My doctor made the same amount of money whether he did a c-section or a vaginal birth. But if you break that down to earnings per hour, he made a lot more doing a c-section that hangining around all day for my labor to progress.
Hospitals make out on c-sections. My insurance paid out $27,000 for my uncomplicated c-section. They paid out just $1800 for my completely drug free VBAC (the only drugs I had were 2 motrin afterwards).
As far as safety, prematurity, etc (hopefully I got these links right!)...
PROBLEMS FOR THE MOTHER
Mother is 2.84 times more likely to die.
She is also more likely to lose her uterus, suffer infections or hemorrhage. The risk of hysterectomy triples in the next pregnancy. Subsequent pregnancies are more likely to result in ectopic pregnancies. The risk of still birth doubles in subsequent pregnancies. The chance of a placenta abruption (where the placenta tears aware from the ueterine wall) and uterine rupture in subsequent pregnancies also increases (scheduling a c-section does NOT prevent uterine rupture).20% of women develop fever after CS,
most due to iatrogenic infections requiring diagnostic fever evaluation for both woman and baby.
Maternal death in the US ranks 41st in the world. We also have one of the highest c-section rates in the world. In 2004, the US maternal death rate was 13.1 per 100,000 live births. In NJ (where we have the highest c-section rate), our maternal death rate was 21 deaths per 100,000 live births in 2004.
Optional Caesareans resulted in hospital stays that were 77 percent longer and cost 76 percent more than normal deliveries. Mothers who had the optional surgery were 2.3 times as likely to return to the hospital within 30 days,
usually because of wound complications or major systemic infections.After adjustment for potential confounders, the risk of postpartum death was 3.6 times higher after cesarean than after vaginal delivery
(odds ratio 3.64 95% confidence interval 2.15-6.19). Both prepartum and intrapartum cesarean delivery were associated with a significantly increased risk. Cesarean delivery was associated with a significantly increased risk of maternal death from complications of anesthesia, puerperal infection, and venous thromboembolism.PROBLEMS FOR THE BABYBabies are more likely to die after a c-section birth.
The neonatal mortality rate for Caesarean delivery among low-risk women is 1.77 deaths per 1,000 live births, while the rate for vaginal delivery is 0.62 deaths per 1,000. That is nearly a 3 fold increase in death rate after you correct for risk factors that would have necessitated a c-section.2-6% of babies are cut during c-sections.
On a side note, my baby was one of them. Not a serious cut, thank heavens! But the hospitals lied and said it must have happened in utero. I talked to a woman who saw a baby with a severed leg after a c-section in her hospital NICU after the birth of her own baby. Babies born by elective c-section are twice as likely to end up in the NICU and 3 times more likely to suffer from pulmonary disorders.Babies born by c-section are 20% more likely to develop type 1 diabetes.Babies born by elective c-section are more likely to suffer from breathing problems.
At 37 weeks, they were almost four times as likely as others of the same gestational age to have respiratory problems, at 38 weeks three times as likely, and at 39 weeks almost twice as likely. The differences remained even after controlling for maternal age, smoking, alcohol intake and other variables
Premature births have been climbing since the mid-1990s and that increase has been linked to the risk in c-section rates
since calculation of the baby’s due date may be off or patients and doctors may elect to deliver the baby before it’s ready.Risk of cavities is higher in babies born by cesarean
. Cesarean infants acquired cavity-causing Streptococcus mutans 11.7 months earlier than did those born vaginally, said investigators led by Yihong Li, Dr. PH, D.D.S., an associate professor of craniofacial biology at New York University here. They said cesarean-born infants may have weakened defenses against bacteria because of reduced bacterial exposure during delivery. By contrast, vaginally born infants receive more intense bacterial exposure from the vagina and perineum, which may help strengthen their immunity. This may help explain why cesarean babies show greater bacteria levels at an earlier age, Dr. Li said.There might be a positive association with development of asthma
--in particular, for cesarean section--that was not explained by gestational age, birth weight, ponderal index, smallness for gestational age, parity, maternal age, or occupation.
Want to find out what would happen if we followed 100,000 healthy, low-risk first-time mothers, through three pregnancies, comparing outcomes based on whether they have elective cesarean surgery for the first delivery or plan vaginal birth????
57 more women will die
999 more women will have a hysterectomy
135 more women will have a uterine rupture and 7 babies will die
63 more women will have a cesarean-scar ectopic pregnancy
45,900 more women will have dense adhesions (adhesions make subsequent pelvic or abdominal surgery more difficult, increase the likelihood of injuring organs or blood vessels during surgery, and can cause chronic pain and bowel obstruction)
13,500 more women will experience wound (abdominal vs. perineal) pain for 6 months or more
378 more babies will die in the womb (antepartum fetal demise) without explanation after 34 weeks of pregnancy
7,830 more babies will be born preterm (before 37 weeks completed gestation)
1,620 more babies will born weighing in the lowest 5% for their gestational age
4,244 more babies will have respiratory problems serious enough to require admission to intensive care
3,240 fewer women will have anal sphincter trauma (This assumes an anal sphincter injury rate of 1%, a rate achievable with optimal care [Albers 2005].) BUT 630 more women will have bladder injury
10,260 fewer women will have moderate to severe urinary incontinence
0 fewer women will have later-life urinary incontinence (MCA 2004)