Should The Decision Of Delivering A Child Or The Mother?

In depth discussion of planned and emergency C/S deliveries were also discussed. Planned C/S births were defined as “breech presentation, multiple pregnancy, preterm birth, small for gestational age, placenta praevia, morbidly adherent placenta, cephalopelvic disproportion in labor, mother-to-child transmission of maternal infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was outlined” (National Guideline Clearinghouse, 2011). An in-depth outline of anesthesia and surgical techniques followed. It seems that this source addressed nearly every type of C/S birth technique, including “method of placental removal, exteriorization of the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic administration and thromboprophylaxis for C/S births. Care of the woman after C/S surgery, routine monitoring, pain management, eating and drinking after surgery, and removing the urinary catheter after C/S surgeries was also discussed(National Guideline Clearinghouse, 2011)”. There is even a benefits/harms section that looks at potential risks and successes of C/S deliveries. The National Guidelines Clearinghouse

Cesarean births have been on the rise over the last decade and are associated more with failed inductions than with medical necessity. C-sections are associated with more short and long term complications for mother and baby. By promoting a pregnant woman to opt out of inductions before 40-42 weeks and educating about vaginal birth after cesarean section, the United States can drop the number of cesarean sections performed.

According to Shah, “ newborn babies in the US have a one-in-three chance of entering the world through an abdominal incision. In the UK, the odds are lower - more like one in four, but everyone on both sides of the Atlantic agrees this still represents too much help.” By reading this we can clearly indicate that Shah doesn’t prefer C-section births, and it isn't just because of personal belief, he backs it this factual proof to further his thought. By stating that one-in-three ,(US), and

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.

Often feeling the pressure of family and the uncertainty of the baby’s arrival can be a motivating factor toward choosing a planned birth. The mode of delivery in many ways can be up to the discretion of a physician, more so because “the medical community’s fear of litigation” even so “Obstetric nurses are 10 times more likely to be in the courts” as oppose to non-obstetric nurses(Sibbald, 2003, para. 3). The advantages of performing a ECS is having the patients preferred healthcare provider available and “greater ease of balancing staffing levels with clinical volume”(Salim & Shalev, 2010, p. 4). Ultimately, avoiding patient morbidity and fatigue with the healthcare team can contribute to a positive outcome. Although, scheduling birth based on timing and convenience can be a motivating factor for CDMR. It’s been “shown that respiratory morbidity in Elective Cesarean section is inversely related to gestational age at the time of ECS” (Ramachandrappa & Jain, 2009, para. 9). With

In this article they observed the increased rate of c-sections among women that used epidural intervention during labor. The study was conducted among 753,895 women between the years of 2000-2003.

The occurrence of cesarean deliveries is rising at a disturbing rate worldwide. In 2007, 31.8 percent of all births in the United States were performed by cesarean delivery (Heron, et al., 2010). As cited in the International Childbirth Education Association, 2004, about one third of the total cesarean deliveries are elective repeat cesareans. Thus, the purpose of this evidence-based inquiry is to address the question: in laboring women with a previous history of cesarean delivery, how does a vaginal birth after cesarean (VBAC) compared to a cesarean delivery influence patient and fetus safety during delivery?

It has often been believed that the sole purpose of women was child bearing. A woman’s value was derived from her ability to bear healthy children. As time has passed society and culture have evolved and changed. With this passage of time, a great importance is still placed on women and reproduction. With the recent advent of technology and the advances made in the medical field, it has become a much more commonplace for women to deliver via Cesarean Section. The decision to deliver via Cesarean Section (C-Section) is not safe from the judgments of others. Childbirth and child rearing is a part of life that is highly judge and individuals are incredibly opinionated about. When it comes to childbirth nearly any decision a woman

Over thirty one percent of women in the United States have given birth via cesarean section (Lothian, 198). With cesarean rates this high it is necessary for one to ask, are these interventions truly medically necessary and are they beneficial for the mother and child? Cesarean sections can lead to a longer recovery time span for the mother. This can result in many troublesome issues for the mother and the newborn, like delayed bonding and other physical challenges and demands that new mother’s experiences, which can take a huge toll her mind and body. Natural births attended by midwifes attended are the preferred method of

For a woman’s next birth after caesarean, she is faced with the choice between having a repeat elective caesarean section or a vaginal birth after caesarean (VBAC). If a woman fits the criteria for a VBAC, she should always be offered a VBAC before being booked for a repeat elective caesarean section. This is supported by discussing the benefits and risks of having a VBAC, the risks of a caesarean section, views of healthcare professionals, the impact on subsequent births and women’s beliefs on both VBAC and repeat elective caesarean section.

Other situations where a woman should be able to choose whether or not to abort the baby is when it comes to the health of the mother. Sometimes a woman’s health is compromised throughout the pregnancy and while giving birth, which could eventually be fatal for the woman. Even though medicine is very advance today, there are still cases where the doctor cannot treat a pregnant mother with a particular condition, especially while pregnant. This could be because the treatment is too strong and will cause the baby to die or because there is not a treatment for the particular condition. Examples of these circumstances could include mother being diagnosed with cancer or acquiring a severe infection, a heart condition, or even very high blood pressure.

The lack of resources in maternity departments continues to make C-sections popular in Brazilian hospitals. The don’t have the medical equipment or enough beds to perform vaginal births (Brazil Introduces New Caesarean Birth Rules, 2015). The SUS do not allow women to schedule their delivery in advance, which makes finding a hospital to deliver a stressful situation. Expecting mothers with risky pregnancies can face challenges finding a secure bed, which unfortunately contributes to maternal mortality and morbidity. Women can die or experience negative impacts post-pregnancy (Diniz, S., & Chacham, A., 2004, p102). A Brazilian obstetrician told BBC, “the best way to guarantee yourself a bed in a good hospital is to book a caesarean” (Brazil Introduces New Caesarean Birth Rules, 2015).

The authors clearly stated within the title the study is a randomized controlled trial and is both a qualitative and qualitative study. The purpose of the study was to find decision aids for mode of delivery among women that have previously had a caesarean section; which as well was stated in the research title (Montgomery, et al. 2007). The abstract was very informative and effective for explaining and giving an overview of the entire study, explaining design, objectives, setting, participants, interventions, measures, and results. The study was funded by the BUPA Foundation and the AAM was partially supported by a postdoctoral fellowship from the UK Department of Health National Coordinating Centre for Research Capacity Development (Montgomery, et al. 2007). There were no

Studies have shown that a caesarean birth could lead to a number of physiological, social and physical challenges to both a mother and the new born child (James E. Swain,1 Esra Tasgin,2 Linda C. Mayes,1,3 Ruth Feldman,1 & R. Todd Constable, 2008; Rauh et al., 2012). Compared to a vaginal birth, babies born by caesarean have been suggested to suffer both short and long term health complications (Li, Zhou, & Liu, 2013; Thavagnanam, Fleming, Bromley, Shields, & Cardwell, 2008), this however is not limited to the babies alone but extend greatly to the mothers who themselves are susceptible to series of emotional and psychological breakdown (Bell & Andersson, 2016; Hankins, Clark, & Munn, 2006; Rauh et al., 2012; Sword et al., 2011; Xie et al.,

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.