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« Multiple Cesareans and Long-Term Maternal Health | Refusing Pitocin in Labor: Helen's Story »
Friday
Nov272009

Maybe ACOG's New Font Will Inspire Reining In of High Cesarean Rates

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With a return to their original name, a fresh new font and women hedonistically quenching their thirst in labor with wild abandon, the American Congress of Obstetricians and Gynecologists is poised for big changes.

 

From Science and Sensibility:

The major obstacle to any redesign of the territory of birth is resistance from the field of obstetrics. The American Congress of Obstetricians and Gynecologists (which recently changed its name from the American College of Obstetricians and Gynecologists, reflecting a major shift in interest from academics to politics) has a 23-member lobbying arm, “OB-GYNS for Women’s Health PAC”, which describes itself on its web site:

Ob-Gyns for Women’s Health and Ob-Gyn PAC help elect individuals to the U.S. House of Representatives and Senate who support us on our most important issues. Individuals who understand the importance of our work, who care about the future of our specialty, who listen to our concerns, and who vote our way. In only a few short years, Ob-Gyn PAC has helped elect ob-gyns and other physicians to the U.S. Congress, and has become one of the largest and most influential physician PACs in America.

Only five of the 23 members are women; all ten of its board of directors are men. Current issues occupying the group are “Stopping Medicare payment cuts, ensuring performance measures work for our specialty, preserving in-office ultrasounds” (though there are still no long-term studies on the effects of ultrasound on the developing fetus, or on women, for that matter); and “winning medical liability reform,” which means limiting liability for malpractice.

Meanwhile, the Medicaid Birth Center Reimbursement Act – Senate Bill #S.1423 (House Bill HR 2358) – is not on the list of bills that ACOG supports, even though this expansion of birth territory would probably better outcomes, and certainly cost less than the hospital OB model.

 

 

Related Posts:

Hedonistic Obstetrics & Medical Spas: Ready for Your Pap-n-Wax™?

ACOG Releases Survey Results: OB-GYNs “Ultimately Hurt Patients”

ACOG Survey: Complications Related to Home Delivery

Time to Update ACOG’s Patient Education Pamphlets?

 

 

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Reader Comments (9)

Despite ACOG's "generous" revision of their policies to allow women to drink modest amounts of clear liquids in labor, the hospital where I work has just restricted this option. Women who choose to eat and/or drink anything except ice chips in labor will have to sign a consent form stating they have been warned of the risks and are choosing to ignore medical advice.

This is generated by our anesthesia department, which is unwilling to administer anesthesia to any woman who has had food or fluids. It is extremely frustrating to be put into this adversarial position simply because I want my clients to be able to make the choice for themselves whether to eat or drink.

November 28, 2009 | Unregistered CommenterThe Midwife Next Door

So what does the hospital/anesthesia department say when someone comes in during an emergency and needs to go under? It's not like they can control food/drink prior to the patient's arrival, and it's not like laboring women plan to go under general anesthesia as part of the birthing experience. It occurs when there is an emergency. (I feel like a need a big Duh! after that last one.)

November 28, 2009 | Unregistered Commentertjwriter

To Midwife Next Door:
Here is an article for you to use to help your clients to at least be able to have clear liquids in labor.
Practice Guidelines for Obstetric Anesthesia Anesthesiology 2007, 106:843-63. Isn't this from their professional organization that guides their practice? This helped me...

November 28, 2009 | Unregistered CommenterSylvia

Midwife Next Door brings up an important point; in a hospital it is not just what the American College, I mean Coalition, I mean Consensus, I mean College (or whatever the hell they are calling themselves now) of OB/GYNEs dictates. There are many different forces determining hospital policy, and evidenced based practice may or may not support the policy. OB's, anesthesia, legal, and the hospital insurance carriers also have a say........and they patient, if they are very strong willed.

November 28, 2009 | Unregistered CommenterReality Rounds

Dang, I was hoping they'd finally make the change to American Cesarean Operations Group.

Seriously, though, I'm glad they've switched from College to Congress. No more pretense of rigorous academic research being the foundation of their policies. I'm kinda surprised though...it's not like the other Congress is the most loved institution in the country.

November 28, 2009 | Unregistered CommenterLiz Chalmers

This is just a scary thing to me. I feel physically threatened by the name, the font, the shabang! Having said that, the ladies above to raise an excellent point. It's not just want the ACOG Force says. Hospitals and OB's make policies based on many factors, least of which is physiologically supportive of the process of actual birth, but more or less from the book of "cover thy ass".

November 28, 2009 | Unregistered CommenterPatrice

I'm getting a crash course in that book of practice Patrice mentions. I currently reside in a college town, with 2 large hospitals with many clinics and practices branching off of both. I have a completely normal (already checked out via ultrasound, bloodwork, and physical examination) and the ONLY people who will see me in the entire 2 hospital city is the high risk OB clinic at the larger of the two hospitals. Not because of any suspected fetal adnomality of known problem with the pregnancy but because I have a rare genetic condition (which has almost nothing to do with pregnany if someone took 2 minutes to look it up in that handy doctor's desk reference guide) that no one had heard of. I'm 25 weeks now and have had 1 prenatal check because everyone refuses to see me, Doctors, taking care of America's great masses, unless you have a slightly unusual health problem.

November 28, 2009 | Unregistered CommenterJessica

Okay I just looked at what I post! I seriously need to read things before I posted. I meant to say..This is just a scary thing to me. I feel physically threatened by the name, the font, the WHOLE shabang! Having said that, the ladies above raise an excellent point. It's not just WHAT the ACOG Force says. Hospitals and OB's make policies based on many factors, least of which is physiologically supportive of the process of actual birth, but more or less from the book of "cover thy ass".

November 28, 2009 | Unregistered CommenterPatrice

Wax it! Slice it! Spank it! (Brazilian, Cesarean, & Respiration Special!!) Hurry in today and leave your insurance coverage at the door. No need to worry your prescription for Prozac is included in our BC&R special. *Available only to those who are willing to unquestioningly comply.

November 29, 2009 | Unregistered CommenterAnon
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