{"id":16999,"date":"2020-04-01T09:07:05","date_gmt":"2020-04-01T07:07:05","guid":{"rendered":"https:\/\/www.intimina.com\/blog\/?p=16999"},"modified":"2020-03-31T13:25:05","modified_gmt":"2020-03-31T11:25:05","slug":"why-are-we-cutting-open-women","status":"publish","type":"post","link":"https:\/\/www.intimina.com\/blog\/why-are-we-cutting-open-women\/","title":{"rendered":"Why are We Cutting Open Women? The Epidemic of Cesareans and Hysterectomies"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">As medical technology evolves, so do potential surgical procedures. Let\u2019s get this straight- surgery is an incredible medical advancement, that when necessary- saves countless lives.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While surgery can be life-changing, or saving, it doesn\u2019t come without its risks. Unfortunately, many procedures are happening unnecessarily, and when it comes to obstetrical and gynecological care- at the expense of the women who are being operated on.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Cesarean sections <\/span><span style=\"font-weight: 400;\">and <\/span><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.intimina.com\/blog\/what-is-a-hysterectomy\/\">hysterectomies<\/a> <\/span><span style=\"font-weight: 400;\">are the two most common surgeries in the U.S. Are there that many women having problems delivering their babies vaginally? Is the necessity for the removal of uteruses that widespread?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">There is no clear answer, and the reasons people undergo these procedures come from any number of compounding factors.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">So why does this matter? These surgeries are incredibly invasive, and despite the potential lives they save, there is still an epidemic of women being cut open, without feeling like they have any say in the matter.\u00a0<\/span><\/p>\n<p><b>Staggering Rates of Cesareans<\/b><\/p>\n<p><span style=\"font-weight: 400;\">In 2018, the <\/span><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.cdc.gov\/nchs\/data\/nvsr\/nvsr68\/nvsr68_13-508.pdf\">cesarean rate in the U.S.<\/a> was a staggering 32%<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">This combined with the fact that the U.S. has the <\/span><span style=\"font-weight: 400;\">highest maternal mortality rate<\/span><span style=\"font-weight: 400;\">\u00a0out of developed countries, shows that despite having an abundance of resources, this model not only doesn\u2019t work, but is also killing women.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C-sections come with a <a href=\"https:\/\/www.nclnet.org\/rising_maternal_death_rates\">higher chance<\/a> of <\/span><span style=\"font-weight: 400;\">surgical complications <\/span><span style=\"font-weight: 400;\">than vaginal birth<\/span><span style=\"font-weight: 400;\"> including infections, postpartum hemorrhage, blood clots, and death. These risks increase exponentially in the U.S. for black women, who are 243 times more likely to die from pregnancy-related causes than any other demographic.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">While intervention is necessary at times, birth is a natural process. Unfortunately, it has been overmedicalized in many places. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Many of the cesarean births that occur in these systems are due to a cascade of interventions that interfere with the birth process. We also see a lot more of them scheduled between the hours of 9-5, or right before big holidays. Making it apparent that some practitioners are prioritizing their own schedule over their patient\u2019s bodies. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Other cesarians occur because many doctors lost or never learned the skills held by midwives to be able to safely assist in breech, multiples, and <\/span><span style=\"font-weight: 400;\"><a href=\"https:\/\/americanpregnancy.org\/labor-and-birth\/vbac\/\">VBAC<\/a> <\/span><span style=\"font-weight: 400;\">births. <\/span><span style=\"font-weight: 400;\">This leaves people in these positions with no other option than to have a c-section.\u00a0<\/span><\/p>\n<p><b>1 in 9 Women Will Have a Hysterectomy<\/b><\/p>\n<p><span style=\"font-weight: 400;\">What about hysterectomies, or the total or partial removal of the uterus?\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.contemporaryobgyn.net\/gynecology\/are-hysterectomy-volumes-us-really-falling\">One in nine women<\/a> <\/span><span style=\"font-weight: 400;\">in the U.S. will undergo a hysterectomy during their lifetime. Like cesareans, hysterectomies also come with their own set of <\/span><span style=\"font-weight: 400;\">risks<\/span><span style=\"font-weight: 400;\">\u00a0like infection, blood clots, and damage to the surrounding area and nerves.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">They are done for a <\/span><span style=\"font-weight: 400;\">variety of reasons<\/span><span style=\"font-weight: 400;\">\u00a0from uterine prolapse, to endometriosis, gynecological cancer, and most commonly- uterine fibroids. The pain and discomfort that often drives people to have a hysterectomy is very real, and not something we want to minimize, but it is still worth looking at through a critical lens.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Researchers found that <\/span><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/287736.php#4\">37.7% of women<\/a> <\/span><span style=\"font-weight: 400;\">who had a hysterectomy had no documentation of prior alternative treatment before resorting to surgery, while 1 in 5 of those surgeries showed no pathological need for them after the fact.\u00a0<\/span><\/p>\n<p><b>Life After a Hysterectomy<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Besides the surgical risks, there are many unknown potential long term side effects of hysterectomies, especially if the ovaries are removed as well. There is a <\/span><span style=\"font-weight: 400;\">higher <a href=\"https:\/\/www.webmd.com\/heart-disease\/default.htm\">risk for heart disease<\/a><\/span><span style=\"font-weight: 400;\">\u00a0for women who have had a hysterectomy, even if they keep their ovaries. It seems plain to see that an organ, especially one so integral to our health as women, wouldn\u2019t come without its own complications and emotional adjustments.<\/span><\/p>\n<p><b>The Bottom Line<\/b><\/p>\n<p><span style=\"font-weight: 400;\">Although these two surgeries occur at different points in the reproductive cycle, they have many underlying similarities. The most important being that women are being cut open at an alarming rate- without fully understanding the risks, alternatives, and long term implications.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Often when someone decides to have one of these surgeries, they are being driven by pain, fear, and a lack of knowledge. Alternative treatments are not always presented by their care providers, and they are left feeling stuck. Unfortunately, many women are led to believe that the only way to save themselves or their baby is to have surgery. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">While this may be true in some cases, this attitude can come from a place of needing to fix something, versus allowing the body to naturally heal itself, or for the natural process of birth to take place.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The idea that we are so quick to resort to surgery is a reflection of a medical model that prioritizes a quick fix, often benefitting insurance companies (in countries with private insurance), hospitals, and doctors- not necessarily the patients. You would hope that anyone going into medical care has their patient\u2019s best interests at heart. However, even if they do, they are often educated, trained, and working in environments that don\u2019t leave room for many possibilities outside of surgery.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ultimately, the choices you make for your body and health are yours to make, but these decisions must come from a place of awareness of your options, and the risks involved. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>As medical technology evolves, so do potential surgical procedures. Let\u2019s get this straight- surgery is an incredible medical advancement, that when necessary- saves countless lives.\u00a0 While surgery can be life-changing,&hellip;<\/p>\n","protected":false},"author":24,"featured_media":17000,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[11],"tags":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.12 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why We Have Epidemic of Cesareans and Hysterectomies<\/title>\n<meta name=\"description\" content=\"While surgery can be life-changing, or saving, it doesn\u2019t come without its risks. 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