Can a doctor refuse a c-section?
Hegs, I've had 2 c-sections, the first was emergency and the second elective. I was lucky, the doctors were supportive of my decision to have an elective and in the end it was a good thing as the baby was an unstable lye.
I can see that the doc doesn't want her to have a c-section as he/she feels that there is no medical reason to do so and c-sections carry risks.
This won't help but I know very petite friends who push out whoppas with no trouble at all!
Doesn't it help her to know that they will c-section if they need to on the day?
I do think at least the doc should discuss it with her, it's awful that someone should be left feeling so frightened!
I also know people who've delivered very normally with subsequent babies after emergency sections with former babies.
I would advise her to speak with her midwife and doctor and explain her worries to them. I had 3 difficult and lenghty labours with my kids. My first got stuck and i ended up totally out of it on drugs with a ventouse/episiotomy/forceps etc just to get him out. It was hell.
With my second i assumed it would be easier and opted for the drug free ward.......again the baby got stuck and i ended up in theatre with the ventouse/forceps etc.
Third baby - i went in and told them the baby WILL get stuck and that i wanted an elective forcep delivery.....i got my elective forcep delivery and it was a weight off my mind not worrying about going into another difficult birth. It was the best labour ever as i was prepared and ready for it.
I think you have to tell them what you want. It sounds like she has reasonable cause for requesting this especially as it is making her stressed so close to the birth - that's not good for the baby!
My Mum's a sister in the labour ward and says loads of people request sections as an "easy option". Most don't realise that it is MAJOR SURGERY and to avoided if at all possible.
However, the doctor should be taking your friend's history into account, taking her weight into account and also requesting a scan to give an indication of the length and weight of baby. A big tummy doesn't always mean a big baby; there can be alot of amniotic fluid. A scan would also reveal how the baby is lying as at 34 weeks theres still time for the baby to change position if its head's not yet engaged.
I would suggest she talks to her obs consultant again and if she's not satisfied that s/he's suggesting SVD in her, and her baby's, best interest, then request to speak to someone else.
Best of luck to her.
I think that there is a lot of inconsistency about this - I had the opposite scenario (twice) where I hoped to avoid subsequent c/sections despite having had one with my 1st child - I ended up having trials of labour with my 2nd and 3rd babies but not without going against the wishes of my consultant who advised elective c/sections for both. Has your friend looked at the Nice guidelines ? They seem to be aimed at trying to reduce c/S rates, however they do say:
An individual clinician has the right to decline a request for
CS in the absence of an identifiable reason. However the
woman’s decision should be respected and she should be
offered referral for a second opinion.
so I should think that your friend has a) an identifiable reason and b) the right to be referred to another consultant. Hope that's of some help.
I think Dr's should discuss with women and try and reassure. Too many women assume that natural childbirth is awful and a section is the answer. tbh they can both be crap and both be great in differing circumstances
Her personal risk from a section is the usual....it is major surgery however an elective is very controledd compared to an emergency. Her personal risk from delivering a baby disproportionate to her size is her pelvic floor.
Govt targets and NCT pressure to reduce section rate may sway the surgeon
I'd ask for a second opinion even if she only gets same answer but to reassure her more. She needs that.
I had my little boy by emergency section even though I knew he would be born that way. It was all very nice and relaxed and I would do it again that way without question.
If she goes in and mentions NICE guidelines and starts quoting they will start to listen to her more. Midwives are great but consultants re not so interested in the birth you want, only what will be better for them. Some are more pro section, some are more natural delivery.
If she arms herself with information, she will go some way to getting the birth she wants. She should also point out how stressed it is making her. This is really important, and if she feels she isn't being listened to she need to complain loudly.
Sadly with the NHS it does seem to have a 'he who shouts loudest' philosophy.
"Midwives are great but consultants re not so interested in the birth you want, only what will be better for them. "
Completely unsubstantiated, prejudiced nonsense. As the next post proved.
I may be in a minority of one, but people who come in quoting NICE guidelines make me want to listen to them less, not more!
hegs that is good news
its a tricky issue this one
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