Annette Fineberg realized the policy was bull.
The obstetrician's patient—who was overweight, in active labor, delivering a premature and thus small baby—had previously undergone a C-section, sure. But the woman had given birth vaginally two times after that surgery, and, again, she was very much in labor. A repeat C-section, Fineberg thought, would be a bigger risk to the woman's health than aA cesarean is a significant surgery and can put the person giving birth in danger.
She resolved to get that policy changed, and in the process, she and her colleagues made Sutter Davis a model forAfter extensive negotiations, the hospital lifted the ban on vaginal birth after C-sections in 2014. In nearly a decade since, people seeking care there have had better options and healthier birth outcomes, said Fineberg, who no longer works at the hospital.
A first birth with a single fetus that is head-down and at or beyond 37 weeks is considered a low-risk birth. Despite the lower risk, the C-section rate for those births in California is still much higher than the 10 to 15% recommended by the World Health Organization, suggesting many of those first C-sections weren't really medically needed in the first place.
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