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Caesarian deliveries: Between stigma and 'trend'

More and more women are giving birth by cesarian section amid the general stigma around the delivery method as not "normal". Reducing the stigma and the rate of cesarean births must go hand in hand to promote both maternal and infant health in Indonesia.

Amahl S. Azwar (The Jakarta Post)
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Bali
Wed, May 12, 2021

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I

n her six years as an obstetrician-gynecologist (OB-GYN), Dr. Ivanna Theresa Setijanto has seen many women under her care being shamed, often by their loved ones, for giving birth by cesarean delivery, or C-section.

Ivanna, who practices at St. Carolus Hospital and Angsamerah Clinic in Jakarta, recalled an experience she had in 2017, when a patient was berated by her mother-in-law while she was recovering from the surgical procedure.

“I told her [the mother-in-law], ‘Ma’am, there is no need to make a fuss about this. You’ve already been given a grandchild,’” the 36-year-old doctor recounted. “As doctors, we need to make an extra effort to explain to family members when C-sections are needed.”

Ivanna said her patients often felt intimidated when their mothers and mothers-in-law told them that they’d never had a C-section. In one instance, a patient’s mother boasted that she had had seven children, all natural births. In another, a woman insisted that her daughter-in-law should not have a C-section, even after the patient’s cervix had dilated to 8 centimeters but the baby’s head was still not visible.

This is called crowning, indicating that the baby has entered the birth canal and labor is progressing.

“As a doctor, I have one goal and only one: the safety of the mother and her baby,” said Ivanna.

“Every birth has its own [difficulties]… So why should we debate over [which method is best]?" she added.

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