Reply to So what exactly is the problem with C-Sections?

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Reply to "So what exactly is the problem with C-Sections?"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]
My theory is that WOC have a higher maternal mortality rate because they have a higher c-section rate, which is itself correlated with a higher mortality rate. Why doctors perform more c-sections on Black women than white women probably has to do with the overall lower standard of medical and particularly obstetric care Black women receive in the U.S (not just poor— read about Serena Williams, a wealthy athlete in fantastic health, being ignored by her medical providers) and the belief among medical practitioners that everyone— but especially women and ESPECIALLY WOC should just blindly do as they say— even if that’s just to get that medical student his first surgery. [/quote]

Interesting.  So you think that C-sections have a higher mortality rate, and a higher C-section rate in a given population is an indicator of lower quality of care.

Wouldn't that point toward the need for the obgyns to have tools and tricks OTHER than a C-section in their repertoire?[/quote]

I don’t “think” anything,  the data is pretty cut and dried on the subject.

But forceps and vacuums in the hands of people who are ignoring what their patients are telling them (again, read about Serena Williams’ birth and how long she had to wait for correct care) are just as potentially dangerous as a scalpel, just not as lucrative. I think the problems arise before the forceps or the scalpel. OBs for sure need more training, but on issues like collaborative decision making and perverse incentives. Forceps are not going to solve that, although if you said something like, OBs should be trained on uncomplicated breech presentation, I might be more inclined to agree .[/quote]

Doctors not listening is a big problem for sure.  But it's a separate problem from "the doctors don't know how to do anything other than drink tea or do a C-section."[/quote]

It’s separate, but I don’t see “more training on other risky interventions” as the thing to do before it is addressed. Because the same outcome of people who have unnecessary c-sections and therefore complications is going to be the case for this one doctor who always uses forceps. Look at episiotomy for a reasonable parallel, the evidence is clearly against it but there are still some doctors who do it as a matter of routine due to habit. Those doctors don’t need training in using forceps, they need training in *not* intervening. [/quote]

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