For more than 60 years, it has been the standard of care to try to speed up childbirth with drugs, or to perform a cesarean section if labor was seen as progressing too slowly.
Now a new set of recommendations is changing the game.
In February, the World Health Organization released a set of 56 recommendations in a report called Intrapartum Care for a Positive Childbirth Experience. One key recommendation is to allow a slow labor to continue without trying to hurry the birth along with drugs or other medical interventions. The paper cites studies showing that a long, slow labor — when the mother and baby are doing well — is not necessarily dangerous.
A little history is required to understand the importance of that one recommendation, says Dr. Aaron Caughey, chair of the Department of Obstetrics and Gynecology at Oregon Health & Science University, who did not work on the report. In 1955, Dr. Emanuel Friedman studied 500 women and concluded that labor is normal when, during the intense phase of contractions, the cervix opens at a rate of at least one centimeter (about 0.4 inches) an hour. “Dr. Friedman showed that 95 percent of women progressed” at this rate, says Caughey. “And that became the standard of care.”
(click to read on npr.org)
Women struggling in labour should be given bicarbonate of soda to boost their chances of a safe and natural birth, a study suggests.
British researchers say the commonly available chemical, given in drink form, rectifies acidity around the womb and could significantly reduce the number of women forced to undergo emergency caesarean sections.
(click link to read about this new study)
Despite prodromal labor not being mentioned in the most common pregnancy books, you’ll still hear it frequently being discussed among friends, with care providers and in online communities. Because of this discrepancy, it makes sense that there is confusion and frustration surrounding the topic. In this post I hope to define prodromal labor, but more importantly offer onlutions and encouragement if you find yourself experiencing this frustrating phenomenon.
The reason why prodromal labor is not mentioned in pregnancy books is because it is more commonly known as pre-labor or even misnamed as false labor. It seems as if our birthing culture uses these three terms interchangeably – prodromal labor, pre-labor and false labor. This is so confusing! If this has confused me, I bet I’m not the only one wondering what’s going on.
(click link above to read on MotherRisingBirth.com, an amazing resource…)
A conversation with Erica Chidi Cohen feels like one big pep talk. A doula, author and co-founder of LOOM (a education hub for pregnancy and parenting in L.A.), Erica has attended more than 300 births. “You’d think after so many years I’ve had my fill of babies,” she says. “But I’m always overwhelmed by the pure joy that fills the room. It’s a beautiful thing to watch a mother and child take each other in for the first time.” Her guidebook, Nurture, comes out tomorrow, and here Erica shares 10 things she tells new mothers…
Solid interview with my friend Erica Chidi Cohen. Click link at top to read on cupofjo.com, and order her book Nurture on amazon.com while you’re at it! 🙂
Consumer Reports finds that your risk of a cesarean section can be more than nine times higher depending on the hospital you choose.
The most common major surgery performed in the U.S isn’t to remove an appendix or replace a knee. It’s to deliver babies by cesarean section, or C-section.
Roughly one out of every three babies born in this country—or about 1.3 million children each year—are delivered this way, instead of vaginally. Yet the vast majority of women prefer to deliver vaginally, according to a January 2017 study in the journal Birth.
So what’s going on?
(click link above to read on consumerreports.org)
The first hours after a baby is welcomed into the world may have short- and long-term consequences. Evidence has shown that newborns who are placed skin to skin with their mothers immediately after birth have better respiratory, temperature, and glucose stability, and significantly less crying that stipulates less stress.
“Because the first hour after birth is so momentous, we have named it ‘The Sacred Hour’ at our hospital,” explains Raylene Phillips, MD.
(click link at top to read the rest of the article on collective-evolution.com)