Birth, The American Way

« Return to Article

Discuss

Member Comments

  • Posted By: jwshowpigs @ 01/29/2008 1:55:26 PM

    I have 3 wonderful boys, all of which were csec. With the first I was prepared for "natural" birth, but due to preeclampsia had to be induced and exprerienced the cascade of interventions. With my other 2 no one in the area considers vbac a viable option, so it was only have one kid, or a repeat csec. I was disapointed at first, especially since this is a hot topic and a lot of people try to make you feel as if you are at fault, but the important thing is my kids are here and are healthy. In the end, with 3 cases of severe preeclampsia and one of gestational diabetis, it was probably for the best. In fact my 7 mo old was a month early. I was scared to death after reading about all the breathing issues, but he luckly had no issues. No, I don't think schedualing for the mother's ease is right, it is a major procedure. But there are very good reasons for it. I think the medical community does need to take a good look at the childbirth process. Childbirth in itself involves risks to mother and baby, and you need to be ready to deal with that, no matter how the baby gets here. One thing about pregnancy it always ends somehow, but no matter how it ends the mom shouldn't feel pushed into anything or feel guilty.

    • Posted By: jwshowpigs @ 01/29/2008 2:15:18 PM

      sorry for the duplication...computer blip

  • Posted By: buttercupbaby @ 01/29/2008 2:14:46 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: LadyStrange @ 01/29/2008 1:52:08 PM

    I have 2 sons both born naturally... I wasn't given the choice to have a C section as my sons were born in England where C sections are only offered to women whom the doctor feels will have complications if they have a natural birth. My second son was born with the help of suction, and very little gas and air. after his birth I felt ready to run a marathon and would recommend to anyone a natural birth with as few drugs as possible.

  • Posted By: jen123 @ 01/29/2008 1:49:23 PM

    I don't really think the issue of having vaginal or c-section is the debate here. I have been listening and reading what Ricky Lake is pushing for and that is home deliveries. I see nothing wrong with choosing to deliver your child however you choose, but one thing I feel is risky is having a home birth. I know that historically there were never any hospitals, doctors, etc, however we should be thankful for the technology and medicine we know have available to us and our babies if anything were to go wrong. I think midwives are wonderful and offer much needed support for parents wanting a natural labor. However, they are not doctors and if anything were to go wrong, for example, baby is not breathing, mother severely bleeding, etc..I think it is very wise to be in a place where immediate assistance is available for you and your baby. In most cases, babies are delivered fine, however there is always a chance and life is too precious to take any type of risk. Having a baby puts a great amount of stress on the mother, which can lead to stress on baby if things don't happen to go as planned. I just think people need to think things through clearly, and prepare for anything to happen during delivery.

  • Posted By: jwshowpigs @ 01/29/2008 1:44:25 PM

    I've had 3 c-secs with 3 beautiful boys as a result. I was prepared for a natural birth with my first, but due to preeclampsia had to be induced...and I understand the cascade they are talking about. At first it was a big dissapointment, but having my baby there was worth it. This has become a hot topic and now women like me are made to feel like we did something wrong. My doctor wouldn't consider a vbac at all, and neither would the hospital,(as the rest of them in the area) so if I wanted more kids it was another csec. All of my kids were big and I was confident in my body, but with three bouts of pre eclampsia and gestational diabetis on the last...I think it was probably for the best. No, I don't think c-sec should be schedualed for the mother's ease. And I do think a lot of these doctors, hospitals, and insurers need to take a good long look at the birth process

  • Posted By: Proud Mother of 2 @ 01/29/2008 1:28:02 PM

    Having a baby is "natural" whether it's by C-Section or Vaginal birth. I had 2 C-Sections, one in 1994 and in 1999 and my children and I along with my husband are all fine. I get sick to my stomach whenever people make it seem as if having a C-Section is un-natural.

  • Posted By: Mary Lou R. @ 01/29/2008 1:09:15 PM

    Lamaze worked for me! I delivered a beautiful ten pound 4 ounce baby girl with my husband coaching and encouraging me. My doctor said I would have had to have a C-section if I hadn't been prepared with Lamaze techniques. Mary Lou R.

