Met a woman who told me she had had a C/S for CPD with 1st bub. Had a home birth with 2nd, who was 2lb heavier. I believe CPD does occur, but is very rare. As with 'fetal distress', also does occur, it's often used for an excuse to section a woman. We need to accept that sometimes there is a genuine need to interfere. Looking at the improvement in outcomes for women and babies, and seeing the awful things happening in the Developing world there is a need for some obstetric intervention in some cases. I do agree that our rate of intervention is far too high, and often have a song and dance about it.
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