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Maybe you should try talking to your OB about their feelings on c-sections. I'm in FL too, and so far my OB has been pretty clear that they are trying to stay away from them with me, unless of course it's necessary.
@artbee: I really like my OB (have been going to him for my annual for about 8 years), but he has a reputation for being the man to go to for a c-section around here. Luckily, I love his midwife, too, so I think I will stick with her once I get pregnant. She has a much more natural approach, and I will have the convenience of seeing the doctor in the same office if I really want.
I will definetly be letting them know from the get-go that I want as little intervention throughout as possible, though. I don't know why it makes me so nervous, but it really does.
I just read that article this morning and I'm also currently reading Ina May's Guide to Childbirth...now I'm so mad at all these unnecessary c-sections, that I'm ready to go march on Washington or something!!
But for your situation, you need to realize and remember every day that all the decisions for your pregnancy and baby's birth are YOURS. No matter what your doctor "encourages," you have the right to say no to anything. Since you're just now TTC, I'd recommend that you educate yourself as much as possible from a variety of sources and then you'll have the information to make great decisions once you are pregnant.
I feel like one of the biggest things pregnant women do is go the hospital as soon as labor begins. Labor is often long and I think waiting as long as possible to go to the hospital would minimize the chance of needing pitocin and thus c-section. I agree with the others, you can always say no. I've learned that lately just talking to my healthcare providers and when I say no, they stop pursuing the issue. If you find you're comfortable with your OB and confident he'll listen to your "no" then I wouldn't worry.
I really encourage you to take a Bradley Birth class or read more about natural labor and delivery. Bradley classes really helped me learn about what my body goes through during labor and delivery while informing me on things my husband and I can do to avoid unnecassary medication(s) or a c-section. The best thing is to be informed so that you can bring up things to your doctor/midwife. I actually informed one of my doctors about several studies she didn't know.
We just watched the Business of Being Born this weekend. It wasn't really as informative as I thought it would be (not sure what I was expecting from a Ricki Lake documentary). However, I do believe that the medical profession has a bit of an alterior motive when you go into a hospital. Yes, I believe they care for the patient and the health of the baby, but they are also very concerned with not being sued, making money, and getting you in and out of there as quickly as possible.
I think too often, doctors just assume that since the mom ends up with a healthy baby that the labor and delivery is considered a success!
@SecretName:I feel the exact same way. of course they need mommies and babies out ASAP because they need that bed you're using. Just like eating out at a restaurant, you're in and out within an hour, hell even 45 minutes, maybe a half hour now!
I am a terrible person I suppose because I have always wanted a c-section and not natural birth. No c-section, no pregancy....wierd huh?
@Treejewel19: I have a friend of mine who wants one when she's ready to deliver. I think her logic behind it is sound, so you're not the only one. When it comes time, I really, really don't want one. I agree with @bekiss that labor takes a long time, why go to the hospital right away. Dare I say, it's one thing I've learned from 16 and Pregnant. The girls go to the hospital immediately when labor starts, labor for a long time, then end up getting induced and generally a c-section after. I really prefer not to go that direction when it happens for me.
watch "the business of being born" on netflix. so ridiculous!
@Treejewel19: I think you should go with what you want. C-sections scare the crap out of me therefor I want natural. One way works for me, another for you. It's fine.
I, myself, am absolutely appalled with C-Sections being used for and in any manner but saving the baby and/or mothers life in times when absolutely necessary.
The rate here in the states is easily assumed to be for other purposes for this. Because of this it's highly unlikely I will ever go to a hospital again for birthing (unless directed by my midwife)
Have you considered a midwife or homebirth? I know that it seems scary for a first time pregnancy, but in reality and most instances a Midwife will help you stay as informed as you can be and she will help guide you through the process, rather than enforcing her medical "practice". Many more women have rather traumatic experiences at hospitals as opposed to home birth experiences.
OR.. you could look into having a doula.. or someone that could be there to help you through your labor and stand with you with when a medical intervention is trying to be pushed as opposed to needed.
Some things that defintely help are:
Do NOT go to the hospital until you are in active labor.... in other words if you can comfortable rest through contractions it's too early. <--- Going to the hospital too early generally results in trying to "speed up" the labor and results in fetal distress which results in a c-section.
Having someone there that knows, understands, and supports the plan that you have and will be sure that while you're unable to really think through options that you aren't forced into any un-neccesary interventions.
