Your Biggest C-Section Risk May Be Your Hospital

https://www.consumerreports.org/c-section/your-biggest-c-section-risk-may-be-your-hospital/

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)

Can Mental Illness Be Prevented In The Womb?

http://www.npr.org/sections/health-shots/2016/10/22/498843225/can-mental-illness-be-prevented-in-the-womb

(click link above to read on npr.org)

Every day in the United States, millions of expectant mothers take a prenatal vitamin on the advice of their doctor.

The counsel typically comes with physical health in mind: folic acid to help avoid fetal spinal cord problems; iodine to spur healthy brain development; calcium to be bound like molecular Legos into diminutive baby bones.

But what about a child’s future mental health? Questions about whether ADHD might arise a few years down the road or whether schizophrenia could crop up in young adulthood tend to be overshadowed by more immediate parental anxieties. As a friend with a newborn daughter recently fretted over lunch, “I’m just trying not to drop her!”

Yet much as pediatricians administer childhood vaccines to guard against future infections, some psychiatrists now are thinking about how to shift their treatment-centric discipline toward one that also deals in early prevention.

In 2013, University of Colorado psychiatrist Robert Freedman and colleagues recruited 100 healthy, pregnant women from greater Denver to study whether giving the B vitamin choline during pregnancy would enhance brain growth in the developing fetus.

(click link at top to continue reading)

New ACOG Opinion on Exercise in the Childbearing Year

http://donainternational.org/2015/12/10/new-acog-opinion-on-exercise-in-the-childbearing-year/

(click link to read)

“…physical activity in pregnancy is safe and desirable, and pregnant women should be encouraged to continue or to initiate safe physical activities.” — ACOG Committee Opinion, Physical Activity and Exercise in Pregnancy and the Postpartum Period

Good news!

 

Health Officials Call for More Fish in Diets of Children and Pregnant Women

http://well.blogs.nytimes.com/2014/06/10/updated-advice-on-eating-fish-during-pregnancy/

Federal officials on Tuesday announced that they would recommendfor the first time that women who are pregnant or breast-feeding and young children eat a minimum of two servings of low-mercury seafood every week for their health.

The recommendations represent a significant shift for the Food and Drug Administration and the Environmental Protection Agency, whose previous seafood advisory in 2004 set only an upper limit on the amount of fish that these groups should eat.

(click link to read on NYTimes.com)

What 9 Months Of Pregnancy Actually Does To A Woman’s Body

What 9 Months Of Pregnancy Actually Does To A Woman’s Body

Last summer, photographer and body love evangelist Jade Beall told HuffPost Parents that society faced “an epidemic of women who feel unworthy of being called beautiful,” and shared her dream to cure this confidence crisis.

The Arizona artist was using Kickstarter to fund a book project; she hoped to publish a volume of images showing the natural beauty of mothers’ nude and semi-nude bodies. Her crowdfunding campaign was extremely successful — raising nearly three times its goal amount — and now, the book is here. The Bodies of Mothers: A Beautiful Body Project, featuring portraits and accompanying personal stories, will be published on Mother’s Day. (click link to read on Huffington Post and go get the book!)

photo credit JADE BEALL

photo credit JADE BEALL

Nation’s Ob-Gyns Take Aim at Preventing Cesareans

http://www.acog.org/About_ACOG/News_Room/News_Releases/2014/Nations_Ob-Gyns_Take_Aim_at_Preventing_Cesareans

New Guideline Recommends Allowing Women to Labor Longer to Help Avoid Cesarean

February 19, 2014

Washington, DC — Allowing most women with low-risk pregnancies to spend more time in the first stage of labor may avoid unnecessary cesareans, according to The American College of Obstetricians and Gynecologists (The College) and the Society for Maternal-Fetal Medicine (SMFM). In a jointly-issued Obstetric Care Consensus guideline, the new recommendations are targeted at preventing women from having cesareans with their first birth and at decreasing the national cesarean rate.

“Evidence now shows that labor actually progresses slower than we thought in the past, so many women might just need a little more time to labor and deliver vaginally instead of moving to a cesarean delivery,” said Aaron B. Caughey, MD, a member of The College’s Committee on Obstetric Practice who helped develop the new recommendations. “Most women who have had a cesarean with their first baby end up having repeat cesarean deliveries for subsequent babies, and this is what we’re trying to avoid. By preventing the first cesarean delivery, we should be able to reduce the nation’s overall cesarean delivery rate.”

(click link above to read on acog.org)

 

BIRTH PLANS: 5 THINGS TO CONSIDER

http://www.utsandiego.com/news/2013/aug/20/tp-5-things-to-consider/

 

Preparing a birthing list can be overwhelming. With so many things for expectant mothers to consider, doctors are sometimes handed lists that are pages long.

“Some moms come in with a three-page birth plan,” said Patricia Achilly, a certified nurse and midwife with Kaiser Permanente, San Diego. “When that occurs, we need to have a discussion with her on how birth actually is and present it in a more realistic form.” (click link to read article)