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Topics Covered
- The global picture of excess and insufficient caesarean sections performed
- Caesarean sections in the context of evolutionary obstetrics
- What are the potential downsides of a caesarean section?
- The influence of caesarean sections on the baby’s acquired microbiome
- The role of the mother, the clinician and the society in the decision making of opting for caesarean sections
- Why do mothers and obstetricians choose caesarean sections even when not necessary?
Biography
Wenda Trevathan is Regents Professor of Anthropology Emerita at New Mexico State University. She is a biological anthropologist whose research focuses on the evolutionary and biocultural factors underlying human reproduction including childbirth, maternal behavior, sexuality and menopause. Her primary publications include works on the evolution of childbirth and evolutionary medicine.
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Talk Citation
Trevathan, W. (2018, May 30). Elective caesarean sections from an evolutionary perspective [Audio file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 9, 2024, from https://doi.org/10.69645/YGSC1799.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Wenda Trevathan has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.
Other Talks in the Playlist: Research and Clinical Interviews
Transcript
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0:00
Interviewer: Professor Trevathan, thank you very much for sparing the time today.
We're discussing elective caesarean sections.
Let me see if I've got your opinion correct.
Is it correct that you accept that there are many medical conditions,
both for the purposes of the health of the baby and the mother,
to support using C-sections,
but you also believe that there are
potentially adverse outcomes from the elective C-sections,
and that your opinion is based upon a consideration of evolutionary perspectives.
Have I got it right?
Prof. Trevathan: That's an excellent summary of my perspective.
Interviewer: Great. We'll come to your opinions on the elective sections shortly.
But, you believe that in many countries,
there are women who should have caesareans,
but are not getting them,
is that also correct?
Prof. Trevathan: That is correct.
Interviewer: Right. So, before we get onto that subject,
which we'll take first,
can we just get a particular term out of the way,
the word natural, the way people often use the word natural.
Given that even before homo sapiens came into existence,
humans have been using their cognitive abilities to adapt to the environment.
Is it very useful to use the word natural?
Prof. Trevathan: I think there's so much confusion about what that means,
that it probably is not a very good term to use anymore.
To some people, it simply means no drugs,
to others it means no intervention.
There even those that think that
the only natural way to give birth is to give birth completely alone,
which is not what I think is characteristic of the human species.