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Childbirth By Choice: C-Section Rate Rises

Risks Can Be Greater With Surgery

Updated: 9:49 am EST November 4, 2005

Many doctors, hospitals and insurance companies have said they get sued less often when they perform Caesarian sections, so they prefer that form of delivery. However, childbirth advocates say the rush to push or cut babies out of the womb carries risks, Oklahoma City television station KOCO reported.

Clothes, crib and a car seat awaited Alicia Helsley's newborn. She and her husband, Lester, knew they wanted to pick their baby's birthdate.

"My husband's a truck driver," said Alicia Helsley. "That way, we could have it planned so he could be here for the birth."

Lester was available at 8:45 a.m. on Oct. 21. Helsley was wheeled up to an operating room and -- 26 minutes later -- baby Aidan arrived via elective C-section.

"It was amazing and it's just unbelievable. I have a lot of respect for women, a lot of respect," said Lester Helsley.

Aidan was the 30th baby Dr. Darren Goff helped deliver in October. The vast majority of his patients -- 90 percent -- schedule a C-section or an induction. He said that half of planned induced births end up as Caesarian deliveries.

"Some people want to have a baby three months in advance," said Goff. "They know what to plan that day. Other people are just at the end of pregnancy. Women are miserable, want that baby out. That's been around forever. That hasn't changed."

Goff supports a patient's right to choose, and noted that scheduling can free doctors for real emergencies.

"Obstetrics is an emergency waiting to happen. If you're up at night, and three or four patients are in labor, and something doesn't look right, you need to get this patient delivered so you can move on to the next patient. It's good patient care for everybody," Goff said.

The Centers for Disease Control and Prevention does not necessarily agree. In fact, it has set a goal for curbing the skyrocketing C-section rate.

Amy Siefke, a neonatal intensive care nurse, is also the mother of two.

"For me, I don't think that's safest thing for me and my baby," she said.

She points to the risks of a C-section such as surgical cuts on babies. Goff agrees the risks are real.

"The hard thing is scars down the road, not only rupturing or if (the) placenta implants on scar, sometimes people end up with hysterectomies," he said.

The risk of death to the mother is five times greater during a C-section than a vaginal delivery. Incisional pain can last six months, and surgical complications are possible for induced births.

Moms having their second baby via planned induction have a fivefold chance of an emergency C-section. Furthermore, drugs used to induce can have complications, such as making labor too strong.

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