Archive for the ‘VBAC’ Category

Finding The Right Midwife For Your Home Birth

Friday, January 11th, 2008

CHOOSING YOUR MIDWIFE: INTERVIEW QUESTIONS

· What is your birth philosophy?
· What is your training? Are you certified? If yes, with whom and why? If no, why not?
· Are you licensed in the state of _____?
· What is your scope of practice?
· When would you find it necessary to go outside your scope of practice?
· Are there any circumstances (physical, emotional, and/or spiritual) would you not take a woman as a patient?
· When would you risk out a patient?
· What is your style of practice (laid back, hands on, managing)?
· How much time will be spent with me during each appointment? Do you come to my home or do I come to your office?
· At what intervals will you see me during pregnancy?
· What can I expect at a prenatal visit?
· What routine tests are utilized during pregnancy? What if I decline these tests?
· What routine herbs or supplements do you like your patients taking during pregnancy?
· At what point in labor do you normally arrive?
· What positions are you comfortable catching in? Birth stool? Hand/Knees? Squatting? Standing? Water?
· What do you do in the event a complication arises during labor or birth? When would you transfer a patient?
· Do you ever do episiotomies? If yes, when, why and how often?
· How are post-dates (post-42 weeks) handled in your practice?
· Do you ever encourage induction by pharmaceutical, herbal, AROM or other natural means? If yes, please describe.
· Do you have a partner or an assistant?
· Who would attend me if you are ill, had an emergency or are at another birth?
· Briefly please describe the types of births you are most and least experienced with.
· What if I hire a doula? Are there restrictions on the doula I may hire? If yes, why? What is your perception of the role of a doula at a homebirth?

Points to ponder afterward:

· Did you feel immediately comfortable and heard at the interview?
· Was MW willing to answer questions in detail without being annoyed?
· Are you comfortable with her scope of practice?
· Are her expectations of you reasonable?
· Are your expectations of her reasonable?
· Are you able to take full responsibility for your decisions with this midwife?

All Rights Reserved Desirre Andrews Birthing Touch 2008

Cesarean Rate Hits a New High – 31.1%

Wednesday, December 5th, 2007

Below is the current ICAN press release (http://www.ican-online.org/) in response to the CDC report released today regarding 2006 childbirth data (http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_07.pdf ). The latest Colorado numbers (2006) are showing a 25.3% cesarean rate an increase of 2.8% since 2005. Though this is clearly lower than the national average, Colorado is still nearly double the reasonable cesarean rate of 10-15%. By no means should we feel comforted by this, falsely secure or safe knowing that other states have more extreme numbers.  

I hope we are outraged that the current standard and attitude in maternity care is causing needless major surgery, allowing women to be lied to about true risk and benefit, injury to women and babies (even death), future fertility/pregnancy issues, emotional trauma, and financial strain personally and governmentally (I could go on and on).  

It is time for women to take charge of their own care by insisting their provider use protocols and practices that are proven safe (almost always that would be normal unfettered vaginal birth) or vote with their wallets, insurance cards, and feet!  

No peace today. Desirre  

  

Cesarean Rate Hits a New High 

Recent Studies Show Cesareans Can Pose Dangers to Mothers and Babies 

  

Release Highlights:  

  • Cesarean rate at record high in the U.S. 

  • Cesarean rise coincides with CDC report that maternal death rate rising for the first time in decades. 

  • World Health Organization data shows that mothers die at a higher rate in the U.S. than 40 other countries. 

  • Consumer Reports includes cesarean on “10 overused tests and treatments”  

Colorado Springs, CO, December 5, 2007 – The National Center for Health Statistics has reported that the cesarean rate has hit an all-time high of 31.1 percent.  

Cesarean section is major surgery and doctors are overusing it on women and their babies,” said Desirre Andrews. “People tend to think because cesareans are common that they are risk-free, but unfortunately, many women and babies are paying the high price of complications from this surgery.” 

For the second year in a row, ICAN has compiled a list of research from the past year that shows cesarean surgery should be used more judiciously and that VBAC should be used more routinely. (See attached) Currently, more than 300 hospitals across the U.S. ban women from having a VBAC, essentially coercing them into unnecessary surgery and feeding the growing rate of cesarean. In Colorado, all of the western slope hospitals have joined this trend.  

The risks of cesarean were tragically highlighted this year by a rash of deaths related to the surgery, including two schoolteachers and friends from New Jersey, Valerie Scythes and Melissa Farah, who died within two weeks of each other in the spring. Both left behind healthy baby girls. 

