Friday, August 10, 2012

Most women are hale and hearty and capable of an uncomplicated natural childbirth, yet surgical childbirths are increasing...

“Apart from the straight visible medical indications that suggest choosing a Cesarean delivery, most of the doctors today want to avoid the possibility of lawsuits for any problems in the child arising during labour,” says Dr. Kiran Dua, an experienced Gynecologist associated with several health care institutions like Lamaze that advocate normal delivery. He adds, “Most of the doctors think that if they can get free in two hours with a Cesarean, why should they monitor someone for 16-18 hours in labour and take stress?”

But while a Cesarean delivery leaves the mother with a severe, longer-lasting pain and with a risk of infections, it may cause harm to the child too in the form of ‘accidental surgical cuts, respiratory problems, failure to establish breast-feeding, and asthma’. Most often, mothers agree for a Cesarean “at the initiation and encouragement of the doctor and then to avoid labour pain”, says 31-year-old Sejal, a mother of two, and adds, “I was ill-informed about the cons of a Cesarean and my girl does have a respiratory problem.”

Vaginal births are not all perfect too, and in cases of poor care and midwifery, they may lead to ‘alterations in sexual sensation and if forceps are used, it may lead to urinary incontinence.’ Cesarean, as an informed choice, is being advocated by many in the US who contend that the costs, risks and benefits of both the procedures are balanced. But “In India, the money a doctor makes in a Cesarean is double the amount you get in a normal delivery, that too with much lesser effort,” reveals Dr. Dua. This leaves Indians with the task of discerning if their doctor is really concerned about their health, or of his/her own vested interests...