Birth, The American Way

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  • Posted By: susanlc @ 01/21/2008 10:22:02 AM

    Can someone tell me why it is *bad* to choose a birth route that is less painful (and we're not talking about a minor or brief pain experience) and traumatic? Trauma is no small thing. Why has this Newsweek writer seemingly gone with Ricki Lake's view of childbirth hook line and sinker? Why is there no critical view of Ricki's Lakes' assumptions in this article? And why has this writer apparently skipped the in depth research into the statistics and just guesses she cites? It is such poor scientific reporting. When someone does a good study of why women choose elective c section, report that. Until then, everyone is guessiong, and guessing with such negative assumptions about the women who make this choice

    • Posted By: cpwright @ 01/25/2008 12:08:11 PM

      It is not *bad* to choose a birth that is less painful; however, medical interventions (epidurals, pain medications) often lead to more and more medical interventions. Epidurals and narcotics reduce the intensity and frequency of contractions, often leading to augmentation with Pitocin. While the mother cannot entirely feel these contractions, the baby does, and with each contraction, there is more and more stress to the baby as well as decreased blood plow to the baby. This puts the baby at risk for complications (falling heartrate, etc). Often, these complications lead to surgical intervention (C-section) that are considered an "emergency." While these may be emergencies, they could have so easily been rpevented! So, while epidurals lead to less pain for mother, they lead to MORE pain for baby as well as MORE risk for both mom and baby.

    • Posted By: chotii@oz.net @ 01/21/2008 8:49:32 PM

      No one is asking women to choose a trautmatic birth experience. However, anyone who has had a traumatic surgical vaginal delivery will of COURSE choose c-section the next time, thinking it will be better. But what about women who have had traumatic, bullied, lied to, horrible and occasionaly unanaesthetised c-sec births? Whose recovery is weeks long, who believe their bodies are broken? Yet they are quite often forbidden anything but a repeat the next time, for liability (not safety or medical) reasons. Nobody wants women to be traumatized. But nobody seems willing to believe that major surgery can be traumatic too. And no, it doesn't make it all better to say "But at least you have a healthy baby'. Of course we're happy for our healthy babies. IT doesn't make us happy about what happened to *us*.

  • Posted By: dragonfly333 @ 01/25/2008 11:52:33 AM

    36 years in Respiratory Therapy, just retired, saw and encouraged the incoming of Lamaze programs, have noticed and spoken of the increase in c-sections over the last decade and a half. Natural birth has become a liability, and as Yabroff puts it, "Non-profitable". I'm not against C-sections, I have been to many and seen many mothers and premature babies saved by this technique, surgery should always be a last option due to its risks and complications. By the way, I was born naturally, feet first, umbilical cord wrapped around my throat three times, "Breach" in 1950. Thankyou, Mom! Thankyou Dr Simpson for "being there".
    Jack S.

  • Posted By: Biogal @ 01/25/2008 11:51:47 AM

    I had my son 9 years ago and the debate is still the same. Debate over any issue is a great thing since it makes people more informed. The problem with this debate is the natural birth advocates tone. I know you are proud of what you have done and I am happy for you but many natural birth advocates come across as condescending, demeaning and judgmental. I'm not sure you are aware of your tone and I hope you don't. It makes pregnant women and new mothers feel horrible if they didn't have a natural birth. I have had several friends that I have cried on my shoulder because of this. I remind them that they have a beautiful baby and that is whats most important.
    I had my son in a hospital and had an epidural and I am so grateful I did. I was in labor for 12hrs from 6 pm to 6 am. Since I was in labor all night long I was beyond exhausted. I was so tired I couldn't concentrate on the contractions and work my way through them and I was in so much more pain. I asked for an epidural and it was wonderful. I slept for 4.5 hours and woke up refreshed and ready to have this baby. My husband and I sat for a half and hour watching the contractions on the monitor. We had so much fun laughing and joking about it. The nurses came in and said alright let's have this baby in a cute way. I pushed for barely 15 minutes and I had a sweet little boy that I bonded with instantly. It was so nice not to be exhausted I got to enjoy the entire day with our son and all of our family and friends that came to visit and not slept all day. There were plenty of sleepless nights later.
    Some natural birth advocates would say that I "whimped out" for having the epidural and if I could have handled it and that I am less of a women and a mother for it. Do you not realize you are taking one of the most beautiful days of my life and saying i didn't do it properly and am less of a women for it? Some would say I am being overly dramatic about this but you do see some posts that do just that.
    For the sake of pregnant women and new mothers, please keep the debate professional and informative but leave out the drama and the personal attacks. We as women should respect each other enough to do just that.


