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Giving Birth: The Caesarean Debate (6 Letters)
NY Times ^ | December 5, 2004

Posted on 12/04/2004 6:48:51 PM PST by neverdem

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To: annyokie

Same here. My first was natural. My second was induced and I had an emergency section after he distressed. My third was to be VBAC but she went into distress after induction and I was sectioned again. My 4th was a scheduled section. Thank God I can't have any more. I do wonder about the rate of inductions leading to sections though.


21 posted on 12/04/2004 8:31:30 PM PST by PleaseNoMore
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To: neverdem
I've had 3 C-sections so far. Ziplock birth. The ooooonly way to fly. Takes 15 minutes and no pain at all (except the 1st time you get out of the bed the next day, when you see STARS, but that diminishes the more you get up).

For me, having a BABY was the beautiful part. Not the birth.

22 posted on 12/04/2004 8:31:47 PM PST by Yaelle
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To: annyokie
He sleeps great when he's allowed to. His 2 and 4 year old brothers try to smother him with kisses him whenever they see him. He sleeps wonderfully at night, though. Wish his brothers did.

This arfternoon we went to Jo-Ann's and my husband bought him a teeny blankie with a blue dog on it, just because it made Matthew smile. I've never sen him buy a baby impulse item. His excuse, "It didn't cost much."
23 posted on 12/04/2004 8:34:08 PM PST by HungarianGypsy (We are the pirates who don't do anything....)
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To: annyokie
Men don't get it that we would walk through fire on broken glass barefoot for our babies.

And then carry them back over it.

24 posted on 12/04/2004 8:36:03 PM PST by Yaelle
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To: HungarianGypsy

A newborn? Congrats!!! I miss having a newborn; my baby is almost 2!


25 posted on 12/04/2004 8:37:31 PM PST by Yaelle
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To: Rennes Templar

I did all of that too. I exercised, ate right, took Lamaze and still had a section with with a 6 lb baby boy. My first son was easy at 4lbs. I had two more sections after the birth of my 2nd son and did everything right. Their size wasn't a factor either. They were all under 7 lbs. Pitocin made me contract horribly and my cervix became inflamed and I could not dialate. I blame the pitocin. I should have done it au naturale as I did with my firstborn. No meds of any kind. It was a lot easier that way.


26 posted on 12/04/2004 8:37:31 PM PST by PleaseNoMore
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To: neverdem
My wife has had 6 drug/complication free VBAC's. The doctor tried to use some ACOG crap to bulldoze us into a C on the last one. But I know it was about the lawyers. We chose another doctor which was sad because we wanted a fantastic midwife in the practice. The new doc tried to push pitocin on us, we sidestepped that bullet and almost had the baby before he could get to the hospital. Hospitals, BTW are getting to be more of a pain in the arse each time. I sympathize with anyone having their first.

If you are having your first, consider this: We have had 4 boys, each one had bradycardia (slowing of the heart rate during contractions) issues during the delivery, but on the first, we were stampeded into an emergency C (followed by amniotic pneumonia + 10 days in the NICU) when my wife was already at 10 cm and the doctor had only been on the scene for less than 3 minutes. The other three boys were big + full term perfect babies. (The girls were perfect with no bradycardia issues)

Try this mental exercise: If every delivery was a C [READ MAJOR ABDOMINAL SURGERY] do you think that there would be more or less complications + morbidity than if every delivery was natural?

27 posted on 12/04/2004 8:45:38 PM PST by Theophilus (Save Little Democrats, Stop Abortion)
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To: PleaseNoMore
Some of us are just not made for babying. That's my theory. I know we love them, and I would have a schoolroom full but I can't.

I dare any of the we had a C so we'ed not lose our figure types to weigh in.

I am apparently not equipped to reproduce. Hard labor and c-sections. I'll die if I have any more. Guareented. Hub is 63, it's unfair to future children. I am pushing 46 come Xmas which is my birthday. No more for us.
28 posted on 12/04/2004 8:47:58 PM PST by annyokie (If the shoe fits, put 'em both on!)
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To: Yaelle; HungarianGypsy

Gypsy had the sneak attack baby. Such a cutie!


29 posted on 12/04/2004 8:50:42 PM PST by annyokie (If the shoe fits, put 'em both on!)
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To: HungarianGypsy

I'm so pleased! Merry Chistmas to you! No more babies for me so I rejoice in my friends little ones!


30 posted on 12/04/2004 9:04:45 PM PST by annyokie (If the shoe fits, put 'em both on!)
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To: annyokie
VBAC is statistically a risky procedure. Uterine rupture (approximately a 1% risk according to the literature) is a catastrophic complication. The child at best would likely have brain damage from hypoxia, and mother is at grave risk. The c-section that occurs in this setting is "Dash, splash and slash" which often is complicated by a large uterine scar. If the mother is bleeding catastrophically, a cesarian-hysterectomy will be likely which carries a high degree of danger as well.

