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Recent statistics from 150 countries shows a global c-section rate of 18.6% of all births – almost 1 in 5 women around the world will give birth via c-section. My wife is an Air Hostess of Bangladesh Biman, and she wants a normal delivery at any cost. C-sections have become normal in so many countries, as the vast majority of women give birth in hospital settings that are set up to expect the worst case scenario and the best outcome is a healthy baby and mother. But this doesn’t take into consideration the many other factors driving c-section rates up: C-sections involve risk for both mothers and babies, and can cause complications for future pregnancies and births. But only God knows what happens to our fate. Since 1985, the international healthcare community has considered the ideal rate for caesarean sections to be between 10-15%. C-sections are crucial when complications arise during birth, like bleeding, foetal distress and abnormal foetal positioning. © Copyright 2002–2019 BellyBelly, All Rights Reserved. If no action is taken, that trend is likely to continue, putting women and children at unnecessary risk. Around the world, c-section rates continue to rise. These countries successfully keeping their c-section rates down focus more on higher rates of vaginal births through having strict guidelines about elective c-sections, cultural normalising of vaginal birth, different legal attitude to medical litigation, and access to high quality midwifery led care. WHO proposes adopting the Robson classification as an internationally applicable caesarean section classification system. Analysing global trends of birth, the research reveals that the rate of c-sections has nearly doubled since the turn of the century, rising from 12 percent of all births in 2000 to 21 percent in 2015. Data from 121 countries shows between 1990 and 2014, the global average c-section rate increased by 12.4%. There needs to be a global shift normalising vaginal birth and providing the foundations which make it more achievable, such as continuity of care and high quality independent birth education. In her spare time she writes novels. When medically necessary, c-sections undoubtedly save lives. Do you know in Bangladesh C-Section rate is about 80%!!! While the series found 25 percent of countries underuse c-sections, 60 percent of countries were found to overuse it. Number of pages: 8 Two new HRP studies show that when caesarean section rates rise towards 10% across a population, the number of maternal and newborn deaths decreases. Wealth provides a certain privilege, where women can choose to undergo c-sections for non-medical reasons, like fear of labor, pelvic floor damage, and reduced sexual function. When c-section rates in a country move towards 10%, there is a significant decrease in maternal and newborn deaths. Vaginal birth is the normal outcome of a healthy, low risk pregnancy which women shouldn’t have to fight to achieve. When the rate goes over 10%, there is no evidence that death rates improve – therefore the risks outweigh the benefits. The lack of a standardized internationally-accepted classification system to monitor and compare caesarean section rates in a consistent and action-oriented manner is one of the factors that has hindered a better understanding of this trend. In the meantime, WHO has published a guideline alongside the series that explores ways to reduce unnecessary c-sections, including educational intervention for women and families, clinical guidelines, and recommendations for future research. It's estimated by the World Health Organization (WHO) that 10 to 15 percent of all births medically require a c-section. Some medical professionals also have strong financial incentives to push for surgery and are less likely to be sued after an elective c-section. "Pregnancy and labour are normal processes, which occur safely in most cases," explains lead author of the series Marleen Temmerman, a gynaecologist and professor at Aga Khan University, Kenya and Ghent University, Belgium. High income countries around the world have decreased or controlled their c-section rate to what is considered an acceptable level, reducing the risks of unnecessary surgery to mothers and babies. Anything beyond that does not appear to reduce maternal and newborn mortality rates. Today, however, many countries are failing to meet this recommendation – which is not perfect but does provide guidance. The number of babies delivered through caesarian section has skyrocketed worldwide, and public health experts say the trend is cause for alarm. Unbelievable ?!! In other words, the surgery should be used sparingly. Since then, caesarean sections have become increasingly common in both developed and developing countries. At the turn of the century, 12 percent of global births were via C-section and by 2015, that had increased to 21 percent. Tool to calculate caesarean section reference rates at health facilities is launched: the C-Model, Read more about WHO Statement on caesarean section rates and Robson classification. "What is left unresolved are the tensions generated when women's agency in choosing a caesarean section go against