In August, the Centers for Disease Control released a report showing that, for the first time in decades, the number of women dying in childbirth has increased. http://www.cdc.gov/nchs/data/nvsr/nvsr55/nvsr55_19.pdf Experts note that the increase may be due to better reporting of deaths but that it coincides with dramatically increased use of cesarean. The latest national data on infant mortality rates in the United States also show an increase in 2005 and no improvement since 2000. http://www.cdc.gov/nchs/products/pubs/pubd/hestats/prelimdeaths05/prelimdeaths05.htm 

At a time when maternal and infant mortality rates are decreasing throughout the industrialized world, the United States is in the unique position of having both a rapidly increasing cesarean rate and no improvement in these basic measures of maternal and infant health.” says Eugene Declercq, Ph.D., Professor of Maternal and Child Health at Boston University School of Public Health.  

Another report released in October by the World Health Organization, the United Nations Population Fund, the U.N. Children’s Fund, the U.N. Population Division and The World Bank, and published in the Lancet shows that the U.S. has a higher maternal death rate than 40 other countries. http://www.thelancet.com/journals/lancet/article/PIIS0140673607615724/fulltext “Women in the U.S. think they’re getting top notch care, but our death rate for mothers shows otherwise,” says Udy. The U.S.’s maternal death rate tied with that of Belarus, and narrowly beat out Bosnia and Herzogovena. 

ICAN’s collection of research highlights from 2007 demonstrates the inherent risks of cesarean including a higher risk of dying in childbirth, a higher chance of suffering from potentially fatal placental problems in subsequent pregnancies, and babies having a higher chance of dying in the first year. Research from 2007 also shows that VBAC continues to be a reasonably safe birthing choice for mothers.  

The research continues to reinforce that cesareans should only be used when there is a true threat to the mother or baby,” said Udy, President of The International Cesarean Awareness Network. “Casual use of surgery on otherwise healthy women and babies can mean short-term and long-term problems.”  

For women who encounter VBAC bans, ICAN has developed a guide to help them understand their rights as patients. The resource discusses the principles of informed consent and the right of every patient to refuse an unwanted medical procedure. The guide can be found at:   Your Right to Refuse: What to Do if Your Hospital Has “Banned” VBAC Q & A.  

Women who are seeking information about how to avoid a cesarean, have a VBAC, or are recovering from a cesarean can visit www.ican-online.org for more information. In addition to more than 90 local chapters nationwide, the group hosts an active on-line discussion group that serves as a resource for mothers.  

About Cesareans: ICAN recognizes that when a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies include: low birth weight, prematurity, respiratory problems, and lacerations. Potential risks to women include: hemorrhage, infection, hysterectomy, surgical mistakes, re-hospitalization, dangerous placental abnormalities in future pregnancies, unexplained stillbirth in future pregnancies and increased percentage of maternal death. http://www.ican-online.org/resources/white_papers/index.html 

Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. There are 94 ICAN Chapters across North America, which hold educational and support meetings for people interested in cesarean prevention and recovery. 

  

For women who have experienced a cesarean, who are working towards a VBAC, or simply want to know how to prevent a first cesarean, ICAN of Greater Colorado Springs is available to provide resources and support. For more information on how to get involved, contact:f Greater Colorado Springs  

Desirre Andrews Chapter Leader 

719-331-1292 or ICANCOS-owner@yahoogroups.com 

http://health.groups.yahoo.com/group/ICANCOS/ 

www.ican-online.org 

  

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Rising Cesarean Rate Bad for Mothers

Top 12 Studies from 2007 

1. Maternal and neonatal individual risks and benefits associated with caesarean delivery: multicentre prospective study (Villar, et al., British Medical Journal, 2007;335:1025, 17 November) 

Study Design: Researchers assessed the risks and benefits of cesarean delivery vs. vaginal delivery.  

Bottom line: Cesarean carries twice the risk of injury and death for both mother and baby. Women with cesarean experience double the rate of hysterectomy, blood transfusion, admission to intensive care, prolonged hospital stay and death, compared to mother who delivered vaginally. Babies born by cesarean were 45 percent more likely to be in the neonatal intensive care unit for 7 days and 41-82 percent more likely to die than babies born vaginally. 

  

  1. Risk of Uterine Rupture and Adverse Perinatal Outcome at Term After Cesarean Delivery (Spong, et al., Obstetrics and Gynecology 2007; 110: 801-7)

Study Design: Researchers examined the risk of uterine rupture after cesarean and what harms it may have for mothers and babies.  

