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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]It seems almost irresponsible to risk a Cesarean if it's not absolutely necessary. Why don't obstetricians educate mothers?[/quote]

That's just not how it works.  C-sections are done because the baby appears to be in distress or labor is not progressing.  An "absolutely necessary" standard would err on the side of injured/dead babies and mothers.  Most women would want a c-section well before the "absolutely necessary" stage, and would take on a great deal of risk to their own health to prevent harms to the baby.  Do you seriously think the mom should just keep pushing until the heart rate drops to 0? [/quote]

C-sections are done for lots of reasons. If every C-section were a necessary C-section, C-section rates wouldn't vary among hospitals for low-risk patients.[/quote]

Nobody is saying that better prevention of primary c-sections is not ONE goal of many to improve maternal outcomes. But people always focus on it to to the exclusion of other more important causes; and also exaggerate the harms of c-sections, while minimizing the harms to the mother of forceps births.  Safe maternal care requires at least a 20% c-section rate, so we have to focus on all aspects of maternity care, not only c-sections.  A single-minded obsession with reducing c-sections results in things like the horrible scandals in England:  https://www.theguardian.com/society/2017/aug/12/midwives-to-stop-using-term-normal-birth

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