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581359 tn?1454006442

The US does NOT have one of the highest Maternal or Fetal Death rates.

I have read a post stateing that the US has one of the highest death rates for birth due to the way we deliver our babies....THIS IS NOT TRUE!  In my opinion and experiance, natural birth is the BEST way to go.  With that being said, there is nothing wrong with having a "medicated" birth in a hospital with an OBGYN there are millions of babies born with an epidural...it is a safe way to have a baby and the US is one of the safest places to have a child. With only 13.3 maternal deaths per 100,000, and these are more comonly due to hemorage...which can happen with or with out and epidural.  Here are the statistics which show the US being on the lower, not the higher side.

http://   en.wikipedia.  org/wiki/   Maternal_death

copy and past the link without spaces.
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906115 tn?1344200509
that is awesome! I do know a young mama who had her first in a military hosptial. She had a bad experience though. She was maybe 19 when she had K. She had a hard time and he got stuck in the birth canal and they said he was not in the birth canal but almost. ANyway he has cerebal palsy from lack of oxygen as they left her laying there with him stuck, this was in Dayton OH on that base. He has had therapy and can move his one arm batter but it will never be toatlly normal. Poor thing had her next in a different hospital and had a hard time again. She is a nurse at a nursing home and did not know she had a waht they call dorment infection from changing diapers of the elderly. Well she opted for a scheduled c-section this time and then her body shut down 3 days after, the dr said becasue it happens more, but rare, when it is not medically nessisary sugeries. She had no bowel sounds and something else. Then fluid started building up and she was in and out of the hospital for like a month and had to get a full emergency hysterectomy 2 weeks after giving birth. She lost lots of her hair from the stress on her body. So here is this poor mama who had two bad birth experiences and can no longer ahve children at the young age of 24 I think.

So off topic though;) Wish all woman could have good dr's, nurses, hospitals, experiences for birthing!!!!
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581359 tn?1454006442
I do have to say that it is nice there are somethings that are very nice about giving birth in military hospital.  The Dr's have to be at work no matter what, they won't get paid more or less if you have or do not have a c-section, they don't have to pay insurance so the only concern for a v-bac is if it's in the best interest of the mother and child. They don't rush you so they can go home, when there shift ends the next Dr. takes over...this part does kinda stink...you do get to know your Dr until they are ready to deliver you.

The last military hospital I gave birth in also had a midwife program and it was amazing!

It's weird not haveing to worry about weather your dr will be there or now, and how much it costs to have a baby. It's all free for us.  

They worry about your medical needs and do not push c-secitons on you...they highly encourage natural births.
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906115 tn?1344200509
http://www.ket.org/health/born-too-soon.htm

here is the link and this does nto ahve to do with the original post, sorry but lots of you have said things that are in this show and it is a 55 min segment about pre term births and them being on the rise.

My state KY got an "F" on their preterm report card!!!! SO scary cuz prior to moving here I had 4 preterm babies. Luckily my last one made it full term!
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906115 tn?1344200509
Oh, I I thought I was the poster, I remember posting about fatal and maternal death rates and the US getting a D on their report card. I also posted many times about my OB saying I had to lay on my back the whole time I was in labor. This was his policy though and they do not follow new studies nor practice good techniques for birthing.

NO I do not believe that the US has the highest death rates due to woman giving birth on their backs! I do not think their have been any studies on such a thing either nor ever will be as lots of woman deliver in many positions. The few hospitals or dr's that practice the "back laying" position do not make up enough woman to ahve a study of such a thing nor are their enough woman in that situation that die or the baby dies to have such a study done or even for any of the such to warrant a publication on it.

I think we are here are in pretty much agreement though about the "unnessisary" c-sections being done. Emphasis on "unnessisary!

THer was a show on the premature rates and c-section rates going up in my state and area. I will have to find *** and post the link. It is very very interesting!  They are so behind in times in my area and woman here do not know any better. The hospital talked about in it is still 3+ hours from me sadly to say. All my other births were near the Cincinnati OH area with great hospitals and dr's
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Avatar universal
This is obviously a touchy issue for a lot of women as it's one of the biggest moments in our lives and a very personal decision.  
I had vaginal births with my frist two 13 and 10 years ago.  C-section wasn't even an option although I was only 15 the first time.  I had my second child when I was 18 and read a lot about birthing and had wanted to have a midwife but midwifery is illegal in the state that I lived in at the time, Virginia.  
This time around I am having a scheduled C-section because I have two brain aneursyms and have spinal problems.  I may have had the aneurysms with the first births but they only found them 2 years ago.  
One thing I remember reading is that many Ceasareans are done on Fridays and Mondays.  This is partly because of scheduled ceasareans but sometimes they are done because labor is not progressing fast enough and physicians want to go home.  
Here's an interesting article that explains the main reasons C-section rates are on the rise.  It's not only for convienience at all.  
http://          www.nytimes.com/2010/03/24/health/24birth.       html

