Friday, February 5, 2010

The Meaning of Life

As I approach birth, I look on this video from Monty Python with fondness. Oh, maternity care decades ago...


And now for something completely different!

Or maybe not? Earlier this week, the Today Show aired a cesarean section live on national television. The reason given by the performing surgeon was macrosomia (aka big baby). Now, I am not one to criticize anyone's birth choices, as mine are pretty far outside the norm (for the US, at least) and I won't criticize hers. I will, however, express doubts in the wisdom of a surgeon who works at a hospital with a 42% cesarean rate. (The World Health Organization states that no region of the world is justified in having a cesarean rate over 10-15%.)

I find it hard to believe that women in the United have truly had time in the last few decades to evolve "too small" pelvises to deliver "too big" babies. True cephalopelvic disproportion is not able to be diagnosed before a woman labors. (See ICAN's explanation of Absolute vs. Relative CPD.)

Here are some responses around the internet birth community:
Amy Romano at Science and Sensibility commented to the CEO of the performing hospital.
ICAN's response to NBC.

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