Cesarean Birth

Johnson et al. emphasize lower cesarean section rates of physician-mothers under physician-induced demand (2). One reason concerns higher reimbursement of surgical births rather than vaginal deliveries, which functions as a non-medical factor. Financial incentives are imposed on uninformed patients so that cesarean deliveries become more frequent in the health environment. Despite the non-medical factors applying cesarean sections should be regarded in terms of maternal mortality and morbidity. In addition, performing the vaginal delivery safely could involve more resources and treatment of any arising complications during the birth. Patients’ knowledge about interventions could achieve larger cuts in cesarean section

However, Ricki Lane, the producer of the film, “The Business of being Born,” hopes that viewers will see that economically, births out of hospitals and at home is cheaper with a midwife, who will charge their patients only $4,000 for everything, including post-natal care. Whilst, a normal vaginal birth can cost up to $13,000, and a birth with multiple drugs involved, which typically leads to C-Section costs up to $35,000. However, with the American Medical association’s relationships with the hospitals and insurances, they are actually discouraging home births and midwifery, when the truth is that, statistically, it is safer and cheaper with home births and midwifes. It kind of makes you wonder just what exactly is on their agenda when it is a common practice to give births at home in both, developing and under developing countries, and has been for hundreds of years.

The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.

Although nurse midwives do complete the task of aiding in the delivery of newborns, “they also provide health care and wellness care to women, which may include family planning, gynecological checkups, and prenatal care” (nurse.org). Nurse midwives also assist along with physicians during c-sectional births. Certified Nurse Midwives or CNMs are advanced nurse practitioners; however, nurse midwives must earn an advanced degree, a special certification, and training in order to practice midwife duties. CNMs offer similar care to that of an OB/GYN doctor; therefore they make different financial earnings. “Nursing Economics, found that when midwives work in collaboration with physicians, the birth is less likely to end in a C-section” (nurse.org). If less c- sections are performed in hospitals, it could help lower the medical costs due to paying for medication during the labor and delivery, of a natural vaginal birth. To illustrate, nurse midwives should be more prevalent in hospitals, in order to lower the financial status of medical

The intent of this paper is to examine effective solutions for reducing cesarean deliveries. Cesarean deliveries involve more risk to both the mother and baby than vaginal births do. Cesarean deliveries have a higher potential of complications than vaginal births. Cesarean deliveries cost more, require longer hospital stays, and require more resources—both human and systemic—than vaginal births.

“Today, many if not most obstetricians do not attend births: they perform fetal extractions through the vagina or through an abdominal cut.” Faith Gibson (p.37)

Caesarean sections are a common form of birth in the 21st century. Caesarean sections are performed in a variety of situations including complications in birth, emergencies, and high risk pregnancies. Usually, once a mother has one Caesarean section, all babies after will also be delivered by Caesarean section.

Healthy childbirth is defined as a safe, natural process that rarely requires medical intervention (Goer & Romano, 2012). The medical model of care, however, often includes interventions that are not supported by the evidence and can increase a woman’s risk of having a cesarean section. These intrusions into labor and birth often lead to what has been called the “cascade of interventions” (DeClercq, Sakala, Corry,

Shah then goes on to state how cesarean surgeries may be beneficial, or may not be beneficial to the mother, but are most likely unbeneficial to the newborn, unless there is a serious threat. Shah states, “ … that those born by cesarean were significantly more likely to develop chronic immune disorders.” of which he acquired from a Danish study from two million children born at full term. In contrast Dr.Shah states how many of his patients benefit from his surgeries, even though he stated previously how dangerous they were, and how he gets to save lives and bring new ones into the world. Finally, Shahs closing remarks are on how to fix the overuse of C-sections. Shah states how natural birth is the preferred way to go and that cesarean surgeries should be only for emergency use only and not for choice. In addition, Dr.Shah goes on to say how a perfect way to fix the overuse is to take the “British way” and to “...stay away from obstetricians altogether - at least until you need

Vaginal birth is not a easy trip for a baby. These days the death rate in U.S. for full-term babies is 2 in 1000. According to some experts a C-section during the week the woman is due would save lives.

Cesarean birth can be lifesaving for the fetus, the mother, or both in certain cases. However, the rapid increase in cesarean birth rates from 1996 through 2011 without clear evidence of concomitant decreases in maternal or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused (Caughey,

The purpose of this handbook is to advise expectant mothers to avoid getting a C- section when it is time for them to give birth. In addition, the report discusses what a C-section is and the risk factors associated with it. This report points out that many doctors and hospitals tend to preform unnecessary C-sections in order to gain more money.

As stated by Penny Simkin, April Bolding, Ann Keppler, Janelle Durham, and Janet Whalley, the authors of the number one best-selling book, Pregnancy, Childbirth, and the Newborn: The Complete Guide, “While maternity care practices are continually changing the way women are helped to give birth, childbirth itself hasn’t changed. How a women’s body functions during pregnancy, labor, birth, and the postpartum period—and what she needs during these things—hasn’t changed since the beginning of humankind.” The process of birth is one of God’s greatest miracles. Although all babies go through the same stages of conception and development while in utero, that “average gestation period is 280 days, but it can be shorter or longer by as many as 14 days. At the end of the gestation period, the fetus has reached full term and is positioned for the birth process. The process, generally referred to as labor, includes three stages” (Wittmer, Petersen, Puckett, 2013, pg. 103). However, not all babies are born through vaginal births and as technology has increased many doctors are beginning to see a trend of patients asking for elective C-sections for non-medical reasons for convenience and avoiding the pain of labor, as well as concerns about vaginal tearing, incontinence, or other complications.

Not too long ago, the term Cesarean Section would strike fear into the heart's of expecting mothers because of the number of risks involved with the surgery and not to mention the ghastly scar it leaves behind. Today, however, physicians give their patients the option to go through with natural delivery or chose a natural delivery. This may be due to the increase in celebrity trends or because women are having babies later in life and advanced maternal age comes into play when making the decision. Regardless of the increase of this type of delivery, one thing remains true, it is surgery and the

MD Marden Wagner said, “In every country where I have seen real progress in maternity care, it was woman’s groups working together with midwives that made the difference.” The Marriam Webster dictionary defines midwifery as “The art or act of assisting at childbirth”. The definition is a spot-on explanation. Midwifery is not very broad; it’s pinpointed as a specific job with detailed instructions that only deal with pregnancies. Many will argue to say that midwives only work with women who are having “normal-pregnancies”.(Goer, 2002). Normal pregnancies include a healthy mother and fetus, with no complications. “Approximately 10% - 30% of pregnant women will experience Bacterial Vaginosis (BV) during their pregnancy. An ectopic pregnancy happens in 1 out of 60 pregnancies. About 1% of all pregnant women will experience placental abruption, and most can be successfully treated depending on what type of separation occurs.” (Pregnancy Complications). Everyone is different, they handle pain in different ways, they have diverse fingerprints, they all have their own unique genetic material; evidently all pregnant women will experience each pregnancy they have differently from themselves and from other women. Many people will argue about the authenticity of a Certified Nurse Midwife’s education however, in reality “Certified Nurse-Midwives (CNM) are registered nurses, with a minimum of a