Many women feel strongly about their choice of delivery.  Some home-birth, some hospital, and everything in between.  The important thing is supporting eachother in the right to decide for ourselves either way.
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461781 tn?1285609481
This is copied from h/www. childbirthconnection .org/article.asp?ck=10372


Is there any truth to the assertion that many women are choosing a primary cesarean with the understanding that there is no medical reason?
The first national data from women themselves clarify that demand from women for a planned initial (or "primary") cesarean with no medical reason is infinitesimal. Despite some professional and mass media discourse about "maternal request" or "patient demand" cesarean when there is no medical indication, just one woman (0.08%) among 1314 survey participants who might have initiated a planned primary cesarean without medical reason did so. Just that one woman (0.4%) out of 252 survey participants who actually had a primary cesarean initiated a planned cesarean without medical reason. Two other women with a primary cesarean said that it was scheduled ahead of time without medical reason and initiated by a health professional. All others (98% of women with primary cesareans) believed that there was a medical reason for their cesarean. The most common reasons cited were concerns about fetal distress, position of baby, size of baby, and prolonged labor.

How is this reflected in the total population of women giving birth? Among all survey participants, 0.06% had a planned first cesarean birth by maternal request and understood that there was not a medical reason. Applying this to the most recent national figure for annual births, an estimated 2,606 women out of about 4.1 million who gave birth in 2005 had primary no-indication maternal request cesareans.

These first national results from women themselves clarify that demand from mothers for planned primary cesareans with no medical reason is virtually non-existent. Maternal request for such cesareans is not a factor in escalating cesarean rates. It is time to dispel these myths.
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581359 tn?1454006442
There is absolutly noting wrong with giving birth to a baby in a hospital with and obgyn with and epidural and on your back!!!!!!!
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1303813 tn?1303159362
Spikett... I need to educate myself! And I am, by reading books and looking at posts on here, I also have a visit to a L&D ward at the hosp I will be delievering at. But hands up... I am not educated enough... but thats what learning is all about. And its true you do learn new things everyday... well I do.

Anyways.

I am with LauraB78... I would prefer to give birth in a Hosp surrounded by medical professionals, I will feel sooo much safer. I am RH- Blood group, father of my baby is Pos... PLUS its also a better idea to have your first in a hosp down this end of the woods anyways...

There also isnt just one doc in every hosp, if your doc (Who agreed to be there) was away they would have another doc to cover their patients... they wont tell you to cross your legs untill they get back. And if they did, I suggest they give birth, and let us tell them to sit there with their legs crossed untill we're ready!! There is always a cover doc for another doc...

Peoples Opt for c-sections maybe because they feel comfortable, It isnt always thhe docs I am sure... I personally think, if they suggest a csection for someone, they have their (the patients) best interest at heart.

But people that ask for Csections because they want them... for reasons like LosingMyMind said, they dont wanna mess up their vagina...??? Why would it matter, unless someone looks at that more than the persons face??? Hmm... if thats the case, dont get preg then.. its natural, thats like a Gay person saying I dont want a poo incase I mess up my bum??? (sorry if I offended anyone! :))
Those reasons are silly!!

What are the rates in England?? and why is it soo bad to be laying on your back whilst giving birth?? Again something I need to learn. I know its somethhing about the birth canal... But I was ill when this was being explained to me... and so I wasnt listening!!

