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Scheduling a C-Section Just Came With an Extra Dose of Scary

by Michele Zipp on August 7, 2012 at 1:59 PM

mom baby after c-sectionWhen I was pregnant with my twins, I remember so many people automatically thinking I was going to get a c-section. Friends, particularly those without children, would casually note that I would deliver my baby by cesarean. That wasn't my plan -- I knew twins could be delivered vaginally. Though I did end up with a c-section after getting preeclampsia/HELLP syndrome.

I was lucky and I made it to 36 weeks. My babies were considered late-term preemies, and while we did have some challenges, we all ended up healthy. Late-term preemies tend to sleep through feedings and you have to wake them so they eat and thrive. I know many women who had preemies -- babies born weighing just one pound -- and their outcomes were filled with many struggles, serious complications, and heartbreakingly some babies didn't survive.

This is why people cannot understand why any woman would want to risk baby's health and deliver early via c-section. And experts are finally talking more about the dangers.

It was found that one in 10 women who have a c-section develop an infection around the c-section scar. The infection was so bad in some cases that their hospital stay was extended. Some went home only to have to be re-admitted because of the pain and severity of the infection. While some complications are minor, others are severe enough that deep tissue and internal organs can be affected. There were cases of an infection in the lining of the womb along with reproductive tract infections. Women who are overweight and teen moms were more likely to contract a serious infection after birth.

This is not only very challenging for a new mom, but for the baby as well. If a mom isn't fully recovered quickly after a c-section, it can open the door for issues with breastfeeding and even postpartum depression. This isn't just notable natural birth advocates like Ina May Gaskin who are calling out the cesarean dangers now. I'm hoping this revelation by expert doctors will have more people taking notice and realize that a c-section shouldn't be something you casually schedule like you would a haircut.

"This study has identified high rates of surgical infection following a cesarean with one in ten women developing an infection," lead author Dr. Catherine Wloch, Department of Healthcare Associated Infection and Antimicrobial Resistance, Health Protection Agency said. She went on to say how prevention should be a "clinical and public health priority."

Any woman who has to have a c-section should receive the best care, and whatever needs to be done to prevent infection is vital. I know c-sections are very often necessary and life-saving. It sure was in my case and I'm so thankful for the great team of doctors I had. I'm just hoping this study along with the facts on how having a baby before your due date by induction or early scheduled c-section will make women think twice. The risks are great -- they aren't worth it for mother or baby. We should remember that a due date is also a guess. Barring any complications, we should wait until baby is knocking on our uterus to enter the world. Every week is vital in a baby's development. Even one week can make a huge difference in how well a baby can thrive outside the world. Ask any mom of a preemie and she will tell you how having a baby early isn't worth the risk of getting baby out for convenience sake. Luckily many hospitals aren't allowing women to choose cesarean, but some hospitals also have questionable motives and seem to prescribe them out without concern for risk.

This is why we need this information. We need to educate ourselves and others so we are empowered and make the best decision for ourselves and our babies.

What do you think of this study?

 

Image via Mat Honan/Flickr

Filed Under: c-sections

Comments

54
  • Michelle
    -- Nonmember comment from

    Michelle

    August 7, 2012 at 2:07 PM
    While C-sections are undoubtedly lifesavers for many women and babies, it really is quite scary how many women WANT to have a baby this way (without it being medically necessary). I purposely delivered my baby (vaginally) at a hospital over an hour away even though there was one 5 minutes from my house. Why? Because their C-section rate is ASTRONOMICAL (mind you, the dr's doing the deliveries are just general practice...NOT OB's). There is NO WAY all those women needed c-sections and it scared the hell out of me. My OB/GYN has been practicing medicine for decades and has only had a handful of C-sections. Frankly, I have to wonder what causes certain hospital to have such high C-section rates...but if you are going to have a baby, PLEASE check out not only your doctor but the hospital you will be delivering at.
  • TheSi...
    -- Nonmember comment from

    TheSimpleTruth

    August 7, 2012 at 2:16 PM
    I just had my third csection 2 weeks ago and I'm sure it is easy to get an infection on/in the incision --- if you don't clean it properly!
  • Megita85
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    Megita85

