Originally Posted by alegna
I'm glad you brought up the section rate. I meant to earlier. Around here it's even higher than that, especially in the city. When I ran individual hospitals only 2 came anywhere near the national average (TX is above the national average also) But not only that, most hospitals were above 30%. Several were at 40%. One is rumored to be near 50%. Given that WHO says that maternal and infant health is at issue above 10%, is it ethical to birth in a hospital with a 30% section rate? What about 50%?
I wanted to touch on this. I gave birth to my first (and only, so far) in a hospital that had a 30% section rate. We had gone on a hospital tour early in our pregnancy and simply did not know which questions we should ask. I read What to Expect while you're expecting
and it didn't have the questions in it that I should
It wasn't until I took Bradley classes that I actually began to question the care that I was receiving.
We went on another tour of our hospital at 34 weeks and asked the nurses about the C/S rates, epidural rates, procedures for Rh- moms, the ability to eat and drink during labor, etc. The lady who gives the tours at the hospital said that the hospital encouraged moms to take the virtual tour online rather than come to see the hospital in person. She didn't have the answers to our questions so we had to talk to a nurse. When asked about the C/S rates she said it was 30%, but then hastily added that the only reason it was so high was because they didn't allow VBACs anymore. My dh and I were a bit horrifed at that. This was my first experience in learning that women were actually forced into surgery because thay had no other option.
We went over our birth plan with my OB at our next visit. He's a very cheerful and gegarious person and he frowned before he even read it. Most of the stuff on there he agreed to but I learned at that visit that he did not trust birth to be anything but dangerous. For instance he insisted that I have an IV. He warned that if I eat in labor that I might throw up. and so on.
At the time I didn't feel comfortable switching providers so late in my pregnancy. I don't feel that it was ethically wrong of me do do so based on my experience at the time. I had only heard horror stories about birth. I thought that's just how birth had to be.
My birth with my dd was not bad at all. Luckily my regular OB was on vacation during the birth and the on call OB was more supportive than he was.
I'm planning a home birth when we get pg with our next one and I made the mistake of telling my SIL this. Her ds was born via emergency c/s due to iatrogenic distress and she believes her son was saved by her doctors. I can privately think he would have been safer at home but I respect her decisions about birth and her choice not to VBAC #2. But she has no problems whatsoever in telling me that I'd be putting myself and my baby in danger. I think it is unethical not to respect someone elses informed decsions.