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Friday, August 24, 2007

I never needed it in the first place: Unnecessary surgery - C section

When Barbara Stratton of Baltimore, Maryland, looks back at the birth of her son, Charlie, now 7, she’s angry — angry she had a surgery she believes she didn’t need. Babies delivered by C-section are at higher risk for complications, including breathing problems. Barbara said her obstetrician induced labor a week before her due date because she feared the baby would be too large to deliver if they waited for her to go into labor spontaneously. But even after being induced, her labor still didn’t progress, and she ended up with a Caesarean section. Her baby weighed 8 pounds, 7 ounces — far smaller than the obstetrician had predicted.

"I never needed the C-section in the first place," said Barbara.

The U.S. government and many obstetrical experts are working hard to reduce the number of women having C-sections. In 2004, 29% of babies in the U.S. were born by C-section, an increase of more than 40% since 1996. C-sections involve risks to the mother, including infections, bleeding, and pain. Babies born via C-sections have more breathing problems right after birth, according to the Office on Women's Health at the U.S. Department of Health and Human Services. Many experts think as many as half of all C-sections are unnecessary, the women’s health office said.

Barbara said that because of surgical complications she was in pain every day for a year and a half after her son was born. She became depressed.

"I was in pain every time I rolled over, every time I got out of bed, every time I got out of a chair," Barbara said. "It affected the quality of my mothering. I had trouble bonding with my son."

After her own disappointing birth experience, Barbara became a doula - a birth assistant who can advocate for a woman in labor.

Advice to pregnant women: Don’t get induced unless medically necessary. Studies of first-time moms show that 44% of those who are induced end up with a C-section but that only 8% of those who go into labor spontaneously end up with a C-section. Doctors say many times, inducing women way before the cervix is ready can lead to unproductive labor, which then necessitates a C-section.

Read a sextuplet story, or read Elizabeth Cohen’s source story.

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