C-section should be a choice?

Natalia

I’ve seen a fascinating poll here once asking if c section should be elective and it was heavily leaning towards ‘yes’. The poll got deleted, but I did some research on the topic and realized there seems to be a divisions between midwives and obstetricians over the best way to give birth. While midwives, and the government, advocate natural birth, many female obstetricians opt for a cesarean when they have their own children. Do they know something we don't?

Obstetricians and obstetric consultants chose C section when asked what method of delivery they would prefer if they or their partners were pregnant for the fIrst time with uncomplicated pregnancy. Their choice was based on concern about perineal damage from vaginal delivery, risk of injury to the baby, and the desire for an electively timed delivery. It was in their opinion safest method. And for the baby with weight of 4·6 kg or more, 88% would desire a c section.

Our government promotes "normal" deliveries to the public having obstetricians following gov. guidelines to reduce caesareans and not grant them to women without medical justification. While the same doctors in private chose c sections themselves. Reason for this could be that unlike midwives they do see the complications and consequences of childbirth on daily basis. Vaginal delivery is a major factor in womb prolapse, urinary and faecal incontinence. Some 42% of women show some symptoms of urinary incontinence, 4%-12% of women suffer from faecal incontinence.

Women who have a C-section must be told about the risks and sign a consent form in advance. Many experts thinks those who plan to have a vaginal delivery should be warned in the same. What to do you think?

I guess my question to you is whether you think caesarean delivery should be offered routinely to all pregnant women?