Thursday, December 16, 2010
Overheard on CNN.com: Cesarean contrarian

 

COMMENT OF THE DAY: "Ugh, 'there's a higher chance her uterus will rupture since she's pushing against scar tissue.' God bless all you females. What you ladies go through."

 

This is the story of a woman named Aneka, who defied her obstetrician's wishes by opting to deliver at home instead of having a cesarean section. She'd already had three C-sections and many doctors would consider her "vaginal birth after cesarean" (known as a VBAC) to be a high-risk procedure. Readers felt compelled to share very personal accounts of their birthing experiences. Check out responses to this and other stories on CNN.com:

 

Mom defies doctor, has baby her way

 

Several commenters debated birthing procedures in America. We heard from an unsigned poster who wrote, "My wife had a C-section with our first child after 20+ hours of labor. She tried a VBAC three years later and her uterus ruptured. The doctor did an emergency C-section and our daughter was born blue and not breathing. Today my wife and daughter are fine but we advise everyone against a VBAC. That said, it should of course be the parents' decision." But sonjah wrote, "I had a successful natural delivery after a previous emergency C-section which necessitated a vertical cut of the uterus. I was lucky that my doctor was open-minded and well trained."

 

lawgurrl said she didn't want to have a vaginal delivery for her second child; her first baby's head got stuck. "I had no desire to go through labor again. There's nothing anywhere in any religion or anything that says a woman HAS to endure that." kmcg responded, "I bet if you had flipped over to your hands and knees and gotten off your back, baby would have slipped out easily. The doctors set you up for failure from the beginning."

 

Billdoc was appalled. "To call her 'empowered' is a misnomer. Better to call her selfish or lucky! If things had not gone well I'm sure she would not be smiling. Maybe she forgot that this was just not about her but also involved another life. Anyway, to each her own!" gnodges, on the other hand, said, "The problem isn't the VBACs, its that there are too many C-sections performed for the first birth. My wife had to endure a C-Section because of 'failure to progress' ... and the only reason she failed to progress was they weren't satisfied with how slow things were going (gotta keep that baby factory moving and open up the rooms), and loaded her up on Pitocin, which completely shut things down. This is just a guess, but I'm pretty sure that baby would have come out sooner or later naturally. It's called nature."

 

For 25 years, it has been good to be King

 

Tonight is Larry King's last night hosting "Larry King Live," and Piers Morgan will soon take his place. Commenters shared all kinds of memories of the longtime host.

 

tdgladwin wrote, "I am at the age where I have been around since King began in his career in the business and just remember those early days so well with that iconic voice of his and now that he is retiring I find it unbelievable that so many years have gone by. He really has interviewed an unbelievable amount of people from all fields. Congratulations Larry and best of luck in your retirement. (Let me tell you being retired is a true blessing and I have enjoyed every day of mine since it began two years ago.)" ChallengeIt said, "Larry King is a conversationalist not a confrontationalist like most interviewers today. I'll miss that. Thank you Larry. Long Life and peace to you."

 

exaag said, "King is quite the comedian, but many people don't know that. I had the honor of being a guest on Larry King's old radio show in Miami (WIOD) during the '76 presidential campaign as a spokesperson for the GOP. Mr. King was an incredibly polite and gracious host. What I admired about him was the fact that he interviewed guests and listened to them, to get their thoughts and ideas."

 

Crime-fighting priest hits the streets

 

The murder of 75-year-old Tom Repchic was the final straw for Father Greg Maturi, a Dominican priest in Youngstown, Ohio. CNN posted a story about how he stepped off the pulpit and into the streets to take on the crime where it lives. Many commenters were very proud of Maturi's resolve to take action. CatholicMom said, "Thank you, Father Greg Maturi, for setting an example of how to start the ball rolling. "Thank God for Father Maturi who is not looking for someone else to step forward but is taking the bull by the horns himself." JDT said, "In a time where religion has seemed to become irrelevant in the lives of many around this country, this is a great way to become 'relevant' again. Not necessarily to 'recruit' people to faith, but to act as a conerstone in a community. Good on you sir!"

 

TV meteorologist accused of filing false sexual assault report

 

Heidi Jones, an on-air meteorologist, called police to say she had been attacked while jogging in Central Park two months earlier, according to a police spokesman who would not provide a name, citing police policy. Jones was arrested Monday and has been charged with a misdemeanor count of making a false report. Commenters were largely opposed to her efforts, and came up with many clever puns. DougHodges said that "her judgment was a little cloudy that day." noname1969 noted that "any person that makes false claims of rape should have to serve the sentence for that crime." The race of the false attacker was also an issue. Bagheera said, "Note to women who like to make up stories about being assaulted: Please be original and claim it was a WHITE male attacker. The blame-the-minority angle is getting a little old. Unfortunately, in our society that seems to be the angle that works best." A few commenters debated false accusations of rape. lal11 said, "I work as a lawyer in the criminal justice system. Believe me, there are very few men who are wrongfully convicted of rape or molestation. The bigger problem is for women who really were raped and there is no physical evidence to find or convict their attacker." The comment got several replies; some said false accusations happen all the time, while others said victims suffer if their concerns aren't heard.