Bottom line: Regardless of how the baby was delivered, the rate of uterine rupture was low and complications from rupture were also low for both mother and baby.  

  

  1. Maternal outcomes associated with planned primary cesarean births compared with planned vaginal births. (Declercq, et al. American Journal of Obstetrics and Gynecology. 2007 Mar; 109(3):669-77.)  

Study Design: Researcher divided mothers into two groups: women with a planned cesarean after no labor and women who labored and had either a cesarean or vaginal birth and then compared rehospitalization rates.  

Bottom Line: Rehospitalizations in the first 30 days after giving birth were 2.3 times more likely in planned cesarean than with planned vaginal births. The leading causes of rehospitalization after a planned cesarean were wound complications and infection. Hospital costs were 76 percent higher for women with planned cesarean, and hospital stays were 77 percent longer.  

  

  1. Previous caesarean or vaginal delivery: Which mode is a greater risk of perinatal death at the second delivery? (Richter, et al., European Journal of Obstetrics & Gynecology and Reproductive Biology 2007; 132: 51-7) 

Study Design: Researchers compared mothers who had delivered previously by cesarean vs. vaginally, and examined the number of babies who died in the subsequent pregnancy.  

Bottom line: A previous cesarean delivery was associated with a 40 percent increase in perinatal death (the first week after birth) and a 52 percent increase risk of stillbirth. A vaginal or cesarean delivery in the current pregnancy did not impact the death rate.  

  

  1. Postcesarean delivery adhesions associated with delayed delivery of infant (Morales, et al., American Journal of Obstetrics and Gynecology 2007; 196: 461.e1e6 

Study Design: A common complication of any surgery is overgrowth of scar tissue, called “adhesions.” Researchers examined the frequency of adhesions with successive cesareans and whether adhesions caused by cesareans could slow down the delivery of a baby in the next pregnancy.  

Bottom line: Researchers concluded that each successive cesarean significantly increases the incidence of adhesions and can slow down the delivery of a baby. One prior cesarean adds 5.6 minutes to the time it takes to deliver the baby, 2 prior cesareans 8.5 minutes, and 3 prior cesareans 18.1 minutes. This delay can compromise the health of the baby, researchers concluded.  

  1. Association of caesarean delivery for first birth with placenta praevia and placental abruption in second pregnancy. (Yang, et al., British Journal of Obstetrics and Gynecology: 2007 May;114(5):609-13.)  

Study Design: Researchers examined the incidence of placenta previa (placenta blocking the cervical opening) and placental abruption (placenta separating from the wall of the uterus prematurely) in women who have had a prior cesarean vs. a prior vaginal delivery.  

Bottom line: Compared to vaginal birth, cesarean increased the risk of placenta previa by 47 percent and placental abruption by 40 percent. Both complications carry the risk of death for both mother and baby. Researchers indicated that complications may be due to the cesarean scar on the uterus. 

  

  1. Risks of adverse outcomes in the next birth after a first cesarean delivery. (Kennare, et al. American Journal of Obstetrics and Gynecology. 2007 Feb; 109(2 Pt 1):270-6.)  

Study Design: Researchers examined the complication rate of women who delivered their first baby by cesarean vs. vaginally. 

Bottom line: Women who had a prior cesarean delivery were more likely to have complications than women who had a prior vaginal delivery. Women with a prior cesarean were more likely to have a placenta previa (odds ratio [OR] = 1.66), placenta acreta (OR = 18.79), and bleeding during pregnancy (OR = 1.23). During delivery, women with a prior cesarean were also more likely to have a prolonged labor (OR = 5.89), uterine rupture (OR = 84.42), and need an emergency cesarean (OR = 9.37). Babies born to women with a prior cesarean were more likely to be small for their gestational age (OR = 1.12), have a low birth weight (OR = 1.30), and to be still born (OR = 1.56). 

  

  1. Safety and efficacy of vaginal birth after cesarean attempts at or beyond 40 weeks of gestation. (Coassolo, et al., Obstet Gynecol. 2006 Jan;107(1):205)  

Study Design: Women who attempted VBAC before the estimated due date (EDD) were compared with those at or beyond 40 weeks of gestation. Researchers assessed the relationship between delivery after the EDD and VBAC failure or complication rate.  

Bottom Line: The risk of uterine rupture (1.1 percent compared with 1.0 percent) or overall morbidity (2.7 percent compared with 2.1 percent) was not significantly increased in the women attempting VBAC beyond the EDD. Women beyond 40 weeks of gestation can safely attempt VBAC, although the risk of VBAC failure is increased.  

