Your baby has an active role in her birth. She must rotate and tuck, hold and kick her body in certain ways to be born.
These movements, called cardinal movements, are instinctive to babies and differ for babies in different positions. Our babies and bodies birth quickest and safest when the baby is head-down, facing the mother’s back, crown first. But, sometimes babies need help taking up the most ideal position. Breech babies have their own cardinal movements to be born safely.
Babies who are lined up optimally for birth come out faster and easier than those who aren’t positioned perfectly.
Many cesareans happen because the baby is not able to get in the best position for birth.
There are a few different pelvic shapes or types. Some pelvic shapes require that the baby take a certain, optimal position, while others can accommodate a number of different ways out. Don’t worry too much about pelvic shape unless you already know yours is unusual or your babies have trouble descending.
For many women, their babies can be born backwards (posterior), upside-down (breech), face first, or with with their head tilted a bit (ascynclitic), but it’s typically a harder or more complicated labor and birth.
Modern life has us using our body in a way that confuses or restricts the baby’s movement.
Here is what you can do during pregnancy to provide for the best chance and good alignment and faster, easier birth…
If you look at scientific literature, you find over and over again that many interventions increase risk to mother and child instead of decreasing it.
When I ask my medical students to describe their image of a woman who elects to birth with a midwife rather than with an obstetrician, they generally describe a woman who wears long cotton skirts, braids her hair, eats only organic vegan food, does yoga, and maybe drives a VW microbus. What they don’t envision is the omnivorous, pants-wearing science geek standing before them.
Indeed, they become downright confused when I go on to explain that there was really only one reason why my mate — an academic internist — and I decided to ditch our obstetrician and move to a midwife: Our midwife could be trusted to be scientific, whereas our obstetrician could not.
(click link at the top to read the rest of the article on TheAtlantic.com)
Babies get a lot from their mothers. But babies born by cesarean section don’t pass through the birth canal and miss out on the benefits from picking up Mom’s microbes on the way out.
Researchers studying the human microbiome have asked: Could there be a way to fix that? If so, it might help restore the microbes a baby naturally gets that help fight off disease and foster normal development.
A small study published Monday in Nature Medicine provides tantalizing evidence that it may be possible.
How? By slathering babies just after birth with a gauze pad that soaked up the microbes in their mothers’ birth canal right before birth.
When I read the January 11thNew York Times Well blog, titled When A Big Baby Isn’t So Big, I looked back on my career as a labor nurse and thought, “Yep – happens all the time.” Predictions for a “too big baby” were among the most common reasons I heard from women admitted to my labor unit for induction of labor or scheduled cesarean sections. In most cases, once the baby was delivered, either vaginally or surgically, they weren’t all that big after all.
The New York Times blog is centered around a recent study based on Childbirth Connection’s national survey of 1,960 new mothers, called Listening to Mothers III. The survey indicates that four out of five mothers who were warned they might have large babies gave birth to infants who were not large, and weighed less than 8 pounds 13 ounces (which defines macrosomia – a larger than average baby). These mothers were almost twice as likely to have interventions like medical induction of labor or attempt to self-induce labor, presumably so their baby wouldn’t get too big to deliver vaginally. They were also nearly twice as likely to have planned C-sections, though as the blog mentions, researchers say that increase fell just short of being statistically meaningful.
(click link to read the blog on the Every Mother Counts website)
Fourteen years I have been practicing OB/GYN. I live in Frisco, Texas one of the fastest growing cities in the United States I really enjoy living and working here. It is a great place for my family and for the first time my office is attached to the one hospital I practice in. This is the third and final place I will practice medicine. I trained with some of the most respected academic OB/GYN’s in the country. These physicians contribute to the books on Obstetrics, create the practice guidelines for the American Congress of Obstetricians and Gynecologists (ACOG), and taught me to practice medicine based on scientific evidence.
I follow a few simple rules; do no harm, give your patients options, and provide information so they can make informed decisions. So, last night I was sitting in my office looking at the fourth Cesarean Section (C/S) operative report of the day for yet another patient who wants to have a vaginal delivery following a previous C/S. I am frustrated and feel like I am fighting a losing battle.
(click above link to read a great article by an OB-GYN)