So many things to learn!!

x

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202436 tn?1326474333
We aren't referring to NECESSARY c-sections.  We are referring to the ones where doctors refuse to allow VBAC's for NO medical reason at all, simply becuase they don't want to pay extra for the insurance or becuase they want to make it home in time for the football game.  Or the ones where a woman wants to "schedule" her birth around her schedule or she doesn't want to "mess up her vagina".  Those ridiculous reasons are the c-sections we are talking about.  In your case the fact that the baby was too large for your pelvis is a GOOD medical reason for a c-section AND is something that is likely to reoccur making you less of a good candidate for a VBAC than someone who had a c-section for a reason that is NOT likely to repeat.  Becuase of the problems you had I can see it being necessary/better to have a repeat c-section rather than attempt VBAC.
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461781 tn?1285609481
Statistics are generally misleading, the higher risks of c-sections in this country have been linked to the high obesity percentage of women giving birth, low education levels AND not having adequate prenatal care during pregnancy which generally these outcomes happen in low income communities and medicaid or no insurance.  Higher education and prenatal care which comes with better health insurance leads to better birth outcomes.
Aside from this, I do believe that the US uses too many unnecessary interventions but the confort of the mother giving birth is key.  If the technology is avaiilable for drugs etc, or there are medical reasons to get these interventions than please use the technology that's available.
From experience, I am borderline, I had a necesary c-section but that was not my choice, I was in labor for 46 hours and I was not progressing, my baby was in fact stuck and never decended into the birth canal and my baby's head was truly biger than my pelvic bones would allow.  So I had 3 of the factors necesary for a c-section and most likely my next birth will be the same because I do not think that my next baby will be much smaller than my first, it generally is biger.  Now my doctor doesn't think that I NEED to have another c-section if the baby is small enough to fit through and if my labor is progressing as it should.
Because of my insistance to have a natural birth, I endured 46 hours of pure torture to try to deliver my son naturally and it would just not happen, if I were to have had a natural birth with him, the Dr would have had to use forceps and I probably would have had such a ridiculous vaginal tear that I would have needed total vaginal reconstruction, bled to death and who knows what kind of birth defects or deformities would have happened to my son from being stuck in the birth cannal for a long time without oxigen. In which case, I totally preffer having a c-section.  They gave me pitocin for no reason, demerol, epidural twice and all of those intervention actually made things worse.  
Next time I will go to the hospital when I'm in active labor and if I'm not progressing naturally then I will have a c-section and that is that.
There's no reason in our society to endure unnecessary torture just because you want to prove something.  If your labor is going fine then leave it alone, if you are having complications by all means use whatever medically necesary interventions that you need, that's why they were created in the first place.
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202436 tn?1326474333
I am a prime example of doctors wanting to do a c/s over a VBAC.  I live in a small town with only a handful of ob's.  Before moving here I had THREE successful VBAC's.  With the first child I delivered here I just happened to luck into picking the ONE ob here who was willing to let me VBAC again...but even he assumed at first that I would have  repeat c/s. I told him flat out NO becuase it was not necessary.  AFter VBAC'ing with that pregnancy and talking with people around here about having done a VBAC EVERYONE was shocked becuase thereis definately a "once a c/s always a c/s" mentality around here.  When I got pregnant this last time I was going to switch OB's becuase my original one always made me feel rushed, however, I ended up back wtih him becuase NO OTHER DOCTOR would even consider letting me VBAC even though I had FOUR previous ones with no complications and my c/s was 14 years ago.

I went to L & D a couple of times with this pregnancy and I ALWAYS got a lot of crap and attitude about the fact that I was going to VBAC.  I was told my ob was being unfair to any other doctor who might be on call when I went into labor and THEY wouldn't give me a choice... I told them point blank ...it is ALWAYS MY choice, NOT theirs..they are there for ME not the other way around.  

When I went to the hospital to deliver, my doc put me in to naturally induce me (broke my water).  The nurse who was there in the beginning was a real witch..she kept saying "i'm gonna do this just in case you have a c-section" she even got pissy about me eating ice chips becuase she was SO SURE I would end up with another c-section.  My DH came real close to laying her out on the floor becuase she kept bringing it up.  Fortrunately she was only there for a couple hours before a really nice nurse came on.  I got my VBAC as I KNEW I would.

My point is to prove that yes the United States has a horrible c-section rate, which does increase the rate of complications and even death.  It has gotten so bad that the ACOG released less restrictive guidelines on VBAC's saying that the c-section rate has gotten too high and that they are ADVOCATING VBAC's in MOST cases....even for women who have had 2 previous c/s's.  

I'm all for natural birth, I just haven't been forunate enough to be in a good place to do so with my births...no midwives or birthing centers.. crappy hospitals that won't even let you out of bed.  I did have ONE drug free birth and it was by far my fastest, easiest recovery and I felt like I was on top of the world afterwards!  
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1330108 tn?1333677304
I should also state that I'm sure there are some wonderful amazing midwives out there and I don't judge anyone for using a midwife or dula. Like all drs you have to find the right one for you. I've just personally had less than favorable interactions with midwives though to be fair I've also had some less than favorable interactions with some OB gynos too which is why it took a few to find the one I have now.

