Not natural

There has been a lot of talk on the radio this week about the National Institute for Health and Clinical Excellence guidelines regarding caesarian sections. Apparently the number of instances of women having this major abdominal surgery continues to rise. There was discussion about emergency operations, but it was those opting for elective surgery that was causing the most debate. It would appear that much focus is on whether the guidelines will change anything or whether, actually, this is what happens any way: if you have been given the facts about both forms of delivery, and still ask for a Caesar, you will be given one – even if it is not thought you need one for a medical reason and despite the fact that they are more expensive than a vaginal delivery. Much comment included the view that such surgery might be ‘easier’.

This is the moment to declare an interest: Eldest’s birth was a complete nightmare resulting in me, no longer compos mentis, being knocked out and cut open to get out the baby who was also in difficulty. The doctors never did seem to know why it hadn’t happened naturally, and it frightened the life out of me. When Youngest was due I went into panic mode and the kind doctors said I should have a planned C-section. I felt less of a drama queen when they announced that if Eldest had been in the same place as Youngest there was no way she was ever going to be born without interference. Since I didn’t actually give birth naturally I don’t really know what my recovery would have been like, but it didn't feel 'easy'. I can only add that a planned Caesar is a great deal better than an emergency!


When news of yet another celebrity birth was announced followed by pictures of the slender after-baby figure out shopping I got to wondering about caesarians in a different way… It had never even crossed my mind that ‘too posh to push’ wasn’t really about not pushing, it was about having a tummy tuck without having to admit you’d had surgery.
At no point did anyone mention giving my stomach a helping hand in recovering by nipping out a bit of the excess. I’m assuming it’s not something you could have done on the NHS. I’ve always presumed it was just my complete failure to do any sufficient exercise that means there is a roll of stomach that never flattens out even when lying down. I’m working on forgiving myself for failure in this area as a result of this new insight.


I have never yet discussed birth with another woman without a frank exchange of experiences. So, at the risk of inviting a deluge, how was it for you?