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Dedicated to Saving The Lives of Those Giving Life to Others
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American College of Nurse-Midwives Publishes Clinical Guidelines for Oral Nutrition During Labor
Released May 19, 2008
Silver Spring, MD
The article below is the newest bulletin from the College of Nurse Midwives. After reviewing the evidence the college concluded " that drinking and eating during labor can provide women with the energy they need and should not be routinely restricted." Thus, dispelling the age old myth of no food or drink during labor. Women in other countries have been eating and drinking during labor for centuries. Your body knows when to stop taking in food.
Nutrition
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What Does Good Maternity Care Look Like? Supported by; CIMS ( Coalition for Improving Maternity Services), Lamaze International, Citizens for Midwifery, Midwives Alliance of North America The following short model includes the Ten Steps of Mother-Friendly Care, the Midwives Model of Care and Six Care Practices that Support Normal Birth. These practices support evidence -based care and promote healthy deliveries and healthy babies. See how close your hospital and or health care provider come to following these principals. Good Maternity Care |
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Doula Support Reduces Cesarean and Epidural Rates Source: Birth 2008:35:92-7
"Continuing presence of a doula significantly reduces C-Section delivery rates ad the need for epidural analgesia." Even when labor is induced the study showed that with the presence of a doula only 12.5% of women had a C-Section. Without a doula inductions resulted in 58.8% of C-Section births. The study concluded that continued presence of a doula is a "risk free obstetric technique and should be made available in ALL maternity units".
Doula
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Misoprostol label change welcomed by Obstetricians: Revisions acknowledge off label uses: New Labor and Delivery Section
OB/GYN News, June 1, 2002 by Kate Johnson
Although this article was written in 2002 it demonstrates the reason that the medical profession does not recognize the tremendous risk factors to a significant number of mothers who receive cytotec to induce their labors. The label revision does provide risk factors associated with cytotec inductions such as uterine rupture, AFE, death of the mother and death of the baby. However, it downplays these side effects stating," randomized trials and systematic, ( note not scientific) reviews ( not studies) all of which are to small and insignificant to be used as evidence based conclusions.
Reviews
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Effects of Hospital Economics on Maternity Care
by Susan Hodges with Henci Goer
Citizens for Midwifery
The following article, while written originally over a year ago, still holds true today. The authors, Susan Hodges and Henci Goer wrote the original paper entitled "Economic Disincentives for Mother Friendly Care." The article clearly shows how maternity care in the US is Big Business. Over 25% of all hospital stays by women are due to pregnancy and childbirth. When 99% of all births in the US take place in hospitals and the C-Section rate is now over 33% of all births.... this spells big money. A natural birth, with a midwife, or in a birth center, or at home does not come close to the cost of a hospital stay, which could go as high as $35,000 in the case of a C- section.
Big Money
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After Caesareans, Some Higher Insurance Cost
NY Times, June 1, 2008 Health Section
Very scarrey article. Once you have a C-Section your insurance rates go up. Considering that over 33% of all US births are C-Sections, this seems to be more profit driven then medically , or coverage, oriented. Has medical insurance in the US now reached a point where it is equivalent to car and homeowners insurance. Once a claim is made, the premium goes up??? The only good thing is that if this information gets out, more women will be wanting to choose natural births and or home births.
Insurance
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FDA to Take A, B and C Out of Pregnancy Labeling
By Peggy Peck, Executive Editor, MedPage Today
May 28, 2008
Reviewed by Dori F. Zaleznik, MD
The new Pregnancy labeling which the FDA is proposing for drug labels will make it LESS likely that pregnant women and some doctors will read the information on secific adverse events and contraindications. The current alpha labeling ( A,B, C and X, where X means DO NOT GIVE TO PREGNANT WOMEN) is very straight forward and simple to follow and understand. The new labeling is unnecessary reformating and revision and will only confuse the public and decrease understanding of whether or not a mom should risk taking the proposed drug.
Label
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MIDIRS Informed Choice Leaflets for Health Professionals Informed Choice, March 2008 , United Kingdom The following article has links to a wide variety of leaflets, compiled in the United Kingdom by and for Health Professionals regarding issues that come up in childbirth. Click on the subject area for more information.
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