'Impatience' With Labor, Low VBAC Rates Tied To C-Section Increase, Study Finds

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The rising ... caesarean section rate reflects several factors -- including a tendency to opt for c-sections too soon into labor, an increase in labor inductions and fewer attempts at vaginal births among women who have had previous c-sections ...

... The increases in c-section rates "have caused debate and concern" because surgical deliveries pose greater risks for women and their infants than vaginal deliveries ... Women who have c-sections also have a higher risk for complications, such as placental abnormities and possible uterine rupture, in subsequent pregnancies ...

... one-third of first-time mothers had had c-sections. The increased use of drugs to induce labor might be a factor in the c-section rate among this group ... Women who had labor induced were twice as likely as women who went into labor on their own to have a c-section.

Among women who were induced and had c-sections, about half of the deliveries were performed before the cervix had dilated to six centimeters, "suggesting that clinical impatience may play a role," ...

Caesarean rates amongst private midwives are less than 10% and in many cases, around 5%. This can be attributed to women's preference for a natural birth but also the role of the private midwife in protecting, promoting and supporting the natural processes of pregnancy and birth and the avoidance of drugs to stimulate labour unless they are genuinely necessary.

Melissa Maimann, Essential Birth Consulting 0400 418 448