Join the Meeting Place for Moms!
Talk to other moms, share advice, and have fun!

(minimum 6 characters)

CNN Health Article on C-Sections

Posted by on Aug. 31, 2010 at 6:34 PM
  • 69 Replies


http://pagingdrgupta.blogs.cnn.com/2010/08/31/ripple-effect-seen-from-rising-c-sections-in-first-time-moms/

One in three first-time moms are now delivering their babies by Caesarean section, according to a new study.

This has a tremendous ripple effect because most of these moms are likely to have repeat C-sections, says lead study author Dr. Jun Zhang.  "C-section in first-time mothers is increasing and VBAC (vaginal birth after C-section) is decreasing."

Zhang is a labor and delivery expert at the Eunice Kennedy Shriver National Institute of Child Health and Human Development, which funded the research.  He says his study, published in the American Journal of Obstetrics & Gynecology, also found that 44 percent of women who attempted vaginal delivery were induced, and in this group the C-section rate was twice as high as women who were not induced.

More research is needed to determine whether inducing a pregnancy leads to complications, which then make a C-section necessary, Zhang says.

Zhang also says the study suggests that doctors may not be patient enough.  Researchers found that with first time moms attempting natural delivery, the decision to deliver the baby by C-section was made before the recommended three hours of "second stage of labor" (when moms are pushing) or before the moms were at least 6 centimeters dilated, both short of the recommended guidelines set by the American College of Obstetricians and Gynecologists.

Zhang and his co-authors analyzed electronic medical records from more than 200,000 births at 19 hospitals across the United States.

In March, the Centers for Disease Control and Prevention released data that shows that 32 percent of babies in the United States are delivered by C-section, which is the highest rate ever recorded and 53 percent higher than the rate in 1996.  Some pregnancy complications that could make a C-section more likely include the age of the mother, the mother's weight and twin or multiple pregnancies.

Zhang says scheduled repeat C-sections now contribute to almost a third of all Caesarean deliveries.  He says only one in six women even attempted natural delivery after having a C-section in a previous pregnancy.  "Prelabor Caesarean delivery due to a previous uterine scar (from previous C-section) was the most common reason for Caesarean section," the study said.  According to an NIH panel of experts on vaginal birth after Caesarean, the risk of uterine rupture is a common reason for doctors to suggest a repeat C-section, even though that risk is lower than 1 percent.

Carol Hogue,  a maternal and fetal health expert at Emory University in Atlanta, Georgia,  was on the NIH panel.  She strongly believes that moms-to-be need to be better educated before they have their baby. "C-section itself is not a benign thing," says Hogue. While many people may no longer view Caesareans as a major operation, she says women need to remember that there are risks
for a mother because it is still major surgery, which can include complications with anesthesia and scarring.  'The process of labor helps the baby survive," Hogue adds.

Just last month, ACOG reaffirmed its guidelines that VBAC is a viable option and urged physicians to counsel women who have had one or two previous C-sections to consider delivering their baby naturally.

The study concludes that if fewer women were induced, if better guidelines for the timing of Caesareans existed and if women were better educated about their ability to deliver a baby after a surgical birth,  it could help lower the number of C-sections in this country.

by on Aug. 31, 2010 at 6:34 PM
Add your quick reply below:
You must be a member to reply to this post.
Replies (1-10):
Sweet_Britt
by on Aug. 31, 2010 at 6:40 PM

1 IN 3 WOMEN? WOOOOOOW! Thats crazy!

doulala
by on Aug. 31, 2010 at 6:41 PM

Obviously, it's all the more important to avoid the first cesarean~

:-(


Quoting CTRedSoxMom:

The study concludes that if fewer women were induced, if better guidelines for the timing of Caesareans existed and if women were better educated about their ability to deliver a baby after a surgical birth,  it could help lower the number of C-sections in this country.

Glad you're helping to spread the info!

:-)


Reluctant doctors like to believe that they haven't much influence over
their patients, but that is clearly not the case. Several studies have
found that when doctors genuinely encouraged women to have VBACs, most
of them did, and when they said nothing or acted neutral, most women
didn't. Finally, when obstetricians discouraged VBAC in women who
wanted to try it,none of them did.

Henci Goer, Thinking Woman's Guide to a Better Birth

CTRedSoxMom
by on Aug. 31, 2010 at 6:41 PM

That is just first time moms too!