  

  1. Incisional endometriomas after Cesarean section: a case series. (Minaglia, et al., J Reprod Med. 2007 Jul;52(7):630-4.)

Study Design: Patients were identified who were diagnosed with incisional endometriomas (functional endometrial tissue outside the uterine cavity, within the incision) after undergoing cesarean section.  

Bottom Line: The overall incidence of incisional endometriomas following cesarean section was 0.08 percent. Optimal treatment is by surgical excision.  

  

  1. Predicting Failure of a Vaginal Birth Attempt After Cesarean Delivery. (Srinivas, et al., Journal of Obstetrics and Gynecology. 2007 Apr;109(4):800-5)  

Study Design: Researchers analyzed the records of women offered VBAC in 17 community and university hospitals, to identify any factors that could be used to predict failure in attempting VBAC.  

Bottom Line: Prelabor and labor factors cannot reliably predict VBAC failure.  

  

  1. Caesarean delivery and risk of stillbirth in subsequent pregnancy: a retrospective cohort study in an English population. (Gray, et al., BJOG:2007 March 114(3) 264-270)  

Study Design: Researchers compared the incidence of stillbirth following a previous cesarean section with stillbirths following no previous cesarean section.  

Bottom Line: Pregnancies in women following a pregnancy delivered by cesarean section are at an increased risk of stillbirth.  

  

  1. Predicting placental abruption and previa in women with a previous cesarean delivery. (Odibo, et al., Am J Perinatol. 2007 May;24(5):299-305.)  

Study Design: In women with a previous cesarean section, researchers compared those who had a placental abruption and/or previa with those who did not.  

Bottom Line: Three or more previous cesarean sections was a significant risk factor for placental abruption and previa.  

  

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Individual fit: Who and where you choose during pregnancy and childbirth matter.

Sunday, November 25th, 2007

Picture this: An expectant mother is preparing for the birth of her baby. She chooses the care provider her friend, co-worker or family member recommended, she is reading the most popular books on pregnancy and birth (she doesn’t know there are any others to choose from – everyone is reading these), she cannot help herself as she watches hour upon hour of those baby and birth shows on t.v., people tell her their birth stories and to just get the epidural (after watching those birth shows and hearing THOSE stories she is beginning to think it might just be a good idea). Right now, she is pretty sure she doesn’t want to be induced (she heard it hurts more, but knowing when the baby will come is appealing) or have a cesarean but other than that she is leaving it up to her care provider.

Now she starts her childbirth class. This class is based on normal birth and evidence-based practices. Hm those books she was given are SO different than what the instructor says during class. The instructor doesn’t even recommend those books but a host of other books and websites. She begins to wonder what her care provider really thinks and believes about birth. Also, what birth philosophy and practices her chosen birth location has.

I have written a list on choosing a care provider and birth location that is right for you. This is too important to make decisions without extra thoughtfulness and investigation. The key to this information is remembering you are the one purchasing a service. Essentially you are hiring a catcher with medical expertise and renting a room to birth your baby (if you are going to the hospital or birth center).

Choosing the place of birth for your baby – It is incredibly important that you understand where you fit best prior to choosing where to birth your baby. Take hospital and/or birth center tour, call and talk to L&D floor, get facts on home birth by talking to home birth midwives, other moms who have had home births, online and in books.

  • Does the location offer what is most important to you (tubs, birth balls, wearing own clothing, intermittent monitoring, etc.)?
  • What are standard protocols that are followed?
  • Does location routinely use methods that turn a low risk mom and baby into high risk patients?
  • Are waterbirths available?
  • Are birthing stools or non-reclined pushing and delivery positions encouraged?
  • What is the no/low intervention rate?
  • What is the epidural rate?
  • What is the cesarean rate? Does the hospital support VBAC’s?
  • Are mom and baby friendly practices used? (no routine interventions, no separation of mom and baby, breastfeeding is the norm, movement in labor is utilized, etc.)

Points to Ponder afterward

  • Will I be able to have the type of birth I truly desire?
  • What location will I ultimately feel most comfortable in?
  • What location is ultimately safest for my specific needs (I am currently low-risk or high risk)?
  • Is insurance or lack of it the reason I am choosing the location?
  • Do I have realistic expectations for the location?
  • Am I willing to take responsibility for my birth in the location?
  • Is staff open to working with a doula?
  • Is staff willing to work with natural childbirth practices?
  • Are there any compelling reasons to choose one location over another?

