Upcoming Events

Sep
6
Sun
2015
1:00 pm Speaker, 2015 Rally To Improve B... @ Third Street Promenade
Speaker, 2015 Rally To Improve B... @ Third Street Promenade
Sep 6 @ 1:00 pm – 4:00 pm
Speaker, 2015 Rally To Improve Birth - Los Angeles @ Third Street Promenade | Santa Monica | California | United States
I’m so excited to speak at this event! Will you be there? What should our VBAC rally signs say? ______________________ Los Angeles Birth Community is bringing it to Santa Monica for the national Improving Birth[...]

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Older Posts

Another VBAC consult misinforms

What disappointed me, however, was the NIH VBAC conference panel’s surprise at the misinformation and bait & switch tactics to which many women are subjected. I think when you are a VBAC supportive practitioner, it may be hard to believe that your colleagues practice in a manner like I describe below. […]

Interview with Dr. Fischbein: An Inside Look at Hospitals and VBAC Bans

Q: Don’t hospitals ban VBAC because it is dangerous? A: They ban VBACs under the guise of patient safety. But patient safety is a euphemism for “we don’t have a good evidence-based reason to do it, other than we don’t want to get sued, it’s more expedient, and we make more money from c-sections—the hospital does, not necessarily the physician, but the hospital does—so we’re going to ban it because it’s easier for us, and we’re going to say it’s for patient safety because of the risk of rupturing the uterus.” […]

Hospital’s Oxytocin Protocol Change Sharply Reduces Emergency C-Section Deliveries

This article published June 19, 2009 demonstrates one hospital’s experience when they changed their oxytocin (Pitocin) protocol.

I’ve included the entire article below and have emphasized what I consider to be the most interesting parts.

Hospital’s Oxytocin Protocol Change Sharply Reduces Emergency C-Section Deliveries By Betsy Bates Elsevier Global Medical News Conferences in Depth

CHICAGO (EGMN) – The modification of the oxytocin infusion protocol at a large university-affiliated community hospital nearly halved the number of emergency cesarean deliveries over a 3-year period, reported Dr. Gary Ventolini.

As oxytocin utilization declined from 93.3% to 78.9%, emergency cesarean deliveries decreased from 10.9% […]

The Role of Interpretation – ACOG Refines Fetal Heart Rate Monitoring Guidelines

Photo credit: http://healthmad.com/health/fetal-monitoring/

“Since 1980, the use of EFM has grown dramatically, from being used on 45% of pregnant women in labor to 85% in 2002,” says George A. Macones, MD, who headed the development of the ACOG document. “Although EFM is the most common obstetric procedure today, unfortunately it hasn’t reduced perinatal mortality or the risk of cerebral palsy. In fact, the rate of cerebral palsy has essentially remained the same since World War II despite fetal monitoring and all of our advancements in treatments and interventions.” […]

If VBAC is reasonable, why does my OB say it is dangerous?

This is a question that I’ve heard a lot.

Here is the three second answer: VBACs got a bad rap in the 1990s before we understood the increased risk of rupture during an induced VBAC labor, especially with Cytotec.  Even if your OB is supportive, s/he may be under pressure from hospital administrators, or other OBs in their practice, who feel differently.  Finally, your OB might have experienced a recent lawsuit, uterine rupture, or other bad outcome that influences the way they counsel you.

In the 90s, babies and moms were unnecessarily injured and died when VBAC labors were induced […]

Does insurance pay when you leave the hospital against medical advice?

stamp approved and not approved with red text isolated on white

The more I read about women birthing in hospitals, the more stories I read of women who are lied to and threatened.  If we can’t trust our provider, how can we trust when they say we need a cesarean?

Don’t get me wrong, there are great hospital-based providers out there, but it can be really hard for your everyday mom to be able to connect with them. Generally, care providers can be broken down into three categories.  There may be a supportive provider in your area, you just need to know where to look.

Here is an email from a home birth […]

Neonatal nurse has a homebirth VBAC

This is a great birth story, published with permission, of a woman who had a cesarean for “small pelvis” and then VBACed a larger baby at home!  Since she is a neonatal nurse, it’s interesting to read why she chose HBAC and how she thinks her birth would have gone differently had she labored in a hospital.

I just wanted to let everyone know that I gave birth to a healthy babygirl Wednesday June 11th. I had a C/S with my son 2 years ago. He was8lbs 2oz and I was told that my pelvis wasn’t big enough to birth […]

A RN’s Perspective on the 2 NJ CS Deaths & Her Own Birth Experience

As I’m sure you can imagine there was much discussion on the ICAN list of the two moms who died within days of each other after their cesareans at Underwood, a New Jersey hospital.

I’m sharing the following post, with permission.

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I am a registered nurse, and have no intention of ever working within a hospital setting again. It really is all about the business and not about the patient. The human life we are caring for. In NJ, where I reside, there is a nursing shortage. In addition to a nursing shortage, there are very poor unregulated nurse […]