“The birthing plan: Whether it’s set at home with a doula or in a hospital surrounded by family members, many expecting women have their perfect version in mind. And the location and company one keeps during delivery are just the beginning—with highly curated extras like pressure-relieving birthing balls and soothing “push playlists” growing in popularity. But the reality is that when it comes to child birth, there’s only so much you can control.”
(click to read link on vogue.com)
For more than 60 years, it has been the standard of care to try to speed up childbirth with drugs, or to perform a cesarean section if labor was seen as progressing too slowly.
Now a new set of recommendations is changing the game.
In February, the World Health Organization released a set of 56 recommendations in a report called Intrapartum Care for a Positive Childbirth Experience. One key recommendation is to allow a slow labor to continue without trying to hurry the birth along with drugs or other medical interventions. The paper cites studies showing that a long, slow labor — when the mother and baby are doing well — is not necessarily dangerous.
A little history is required to understand the importance of that one recommendation, says Dr. Aaron Caughey, chair of the Department of Obstetrics and Gynecology at Oregon Health & Science University, who did not work on the report. In 1955, Dr. Emanuel Friedman studied 500 women and concluded that labor is normal when, during the intense phase of contractions, the cervix opens at a rate of at least one centimeter (about 0.4 inches) an hour. “Dr. Friedman showed that 95 percent of women progressed” at this rate, says Caughey. “And that became the standard of care.”
(click to read on npr.org)
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)
The first hours after a baby is welcomed into the world may have short- and long-term consequences. Evidence has shown that newborns who are placed skin to skin with their mothers immediately after birth have better respiratory, temperature, and glucose stability, and significantly less crying that stipulates less stress.
“Because the first hour after birth is so momentous, we have named it ‘The Sacred Hour’ at our hospital,” explains Raylene Phillips, MD.
(click link at top to read the rest of the article on collective-evolution.com)
Don’t make a birth plan, it’s pointless, because birth is completely unpredictable.
If I had a pound for every time I’ve heard a woman being given this crappy nugget of pseudo-wisdom, I’d be rich enough to start my own luxury birth centre in St Lucia.
It’s fabulously convenient to tell women this, actually, because not only does it totally discourage them from researching their birth options, making a plan and thus becoming one of those ‘tricky customers’ in the birth room who knows what she wants and isn’t afraid to ask.
But also, once birth is over, if the birth was difficult or even downright unpleasant, you can ask her, “Did you make a birth plan?”, and if she says yes you can shake your head and say, “Oh dear”, in a way that basically implies, “I told you so”, and bingo, the whole sorry mess is her fault and everyone else is off the hook.
Actually, making a birth plan is one of the very best moves a pregnant woman can make.
(click link above to read on mumfidential.com)
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)
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)