I would probably say no to personal choice. Perhaps I should qualify that and say a section shouldn’t be available on demand.
A section is major abdominal surgery and comes with many potential complications. But because it is so common place and because mothers are out of hospital very quickly nowadays, it seems commonly regarded as no more serious than a trip to the dentist.
The implications of a section compared to a vaginal birth are significant. I know many people have them and all is well and they recover quickly.im sure we all know of the person who had a section on Monday and by Wednesday was doing the school run, weekly shop and running her own business. She is a rare breed and there is a large dose of smoke and mirrors here, even though many women having sections are young and healthy and recover quickly. I know that many women have complex vaginal births that leave them with long term health issues. And some babies are damaged or die from lack of a section. I am not talking about that particular cohort of women. What I am concerned about is the way society has trivialised childbirth and particularly sections. Women today are expected to have their babies, come home and pick up where they left off, without any period of recuperation or adjustment to the major event in their lives. Many have their first facebook and instagram messages posted before the placenta has plonked into the receiver. Kim Kardashion or the glamorous Kate may look stunning in the aftermath of this life changing moment but that isn’t the same for the average woman.
Of course today, techniques, treatment and advice around sections is very different to twenty, thirty, forty years ago and the procedure is much safer, but...but....but........although it may happen in any birth, with a section, particularly one done in an emergency, the a woman is more likely to loose a great deal of blood during the surgery and need a transfusion. More likely to have a situation where bleeding could not be controlled and end up with a hysterectomy. More likely to get an infected section wound that is sore and oozing and smells bad. More likely to develop a urine infection during the admission for surgery that refuses to go away without a hefty dose of antibiotics and the issues that can raise. More likely to develop a DVT. More likely to have long term issues with scarring, muscle tone, and of course, potential problems with delivery of subsequent babies. For many the recovery time is slower. Getting out of bed, lifting the baby, changing the baby, bathing the baby, even having a shower is so much harder with several inches of wound with stitches or clips across the lower abdomen.
Some women will medically need a section and are advised accordingly in pregnancy, some need a section but refuse, (in both the pregnancy and sometimes labour), some need an emergency section, some, because of a multitude of medical and/or obstetric problems have planned sections. Some will ask for a section for their own particular circumstances. But I don’t think that women should be encouraged to believe it’s a simple choice with no repercussions.