    August 7, 2012 at 2:53 PM

    Very interesting read!  I had a C-section and ended up getting an infection afterwards.  My OBGYN's nurse told me to fold up a washcloth and put that on the incision area.  NOT a good idea at all!  The washcloth was rough and it just was NOT helping me at all!  My incision had started to open up and a bunch of fluid start accumulating below my incision site.  But thankfully all my OBGYN had to do was push on that area below my incision site (OMG it was SO painful!) to get the infected fluid out and then he put me on antibiotics and gave me special antibiotic cream to help it heal.  It healed and cleared up all fine, but what an experience it was!  Unforgettable!  And yup, I had problems with breastfeeding and postpartum depression.  Well, as far as the depression I am just assuming as I was never diagnosed with it, just felt some symptoms.  I am fine now though thankfully and hoping down the road I will not have to have another one should I have another child.


  • Evaly...
    --

    EvalynCarnate

    August 7, 2012 at 3:03 PM

    I would never ASK to have a scheduled c-sec, but it was a last resort with my first pregnancy, and health issues this time around have dictated that its safest for me and my baby to have a repeat this time around. Luckily I have a doctor that will let me wait as long as possible (just one day shy of my 40th week) to have my operation. As far as the infection though, theres a risk like that with every surgery. Its all about how well you take care of yourself and how well you listen to your body those first few days afterwards. My hospital gave me a whole packet with information about healing my site and if anything went wrong to seek help immedately. 


  • Alain...
    -- Facebook comment from

    Alaina Toadpipe

    August 7, 2012 at 3:05 PM

    It is naieve to think that the infections were from lack of cleaning on the part of the woman.  Bodies are not ment to be cut open.  We, as a society, have perfected surgical procedures for the purpose of saving lives in extreme situations.  They are not ment to be for facilities sake.  I had one c-section because of having placenta previa, but then went back and had a VBAC with the second one.  Of course surgeries run the risk of infection, but those infections can happen deeper inside than topical cleaning can take care of, so placing the blame on the woman at that point is not always accurate and detracts from the more important point that she may well not have needed it to begin with, except for her convenience or her doctor's.


  • Lael
    -- Nonmember comment from

    Lael

    August 7, 2012 at 3:05 PM
    Of course doctors and hospitals want you to have a cesarian section... That way they can charge MUCH more!
  • Buffy...
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    Buffymom9

    August 7, 2012 at 3:08 PM
    I am sure that preeclampsia can be dangerous but the diagnosis and c-section treatment for this condition is highly abused because doctors do not understand it the way they should.
  • Chris...
    -- Nonmember comment from

    Christine

    August 7, 2012 at 3:10 PM
    I too, had a c-section with twins after "failure to progress" during labor. Thankfully no infection. Now with #3 I'm trying for a VBAC. This is yet another reason that women need full disclosure about the risks of c-sections-- not just a piece of paper that lists everything in small print, but a real discussion of evidence based outcomes!
  • Beth...
    -- Facebook comment from

    Beth Wankel

    August 7, 2012 at 3:19 PM

    I am always so terrified of needing a C-section. With my first son, I almost needed one, got wheeled into the OR and everything. But, they tried some things and waited it out and I ended up delivering vaginally. Now with my second pregnancy, I've developed gestational diabetes and they've tossed around the idea of a C-section if the baby gets "too big", and I'm just like, no!!! I can't understand why anyone would *choose* to put their body through that kind of trauma. I guess they are women who have never had other surgeries? I also have to scratch my head trying to figure out why a doctor would be willing to do an elective C-section. There must be something against the Hippocratic Oath somewhere in that scenario. If you need one, they can be an incredible, helpful, life-saving procedure. But if you don't need one, let your body do what I was built to do.


  • SuzyB...
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    SuzyBarno

    August 7, 2012 at 3:31 PM
    Had an emergency c section with my first and attempted a VBAC for my second, wasn't successful but at least I tried. Even if I didn't want to attempt a VBAC my OB would not schedule a c section until I was 39 weeks. She doesn't even induce unless it's medically necessary. Also, my doctors c section percentage is 12% while the hospital she delivers at is upwards of 35%. I actually called the hospital and spoke with several people as to why. The hospital does the most high risk delivers in the whole county and thy have an entire floor dedicated to preterm births and a nicu so because of that their c section rate is much higher. So sometimes it depends on why a hospital has a high section rate. Also that hospital is the only one in the county that will let you attempt a VbAC, all the other ones closest to me will not let you attempt, they will just slice and dice right there! Scary!
1-10 of 54 comments

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