“It will not be legally secure when in some parts of the country you already let the woman choose for herself, while not doing so in other parts,” says Josefin Malmqvist, chairman of the Moderate Women’s Association.
A problem that is also aware of at the National Board of Health and Welfare, according to Karin Källén, professor at Lund University and investigator at the National Board of Health and Welfare.
– There are big differences, really big differences. And that is problematic from an equality perspective, we would really gain more consensus, she says.
Planned Caesarean section should be based on a doctor’s assessment based on individual risk factors, based on, for example, the woman’s age, height and weight and whether she has had children before or not. There may thus be demographic aspects that cause some regions to perform percentage more caesarean sections than others, but according to Karin Källén, the aspects are disappearing small.
– Instead, it is about having different practices in different hospitals. Partly how the risk factors are assessed, but one does not even agree on what should be considered medical indicators, she says.
Fores of Happiness
This is especially true of the question of childbirth fear, ie a strong concern for a vaginal birth.
– Some doctors believe that this in itself is a basis for planned caesarean sections, while others do not, says Karin Källér.
The fear of childbirth is also central to the proposal presented by the Moderates Women’s Association on Friday, according to Josefin Malmqvist.
– We have seen that this issue engages something huge, there are so many women today who feel great concern about their birth and then we want them to be able to choose how they want to give birth, she says.
Are there risks with both
Both the Moderate Women’s Association and the National Board of Health point out that there are risks associated with both caesarean and vaginal birth, but while Josefin Malmqvist believes that it should be up to the woman herself to weigh the risks against each other, Karin Källén believes it would be difficult, regardless of how well -informed the patient has become in advance.
– It is not that simple, you have to have solid education in order to consider all the effects and complications that can arise. It is clear that you should listen to the woman and do what can to adapt the care, but only to order medical procedures.