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]
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]

I don't think any doctor should use forceps as a matter of habit.  I think doctors should have a full toolbox of non-surgical tricks and tools they can try before they escalate to C-sections for women who would like to avoid unnecessary surgery.  Of course those who would like a C-section should be able to get one.  But those who'd like to try in other ways should have qualified medical help that goes beyond "not intervening".  If a woman has a kind of birth that can unfold well without intervening, that's great! But if she needs an assist, the doctor should know ways to help her beyond getting a OR ready.  [/quote]

Sure *if* that doctor is actually honoring the preferences— informed preference— of their patient. And that’s what fails now. Because a doctor routinely doing an episiotomy thinks he’s doing exactly what you say: “assisting”. Personally I interviewed OBs about their non-surgical interventions and I think any expectant mother should interview providers to make sure they align with her wishes and preferences, but not everyone has the resources to do so, so I’d put the order of systemic change at respect for the patients wishes first and training on additional risky intervention second. [/quote]

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