  • Posted By: v_rose86 @ 01/29/2008 12:58:02 PM

    I gave birth completely naturally and yes, I am proud to say it. There is no reason why a woman who gives birth naturally should be condemned or patronized for her decision. Never once have i convicted another woman of being weak for deciding to have an epidural. It is the MOTHERS decision. I think the only reason people get so defensive when they hear that women are still giving birth naturally is because of that persons own feelings. Who cares how you decide to go about giving birth, let's just stop patronizing women for the route that they DO decide to take. I am all for medical intervention when necessary, and would have jumped at a C-section myself had there been any risks with the birth of my daughter. I think vaginal birth should be the only option though, unless these complications do arise. It shouldn't be, "ok m'am are we opting for the c-section or vaginal birth today?". that's just absurd.

  • Posted By: v_rose @ 01/29/2008 12:56:46 PM

    I gave birth completely naturally and yes, I am proud to say it. There is no reason why a woman who gives birth naturally should be condemned or patronized for her decision. Never once have i convicted another woman of being weak for deciding to have an epidural. It is the MOTHERS decision. I think the only reason people get so defensive when they hear that women are still giving birth naturally is because of that persons own feelings. Who cares how you decide to go about giving birth, let's just stop patronizing women for the route that they DO decide to take. I am all for medical intervention when necessary, and would have jumped at a C-section myself had there been any risks with the birth of my daughter. I think vaginal birth should be the only option though, unless these complications do arise. It shouldn't be, "ok m'am are we opting for the c-section or vaginal birth today?". that's just absurd.

  • Posted By: kriski1030 @ 01/26/2008 3:54:03 PM

    I have had 3 c-sections, 1st unplanned, second planned, third unplanned and very necessary. BUT I am a natural birth advocate and out of hospital supporter. It is a fact that out of hospital births are as safe (or safer) for low risk women than birth in a hospital (CPM 2000 study). The 2000 study is the most reliable, comprehensive study to date. It is also true that many traumatic vaginal births are caused by doctor impatience and unnessesary interventions, ie. tears due to position or assisted delivery and epesiotomy. The WHO (World Health Organization) states that an acceptable c-section rate would be 10-15% of all deliveries. This would be the optimal rate for the least loss of life for mothers and babies. A rate higher or lower would mean unnecessary maternal and neonatal deaths. C-sections can be lifesaving and necessary but they are far overused in the US as you can see by the fact that our rate is DOUBLE that of what the WHO recommends.

    Did you know that hospital maternity wards and NICUs make up more than 50% of their profit? And it's not about money???


    Did you know that inductions started labor for more that 40% of women last year? And that most births occur between 8am and 5pm M-F....coincidence? I think not.

    Did you know that pitocin can cause hyperstimulation of the uterus leading to fetal distress (because of lack of oxygen) or that epidurals can lower a mother's blood pressure meanng less oxygen for the baby. Or that 1 in 4 women that receive an epi will develop an epidural fever and necessitate an "emergency" c-section?

    • Posted By: LaurelLee123 @ 01/29/2008 12:53:45 PM

      Wrong, wrong, wrong!! 1 in 4 women get an 'epidural fever'? What in the world is that? Unless there is an M.D. after your name, I just assume it was from internet reading or self-study and the truth is there is a study to support pretty much every incorrect viewpoint there is. That is why people go to school and train for 12 years to become a medical professional as opposed to just a layperson with access to the internet.

      And most births happening between 8-5? Then why the heck are me and the OB's always up all night long when we are on call delivering babies at all hours in the night.

  • Posted By: woodygirl26 @ 01/29/2008 8:30:03 AM

    Vaginal or C section? This is not a choice we should be making - only medical conditions or certain criteria should be met in order for a C section to take place. Birth isn't supposed to be easy - it never has been, and who are we to think that it should change now. The medical field is supposed to be responsible and make responsible decisions...allowing a mother to have a c section because she doesn't want to deal with the pain - is just ridiculous and shouldn't be practicing anyways!

    • Posted By: LaurelLee123 @ 01/29/2008 12:46:22 PM

      I have no idea where the concept of a C-section being the 'painless' way to go comes from. A C-section is major abdominal surgery!!! It is a big slice in your lower abdomen and a big slice across the muscles and the fascia and the uterus. It hurts! Maybe not as much when the baby is born, but for days and sometimes weeks after. It isn't minor surgery like shaving a mole and women can start running marathons the next day. Recovery is hard!

