DMV low C-section rates?

[Anonymous]

Anonymous wrote:

Anonymous wrote:I delivered at a high c section rate hospital with Kaiser. With 3 extremely long 35+ hour inductions they never once mentioned c section. As long as the baby is tolerating labor and nothing is going wrong, they’ll let you go as long as possible. I have a lot of friends who got csections for failure to progress. That’s their choice more so than them being forced. Don’t gain excessive amounts and stay active if you want the best chance. But ultimately it’s not totally your decision.

If you had truly been healthy during your pregnancies, you wouldn’t have needed the inductions in the first place.

DP but: Healthy, fit endurance athlete here who was 26 at first kid's birth. I was induced for pre-E. It can hit randomly; no risk factors in my case other than it being my first child. This is simply not correct.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I delivered at a high c section rate hospital with Kaiser. With 3 extremely long 35+ hour inductions they never once mentioned c section. As long as the baby is tolerating labor and nothing is going wrong, they’ll let you go as long as possible. I have a lot of friends who got csections for failure to progress. That’s their choice more so than them being forced. Don’t gain excessive amounts and stay active if you want the best chance. But ultimately it’s not totally your decision.

If you had truly been healthy during your pregnancies, you wouldn’t have needed the inductions in the first place.

Wtf. I’m actual a dancer who competes. I’m very active and was on my feet my entire pregnancy. Not one health issue. Healthy pregnancies do go to 42 weeks!

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

If hospital rates do not reflect any unnecessary c-sections, why are VHC and INOVA trying so hard to bring them down? If every c-section is totally necessary there would be no use for a program like VHC’s and they certainly wouldn’t be bragging in WaPo about their great results…

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

If hospital rates do not reflect any unnecessary c-sections, why are VHC and INOVA trying so hard to bring them down? If every c-section is totally necessary there would be no use for a program like VHC’s and they certainly wouldn’t be bragging in WaPo about their great results…

Unless they are shifting their business model to cater to mommies who are willing to pay out of pocket for a la carte services.

There’s a thread on luxury birthing amenities pointing to VA hospitals. Apparently it’s a thing.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

If hospital rates do not reflect any unnecessary c-sections, why are VHC and INOVA trying so hard to bring them down? If every c-section is totally necessary there would be no use for a program like VHC’s and they certainly wouldn’t be bragging in WaPo about their great results…

Unless they are shifting their business model to cater to mommies who are willing to pay out of pocket for a la carte services.

There’s a thread on luxury birthing amenities pointing to VA hospitals. Apparently it’s a thing.

Vaginal birth is “a la carte” now?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

If hospital rates do not reflect any unnecessary c-sections, why are VHC and INOVA trying so hard to bring them down? If every c-section is totally necessary there would be no use for a program like VHC’s and they certainly wouldn’t be bragging in WaPo about their great results…

You're talking to a cut happy OB or someone married to one.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I hate how every thread where someone asks for information to support a birth choice they’re making freely (not being coerced uninformed into) gets derailed by one extremely anti-vaginal birth poster. The OP is entitled to the information she asks for even if you think vaginal birth is the devil and we should all have mandatory c-sections.

OP here, thank you. My choice as a woman is to have a vaginal birth. I’m asking specifically about hospitals rates.

Just know that regardless of the hospital, your "choice as a woman" may not be an option when push comes to shove. It's not the end of the world.

You know, when people post that they want a scheduled c-section by choice, no one says “ok but when push comes to shove you have a higher maternal mortality risk. You might be dead but your baby will survive so its not the end of the world!” It would be nice to assume that the poster isn’t on DCUM from under a rock somewhere and is aware that in an emergency her preferred birth may not be possible.

?

People definitely question/criticize women who opt for c-sections. Note: most of us have a legit medical reason for the scheduled c-section btw.

Additionally, the original post asks about hospital rates instead of doctor rates. If that isn’t a red flag that she’s marching in the wrong direction, …

Except you also choose your doctor based on where they deliver. A hospital set up for vaginal birth has nurses who are trained in positioning, pain relief, etc. the nurses at INOVA Fairfax take Spinning Babies classes. It’s not a stupid question.

All hospitals are set up for vaginal births. It’s literally Plan A.

Oy vey.

Yes, but not all hospitals have the same facilities for vaginal birth— tubs vs showers, waterproof or mobile monitoring on demand, nurses who take courses in positioning….acting like the OP is somehow misguided for doing this research is condescending. Even hospitals with good setups might tell you they don’t have waterproof fetal monitors available…so what’s the point of that spa shower?