As i write this, I am in my call room at my hospital where I am an anesthesiologist. We stopped doing VBAC as a result that it is an completely unnecessary risk. An elective repeat c-section has an incredibly small risk. The risk associated with VBAC is probably 10,000 to 100,000 times greater. If I can reduce your risk by 10,000 or 100,000, how could we suggest otherwise?

While I have presided ovefr numerous VBAC in the university setting, I could not imagine subjecting my child to this danger, and I question the parenting skill of any mother who might take this risk to be "self-fulfilled". I am of the opinion that if VBAC's continue, they will likely be in the tertiary setting of the university hospital, and I for one will not be sad to see them go.

As for the legal problems, I agree with the notion that lawyers are driving this, as an obstetcial disaster is often a cash cow for the plaintiff's bar -- just ask Mr. Edwards how much money he scammed in obstetrical litigation.

31 posted on 12/04/2004 9:11:43 PM PST by gas_dr (Trial lawyers are Endangering Every Patient in America)
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To: annyokie

My wife's working on number four right now (third pregnancy). Her first doctor tried to have her have a cesaerean merely because she had twins and one of them was breech. We made the doctor turn the child once the first had come out rather than slit my wife.

Our best friends have just had number four (the second naturally). The first one was "taking too long". The second one was via the knife because the first one was, and our friends foreigner doctor kept them in the dark about any other option. Then they got a new ob/gyn, and haven't had to see the knife since.

I guess, though, I haven't a clue about what I am talking about here, since you, the expert on me, say so.


32 posted on 12/04/2004 9:34:11 PM PST by Hermann the Cherusker
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To: annyokie

I don't get what this is about either?

One of my friends had her first baby as a C-section. Then she had an ectopic pregnancy.

She opted to have her son as a C-section because of the possible risks.

My mate is a class babe. She just told everyone..'Look folks, I'm just too posh to push!' :-)


33 posted on 12/04/2004 9:38:52 PM PST by Happygal (liberalism - a narrow tribal outlook largely founded on class prejudice)
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To: neverdem

It's not VBAC that's unsafe. It's the P*I*T*O*C*I*N. In the original article, the doctors admit that many women simply wait until late in labor to come in, and at that point they have no choice but to deliver the babies vaginally. I'm not attacking anyone who had a cesarian or repeat cesarians. But I think it's very ignorant to blame the complications on VBAC, when it's known that giving Pitocin to women who've had previous cesarians increases the risk of rupture. Pitocin induces unnaturally strong and painful contractions. Normally, the contractions gradually increase in strength and frequency and reach their climax right before the baby is being delivered. Again, this isn't a slam against women who've had cesarians for whatever reason so there's no need for anyone to get defensive. But banning vaginal birth altogether for women who've had past cesarians shows ignorance and fear of malpractice, not concern for women's health.


34 posted on 12/04/2004 9:40:17 PM PST by blurb
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To: neverdem

My mother had all seven of us by c-section and the doc finally said at the last one she had to stop. Her labor was mismanaged when I was born, so they did a c-section, and then they would never let her labor...

It must have been really common around 20 years ago because it seems like every other person my age I know was "from my mother's womb untimely ripped", as Shakespeare would put it.


35 posted on 12/04/2004 9:49:06 PM PST by JenB (I will not turn into a snake. It doesn't help.)
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To: annyokie

My mom had a C-Section with me. I was very very very late.


36 posted on 12/04/2004 9:50:31 PM PST by Bella_Bru (You're about as funny as a case sensitive search engine.)
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To: Hermann the Cherusker

You have a really horrible attitude towards women who have had C-sections?

When you personally shite a basketball without a sepository come back to me.


37 posted on 12/04/2004 9:50:31 PM PST by Happygal (liberalism - a narrow tribal outlook largely founded on class prejudice)
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To: Rennes Templar
I think c-section is like many medical procdeures: they become necessary because there was inadequate preventative means used to avoid the condition, and prevention is not used because the doctors are ignorant of it themselves

My mother did everything by the book. She still needed a C-Section. This may come as a surprise, but FReepers aren't all doctors or experts on everything, as much as some of them like to think they are.

38 posted on 12/04/2004 9:52:55 PM PST by Bella_Bru (You're about as funny as a case sensitive search engine.)
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To: Happygal; annieokie
You have a really horrible attitude towards women who have had C-sections?

Say WHAT?

What the heck are you talking about? I haven't made any comments about women who had cesaereans. I mentioned doctors and lawyers.

Let me restate myself again. The point of the original article is the problematic attitude of doctors who jump forward with the knife at the least medical provocation, no thanks to legal a**holes like John Edwards; and that many of these doctors give little or no counsel to the women they perform this surgery on as to their options.

So that makes me have a horrible attitude towards women who have cesaereans because I think there should be fewer such operations?

Just what rock did you crawl out from under to come up with such a preposterous insult?

39 posted on 12/04/2004 10:21:49 PM PST by Hermann the Cherusker
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To: annyokie

Sneak attack? Preemie??


40 posted on 12/05/2004 12:06:16 AM PST by Yaelle
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