Every person has to make the right decision for themselves both in pregnancy and labor delivery and beyond. Some women have amazing strength and desire to do natural unmedicated non medical intervention deliveries some feel csection is right for them and so on. To each their own but no matter what we all must remember that this forum is to support each other through our pregnancies to help answer questions and listen to our fellow members as we head into motherhood :)
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1330108 tn?1333677304
I completely agree with the original posted but I do NOT agree that midwives are more knowledgable about birth. Before going to my OB I met with no less than five midwives and the things that they told me sent me running for the door. Prior to working on my doctorate in psychology I was working towards a medical degree and I know enough to know the things i was told by these midwives had me running for the door. I actually had more than one midwife tell me I was not high risk. According to actually medical drs I AM considered high risk. I was told by one midwife that miscarriage happens for genetic reasons only NOT due to accidents, toxicity, trauma and so on. My cousin stayed with a midwife and her OB told her it was ok to take a medication around the time of implantation in pregnancy even though scientific studies show that it causes problems in the fetus implanting. She is now five weeks pregnant and bleeding. I warned her about the medication before she took it but she said it was fine because her midwife said so and because her midwife told her that miscarriage either happens or doesn't and there isn't anything that you can do about it. Based on all of my personal experience with midwives I would never ever ever go that route. Additionally some of the posters on here have gotten some really strange statements from their midwives. Granted same with some of the OB's but it seems more so with midwives. Did you know some midwives don't do any ultrasounds?  How would you know if you had placenta previa which can make you hemorrhage and die?

I agree especially with the statement that labor and delivery is like a marathon. If you are over weight it leads to more medical problems and risks. It's all about what you eat, your weight, how you live your life. Exercise in pregnancy can help you prepare for the marathon of labor and delivery. Yes some will still have complications.
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581359 tn?1454006442
Also, our deathrates have to do with other reasons, NOT because of epidurals or giving birth on your back in a hosital bed with an OBGYN.

Giving birth on your back in a hosital bed with an OBGYN and an epidural may not be very comfortable or as special and a natural birth with a midwife, BUT it IS a very safe way to have a child.
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581359 tn?1454006442
You were not the poster.

Okay things got way off of the post.  I said nothing about c-sections...I agree totally that we should not have a c-section unless, medicaly NEEDED!  The original post was very agaisnt epidurals and that said the reason the US has one of the highest death rates is because we give birth on our backs. (TOTALLY NOT TRUE)

I had my first daughter in the hospital and had and epidural.  She was perfect, no complication and so was I.

My second daughter was also born in a hospital, but I had a midwife deliver her. She was born 5 weeks early, so I was glad we had her in a hospital. (my water broke early) But I still had a midwife deliver and had no pain medications at all.  I liked this better then having an OB being in the sturrups and all of that.  

Bottom line, the US DOES NOT have one of the highest meternal death rates. Even with the excess of c-sections. Which, like I said before I do not agree with c-sections that are not needed to save either the baby or the mother. c-sections for convienance are wrong in my opinon.

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971074 tn?1362759766
I was the one that said...
"We as Mothers need to educate ourselves because we need to understand the process of birth." I'm not sure how that was interpreted as offensive. That wasn't my intention at all. I'm sorry if I offended anyone.
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1271927 tn?1310580362
I would have to agree with a lot of the posters here. It does seem that c-section births are higher here in the US. I also tend to believe that those numbers are influenced by obesity and a mother's choice. But I think that is just from experience.

My sister CHOSE to have a c-section with her FIRST child. My other sister is hoping for a vaginal birth, but isn't stuck on the idea. For me, I have learned that I AM IN CONTROL OF MY OWN HEALTH. If I choose a vaginal birth, so be it. I can also choose a c-section. I can choose to give birth at home. I can choose to give birth in Lake Okechobee just chilling next to a bunch of alligators if I want! No one can force you to do anything. It's your body and your choice. Some women CHOOSE to put themselves in harmful or more safe situation based on their beliefs, values, education, family, and personal wishes.

