Tuesday, April 15, 2008

The Power of Cesareans

I had a visible reminder this weekend of the power of cesareans. That unseen, tangible angst of a woman who is planning her next pregnancy. Or not. And I want to ask OB's how they treat the aftermath of the cesarean?

Have you ever walked into a room to find your wife sobbing, not because she can't get pregnant, but because she is terrified to make that journey? I know husbands and wives who daily are facing those tears because they can't stand the thought of having their choices taken from them, forced into a surgery they MUST comply with or be refused care or seek care wherever they can find it, or give birth at home alone, without a midwife to help them. Frankly, I find it reprehensible and tragic that we allow these doctors to put women in that kind of state over simply deciding if they want to have another child in their lives.

This is mass control of reproduction, for the sake of defensive medicine and malpractice. Many times, these women are asked repeatedly during their cesarean, or leading up to it, if they want to have a tubal ligation. Pushed because of the "risks" of multiple cesareans. And yet, no one wants to do VBAC because it might risk the care provider. Not the mother or the baby. The care provider.

Studies show that more women choose to be infertile after the trauma of a cesarean, EVEN if it was a planned cesarean. What does this say about the process of surgery and recovery?

Tuesday, April 1, 2008

Cesarean Awareness Month

Two things about Cesarean Awareness Month:

1. ICAN memberships are cheaper. While this may not sound like much...it means that you can do more for women for less money. Help em out, would you?

2. Oh, yeah..and there is this little statistical analysis that came out yesterday or so..

From the summary:

"Some factors that help explain the rising caesarean rates are:
increasing maternal age, rates of hypertension, diabetes, obesity and
multiple gestations. However, the increase in proportion of caesarean
births exceeds actual increases (individually and collectively) in the
prevalence of these conditions among pregnant women. In other words,
the caesarean birth rate is rising faster than medical or demographic
conditions would justify."

The report is available here:

http://www.cmnh.ca/cesarean.htm

In OTHER words..it aint cause we're fat, unhealthy or any other reason. Let's pin that blame back squarely on the shoulders of those who are making the choice to cut:
The Medical Care Providers.