Sure there are high-risk pregnancies, need for emergency c-sections, premature births and other complicating factors that are very real considerations, but these are exceptions, not the rule. Unfortunately, the rate of c-sections is increasing(1)to almost 1 in every 3 births!
How can this be? If such a natural process, why so many medical procedures? Many blame the increase on a decrease in VBAC births (vaginal birth after cesarean). This makes sense since most physicians recommend c-sections for consecutive deliveries if the first was a c-section. But there are likely other factors as well. Epidurals, pain meds, stress response and yes, mere convenience may factor into this increase as well.
For example, some studies have supported an increase in cesarean deliveries when epidural analgesia has been used (2).
Generally speaking, I think the "medicalization" of childbirth has taken place largely due to two main factors...our litigious society, and seeking comfort. Physicians are scared of being sued, and women want to eliminate pain. I hate to break it to you...childbirth is painful! Trust me...I've never been happier to be a man than when watching my wife labor!
All that aside - when we take natural processes and turn them into risky medical procedures, why do we wonder why healthcare costs are so high?
Just some thoughts...
Dr. Joel
www.lifestylechirocenter.com
SOURCE:
1. CDC.gov
http://www.cdc.gov/nchs/data/nvsr/nvsr57/nvsr57_12.pdf
2.Effect of epidural analgesia for labor on the cesarean delivery rate
Morton, Sally C. et al. Obstetrics & Gynecology. June 1994:Volume 83 - Issue 6.
Friday, April 16, 2010
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