{"id":9750,"date":"2015-12-17T10:04:39","date_gmt":"2015-12-17T15:04:39","guid":{"rendered":"https:\/\/www.beyondmommying.com\/blog\/?p=9750"},"modified":"2015-12-17T10:04:39","modified_gmt":"2015-12-17T15:04:39","slug":"the-truth-behind-the-c-section-rate","status":"publish","type":"post","link":"https:\/\/www.beyondmommying.com\/blog\/2015\/12\/17\/the-truth-behind-the-c-section-rate\/","title":{"rendered":"The Truth Behind the C-Section Rate"},"content":{"rendered":"<p>It&#8217;s no secret that the national c-section rate is hovering somewhere near\u00a01\/3 of all births. \u00a0And most people will probably agree that the rate is way too high. \u00a0The World Health Organization\u00a0believes that the target\u00a0rate should be somewhere between 10 and 15% in order to ensure optimal outcomes for both mothers and babies (I&#8217;ve discussed before that the maternal mortality rate in the US is growing and higher now than it was 30 years ago and it&#8217;s hard to ignore the correlation between rising mortality and the rising c-section rate, more on that <a href=\"https:\/\/www.beyondmommying.com\/blog\/2013\/09\/25\/bettering-birth\/\">here<\/a>).<\/p>\n<p>But I recently came across a <a href=\"https:\/\/amino.com\/blog\/c-section-rates-in-america-state-by-state-analysis-new-c-section-predictor-pregnant-women\/\">report<\/a>\u00a0analyzing 4.4 million births over the past 5 years\u00a0which\u00a0shows a huge discrepancy between states. \u00a0Wisconsin has the lowest rate of 28% and not surprisingly (but very disappointing) is the fact that Florida has the highest national c-section rate of 42.8%. \u00a0That&#8217;s almost HALF of all births. \u00a0That means that two of my babies\u00a0<em>should<\/em> have been born via c-section because all of them were born in Florida.<\/p>\n<p><a href=\"https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-9752 size-full\" src=\"https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section.png\" alt=\"c-section rate\" width=\"1152\" height=\"602\" srcset=\"https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section.png 1152w, https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section-300x157.png 300w, https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section-600x314.png 600w, https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section-390x204.png 390w, https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section-1024x535.png 1024w, https:\/\/www.beyondmommying.com\/blog\/wp-content\/uploads\/2015\/12\/c-section-1000x523.png 1000w\" sizes=\"auto, (max-width: 1152px) 100vw, 1152px\" \/><\/a><\/p>\n<p>What this tells us is that\u00a0<em>where<\/em> you live can make a huge difference in how your birth goes. \u00a0But there are many other factors that affect a woman&#8217;s chance of a c-section as well which include if you&#8217;d had a previous c-section (which leaves you with a 90.6% chance of another) and if you have a multiples pregnancy, malpositioned baby, bleeding during pregnancy, uterine fibroids, diabetes, high blood pressure or if you&#8217;re a smoker.<\/p>\n<p>The publisher of the above study also provides a <a href=\"https:\/\/amino.com\/c-section\/predictor\/\">c-section rate predictor<\/a> which gives you an estimated chance of c-section based on your answers to a few simple questions. \u00a0I (of course!) tried it out. \u00a0Based on my answers to the questions from my first pregnancy (which was extremely uncomplicated), my estimated c-section rate was still a whopping 31%. \u00a0But shockingly, when I repeat the predictor for Doodle, who was a known <a href=\"https:\/\/www.beyondmommying.com\/blog\/2013\/03\/06\/baby-big-head\/\">bigger baby<\/a> and with whom I had a <a href=\"https:\/\/www.beyondmommying.com\/blog\/2013\/02\/01\/the-best-laid-birth-plans\/\">placenta previa and bleeding<\/a>, my estimated c-section rate sky rockets to a whopping 82%! (Estimated rate for Sugarplum was 30% and 32% for Pipsqueak all based on where we lived at the time).<\/p>\n<p>But what is most shocking is if I take the same answers for Doodle and change <i>only<\/i> the zip code to where I grew up in Colorado, the\u00a0rate drops to 75% and Honeybun&#8217;s rate drops to 23% (still a disturbingly high 1 in 4 chance). \u00a0It bothers me immensely that where a woman lives can have such a huge impact on the care she receives. \u00a0But my experience also shows how being educated on &#8220;the system&#8221; and making alternative choices can make a big difference. \u00a0Had I not done my research and chosen a midwife and planned a homebirth with Doodle, I have no doubt I would have ended up being coerced into\u00a0a c-section (or at least an early induction due to his size which would have also increased my chances of a c-section).<\/p>\n<p>I get that having to have a c-section is not the worst thing in the world. \u00a0And I know that they DO <a href=\"https:\/\/www.beyondmommying.com\/blog\/2015\/05\/02\/weekend-wisdom-a-beautiful-c-section\/\">save lives<\/a>. \u00a0But I also know that way too many c-sections are performed in America today and many for all the wrong reasons. \u00a0I know that risks to both the mother and baby increase dramatically when a c-section is performed and c-sections are not a cure-all, <a href=\"https:\/\/www.beyondmommying.com\/blog\/2015\/04\/25\/weekend-wisdom-c-section-survivor\/\">complications do arise from the procedure itself<\/a>. \u00a0And I know that many other countries manage to have a lower c-section rate AND better outcomes. \u00a0So why, when we are one of the most medically advanced countries in the world, are we lagging behind when it comes to maternity care?<\/p>\n<p>I&#8217;m curious, what did the predictor say about your chances? \u00a0Did you end up with a c-section?<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It&#8217;s no secret that the national c-section rate is hovering somewhere near\u00a01\/3 of all births. \u00a0And most people will probably agree that the rate is way too high. \u00a0The World Health Organization\u00a0believes that the target\u00a0rate should be somewhere between 10 and 15% in order to ensure optimal outcomes for both mothers and babies (I&#8217;ve discussed [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":9752,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,9,388],"tags":[],"class_list":["post-9750","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-baby-business","category-family-life","category-the-pregnant-life"],"_links":{"self":[{"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/posts\/9750","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/comments?post=9750"}],"version-history":[{"count":4,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/posts\/9750\/revisions"}],"predecessor-version":[{"id":9755,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/posts\/9750\/revisions\/9755"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/media\/9752"}],"wp:attachment":[{"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/media?parent=9750"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/categories?post=9750"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.beyondmommying.com\/blog\/wp-json\/wp\/v2\/tags?post=9750"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}