Did you have a Natural or C-Section?
- Thread starter rani
- Start date
c-sections in HK
I don't think your survey is going to give a "true" picture on the number of C-sections in HK - the locals tend to have elective cesareans - in part as encouraged by their doctors. Expats tend to try for normal deliveries. Most of my work colleagues (locals) confirm this: elect to have c-sections for convenience, picking birthdate, fear of pain etc etc.
p.s. I had all 3 of my kids in HK - each time a normal delivery, and each one faster than the last!
I don't think your survey is going to give a "true" picture on the number of C-sections in HK - the locals tend to have elective cesareans - in part as encouraged by their doctors. Expats tend to try for normal deliveries. Most of my work colleagues (locals) confirm this: elect to have c-sections for convenience, picking birthdate, fear of pain etc etc.
p.s. I had all 3 of my kids in HK - each time a normal delivery, and each one faster than the last!
jasminea
Registered User
i had 2 cs and my second one was fantastic.my doc didnt encouraged nor i picked a date but the fear of pain prevented me from electing normal delivery.just to share with you...plus rani,i never joined your playgroup before..could you email me at [email protected] or please tell me what s the ages of your group?
I don't understand anyone who chooses a C-sec due to fear of pain. They are ****ing painful. I had emergency C, and could not sit up for 5 days, my friends who all had Cs had the same experience. Could hardly even get to the bath room for a week without nightmare pain. but those how had "normal" births were up and about within a day..... I went into labour on and off for 3 days before they made me go for a C-Sec. there was no pain at the time but afterwards ..... unbelievalbe. I would much rather have pushed, but my boy was well and truely trapped - he could not have got out any other way.
If you go here and scoll half-way down the screen, you'll find numbers of births and numbers of C-sections at different hospitals in the 1990's.
Then you can really see the difference - for example, in 1999, ~52% of all births at Baptist Hospital were C-sections; 62% of all births at HK Sanatorium; 39% at HK Adventist, and 31% at Matilda.
<http://www.legco.gov.hk/yr98-99/english/counmtg/hansard/990203fe.htm>
*************
The caesarean section (CS) rate amongst women delivering at PWH increased steadily from 14.7 % to 20.5% during the period 1992-2003.
* CS-rate in all public hospitals increased from 18.65% in 1998 to 22.3% in 2003.
* A territory wide maternity audit statistics of the Hong Kong College of Obstetricians and Gynaecologists (HKCOG) showed that CS rates for all births Public & private) increased by 4.6% from 22.5% to 27.1% between 1994 and 1999.
*The proportion of planned caesarean deliveries in public hospitals decreased between 1998 (44.3%) and 2003 ( 32.0% ).
* But for all caesarean deliveries in Hong Kong it increased from 51.4% to 55.3%.
Based on these figures ~1/3 of babies in Hong Kong are now delivered by CS and over half of them are planned.
- For full text go to:
<http://bmj.bmjjournals.com/cgi/eletters/330/7495/806-a>
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"From 1987 to 1999 the overall annual cesarean section rate rose steadily from 16.6 to 27.4 per 100 hospital deliveries, resulting in a 65 percent increase over 12 years.
The mean difference in rates of surgical delivery between public (mean(public) = 16.0%) and private (mean(private) = 43.4%) institutions was 27.4 percent (95% confidence interval (CI) = 24.1, 30.7; p < 0.001)."
- Leung G.M. et al.
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11552964&dopt=Abstract>
Then you can really see the difference - for example, in 1999, ~52% of all births at Baptist Hospital were C-sections; 62% of all births at HK Sanatorium; 39% at HK Adventist, and 31% at Matilda.
<http://www.legco.gov.hk/yr98-99/english/counmtg/hansard/990203fe.htm>
*************
The caesarean section (CS) rate amongst women delivering at PWH increased steadily from 14.7 % to 20.5% during the period 1992-2003.
* CS-rate in all public hospitals increased from 18.65% in 1998 to 22.3% in 2003.
