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Why are there Many Caesareans?

This is Jason Shafrin writing at the Healthcare Economist:

Dr. Gene Declerq claims the reason is the cascade of intervention

…they come in and they’re relative low risk, but to be cautious, they put a fetal monitor on them…because things do not appear to be going as quickly as they would like, they induce them or stimulate the labor.  And then because the contractions–as a result of the induction–become very strong, they have to do an epidural to try to relieve the pain from those now stronger than natural contractions…that may slow labor a little further and then they have to keep adding intervention upon intervention to the point where at the end, somebody says ‘we’re going to do a Caesarean.  Thank god we’re able to do the Caesarean’ whereas if they hadn’t start that series of interventions in the first place, we may have never gotten to that point.

An economist would simply claim that physicians do Caesareans because they are revenue enhancers.


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Posted in healthcare bill, Reform.

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