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)

Group B Strep and Placenta Encapsulation Safety

https://placentaassociation.com/group-b-strep-placenta-encapsulation-safety-gbs/

The CDC released a case study on a newborn who had a recurrent GBS infection after the mother had her placenta encapsulated. It has left a lot of people asking…

Can my placenta capsules make my baby sick?

The short answer is: probably not. A well-trained placenta arts specialist will make sure that your placenta is prepared safely for consumption, unfortunately, it seems that this specialist may not have done so. The placenta and the birth should have been assessed to see if it was fit for consumption and then the placenta should have been properly prepared. A maternal or infant infection at or immediately after delivery indicates that an active infection was present. The mother should have been counseled against encapsulation initially. The second major issue, in this case, is that proper food safety protocols may not have been followed. This likely led to the capsules containing GBS bacteria and potentially causing reinfection.

(click to read the entire article on placentaassociation.com)

Evidence on Eating Dates to Start Labor

https://evidencebasedbirth.com/evidence-eating-dates-to-start-labor/

This has been a hot topic in the doula world for a while.

(Click link above to watch the video on EBB website regarding dates and labor!)

In today’s Q & A, part of our Natural Induction Series, we’re going to talk about eating the date fruit or Phoenix dactylifera to induce labor naturally. The date fruit contains a high percentage of carbohydrates and fats and also includes 15 different types of salts and minerals, proteins and vitamins, such as riboflavin, thiamine, biotin, folic acid, and ascorbic acid. Some Islamic scholars interpret verses in the Quran to mean that dates are one of the best foods to eat for childbirth. There have been three smaller randomized control trials on eating dates to induce labor and one observational study that asked women about how often they eat dates to induce labor.

In this video, you will learn:

  • About the studies that have been conducted on eating date fruit to find out whether it can improve birth outcomes with:

    • Cervical ripening
    • The use of labor induction/augmentation with oxytocin
    • Postpartum blood loss
  • If eating date fruit during pregnancy is safe

 

Scientists Create Artificial Womb That Could Help Prematurely Born Babies

http://www.npr.org/sections/health-shots/2017/04/25/525044286/scientists-create-artificial-womb-that-could-help-prematurely-born-babies

 

An illustration of a fetal lamb inside the “artificial womb” device, which mimics the conditions inside a pregnant animal.- The Children’s Hospital of Philadelphia

Scientists have created an “artificial womb” in the hopes of someday using the device to save babies born extremely prematurely.

So far the device has only been tested on fetal lambs. A study published Tuesday involving eight animals found the device appears effective at enabling very premature fetuses to develop normally for about a month.

“We’ve been extremely successful in replacing the conditions in the womb in our lamb model,” says Alan Flake, a fetal surgeon at Children’s Hospital of Philadelphia who led the study published in the journal Nature Communications.

“They’ve had normal growth. They’ve had normal lung maturation. They’ve had normal brain maturation. They’ve had normal development in every way that we can measure it,” Flake says.

Flake says the group hopes to test the device on very premature human babies within three to five years.

“What we tried to do is develop a system that mimics the environment of the womb as closely as possible,” Flake says. “It’s basically an artificial womb.”

(click link at top to read on NPR.org)

Show Me Your Cochrane!

http://www.orgasmicbirth.com/cochrane/

(click link to read blog on orgasmicbirth.com)

Turning a page for Maternity Care

I am pleasantly surprised that we may be FINALLY  turning a page in the her-story of medicalized maternity care. While most fields of medicine base their practices on the latest and best science, maternity care has been in the dark ages, leaving a huge gap between what science knows and what we practice.  This gap puts MotherBabies at risk, creates birth trauma and ultimately has added to the growing FEAR of childbirth that many expectant parents and even some providers feel.

(click link to keep reading…)

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)

Miscarriage Causes, Rates Widely Misunderstood, Study Shows

Miscarriage Causes, Rates Widely Misunderstood, Study Shows

Most men and women wrongly believe that miscarriage is highly uncommon, and many do not understand its causes, according to a national survey analyzing perceptions of miscarriage.

The widespread lack of understanding may contribute to feelings of isolation and guilt among individuals who have experienced a pregnancy loss, the survey also found.

(click link above to read on Huffington Post)