Elective c-sections without medical cause baffle me. How come if i go to the doc and demand insulin (i'm not diabetic, but hey, maybe i just want some!) they will say no, but a c-section "ok sure, let's get the diaries out and make a date!"...ermmm what?
I suspect, and others have voiced this as well, that some docs would like us to BELIEVE it's more common than it is - that they are just giving women what we really want with the insane CS rate over over 32%. But the truth is that it is NOT the case.
(Remember though, as far as medical records are concerned, all non-emergency CS are classified "elective" even for really, truly good reasons like complete placenta previa.)
OBs think it's OK to do a CS without cause because it eliminates the dangerous risk of other negative outcomes of attempting vaginal birth. (Since vaginal birth is always an "attempt" since it so often ends up in CS anyway.)
Think of it from an OB's perspective - they see so many bad outcomes. They see birth as risky & dangerous (not to mention a painful, horrific, miserable experience.) at least in the US, that is all they see! They don't even REALIZE how their actions cause so much of it. Or, as Dr. Marsden Wagner so eloquently states, "Fish don't see the water they swim in."
Gary Haskins, former President of ACOG, actually said, a CS is safer for BOTH Mom & baby in almost every case. Absolutely sickening & horrifying. I can somewhat understand how some might think CS is safer for baby (even though it's not true), but to say it is always safest for the mother too is INSANE! And this guy was HEADING UP the organization that sets practice standards for obstetrics in the US. Clearly, there is a lot of distorted thinking going on & an appalling lack of knowledge.
From the perspective of the average American OB, your analogy of giving a non-diabetic insulin is totally inapplicable. Because vaginal birth is risky anyway. (Whereas not taking insulin, for a person with a well-functioning pancreas, is not a risky action.)
Obviously *I* don't believe vaginal birth is so risky & purely-elective CS is a reasonable option, I'm just saying, intellectually, I understand where OBs are coming from in granting elective CS. It's awful, but I can understand why it's happening.
Oh, and this is all to say nothing of other advantages to CS like getting to schedule it so:
-no need to be at the hospital on weekends
-no need to be at the hospital in the middle of the night
-no need to wait around for hours just to be paid the same amount anyway
-I believe many OBs are actually paid MORE for doing a CS
-protection against malpractice (Many have admitted, "You're sued for the CS you did not to, but not sued for the CS you DID perform. Since a damaged baby is the worst possible outcome - doing a CS is doing 'everything you can' to ensure a healthy baby.")