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Mums Being Pushed into c-sections? Lock Rss

The Courier Mail is today reporting how the c-section rate in private hospitals is above 50% in many cases.

There are a couple of points in the article I find interesting. One is:-

But some critics say growing numbers of medical professionals are convincing mothers to undergo caesareans just to streamline private maternity ward schedules and maximise revenue.

Across the state the figures add weight to the theory, with caesareans accounting for 27.6 per cent of births in public hospitals and a huge 48.3 per cent in private hospitals.


I had both my kids in a public hospital, so can't comment if private hospitals are more forceful about the c-sections. But for me my first experience was perfect, was allowed to go into labour naturally. Great birth. My second son was breech and I DO feel like I was given no option but to have a c-section. I was told there would not be an ob in the hospital who would deliver a breech baby naturally by choice, and I would have to look elsewhere if I wanted to try and deliver him natural. Getting told at 37 weeks I was going to need a c-section doesn't really give me time to look 'elsewhere' so I felt like I had no choice at the time, particularly when the obs seemed to have no confidence in their OWN abilities to deliver a baby feet first.


Those of you had a c-section ... Did YOU have your baby in the public or private system and did you FEEL pushed into having a c-section??
I think the figures speak for themselves. Although even the public hospital rate is too high so I think to a certain extent there are also lots of unnecessary surgery going on there too. My own experience doesn't really come down to public vs private so I won't comment on that, but as you said drs don't seem to have any confidence in their skills if they can't even provide assistance to a woman to birth breech, twins or anything else that isn't standard or textbook. I think it would be so much more worthwhile to put more money into midwives, birth centres and promoting homebirth this would not only get the c/s rate down but surely also be better on our health budget.
[url=http://www.mysmiley.net][img]http://serve.mysmi...] Sorry probably gone a little ot off the original question [url=http://www.mysmiley.net][img]http://serve.mysmi...]
LOL @ rubygloom

I had a c/sec in a public hospital - the better of my 2 births too - just for the record!
I did not feel at all pushed into having a c/sec, i was suffering complications birthing & the middies & OB was more than happy to leave me a while longer to 'see what happens', but i was not up for that at all - to be honest i was scared of what the 'see what happens' would hold. As it turns out, lucky my DH was vocal enough to get my feelings across because i would be dead & possibly my DD if we had of waited - the 'specialists' we actually unaware of how bad my situation was.
I didn't have a c-section but I totally agree with what you're saying. I was fortunate enough to know a gp/ob that had a very natural approach to her practice if it wasn't necessary to intervene. So I was lucky in that regard.

There is a mum on hugs that from all her posts I think she has been pushed into a c-section without giving her the option to decide for herself.... I find it really awful actually.

I think the best thing every woman can do is do as much research as she can so that she can make an informed choice independantly, with full knowlege of the pros and cons of both choices that are available.

On the other hand I have a friend that had 2 emergency c-sections which she feels really traumatised by. She went for 36 hours of natural labour with the first one before having a ceasar, and 27 hours with the second one. Her hips were just far too small to give birth naturally and it wasn't possible. In HER case..... I think her drs should have measured the head of the baby with an ultrasound and the width of her pelvis before they were due because she was never ever going to be able to give birth naturally. I don't see why they allowed her to go for so long unnecesarily.

My sil was terrified of giving birth.... so much so that she told her dr she was going to have a section - instead they gave her an epidural soon into the labour to minimise her fear and she ended up giving birth naturally, twice. smile
In her case I think they made the right decisions for the right reasons.





On the other hand I have a friend that had 2 emergency c-sections which she feels really traumatised by. She went for 36 hours of natural labour with the first one before having a ceasar, and 27 hours with the second one. Her hips were just far too small to give birth naturally and it wasn't possible. In HER case..... I think her drs should have measured the head of the baby with an ultrasound and the width of her pelvis before they were due because she was never ever going to be able to give birth naturally. I don't see why they allowed her to go for so long unnecesarily.
In her case I think they made the right decisions for the right reasons.

