I agree with your columnist Chitra Ramaswamy that Keira Knightley should not be criticised for being open about how vaginal childbirth can be messy, painful and mutilating (The attacks on Keira Knightley are misogynist, G2, 10 October). The suffering of childbirth is made acceptable by its glorification, in the same way that soldiers are fooled into volunteering to go to war. Now that more women in our country have their babies later, and the babies are getting bigger, the suffering caused by a difficult birth is on the increase.
As a GP doing postnatal checks on my patients, I see fewer having their first baby who haven’t had a major complication such as a prolonged labour, shoulder getting stuck, bad tear, retained placenta, postpartum haemorrhage or post-traumatic stress disorder. An awful lot go through a full labour then still end up with a caesarean section. It would seem sensible if more elective caesarians were carried out, say if the baby’s estimated birth weight was over 4kg for a first baby, but this is unacceptable to the mindset of our current establishment of midwives and obstetricians.
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