* A territory wide maternity audit statistics of the Hong Kong College of Obstetricians and Gynaecologists (HKCOG) showed that CS rates for all births Public & private) increased by 4.6% from 22.5% to 27.1% between 1994 and 1999.
*The proportion of planned caesarean deliveries in public hospitals decreased between 1998 (44.3%) and 2003 ( 32.0% ).
* But for all caesarean deliveries in Hong Kong it increased from 51.4% to 55.3%.
Based on these figures ~1/3 of babies in Hong Kong are now delivered by CS and over half of them are planned.
- For full text go to:
<http://bmj.bmjjournals.com/cgi/eletters/330/7495/806-a>
*******************
"From 1987 to 1999 the overall annual cesarean section rate rose steadily from 16.6 to 27.4 per 100 hospital deliveries, resulting in a 65 percent increase over 12 years.
The mean difference in rates of surgical delivery between public (mean(public) = 16.0%) and private (mean(private) = 43.4%) institutions was 27.4 percent (95% confidence interval (CI) = 24.1, 30.7; p < 0.001)."
- Leung G.M. et al.
<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11552964&dopt=Abstract>
From what I've heard, it's way more painful a recovery for a c-section. I had a normal vaginal birth with an epidural and only had slight vaginal pain for 3 days and then felt no pain after that. The delivery wasn't painful and I only had slight tearing. My advice is to do perineal massage daily from 34 weeks on and kegels through your whole pregnancy to prevent perineal damage. Every person I have ever talked to always heals quicker with a tear rather than an episiotomy too. In Hong Kong it is standard procedure to do episiotomies for first births so it's good to prepare a birth plan to tell them what you want. Even at the public hospital they followed my wishes.
Happy birthing - my next is due on October 23rd and I'll definitely get another epidural if I can!
Happy birthing - my next is due on October 23rd and I'll definitely get another epidural if I can!
My first was natural and 2nd was via C-section as she was a breech baby. I must say I healed must faster with a natural birth, I was driving to the supermarket on the 3rd day to buy Pampers while I was hobbling in pain even after 1st week after the C-section. Natural for me anytime!!
I agree with butterfly.. seems to be the trend especially here in the region...
another thing I would like to add is that a breech baby doesnt mean C-section.. you can have a perfectly normal Vaginal delivery with a breech baby.. but of course it needs a lot of patience.. and the correct doc to support/advise you.. which seem to be lacking here...
another thing I would like to add is that a breech baby doesnt mean C-section.. you can have a perfectly normal Vaginal delivery with a breech baby.. but of course it needs a lot of patience.. and the correct doc to support/advise you.. which seem to be lacking here...
my dr is louisa lam. she lets u do whatever u want as long as it's safe for mom & baby. she even let me try hypno-birth! with my instructor w/ me at the delivery rm. she said "u can choose however way u want. but my job is to make sure that u & your baby are safe. i reserve to right to make any decisions i consider fit for you when call for." i trust her 100%. tel. 28691881. she's very busy & very patient, so expect to wait long time cos she never hurries a patient out of her office. but she gets a bit too mother-y sometimes, which i like.
malfunction
Registered User
I had both natural birth. The 2nd almost needed 'C' due to pre-mature and breech. However, she turned on the last minute and it was a quite birth without cut on me due to her small size - 2.1kg. So I recovered extremely fast.
0ze_Kid
Registered User
vbAC
Firstly, who says that a C-section isn't normal???? We live in the 21st Century where they are just as normal as any other birth - they are pretty much all assisted aren't they? You go to hospital don't you?
I have an elective C-section - not due to pain but because of the types of things that I have heard go wrong with vaginal births and because I had a career - it was a simple way to book the brith in and have it all go smoothly. recovery was painful but that comes with having operations.
Firstly, who says that a C-section isn't normal???? We live in the 21st Century where they are just as normal as any other birth - they are pretty much all assisted aren't they? You go to hospital don't you?
I have an elective C-section - not due to pain but because of the types of things that I have heard go wrong with vaginal births and because I had a career - it was a simple way to book the brith in and have it all go smoothly. recovery was painful but that comes with having operations.