Reply to DMV low C-section rates?

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I have a question for the group that feels c-sections are being unfairly maligned. I’m willing to accept it is possible, but who benefits? Like, ACOG recommends bringing the number down, not just the WHO. What is their agenda if not better maternal outcomes? I can see the agenda for more c-sections (insurance pays twice as much) but who is “big vaginal birth” that has an incentive here?[/quote]

I don't think there's a giant conspiracy ("Big Vaginal Birth"), I think it's a vague "the more natural the better" philosophy that at its worst is very misogynistic and moralizing and judgmental, and at its best is pro-woman and maybe kind of idealistic.  But sure, there's money in this philosophy too.  Birthing centers and midwifery groups drive patients to specific hospitals, uncomplicated vaginal deliveries may not bill as much to insurance but they're significantly cheaper for the hospital too, doulas are 100% just money that would have been in mom's pocket (no shade; I had one), and all the pre-childbirth classes and books and mom's groups and online womanhood togetherness circles (I don't know if this was a thing pre-Covid, but a friend joined one to prepare for childbirth last year) all cost money.  The interesting thing about this side of the scale is that the people who get paid get paid whether mom has a vaginal birth or not.  "Big C-Section" isn't keeping deposits on C's if mom gives birth in the car on the way to the hospital, but Ina May didn't refund me my book money when I ended up with a c-section after a four day induction, ya know?  [/quote]

Just to add on: I'm not Team C-Section or anything.  I think the pendulum is usually swinging between two camps (We've found a safer way through technology / This is what our bodies are supposed to do, just get out of the way and let them do it) and in DC the pendulum is wedged to one side.  This is why on this board people don't just tell you they want a vaginal birth, they tell you why a c-section is bad or dangerous or will result in an inferior child.  In other parts of the country and world the pendulum might be in other places on its swing (like Brazil, mentioned earlier, and my high school friends in Texas experienced genuine "your baby will die if you don't get a c 8 hours after your water breaks" bullying that would send Ricki Lake into a killing rage).  [/quote]

That’s an interesting and well considered perspective, thank you! [/quote]

+1. This is a good post and I agree with everything you said. [/quote]

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