Why doctors prefer CESAREAN SECTION over NORMAL DELIVERY allover the world?

Cesarean Section Rising Worldwide - Rates of cesarean section are rising worldwide and maternal requests for this kind of delivery contribute to the increase in this trend. 
Sometimes doctors prefers for this surgery.
@nishant5n (1067)
India
March 16, 2011 12:07am CST
Dear myLotter, From India to New York, from Pakistan to England, From Philippines to Italy -- I mean everywhere there is a high increase in the rate of child births via Cesarean Sections, why? You can check yourself through the links provided that the rate of C-section is increasing day by day. Now normal delivery is a dream for a woman, why? Do you think because of financial profits doctors prefers C-section? (This is seen in India and many other countries) One of my cousin opted for C-section so that she can avoid pain during childbirth, Is it fair? Do you think women's preference for C-section has increased the rate of this surgery? Once a women undergoes a C-section, there is very low chance that further deliveries will be via normal delivery and she has to no other option than a repeat C-section. Can we make a sense of rising C-section rates everywhere? . http://www.bmj.com/content/329/7468/696.extract/reply#bmj_el_77037 . http://www.reuters.com/article/2010/05/24/us-c-section-idUSTRE64N5E020100524 . http://www.bmj.com/content/329/7468/696.extract . http://onlinelibrary.wiley.com//doi/10.1080/00016340600645255/full
6 people like this
18 responses
@thesids (22180)
• Bhubaneswar, India
16 Mar 11
Hi Nishant Well there are two points I believe that should answer this - 1. Today, many women are unwilling to go through the pains of the normal delivery. Blame it on their willingness to undergo the labor pain or the time crunch, this is one reason. 2. Another reason is that the Docs are doing their profession for money dear. A surgery means money for all - right from the docs, to almost everyone in the nursing home or the hospital. Oh yes, there might be another factor - 3. Many are thinking that the normal delivery may be dangerous and their life can be at risk(I have a few instances here locally where there were deaths during delivery). However, some people are getting aware and trying to opt for the water birth or the other things instead of going by the surgery. Again, there may be instances of cases where the Cesarean is the only way out but these are not the cases in discussion.
• India
17 Mar 11
I completely agree with Sid that medical profession has been changed into business.That is why people are paying hefty amounts to get admission in medical colleges and it is one of the fields where you will hear maximum number of bribe cases being registered against examiners and HOD's . I delivered my child through c section because according to the doctor the baby had moved his head and could not be delivered normally. During that time we were so frightened that we could not question her judgment and went in for the surgery. She did charge huge amount of money.She kept me for 12 long days in the hospital for reasons best known to her.
@visavis (5934)
• Philippines
16 Mar 11
Your having good points but how many years before ceasarian has been doing, normal delivery will be doing way, women must to understand that pregnancy and delivery is one of the responsibility of them, and it is written that women must bear such pain of delivery.. Danger for them in delivery are always there even in ceasarian... or may be for convenient as you said... but the more factor is the money...see you around
1 person likes this
@thesids (22180)
• Bhubaneswar, India
17 Mar 11
12 long days at the hospital OMG. I am shocked and quite worried now... Does this mean we can never think of having a baby... going by our financial status and my always ill health? NISHANT I NEED YOUR VALUABLE SUGGESTIONS for My Health too besides an insight into this discussion
@visavis (5934)
• Philippines
16 Mar 11
Actually like in the Philippines the hospital first question is where and what the husband working. If they heard abroad for sure cesarean will be the ultimate action their alibi no choice. A terrible action and for me a little bit illegal. However there are few situation that doctors declared a normal delivery, those doctors are considerate but as I said questions always at the start... see you around
@jaiho2009 (39142)
• Philippines
16 Mar 11
hello friend, I don't think so my dear. Maybe there are few cases like what you've written here. But doing C-section needs medical reason why it has to be done. I delivered my kids via CS,at MAKATI MEDICAL CENTER,and i can tell you that,with my first child,we really tried for a normal delivery,so with my second child...but to no avail... So,on my youngest i never tried to have pain labor,we just go directly to the OR for the CS op. It doesn't mean that,doctors will not give it a try for normal delivery. I did,we did...i go through 10 hours of labor pains for each of my kids before doing the CS op.