Gain as much information as you can about birthing options, positions, and natural pain relieving options (like a warm bath/shower, moving, etc) so that you don't end up stuck in bed with an epidural..... The Bradley Method is a great resource for Natural Childbirth
Also getting an epidural too early in labor can often lead to an un-neccesary c-section as well
Here are just 2 articles about information about lowering your c-section rate
Im from Canada and work labour and delivery and I watch shows in the states like bringing home baby, baby story, 16 and pregnant etc. and its just crazy how they push pitosin and sections, here if you want a section you need a reason and pitosin is given if the baby needs to get out and the poor woman has already been in labour for hours, not right when she gets in cus the doctors want to be done before 10pm. Now Im not saying were that great either natural labour has gone out the window, every woman as soon as they come in we offer out epidural like its coffee. However Im all for epidural why go through natural birth and all the pain when theres something out there to help. I myself ended up with a section becaue I could not have an epidural or spinal due to back surgery I had and because I was so small couldnt push any longer. I think labour should be completly up to the women however I think education is key and I think alot of doctors need it lol
This is one of the many reasons I decided not to go with an in-hospital birth. The c-section rates around my area range from 35-40% depending on the hospital... it's a little ridiculous.
@firsttimemom: May I ask if you don't mind sharing, are you having your birth in a birth center or at home? I talked to my Fiance and he's super apprehensive when the time comes to give birth (not TTC yet) that we should have it at the hospital for at least the first two. My FSIL is getting ready to have a homebirth but she's had two unmedicated vaginal births in the hospital so she feels quite comfortable at home.
@amnystik: I am actually already thinking about having a doula, but there are very few in my area. I think I'll wait and see until I am actually pregnant and deal with my midwife for a bit first. And I think home births are awesome, but my husband would absolutely put his foot down, as well as my MIL. Granted, it's not her place, but my husband inhaled his merconium during delivery and had to be airlifted to another hospital. He almost didn't make it and I think (27 years later) it still terrifies her. I couldn't put her through the worry that a homebirth would bring.
@Treejewel19: No you arent. I want the same thing. Until 36 weeks of pregnancy, I was having an elective c-sec, but teh hospital changed their policy so now its up in the air. I have hope though. My hospital has a 40% c-sec rate. Go with what works for you, but make sure you have a doctor that allows them and a hospital whose policy allows them
@bree72: You could also look into a free standing birthing center. Also, if your water broke and it did have meconium in it you could always transport to the hospital...
My Midwife shared this info that it's been found that keeping the cord attached for longer and putting the baby directly on momma is very effective in meconuim stained babys.
Here's a link to the info
@beekiss: Sorry, just checked back in! We're going with a birth center. I thought about a home birth and promptly decided that until we get our own house I wouldn't be comfortable giving birth in our apartment, haha. Good for your FSIL! That's awesome that she'll be able to experience that! When's she due? (Don't mean to threadjack!)
I'm in the C-section camp too. You girls are not alone.
Let me clarify - I have not had children yet nor am I pregnant so this is pretty much just my opinion :)
I'm not really sure why someone would choose to have a c-section (unless for serious medical reasons). A c-section is MAJOR surgery with MAJOR risks. My mom had c-sections with each us 4 kids, none by choice. Even the last one they finally just scheduled a c-section, she ended up developing placenta previa and had an emergency c-section 2 weeks before the scheduled one.
She has to wear a back brace when doing any type of manual labor because her stomach muscles have been cut so many times. Her back is weaker because of the weakened muscles as well.
She's also said how a lot of women end up having bladder control issues later in life too. It's cheaper, safer, and easier to recover from a normal birth. I think for a lot of the reasons PP's have said, doctors rush delivery.
In the end every woman has to do what they feel is best for them and their baby...but I think I'll try to tough it out:P
i am not ttc right now... but i know for a fact that i want to give birth in a birthing center with a midwife. the one closest to my home is less than 2 miles from a major hospital so i feel completely at ease.... i have too many friends who go in only to be induced and then they scare them into a c section.... either because the drugs sped up things too fast for the body or because the doc doesnt want to wait around.... so sad. there are so many other options and ways to go about birthing...
I wondered where all this talk of elective c-sections come from. Everyone I've known has had a vaginal birth and if it was a c-section, the baby was breech. (I was,LOL)
I don't want one because I have stairs in my house and the bedrooms are only upstairs and I'm not sleeping on the sofa. Silly reason, but oh,well. LOL
Hopefully this baby stays head down so I don't have to have one.
Just came back to see some of the other comments posted and see were now on to home birth, not saying Im against it completly but hospitals are there for a reason, alot of hospitals have bathing stations in them and the doula will be there and it can still be completly natural but if something goes wrong there are doctors on hand. what happens if something goes wrong at home?? all things a person should consider. Even if you have previously had 3 children and think the 4th will be a breeze there are stil risks involved and every labor is different.
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I read this today and thought I'd share.
http://today.msnbc.msn.com/id/43807114
We're just now TTC and I am already terrified of doctors trying to encourage things like C-sections or pitocin on me. Sucks to know Florida (where I am located) has one of the highest C-section rates.