  • Posted By: hval @ 01/25/2008 11:49:26 AM

    The US has more c-sections - and more infant mortality -...What an irresponsible statement. What a disgusting, judgemental and ridiculous "article". I agree with the comments about the "baby bullies". When I told my doctor, who was also pregnant when she delivered my daughter, that I was having a baby because I wanted to experience the work and joy of raising a child, not because I wanted to have my experience of a specific kind of birth, she practically applauded. Sadly, I've known women who got all caught up in the politically correct ways of "natural birth", and then seemed to lose interest when it came to actual parenting. Giving birth is the work of minutes or hours and women have been doing it all over the world as long as humans have existed. The real test of mothering occurs over the span of THE REST OF YOUR LIFE ladies, so maybe lets just save our energy for that and start supporting each other in actually raising our beautiful children.

  • Posted By: csmith409 @ 01/25/2008 11:38:15 AM

    It seems to me that some women who have given birth by C-Section get defensive when someone suggests that a natural, vaginal birth is a safer and better choice. It is not an issue of "being judged" as much as it is of being educated. My wife gave birth to our fist son by C-Section. It was medically necessary and that was our only choice. There is nothing wrong with that. He is healthy today. However, why get so defensive about the delivery process? She wanted to have all subsequent babies naturally. We understood that this was better for her health and the babies health. The next two were born vaginally in a hospital. The next one was born naturally by a midwife. The next one was born vaginally in a hospital. And, the current one will be born in our home (really naturally) with good ole dad (me) being the attendant (no midwife)--just me and my wife. That's six children. We have had them every way imaginable. With a subjective opinion, we both agree that homes are better than hospitals, less hands are better than more hands, vaginas are better than C-cuts and open minds to the natural are better than being easily offended.

  • Posted By: Honicomb @ 01/25/2008 11:38:05 AM

    I had 1 c-section and 3 VBACs with no interventiona or drugs. The c-section was due to breech position. I believe that women need to stop being so selfish. God created the body to carry and delivery a baby and it's been doing an amazing job for thousands of years. That being said I know women die in childbirth and intervention is necessary and an amazing gift, however women need to realize that just becuase they are sick of being pregnant and want to "schedule the bith" isn't the safest or best option. Studies have over and over again proved that inductions and planned c-sections increase the risk of mortality and complications. Women listen to whatever their providers say without taking any personal responsibility and researching the subjects on their own. For reasons I have yet to understand doctors are not giving women the entire truth. Maybe its convenience maybe its money, but they are simply not sharing the simple fact that 90% of the time your body will go into labor naturally without any medical interventions and 90% of the time women can deliver without any medical interventions. Pitocin and epididural have been proven to slow down labors and cause complications...if I women would like to choose this option I believe that's their choice, however they need to be given the honest facts.

  • Posted By: mlhot @ 01/21/2008 4:10:33 PM

    since when is birth tramatic it is the most natural thing in the world. those who opt out of that experience are not only putting themselves more at risk but also the baby. i understand if it is medically needed, but for those of you who choose the easy way out and just decide to go against nature i look down on you. but for the women who stuck it out including myself be proud of what you did for the world and your baby.

    • Posted By: FLDiveGirl @ 01/23/2008 4:01:15 AM

      If you want the right to look down on me for the choices I made when delivering my son, then I reserve the right to look down on you for your inability to use proper capitalization and grammar. You don't get a gold star for skipping pain medication, nor do you have a guarantee of producing a better child than I have. Grow up and get over yourself.

      • Posted By: BostontoNYC @ 01/25/2008 11:34:46 AM

        Those with poor grammar are as entitled to posting their own opinions as you are. Criticizing someone (aside from critical analysis) as both the above posters did, eclipses valid opinions and belittles the process of sharing ideas in these forums.

  • Posted By: greatjoy @ 01/25/2008 11:25:29 AM


    I've had two homebirths with a midwife. With the first, I was in hard labor 36 hours, the baby's heart rate dropped at the end and I did some major pushing, the cord was wrapped and I bled way too much. But, my midwife knew exactly what to do in every situation and my 9 lb. 23 inch son (who spoke sentences at 10 months) and I (who only had a slight tear that didn't even burn) were both perfectly fine. My daughter's birth was complication-free. Hospitals are great in real emergencies and I love my doctor, but birth is a natural process and having a midwife there who is trained to spot and deal with problems (including a transfer to a hospital if necessary) is the best choice.

