Naturally, I asked him to leave, and the birth was attended by some quite reasonable nurses. The only way to survive American health "care" is to know your facts and advocate for your own interests. The average physician in this country is mostly interested in billing you and moving on.
I never said it wasn't real I simply said it's in a minority of cases because it is. I've met dozens of OBGYNs who all think needless c-sections are simply unethical and who would never do them. But just as your experience mine is yet another anecdote.
c-sections in general are not a majority of births. Needless ones should be a subset of that (though because of the way reporting is done it's hard to determine which ones are and are not needless).
Hospital Name City State Rate
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Hackensack Medical Center Hackensack NJ 41.8%
HackensackUMC Mountainside Montclair NJ 29.8%
Holy Name Medical Center Teaneck NJ 16.1%
Morristown Medical Center Morristown NJ 30.1%
Obviously, if a hospital is specializing in C-sections, it will handle cases where the likelihood of having a sectino is much higher.
(Similarly, hospitals are very dangerous places if you compare the death rate in a hospital to the death rate at any other place where people stay. Of course it's mostly not because hospitals kill people, it's mostly because people go to hospital when they are sick.)
This is purely a hypothesis, however.
See: https://www.statnews.com/2015/12/01/cesarean-section-childbi...
In actuality, measuring the C-section rate is one way to measure the quality of a hospital. Of course, the morbidity of the population must be taken into account, but it is worth noting that a C-section is a surgical intervention with much higher associated costs and pay.
* Epidurals may cause your blood pressure to suddenly drop. For this reason your blood pressure will be routinely checked to help ensure an adequate blood flow to your baby. If there is a sudden drop in blood pressure, you may need to be treated with IV fluids, medications, and oxygen.
* Other studies suggest that a baby might experience respiratory depression, fetal malpositioning, and an increase in fetal heart rate variability, thus increasing the need for forceps, vacuum, cesarean deliveries and episiotomies.
Try doing a hit of fentanyl via IV and see what your blood pressure is.
I hate the way the medical community makes words like 'may', 'could' so intentionally vague. Could mean 90% chance, could mean 1%, depending on the context. It's like speaking a doublespeak.
Obviously c-sections that are not planned are needed
Um, what? So let's walk through a scenario here. A woman has an issue where she had to have an emergency c-section in a previous birth. So far you're okay with that, right?
Okay now this woman is having a second child. Conducting a v-back can be dangerous (it's at least a higher increase of complications from a vaginal delivery especially if the previous c-section had to be more invasive than normal). So the doctor schedules it, typically at about week 38 to avoid natural delivery kicking in.
So you are saying that, in my scenario, the scheduled c-section is "elective" and not "medically necessary"?
That's a really wrong viewpoint. Kinda dangerous really.
No but it increases a patient's comfort. I'm going to assume you've never given birth because it's exceptionally painful and can last over 30 hours (especially if it's the first baby). Pain management is huge in medicine and many people are willing to take risks.
FYI being able to properly manage the pain actually can save lives though those statistics are far harder to get. For instance extreme pain during child birth causes some mothers to pass out which, if the baby is in the birth canal, can be incredibly dangerous. I've seen this. It's very scary.
> scheduling c-sections don't reduce mortality rates.
Absolutely false. The vast, vast majority of the time you're scheduling a c-section because the mother has a complication that could put her or her baby at risk for a normal birth (previous c-sections for instance; extremely dangerous to try a v-back for many women).
Maybe there are some doctors who schedule it just because but that's an exceptional case, statistically.