http://healthewoman.org/2009/02/27/patient-choice-cesarean-section-pccs-look-before-you-leap/ Facts Plus Stories Equals Knowledge Tue, 31 May 2011 00:40:53 +0000 hourly 1 http://wordpress.org/?v=3.2.1 http://healthewoman.org/2009/02/27/patient-choice-cesarean-section-pccs-look-before-you-leap/comment-page-1/#comment-528 Shelley Binkley Fri, 17 Apr 2009 16:29:51 +0000 http://healthewoman.org/2009/02/27/patient-choice-cesarean-section-pccs-look-before-you-leap/#comment-528 Hi Heather, If you are under 26 weeks your placenta may still "move" up the uterus, away from your scar. I sincerely hope this happens for you. Placenta accreta has been described in recent ob literature as "an epidemic". Most of the data on the incidence of accreta and percreta are from before 2000 so there's not a lot of good data on the incidence of this problem in 2009. However, it is becoming more of a concern as VBAC has fallen by the wayside and elective primary cesarean section is on the rise. I agree with your opinion women should be much more aware of the risks of various delivery options. The fact is 85% of women having their first birth can have normal uncomplicated deliveries. I think both physician and patient anxiety about birth, malpractice, etc. has pushed the primary c-section rate to over 30% in some geographic areas. Prior to the wide acceptance of cesarean section, the c-section rate was 6% (e.g. pre-1970). There's been much discussion over what an "acceptable c-section rate" is but it's probably in the vicinity of 10% plus or minus 5%. I'm sorry to hear about your placenta previa. I hope you have an uncomplicated birth, be it by c-section or VBAC. Blessings for you and your baby. Shelley Hi Heather,
If you are under 26 weeks your placenta may still “move” up the uterus, away from your scar. I sincerely hope this happens for you.
Placenta accreta has been described in recent ob literature as “an epidemic”. Most of the data on the incidence of accreta and percreta are from before 2000 so there’s not a lot of good data on the incidence of this problem in 2009. However, it is becoming more of a concern as VBAC has fallen by the wayside and elective primary cesarean section is on the rise. I agree with your opinion women should be much more aware of the risks of various delivery options. The fact is 85% of women having their first birth can have normal uncomplicated deliveries. I think both physician and patient anxiety about birth, malpractice, etc. has pushed the primary c-section rate to over 30% in some geographic areas. Prior to the wide acceptance of cesarean section, the c-section rate was 6% (e.g. pre-1970). There’s been much discussion over what an “acceptable c-section rate” is but it’s probably in the vicinity of 10% plus or minus 5%.
I’m sorry to hear about your placenta previa. I hope you have an uncomplicated birth, be it by c-section or VBAC. Blessings for you and your baby.
Shelley

]]> http://healthewoman.org/2009/02/27/patient-choice-cesarean-section-pccs-look-before-you-leap/comment-page-1/#comment-474 Heather Hawkins Sat, 11 Apr 2009 19:25:41 +0000 http://healthewoman.org/2009/02/27/patient-choice-cesarean-section-pccs-look-before-you-leap/#comment-474 HI! Just wanted to let you know, I had my first baby via Emergency C-section, after which I started having SLIGHT urine incontincence. I went on to have my second baby via VBAC (Vaginal Birth After Cesarean), and have seen no change for the worse with the incontinence (if anything, it is better now!). Now, I am pregnant with my 3rd, and have partial placenta previa, and my placenta is mostly placed over my scar, increasing my risk for placenta accreta (which usually will end in a hysterectomy)...both of which are a result of the risks I unwillingly took on with my initial C-section. It really stinks, and I think women should be MUCH more aware of how likely they are to have major risks to their baby, their self, and future pregnancies, when they have C-sections. HI! Just wanted to let you know, I had my first baby via Emergency C-section, after which I started having SLIGHT urine incontincence. I went on to have my second baby via VBAC (Vaginal Birth After Cesarean), and have seen no change for the worse with the incontinence (if anything, it is better now!). Now, I am pregnant with my 3rd, and have partial placenta previa, and my placenta is mostly placed over my scar, increasing my risk for placenta accreta (which usually will end in a hysterectomy)…both of which are a result of the risks I unwillingly took on with my initial C-section. It really stinks, and I think women should be MUCH more aware of how likely they are to have major risks to their baby, their self, and future pregnancies, when they have C-sections.

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