  • Posted By: thefragile7393 @ 01/29/2008 9:21:42 AM

    Again, the whole point of the article is talking about the UN-NECESSARY medicalizing of birth and the UN-NECESSARY norm of C-Sections. Almost all natural or vaginal birth advocates will agree that there are always circumstances where a medicalized and/or C-Section birth is necessary, but it's not nearly at the rate that it's currently happening and that's what the article and the movie are trying to address, not emergencies or when all other options (like changing positions, stimulation, herbs, etc) have failed. If an emergency happens or you've tried everything else and it just isn't going to happen, then you have to move on to what will. If you had to have interventions or a C-Section because of those reasons then what happened was truely the best for you and your child; in those cases, interventions or C-Sections happened for their appropriate reasons. I highly doubt that the rate of C-Sections is spiking due to those reasons.

    • Posted By: LaurelLee123 @ 01/29/2008 12:41:41 PM

      The C-section rate in the United States is so high for one reason. LAWSUITS, LAWSUITS, LAWSUITS. Ask John Edwards - he became a mulitmillionaire for suing Ob/Gyns for not acting fast enough and initiating a C-section. The truth is, if the C-section was unneccessary and the baby is OK, everyone is happy. But if anything happens to the kid, up until he is 18 years old, they can trace it back to birth anoxia and the OB can be sued for not acting soon enough to bring the mother to C-section. :So if the kid starts being wierd as a toddler, he gets the diagnosis of cerebral palsy, and the lawyers can go back to the birth strip, find a point where the baby could be in distress and blame the OB for not going to C-section then and there. And if you knew the exorbitant malpracice fees OB's have to pay, you would know why they are so eager to not delay.

      And unless you have been working on a labor floor, you wouldn't understand the atmosphere. There is no time to 'try everything else' Things can turn bad in a nanosecond and there isn't time to talk about the risks and the benefits. You act. And if the worst thing that happens is an unneccessary C-section, the mom with a healthy baby in her arms will not care.

    • Posted By: LGreen101 @ 01/29/2008 9:35:48 AM

      That is my point. While I haven't seen the documentary, the article puts all c-sections in the same catgeory. It does not stress un-necessary vs. necessary, but acts as if all c-sections are created equal. The stats as presented by the article attached are misleading -- as it doesn't make the distinctive between medically necessary and truly elective.

  • Posted By: jerrylynn @ 01/29/2008 10:13:49 AM

    I am a great grandmother now and I have been wondering what happened to the concept of when the child is ready to be born nature will begin working and the parent will go into labor. I had 4 children natural birth and I cannot help but wonder why the doctors are scheduling when the mothers will give birth by inducing labor. Are they getting too lazy to be called out in the middle of the night when a mother goes into labor!!!

    • Posted By: LaurelLee123 @ 01/29/2008 12:31:36 PM

      Have you seen a a 11 pound post dates baby get delivered through the vaginal canal and then get stuck at the shoulders and then watched the baby die while we are rushing to C-section? This is what can happen when a diabetic mom has a quickly growing baby and she is not induced before the baby gets too big. I get it, in the old days, we just popped out our babies at home. And in the old days, we had a much higher infant and maternal mortality. Back then, we did let nature take its course. If a kid or mother died during childbirth, well I guess that was just what was meant to be. I am sure people who were born due to emergency C-sections, or were born early and rushed to the Neonatal ICU to be cared are happy we didn't just let nature do its thing.

  • Posted By: Pascha @ 01/29/2008 12:03:23 PM

    Bravo. This article is a long time coming, and this practice should cease. As a mother of four--all vaginal and natural--it's a true miracle and the way it was divinely designed. I've heard all types of vain reasons for C-sections ranging from "I don't want to stretch my vagina" (duuuhhhh), to "I don't want to carry to term because I don't want to get that big". How unfortunate for the baby who I believe may lack the basic will to fight/survive that is developed when traveling from the womb to the world. Hopefully something is done about this because most OB/GYN doctors in the U.S. are still men, who don't possess the maternal instinct and personally know nothing about the act of childbirth, and money does appear to be their motivator. Certainly there are incidences where C-Section is indicated, but the over-abuse is staggering to say the least.