@visavis (5934)
• Philippines
17 Mar 11
It was really terrible but it is happening no question about that, oh one of my friend shared her experienced about such smooth and good treatment. May be your case is exemptional or your lucky one for the doctors which mentioned by Nishan. Not only for delivery may for all types of medical treatment in the hospital, first question is money. sorry but that is the reality, it become business..
@nishant5n (1067)
• India
17 Mar 11
Hi visavis, Amazing approach! This is very sad that everywhere doctor are losing their ethics and keeping their financial benefits above. They have no concern for patient as after C-section a lady has to be in bed for more time in order to recover. In our country also, most of the doctors are greedy and they just want to do C-section. They will prescribe useless tests and procedures in order to make money. This is really very sad. Although, our government has planned and has made some guidelines but they are still not enough to eradicate this evil from society. Hello Jaiho I understand that for doing C-section, there must be a valid reason. But again it is true for those doctors who are ethical in their practice. If I want to do a C-section I can formulate as many reasons as I wish. I have to give advice and patient's caregiver will always listen to me. It is possible that the doctor who did your delivery was your known doctor, or he/she was ethical in practice or you are talking about some time back like 10-15 years back.
@Sreekala (34312)
• India
16 Mar 11
Hello nishant, It is true that doctors preferring C-section for financial profit. Some women do not want to tolerate the pain of motherhood (some scared on pain) and asks the doctor to do it through C-section. In some cases, some complications lead to C-section finally. Physical activities are very important at the time of pregnancy as the women should walk regularly if she can’t do other works. Earlier women were very active on their work and it may help them to delivery the baby in natural way. I have two kids and both born on natural way. Yes, the pain was unbearable but for some hours only. I have seen that many other ladies on tears due the pain but I haven’t cried, as I knew that there is no use of crying and I have to face it.
@Sreekala (34312)
• India
16 Mar 11
Sidhu it was a great experience with other ladies who were on similar position and one lady delivered a baby girl near to my table and I heard, after the delivery, she said to the nurse, I don't need more baby and I won't come to this place again.
@jaiho2009 (39142)
• Philippines
16 Mar 11
sis Sree, I've done everything to delivery my kids through normal way,but i am so frustrated. One of my greatest disappointment is,not experiencing the true essence of womanhood (giving birth the natural way..that's how womanhood means to me) I have problem with my pelvis area,it doesn't open enough for a baby to pass through the v*ginal canal. Granting my kids are really big babies weighing 8.6 pounds,8.11 pounds and the youngest is 8.5 pounds. But some mothers delivers babies as big as 9 pounds through normal delivery. I never cried for labor pains,not to mention that,each time i labor,it's not a water bag that broke,but blood...one reason why i can't give birth the normal way...too sad
1 person likes this
@thesids (22180)
• Bhubaneswar, India
16 Mar 11
Hi Sree I haven’t cried, as I knew that there is no use of crying and I have to face it.
1 person likes this
• United States
16 Mar 11
If it is for financial gain that is terrible. Here in the US a doctor has to document and substantiate why a C-section is necessary. We also have Religious hospitals that unless it is dire need it will not be done. My understanding is that after the first C-Section a woman can only have 3 - 4 babies as a limit.
• India
17 Mar 11
I just want to inquire that my sis in law is going to deliver her second child during first week of April.She has undergone c section two years ago.Is it possible for her to deliver normally.Her doctor says that there are chances of normal delivery (she lives in U.K.)
@surekharathi (14146)
• India
16 Mar 11
Really this is a good discussion and this question is also in mind since long time why the Dr. prefer Cesarean than Normal although they can do the Normal delivery. This is also in my this is occur due to financial Profit because in normal delivery less expenses but in Cesearean more expenses and a normal person cant bother it but they have no option because Doctor says them yes Cesarean is necessary for your wife so they dont want to take a risk. But this is not fair and I hate it.
• India
17 Mar 11
Ohh thanks sir to accept my views positively but I like your discussion and comment also
@nishant5n (1067)
• India
18 Mar 11
Thanks a lot. Is there anything we can do to erase this problem from society? Can we teach those doctors a lesson somehow?
@nishant5n (1067)
• India
17 Mar 11
Thanks Ms. Rathi, More than 80% cases can be dealt with normal delivery, but still normal delivery are about 10% to 20% -- why? Because doctor are getting greedy. They want money. "I if have established a clinic or a nursing home or a hospital -- I need money keep it running. Who cares ethics?" This is extremely bad thinking of doctors. It is a profession which can be compared to God, but see how they are losing their conscience and become businessman by operating hotel-like-hospitals.
