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Time to Update ACOG's Patient Education Pamphlets?

The NHS posted an article on their web site about the recent study in the British Medical Journal regarding eating in labor. The article speaks favorably— or favourably, if you prefer— of the study. The stock photo of the woman straining on her back is a bit troubling.

ACOG has a series of patient education pamphlets on their web site, one of which now needs updating. Here’s a screenshot of Pain Relief During Labor and Delivery:




These online pamphlets contain much of the information that women complain they were never given about the risks of various interventions. However, their Vaginal Birth After Cesarean patient education pamphlet contains a glaring lie.



Just because my kids believe in Santa Claus doesn’t mean that he actually delivers presents through the chimney.



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Reader Comments (6)

Haaaa haaa... Vagina. Chimney. Brilliant.

March 26, 2009 | Unregistered CommenterTheFeministBreeder

Oh good. You saw my advance apology for the metaphor on twitter. It's about as wonderful as the age-old 'woman as car, OB as mechanic' comparison but I couldn't resist.

March 26, 2009 | Registered CommenterJill


March 26, 2009 | Unregistered CommenterNoble Savage

ACOG's pamphlets seem to read that the only complication that the baby can experience is a slower heartbeat which can be resolved with an IV. Gone are the serious material risks to mom including the relationship between epidurals and prolonged labor, vaccum/forceps, c/s, death, intoxication; and added risks to baby with the need for narcotic antagonists,extreme revival methods, and death, plus the risks which vaccum/forceps and c/s bring.

Epidurals, putting out those pesky rings of fire (in a delivery room near you) so Santa O can have a go.

Vaccum, forceps, cesarean recovery, aren't those epidurals just lovely.

March 26, 2009 | Unregistered CommenterAnon

Anon, notice that they saved space for this:


Many women worry that receiving pain relief during labor will somehow make the experience less "natural." The fact is, no two labors are the same, and no two women have the same amount of pain. Some women need little or no pain relief, and others find that pain relief gives them better control over their labor and delivery. Talk with your doctor about your options. In some cases, he or she may arrange for you to meet with an anesthesiologist before your labor and delivery. Be prepared to be flexible. Don't be afraid to ask for pain relief if you need it."

I know many who would refute the claim that epidurals are dangerous in any way. You're right... the pamphlet doesn't mention increased risk of c/s or operative delivery, but it does let you know you might have a headache.

March 27, 2009 | Registered CommenterJill

Hmmmn, widespread natural birth will do to the obstetric industry what widespread wind and solar power will do to the fossil fuels industry, decrease it to the bare necessary minimum. Seems like the headaches that are important are occurring in the industry as they try to maintain their hold on profits.

The AMA in Australia is even complaining about having "new" rules imposed upon them that require more stringent adherence to patient's rights in all aspects of medical care. (Found on their website.) Wah. Even mechanics and plumbers detail the what, where, why and how, so my car and my shower have more rights than I do.

March 27, 2009 | Unregistered CommenterAnon
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