Obstetrician/gynecologist Lauren Plante has a remarkable essay in the International Journal of Feminist Approaches to Bioethics in which she condemns the rising cesarean rate and compares current U.S. childbirth practices to the industrial revolution.
It's now a woman's civic right to breast feed her baby in public. Before the new law, women couldn't be arrested for indecency while breastfeeding, now they're protected from being asked to leave.
The largest study of its kind has found that for low-risk women, giving birth at home is as safe as doing so in hospital with a midwife.
In 2001, the USDA concluded that if breastfeeding rates were increased to 75 percent at birth and 50 percent at six months, it would lead to a national government savings of a minimum of $3.6 billion. This amount was easily an underestimation since it represents savings in the treatment of only three of the dozens of illnesses proven to be decreased by breastfeeding: ear infections, gastroenteritis, and necrotizing enterocolitis.
A decade ago, surgical delivery mainly was reserved for emergency situations, such as when mothers had high blood pressure or were failing to progress in labor or the baby showed signs of distress. Today, several factors are leading to the rapid rise in C-sections, even though having one carries with it a longer hospital stay, longer recovery time and the risk of complications from anesthesia. Those factors include changing attitudes toward childbirth, the convenience of a scheduled birth for busy women, and malpractice concerns by doctors and insurance companies.
The lights of the operating theatre are dimmed and there is a mood of calm among the hospital staff. A midwife softly narrates a continuing procedure to a patient who is squeezing her husband's hand. The surgeon gives the nod: it's time. The drape across the patient's abdomen is lowered and her head is raised. Her eyes widen as she and her husband watch their baby, tiny and pink with a mop of black hair, being gently delivered from her. There is a moment of collective awe before the newborn's cry fills the air. "It's a boy!" his mother gasps, before enveloping him in a warm hug.
Doctors in Dublin’s maternity hospitals are performing an increasing number of life-saving hysterectomies on mothers who have previously had caesarean sections. The upsurge in the number of births by c-section has led to a marked increase in emergency operations to remove women’s wombs due to a condition called placenta accreta, according to a new study.
Babies born just three to six weeks before their due dates are more likely than full-term babies to have disabilities or developmental delays in kindergarten, a study has found. The children also are slightly more likely to be suspended or held back in kindergarten and to require special education.
The Birth Survey is structured around the Coalition for Improving Maternity Services (CIMS) evidence-based 10 Steps to Mother-Friendly Care and other quality of care indicators. The creation of The Birth Survey has been inspired by Childbirth Connection's Listening to Mothers Survey (Harris Interactive, October 2002) and the A-CAHPS (Ambulatory Consumer Assessment of Healthcare Providers and Systems) program and surveys.
We believe that women of childbearing age must have access to information that will help them choose maternity care providers and institutions that are most compatible with their own philosophies and needs. We hope that the Transparency in Maternity Care Project will provide information that will help women make fully informed maternity care decisions.
We also believe that maternity care practitioners and institutions must have access to feedback from their patients. We hope that doctors, midwives, and hospital administrators will find the information generated through the Transparency in Maternity Care Project useful in quality improvement efforts.
Women need accurate, objective data in order to make fully informed choices about birth settings and providers. Practitioners and hospital administrators also need data to evaluate whether they are delivering quality care. We hope this project will fill a void by providing much needed information that benefits all parties engaged in maternity care.
Women who choose to have an elective caesarean in the belief that it will prevent incontinence and genital prolapse are "misguided" and may be putting their health, and that of their baby, at unnecessary risk.
