My Mom's Best
Pregnancy, Parenting & Breastfeeding website with a heart

Apr 08

I mean, as a whole I think Malaysian doctors tend to try to “medically manage” birth rather than letting nature take its course… whereas in Europe there is much less intervention (Holland, for example has about a 7% caesarian rate, whereas the last stats I saw for Singapore were 27% – haven’t seen any for Malaysia but I think it’s probably about like Singapore). It’s about 22% in North America.

When I was pregnant I actually got laughed at by my first OB here for wanting to walk about during labour, and to be able to choose my position for delivery, or use a birth stool or tub. . These things are the norm in many other countries or in non-MD attended births. So I think it does depend where you are.

My dd was in distress and that’s why I had a caesarian. Labour was going fine naturally, there just wasn’t time to wait. Her heart rate was plummeting and she very nearly aspirated meconium – it was all over her head when they took her out . I was VERY informed about birth and caesarians and legitimate reasons for them and that didn’t change the fact that she wasn’t getting enough oxygen….

Now, for LOTS of other moms I have met here in Melaka, they had caesarians and didn’t know until after the fact that the hospital they delivered in was being investigated for doing unnecessary caesarians, and to this day wonder if they really needed them (ie: some of them were told after only three hours of labour that it was taking too long!!!). Staff at the same hospital told a mum who wanted to breastfeed that her nipples were too small, but that’s another issue.

Anyway, all that to say that I think MDs attitudes are very pervasive within a region, so I wondered if the very medicalized approach here meant they went by the old-fashioned “once a caesarian, always a caesarian” especially in light of the two US studies a couple of years ago that had everybody THERE, even, rushing back to the operating theatres, despite the fact that they were completely biased studies.

Having a supportive doctor and attending staff for a natural birth and especially a VBAC is as important as having staff who are helpful with breastfeeding. A woman can be as confident about it as she can be, but if her doc has only given lip service to natural birth and is sharpening his scalpel the second she walks into the hospital she’s not going to make it. So to call it a non-issue… well, I can’t disagree more! Sorry!

Regardless, I’m glad you were able to do it – that IS promising! Thanks! If the situation arises I may have to get a referral from you!

Anyone else “been there, done that”?