Archive for the ‘Cesarean’ Category

Preventing First Cesareans- Consumer Statement

May 14, 2014

Many expectant parents are concerned about the high rate of cesareans. Indeed, they have reason for concern. One in three women in the United States (32.8%) now give birth by cesarean, and the dramatic rise in the cesarean rate has not improved outcomes for women or babies.  The World Health Organization recommends a cesarean rate between 5 and 15 percent, because data suggest that rates above 15 percent may do more harm than good. Cesareans can be lifesaving when they are needed, but when they are used without a medical reason, the risks can outweigh the benefits.

In order to bring down the rising cesarean rate in the U.S., the American College of Obstetricians and Gynecologists (AGOG) and the Society for Maternal-Fetal Medicine (SMFM) released guidelines for the “Safe Prevention of the Primary Cesarean” in February 2014. These groundbreaking guidelines recommend changing many standard elements of maternity care and have the potential to dramatically improve the quality and experience of maternity care for the women of New York City and across the United States. CiC has created a summary, available for free download, of some of the key recommendations made by ACOG and SMFM so that you can discuss them with your doctor or midwife.

Ask how your doctor or midwife and your hospital or birth center are responding to these new recommendations

Preventing First Cesareans- Consumer Statement


Cesarean—Not Just a Surgery

March 15, 2013

By Michele Demont

Michele de Mont pic smallerIn the US, one in three mothers will give birth by cesarean section. Chances are you have had one or know someone who has.  There are varied reactions after having a cesarean birth – some are grateful, some indifferent, others loved it, and still others found it disappointing or even traumatic. All of these reactions and feelings are valid. For the women who have had a more negative experience with their cesarean sections, we need to look into why. What can be changed to take away some of the negative feelings around having a cesarean birth?

The cesarean birth of my first child wasn’t a very positive experience. My doctor and the OR staff ignored us, they gossiped during the surgery and though my son was perfectly healthy they refused to let me touch him or simply show him to me. The whole process was very rushed and we were treated as if we were on an assembly line. This experience made me view cesarean sections in a negative light, and I was afraid to have another one in the future.  Little did I realize at the time that it was the doctor and staff that made me feel this way–not cesarean birth itself.

When I’ve come across other mothers who have had negative experience with cesareans, I hear a very similar theme throughout. Many say they did not receive the support they needed throughout the surgery and/or afterward (especially if they had complications from the surgery), they were needlessly separated from their babies for hours, or felt detached from the whole experience. Doctors and hospital staff perform cesareans—which are relatively quick and predictable—multiple times a day, day after day. Unfortunately, routine and predictability often breed complacency. It can be easy to forget what is just another day in the office for you is a once in a lifetime moment for somebody else. This can make both mothers and fathers feel ignored and treated like a number.

A few years ago I came across a video about something called the natural cesarean.  Until then I had no idea this was being done in other places, and I was intrigued by it. The mother, father and baby were all being treated respectfully and the parents were involved in the cesarean birth of their child like I’d never seen before.  I knew if I were to ever have another cesarean, I wanted it to be like that.