A publication in the Lancet (V. 392 I. 10155 P. 1341-1348) by T. Boerma PhD et al explored global trends in outcomes of how we choose to labour with disturbing results.
169 countries were looked at with an impressive total of 98.4% of the worlds births. They found that overall the percentage of caesarean births accounted for 21.1%. The numbers have therefore doubled since 2000 when the figure was 12.1%.
Have women become rubbish at labouring in the past 18 years or is a CS birth simply becoming the norm? The highest number of CS was found to be 5 times more common in affluent societies than in poorer regions. Private hospitals had a 1-6 higher CS rate than public ones. Definitely too posh to push.
In the Dominican Republic the CS rate was 58.1%! Closely followed by Latin America and the Caribbean at 44.3%. Areas of the world not to visit as your due date approaches!
Medicalisation of birth is of growing concern worldwide. Let us not forget that a CS is major abdominal surgery which can lead to morbidity and mortality for the mothers. It reduces your options for future births as once done your uterus has a scar on it that can rupture during following pregnancies. It is thought that babies born by CS do not have the advantage of being colonised as quickly by much needed good bacteria found in vaginal secretions. Breast feeding baby can become a challenge when mum has a much more painful recovery from the birth and is not as mobile. Not giving babies human milk for the first 6 months of life greatly impacts on their future health and well being.
Once women discover that labour need not be the negative experience that society teaches us that it will be then perhaps they will begin to take charge of their labour and not put themselves at the mercy of medicalised care. Information on having a more comfortable labour is abundant in this blog.
It would appear that women have lost faith in themselves when it comes to labour and birth. The only way we can change these perceptions is to teach women how labour really works. How to optimise their chance of a normal birth to secure the best outcome for both mother and baby. X
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