There is enough evidence to show that delivering the fetus by C-section [involves surgically opening the abdomen and uterus and taking the live fetus out] carries increased risk to the mother and the child when compared to normal vaginal delivery. It is also known that higher the economic status of the woman the higher is her chances of getting a C-section done. This is also true in urban set up rather than in a rural set up. The percentages vary but in urban India it is 42% and above [Madras study]
There are definite indications for this procedure. Some of them are small pelvis, abnormal fetal position, delayed labour, fetal distress, maternal distress, wrongly placed placenta etc. These constitute around 2 to 5% of the pregnancies and the procedure is life saving in these. But what about the rest? If it is medically unnecessary why is it being done?
Here are some sordid facts
Surgical delivery in contrast to normal vaginal delivery means use of operating theatre, anesthesia, and increased duration of hospital stay. All this mean more money to all the parties concerned.
The obstetrician can deliver the baby at his or her convenience instead of waiting for the natural child birth to occur which may happen at an inconvenient time [to the doctor]
It is easy to convince the mother to agree for the caesarian section.
One can thus come to the inevitable conclusion that these deliveries are done because of greed and convenience and not for valid reasons in a high percentage of cases.
Majority of obstetricians are women