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]

Your arguing for uncomplicated breech delivery? Omfg. Have you ever read about head entrapment and what happens? There’s a reason the standard of care is C section. Breech deliveries done vaginally will always result in a level of infant mortality that is frankly unacceptable.

Also you think the patients are the ones who should make the call about vacuum and forceps? Like we all somehow are medically trained in indications for their use and in the midst of labor should be informing the care team that it’s time for forceps?

You also seem to think that complex births are the fault of moms (for not doing all the right things) or doctors (for wanting to go play golf and being too intervention happy) which means you know nothing about the history of obstetrics. Midwifery care was the standard for hundred and thousands of years and resulted in high levels of infant and maternal mortality. Interventions and obstetrics reduce mortality and injury. It’s not something to dismiss. [/quote]

There are doctors in the DC metro area who deliver uncomplicated breech. You are accusing them of not meeting a standard of care?
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