tag:blogger.com,1999:blog-4816906012110607843.post7750620856760623316..comments2023-10-20T04:50:12.721-07:00Comments on Carolyn's blog: Caeserean section ratesCarolynhttp://www.blogger.com/profile/02464510128406258242noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-4816906012110607843.post-3125874515918938592007-09-08T16:59:00.000-07:002007-09-08T16:59:00.000-07:00Thanks for your reflections on cesarean section. A...Thanks for your reflections on cesarean section. As you say, we do not even know how many women request c/s-I would suggest that it is blurred ie obstetricians and midwives justify the c/s under a different category ie find another reason to do the c/s rather than maternal request. How many times have we seen that with induction of labor - we are not honest and say it is at the woman's request. But as someone once said to me, no where else in medicine do we carry out surgery at request unless it is paid for - would we chop off a woman's leg because she wanted us to? Yes, I know plastic surgery goes against my argument, but mostly it is paid for privately. On the other hand, would 100% c/s rate really be an issue? After some of the births I have seen, especially instrumental deliveries, it is hardly surprising women opt for a c/s second time around. What I am concerned about is, are we (midwives and doctors) losing our skills at 'managing' normal birth that actually, c/s is better than a mis-managed vaginal birth? Sorry about the word 'manage', I probably mean facilitate or some other word.Sarah Stewarthttps://www.blogger.com/profile/00480597227427423793noreply@blogger.com