The government of Uzbekistan has forbidden doctors to perform C-sections without a serious indication. Apparently, doctors in the state-run hospitals have been performing unnecessareans because their salaries are “too low” for them to spend so much time labor-sitting. So, now the government has made a law to keep them from doing that, because it is damaging to women’s health. Yippee? Not quite so fast.
Apparently, these doctors are now turning to drugs which speed up labor (so that their main objective — as little time waiting on the baby’s birth as possible — is still reached), but of course these drugs carry threats to women’s health, as well as to the baby’s health and well-being as well! So, maybe these women aren’t getting cut open at the drop of a hat, but they’re being given Cytotec, or Pitocin at possibly dangerous levels, or some other drug which is causing fetal distress and/or uterine ruptures, and then possibly damaging both mother and child, or at least necessitating a C-section to save the baby and/or mother. And then if the C-section rate has been unnecessarily and artificially high, then there are probably a lot of women who will now be trying to have a VBAC, and we all know the much higher rate of complications from an artificially induced or augmented labor (especially with Cytotec, but even with the milder prostaglandins and Pitocin) of uterine ruptures in an already-scarred uterus! Sigh….
And to make matters worse, if a lot of women or babies become damaged or even die because of this “C-section ban,” then the anti-vaginal-birth folks will triumphantly point to the statistics that are to come from Uzbekistan and say, “SEE!! This is what happens when you try to reduce C-section rates! — women and children die!! We can’t know what a good C-section rate is, anyway, so it’s ridiculous to try to make it some arbitrary rate. And look at how many uterine ruptures there were when they forced VBACs on everyone!”
Um, no. While this may indeed happen, it will not be “VBAC” or “reduced C-section rates” per se that are the problem. The problem in Uzbekistan will be the same problem that currently exists in many hospitals in the United States — doctors unwilling to work with natural processes, and insisting on speeding up labor, or other interventions, that are not medically indicated. And of course, when medical processes are introduced without any indication for it, nor any medical benefit from it, medical risks are elevated for no good reason. And women and children are hurt, and may even die.
Filed under: C-section, induction | Tagged: baby, birth, birth around the world, birth wisdom, birth wisdom week, C-section, cesarean section, cesarian section, elective C-section, hysterectomy, iatrogenic c-section, international birth, international birth wisdom week, pregnancy, pregnant, unnecessarean, uterine distress, uzbekistan |