• pulsewidth@lemmy.world
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    1 day ago

    Caesarian is absolutely not ‘much more dangerous’ for mother and child, cite some evidence. 32% of all births in the US are caesarian, about the same in the UK, and over 50% of those are emergency c-sections after natural childbirth has proven impossible and the doctors have had to step in to save the mother and baby from death or lifelong injury or disability.

    “Delivering a baby via cesarean section is generally considered safe, and in some instances is medically necessary and safer than a vaginal birth”

    https://www.healthline.com/health/pregnancy/how-many-c-sections-can-you-have

    “The data shocked the study’s head author, Darine El-Chaâr, a perinatal researcher at the Ottawa hospital. In the planned vaginal birth group, there was a higher percentage of negative outcomes compared with the MRC [maternal-request, non-emergency c-section] group, driven by serious vaginal tears and babies admitted to intensive care. “I myself am challenged by the data,” she says, underlining that she believes vaginal birth is natural. “I wanted it to be the other way around.””

    https://www.theguardian.com/lifeandstyle/2022/feb/13/caesareans-or-vaginal-births-should-mothers-or-medics-have-the-final-say

    • RBWells@lemmy.world
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      20 hours ago

      I would like to know how much of the increased risk of hospital vaginal birth is iatrogenic, is it actually safer to cut you open, remove the uterus, cut it open, take out the baby, replace the uterus, sew you up, than to have the baby come out the way most mammals do? Or is it the hospital setting & obstetric interventions making it so? Please know I would never, ever, ever want to go back to when the cesarean section was more risky, and am very happy if it’s safe now.

      https://pmc.ncbi.nlm.nih.gov/articles/PMC2742137/

      Planned and professionally attended home birth less risky than planned hospital birth, which implies some risk associated with the hospital itself.

      • pulsewidth@lemmy.world
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        7 hours ago

        I’m not sure and would like to know too. But I do believe it’s much less common for the uterus to be moved outside the body during Caesarian (exteriorization), the standard is intra-abdominal repair - ie repaired in place by surgery. Exteriorization is an older practice done due to surgical simplicity, and it’s fallen out of favour due to various risk factors it adds. Latest metal analysis I found on it with that recommendation from a 2021: https://pubmed.ncbi.nlm.nih.gov/34811700/