Choosing your care provider – Use this as a template for the interview process or to be certain you are of the same philosophy and belief system.

  • What is his/her birth philosophy?
  • What is philosophy of pregnancy?
  • Has provider seen normal labor and birth? How often?
  • What percentage of patients have medicalized births?
  • How is the “due date” approached? When is “overdue”?
  • Will you answer questions over the phone?
  • How much time will you spend with me during each appointment?
  • What if I hire a doula? Are there restrictions on the doula I may hire? If yes, why?
  • Do I need a childbirth class? Breastfeeding class?
    o Are there restrictions on the type of childbirth or breastfeeding class? If so, what and why?
  • What routine tests are utilized during pregnancy? What if I decline these tests?
  • What are routine intervention rates? (IV, AROM, continuous monitoring, etc.) Cesarean rate? VBAC rate?
  • Induction rate? What induction methods are used?
  • Is natural, normal labor and birth supported?
  • What positions is care provider comfortable catching in? Birth stool? Hand/Knees? Squatting? Standing?
  • If I choose an epidural, when can I get it or when is it too late?
  • How often is episiotomy used?
  • When would forceps/vacuum be used? Which method is CP comfortable with?
  • What about a birth plan? Will desires be put into my file at the hospital so the nurse and/or back-up will know what has been agreed to?
  • Are there any protocols that are non-negotiable?
  • What if I choose to decline something after careful consideration?
  • Is an on call rotation utilized or does CP attend all own patients? If there are partners or an on call rotation, do EACH of the others share in the same birth philosophy and approach to birth?

Points to ponder afterward

  • Did you feel immediately comfortable at the interview?
  • Were or are questions specifically answered or is the answer “only when necessary” without additional information unless pressed?
  • Was or is care provider willing to answer questions in detail without being annoyed?
  • If already with a CP, do you feel comfortable and heard at each appointment?
  • Is choosing your care provider based on your insurance or lack of insurance?
  • What are you willing to do in order to have the birth you really desire? Birth location?
  • How much responsibility are you willing to take for the health care decisions for you and your baby?

Cesarean Avoidance – Tips For Every Woman

Wednesday, November 21st, 2007

Yes you DO want to avoid a cesarean whenever possible. Cesarean is MAJOR surgery. It is not just another way to give birth. Both women and babies are well designed to give birth often never needing intervention of any type.

Cesarean can be a life-saving technique and used well for some serious medical conditions, including but may not be limited to placenta previa, HELLP syndrome, uterine rupture, placental abruption, cord prolapse, some breech presentations, true fetal distress, vasa previa and high order multiples.

Approximately 50-67% or more of all cesarean surgeries performed in the U.S. are likely unnecessary or become “necessary” from iatrogenic influences (non-medical inductions, AROM, pitocin augmentation, epidural or spinal anesthesia, “fetal distress”, suspected big baby, lack of mobility, continuous fetal monitoring, pushing positions and/or technique).

Here are some tips to help you avoid a cesarean and have a positive vaginal birth.

  • Get educated: Book to start with – The Thinking Woman’s Guide To A Better Birth by Henci Goer, Ina May’s Guide to Childbirth by Ina May Gaskin, The Official Lamaze Guide. Giving Birth with Confidence by Lothian and DeVries. Seek out websites that use evidence-based information and normal birth practice information. TURN off the t.v. from the dramatic birthing shows unless you watch with a discerning eye to figure out what could be done differently and why. Seek out local resources such as La Leche League, Birth Network, Birth Circles and/or a local ICAN chapter to learn from other women. Take a childbirth class that is not a good patient preparation class. Take an independent evidence-based class that gives you tried and true techniques along with the communication skills to use your consumer voice. Study and learn about your rights as a pregnant woman, informed consent/refusal and all the usual interventions and medications (induction, augmentation, AROM, epidural, monitoring, etc.).
  • Interview Several Care Providers: You want to find out what the raw data is for inductions, interventions, epidurals, episiotomy, cesareans, VBAC’s and so on. It is important to get at the core philosophy of the care provider. Email me at desirre@birthingtouch.com to receive my handout on this.
  • Interview several and hire a Doula: You want a doula who will fit into your philosophy of birth and labor/delivery needs. One size does not fit all.
  • Use normal birth practices: Stay home as long as possible in labor (if having an away from home birth), choose a care provider who supports and believes in you, use a variety of natural coping techniques, opt out of routine induction, opt out of continuous monitoring unless high risk, opt out of routine augmentation, opt out of routine epidural or narcotic use, opt out of routine pushing position, limit vaginal exams, use mobility, TRUST yourself, LISTEN to your body and baby, accept responsibility for your decisions, BE confident that you are designed for this task.

