"If we want peace in the world,
we also have to let our children be born in peace."
Angelina Martinez Miranda

Thursday, August 16, 2012

Bye bye USA... travelling back to Italy

Last sunday, 12th August I left NY to go reaching my native country. I'm enjoying now last weeks of august at one of the most beautiful islands close to Sicily on the Mediterranean Sea.
taking advantage of this return I'm also investigating on new stathistics in deliveries in Italy. Upsetting is to discover that Italy has the highest rate of C-section of Europe, and the results according to different regions are extremely alarming!!!!

Caesarean: INCREASE NOT ONLY IN ITALY "It is a fact that since the early 70's the use of caesarean section increased significantly not only in Italy, but in all the countries where it had the opportunity to do so" highlights prof. Stefano Bianchi. "It is proven by the fact that the phenomenon is 'exploded' recently in China, which is progressing towards a more modern health care system and welfare: according to WHO data, from 4.9% of cesarean recorded in 1993/94 has arrived to 20.4% in 2001/02.

And indeed, in every part of the world the transition from an 'rural', in which children were born at home or in hospital very small, for an increasingly urbanized society, characterized by the presence of health services and more advanced, has always found an increase in cesarean deliveries. "


The situation in Italy
In Italy it has gone from 11% of caesarean sections in 1980 to 38% in 2008. It also notes a big difference from region to region, with values ​​tend to be lower in northern and higher in the south, ranging from 23% in the Autonomous Province of Trento and in Friuli-Venezia Giulia to 54% in Sicily and 62% in Campania.

Italy, at an European level, has the highest rate of cesarean deliveries, followed by Portugal with 33%, while in other countries there are values ​​that fall below 30% to 15% in the Netherlands and 14% in Slovenia. (Data disclosed by the ISS)

To break down the Italian share of caesarean sections, the Higher Institute of Health in February 2010 issued guidelines on caesarean section addressed to physicians.


WHY SO MANY CESAREAN?
"The reasons are varied in nature," says the prof. Bianchi. " The first consideration is to make is that, paradoxically, the less trust in health care, the greater the use of cesarean section, and this is an international phenomenon, not just Italian.

Without a doubt the best way to give birth is a vaginal birth, but it is true that with current diagnostic tools intrapartum you can not be 100% sure of the state of health and well-being of the fetus and is not always possible to understand in advance if there will be complications. A vaginal delivery complicated on the other hand may lead to neonatal diseases much more serious than those that would occur as a result of a cesarean.


The other element to consider is the level of service guaranteed by hospital and intervention capacities of health workers: if you need to a cesarean during labor, some hospitals are prepared to deal with the emergency in a very short time, other times they can also be significant and may go beyond the tolerance that the fetus may have stress. If you add up the diagnostic difficulties at the time to act, it is understandable why most doctors, especially when operating in health facilities level is not high, the slightest doubt prefer to go directly to the section.


The problem is also of a judicial nature: it is true that a hospital for the cost of surgery is greater than that of natural childbirth, but it only takes one mistake because the damage to the image - of doctors and hospitals - and economic damage to the repayments forensic reset the whole benefit.


Another consideration: today there are fewer children and more and more advanced in age. The couple embraces the whole of one child and the care that all goes well is very high. Here then is that prospective parents prefer to schedule a C-section with complications 'certain' rather than face the risk, albeit minimal, that something could go wrong.


It must be said that the problem mainly occurs for first-time mothers: If a woman has already given birth to other children spontaneously, in fact, there are many doubts in her giving birth vaginally, since complications are statistically less frequent and less severe. Conversely, making a first cesarean means to apply most of the time for other caesarean in the future".