OBs play very influential roles in women’s lives during pregnancy, childbirth, and postpartum. Having the right or wrong person at your birth can make or break your vagina. Literally. Unfortunately, sometimes the doctor or midwife a woman chooses in thefirst trimesterturns out not to be such a great fit as pregnancy progresses. But how should you know when it’s time to fire your OB or midwife? Glad you asked.
More and more research has said there are benefits to keeping the umbilical cord attached for several minutes after childbirth ― a practice known as “delayed cord clamping.” But the American College of Obstetricians and Gynecologists has held off from endorsing the practice, saying there was insufficient evidence to support it universally.
This week ACOG issued new guidelines changing its stance. In the first policy opinion on the topic issued since 2012, the group now recommends that doctors and midwives hold off on clamping all healthy newborns’ cords for at least 30 to 60 seconds.
“While there are various recommendations regarding optimal timing for delayed umbilical cord clamping, there has been increased evidence that shows that the practice in and of itself has clear health benefits for both [all] infants,” Dr. Maria Mascola, lead author of the new ACOG opinion, wrote in a press release. “And, in most cases, this does not interfere with early care, including drying and stimulating for the first breath and immediate skin-to-skin contact.”
(click link to read the entire article on HuffingtonPost.com)
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)