medical directives to intervene against them," says a Lancet editorial published along with the series. "Although The Lancet Series says that women's demand is not a substantial driver of the current problem of overuse, efforts to reduce caesareans must, nevertheless, strongly respect women's rights to choose the circumstances of birth.". © ScienceAlert Pty Ltd. All rights reserved. So which countries perform the most c-sections? We’re passionate about women and men feeling informed, confident and prepared for pregnancy, birth and early parenting. The World Health Organization Statement on c-section rates published in 2015 emphasises: “Every effort should be made to provide caesarean sections to women in need, rather than striving to achieve a specific rate”. If no action is taken, that trend is likely to continue, putting women and children at unnecessary risk. Medical-led view of pregnancy and birth, leading to higher rates of interventions, c-section prevents trauma and damage to the pelvic floor, World Health Organization Statement on c-section rates, C-Section Prevention – 8 Ways To Avoid An Unnecessary Caesarean, Longer Labour Time Reduces C-Sections By Over 50%, 10 Christmas Miracles This New Mama Is Hoping For This Year, Low tolerance of anything less than the perfect birth outcome. But it’s not enough to simply provide these options, health systems need to develop a culture that genuinely values, promotes, and supports vaginal birth and particularly works to reduce unnecessary c-sections in first time mothers. These countries which have managed to keep their c-section rates low face the same issues other European countries do, with more women becoming mothers older and the prevalence of obesity and health complications. Analysing global trends of birth, the research reveals that the rate of c-sections has nearly doubled since the turn of the century, rising from 12 percent of all births in 2000 to 21 percent in 2015. In North America, Western Europe, Latin America, and the Caribbean, c-section rates have increased by 2 percent per year over the last 15 years. "C-section is a type of major surgery, which carries risks that require careful consideration," says Jane Sandall, an expert on maternal health at King's College London. Since 1985, the international healthcare community has considered the ideal rate for caesarean sections to be between 10-15%. Part of this trend is being driven by income and access to health facilities. Just few days back Prothom-Alo [Most popular newspaper] newspaper published an article on this heading as “Birth as Business”. Sam McCulloch enjoyed talking so much about birth she decided to become a birth educator and doula, supporting parents in making informed choices about their birth experience. Cultural considerations, such as birth date being lucky for future or destiny. But like any surgery, this one comes with its risks. Languages: English This means women and babies are being exposed to avoidable risks as well as increasing the burden of cost on health systems. "The growing use of c-sections for non-medical purposes could be introducing avoidable complications, and we advocate that c-section should only be used when it is medically required.". Within low- and middle-income countries, for instance, the series found the wealthiest women were six times more likely to have a c-section compared to the poorest women. My wife is in the last stage of her pregnancy [39 weeks], I’m still searching for a safe place for normal delivery. Reducing c-section rates needs to be safe so women and babies who do need assistance have access to it. When medically necessary, a caesarean section can effectively prevent maternal and newborn mortality. Several countries in Europe have managed to control or reduce their c-section rates over time. C-section delivery rate worldwide in 2000 and 2015, by region U.S. states U.S. state with the highest c-section rate as of 2018 According to maternity health experts, high rates can be attributed mainly to increasing maternal age, increased numbers of multiple births, and higher rates of obesity among women. The World Health Organization has long recommended that the ideal c-section rate should be between 10-15%. Publication date: April 2015 Decreasing c-section rates isn’t as simply as setting a goal and sticking to it. "Although there is almost universal consensus that c-section use has increased beyond the reasonable level of need in many countries, effective interventions to optimise use have proven elusive," explains Ana Pilar Betran, a key contributor to the series and an expert in public health and obstetrics at the WHO. Yet it shouldn’t happen at the cost of increasing rates of instrumental births or other interventions. Recovery is far more complex after a c-section compared to a natural birth, and some studies suggest it can increase the chance of death by at least 60 percent and, at times, up to 700 percent. In some parts of the world, they actually outnumber natural births. Doctors have said that in many cases, the procedures were not justified. This is a question that can’t be answered easily. WHO reference number: WHO/RHR/15.02.

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