The Pregnancy Show Presents: Learn about C-Sections from a Midwife
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Melanie Raposo: Now, cesarean sections are on the rise, especially elective cesarean sections, how has it affected midwifery or has it? Carolynn Prior: Well, I think that it is discussion that we weren't having with clients a few years ago, like I think with being in the media, a woman choosing cesarean, people do talk about it. I have seen even in the five years that I have been practicing which isn't a long time at all, is we're no longer seeing babies born who are breeched vaginally, almost all of them are being recommended to have a cesarean section even for woman choosing to have a vaginal birth in those situations there are few options, so that's different. I also would say that there is probably is bigger backlash in the medical community by women choosing to have vaginal births after cesareans, particularly in a case where women have had more than one cesarean prior to the labor and that's definitely different. I think for our clients, it is a self selection a little bit of women who are choosing to most likely have their babies vaginally. We do get some client who have had cesarean sections before who are really wrestling with the idea, whether they want to have a VBAC or if they want to just have a cesarean section. So it's nothing that we talk to all women about, but I don't think it effects as much as it probably effects other physicians. I personally haven't had a client come to me and say I want to have a cesarean section for no reason other than it is her choice and I think it is such a complicated issue. It assumes that choice is primary factor in what we want to do in any kind of medical care and I don't know if that's always the case as much as I support women's choice and certainly in my own labors and birth I had my choices, my top priority that as a society we are going to have to decide if supporting women who just say I want to have a necessary surgery that increases the rate of mortality and can harm their baby and saying that we want to support in the publicly funded system or not. I can't make that decision for us as a whole, but it hasn't affected me in my profession too much.