  • Posted By: Starstrz @ 01/25/2008 11:25:14 AM

    Its so sad that people see birth as a medical condition... another disease that needs curing...

  • Posted By: Kealoha @ 01/25/2008 11:24:33 AM

    Such "articles" do nothing to the problem but scare women into making the "right" decision. My water broke with my son. I did not go into labor so they used pitocin, and epidural. Am I supposed to feel bad that my son's birth was not "natural"? I'm now pregnant with triplets. I asked my doctor if I can give birth naturally and his response was "Not in this country." I am disappointed that I have to go through a C-section, and articles like this do nothing but to increase a mother's anxiety, compound her disappointment, and make her further guilty. If they really mean well, they should write a more balanced article, not use scare-tactics.

  • Posted By: dcredhead73 @ 01/25/2008 11:11:17 AM

    As a recently married woman, my husband and I are trying to decide if we want children or not. I'm 34 -- a woman born from the feminist movement. I must say, I am very dissapointed in my fellow sisters. I see many of what I call, "baby bullies" in our circle; passing judgement on the value and ability of being a "good mother." SO MUCH JUDGEMENT! Women snub and judge each other whether they are a stay at home mom vs. a working mom... breast feeding versus not, c-section versus natural. I hear heartbreaking stories from my girlfriends at how other mothers treat one another with such venom and judgement. "You can't be a good mother, you chose a career..." or "why didn't you breast feed? How selfish of you." Women even judge each other by the STROLLERS they push! Are you kidding me? Women socialize in "stay at home" vs. "career" mommies.

    My mother was 45 when she had me. She had me c-section, didn't breast feed, and you know what? I'm a healthy, adjusted woman who loves her mother with all her heart. So my advice is to not judge other women in how they raise their child. YOUR way may not be te RIGHT way because it isn't your child. Let's start supporting one another in our choices rather than judging others.

    • Posted By: chell75 @ 01/25/2008 11:23:55 AM

      THANK YOU!!! My words exactly. My mother was a stay at home mom with 4 kids and bottle fed all of us. Half of her children breast fed while half bottle fed. My mother has 11 grandchildren and they were ALL born by c-section. We all had complications and it was necessary. Some of us work and some of us stay home. All 11 children are healthy, normal and happy. But what is more important is that we all chose what we wanted and what was best for each of us personally. Why would I judge my best friend who works or my sister in law who doesn't it? Who am I or any of us to decide we know what is best for anyone else? Isn't that why my great grandparents came to America in the first place in 1902? To have a choice, rather than dictated to? Believe in yourself, your family and your own life. Concentrate on that and not other people which you cannot control. There are many issues that can be measured as right or wrong, a women's body is not one of them!

  • Posted By: AlabamaBirth @ 01/25/2008 11:21:29 AM

    I completely agree with the comments from AlabamaBirth. We have choices, we should be grateful. Have the birth you choose, if you medically can....it's your body and your baby.

  • Posted By: sidzmum @ 01/25/2008 10:36:38 AM

    i don't believe there is anyone who advocates for natural birth is opposed to cesarian in the case of an actual emergency...personally, i take issue with women who elect for cesarian without medical nessessity...and also our culture who instills the idea of childbirth being a traumatic event, instead of raising our girls with the idea that their bodies are made for the most beautiful act in the world...women who truly believe in their body's ability to birth almost always achieve the birth they desire...

    • Posted By: BrightMama @ 01/25/2008 11:04:21 AM

      Birth is Beautiful :)

      • Posted By: irunamuk @ 01/25/2008 11:17:48 AM

        beautiful??? you obviously didnt wake up screaming from nightmares for 2 years from the way your doctor treated you in the delivery room

  • Posted By: Starstrz @ 01/25/2008 11:14:45 AM

    It is so sad to me that people think of birth as a medical condition... another disease we need to cure.

  • Posted By: doncreft@hotmail.com @ 01/25/2008 11:14:10 AM

    Maybe some of you should just deliver without a doctor, since you were treated so horribly by physicians whose only motivation was money and getting onto the golf course. I'm sure you know far better when to chose a c-section over vaginal delivery than a physician. Speaking as an educated person, a lot of these comments sound really ignorant.

