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  1. #541
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    I may be jaded but this is why I think an OB might suggest you need a caesarean...

    Go to a make-up artist. She is not going to say you look beautiful naturally and don't need her services or to buy any products from her.

    Go to a plastic surgeon and ask what you think needs doing. He is not going to say you're great in the body you were given and send you on your merry way.

    Go to a shop and ask them which clothes they have that might suit you. They're not going to send you elsewhere to shop because nothing they stock WILL suit you.

    Go to a dietician and they're not going to tell you your diet is perfect and that you've wasted your time coming.

    Go to a chiropractor and they won't tell you your bones are 100% better off without them.

    Etc etc.

    These people rely on pregnant women to earn a living. Some will, absolutely, tell you that they think you should birth naturally... but it's not exactly the most common thing to happen. They may not say, "Yep, need a caesarean," but they'll have various interventions in mind they might suggest "if needed."

    They're trained to see the faults in pregnancy and birth and to "fix" those with their medical methods.

    They're also about risks and risk management. It makes sense that a surgeon who is trained to "fix things," would feel better about managing those risks themsleves with a scalpel than just waiting to see what nature decides to do. That's fine - they can feel that way... but it's not their birth, so their anxiety over the course nature may take, IMO, means pretty much nothing compared to the anxiety a mother feels about her desire to let nature do what it has to do, and have her surgeon ONLY as a back-up if nature starts to screw her over, when that option is kind of stripped from her.

    I couldn't care less if women want OBs. Or caesareans. Or every drug known to man during labour. That's all good for them and if they feel happy at the end of it, then I'm happy for them.

    It's not what EVERYONE wants though, and it's certainly not what I want for myself or my baby, and my research has suggested that being in the care of an OB as a VBAC patient in a private hospital means odds are against me getting that VBAC, and instead, ending up with a repeat caesarean.

    Apart from feeling homebirth is just as safe as a hospital birth, I figure that nobody in my home has an interest in cutting me open. There is no surgeon there thinking about how they could just "Get this over and done with without any potential problems arising," by putting a knife to my belly. It means that I feel safe and secure in hte knowledge that my midwife will have me transfered only if she truly thinks I need medical care. It means I can rest assured that my own best interests are coming first... not the best interests of the hospital, to clear me out of a bedroom, to meet "hospital policy," or because they're feeling anxious about the fact they're not in control, or worrying I might sue if they don't do something and something goes wrong. Litigation is probably a massive reason why some act as they do... if I was threatened with serious consequences all the time, I'd want complete control too... but obviously, my concerns are with ME and my baby not THEM.

    Anyway, that's how I see it anyway.

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  3. #542
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    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Quote Originally Posted by Lily of the Nile View Post
    I didn't miss your point, I know what you were trying to say and it was an illogical example to use.
    Just because I don't agree with you doesn't mean I'm not understanding you.

    Hang on, Mia is not just against freebirth, she has spoken out against homebirth aswell and in her article she spoke about those 4 deaths that have been in the news and those weren't freebirths. So we are on topic here.
    VicPark gave an example of a baby dying due to a vbac and I challenge her to look into that because there are no reported cases. Something else happened.
    People make alot of assumptions about things they're not really clued up on.
    There have been many comments in this thread of people being afraid and seeing homebirths and vbacs as high risk. This is fine, but its when its projected to other people that's the problem. Why aren't I only commenting on freebirth? Because that is not what's only in question. We're talking about people seeing anything that doesn't involve a dr or a hospital as more dangerous and I challenge that.

    A c/s has many complications, having an elective c/s for no medical reason isn't safer for the baby and its known as having more risks. Why is this ok? No one is addressing that either. There is a double standard when it comes down to it and you don't see anyone calling that selfish or a birthzilla? Having a c/s is the most controlled form of giving birth, its ironic someone would call someone a control freak for having a 'birth plan' but not someone having a c/s.

  4. #543
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    Ulysses is offline In the eyes of a child you will see...the world as it should be.
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    Quote Originally Posted by delirium View Post
    I read an article a few years ago that said obs charge the public system 3-5k per c/s depending on whether it's simple or issues arise.