Everything you just said should have been framed in a very different question than “c-section rates” if that’s truly the info the op was trying to secure.

That’s a really ridiculous standard for answering a basic request for information from an OP. It’s ok to not have the information, denigrating a poster for even asking the question, as above, is sanctimonious and rude.

But it’s the wrong question, and it’s reasonable to assume this is a FTM who is operating under misinformation that hospitals force women into unnecessary c-sections. Had she asked for individual doctor rates, that would make sense—provided she understands that doctors catering to AMA and high risk patients will obviously have skewed rates.

If hospital rates do not reflect any unnecessary c-sections, why are VHC and INOVA trying so hard to bring them down? If every c-section is totally necessary there would be no use for a program like VHC’s and they certainly wouldn’t be bragging in WaPo about their great results…

Unless they are shifting their business model to cater to mommies who are willing to pay out of pocket for a la carte services.

There’s a thread on luxury birthing amenities pointing to VA hospitals. Apparently it’s a thing.

Vaginal birth is “a la carte” now?

It can be. Labor is throwing up "pink" flags, like baby's heart rate decelerates in certain positions, dilation stalled out, pushing is taking over 2 hours. Does the doctor stand there watching the fetal heart rate for hours (and get paid a fraction that of a C section) or label it failure to progress and tell the mom she needs a C section?

[Anonymous]

My C section was only 10K more than my vaginal
Delivery and they were 5 years apart. However the pelvic PT, imaging, urogynecologist visits, and prolapse surgery that follow my vaginal birth, will probably cost upwards of 75,000. If vaginal birth is so great and cheap why are there so many bladder slings, hysterectomies, and prolapse surgeries being done on women who bore children vaginally, which is a major, significant risk factor for pelvic floor dysfunction. Look at the health care costs across the lifespan, not just the acute moment of childbirth. Given the cost of pelvic floor surgery the lower cost of vaginal delivery and the bragging point of avoiding surgery Will not hold up for many women years later.

[Anonymous]

Anonymous wrote:My C section was only 10K more than my vaginal
Delivery and they were 5 years apart. However the pelvic PT, imaging, urogynecologist visits, and prolapse surgery that follow my vaginal birth, will probably cost upwards of 75,000. If vaginal birth is so great and cheap why are there so many bladder slings, hysterectomies, and prolapse surgeries being done on women who bore children vaginally, which is a major, significant risk factor for pelvic floor dysfunction. Look at the health care costs across the lifespan, not just the acute moment of childbirth. Given the cost of pelvic floor surgery the lower cost of vaginal delivery and the bragging point of avoiding surgery Will not hold up for many women years later.

I am pregnant and interested in an elective C because I have heard a disproportional number of first hand accounts like yours. How long after giving birth vaginally did your issues appear and how long did it take to resolve them?

[Anonymous]

Anonymous wrote:

Anonymous wrote:My C section was only 10K more than my vaginal
Delivery and they were 5 years apart. However the pelvic PT, imaging, urogynecologist visits, and prolapse surgery that follow my vaginal birth, will probably cost upwards of 75,000. If vaginal birth is so great and cheap why are there so many bladder slings, hysterectomies, and prolapse surgeries being done on women who bore children vaginally, which is a major, significant risk factor for pelvic floor dysfunction. Look at the health care costs across the lifespan, not just the acute moment of childbirth. Given the cost of pelvic floor surgery the lower cost of vaginal delivery and the bragging point of avoiding surgery Will not hold up for many women years later.

I am pregnant and interested in an elective C because I have heard a disproportional number of first hand accounts like yours. How long after giving birth vaginally did your issues appear and how long did it take to resolve them?

Pelvic floor issues don’t resolve easily for many women. The surgical options are limited and have a high failure rate, can fail to correct symptoms, can cause pain with sex, cause new incontinence, etc. And Conservative management options are basically pessaries and pelvic PT. For me the issues started after my first vaginal birth at 33. It has basically ruined my life. I’ve had to totally alter my identity and it’s destroyed my physical capacity for comfortable movement and exercise, along with my self esteem. Many women who deliver vaginally may be ok now but experience issues in menopause. It’s a myth that these are only old lady problems. That said, a C section does not make you immune from and pelvic floor issues. It is less likely though but scar tissue and pregnancy. Can cause problems, too.

