My mom alerted me to an
interesting article in the LA Times Business Section about how the rate of C-sections in our country is going up and up.
Here is a chart from the article - you can click on it to see a bigger picture:

Man, I don't know what Italy is doing there with an almost 40% c-section rate. One thing that stood out to me about this article is that it was in the business section - not health. The cost of a c-section is obviously much higher than a vaginal birth and a very profitable operation for a hospital. You can see on the map that some states have much higher c-section rates than others.
I have said before that the way a woman chooses to give birth is absolutely her choice and choosing a c-section is a fine option if that is what you really want. But it seems to me with rates this high not every woman is choosing it.
Here is a quote from the article descrbing some of the problems that can arise:
The problem, experts say, is that the cesarean -- delivery via uterine incision -- exposes a woman to the risk of infection, blood clots and other serious problems. Cesareans also have been shown to increase premature births and the need for intensive care for newborns. Even without such complications, cesareans result in longer hospital stays. Inducing childbirth -- bringing on or hastening labor with the drug oxytocin -- also is on the rise and is another source of growing concern. Experts say miscalculations often result in the delivery of infants who are too young to breathe on their own. Induction, studies show, also raises the risk of complications that lead to cesareans.The woman profiled in the article chose to have a V-BAC (vaginal birth after c-section) - which means that her first child was a c-section birth and then she had a vaginal birth. She preferred this because she has an active toddler at home that she needs to keep up with. Many hospitals won't even do this so she had to change doctors to find one that would support her. I had a friend in my quilting class who was going to Santa Monica UCLA (my birth place) to have a V-BAC after having a c-section for triplets. She chose SMUCLA because her regular hospital refused her wishes for a V-BAC.
OK - this is where I'm going to get a little opinionated.
Please stop reading at this point if you don't want to hear about my views on birthing. I was very strongly affected by the Ricki Lake movie - The Business of Being Born. I've mentioned it before on this blog.

I have not even let DH watch it yet because I wasn't sure if he would get mad and think it was too biased. He sometimes doesn't like to watch documentaries because he thinks they are biased. But the thing is - if you are filmmaker and you care enough about something to make a movie on it - you are probably going to have a bias. So I can watch a documentary with a viewpoint and still be able to say what part applies to me and what part doesn't. Or maybe I think the whole thing is crap -that's fine.
Anyway - one of the points that really affected me in the movie was how we routinely medicalize birth in this country. So many mothers are given pitocin to induce labor and I don't think this is always necessary. The movie showed a birth ward in New York and the nurses had a little matrix showing all the mothers who were in labor.
All of the mothers were in different stages of pitocin administration.
I think sometimes it's a matter of convenience for the mother or the medical staff. As much as no one wants to admit it - hospitals are a money making operation. If you have a mother in there who has been in slow labor for 20 hours or so - the medical staff might want to juice her up with some
pitocin (synthetic oxytocin) to get things going faster. Unfortunately, most of the time, pitocin makes contractions much stronger and often the baby goes into distress. Guess what - you have a baby in distress - what do you need? C-section. Bang bang boom.
And it's not like pitocin can't have harmful side effects! Read these (from Wikipedia):
Oxytocin is relatively safe when used at recommended doses. Potential side effects include:- Central nervous system: Subarachnoid hemorrhage, seizures.
- Cardiovascular: Increased heart rate, decreased blood pressure, systemic venous return, cardiac output, and arrhythmias.
- Genitourinary: Impaired uterine blood flow, pelvic hematoma, tetanic uterine contractions, uterine rupture, postpartum hemorrhage.
Believe me, I'm not going to be a crazy person and resist medical intervention if I need it and that's what Baby Cummings needs to come into this world. I have already discussed the need for inducing labor with my medical group. The reasons are:
- Going one week past your due date (it can harm the baby to stay in the womb too long)
- Your water breaks and labor does not progress after 12 hours (once your water breaks, the chance of infection increases... I was told this only comes into play in 15% of births so I'm hoping to be lucky. Also, most of the time if your water does break, labor comes on fast.)
So barring these two above circumstances, I am hoping to avoid the whole pitocin thing. Fingers crossed. This is another reason I want to labor at home for as long as I can before going to the hospital... I just don't want anyone rushing me. My medical group also said it's fine to labor at home as long as you are comfortable and again, that the two above things haven't happened. Or you don't have the Group B Strep which I've mentioned before.
Anyway - the whole point I am trying to make here is that it is important to be educated about your choices and think about the factors that may be coming in to play. It's important to know what decisions you may have to make during the birthing process and it's okay to ask your doctor to explain the risks and benefits of suggested procedures.
If you are interested in reading more about this, below is a list of links that I got from the Business of Being Born website. I have visited some of the links but not all.
ADVOCACY & BIRTH RESOURCES
Childbirth Connection: 212.777.5000 - www.childbirthconnection.org
Choices In Childbirth: 212.983.4122 - www.choicesinchildbirth.org
Citizens for Midwifery: 888.CFM.4880 - www.cfmidwifery.org
My Birth Team - www.mybirthteam.com
Birth Works: 888.TO.BIRTH - www.birthworks.org
Coalition for Improving Maternity Services (CIMS) - www.motherfriendly.org
American Association of Birth Centers (AABC) - www.birthcenters.org
Perinatal Education Associates - www.birthsource.com
Birth Policy: The Big Push for Midwives - www.birthpolicy.org
Better Birth America - www.betterbirthamerica.com
Giving Birth Naturally - www.givingbirthnaturally.com
Understanding Birth Better - www.understandingbirthbetter.com
OK, I am getting down off my soap-box now. Have a good one!