1 person likes this
• India
31 Mar 11
Hello Nishant, This is very sad that doctors are doing wrong thing by opting for this operation when it is not needed. I have also seen and noticed that most of the deliveries nowadays are through operations. I was also thinking that why they are doing more operations nowadays. In times of our parents and grandparents all the deliveries were done by midwives and there was no need of any operation at that time. Why nowadays there are more operations? I think you are right that doctors are influenced by their own financial benefit and therefore are doing more operations just to make more money. This is really very wrong. It is a very nice discussion. I like this.
@nishant5n (1067)
• India
31 Mar 11
Hello Brother, How are you doing? Long time no see. Yes this is really a problem in our country. There was a doctor in Tilak Nagar, Jaipur, who was suspected for this type of practice and he was then investigated for past cases and his lisence was canceled at that time. I think you will remember his name. I am unable to recall his name. He used to do C-sections in his nursing home without its need. Now there are much more doctors who are practicing such crime. Thanks for appreciation. Have a good day.
@nishant5n (1067)
• India
25 Jul 11
Hi Nivi, First of all, Welcome to myLot. I think it will not be a good idea to ask your present GYN's C-section record as even if you are provided with some number, they will definitely be backed up with some reason for doing those cesarean sections. One can avoid useless C-section by being well aware of their baby's position and other complications. When you have your ultrasounds, you can discuss with your doctor about baby's position. You can ask if everything is normal. You can also confirm with them if there are good chance of normal delivery or not. (Actually, no doctor can guarantee normal delivery beforehand. Even the good doctors can predict probabilities) When you reach your third trimester in pregnancy, you can also get a second opinion from some other OB/GYN to confirm and/or verify if everything is okay. Near my place, Vaishali Nagar, there is Dr.(Mrs.)Dev Nanda Chaudhury. She is professor of OB/GYN in RHSDP (government hospital). I have noticed that she mostly prefers normal delivery and is a good doctor here. Dr. Sadhana Sharma in Vaishali Nagar (Khatipura) is also good, but now she has opened up her own hospital so I am a bit skeptical about her approach and attitude. Where you live in Jaipur? I can further provide you more information about good OB/GYN here. So, I think in order to avoid unnecessary C-section, one must sought a second opinion from some other good OB/GYN. This will rule out any chances of useless cesarean section. Have a good day
• India
23 Jul 11
Hi nishant Me and my husband are planning to have a baby and are still not sure how we should go about choosing our doctor... Im living in jaipur too and are Confused regarding which hospital, gyno to start with....as most of the people i know have had a useless c section. The mother and child were perfectly normal but at the last moment they were presured to go for a c section What i really want to know is how do i find out my present gyno's cesarean record....do we ask them directly?? So lost and confused
@zhouxi (1752)
• China
17 Mar 11
May be this is one reason for profit of the doctors.the other reason may be child is too big because of improved life .
@nishant5n (1067)
• India
17 Mar 11
C-section should be done where it is necessary, but why useless C-section when it is not needed?
1 person likes this
@jaiho2009 (39142)
• Philippines
16 Mar 11
hello nishant, There are reason why some women go through the CS op. I myself delivered my kids through CS,and it is due to my pelvis problem,it doesn't open ,enough for a baby to pass through. I've tried having labor wanting to deliver my baby normally with doctors patiently assisting me,and also wanted me to have my delivery in normal way,but to no avail.. after 10 hours of pain/bloody labor since they had to broke my water bag (which doesn't broke naturally either) my opening remains 3cm... So with my second child,i signed for the VBAC trying to have my baby delivered natural the second time...but still same problem. With my youngest,i never tried...i just agreed with the CS op right away.
