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Why cesareans are a big deal to you, your wife, and your daughter

Surgeon Operating on a Patient

I hear a lot, “What’s the big deal about cesareans? What difference does it really make if you have a cesarean?” Of course, if a cesarean is medically necessary, then the benefits outweigh the risks. But in the absence of a medical reason, the risks of cesareans must be carefully considered. [...]

Woman has 4th cesarean, 8 hour surgery, and requires 33 gallons of blood

What a miracle this woman survived!  This was her fifth baby and fourth cesarean.

She had a complication known as placenta percreta which is when “the placenta attaches itself and grows through the uterus, sometimes extending to nearby organs, such as the bladder” (March of Dimes 2012).  The risk of having placenta accreta, increta, [...]

Chipping away at the “too posh to push” myth

Some new research questions the idea that women who are “too posh to push” are responsible for America’s rising cesarean rate. The work of University of Arizona sociologist Louise Roth has been featured in an University of Arizona UA News article dated April 13, 2012.

Watch for Roth’s research which will be “published in the [...]

Placenta problems in VBAMC/ after multiple repeat cesareans

elevatorup

I thought that I would take the data from the Silver (2006) that I’ve previously discussed and share it in a different way that would be helpful to women with multiple prior cesareans.  (You might find it worthwhile to read this article specifically, where you can view the data below in graphs, as well as [...]

Just kicking the can of risk down the road

If primary and secondary cesarean rates continue to rise as they have in recent years, by 2020 the cesarean delivery rate will be 56.2%, and there will be an additional 6236 placenta previas, 4504 placenta accretas, and 130 maternal deaths annually. The rise in these complications will lag behind the rise in cesareans by approximately 6 years. [...]

Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science

PushNews from The Big Push for Midwives Campaign CONTACT: Katherine Prown, (414) 550-8025, katie@pushformidwives.org FOR IMMEDIATE RELEASE: August 15, 2011 Study: Two-Thirds of OB-GYN Clinical Guidelines Have No Basis in Science Majority of ACOG Recommendations for Patient Care Found to Be Based on Opinion and Inconsistent Evidence WASHINGTON, D.C. (August 15, 2011)—A study published [...]

Cesarean Section Consent Form

From Another VBAC Consult Misinforms:

[My OB] did not mention risks to repeat c-sections.  When I brought it up he said there aren’t any except the obvious risks that come with any surgery.

It’s because some OBs continue to mislead their patients about the risks of cesareans that I share this excellent cesarean section consent [...]

The Risks of Cesarean Section

We all know the primary risk of VBAC – uterine rupture.  And when your typical VBACing mom meets with an OB, she must sign a “VBAC consent form” acknowledging that she understands this risk.  However, I find it ironic that women signing up for a repeat cesarean are not required by their OB to sign [...]

41 countries have fewer babies dying around the time of birth than the USA

As I promised at the VBAC class today, here is Birth by the Numbers, by Eugene R. Declercq, PhD, Professor of Maternal and Child Health, Boston University School of Public Health, where he presents the sobering statistics of birth in the United States today.

I had the privilege of hearing Dr. Declercq speak at the [...]

An OB you like or who makes you comfortable isn’t enough

Many women do not interview OBs/midwives when selecting their VBAC care provider.  They either stay with the GYN who has been providing their well-woman care or the same OB who performed their cesarean because they like them.

Women they really believe that if they are good patients, if they are friendly, if they don’t [...]

Risk of serious complications increase with each cesarean surgery

Shows the rates of placenta accreta in up to six cesareans (Silver 2006).

Per Silver (2006), “The risks of placenta accreta, cystotomy [surgical incision of the urinary bladder], bowel injury, ureteral [ureters are muscular ducts that propel urine from the kidneys to the urinary bladder] injury, and ileus [disruption of the normal propulsive gastrointestinal motor activity], the need for postoperative ventilation, intensive care unit admission, hysterectomy, and blood transfusion requiring 4 or more units, and the duration of operative time and hospital stay significantly increased with increasing number of cesarean deliveries.” [...]

“Pit to Distress” – A significant risk of hospital birth

There are two things women generally believe about OBs:

1. Their OB would never do anything to put them or their baby in harm’s way,

2. If their OB gives them a drug, or recommends a procedure, that’s only because the benefits outweigh the risks.

Unfortunately, both of those things are not always true.

Women [...]

Cesarean section changes DNA of newborns

Fascinating, but we don’t know what it means.  I’ll be watching for future research.

The emphasis below is mine.

29. jun 2009 kl. 12:12

Caeserian section changes DNA of newborns

Swedish research shows that a Caesarian birth section changes a newly-born’s DNA.

Af  Julian Isherwood

Children who are born by Caesarian section may have an [...]

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 [...]