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RunningLogic's avatar

Sometimes it can’t be helped unfortunately 😕 But American doctors are mostly incapable of managing births without interventions because that’s how they’re trained. So a lot of times, C-sections and other measures might have been avoided but doctors don’t want to or don’t know how to. We have a pretty high C-section rate in this country and I am not sure it’s really justified. But again, there are definitely cases where that is the only option.

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Margaret Allison's avatar

Well put Running Logic. My daughter made the right choice with her second child. The Dr told her so. The almost 18 year old would not have made it without a c-section. Sweetest grandchild. So considerate. Everyone is different and that’s what the medical profession needs to remember! Closer to 80 than 70 with a retired RN license because of the COVID debacle!!

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Brandon is not your bro's avatar

ACOG guidelines and malpractice lawyers , can be an issue. Please , I’m an obstetrician, I do not do Csections unnecessarily. Yes, there are some bad ones, with high rates and they go in front of a quality and ethics committee. I don’t want to argue with anyone, nor can I speak for some of these healthcare providers.

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RunningLogic's avatar

What do you consider “high rates”?

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Brandon is not your bro's avatar

About 20% . The indication for section must be well documented. Some providers are higher some lower … documentation is key .

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RunningLogic's avatar

I find that interesting, since the average rate in the US is around 32%. Sounds like where you are is more conservative.

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Brandon is not your bro's avatar

Some hospital systems have a more robust quality program for optimal government reimbursement for lower Csection rates .

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NAB's avatar

As someone who works for a med-mal defense firm, I can confirm that the prospect of being sued for "failing to recognize and perform a c-section" weighs heavily on the minds of providers. In my ten years of experience now at the firm, the vast majority of providers don't treat c-section casually at all. There are patients, however, who actually request c-sections for convenience.

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MaryAnn's avatar

My first grand was delivered naturally by a nurse midwife. That little pumpkin had a knot in her umbilical cord but it was kept loose by God’s hand until after delivery when the midwife showed us the cord. Miracles happen every day.

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Willing Spirit's avatar

Well put.

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Brandon is not your bro's avatar

Also , hospital reimbursements from the government, and Csection rates go hand in hand ( quality measure ) and hospital systems are required to report rates .

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