  • Posted By: k3456789 @ 01/25/2008 11:13:21 AM

    vote ron paul he is for health freedom unlike any other republican; watch this ;it s from yesterday nbc debate

    http://www.youtube.com/watch?v=ZYaBt5vhjX0

  • Posted By: k3456789 @ 01/25/2008 11:13:05 AM

    vote ron paul he is for health freedom unlike any other republican; watch this ;it s from yesterday nbc debate

    http://www.youtube.com/watch?v=ZYaBt5vhjX0



  • Posted By: Lotte @ 01/22/2008 2:01:49 AM

    I am a labor and delivery nurse as well as an advocate for natural birth. Do you want to know why hospitals CAN NOT provide options that include decreased medical interventions during labor? The fear of being sued disables physicians and other healthcare personal from being able to advocate for decreased interventions. There is no women???s healthcare provider that would not love to do home births and natural births without continuous fetal monitoring. WE LOVE childbirth, patient care and babies. Why else would we spend so much time going to school to have the right to provide people with this care? But we still have families of our own to care for. I recently had the experience of being deposed for 5 hours. C-section-yes, "bad" fetal strip-yes, every imaginable intervention given-yes. This child WOULD HAVE died 100 years ago. The child is having some "delays" now. The parents are suing for 2 million dollars!!!
    As part of my initial education for a newly admitted laboring mother I tell them: this is your fetal monitor. We know what is perfect and what is very bad. There is a lot of stuff in between that probably does not mean anything, but we can not say that with absolute certainty, so these are the interventions that take place: position change, oxygen, increased IV fluid, certain medications and sometimes cesarean section. NO ONE refuses these interventions. Do not blame healthcare providers who spend the majority of their youth going to school to take care of people who care very little about themselves. No one wants evidence based medicine; they want EVERYTHING healthcare can offer. No one wants to view healthcare a resource that is limited (even though it is). They want the c-section, they want the antibiotics (sorry to add another argument into the mix, but the same rational applies), and they want it all because they think they should have it. If the healthcare provider does not supply this then they lose patients and get sued. People, please take a look at what is happening to our nation???s healthcare system, stop suing and start taking evidence based medical advice.

    • Posted By: empetaan @ 01/25/2008 10:25:48 AM

      I totally agree with everything you have said. Ob/Gyn's are almost "forced" to do c-sections now out of a fear of being sued. It's the American tort sysytem that is to blame for our nation's high percentage of c-sections, not doctors trying to make a profit.

      • Posted By: irunamuk @ 01/25/2008 11:02:58 AM

        Honey, the only people I see being "forced" in a delivery room are the mothers, who are treated as if they are 3 year olds. Their wishes are completely dismissed, they're bullied, and god forbid the doctor wants a bigger paycheck this week...my doctor was actually arguing with me while I was pushing becaused he wanted to do an unnecessary episiotomy. Stop acting like victims.

  • Posted By: missbritt1 @ 01/25/2008 10:58:17 AM

    Perhaps the reason that the US has a higher rate of infant mortality than other developed nations is the fact that many of our fellow citizens do not have access to adequate health care, NOT the fact that we have so many c-section births. It's amazing how statistics can be skewed in order to push one side of the issue's view. Does anyone even remember that before modern medicine, thousands of women DIED in childbirth?

  • Posted By: empetaan @ 01/25/2008 10:52:16 AM

    Some of the comments I am reading are very disheartening to me. This is not a case of physicians doing c-sections just to make a profit. Being the wife of an ob/gyn and mother of four, I know this from first hand experience. I have been with my husband through medical school, two residencies, and a fellowship. A total of 12 years of school and training (not even counting his undergraduate years). While doing his residency training, he had to work 2 jobs, in addtion to his regular residency training, totaling about 90-120 hours a week, just to support his family. It has been his life dream to be a physician and be able to help people. He has had to make many sacrifices and work very hard to become a doctor. My husband cares tremendously about his patients and only wants what is best for them. However, beacuse of America's tort system, many physicans opt to do c-sections to prevent being sued by their own patients. You see if they don't elect to do a c-section and something does go wrong with the baby, then many patients will hire a litigation attorney and sue their ob/gyn. This is why the US now faces a shortage of OB/Gyn physicians in many areas of the country. They can no longer afford to pay the high malpractice insurance that has resulted from so many lawsuits. This is a big reason for why America's c-section rate is so much higher that other countries, not because of greedy doctors or hospitals trying to make a profit.

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