The surprising factor behind a spike in C-sections

https://www.hsph.harvard.edu/news/multimedia-article/csections-delivery-risk-podcast/

 

Cesarean delivery of a baby—or C-section—is the most commonly performed surgery in the world.

Rising C-section rates are a problem all over the world—but it’s particularly notable in the United States.

C-sections have skyrocketed in the U.S. since the mid-1970s. In just one generation, this country’s C-section rate has increased 500%.

One in three babies are now born via C-section—compare that one in 20 in the mid-70s.

And a mother who has a C-section for her first delivery is overwhelmingly more likely to have C-sections for future deliveries.

And while it’s incredibly common—it’s still major surgery—with a range of potential complications such as hemorrhage or infection.

It’s estimated that nearly half of C-sections may be avoidable—but to prevent them, researchers need to find out what exactly is driving the dramatic increase in their use.

(click the link above to listen to the podcast from Harvard School of Public Health)

The Benefits of a Mindful Pregnancy

https://www.nytimes.com/2017/05/31/well/family/the-benefits-of-a-mindful-pregnancy.html

Many expectant mothers worry about the physical pain that accompanies labor and childbirth. New research suggests that including mindfulness skills in childbirth education can help first-time mothers cope with their fear.

(click link to read this great post on NY Times website)

Fearing childbirth may prolong labor

http://thechart.blogs.cnn.com/2012/06/27/fearing-childbirth-may-prolong-labor/

Dr. Stuart Fischbein chuckled when he read the title of the press release: “Women with a fear of childbirth endure a longer labor.”

The release was promoting a study published this week in BJOG: An International Journal of Obstetrics and Gynecology.  Researchers at Akershus University Hospital in Norway found women who feared giving birth were in labor for 1 hour and 32 minutes longer, on average, than those who had no fear.

“I’m glad there’s now evidence to say that,” Fischbein said, “but it’s obvious.”

For those of us who aren’t OB/GYNs, it may seem more like a cruel joke. Women who are afraid of the pain and the possible medical complications associated with giving birth have to suffer through it longer?

(click link at top to read article on cnn.com)

Natural Birth After A Caesarean: New Guidelines Assure Women It’s ‘Possible And Safe’

http://www.huffingtonpost.co.uk/2015/10/02/natural-birth-after-caesarean_n_8231566.html?edition=uk

“New guidance from the RCOG states a vaginal birth after a previous caesarean section has a success rate of around 75%, which is the same as for first-time mothers.

Even if the woman has had two or more previous caesareans the success rate of a vaginal birth only reduces slightly to 71%.”

(click link above to read the post from 2015)

EAT!!! Most healthy women would benefit from light meal during labor

http://asahq.org/about-asa/newsroom/news-releases/2015/10/eating-a-light-meal-during-labor

It’s about time!!!  The American Society of Anesthesiologists (ASA) announced this weekend that most healthy women can skip the fasting and, in fact, would benefit from eating a light meal during labor.

(click link above to read the press release)

eat in labor

Giving Birth in Different Worlds

http://www.newyorker.com/culture/photo-booth/giving-birth-in-different-worlds (click to read the article)

The photographs in the series “Hundred Times the Difference,” by the photographer Moa Karlberg, capture, in closeup, the faces of women in the final stages of giving birth. Across the images, there is a range of expressions: grit and sensuality, trepidation and expectation, pain and elation. But in their intimate perspective the photographs emphasize the women’s shared experience—the inward focus and physical determination in their final, transformative moments of becoming mothers.

Midwives Rock: Confessions of an OB/GYN Physician

https://burningtheshortwhitecoat.wordpress.com/2015/06/19/midwives-rock-confessions-of-an-obgyn-physician/

I am an OB/GYN physician and…

I love midwives. In fact, I think MIDWIVES ROCK. Midwives deliver over 50% of the babies in our birth unit. When it comes to normal birth, they are the experts. Let me explain.

(click link above to read the blog post)