The American College of Obstetricians and Gynecologists says many women who have had a Caesarean can later safely give birth naturally. But local doctors say the professional group made it impossible for many women to do that when it issued guidelines in 2004 imposing extra staffing requirements on hospitals that offer vaginal birth after a Caesarean. Those guidelines say hospitals must have an anesthesiologist and a doctor capable of performing an emergency Caesarean on the unit while the woman is in labor. .
My favorite quote:
Some women want Caesareans so they can schedule their deliveries at a convenient time, said Dr. Robert Neulander, a Fayetteville obstetrician-gynecologist who's been delivering babies for 24 years. He refuses to do elective Caesareans.
Go Dr. Neulander! Some might find this an affront to women's choices for childbirth... but there is also something to be said about the question of ethics behind performing major surgery without cause that can impact the mother and baby adversely. Good for him in going against the trend!
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