17 Mar Cesarean Delivery – Demystifying the myths surrounding C-Sections!
Incidence of cesarean section has increased many folds in the last two decades. Many myths surrounding it confuse the couple.
Myth 1 – The biggest myth is that all Cesarean Section operations are done to get more money.
While it is true that a C-Section delivery will be more expensive than a normal delivery, it is important to understand the reason behind it. No obstetrician wants to do unnecessary cesarean section as it does not give any benefit to her.
Charges for medicines, consumables, Operation Theatre and an extra day of admission for C-Section deliveries should be the only additions to your maternity bill. At W Pratiksha Hospital, we practice a philosophy of global fees, which means that regardless of the type of delivery, surgeon fees for normal and c-section deliveries remain the same. In addition, you pay the same for our medical services irrespective of the level of luxury you choose. The difference in rates between normal and cesarean deliveries at W Pratiksha Hospital compared to others is clearly visible.
Myth 2 – Cesarean sections can spoil the health of women.
It does not have any long lasting bad effect on women’s health. As a senior practicing gynaecologist, my team and I, at W Pratiksha Hospital promote a normal delivery in all women, but ultimately the health of the baby and the mother is of prime importance.
Maternal death and infant death rate is drastically reduced in last few decades due to good antenatal care and timely intervention. Many time it is not advisable to prolong pregnancy. The decision of a cesarean section depends on the wellbeing of either the mother or the foetus. Like in cases of uncontrolled preeclampsia or intra uterine growth retardation, prolongation of pregnancy is not possible and due to a compromise state these women and their foetus, sometimes, have to be subjected for an operative abdominal delivery.
Myth 3 – Cesarean sections are advised in the last minute, although the doctor always communicated that everything was normal.
My opinion on all these statements is a lack of proper communication, education and open dialogue between both parties. This is the main concept behind W Pratiksha Hospital’s Childbirth Education Class. We want to clear all facts and prevent last moment surprises. We certainly know the indications of elective cesarean, for instance when a baby is lying in an abnormal position in the uterus e.g. oblique, placenta is low, and baby’s head is bigger than your pelvis etc. But when women undergo labour, it is difficult to predict which cases will land in emergency LSCS since it depends on emergency situations arising unexpectedly such as foetal distress, non-opening of the womb moth, non-descent of baby’s head etc.
So it is necessary to have a knowledge about these emergency situations beforehand to eliminate any surprise elements which leads to a sense of cheating.
Our motto is a healthy mother and a healthy baby, and to provide you with absolute facts and evidence based practices based on strict guidelines. Sometime we have to take decisions based on present situations and our clinical acumen to consider your safety and that of your baby’s safety and don’t have enough time to discuss and explain situations such as cord prolapse, scar dehiscence or abruption of placenta (placenta detached from the womb & may result in a fatal situation for the baby & the mother)
To conclude, I just want to say please have trust in your health care provider and discuss openly.
Backed by 27 Years of experience, Dr. Ragini Agrawal is the Clinical Director – Obstetrics, Gynaecology, Minimal Access Surgery & Cosmetic Gynaecologist at W Pratiksha Hospital. She is also the National Chairperson for the Federation of Obstetrics and Gynaecological Societies of India (FOGSI) and is a member of several associations in this field.