    • Posted By: LaurelLee123 @ 01/29/2008 12:24:43 PM

      Unbelievable! If I hear about another woman talk about the pride they take in giving birth 'naturally' I am going to scream, It has nothing to do with will power, strength, money or taking the 'easy way out' with MOST patients. Women get C-sections for their health and the health of their babies. You were just LUCKY that you didn't have a footling breech presentation, a 11 pound baby, a placenta previa, a umbilical cord prolapse or any of the many numerous medical indications for C-sections. Until you have witnessed a baby DIE coming out the vaginal canal because the crazy mother refused to go to C-section with her breech baby, you won't understand what a miracle the C-section is. Out comes the whole body, heart beating and then the head gets stuck - we try to rush her to C-section, but by that time the baby had suffocated and died - blue, no heart beat.

  • Posted By: cahyde82 @ 01/29/2008 12:15:04 PM

    I work in labor and delivery as an RN and while I do agree that C-sections are on the rise, the idea that the hospital is out to solely make money off of a woman's labor is funny to me. When patients are induced using Pitocin, it is typically a mutual agreement between the patient and the doctor. The doctor cannot do anything to you without your consent. Do your own homework. Yes, Pitocin causes painful contractions, but so does your body's natural form of Oxytocin. Either way your contractions are going to hurt, with medication or not. I see plent of women who deliver vaginally without any pain medications. In fact, I attended two of those deliveries last night. Both of them were screaming with contractions despite alternative positions, birthing balls, and massage. Either way ladies, labor is painful. Ultimately you and your doctor need to come to an agreement. Remember, you are the patient and you have a choice in your medical treatment. If you don't want Pitocin unless its absolutely necessary, then don't take it! You have choices!

  • Posted By: Moj75 @ 01/29/2008 11:42:07 AM

    My daughter, now 5 yrs old, was born 2 weeks early via C-section after my doctor induced me due to high blood pressure. I was started on Pitocin, had a 36-hour labor and didn't dialate at all. I always felt I would have a C-section and was open to having one electively even before my doctor discussed this possibility. After my daughter was born and cleaned off, my husband immediately held her and carried her out of the OR and into my hospital room where she stayed with me until we went home 3 days later. I was out shopping 2 days later.

    It really bothers me when people give such negative opinions about C-sections. I had a great experience with it and never once wished I had a vaginal birth!

  • Posted By: Liz_Black @ 01/29/2008 11:36:42 AM

    The article by Jose Villar comes from a British medical journal, but not the BMJ and not in October. I found it in Lancet, June 3, 2006. The misleading reference resulted in extra time spent tracking down the article, and I am surprised that Newsweek could have made this slip in an otherwise worthwhile article.

  • Posted By: ksunflower @ 01/29/2008 10:39:02 AM

    Both of my children (who are both healthy and happy by the way) were born via c-section. If I had a choice, I would have chosen to do it the old-fashioned way, but the shape and narrowness of my pelvis told the doctors otherwise.
    I don't think that women should be made to feel bad or guilty because of the fact that they have had one or two c-sections, even if they elect to do so. Anything beyond that, in my opinion, is too risky to the mom and the baby, but it is still their CHOICE. It is no one else's business how a mom chooses to give birth.

  • Posted By: vicw @ 01/29/2008 10:31:56 AM

    I served as both coach and midwife to my wife during our two home births. We have five children, and have had births both at home and the hospital. While we are totally sold on home births as the preferred way to go, we agree that the most important thing that couples need is GOOD INFORMATION so they can make INFORMED DECISIONS, and then ACCESS to the care that they need. In South Dakota, where we live, it is illegal for a midwife to attend a home birth. That means that to stay at home you either need to break the law to get the help of a "renegade" midwife willing to do jail time if she is caught helping deliver a baby (and I'm not just talking about lay midwives -- licensed nurse midwived that deliver babies in the hospital all the time are also prohibited). While these laws are written under the pretense of protecting mothers and babies, it really denies mothers the opportunity to make an educated decision concerning the health and welfare of themselves and their babies in order to protect the profits of the doctors and hospitals.

Reply

Report Abuse

Enter comments if any for reporting abuse