Originally Posted by doctorjen
Yes, I have seen women be told outright that cesarean was safer for them. In fact, I have rarely seen an accurate description of risks explained to a woman, ever. Especially the progressive risks of more than one cesarean birth.
That is sad really. *Especially* not explaining how each subsequent pg carries certain risks that simply are not the case should mom deliver vaginally. As I've said many times before, I'm all for choice, but it's difficult to make good choices with incorrect information, regardless of which side the information is slanted towards.
|The best way to reduce mortality and morbidity from VBAC is to make darn sure the primary cesarean is actually warranted.
This is SO true. I cannot tell you how many times DH comes home to tell me about yet another 'shift change' c-section. In teaching hospitals, or at least in the ones DH works in, if a resident is there for ALL of mom's labor, but gets off before she actually delivers, the resident doesn't get to 'count' that as a delivery towards their overall numbers needed for residency completion.
So, what do they do? Of course most don't want to hang out their entire shift doing all the work with a woman, only to have someone else come in at shift change and get to take credit for the delivery. All of a sudden, a c-section is 'necessary'. How ridiculous is that?
He always wanted to sit down with actual data and figure the rates of section within 2 hours of shift change, but he didn't figure the OB dept would be very interested in listening, esp considering that's not his area to begin with.
|Please don't misunderstand me. I am not anti-cesarean, I just believe that women cannot make decisions without an accurate understanding of their situation.
I completely agree. When I had my first c-section, it was only after MANY and REPEATED discussions with FOUR separate perinatologists. It was a bit ridiculous to be honest, but I can assure you I could list every single risk associated with delivering twins vaginally vs. by scheduled section, I could tell you what my Bishop score was, what that meant for any attempt at induction, I could tell you from a statistical standpoint what the possible complications were of having my babies either way. I knew what research was out there at the time. It was truly an exhaustive process convincing them that I truly DID understand the risks.
I don't think women should be subjected to what I went through to make their own choices, but I certainly cannot say that I didn't have ALL of the facts, something that every woman should be able to say.