I hope this has given you a jumping point to go out and birth!

Happy Thanksgiving.

Desirre

http://www.cdc.gov/nchs/data/hestat/prelimbirths05_tables.pdf#1

http://www.ican-online.org/

http://www.lamaze.org/Default.aspx?tabid=171

http://www.birthingtouch.com/

http://www.childbirthconnection.org/

http://www.hencigoer.com/

Sisterhood of the scar – many years post cesarean

Sunday, November 18th, 2007

Sisterhood of the Scar

Seems a long distance the ivory tower to the ground. The surprise in finding the thorny bushes with burrs that dig deep and puncture again at will? Well meaning onlookers say “Well a hundred years ago you both would have died?” And the farce begins. Stuff it down because it is crazy not to be grateful for the surgeon’s hand. Smile and pretend all the twisted darkness inside doesn’t really exist. The oft daily chore mixed with joy of caring for a baby whom we are unsure is truly our own. The continuing assault during lovemaking when a cringe comes from the depths when a loving and hungry hand brushes the incision site. “How can he think I am beautiful? How can he possibly want this?” Another thing of beauty and perfection quashed underneath the burden of the surgeon’s handprint. Oh no say it hasn’t already been a year. The birthday. THE birthday sounds so exciting but terror strikes. Preparation to be happy, preparation to feel joy. Preparation not to shortchange our amazing gift of a child under the pain of the surgeon’s knife print.

The anticipated day meant to birth us into motherhood and my child into my waiting hands to my craving breasts, I was birthed into the Sisterhood of the Scar forever.

Visuals that make one go…………….

Saturday, November 17th, 2007

Ah the joys of video and the web….

http://youtube.com/watch?v=roFVkDV45MM Question CPD
http://youtube.com/watch?v=2dRF4RtdJdo 1 in 3
http://youtube.com/watch?v=lfoR0fAUD34 Becky’s Birth
http://youtube.com/watch?v=Am0aykTPL2M&feature=related My Unnecesarean
http://youtube.com/watch?v=aQd0hPHWOlQ&feature=related My HBA2C
http://youtube.com/watch?v=3lYAKu8k_T0&feature=related A Birth Story
http://www.onetruemedia.com/otm_site/view_shared?p=2a4e81fbf0f66accb8afce HBA3C

These are REAL women and families. This is a very real way our current birth climate takes a toll every minute, every hour, every day, every week, the ripple has become a wave…..

Thank you to ICAN http://www.ican-online.org/ and the women of grit who are taking their power back.

Your body. Your birth. Your life. Use them wisely.

Pass them on!

Pax,

Desirre

Language, birth practices and political correctness.

Saturday, November 17th, 2007

These days political correctness seems to rule the world (at least the United States). We have become so easily offended that we often miss the truth and follow parcels of truth weighted down by vast untruth for someone else to gain from in some way, not for the health and safety of our bodies or our children.

Language matters. Language can affect how we perceive our bodies, our designed in capabilities and our baby. Language has the ability to strengthen confidence or smash it to pieces in one single moment.

Below is a list that is purposed to make you the reader stop and think. Take the almost ho-hum usual and shed new light on it.

Take a scroll down this inaugural blog and tell me what you think?

cesarean = “controlled” uterine rupture (read in Pushed)
planned epidural = planned paralysis
OB = high risk surgical specialist
Family Practitioner/Midwife = low risk normal birth expert
cesarean rate = epidemic
rising induction and cesarean rates = daylight obstetrics (read in Pushed)
induction = forced birth (Ruth Trode)
ACOG = trade union
Formula=stagnant (Ruth Trode)
Breastmilk=life (Ruth Trode)
Failure to progress = failure to wait (Henci Goer?)
Episiotomy = surgical cut
FEAR = a False Education Appearing to be Real (heard from many places)
AROM (artificial rupture of membranes) = artificial readiness of mother
unneccesary cesarean = unnecesarean (heard from many places and Joni)
CPD = care provider distrust

Please email me at desirre@birthingtouch.com if you have a word change up you would like to see on an updated post in the future. For more information on me, go to http://www.birthingtouch.com/.

Thank you to the women of www.independentchildbirth.com for working on this list with me.

Be BOLD, find the truth and spread it!

Until next time,

Desirre