VBACs, worthless birth software, breastfeeding, unnecessary inductions and Godwin’s Law brought to you for your weekend reading pleasure.
VBACs: Breaking the repeat cesarean cycle (from the San Francisco Gate)
Monica Cornish delivered her first child by cesarean section. “My baby was breech and my recovery was difficult due to some problems with the incision healing,” Cornish says. “They basically had to reopen it and leave it open for a week to drain all the blood out. Pretty gory and uncomfortable, and not what you want to be doing with a newborn. It was several weeks before I could sit up in bed by myself or walk up stairs.”
Now Cornish, 35, is pregnant with her second child. She could easily arrange for a repeat cesarean, a convenient option that would allow her to pick an exact time and day to have her baby and then plan her life around the big event. But she doesn’t want to endure abdominal surgery again, so she decided on a “vaginal birth after cesarean,” better known as a VBAC (commonly pronounced VEE-back).
More on Iatrogenic Shoulder Dystocia and CALM Software
LMS Medical Systems has started a PR campaign for its CALM software, which I wrote about here. I need to contact the company to see if they included iatrogenic variables in its algorithm, such as inducing a macrosomic baby with oxytocin, which research suggests makes shoulder dystocia 23 times more likely to occur than when the triad of macrosomia, induction and oxytocin are not present.
According to this article, shoulder dystocia with permanent injury can be spotted “up to 60 percent of the time.”
Sixty percent? That’s it?
LMS claims this software greatly improves detection rate with a relatively small increase in the rate of cesarean, and enables clinical teams to communicate risk effectively to patients when recommending a course of action.
I call shenanigans. Hospitals, save your money and put it toward staffing a hospitalist or laborist who can make your hospital VBAC friendly.
Stork Stories… Birth & Breastfeeding wrote Breastfeeding, Bottle Feeding and…. Somewhere In-between…. Why the Guilt?
My Vaginal Birth After Cesarian: “Women have the right to choose” (from Women’s Press)
Other than a strange affinity for blueberries, my first pregnancy was a very mainstream and very typical. I was the perfect picture of a stereotypical expectant mother in our country today. And the outcome was also a very typical story in today’s birthing environment. One medical intervention after another started a downward, unstoppable spiral. A 40 week ultrasound showed that my baby was “very big,” much too large for “any woman” to birth.
A pathetic attempt to labor was quickly called off since I was making no progress, proving that this baby was not meant to be born vaginally, and so I walked myself into the operating room, since that was what was “best for the baby”. Within minutes my son was born and being resuscitated while I was being given massive amounts of morphine.
An excerpt from the post entitled The “Big” Baby at Banned from Baby Showers:
How does your doctor know the size of you baby? Ultrasound? While ultrasound can be a useful device in estimating a number of things, when it comes to the size of the baby, it can be off by more than 2 pounds, either way! So if you have a doctor telling you that you are carrying a 10-pound baby and a C-section is the way to go, you likely are NOT really having a baby that big. Do not allow a doctor to conveniently (for him/her) cut you open because he/she is afraid of your “big” baby. They do not trust your body to give birth if they are recommending a C-section. I have a lot of confidence in a woman’s body being able to give to birth to the baby that her body allowed her to grow.
Tina Cassidy, author of the book, Birth: The Surprising History of How We are Born, posted Inductions at record levels about a report released from Childbirth Connection that shows a shocking induction rate in the U.S. of 40 percent.
Nursing Birth posted Consent for Anesthesia: Do You Know What You Are Signing?
PhD in Parenting invokes Godwin’s Law and calls for an end to flippant use of the word Nazi in describing lactivists.
Interesting people on Twitter, by the way. You should come on over.