@jaiho2009 (39142)
• Philippines
4 Apr 11
hello nishant, Sorry for this very late response (i don't have notification for 3 months now,so having trouble scanning which topic gives me comment back) I know,i understand ,you don't need to convinced me that some doctors are doing CS op for business. But,like what you've written here,it's likely occurs with those who owns their clinic. But i am sure with hospitals here in my country,esp my favorite hospital here (one of the most expensive hospital here in my country) they never do that. I knew it,because i've talked with many women who likes to have CS because they don't like experiencing labor pains...and,mosts of them say "i want to be kept as virgin" meaning,they don't want their v*gina's to loose or whatever reason (i don't understand,when it can be repaired and sewn too)...but with their reasoning,this particular hospital don't rush with the CS op....not to mention the money or fees that these women can afford to pay. I even know celebrities here in my country that don't want CS,they prefer less pain labor (painless induced labor) than having CS...they can afford the most expensive laser procedure,but they don't like it. Now,again,i can see it with those doctors who owns their clinic...it's all about money,no more no less. have a great day
@nishant5n (1067)
• India
17 Mar 11
Hell Jaiho, Yes I saw your conversation with Sreekala. Your problem was cephalopelvic disproportion. And after first C-section VBAC has low chances unless there are proper contractions and accelerations, etc. Your case is genuine one, but I don't how to convince you that doctors are forgetting their Hippocratic oath. They are losing ethics and are trying to make money in this way. Just imaging if a doctor is telling a patient to undergo C-section because there is problem and he is using typical terms in order to make sure that the patient consent for it -- what will a patient do? They have no option. At that last moment they cannot go to another hospital for a second opinion. This is happening almost everywhere, especially when the doctor himself/herself is owner of that clinic, nursing home, hospital.
1 person likes this
@nishant5n (1067)
• India
17 Mar 11
I am very sorry, it's a typo. please read as "Hello Jaiho"
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@Lucky09 (1763)
• Philippines
17 Mar 11
hi nishant^^ well, first you said that some mothers opted for C-section because of less pain during birth which is true but i think they haven't realized that recovery for C-section needs more care and time. in my case, i would always prefer the normal way because of this reason even if the pain is excruciating at first. second, doctor's wouldn't just suggest a C-section unless it is really necessary. if it's for their profit then i think pregnant women should carefully choose their OBGyne that would honestly care for them aside from the benefit they would get^^
@nishant5n (1067)
• India
17 Mar 11
You are right that we must properly and carefully choose our gynecologist, but his/her intentions are clear before the time of delivery. Furthermore, this type of research can be done by only well educated and responsible citizen. In countries like mine, people have extreme faith on doctors and doctors are taking benefit of their faith in order to make money.
@madteaparty (2748)
• Japan
17 Mar 11
So... what exactly do you have against C section? Many mothers can't give birth in a natural way, and in that case it's better a C section so the baby will be born safe. I prefer the baby to be born safe than to be born with cerebral issues because they insisted in do it the natural way. When you're giving birth pain happens, no matter how you do it, and the healing proccess after a C section is long, so I think what should be done is what is better for the baby who's going to be born.
@nishant5n (1067)
• India
17 Mar 11
Please don't take it wrong way. I am not against C-section -- I am against useless C-section. Do you think that nowadays there are 70% to 90% C-section because 70% to 90% cases are complex and really require C-section? I have observed that doctors are opting C-section for their benefit. They have more profit when they do a C-section, especially if the doctor is the owner of that nursing home, clinic or hospital -- this was my concern. This is unethical and needs further discussion.
• Philippines
31 Mar 11
Hi there nishant5n! I agree with you that in most cases (also here in the Philippines) some are really choosing to have the C-Section when delivering a baby. Some are unavoidable due to health risk but some hospitals tend to abuse their authority by making money out of it. You see, C-section is way pricey than normal delivery.
@nishant5n (1067)
• India
31 Mar 11
It is a worldwide problem. I do not know what is going to happen next. The way the doctors are losing their ethics is very concerning. This is extremely wrong. You have also noticed there in Philippines that they are opting for cesarean section for the sake of money. They are taking risk for the lives of patients in this way.
@thereza (314)
• Philippines
17 Mar 11
Because they make sure that the baby will comes out safely. there are pregnancies that experienced abnormal delivery or abnormal situation that only cesarean delivery can take place.
@nishant5n (1067)
• India
17 Mar 11
Yes, that is the reason behind doing delivery via C-section. But do you think that 70% to 90% cases are abnormal and require C-section? I was discussing here why they are opting more C-sections? Why C-sections are increasing at a dramatic rate everywhere?
