Main description:

In 2004, a staggering 22.9% of births in Britain were by caesarean section. This means women are over four times more likely to have a caesarean birth now than they were thirty years ago and eight times more likely than they were fifty years ago. When a caesarean is necessary it can be life saving for mother and baby; however, this book suggests that many caesareans are being performed unnecessarily. Using data from a 2005 nationwide survey of obstetricians, the authors offer a comprehensive analysis of what has changed and ask at what cost. Evidence shows that fear of litigation, patient request and a shortage of skills in junior staff are just some of the reasons for the steep rise in caesarean rates. Women often lack information about the risks of undergoing a caesarean section and of the physical and psychological effects resulting from the operation. This book presents expectant parents, educators and health professionals with the facts and figures and documents a number of important changes which have occurred since the first edition was published in 1993. It traces the development of the operation up to the present day and gives expectant mothers a clear explanation as to what the operation entails and advice on coping with a caesarean.

Please note: This edition was previously published by Middlesex University Press.

Contents:

1 1. Introduction; 2 2. The history of the caesarean section; 3 3. Caesarean birth in Britain in the twenty-first century; 4 4. International information; 5 5. Is a Caesarean really necessary?; 6 6. The modern caesarean operation: coping with a caesarean - for parents, midwives and teachers; 7 7. Women's experience of caesareans; 8 8. The views of 100 consultants; 9 9. Vaginal birth after caesarean (VBAC); 10 10. What choices do women have about maternity care?; 11 11. Avoiding unnecessary caesareans