Unfortunately it isn't that simple. Ultrasounds aren't 100% accurate, babies heads mold and squish during labour as does a womans soft tissues. True cpd is very rare and not that easy to prove.
I gave birth at a 'birth centre' and they focus on natural birthing with not interventions. it was the perfect experience with a midwife with a great deal of knowledge.

when in labour my DD was proteior so had her back on my back. i've heard of some doctors thinking this is a reason for a c-section???? i just had to do some exercises on each contraction to turn her....and she turned!!!
i believe that if i was in a normal labouring ward i would have been pushed into have a epi followed by a c-section.

safe to say....i have already been referred through to a birth centre again for this bubba!!!!



When I went to hospital as a public patient and attended antenatal classes they said that your chances of having a caesar were dramatically higher if you went in as a private patient.

when in labour my DD was proteior so had her back on my back. i've heard of some doctors thinking this is a reason for a c-section????


Wow - i carried both my kids posterior & it was never even suggested to have a c/sec for that.

jeepers.

I gave birth at a 'birth centre' and they focus on natural birthing with not interventions. it was the perfect experience with a midwife with a great deal of knowledge.

when in labour my DD was proteior so had her back on my back. i've heard of some doctors thinking this is a reason for a c-section???? i just had to do some exercises on each contraction to turn her....and she turned!!!
i believe that if i was in a normal labouring ward i would have been pushed into have a epi followed by a c-section.

safe to say....i have already been referred through to a birth centre again for this bubba!!!!


Me too. I had all but one of my kids at a birthing centre. Best experience ever. All my kids were prosterior. I had the water injections in my lower back to help with the pain and also did exercises to turn the baby which they all did.
My first baby i had in a public hospital and for me it was awful and yes they tried to get me to have a c-section. I didnt though.
I had an induction in a public hospital. I started getting contractions just before 9am. They were regular, lasting about 50sec and 2 minutes apart. I was only 1cm dilated and stayed that way till about 4-4:30pm when I had my next internal examination and they broke my waters. I was in agony before my epidural was put in and my DS was becoming distressed, which I didn't realise untill about 5 doctors (interns, OBs, and anaesthetists) appeared in the room. They asked me what I wanted to do. I was really out of it so I just asked them what was the safest option for my bub. They said that given I was only 1cm dilated, even if they started the drip I would be in labour for hours and my bubs pulse was already dangerously low.
I never felt pushed into my c-section. They said if I wanted to try and birth naturally they would support my decision. I really wanted to (we were going to have a water birth initally) but my son's safety was more important to me.
I was induced with my DD at 39 weeks when they discovered that she had next to no fluid left around her (only 3 1/2cm). Within 15 mins of prostin gel going in her heart rate plummetted. It then came back up but a few minutes later it was back down in the 80's. The staff at the hospital were great and I did NOT feel pressured at all into having a ceasar. I do feel that they gave me the facts as best they could and let me draw my own conclusions from them. The fact of the matter was they didn't really know what was happening because I was not experiencing contactions, at least not ones that either I could feel or the CTG trace could detect but something was making DD's heart rate drop every 5 mins and they were fairly sure it was very mild contractions starting which were compressing the cord and causing her to go into distress. I have absolutely no doubt that if they had not done a ceasar with her she would not have survived a natural birth.

Having said that, if I do manage to carry another baby for long enough to give birth to a live baby I will be doing everything I can to go naturally next time and will be discussing it with my OB when the time comes.

Oh and my DD was born in a public hospital and any future babies will be born at the same hospital.





I had my baby in a public hospital and had a c-section. After 26 hours of labour I was relieved when they finally told me it would be necessary. I remember lying there thinking over and over 'please give me a c-section, please give me a c-section' because my whole labour experience was awful. I didnt feel pressured into having it. I do think that if the hospital had done things to encourage my labour to go down a different path then it may not have been necessary- but in the end it was and I was grateful to have it all over and done with smile
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