Quoting Sweet_Britt:

1 IN 3 WOMEN? WOOOOOOW! Thats crazy!


CTRedSoxMom
by on Aug. 31, 2010 at 6:41 PM

Yup!  Preventing the first cut is MOST important!

Quoting doulala:

Obviously, it's all the more important to avoid the first cesarean~

:-(

Countrygerl
by on Aug. 31, 2010 at 6:44 PM

Uhhh why does everyone bash c sections. And yes I was the 1 in three first time mothers that had one. My options was not have a c section and me and the baby can die or have a c section and me and the baby can live. So I chose life. And guess what I am having another one in March. Go c section moms!

CTRedSoxMom
by on Aug. 31, 2010 at 6:45 PM

No one bashed c-sections. I have had TWO c-sections. 

Quoting Countrygerl:

Uhhh why does everyone bash c sections. And yes I was the 1 in three first time mothers that had one. My options was not have a c section and me and the baby can die or have a c section and me and the baby can live. So I chose life. And guess what I am having another one in March. Go c section moms!


Sweet_Britt
by on Aug. 31, 2010 at 6:47 PM

LOL! Im def not bashing C-sections. I've had 3, all emergency, life saving c-sections (REAL life saving, not "scare tactic from the doctor" life saving...LOL).

I would never bash a c-section.

Quoting Countrygerl:

Uhhh why does everyone bash c sections. And yes I was the 1 in three first time mothers that had one. My options was not have a c section and me and the baby can die or have a c section and me and the baby can live. So I chose life. And guess what I am having another one in March. Go c section moms!


doulala
by on Aug. 31, 2010 at 6:49 PM


Quoting Countrygerl:

Uhhh why does everyone bash c sections. And yes I was the 1 in three first time mothers that had one. My options was not have a c section and me and the baby can die or have a c section and me and the baby can live. So I chose life. And guess what I am having another one in March. Go c section moms!



Not "bashing"~   just health-and-safety conscious women!

Should we be happy that something dangerous for babies and women is happening so frequently that it does more harm than good ?      ;- /


Perhaps a re-phrase:   Go health and safety as The Priority!

;-D






The U.S. cesearan rate is at a record high of 31.8%;   in 1970 it was 5.5%.


"There is no scientific evidence that doing over 10 percent of births

with a cesarean improves the outcome for the woman or improves the

outcome for the baby."          ~Dr. Marsden Wagner


 "A successful VBAC occurs about 73% of the time. If a hospital bans VBAC, they're basically telling 73% of women that they have to undergo a surgical procedure that carries

more morbidity than if they had a vaginal birth. That's outrageous to me."    ~Dr. Stuart Fischbein


VBAC



Randi02
by on Aug. 31, 2010 at 6:55 PM

No one is bashing c sections. There are a lot of unnecessary ones being done, and like any surgery... They have risks!

I've had c sections, but they were for things like prolapsed cord and full placenta previa. Most women don't have those complications. They are given for things like babys heart rate dropping during an induction, 'failure to progress', baby 'too big' etc. which are not usually emergencies.

Quoting Countrygerl:

Uhhh why does everyone bash c sections. And yes I was the 1 in three first time mothers that had one. My options was not have a c section and me and the baby can die or have a c section and me and the baby can live. So I chose life. And guess what I am having another one in March. Go c section moms!


I am a Canadian,breastfeeding (it IS best, there is nothing even close to that nutrition and bond), co sleeping, extended rear facing (if you don't rear face to the maximum of your seat, you're NOT doing all you can to protect your child), baby wearing, Non spanking (I want my kids to respect me, not fear me) ANTI- CIO, homemade baby food making, cloth diapering, organic (chemical free household!) recycling mama to THREE! My husband is my equal and best friend, not my master and I believe basic health care should be a human RIGHT, not a privilege.

palemoon21
by on Aug. 31, 2010 at 6:57 PM

Thank you for sharing this article! :) It's all about us being educated and taking responsibiblty in our own health.

Quoting doulala:

Obviously, it's all the more important to avoid the first cesarean~

:-(


Quoting CTRedSoxMom:

The study concludes that if fewer women were induced, if better guidelines for the timing of Caesareans existed and if women were better educated about their ability to deliver a baby after a surgical birth,  it could help lower the number of C-sections in this country.

Glad you're helping to spread the info!

:-)



Add your quick reply below:
You must be a member to reply to this post.
Join the Meeting Place for Moms!
Talk to other moms, share advice, and have fun!

(minimum 6 characters)