C-section, induced birth too troublesome to be done electively

Kudos to Deborah Kotz for highlighting an escalating obstetric problem (“Curbing C-sections,” G section, Oct. 8). If women are really going to be in charge of their bodies, they must assume responsibility for the delivery of their babies in the safest possible way. Every interfering entity increases the risk to both mother and baby.

There are medical indications for caesarean section and inductions — proven problems that can be addressed surgically with medically proven techniques. However, complications resulting from C-section and induction are numerous, for mother and baby, and too troublesome for these procedures to be done electively.

Modern women are informed decision makers. Astonishingly, some are not seeking the information with which to make these maternity decisions. With excellent education and preparation for the process, mothers and fathers can, and indeed should, have input into the birth plan.


For the obstetrician and certified nurse midwife, the motto “to stand by” still applies. Does this mean stand by and watch a woman in pain? Of course not. Neither does it mean to jump in and make decisions based on convenience.

Get Arguable in your inbox:
Jeff Jacoby on everything from politics to pet peeves to the passions of the day.
Thank you for signing up! Sign up for more newsletters here

Babies usually show up when the time is right. Readiness for the outside world should prevail.

Alice Bauman


The writer is a retired certified pediatric nurse practitioner.