1.3 to three times higher (National Vital Statistics Reports, 2007)

      Goals of the Healthy People 2000 project included lowering the maternal mortality ratio to 3.3 deaths per 100,000 live births (Centers for Disease Control and Prevention, 2005). In 2005, the ratio was 11 deaths per 100,000 live births (WHO/UNICEF/UNFPA, 2007).

      As a nation, we can do better.

      Michelle S. Breen, MHS
      Coalition for Illinois Midwifery

  • Posted By: irongirl @ 01/29/2008 3:27:05 PM

    This is a culture where people think a woman should have the "right" to abort her baby, but not the "right" to choose whether she wants/needs a c-section or not.

  • Posted By: claireoconnell @ 01/29/2008 2:34:16 PM

    God supports vaginal birth, he designed us to give birth vaginally.

    • Posted By: facmom @ 01/29/2008 3:15:09 PM

      Tell that to my children who were both delivered (healthy) by c-section. I hope you don't mean they should not have been born?

    • Posted By: jwshowpigs @ 01/29/2008 2:37:05 PM

      Apparently he supports csec births too...otherwise he wouldn't let the mother and child survive.

  • Posted By: rfuller92055 @ 01/29/2008 3:14:22 PM

    If it weren't for a c-section, my twins and I would not be here. Thank you, c-section! I'd do it again in a heartbeat.

  • Posted By: facmom @ 01/29/2008 3:12:38 PM

    I think this is all well and good if you can have a "normal" delivery. I tried twice and both times ended up having c-sections. My children are both fine and I did remarkably well (I left the hospital on the 3rd day after the c-section). Both my doctors and I agreed that a vaginal delivery was the way to go. Then I got gestational diabetes and had fetal distress with my first pregnancy, so that ended up in my first c-section. I tried for a v-bac with my second pregnancy, but again the diabetes returned and my daughter was about 10 lbs at birth. Being a petite woman, my doctors suggested that I would have a very hard time delivering vaginally, also because of the fact that she wasn't positioned properly. So that decided the second c-section. I was very happy with the outcome of both operations (healthy children), and I did not mind taking a bit longer to recuperate from their births. I feel that it was a good choice for me at the time, and I don't feel in any way guilty for not "going natural". I think this is a very personal choice for each woman, and each should not be pushed or coerced into going one way or another by their doctor, or a documentary, or society in general.

  • Posted By: workinggirl911@hotmail.com @ 01/29/2008 2:49:01 PM

    I had a vaginal birth with my first child, who is now 12. I had a c-section with my now almost 11 year old because my amniotic fluid leaked out and I did not have enough to turn the baby (she was trying to come out knee and elbow first). I didn't think I would ever have any more babies but I met a wonderful man and he didn't have any children of his own. I got pregnant and didn't realize there would even be a question of me delivering vaginally. I was told by the ob/gyn that I chose that I would only be able to deliver by c-section because of my previous delivery. I said that was 9 years ago!!! the way she explained it was that unless I had a perfect family medical history no doctor in my area would even consider a V-BAC. I resigned to the fact that this was my fate and stayed with that dr. for 6 months. But every day the thought would haunt me about me not having the right to choose how to have my baby, If a woman can choose whether she WANTS to have a baby or not, she should be able to choose HOW she delivers it. So I started to do my own investigative work on the risks and benefits of a V-BAC. The information I found was astounding!!! Especially if you have had a vaginal birth before, the possiblity of you delivering vagainally again are great!!! I looked into drs that were an hour away from me, I even looked into midwives so I could have the baby at home. I finally found a dr only 20 minutes away who would consider doing a V-BAC. I told him I just want the chance to TRY. If there is a complication and a c-section is necessary, then by all means we do it. But I really belived I could deliver vaginally if given the opportunity. I also found out that with a V-BAC the dr. has to be in the hospital for the whole delivery and not just come in and "catch" the baby at the end. I felt it was all about malpractice, not the individual. Happy to say that I delivered a healthy 8 and half lb baby on 9/20/06 and she was just perfect!! Thank you to that wonderful dr who gave me the chance to deliver the way I wanted to! I absolutley belive a woman should be able to choose how and where she wants to deliver (hospital, home, midwife, or MD) as long as mother and baby are healthy and happy!!!

