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Automatic Cesarean Section for Everyone with BMI Over 40?

People don't always fully believe it when I tell them about the tendency of many doctors to just schedule an automatic cesarean for "morbidly obese" women these days, but it's really true in some practices.

Of course, it's important to point out that not all care providers do that......but quite a few do, and more and more providers are starting to feel the pressure to do so.

Here's yet another example.

This is from My OB Said What?!?, in the comments section of the entry, "Because of Your Weight, We'll Just Schedule Your Cesarean."

When an anonymous survey was conducted, 100% of the OBs at this hospital (yes, every last blinkin’ one of them) admitted that they would schedule a c-section automatically if a woman’s BMI was over 30 and there were any other risk factors, or BMI over 40 with no other problems!!!

As a woman with a BMI over 40, I find this trend offensive and troubling in the extreme.  I know it's not routine everywhere, but this is becoming the "standard of care" in many places, and woe to the caregiver who doesn't do it, or who dares to try and support one of these women for a natural birth. 

I'm hearing now about care providers who are being hassled for daring to attend "morbidly obese" women at all (instead of sending them to the high-risk Bariatric Obstetrics practices), or even for not automatically sectioning those they do see.  Really.

I know there are still good doctors and midwives out there who don't practice this way (and thank goodness for them!), but the birth politics around obesity in some areas are becoming so extreme that even the good care providers are feeling pressure to not attend women of size for normal birth. 

This is a very ominous and deeply troubling trend.   If this trend becomes firmly established as the "standard of care," it will be very difficult for the good providers to fight against it because it opens them up to increased legal vulnerability. 

If that happens, heaven help women of size.

Where is the outcry against such things?  Where are the birth professionals willing to stand up for women of size and speak out against this?   How can we reverse this trend?

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