tag:blogger.com,1999:blog-4738062031052371885.post9125463092202302796..comments2024-03-17T10:07:53.205-07:00Comments on The Well-Rounded Mama: Doctor-Persuaded CesareansWell-Rounded Mamahttp://www.blogger.com/profile/04129621631406155340noreply@blogger.comBlogger7125tag:blogger.com,1999:blog-4738062031052371885.post-41734189018644304642009-02-10T11:35:00.000-08:002009-02-10T11:35:00.000-08:00So glad I kept reading this blog. I am just getti...So glad I kept reading this blog. I am just getting down blogging about how my OB has said c-section is mandatory because I've had a myomectomy. Well I wrote a letter of rejection on that decision and will happily move on if they force the issue.The Rebound Girlhttps://www.blogger.com/profile/05898239458640298633noreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-56040990645574807352009-02-09T19:03:00.000-08:002009-02-09T19:03:00.000-08:00I'm pretty vocal about wanting women to have infor...I'm pretty vocal about wanting women to have informed consent, and get rather heated when I hear of women who were not informed about the risks of procedures. But at the same time, there are plenty of women who very proudly announce that they are happy for their scheduled c/s or induction because it puts the doctor in control, or because then they don't have to worry about when they'll go into labor. While part of me feels (hopes) that with better information, women would let go of the convenience in favor of their health, I'm thinking it's safe to say that here in America plenty of people do willingly sacrifice their health for convenience. I don't think it's quite as simple as just blaming it all on the doctors. Not that it's all on women either, but there are many issues that need to be addressed on many levels. Doctors need reform, but we also need to fix childbirth classes, sex ed, and changing womens' attitudes about birth in general.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-29106029290612289322009-02-04T22:21:00.000-08:002009-02-04T22:21:00.000-08:00Noelle, counter opinions, politely expressed, are ...Noelle, counter opinions, politely expressed, are welcome too. Thank you for sharing your viewpoint.<BR/><BR/>How long ago was this birth? For a while, doctors got on board with VBAC to the point where some hospitals actually REQUIRED them, including of women who weren't good candidates for VBAC or who weren't watched properly. They also began inducing VBACs a lot, just like they do all their other births. <BR/><BR/>Turns out that they created a number of uterine ruptures that way, who then sued and won lots of money. That's one reason why docs are so shy of VBACs these days. <BR/><BR/>The risks of VBACs have not changed over the years, but the way docs handled them did. In the beginning they were very cautious, never used artificial drugs to induce/augment, and were ready to intervene if there were any problems. Then they got careless, forced women into VBACs at times, induced VBACs like crazy (which greatly increases the risk for rupture), and didn't respond quickly enough to some emergencies.<BR/><BR/>The OBs are insurance companies (Kaiser in particular) are at fault for that, but the pendulum has swung FAR too much in the other direction now. Both extremes were ridiculous.<BR/><BR/>I agree with you. Women should have a reasonable CHOICE about VBAC or not. As long as they understand the risks/benefits of both choices thoroughly, I have no problem with either choice. But scaring, forcing, or bullying women into the doc's preferred choice? No way.Well-Rounded Mamahttps://www.blogger.com/profile/04129621631406155340noreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-58607867040774081062009-02-04T20:07:00.000-08:002009-02-04T20:07:00.000-08:00I am a counter-voice here, but I am a person who *...I am a counter-voice here, but I am a person who *wanted* a C-section the 2nd time, but was bullied into a VBAC by staff of Kaiser Permanente. With a C-section, I got to stay in the hospital at least 5 days and recuperate. (Given the lack of help at home, this mattered.) With the VBAC I had to be out in 24 hours (it was during that time when the insurance companies could get you out that quickly). <BR/><BR/>I was induced in the afternoon and was there overnight and the hospital midwives would not call the doctor. They waited till she got there at 6 AM, said "C-section," I breathed a sigh of relief, then they browbeat me into trying "one more time" for a VBAC (which also meant I couldn't get my tubes tied immediately, another thing I wanted done).<BR/><BR/>I specifically blame the insurance company for wanting to promote the cheapest birth experience for them. What is key is mom's having a reasonable *choice* for giving birth.Noellehttps://www.blogger.com/profile/07220473771820530670noreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-29110422654008148152009-02-04T14:59:00.001-08:002009-02-04T14:59:00.001-08:00Oddly enough, most of the women I know who have na...Oddly enough, most of the women I know who have natural births are significantly into the "obese" category.Ashleyhttps://www.blogger.com/profile/18216761210794174656noreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-80085579888985739142009-02-04T14:59:00.000-08:002009-02-04T14:59:00.000-08:00I think you hit the nail on the head. Add to it d...I think you hit the nail on the head. Add to it discrimination (or bias. or fear. or whatever we call it...) against suspected large babies and you get the formula for Instant Cesarean.<BR/><BR/>My midwife and I were talking once about palpating a woman with a lot of adipose tissue on her belly. It can be done. =)Jill Arnoldhttps://www.blogger.com/profile/03551060770466451088noreply@blogger.comtag:blogger.com,1999:blog-4738062031052371885.post-47415344064687020942009-02-04T12:33:00.000-08:002009-02-04T12:33:00.000-08:00Thanks for the link love. You are completely right...Thanks for the link love. You are completely right about excessive interventions being even more of a problem for overweight and obese women. And, there is not evidence supporting that these interventions make their birth outcomes better.Anonymousnoreply@blogger.com