 

Loving a leakster: Assange's apparent online dating life

 

WikiLeaks' Julian Assange keeps an OkCupid.com profile just like the rest of some of us, and his description begins: "WARNING: Want a regular, down to earth guy? Keep moving. I am not the droid you're looking for." More than 400 comments had poured in about this story at the time this post was written. Burbank wrote, "I think they should 'leak' every tiny bit of his online dating. If it's embarrassing that's all the better; let's see how this arrogant egomaniac feels." MattCDF replied, "Only a awkward teenager would be embarrassed. This man has taken on world governments. Better luck next time. And lots of people thought the profile wasn't a huge deal." Joedaman said, "In other news, Julian Assange had severe constipation 10 years ago." creepnitreal said he nearly wet himself when he saw the profile and described Assange as "creepy," but then added, "yes, I find it ironic that I'm criticizing him for being creepy when my name is in fact creepinitreal." Finally, AntonioD wrote, "For the record, this information makes me like him more!"

 

YOUR TURN: Now that you've read what other people are saying, do you find that your views align with theirs? Think of this as a wishing well in need of your 2 cents. Post a comment below or sound off on video.

 

Compiled by the CNN.com moderation staff. Some comments edited for length or clarity.

8 Comments
December 16, 2010
Click to view FedupRican's profile

Everyone's a friggin' expert I love it!!

December 16, 2010
Click to view Nebiahlia's profile

On a side note here: It makes me so mad that birth has now been medicalized. What can be natural than giving birth? Sure, some women need a C-section, but having doctors push it down the woman's throat is just an example of how our capitalistic society wants everything right here and now.

December 16, 2010
Click to view Shinea's profile

Women from the third world risk EVERYTHING including their lives to be able to give birth in a clean, well equipped hospital and this woman just tosses it off for what? Thank God it worked, but it was a selfish, ignorant STUNT to do it at home.

December 17, 2010
Click to view DrWookie's profile

I feel like some people don't see to recognize the definition of "increased risk". Having "increased risk" DOES NOT mean it is going to happen to you. So going through with VDAC and being okay doesn't give you the right to say 'OMG see I was totally fine, you were wrong. I didn't need to listen to the doctor'. It's great for you that it went well, but statistically speaking you were at INCREASED RISK for it to go badly. It's a fact. If you are willing to take that risk for you AND your child...by all means but don't go rubbing it in the doctor's face just because they were operating based on risk.

 

Also while it is great to say 'Oh the baby would have come out eventually, they didn't need to do a C-section' and to then consider the hospital selfish for having their "baby delivery machine", it is important to recognize that there are a lot of women in the world who are pregnant and in many cases there really is a shortage of rooms, so it really isn't practical to have someone just lying there for 3 days in labor (nor is that necessarily that great or safe for the parent or the baby) just waiting for "nature" to take it's course.

 

And above all else, please keep in mind that "nature's" course involves a MUCH higher MMR (maternal mortality rate) so while it's great to be all "natural", it isn't great when you end up another statistic (natural MMR is considered to be around 2%, compared to something like 1 in 100,000 in the United States).

December 17, 2010
Click to view bmore30's profile

She risked her life and the life of her child to avoid a c-section and we are supposed to congratulate her.  I fail to see the logic. 

The reason OBs dont like vaginal births after c-section is because there is an increased risk of uterine rupture that can be avoided with the c-section.  Odds are good that you can have a normal birth after c-section- the problem is that if the uterus ruptures- it becomes a life-threatening emergency.  A doula/midwife at home is not going to be able to do anything about this other than call 911 and watch the mother and child expire.

No OB wants to risk this.  If a mother wants to risk it, it is her choice but not a smart one.

December 17, 2010
Click to view Catharsis88's profile

@Nebiahlia  I so agree.  Many doctors do it so they can get in and out without having to wait around hours or days for the baby to be born.  I have seen it done.  It is possible to have a VBAC Whether her uterus ruptures or explodes is a probability and it is just that...PROBABLE; however, NOT ABSOLUTE, DEFINITE, ACTUAL, PRECISE OR CONCLUSIVE. And obviously her and the baby came out unscathed.  Patients are given authority over their health everyday and sometimes those decisions are life threatening. Patients have a right to choice and medical staff are supposed to be there to support them, despite our opinions.

December 17, 2010
Click to view DrWookie's profile

Patients should have ultimate authority over their health, but I don't believe that should mean we praise them for making a decision that carries an increased risk of a possibly fatal outcome. To make matters worse they decided that driving 90 minutes to do it in a hospital was "too far" so they opted to be at home, where a uterine rupture would have almost certainly killed the baby and the mother. She is welcome to make her own decision, but that kind of decision should NOT be a role model for others. If she really really wanted the vaginal delivery, she should have driven 90 minutes to a hospital where she would at least have had access to emergency care in the event that she needed it. It was IRRESPONSIBLE to do what she did, plan and simple. I am really glad it worked out, no one wants to see a poor outcome. But just because it worked out doesn't negate the fact that it was irresponsible.

December 17, 2010
Click to view bmore30's profile

@drwookie

 

I agree. 

Doctors should practice evidence based medicine and not medicine based on anecdotes.  You can have anecdotal medicine at home like she did and hope for the best.

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