Healthy Living

Wednesday, December 9, 2009

C-sections: The first cut is the deepest

It's hard to not hear about how common caesarean sections have become in the U.S.--30 percent of babies are now air-lifted out of the womb. C-sections are more expensive, and come with higher complication rates. But the price we pay for more frequent c-sections may becoming literal. Turns out some insurance companies are considering a history of caesarean delivery a "pre-existing condition," and an excuse to jack up a woman's premium...or deny her insurance altogether.

There are multiple reasons for c-sections: babies are bigger; moms are older with more complicated pregnancies. And despite stories of scads of women choosing to deliver via c-section, most of these deliveries are not planned--and many are not wanted that way. Plus, women don't always have a choice after their first c-section--many doctors won't let them try a natural delivery the next time around. So the idea of charging women more--or worse, not insuring them--for something that is not under their control has me crazed. That's the whole idea of insurance, right? To protect you, financially, when the unexpected happens to your health? Since when does childbirth fall into a special category? I think this is another way that insurance companies discriminate against women, under the guise of belt-tightening...what do you think?


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Comments 11-20 of 66
  • isabell's Avatar
    Posted by isabell Mon Jun 16, 2008 7:33am PDT

    My Natural birth babies seemed more alert, and I my recovery was much easier with natural birth.

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  • YERI's Avatar
    Posted by YERI Mon Jun 16, 2008 7:34am PDT

    I am due in October and am scared to death of the possibility of a c-section. Because of health complications, my doctor's already telling me that I might have to deliver through surgery. I'm worried about my health, but I'm also worried about the cost of all of this. With the cost of living going up so outrageously, it will be impossible for me to pay for this. Not to mention my health insurance is not at all reliable.

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  • pixie's Avatar
    Posted by pixie Mon Jun 16, 2008 7:34am PDT

    beonered you must be a selfish man. it's a woman's body and she can do what she wants with it. as long as she is healthy and can afford a baby won cares the age. it's her choice not yours or any one elses. I think all erectial disfunction drugs should not be paid for by insurance!!! they don't want to pay birth contol pills!!!

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  • al's Avatar
    Posted by al Mon Jun 16, 2008 9:08am PDT

    i have 5 kids and every single one was a natural birth no epidurial no c-section no nothing but me and my husband rubbing my back. and i would never want it any other way, i went home the same day with all but 1 and i felt so much better right afterwards and all my kids were so healthy and alert the same day they were born. believe me women you want to be as natural as possible it makes everything easier in the long run. you body is built to do this trust me you can so do it. be tough!

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  • Fire Lily's Avatar
    Posted by Fire Lily Mon Jun 16, 2008 9:22am PDT

    I had two c-sections. The first was unplanned and emergency. My contractions had stopped and my son's heart rate was erratic. I would have preferred to have a natural birth, but it wasn't in the cards. I researched on-line and talked to my doctor, and decided to have a planned c-section with my daughter. They both were completely healthy and the only difference between them and most children born natural was no cone shaped head.

    On the insurance issue, that's a load of crap. Pre-existing condition? Insurance was set up to spread the load. If you are healthy all your life, well, the person in cubicle next to you isn't. You pay the same as them, and only go to your checkups. They go once a week, but that's the way it works. It's stupid. Health insurance companies are doing just fine, but they keep looking for more ways to make money. Like the sliding scale for scrips. I thought that the reason we were paying was so that we can afford these things when and if we need them, as well. On some of these plans, you have to pay a percent of your prescription. Well that's fine and dandy, if they have generic, and if you don't have to take cancer or HIV drugs, then you are SOL.

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  • MaryB's Avatar
    Posted by MaryB Mon Jun 16, 2008 9:34am PDT

    I'm going to have to agree with nicole s. I too, am a nurse, and I have also had two c-sections, the first one was not planned; the second one I had planned VBAC (vaginal birth after cesarean) however, because of fetal distress, I ended up with another c-section. I was not thrilled to be a surgical patient again, but the life of my baby depended upon it. Who are the people who are in charge of making decisions at the insurance companies? I know, because I know someone who makes those decisions... they are people off of the street, who have absolutely no idea about anything medical. And we are allowing these people to make decisions that will effect the finances of families, as well as decisions that will affect the outcomes of their lives in life changing events. We need to have the insurance companies stand up and take notice of the needs of the people they "insure." Healthcare needs to be less money driven and more "Patient care" driven!!

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  • sandygirl's Avatar
    Posted by sandygirl Mon Jun 16, 2008 10:01am PDT

    I had a c-section with my first. I was told my baby's head was in the birth canal somehow 3 days later when I went in labor the baby was breech. It was the worst exprience, I did not even enjoy my baby for a few days. I was numb in the beginning then in a lot of pain. yuk...

    The second time around, I made the doctor do an ultrasound (she was unwilling but I insisted) to make sure the head was really in the birth canal, 3 days later I had vaginal delivery. Happiest time of my life. I could say that I gave birth to a baby. Not some butcher cut me up & take my baby out.

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  • candy's Avatar
    Posted by candy Mon Jun 16, 2008 10:21am PDT

    I work in Labor and Delivery, honestly, c-sections are only warranted about 15% of the time...with advanced technology we are able to see a stressed infant on monitors during the labor process and quickly respond as to prevent injury to the infant, ie..lack of oxygen, poor

    tolerance to the delivery process etc..however, most of the time, labor is a natural and normal cycle..doctors are too anxious to wait, or feel that allowing the woman to labor is not as cost effective..therefore, c section is a quick alternatative. Do I agree with it? absolutely not..

    whatever is safest for the baby is most important,,also, to remember

    if mom is having problems, then most certainly, the infant will also..

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  • MD + SVD's Avatar
    Posted by MD + SVD Mon Jun 16, 2008 10:22am PDT

    My wife and I are expecting our first child and after watching The Business of Being Born, we are shocked how prevalent and unnecessary they are! The movie explains how impatient the delivery room staff can be and "decide" to induce labor with pitocin...which stresses the baby and the mother to give birth, then the staff typically convinces the mother to get an epidural to alleviate the increase/abnormal pain which causes even more complications, hence...a C-section is needed immediately 'cause its presumably best for the baby! The movie also suggest most doctors have never seen a natural birth and using a midwife is the best alternative.

    As citizens we can no longer allow Insurance companies to quantify our health including the "doctors" that are paid by these insurance companies. Take care!

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  • Jasper's Avatar
    Posted by Jasper Mon Jun 16, 2008 10:29am PDT

    Adopting as a cheaper option? Are you kidding? Obviously you have not ever adopted a child!!! Travel, attorneys fees, mandatory classes, you will be lucky if it doesn't cost you $100,000!!!!

    My OB gave me the option of an elective C-section at 37 weeks. It is a great way to be able to plan ahead and I would definetly do it again.

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