The American College of Obstetricians and Gynecologists has released new guidelines encouraging OB-GYNs and other birth practitioners to re-examine the necessity of various interventions that may not necessarily benefit low-risk moms.
The new committee opinion does not signal a dramatic shift in best practices for managing uncomplicated labors, but it is a clear acknowledgement from ACOG that technological interventions can often times interfere with a natural process rather than help it along.
“This committee opinion is the first one, to my knowledge, that specifically addresses low-risk patients,” author Dr. Jeffrey L. Ecker, chief of the Obstetrics and Gynecology department at Massachusetts General Hospital told The Huffington Post. “It says, very clearly, that there are some times when watchful waiting is appropriate. Just because we have the technology, doesn’t mean it has to be used in every patient.”
Many doctors and hospitals already embrace measures to limit intervention when appropriate, he said. But for others, this will likely shift the standard care.
(click link at top to continue reading on huffingtonpost.com)
10 procedures to think twice about during your pregnancy
Despite a healthcare system that outspends those in the rest of the world, infants and mothers fare worse in the U.S. than in many other industrialized nations. Infants in this country are more than twice as likely to die before their first birthday as those in Japan and Finland. And America now ranks behind 59 other countries in preventing mothers from dying during childbirth and is one of only eight countries in the world, along with Afghanistan and El Salvador, whose maternal mortality rate is rising.
Why? Partly because mothers in the U.S. tend to be less healthy than in the past, “which contributes to a higher-risk pregnancy,” says Diane Ashton, M.D., deputy medical director of the March of Dimes.
But another key reason may be that medical expediency appears to be taking a priority over the best outcomes. The U.S. healthcare system has developed into a labor-and-delivery machine, often operating according to its own timetable rather than the less predictable schedule of mothers and babies. Keeping things chugging along are technological interventions that can be lifesaving in some situations but also interfere with healthy, natural processes and increase risk when used inappropriately.
(click link at the top to read on Consumerreports.org)
There is no evidence that water births, where a baby is intentionally born under water in a tub or pool, poses any increased harm to the child, Oregon State University researchers have found.
Researchers examined outcome data for more than 6,500 midwife-attended water births in the United States and found that newborns born in water were no more likely to experience low Apgar scores, require transfer to the hospital after birth or be hospitalized in their first six weeks of life, than newborns who were not born in water.
(click link to read the entire study on sciencedaily.com)