    I admit I'm unfamiliar with the private system but I'm thinking your gap was a grand but the rest was paid by your private health fund? I suspect that figure could possibly include appointments before and after the c/s but I'm unsure.
    my OB charged $976.00 and i think I got a couple hundred back from medicare & private health fund (can't remember) i have his bill in front of me though., So his charge for the operation was $976.00 before I got any rebates back.

  5. #544
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    Surely they charge Medicare though! What kind of abdominal surgery is only going to cost the system a few hundred dollars?

    I dare say caesarians make more money than a VB... surely! Drugs, surgery... hell having my wisdom teeth out was a grand alone just for the anaesthetic!

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  7. #545
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    This is from 2007 but surely still relevant:

    http://www.health.gov.au/internet/main/publishing.nsf/Content/1186FF4200B2B2E6CA2575D9000F73B8/$File/SoOPH 2009 Part 8_Our Maternity Services.pdf


    Cost of a caesarian without catastrophic complications - $7,085 public hospital
    Vaginal delivery without catastrophic complications - $4,205 public
    Vaginal delivery uncomplicated - $3,462 public

    If you look at the chart caesarians cost more than a VB, of course they do - it's surgery. A straightforward caesarian costs similar to a catastrophic VB.

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  9. #546
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    My OB has seen me for 2 years + (cumulatively) of fertility treatment, so he's not just making a quick buck from a CS!

    He was also very pro natural birth. I asked him about the high rates of intervention in private hospitals, and his answer was that they have high rates of elective CS because the parents request one, and also that their patient demographic tended to be older women (therefore higher likelihood of complications) and overweight women (same again).

    I find the attitude that all OBs are salesmen/ uncaring/ stupid/ Machiavellian to be very odd. I guess it's a bit like the generalisation that all women who home birth are ignorant.

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  11. #547
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    Ulysses is offline In the eyes of a child you will see...the world as it should be.
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    You have to pay a surgeons fee to your OB, then you also pay a fee to the anaesthetist as well - but the OB doesn't get any of that.

    I honestly can't remember how much I got back for either of those (surgeons fee and anaesthetist fee) but i do know my OB,s fee because i found the bill in my car this morning and brought it inside.

    I agree with Girl x, and find the attitude towards the medical profession strange - my OB never pushed a c section on me, he went over everything with me and we made a decision based on his medical knowledge and what I was comfortable with.
    Last edited by Ulysses; 20-06-2012 at 16:30.

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  13. #548
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    headoverfeet is offline The truth will set you free, but first it will **** you off. -Gloria Steinem
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    Quote Originally Posted by Girl X View Post
    My OB has seen me for 2 years + (cumulatively) of fertility treatment, so he's not just making a quick buck from a CS!

    He was also very pro natural birth. I asked him about the high rates of intervention in private hospitals, and his answer was that they have high rates of elective CS because the parents request one, and also that their patient demographic tended to be older women (therefore higher likelihood of complications) and overweight women (same again).

    I find the attitude that all OBs are salesmen/ uncaring/ stupid/ Machiavellian to be very odd. I guess it's a bit like the generalisation that all women who home birth are ignorant.
    Wrong wrong wrong wrong wrong!!!

    "It’s time to abandon the “too old, too fat, too sick and asking for it" mantra and stop blaming women for the high rates of caesarean births. Instead, we need to address the real problem: we health providers are too often scared, impatient and inadequately informed to give women a real choice."

    http://theconversation.edu.au/forget...-sections-4986

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  15. #549
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    Surely an OB would charge more for cs though.

    Girl X I do agree that not all OBs are money hungry people who don't care about their patients. I also think there are some who are. Who like the fact they can schedule in a date and time and book her in and have it done and dusted. I would fall over if an OB didn't charge more for a caesarian than a VB.

  16. #550
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    I'm not anti ob, I don't think they're uncaring or a salesman, but I do believe an ob has a different mindset when it comes to birth and labour. They're surgeons, they manage high risk and prefer control because it's what they do.

    And regardless of what they're paid, its alot. $1000 for less than an hours work isn't a bad paycheck. Do 5 of those in a day, one day a week and its no wonder they're driving around in mercs and beamers


 

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