Why women prefer caesarean section?!

[Admin]

Almost half of pregnant women who request a caesarean section delivery do so because they have a serious fear of childbirth, researchers have found.

First-time mothers told horror stories by friends and relatives who had natural deliveries, and those who are unhappy or did not long for a child are the most vulnerable.

Britain has a high rate of C-section births, with one in four deliveries carried out surgically. In some hospitals it can be one in three.

Women have been criticised for being "too posh to push" and opting for caesareans for no good clinical reason, but doctors say today that they may be suffering from psychological fear of giving birth naturally.

A study published in the British Journal of Obstetrics and Gynaecology questioned 496 first-time mothers with a healthy pregnancy at 37-39 weeks of gestation, with a follow-up three months after delivery.

The women were divided into those who wanted an elective C-section, those who wanted one because of breech delivery and women planning a natural birth.

Researchers measured the levels of fear of childbirth, women's expectations of their behaviour during the delivery and their anticipation of motherhood.

Almost half - 43 per cent - of women requesting a caesarean were found to have had a clinically significant fear of childbirth as a result of negative expectations of a natural delivery, gathered through feedback from friends and family who had endured bad experiences in childbirth.

These women also mentioned that they felt less happy before the delivery and were afraid their child would die.

Dr Ingela Wiklund, from the division of obstetrics and gynaecology at the Karolinska Institute in Sweden, led the study.

She said "Women suffering from significant childbirth fear indicate that they are less self-confident, unhappy, afraid that the child will be injured and don't long for the child. This clearly emphasises the need for pre- and post-natal support."

Belinda Phipps, the chief executive of the National Childbirth Trust, said fear was pushing women into asking for a riskier birth.

She said: "We are very bad at supporting women to have a natural birth, we make it an undignified and unpleasant experience so no wonder they tell other women."

Source: British Journal of Obstetrics and Gynaecology
Dr.Mahdi

[Dr.smile]

  so the pregnant women can request c.s?

[Admin]

Yes they can request...
Caesarean delivery on maternal request (CDMR), is a form of an elective caesarean section, where the the conduct of a childbirth via a caesarean section (CS, or c-section) is dictated not by medical necessity or obstetrical indication but specifically the request of the pregnant patient.

Over the last century, delivery by CS has become increasingly safer. The indications for delivery by CS therefore could become "softer", and the move to perform CS on request can be viewed as an extension of this development. It has been estimated that possibly 4-18% of all CSs are done on maternal request.
Dr.Mahdi

[Waxbaro!]

If 18% of C/S is (CDMR) in developed countries, In Somalia, it's hard to find Emergency C/s!!!
Mothers die because of Malpresentations, malpositions & obstructed labours.

[Darkrose30]

salam culukum waraxmto alah wabrakato

most women that requesting c\s they don't know how much blood they lose and after surgery what she will suffer so they need health education ..6 to 13hr better than 1month with pain سبحان الله..

[Miss Midwife]

I think you will find that the main reason women choose to have C-sections is because women’s experiences of childbirth have changed dramatically. For many, the chances of having a normal birth, that is one without medical intervention, are slim. Childbirth has become an increasingly medicalised occurrence whereby the majority of women no longer experience or have knowledge of what it is to give birth to their baby without interference.  Several explanations have been put forward to justify the medicalisation of childbirth. Concerns with safety, defensive medical practice and the concept of women's choice are particularly significant.

The medical model of childbirth assumes that the female body is always ready to fail. Indeed, childbirth is seen as a highly risky business. The majority of women who give birth in hospital do so because they assume that a hospital birth is safest. However, all the research evidence that exists demonstrates that, for a healthy woman with a normal pregnancy, a planned home birth is as safe as a hospital birth (BirthChoiceUK, 2005). In spite of this research evidence, not everybody agrees, and many health care professionals insist on claiming that a medicalised hospital birth is still the safest option.

The report, Changing Childbirth, enshrined the concept of 'choice' within the maternity services of the UK and it has been suggested that the increased medicalisation of childbirth can be attributed to the kinds of choices that women themselves make. For example, it has been argued that an increasing number of women are choosing a caesarean birth. Whilst this is true, it is worth noting that only seven per cent of caesareans are performed at maternal request (RCOG, 2001). Many have argued that choice in childbirth is merely an illusion and that we often talk about choice as though it were the single most important factor when thinking about women's experiences of birth. But when medical interventions are presented as routine and when women are encouraged to make 'choices' that will be better for their babies, then it is easy to see how women's choices are being managed within a medical model of childbirth.

We live in a world where we no longer really believe that women can give birth without pharmaceutical, technological or medical interventions. Shulamith Firestone (1979) once compared giving birth to 'shitting a pumpkin' and, yes, childbirth hurts - a lot - but it is nonetheless a normal, everyday event for many women all around the globe. The routine medicalisation of childbirth robs women, midwives, and society, of the knowledge and experience of what it is to have a normal birth. If we are to turn back the tide on the medicalisation of birth it is important that we recognise the place of technology in today's world. We must, however, remember that giving birth is a normal physiological process and that the majority of women - given a chance - can achieve a normal birth without intervention.

Source: A medical procedure? By Sarah Earle