Dear Friends:
    Jan brings up some interesting points about the  motivation behind the
choices.
    In addition, many women are so terrified of labor;  they hear stories
from their friends who have traumatic labors with  operative deliveries that they
may choose to 'cut to the chase', and skip all  the worries about labor
because they feel they will end up with a cesarean  section anyway. Their choice is
a way to keep some sort of control.
    I am hearing more and more crazy reasons for  cesarean section. "Your
baby might be too big" is the lastest one.
    When I first started teaching childbirth classes,  in the late 80s, I
rarely encountered women who were so terrified of labor and  delivery that they
didn't think they would survive. Less than 20 years later,  terrified women are
commonplace. No one thinks to question the physicians in  these cases.
    I see this with breastfeeding also, where women  bail out saying, "Well,
I am going back to work so why bother with  breastfeeding?" Can't blame women
from making choices that make them feel in  control.
  warmly,
Nikki Lee RN, MS, Mother of 2, IBCLC, CCE
Maternal-Child Adjunct  Faculty Union Institute and University
Film Reviews Editor, Journal of Human  Lactation
Support the WHO Code and the Mother-Friendly Childbirth  Initiative

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