  • Posted By: buttercupbaby @ 01/29/2008 2:16:24 PM

    THANK YOU! I completely agree. My 1st baby was a preterm vaginal delivery (still born due to extreme prematurity), my second baby was a fully natural full term delivery, my third baby was an extremely premature birth via C-section that was completely necessary. After having both low risk and high risk vaginal and c-section deliveries I see the need for both, but much prefer the vaginal delivery. I am wanting to conceive again but no one will let me deliver vaginally even though VBAC's are more successful when you've had a previous successful vaginal delivery. Some women have c-sections without complication, for me, however, the c-section took me 8 mo to recover from due to recurrent infections and other complications. For the vaginal deliveries I did need a few stitches but my recovery time was so much less. I keep praying that I will find a Dr. who will give me the choice to attempt a VBAC. Why should a DR tell me what I can and can't do with my own body. I do not advocate doing things that are not safe, but research has shown that as long as it is a normal low risk birth that attempting a vbac is safe. It saddens me that I won't be given the opportunity to have a vaginal delivery when I know how much I enjoyed my previous full term vaginal delivery. If I were given the opportunity and something went wrong then I would have no problem with the Dr. doing a c-section, the problem is not being given the option when all indications would show that for me a vbac would pose lower risks than a repeat s-section. Medical care needs to be catered to each individiual situation, but unfortunately many Dr.'s are not making the care as individually based as it should be. Every woman and every baby is different and they each need different care that suites their individual situation best. I think many mothers end up feeling guilty when their birth does not go how they want it to. Overcoming the sense of loss for a birth that does not work out well is difficult whether is is a vaginal or c-section delivery. Sometimes it is very hard for a woman to communicate their desires to a Dr. who does not have a lot of time to make the care catered to that specific woman. I keep hoping that there will be sweeping reforms to how medical care is offered to pregnant women so that all women are given adeqaute information about ALL types of births available to them, and explain what their options are if there are compliacations. Having a care plan AND contingency plan for the pregnancy and birth can help a woman know that she did everything within her power to give her baby the best ~ NO MATTER WHAT TYPE OF BIRTH is performed. And knowing that you've done the best for your child leaves you guilt free and able to enjoy your baby.

  • Posted By: buttercupbaby @ 01/29/2008 2:15:56 PM

    THANK YOU! I completely agree. My 1st baby was a preterm vaginal delivery (still born due to extreme prematurity), my second baby was a fully natural full term delivery, my third baby was an extremely premature birth via C-section that was completely necessary. After having both low risk and high risk vaginal and c-section deliveries I see the need for both, but much prefer the vaginal delivery. I am wanting to conceive again but no one will let me deliver vaginally even though VBAC's are more successful when you've had a previous successful vaginal delivery. Some women have c-sections without complication, for me, however, the c-section took me 8 mo to recover from due to recurrent infections and other complications. For the vaginal deliveries I did need a few stitches but my recovery time was so much less. I keep praying that I will find a Dr. who will give me the choice to attempt a VBAC. Why should a DR tell me what I can and can't do with my own body. I do not advocate doing things that are not safe, but research has shown that as long as it is a normal low risk birth that attempting a vbac is safe. It saddens me that I won't be given the opportunity to have a vaginal delivery when I know how much I enjoyed my previous full term vaginal delivery. If I were given the opportunity and something went wrong then I would have no problem with the Dr. doing a c-section, the problem is not being given the option when all indications would show that for me a vbac would pose lower risks than a repeat s-section. Medical care needs to be catered to each individiual situation, but unfortunately many Dr.'s are not making the care as individually based as it should be. Every woman and every baby is different and they each need different care that suites their individual situation best. I think many mothers end up feeling guilty when their birth does not go how they want it to. Overcoming the sense of loss for a birth that does not work out well is difficult whether is is a vaginal or c-section delivery. Sometimes it is very hard for a woman to communicate their desires to a Dr. who does not have a lot of time to make the care catered to that specific woman. I keep hoping that there will be sweeping reforms to how medical care is offered to pregnant women so that all women are given adeqaute information about ALL types of births available to them, and explain what their options are if there are compliacations. Having a care plan AND contingency plan for the pregnancy and birth can help a woman know that she did everything within her power to give her baby the best ~ NO MATTER WHAT TYPE OF BIRTH is performed. And knowing that you've done the best for your child leaves you guilt free and able to enjoy your baby.

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