Grace – I was diagnosed with genital HSV-1 via culture. For example, the baby is predicted to be too large to pass through the pelvis or is in a breech (feet first) or transverse (sideways) position. Even on acyclovir, when my hormones change such as periods i still get an attack. One blood sample was collected for viral serology and two mouthwashes (day 0 and 2) were collected to determine oral viral shedding. Or is this just a chance we would have to take? Department of Health and Human Services have stated that ideally no more than 15 percent of babies should be delivered via Cesarean section, the rate of such births in America has increased six years in a row. In many cases, patients don’t have any symptoms.
A study by Health Grades Inc., a Denver-based organization that rates the quality of doctors and hospitals, concluded that patient-choice Cesareans are partially responsible. But the wisdom of those choices is controversial. Why women choose C-sections Women who opt for the surgery do so for convenience, fear of the pain and/or unpredictability of labor, the desire to avoid pelvic damage and other reasons. Some women who’ve had a previous C-section don’t want to risk the potential complications of delivering vaginally, which include (albeit rarely) a ruptured uterus. Others, including some older mothers and those who’ve had infertility problems, believe a C-section is safer for the baby, especially if a forceps or vacuum-extraction delivery becomes necessary during a vaginal birth. Though the American College of Obstetricians and Gynecologists (ACOG) has stated that it is ethical for doctors to perform elective Cesareans, many physicians and midwives contend that women are not adequately counseled about the risks, which include infection, blood loss and damage to adjacent organs, to make informed decisions. In fact, the American College of Nurse-Midwives recently issued a statement opposing ACOG’s stance.
Others argue that none of those possibilities is life-threatening. CNS translocation of HSV does not typically occur with routine infection; therefore, any breach of the CNS during neuraxial analgesia would bring the risk of introducing virus into the CSF which was not there before. Shaefer Spires, MD Epidemiologist and Assistant Professor, Division of Infectious Diseases, Vanderbilt University School of Medicine. C-sections require a longer hospitalization and recovery time than do vaginal deliveries and, like any surgery, they do pose some risks. However, obstetricians agree that an emergency C-section, which typically follows a lengthy labor, is far more dangerous to both mother and baby. Some women and their doctors choose to avoid this possibility altogether by simply scheduling the procedure. Many patients feel that any drawbacks of elective surgery are canceled out by the potential benefits, notably the reduced likelihood of pelvic injury that can result in urinary and/or fecal incontinence and pelvic-organ prolapse (when the uterus, bladder, intestine or rectum protrudes into the vagina).
6). The goals include allowing labor to begin on its own; permitting women to move around during labor and to give birth in nonsupine (e.g., squatting, side-lying) positions; and avoiding routine interventions, including medically unnecessary C-sections.