[Anonymous]

Anonymous wrote:WHC - 17.5%

Georgetown University - 24.5%

GWU - 25.6%

Sibley - 33.9%

Source - Leapfroggroup.org

https://www.instagram.com/p/CNUuy9kg7Kb/


tipsfromadoula
C-Sections are the most common surgical procedure performed in the US. They are a necessary and life-saving tool. There is no perfect way to make your family or meet your baby, and there is no wrong way to give birth.
.
The World Health Organization recommends C-Section rates between 10-15% for low-risk, first-time parents with babies who are head down.
.
Consumer Report (May 2018) states the most significant factor of who will need a cesarean section is where a person chooses to deliver.
.
One of the greatest factors of delivery outcome is the place where someone gives birth. Inside DC, there is a lot of variances. We have WHC with the lowest c-section rate, at 17.5%, and Sibley Memorial Hospital with 33.9%, with Georgetown and GW coming in at the middle of the pack at about 25%.
.
Leapfrog Group allows hospitals to voluntarily report number and is only collecting data on a full-term, first time birthers with one baby who’s head down. I.e., when someone says their rate is higher because of breech babies, twins, or repeat c-sections, they’re referencing a different statistic.
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It is your right to ask your provider what their induction of labor, Pitocin use, epidural, and c-section rate is--It is easier and more efficient to align yourself with a provider who shares your values. Going into labor supported by every member of your team ensures no matter the outcome, you’ll feel you made the right decisions for yourself, your baby, your family, and your body.



drsarahcigna
Such an important post! I’m not sure what the LeapFrog groups numbers are from in terms of time frame but recently reported GW’s numbers for 2020 are:

27.6% was the total cesarean delivery rate
17.5% was the primary (first time) cesarean delivery rate
39 sem2 Me gustaResponder


tipsfromadoula
@drsarahcigna while LeapFrog states that hospitals self report, they don’t give a window in which they collected data. Thank you for providing this necessary, valuable and helpful Information!



drsarahcigna
@tipsfromadoula no problem! Our OB group is very proud of our low Cesarean rate and our collaboration in our Midwifery colleagues!

Omg. 8 pages and this is the ONLY post that attempted to answer her question!!

Can anyone corroborate or give dates on these? I’m also curious especially about GW.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:My C section was only 10K more than my vaginal
Delivery and they were 5 years apart. However the pelvic PT, imaging, urogynecologist visits, and prolapse surgery that follow my vaginal birth, will probably cost upwards of 75,000. If vaginal birth is so great and cheap why are there so many bladder slings, hysterectomies, and prolapse surgeries being done on women who bore children vaginally, which is a major, significant risk factor for pelvic floor dysfunction. Look at the health care costs across the lifespan, not just the acute moment of childbirth. Given the cost of pelvic floor surgery the lower cost of vaginal delivery and the bragging point of avoiding surgery Will not hold up for many women years later.

I am pregnant and interested in an elective C because I have heard a disproportional number of first hand accounts like yours. How long after giving birth vaginally did your issues appear and how long did it take to resolve them?

Pelvic floor issues don’t resolve easily for many women. The surgical options are limited and have a high failure rate, can fail to correct symptoms, can cause pain with sex, cause new incontinence, etc. And Conservative management options are basically pessaries and pelvic PT. For me the issues started after my first vaginal birth at 33. It has basically ruined my life. I’ve had to totally alter my identity and it’s destroyed my physical capacity for comfortable movement and exercise, along with my self esteem. Many women who deliver vaginally may be ok now but experience issues in menopause. It’s a myth that these are only old lady problems. That said, a C section does not make you immune from and pelvic floor issues. It is less likely though but scar tissue and pregnancy. Can cause problems, too.

NP, and I've done alot of work to strengthen my pelvic floor after a really hard birth. Pelvic floor PT can be super helpful, but, post birth it becomes a lifelong tool that must be used to maintain it. It's not like you can do it for 6-12months and be cured forever - it becomes part of your exercise routine for life.

If I have another baby I will elect a c/s.

[Anonymous]

14:23 back - I'm not at all dismissing PP's experience. Sometimes pelvic floor issues are very severe and life altering. Sometimes they can be managed more effectively than others. There's no real way to predict which experience you will have unless you're aware of a genetic predisposition to pelvic health issues (hypermobility can be a factor, for example).