Two days on and I’m still feeling cross about it!
Yes, it’s the Daily Mail again with the outrageous headline that babies born just one week early risk serious health problems.
On how many levels can a story be hurtful?
It’s carefully presented as being a warning about the dangers of elective caesareans which tend to take place at 39 weeks (and in so doing again perpetuates the attitude that having a caesarean is about being too posh to push).
But look at the statistic it presents… when it comes to caesareans, up to 7% are elective, apparently – so that means that about 93% of caesareans are emergency or planned?
That’s hardly an overwhelming level of too-poshness.
There is a question though over why we have such a high level of caesareans over all – double the World Health Organisation’s recommended level (but why is there a recommended level? Surely this was about demedicalising birth in e.g. the former Soviet Union? Could this be a formula babymilk style issue where something recommended for a good reason and has unintended consequences for some mothers?).
But hold on, it gets worse… “the full 40 weeks”?
My son arrived at 38 weeks and I was assured that he was full term.
A day or two earlier of course he would have been premature, but I needn’t worry as 38-42 weeks is full term and perfectly normal.
That of course assumes that my due date was correctly calculated in the first place (I didn’t know, when first pregnant, that the length of your menstrual cycle plays a part in those first calculations – why would I know that?)
I didn’t expect my waters to break at 38 weeks and my son to arrive less than 12 hours later.
I’d have preferred him to hang on in there. I wasn’t completely ready, the house was not tidied and I hadn’t even got my overnight bag packed!
But I turned out to have pre-eclampsia, and he had IUGR, plus some placenta problem so his hormones triggered labour so he could survive.
How was I supposed to keep him in there longer, exactly?
And, given the risks we were both facing, surely it would be ludicrous for me to worry about anything more than ensuring we could both live and thrive?
The thing is, there’s no real consideration in the article about why a baby might be arriving early.
It is entirely possible that babies arriving earlier than 40 weeks are doing so – like my son who was a natural birth and my niece who was an emergency caesarean – because they are experiencing difficulty in the womb.
But how much does that extra week really matter?
If children born 24-27 weeks tend to have a greater propensity to special educational needs (and if the article is right that the level is nearly 7 times more than those born at 40 weeks, then roughly 300 in every 1000 born that early), then it seems reasonable to say that prematurity brings risks.
But there’s a huge difference between saying that, and stressing about the following statistic: for every thousand children born at 39 weeks, 47 will have SEN. For those born at 40 weeks it’s 44 children. By the way, overall in the school population, in 2008, 2.9% of children had SEN.
I just wonder – given all the other factors that can affect SEN, whether this is actually sufficiently clinically significant to change from planned caesareans taking place at 39 weeks to planned caesareans at 40 weeks?
In any case, the article itself makes clear at the end that respected medical opinion is divided on whether caesareans at 40 weeks would actually be any safer anyway!
But the thing we tend to forget in the developed world is that birth is not a safe thing.
The truth is that birth is a process over which we have less control than we like to think. It’s raw and bloody and painful and a reminder that what we are doing has significance.
And we still have very little idea about how children develop their mental faculties at such an early stage.
But I’m pretty clear that stress is a Bad Thing – overall, and in pregnancy in particular.
So please Daily Mail, don’t run this sort of scare story.
It upsets parents on something over which a phenomenally high number of them have absolutely no choice or control at all.
It’s not as if we can all just cross our legs and keep the babies in a little bit longer.
Babies come when they want to. And if they don’t – that’s why the caesarean help is available.


