C-section rates at "epidemic" levels
Here's a story that caught my eye: a survey of nine Asian nations found that C-sections have reached "epidemic proportions" in many countries worldwide.
China leads the way, with nearly half of all babies delivered via C-section-- a quarter of them not medically necessary-- according to the World Health Organization survey.
China’s 46 percent C-section rate was followed by Vietnam and Thailand with 36 percent and 34 percent, respectively. The lowest rates were in Cambodia, with 15 percent, and India, with 18 percent...
In Asia, some women opt for the surgery to choose their delivery day after consulting fortune tellers for "lucky" birthdays or times. Others fear painful natural births or worry their vaginas may be stretched or damaged by a normal delivery. Some women also prefer the operation because they mistakenly believe it is less risky.
In Vietnam, one doctor blamed the high C-section rate on mothers who overeat:
As the capital’s largest maternity hospital, it receives the most complicated cases, with many women undergoing emergency surgery. But he said another reason is women with small frames whose babies are simply too large for them to deliver naturally.
"The babies are bigger, even than in Western countries," he said. "Vietnam was a country where we didn’t have enough food to eat. Now we have a surplus of food. The women think that if they eat a lot, their babies will be healthy."
I've got birth on the brain, for obvious reasons. My last birth was vaginal, and as uncomplicated as it gets. But that hasn't eased my fears of:
- needing a C-section
- needing an episiotomy
- giving birth before my DD's 5th birthday party this Saturday.
I know women have C-sections and episiotomies every day, and that the most important outcome is a healthy baby. And I don't even know why I fear the procedures so much, apart from the obvious physical trauma and recovery; but I suspect it also has to do with my need to control events in my life as much as possible. An emergency C-section just isn't in my plans, ya know?
Then again, neither was infertility, or a miscarriage, or uncertainty over my baby's gender. After a textbook-perfect first pregnancy, this pregnancy has humbled me in many ways. So while I continue to fear a C-section, I have made peace with the fact that I will do whatever it takes to deliver my little guy into the world.
Just please do Mami a favor and wait until Sunday at the earliest, OK sweet baby? :-)
What do YOU think? Are rising C-section rates reason for worry? What was your C-section like? What were your fears about labor and delivery, and how did you manage them? Do tell!
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