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  5. Here's some interesting info - made me raise my eyebrows!!

Here's some interesting info - made me raise my eyebrows!! Lock Rss

No wonder our health system is dying....

Had an interesting conversation the other day at work with a midwife - I had commented that I had noticed that recently a certain doctor seems to do more c-sections than not. Considering this person delivers 80% of the towns babies (she is the only one here that specialises in it), she is doing this A LOT!!! She delivers approximately 20 babies a month here at the moment.

So.... the midwife looks sideways at me and says - "do you know how much she gets paid for a section?" I say nope, and she says....

"$9000." blink blink blink

Not only that.... but they get a further $2000 for the epidural.

The thing is.... I have noticed with this particular doctor is that intervention seems to be the first port of call. For example... the other day a woman was labouring. She had been going for about 6 hours, was coping really well, no distress, everyone is happy. Doctor decides she is not progressing fast enough - and orders Cynto. The midwives are furious, there is no actual reason to do this.

But of course - one intervention leads to the next, and eventually you get a section. There has been quite a few inductions booked in from this doctor too, before their due date just because the woman wants it out, no medical reason. So she either books the induction or 'accidently' ruptures their membranes during a pv exam.

End result? Baby is not ready, things fail to progress, section it is.

Interesting hey??

Have you ever wondered why sections are at an all time high? And why some doctors actually encourage women to go for sections? I'm all for it if there is a MEDICAL REASON. However I do believe there is a money making racket going on here.




Where abouts is this if you don't mind me asking? And is it a public hospital or private? My birth experience would suggest quite the opposite, I didn't even see an OB the whole time I was in labour (had 1 midwife) and had quite a long labour (31hrs total, 9hrs in hospital). Not once did she suggest an epidural or think it wasn't progressing fast enough. If you want an epidural you have to beg apparently as they don't have many aneathesists (sp?) on call or OB's. Public hospital this is

DS - Nov 2008 & DD - Feb 2012

thats the issue with america and their system. the business of being born gives a really good look into the issue and i find it infuriating to watch and hear the birth stories over there.

very sad that it may be a growing trend over here.... the only way to make sure it does not become the norm is up to us mums to stay informed and well educated of our choices and options. now im not saying put ur baby in danger but certainly dont be fooled into making a choice of having intervention that is not required.

Where abouts is this if you don't mind me asking? And is it a public hospital or private? My birth experience would suggest quite the opposite, I didn't even see an OB the whole time I was in labour (had 1 midwife) and had quite a long labour (31hrs total, 9hrs in hospital). Not once did she suggest an epidural or think it wasn't progressing fast enough. If you want an epidural you have to beg apparently as they don't have many aneathesists (sp?) on call or OB's. Public hospital this is


you have a much better chance of a vaginal birth in a public hospital. wink

you have a much better chance of a vaginal birth in a public hospital. wink


So in a way understaffing and lack of funds means a more natural midwife approach to labour? It makes complete sense actually. Our friend has had 2 planned c-sections as a private patient as she wanted them, not for an actual medical reason. I like the way my hospital goes about labour, the room gets darkened and the midwife doesn't come in all the time so you get left to your own devices alot.

DS - Nov 2008 & DD - Feb 2012

Public hossie. This is just the one Dr I've noticed doing this - there are plenty of others we can choose from however people tend to choose her as she classes herself as the specialist of our town.

My Dr is very hands off... had her for dds birth too.

Just thought it was interesting that this happens in Australia....

To the pp: the general consensus is that one intervention leads to the next one. this doesn't always end in a section but quite often does. Sometimes the intervention happens at a time when the body is just not ready yet... hense the reason something else is then needed.





OB broke my waters to 'hurry things along'. As soon as she did that I remember it got a lot more uncomfortable. I think if she hadn't done that then I would've been a little more cruisy for the whole thing. I wonder, if she hadn't done that, would i have still asked for the epidural?

Is it really true that one intervention leads to another? Could our whole birthing process be completely changed if they would just butt out?

I really liked my OB.


here is a brief diagram of the cascade of intervention
http://www.preciouspassage.com/Cascade%20of%20Interventions.htm

some info
http://www.childbirthconnection.org/article.asp?ck=10182
I know it seems like a lot of money - but I don't think it is.

Most OB's pay over $1mil in malpractice insurance fees a year, just to protect themselves. So while $9-11k might seem like a lot for one person to take home for one procedure, don't forget about the hefty bills they have to pay!!!
I'm not saying they're not well off - but they DO have massive bills to pay. Which is why they charge so much.

Also, as far as pushing women to have c-sections - if I were an OB, i would be tempted to do the same. The sooner that baby is out, the sooner the risky part is over, and the sooner the risk of me getting sued diminishes. I think the idea of avoiding a multi-million dollar lawsuit is more attractive than recieving a small cut of $9000.

Sure, it might seem wrong, but from the perspective of an OB, i see it as fair enough. I'm not saying its right - but there are reasons as to why it is.
It must be different for different obs and hossys...

My ob doesn't get payed that and I know this as my friend does his and the other doctors pay smile

I know it seems like a lot of money - but I don't think it is.

Most OB's pay over $1mil in malpractice insurance fees a year, just to protect themselves. So while $9-11k might seem like a lot for one person to take home for one procedure, don't forget about the hefty bills they have to pay!!!
I'm not saying they're not well off - but they DO have massive bills to pay. Which is why they charge so much.

Also, as far as pushing women to have c-sections - if I were an OB, i would be tempted to do the same. The sooner that baby is out, the sooner the risky part is over, and the sooner the risk of me getting sued diminishes. I think the idea of avoiding a multi-million dollar lawsuit is more attractive than recieving a small cut of $9000.

Sure, it might seem wrong, but from the perspective of an OB, i see it as fair enough. I'm not saying its right - but there are reasons as to why it is.


which is why you couldn't pay me to see one, unless my baby or I had a medical problem!

How can someone possibly do their job properly or safely if they have their own best interests as their focus. Sure they have less chance if getting sued, but you have a greater chance of you or your baby dying....
I think sometimes the high rate of C-sections in private hospitals is also because a lot of older mothers and high risk pregnancies choose to have private hospital care and are therefore more likely to have c-sections.

It is true that intervention nearly always leads to more intervention. That's why I have chosen birth centre care for my babies, they try to avoid intervention for the longest (and safest) time possible. Sometimes intervention is impossible to avoid though........
Because of my previous experience of child birth, I am electing to have a c-section with my next bubba. My doctor wont do the section before 39 weeks. Personally have serve all day sickness throughout my pregnancy everyday til I give birth, I would love a section at 37weeks. I am mentally and physically exhausted by then. And generally have been in and out of hospital every week with dydration...

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