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

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[quote=Anonymous]I had 2 vaginal births. The first one really sucked, and had to be sped up with pitocin and it sucked and epidural didn't fully work. The second one the epidural worked, and went smoothly and pretty quickly. There was a chance, due to low-lying placenta, that I'd need a c-section with #2, so I was researching it frantically then.

Here's my (non-medical professional) take, after reading a bunch of summaries and random papers.

The literature about C-sections seems to be: once you've had a c-section, being able to have a vaginal birth is much less likely, even if you'd like one. It seems that it increases the risk of placental issues, especially past the 4th or 5th child. 
With the allergies and micro-biome stuff. To me, it's probably true; but the effect is not large enough to justify not doing a medically-indicated C-section, obviously.

The association between auto-immune disease and c-sections seems to be borne out in the literature, at least to degree that my bias is that it's generally true. The association isn't strong enough to warrant prohibiting all c-sections, but other things equal to me would be enough to choose vaginal as default, especially given the availability of the epidural. Similarly my bias is also that breast-feeding, other things equal, does confer greater immunity and protection from the same. Does it mean one should make blanket statements about ALWAYS BREASTFEED/ ALWAYS VAGINALLY DELIVER? No! The first priority is life and well-being of mother and baby - survival and health, but after that it's worth considering these subtler effects which are also hard to tease out in a study in a heterogeneous population, but intuitively seem to make sense.

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