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ec note You can also read the birth stories submitted so far.
ec note If you can't find something on the site, there is a 'Search' function on ec's home page or contact us and we will be happy to help.
ec note You can scroll down to read Pauline McDonagh Hull's comments, plus the ec view on members' feedback.
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Please read ec's Disclaimer. The answers below are NOT medical advice nor should you rely on the website links displayed as your sole research. 

Archive Correspondence
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2010 Correspondence

*Viv (30 Jun 10) 'Member policy'

I wanted to post a comment on your website, as I have had one elective cesarean and two vaginal births and believe that my experience might be helpful. However, I discover that you charge for membership and that applicants are vetted. I hope that this is not to make sure they don't disagree with your views, as it would not then be a forum but propaganda; as it is your welcome message is very defensive.   Why do you not have a Comment is Free area on the site to encourage unfettered debate?

ec note Unfortunately, this website does not have the facility to host online forums, chatrooms or live comment. I wish it did, but an early attempt in 2006 led to sabotage and I simply did not have the resources (both time and financial) to administer it. However, this is a development being planned for the future, and in the meantime, I welcome visitors to write about their experience on the 'Your stories' page or alternatively, us the public correspondence facility on my blog, cesareandebate.blogspot.com, which I set up in order to allow open debate.
I assure you that the surveys you have seen are not a vetting process; anyone is welcome to become a member and the data collection is for research purposes only. I frequently provide free membership to women who email me to say they cannot afford the $5, and while the vast majority of feedback I receive is very positive, I also have members of the site that disagree vehemently with what I believe in. As for the fee itself, I have been trying very hard to work on ways to remove this fee from my site, but the fact is that I work on this website and blog on my own, most days, and the membership fees I receive do not even cover my annual outgoings for expenses like domain names, and webmaster and server support. I have never made a profit from the money I receive, and as I say, the majority of women tell me that they think the content and support I provide is worth it. 
Finally, I don't feel that my welcome message is defensive, although I know that some of what I write is defensive, and indeed has to be because I am in fact defending the legitimacy of maternal request cesareans in a public domain where there is a great deal of misunderstanding of the issue. I hope that this helps explain some of the reasons behind the concerns you have raised.

*Natalia (13 Jun 10)

I am so happy to have found this website and cannot wait to register... I am 35 weeks pregnant and, although my husband and my doctor support me 100% on my decision to have a non-medically necessary elective CS, everyone else's negativity towards CS keeps making me feel guilty.

ec note I am sorry to hear that you are experiencing such negativity from your peers, although unfortunately, that is all too common. I hope that my story, and the stories of others like me on the website (plus my birth videos - recently added) might help you feel more confident about defending your legitimate birth decision.


*Robin (19 May 10)

I want to thank you for the article on CS and women's right to be properly informed. I have a beautiful 8 year old daughter that I gave birth vaginally. I am now planning for a second child. I had my daughter under the worst conditions and it has left me very apprehensive. I have an external hemorrhoid after the birth that bothers me from time to time and it is something that I live with but is an ongoing concern as I feel damaged and the condition appears permanent. My scar where I ripped open becomes sore and inflamed as well. I had lost a large amount of blood and don't feel the same down there from my vaginal birth. My question is if a vaginal birth would be recommended for me. I am 34 years old. I live in Toronto, Ontario. Since I had my child in Italy I do not know how rigid it would be to ask for an elective cesarean in Canada. Any information/advice would be greatly appreciated

ec note Your concerns following your vaginal birth are perfectly valid in my opinion, and while I am not a doctor, I know that many, many doctors would agree with me. And as you know, as far as I'm concerned, even if this was your first pregnancy and you had no history of trauma or morbidity, I still believe that making an informed decision to have a planned cesarean is also perfectly legitimate. That said, it is my understanding that in Canada, as in the UK, it is a somewhat 'postcode lottery' situation in terms of whether you'll find a doctor who is willing to listen to your concerns and consider scheduling a cesarean at 39+ weeks. There is a very strong drive towards increasing 'normal' births and reducing cesarean rates in many hospitals. I'm sorry that I don't have more positive news than this, but that said, if you arm yourself with evidence that you have researched your birth choice, and you appear confident and educated at your antenatal appointment, you should have a better chance of being heard. I hope that the information on my website and blog might be able to help you, and of course you have my email address too.


