Dr. Daniel Roshan, MD, FACOG, FACS
Unnecessary C-Sections and other Reproductive Issues
Holy Hormones Honey!
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How is it that in a country that enjoys such freedoms and a high quality of health care has one of the worst rates of maternal mortality in the world? An article appeared in The Telegraph earlier this year, asking the profound question – are women losing the ability to give birth naturally?
It may seem an inevitable part of the cycle of life, but according to a leading obstetrician, women are at risk of losing the ability to give birth naturally.
French doctor, Michael Odent pointed to evidence that women are taking longer in labour than 50 years ago, with huge numbers of pregnant women provided with drugs and surgery in labour.
The medic cited research showing that women giving birth between 2002 and 2008 took two and a half hours longer in the first stage of labour than those who gave birth between 1959 and 1966.
“To me it demonstrates the obvious – that women are losing the capacity to give birth,” he said. “That is the primary phenomenon . . . the number of women who give birth to babies naturally is becoming insignificant.” Source
On May 10, – Mother’s Day, The World Health Organization released their report on “Trends in Maternal Mortality 1990 – 2013” citing that in the last quarter century, the rate at which women die of pregnancy-related causes has dropped 45%, according to a World Health Organization (WHO) report (pdf), to just 210 maternal deaths per 100,000 live births in 2013.
However, the news is not good for maternal mortality in the U.S. citing that rates in this country of risen 136% The report stated that
each year, around 1,200 American mothers die in childbirth— – and there are approximately 60,000 “near misses” due to postpartum hemorrhage (heavy bleeding after giving birth), pre-eclampsia (high blood pressure during pregnancy), and complications arising from pre-existing health conditions.
That’s an alarming increase from mere decades ago. In fact, between 1990 and 2013, the U.S. maternal mortality rate surged 136%.
In yet another article that appeared earlier this year, “one out of every nine infants in the U.S. was born premature— or before 37 weeks of a full pregnancy— in 2012, the most recent data available.” There is a link between the rise in autoimmune diseases (approx 75 million Americans – most of whom are women) and still births. It appears that the maternal body has become so compromised that it is rejecting the fetus as a foreign invader. This is one trend that is the leading cause behind the rise in emergency C-sections.
Rates for C-sections are not very encouraging either. Survey data shows that only 1 % of women plan a cesarean (with no medical condition behind it) and 25% of survey participants felt they had been pressured by a health care professional to have a c-section. 38% ( 1 in 3 women) of women now have cesareans.
According to Dr. Roshan, women who’ve had cesarean sections don’t usually try to give birth vaginally with their next children. In fact in the last 15 years, the number of women getting a C-section has risen dramatically. Many women are physically uncomfortable by the time they hit 38 weeks and a lot of them are afraid of a vaginal birth so they request a C-section. But is this the right reason? What are the dangers to having this major surgery? Also, are doctors quick to jump to a C-section if the woman has not dilated enough? NYC’s leading maternal fetal medicine specialist, Dr. Daniel Roshan, says that forced C-sections need to stop.
Dr. Roshan will comment on this growing request and will answer questions regarding the real reasons one should have a C-section, why he encourages a VBAC after a C-section and why you should not request an elective C-section.
Dr. Daniel Roshan MD, FACOG, FACS
Dr. Daniel Roshan is a Board-certified OB/GYN, Maternal-Fetal Medicine (high-risk OB/GYN) specialist. He is an active member of the American College of Ob-Gyn and American College of Surgeons. He was trained at Johns Hopkins hospital and is a member of Johns Hopkins Medical and Surgical Society, Johns Hopkins Howard Kelly Society, Society for Maternal-Fetal Medicine, American Society for Human Genetics, Society for Gynecologic investigation, Bellevue Ob/Gyn Society and New York Obstetrics Society.
He is a founder of the Sephardic American Medical Society. He has published over 50 research abstracts and presented original research papers at many scientific societies such as: Society for Gynecological Investigation, Society for Maternal-Fetal Medicine, American college of Ob/Gyn and American Institute for Ultrasound in Medicine. He has performed or supervised over 10,000 births, 6,000 amniocenteses, and over 2,000 Chronic villus samplings. He gets referrals from all over the country for Chorioniccvillus sampling (CVS) and actively lectures and teaches this procedure. He is also expert in recurrent pregnancy losses, Thrombophilia and pregnancy such as factor V Laiden mutation, Prot S and C deficiency, Diabetes in pregnancy, Thyroid disease in pregnancy, seizure disorders, pre-term labor and multiple pregnancies such as twins, triplets, and quadruplets. He has performed many cerclage procedures. He considers it an honor and a privilege to take care of a high-risk patient.
Specializing in High-Risk Obstetrics / Maternal-Fetal Medicine / OB/GYN Ultrasound
Ranked Top Practice in Maternal Fetal Medicine
When complications arise, depend on Rosh Maternal-Fetal Medicine. Located in New York City, we’re the trusted, caring high risk obstetrician of choice for moms and fetuses. We provide all modern medical procedures, complete prenatal care, ultrasound, Amniocentesis, Chorionic villus sampling, Cerclage, laparoscopic surgery, In-utero transfusions and fetal 3D ultrasound all in one place.