Originally Posted by Freeman
This is actually the case for some people, though. I have a friend whose pelvic opening was just too narrow to allow the baby to pass through -in her case, a c-section was truly necessary, and thank goodness it was available.
Well, I'm sure this is indeed true sometimes.
However, CPD (cephalo-pelvic disproportion - the diagnosis that the pelvis just can't accommodate the baby fitting through) is STILL grossly over-diagnosed in the US. In most cases, a little bit of assistance could have helped. Making sure baby was positioned properly & helping ensure OA positioning if baby is OP. & getting mama UPRIGHT & MOVING to help the pelvis open. The vast majority of American women birth in hospitals, and most of those births have mama in bed - often reclined, generally immobilized with an epidural, rarely pushing in an upright position.
So, I don't think it's fair to say "a baby can't fit through your pelvis" without giving it a real try- with the best possible circumstances.
(Note, I'm not saying your friend did not have support, I don't know her case, just saying, I know in America it DOES happen where docs say "that baby won't fit" & they didn't do anything to HELP it fit - but rather hindered the process.)
Originally Posted by Freeman
In speaking with OB's it seems the greatest motivator to perform a c-section in the U.S. is to avoid a malpractice suit. It used to be that many OB's wouldn't perform c-sections and did anything to avoid them, thinking that it would be riskier than a vaginal birth.
Yup. Although, ya know, I think a lot of them are also beginning to believe that vaginal birth truly is so risky!! As Dr. Marsden Wagner writes, "Fish can't see the water they swim in." They see crash, emergency CS, they see awful PPH, they see a need for vacuum & forceps & the accompanying pelvic floor damage. They see this and perceive vaginal birth as risky
! (Again, I think this is part of the reason a significant portion of OBs surveyed have said they'd chose purely elective CS for themselves of their wives.)
They simply don't KNOW, or don't realize & think about the fact that the doc's actions so often caused the problems & that vaginal birth is generally safe the majority of the time. (If you don't do dumb
it up, that is!)
As Dr. Wagner & others have written, docs aren't properly educated on good scientific methods for research. They often practice based on clinical experience & what they see. Heck, I've even heard docs say it themselves & read it in books written by docs, "Well, in my experience this perineal massage technique reduces tears." (I remember reading years ago in an OB's guide to pregnancy & birth.)
"Well, I've never had a patient get pregnant on Alesse." (old Gyn said to me.
Um, SAMPLE SIZE, people! Your own clinical experience is NOT sufficient sample size to make such judgments!
If you see crash CS so often, it's natural that you'll come to believe birth is just plain dangerous (and, therefore, CS is preferable to "trying" vaginal birth.)