*Emilie (29 Mar 10) 'Website'

I find it interesting that your website has a link only for positive feedback and not negative feedback (or constructive criticism). I agree that women have choices surrounding their birth and their bodies, but these choices should be made based on objective, research based information. The information that is available on this site is not objective - it is quite one-sided. My concern is that women will read the information on this site and come away with a very biased opinion of birth. I am writing to urge you to provide fair, objective information so that women and their families can make truly educated decisions. Thank you for your time.

ec note Thank you for contacting me with your feedback. I aim to list all the feedback (good and bad) that I receive on the page called 'Your feedback and Questions' (although I do need to update it with the latest comments). It can be found here. As you will see, there are certainly some negative comments included within it. As for research, my site specifically aims to make medical research available to women to read. I don't claim to provide detailed information on planned vaginal deliveries, as I believe there are hundreds, possibly thousands, of sites that do that already. This site is specifically designed to provide research on planned cesarean deliveries, and I'm sure you'll notice that there are very few vaginal delivery information websites that highlight the benefits of cesarean delivery on maternal request or that campaign like I do to ensure that this legitimate birth choice is understood and accepted. That said, I take your comments on board and appreciate them.


*Louise (05 Feb 10) ‘charge???'

I find it unbelievable that you 'charge' a fee for advising women to make an informed choice of birth !!!!!!!!! I will not be recommending you !! Its free in Great Britain !!!!!!!!

I wonder what is this world coming to......

ec note The fee is entirely voluntary, and goes towards the running expenses of the site. Whenever I receive an email from a pregnant woman who needs access without payment, this is arranged for her without question and I have had much thanks and praise from women for the work that I do for them. I am currently working on plans to remove the fee entirely but unfortunately have no further details at this time. I am sorry that you will not be recommending me, but that is of course your prerogative. Thank you for getting in touch and best wishes.

Louise Thank you for replying. I am sorry if my email came across as angry I was very frustrated at the time I sent it! I am an access to midwifery student and I am currently doing a research project into c-sections and needed as much info as possible. I came across your site and filled all my details in... only to be told to gain access I would have to pay... needless to say I was disappointed as your web page looked of excellent quality and I thought I would be able to become well informed about CS.


*Bev (29 Jan 10) 'Elective c section'

After two normal births (well, both got stuck but last one was most traumatic as they did not cut me and he ended up with a massive lump/bruising on one side, jaundice and has autism - apparently this is nothing to do with the birth but I cannot chance it again). I want to elect a c section but no one is willing to help and I'm struggling in finding out who/where I could get this privately if trying to convince my consultant fails.


*Sophie (26 Jan 10)

I am in the early stages of pregnancy and would really like to know all the facts about cesareans but am finding it very hard to find unbiased info. Would really like to join your site but can't afford the fee, I would be very grateful if you would waive it for me... I am in! Have just a short glance over; it looks fantastic and very informative as I have had trouble finding info elsewhere. Many thanks; I shall enjoy going through the site more thoroughly over the next few days.


*Sarah (19 Jan 10)

I am really keen to have access to your website (delighted that such a website exists actually!).



ec view Thank you to everyone who has taken the time to contact ec. Although we are unable to reply to each query individually, we will post answers here wherever possible. We also hope that other members may benefit from reading some of the questions and opinions too. Clearly, ec does not agree with the opinion voiced in some of the responses but we understand and appreciate that there are many different views on this subject. What we hope is that whatever individual opinions you have, ec members will respect each other's choices in childbirth because ultimately, ensuring happy and healthy babies and mothers is the most important thing.
ec view Pauline McDonagh Hull: 'I would just like to reiterate that I am not in any way suggesting that every woman would or should want to have an elective cesarean. I point out the positive elements of cesarean delivery only in defence of the choice some women decide to make, and to redress the balance in reporting cesarean statistics. I understand that surgery has very real risks, but so too does vaginal delivery and indeed pregnancy itself. I am not a medical professional, I am a journalist and woman who would personally elect to have CDMR. I can only make this maternal choice for myself, in my individual circumstances. I believe in this choice, and I believe that a clearer picture of cesarean safety statistics can only help generate an open debate on elective cesarean delivery. I also fully support any woman's decision to give birth vaginally.' 
ec does not aim to give information on all kinds of birth; these are well served on other websites. 
ec reserves the right to decide which external links are posted on this page.

 
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