@Naich5 (4)
• Pakistan
16 Mar 11
Dear Nishant5n I've never experienced any kind of medical practice but as I am a family man and about 7 months ago my wife gave birth my first daughter. It desired that my baby should get birth via normal delivery but for my wife, after bearing 15 hours long pain in the hospital, doctors prescribed C-Section and i signed the paper for C-Section and my wife experienced that. Now the issue is whether the doctors are prescribing it for their own financial benefits or the women are avoiding pain of giving birth. In my opinion both cases are there. In privately owned hospitals doctors are prescribing for C-Section for their financial benefits and sometimes women do not want to bear the pains. But what about? when there were not concept of women used to give birth babies. But what has happened now? It should realize both of them Women and Doctors to rely on the natural way i.e. normal deliver which is the safest way to give birth.
@nishant5n (1067)
• India
17 Mar 11
Hello Naich5 Very well observed. I am impressed. This malpractice is mainly seen in privately owned nursing homes/hospitals because it is beneficial for them. They are advising the surgery at the last moment when the patient cannot even change the hospital in order to take a second opinion. Natural way is the best way for both mother and baby. C-section should be done only when there is some complexity, but nowadays four out of five cases are C-sections.
• United Arab Emirates
25 May 11
i had full dialation about 9 cm uterus open last moment my doc said head not come down u need c section why it hapend to me she said am short and ur baby is 3.45kg
@nishant5n (1067)
• India
26 May 11
Hello Lolitto, Welcome to myLot! Yes, the condition you are describing is known as cephalopelvic disproportion where fetal head is too big to come out of mother's pelvic area therefore C-section is the only way to bring the baby out. So, I think your case was genuine; however, doctors are inclining to C-section nowadays in order to make money. Thanks for choosing my discussion for your first response here at myLot. Hope you will find this site wonderful. Happy myLotting.
@mermaidivy (15395)
• United States
16 Mar 11
Oh really I didn't know that. I had a midwife with me and she tends to do everything about the pregnancy and giving birth naturally, she said she won't do C-section at all unless she absoltely had to; she won't do epidural or anything.
@nishant5n (1067)
• India
17 Mar 11
That's very good for you. Your midwife has good ethics and is real professional. I must say that she is providing great care to people around her. C-section should be the last resort for any medical professional. It should not be used as a tool to make money.
@sweet_pea (3322)
• Philippines
16 Mar 11
Normally a doctor charges higher fees if delivery is through C-Section. So I guess, there is income in a C-Section. But I think, this should only be done as an option to ensure that the lives of the mother and the baby are not at risk and not as a scapegoat to avoid the pain of having a normal delivery. When I had my first child, the doctor was telling me if I didn't push enough I would end in C-Section. I said to myself, no way! Fortunately, I delivered my child by normal birth!
@nishant5n (1067)
• India
17 Mar 11
You got the point. Suppose, I am a doctor and I have my own nursing home then I need money to keep it running and make profit -- it is a business for me. For me, patients are just numbers, today it is 223 tomorrow it will be 523 -- no problem. There are guidelines as to when and how to do a C-section, but who cares? You were lucky that you were in good hands at that time, but nowadays it is better to go in some government hospital so that there is no personal benefit behind doctor's decision.
@macayadann (1235)
• Philippines
16 Mar 11
always of course, money speaks. Try to analyze,painless delivery are for those who have money and normal delivery for less fortunate who needs to recover immediately to rise and be back to report for their job,however,they may experience C-section only if their life goes 50-50 and as such to be in debt afterwards.
@nishant5n (1067)
• India
17 Mar 11
Ops dear what are you saying? "normal delivery for less fortunate"?? --- nope! But I respect your views. In a sense you are right painless delivery for those who have money -- that was the case with my cousin. She used to say why should I care above late recovery? What I have to do after delivery? I will rest for a few more weeks? --- But speaking frankly I did not get her point, it has been many years but still I am confused about her decision.
@thetigers (108)
• Philippines
16 Mar 11
When i gave birth my OB advised me to undergo CS, so i underwent CS(cesarean delivery) it was beacause i was already induced twice, but still the baby did'nt came. I've experienced a 42 hrs in labor, so when the heartbeat of the baby was already abnormal the doctors told me they can't do anything at all but to rush me in the OR and do the CS. When the baby was out they found out that he was twice cord coil that's why he was'nt able to move downward and for me to deliver him normally. But before the process was done all are documented, I think doctors will only recommend CS if they found out that there's something wrong.