Now, I would disagree that doctors choose to do c-sections just to "save their weekend". If a doctor is off schedule, they have every right to leave. Someone else will be there to step in and deliver that baby. Every doctor I have talked to has suggested NOT doing a c-section unless medically necessary. I personally believe that c-sections have SAVED a lot of babies and mothers. I've never heard of someone bleeding to death from a c-section, however, I've heard of bleeding to death from a vaginal birth - but that might just be the experiences I've heard about.
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1035252 tn?1427227833
LOL I agree with you. I hope you didn't think that by saying "education is key" that I was supporting home births and what not..I actually do NOT. I gave birth twice in a hospital and any other babies will subsequently be born in a hospital as well.

I nearly died from a bleed-out after having my daughter and I WOULD have, if I had been at home like I originally planned. there's no reason to take that risk IMO...but plenty of women have healthy home births...I just think it's an unnecessary risk. however, some women think that hospital births present unnecessary risks. Neither in either pregnancy did a doctor EVER suggest c-sections to me, and both of my deliveries were with OBs.

I would have died had I been in a country with a less competent medical situation as well!

But I just wanted to clarify...I still think that exercise and nutrition are the key to a healthy pregnancy and delivery no matter HOW you deliver or WHERE you deliver. its' best for baby and mom :).
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304970 tn?1331425994
Oh., and if you believe for a millisecond that the US has the highest death rates.. You are insane.. I agree with the original poster on that topic. US is NOT the highest for fetal or maternal death rates.

Sorry about the typo's.. When I get heated, I don't pay attention because I am typing too fast!
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304970 tn?1331425994
I am going to staqrt off by admitting that I did not read every post in its entirety.. I am a little taken aback though.. I have not been on medhelp much, and posts like this are the reason why.. I see LOTS posts of talking about doula's, & midwives, and home births.. NO THANK YOU! I don't follow holistic medicine, nor do I believe in it. I am offended to read that someone said "educate yourself." I am in awe that so many women hire these ill educated midwife/doula people that got a "certification" from some BS coorespondence program and allow these people to deliver their chilfdren at home. I think it's disgusting. I am FAR more apt to trust an actual DOCTOR who put years in their college education, and years completing their residencies, and have SCIENTIFIC education... I believe in science.. Not lame breathing techniques and suffering intense unnecessary pain. C-section rates are high, no doubt, but many women WANT them.. It seems that side of the argument hasn't been figured into mathematical factors at all. I am in my early 30's and MANY women I know prefer a c-section. And that is their CHOICE!!! Just like if you believe in unmedicated homebirths, with no medical euipment in case of an emergency, that is YOUR choice.. What seems safer to me?! BEING IN A HOSPITAL BEING TENDED TO BY EDUCATED MEDICAL PROFESSIONALS.. Maybe I am offended unnecessarily.. I admit I didn't read everything, but it seems like website has become so judgemental and one sided.. I apologize if I offended anyone, but there is more than 1 side to everything in life.. Even birth plans and options.. We don't all need to have the same opinion.. I agree to strongly disagree with unmedicated births at home..

I also apologize for probably getting WAY OT.. The c-section rates are high, and sometimes done unnecessarily, but we as woman have the responsibility to be our own advocates and be very clear what we would like from our birth experience, if you are strongly against a c-section, your Dr. should be aware of that fact, and know that it is your last option and only if necessary..
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906115 tn?1344200509
Were I live the local hospital has a 45% c-section rate and 99.9% for subsequent pregnancies.

The rates of my state are like 40% ( I think from what I rememebr) in KY. It is becasue of high obesity rates, smoking and dr's not allowing VBAC's.

Like I have posted in the past they want me on my back, on iv's and hooked up to a fetal monitor with no walking or moving at all! this was for a VBAC. SO I went 3 hours to a better hospital.
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1395792 tn?1358115792
Everyone is different I have had 3 healthy babies no complications WITH epidurals..so everyone is different..I def think you must take care of yourselves during preg to be ready for delivery.
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1244180 tn?1325899111
What are the stats for Canada? I am on my iPod and can't find them.
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1035252 tn?1427227833
very very true. education is vital about this...so many women don't understand/know how important it is to be fit while pregnant. like I said, fitness and weight are two different things. I have a friend who is considered "obese" who could stomp my BUTT in a race, because she works out a lot...she just has a higher weight. But obesity does raise your risk factors in surgery so if you DO end up with a c-section that's something to be considered.

and you mention nutrition which I did not....also very very important. even a woman on bed rest can care for her body and prepare it by eating the right things!
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