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Original poster

NICE recommend all women should be able to have a cs

999 replies

LoveBeingAWitch · 29/10/2011 22:59

Just seen tomorrow's front page of the Sunday times saying that NICE are saying cd has become such a safe op that every woman should be able to have one if that's what they want. Im quite surprised by this.

OP posts:
iggly2 · 30/10/2011 19:14

Scottish mummy from report that I will -it is a well respected peer reviewed journal. I am not stating it will affect future fertility.

I had a CS will not have another child.

iggly2 · 30/10/2011 19:14

sorry "I will find"

SardineQueen · 30/10/2011 19:15

xpost with quietlyafraid re costs

microfight · 30/10/2011 19:15

Anyone had a CS without any pain?

Yes I had no pain, well I had pain relief but it meant I had no pain.

callmemrs · 30/10/2011 19:16

Katharineclifton - re: the tokophobia issue- I don't think anyone is saying a cs is a walk in the park! Obviously there is some degree of pain with major surgery. But the difference with csection is that its discomfort rather than pain (ime) and ALWAYS under control. I don't suffer from tokophobai btw and have had both natural birth (hurt a lot) and a cs (discomfort) . I am just responding to your post because I am sure people with tokophobia do realise major abdominal surgery isn't just nothing

gladders · 30/10/2011 19:16

quietly afraid you seem v knowlegeable? Is it really just about those with a fear of VB - the Time made it sound as though it were a broader recommendation?

KatharineClifton · 30/10/2011 19:16

That's good to know gladders. I'm in iggly2's camp though and would never want another. Sorry this is off-topic but all part of the informed consent I think.

quietlyafraid · 30/10/2011 19:16

gladders

Yep, disportionate number of women who request a c-section, in comparision to the general population have:
history of anxiety/ depression
have been raped or sexually assaulted at some point in their life
have had a previously traumatic birth experience which may have lead to PTSD in some cases

There are other things that seem to be common but these seem to be 'risk' factors.

The swedish have identified this, so anyone with these characteristics or requests a c-section is given extra care and they try to get to the bottom of the request properly.

Been doing lots of reading on the subject. Very interesting how we seem to be so far behind other countries on this one.

SardineQueen · 30/10/2011 19:17

Anyone had a vaginal delivery with no pain? Grin

What a non-point.

EdlessAllenPoe · 30/10/2011 19:18

i welcome that the report recognises the importance of women's choice.

what i also hope, is that those hospitals who have sought to reduce their c/s rates by refusing them on maternal request - look properly into changing their practice to make a VB a more bearable experience and less likely to end in an EMCS - as a consequence.

NormanTebbit · 30/10/2011 19:18

I had three sections - one emcs , two planned. I can confidently say that the last cs was with very little pain. I had DD3 on Monday afternoon, was home Weds morning.
First few hours after op are a bit dicey - morphine can make you sick, you have a catheter and a canula, but I had catheter and morphine out next day. Pain then very well controlled with tablets.

On Friday I was in the park with all three. After 10 days I was caring for all three by myself.

bibbitybobbitybloodyaxe · 30/10/2011 19:18

KatharineClifton
I have had two c-sections and yes there was pain involved when sitting up or walking on days 1 and 2 after the op. But perfectly manageable pain, much as I imagine the pain from stitches after a tear or episiotomy.

Has anyone who has given birth vaginally had no pain for a few days afterwards?

HitTheRoadJack · 30/10/2011 19:18

Sardine, was anyone supposed to? Some people would rather give birth naturally than be up to their eyeballs in pain relief or in a hospital come to that.

KatharineClifton · 30/10/2011 19:18

callmemrs - I didn't suffer discomfort, I suffered a hell of a lot of pain, for quite a few weeks. Nothing to do with tokophobia - never heard the phrase before.

TeWihara · 30/10/2011 19:18

It's pretty well known the NHS makes bonkers decision re:costs anyway, dealing with mental health problems quickly with effective therapy (plus drugs if necessary) saves a FORTUNE but most waiting lists for counselling are around a year...

I personally have lots of missing bowel because a hospital tried to save money by crossing their fingers and hoping my appendicitus would go away Hmm the emergency surgery, masses of drugs and extra time in hospital cost far more than a routine appendectomy at the first sign of major symptoms.

HitTheRoadJack · 30/10/2011 19:19

Me Bibbity. No tears or "pains" afterwards. Not even weeing Grin.

SardineQueen · 30/10/2011 19:19

quitlyafraid that is interesting.

So to say that women who have sections are less likely to have another child full stop is not right? That applies to a certain subsection of women who have CS?

microfight · 30/10/2011 19:19

SardineQueen
Agree with everything you said

KatharineClifton · 30/10/2011 19:19

SardineQueen - really? There are quite a few here saying it is a point.

springboksaplenty · 30/10/2011 19:20

I don't think that my ability to have a CS should be determined by my income. Just as I don't think my right to access any healthcare should be.

And I think drawing direct corollaries between the cost of one treatment between another is overly simplistic. Personally I would think that if 5 women were able to have the choice of delivery they wanted, either for medical or mental health reasons, that would equate to one hip replacement or two hernias. I know how easily those are given out in the NHS and I cannot see why we have this barbaric situation where women have to beg for a legitimate birthing option versus someone saying they are troubled by pain at night or occasional difficulty in work in order to get entirely elective procedures.

I can't see that this will cause swathes of women to opt for CS but I think that it will help the small group of women who have made informed decisions get that choice that otherwise would have been denied them.

KatharineClifton · 30/10/2011 19:20

Can't be arsed really though. Not going to be in this position again and certainly not going to get stressed by rude women.

NormanTebbit · 30/10/2011 19:20

Quietly afraid - I don't see the problem with granting these women a c section if they want one. Why shouldn't they have one if it makes everything easier?

SardineQueen · 30/10/2011 19:20

hittheroad it was to do with this challenge to women having CS on the basis that it hurts. Well the other option hurts too, so it's a non-point.

ThePathanKhansWitch · 30/10/2011 19:22

I'm all for informed choice, however,as i think has been said, i'd hate to see less midwives or the care midwives give diminished in any way.

SardineQueen · 30/10/2011 19:23

Hold on

Are some people on here under the impression that women choose CS because it will be pain free?
And saying "ha it hurts you know" is supposed to stump them?

?

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