Word: caesarean
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Talk about being in synch. Dutch synchronized swimmers Sonja and Bianca van der Velden were even born, via caesarean section, at exactly the same moment 28 years ago in the Dutch city of Nijmegen. In the water at age 3, they started off as speed swimmers. But after trying synchronized swimming they began competing - and winning - at the national level. Bianca defends their choice of this obscure, often ridiculed sport. "It's more than just ballet in the water," she says, noting that speed, power and grace are also required. "People think it's only a smile on the face...
...couldn't help bristling at your report on the increase in elective caesarean births [April 19]. The privileged mothers-to-be who insist on being in charge of every aspect of their baby's birth are exceptionally arrogant. Here in Africa, for too many women, having a baby can still be a matter of life and death. WENDY TOERIEN Cape Town...
...your report "Too Posh To Push," about the increase in scheduled Csections [April 19]: Are women seeking caesarean births because they are worried only about fitting their babies into their schedules? Hardly. Your story noted some risks of natural childbirth (pelvic-floor damage and incontinence) but focused primarily on nonmedical reasons for C-sections. Most men, however, would not volunteer to spend the next 40 years with bladder and bowel problems. Why should women? More time needs to be spent on women's health issues and less on preserving low surgical birth rates and saving money. KARI ZANGERLE Phoenix, Ariz...
...reasons doctors have become quicker to cut, says Sachs, even in nonemergency situations. With malpractice premiums hovering at $150,000 to $200,000 per year, obstetricians can no longer afford to take even the slimmest risk associated with natural childbirth. And if patients want to have a caesarean section, says Sachs, why deny them without a compelling reason to do so? "The opportunity for a woman to elect to have a caesarean section should be as available as the opportunity to have a safe, natural childbirth," he says. "Our responsibility as physicians is to counsel at both ends of that...
...Gallup poll published in February suggests that female obstetricians are sharply divided on the issue. Thirty-six percent say they would not perform a caesarean at a woman's request if it wasn't medically necessary, 32% say they would, and 28% say it would depend on the circumstances. Tellingly, 27% of the polled doctors who had been pregnant had had at least one C-section themselves, and 22% of those procedures were elective...