So for a public patient, the ob gets no more money for a CS. just more work.
I'd have to look up Medicare but for my natural deliveries my ob billed for my entire care. Antenatal, delivery and postnatal. So the 5k they get for a CS may well include all of that care. A bit more than half an hours work. Did you know surgeons bill like that too? They get one item number for the whole thing, pre surgery, surgery and post op care.
I admit obs aren't struggling but remember from all that money they make they have to pay for rooms, staff, insurance (I think it's around 8k per month). So remember they don't get to take home all of it.
I think there are a variety of reasons CS rates are higher in private. I think a lot of it is fear on behalf of the docs, some the woman's preference and some laziness on behalf of the doc. There are a lot of overworked obs out there and some would prefer to deliver at a convenient time of day (very lazy yes).
Gosh, so much doctor hatred here. Very sad
Just wanted to say that the very high rate of c/s in private hospitals cannot be accounted for solely due to maternal requests and demographics. I did an assignment recently and read a couple of journal articles that brushed on this, and although these things do make a very small difference, the main reason is the fact that the pregnancies and births are being managed by obstetricians- surgeons who specialise in complications, and ones who will be sued privately (rather than the hospital) if it is deemed something should have been done when it wasn't. So basically, it still stands that choosing a private Ob for your care is much more likely to get you a whole lot of intervention and increased risk of a CS than if you choose a midwifery model of care.
FTR, I have chosen a private Ob this time (30 weeks into a twin preg), on advice of my independent midwife that is coming with me when I have these babies. I was going through the public system, as I did for my others, but the others I had midwife care, this time I have to see an Ob there instead. I don't think she's evil, I'm not anti-medicine BUT she has told me what they will do, she is not interested in how I feel about being induced at 37 weeks (routinely), being forced to have an epidural (routinely), continuous monitoring (routinely) etc. I am never asked how I feel about these things, and am told to 'have an open mind'. I've never had a birth plan, I've never tried to control my births, but I DO deserve a say in how I will birth my (low-risk) twins! I have never understood why anyone would risk home birthing in high risk situations til now- its because in the hospital you are given NO SAY whatsoever in how the labour and birth will be 'managed'! If any of my previous hospital births had been traumatic, I dare say I would probably birth these twins at home with the complete lack of respect and autonomy I have been shown at the hospital. Luckily my experiences have all been positive and I have a lot of faith in my midwife to tell them where to go, plus she got me into this Ob who does respect how I feel.
So yeah I guess I'm saying, don't jump to conclusions about why people made the decisions they did around their births. It's not usually for the 'experience' as is so often assumed.
And too fat, too small or too sick to
Birth safely naturally.
We've moved from Bashing Mia to bashing home births to bashing csecs, to now bashing doctors.
I don't subscribe to the big bad evil doctor theory. I think that just like mothers/mothers to be there are some great ones, some good ones and some real tossers. I don't think there is a higher rate of dodginess amongst doctors.
I for one had complete trust in my ob. He knew his stuff. If i wasnt happy at any stage i would have had the balls to say something. If i didnt, that would have been On me. Besides doing a good job he cracked some great jokes during my csec!
My ob is an older very experienced and well known in the industry, she does private and public work. The best known ob's do public work because of their skills and ofcourse they're not only delivering babies, they do other surgeries and have scheduled days for those aswell. That's why you won't be garuanteed your ob will even deliver you.
I don't know why people get upset when discussing ob's, some people don't like to see any flaws and there are alot. You might believe the sky is green because your ob told you it is, I don't see how that makes you better, it means you'll believe anything your told without doing the research for yourself.
Can't we whinge about midwives instead of doctors? The midwives I saw through my pregnancy were a waste of space... Didn't tell me anything I hadn't already read off google. They did test my per every visit, but that looked easy enough I could have done it.
I know I'm taking the bait but what else did you want them to do? You're not sick!.....
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