“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)
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)
When I read the January 11th New York Times Well blog, titled When A Big Baby Isn’t So Big, I looked back on my career as a labor nurse and thought, “Yep – happens all the time.” Predictions for a “too big baby” were among the most common reasons I heard from women admitted to my labor unit for induction of labor or scheduled cesarean sections. In most cases, once the baby was delivered, either vaginally or surgically, they weren’t all that big after all.
The New York Times blog is centered around a recent study based on Childbirth Connection’s national survey of 1,960 new mothers, called Listening to Mothers III. The survey indicates that four out of five mothers who were warned they might have large babies gave birth to infants who were not large, and weighed less than 8 pounds 13 ounces (which defines macrosomia – a larger than average baby). These mothers were almost twice as likely to have interventions like medical induction of labor or attempt to self-induce labor, presumably so their baby wouldn’t get too big to deliver vaginally. They were also nearly twice as likely to have planned C-sections, though as the blog mentions, researchers say that increase fell just short of being statistically meaningful.
(click link to read the blog on the Every Mother Counts website)
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)
Fourteen years I have been practicing OB/GYN. I live in Frisco, Texas one of the fastest growing cities in the United States I really enjoy living and working here. It is a great place for my family and for the first time my office is attached to the one hospital I practice in. This is the third and final place I will practice medicine. I trained with some of the most respected academic OB/GYN’s in the country. These physicians contribute to the books on Obstetrics, create the practice guidelines for the American Congress of Obstetricians and Gynecologists (ACOG), and taught me to practice medicine based on scientific evidence.
I follow a few simple rules; do no harm, give your patients options, and provide information so they can make informed decisions. So, last night I was sitting in my office looking at the fourth Cesarean Section (C/S) operative report of the day for yet another patient who wants to have a vaginal delivery following a previous C/S. I am frustrated and feel like I am fighting a losing battle.
(click above link to read a great article by an OB-GYN)
-CLICK LINK ABOVE TO VIEW MAP and see current statistics-
This map shows rates and rankings for U.S. states, with the states in five groups of ten (plus D.C.). The lowest rates of Cesarean are in the lightest color, to the highest rates in the darkest. California currently has a 33.2% c-section rate, 20th WORST in the US! Utah has a 22.6% rate, the LOWEST in the nation.
Click http://www.cesareanrates.com/blog/2013/2/3/what-is-practice-variation-in-obstetrics-and-why-should-i-ca.html for why you should care…
LACONIA, N.H. — Seven months pregnant, at a time when most expectant couples are stockpiling diapers and choosing car seats, Renée Martin was struggling with bigger purchases.
At a prenatal class in March, she was told about epidural anesthesia and was given the option of using a birthing tub during labor. To each offer, she had one gnawing question: “How much is that going to cost?” (click link above to read on NYtimes.com)