VBAC: You’re The Number One Stakeholder

In this line of work, informed consent and refusal is paramount. There is not one factor more ethically important than accurate fully informed consent. Without it, a care provider is practicing unethically, and patients are deciding blindly. Without it, it is far too easy for doctors, hospitals, and insurance companies to steamroll patients in their…

Read More

What’s in the job?

        I wonder if most of us really know what the scopes of practice are for the providers we may choose  for pregnancy, birth, postpartum, and for the baby.  Keep reading to see if you really know what the jobs encompass. As you go through the list I would like you to…

Read More

Preparing For Birth – Labor Length and Progress

There are always questions on what is the normal length for labor and what is not.  Women in labor are not static.  Though there may be averages, falling outside of those may not be reason to manage labor by augmentation or cesarean.   Patience and individualized care tend to be the biggest keys to better labor…

Read More

Shocking quotes regarding maternal choice to VBAC birth

Joy Szabo has been in the news lately for desiring a second VBAC for her fourth baby (vaginal birth, emergency cesarean, and vaginal birth).  She has been denied locally in her area of Page, AZ to have a vaginal birth. Due to this situation, the International Cesarean Awareness Network has been assisting her in fighting…

Read More

Preparing for a medically necessary labor induction

Labor induction is increasingly on the rise, however, even ACOG has a limited statement on what is a defines medically necessitated labor induction.  This is generally defined as gestation or chronic hypertension, preeclampsia, eclampsia, diabetes, premature rupture of membranes, severe fetal growth restriction, and postterm pregnancy (postterm dates are defined generally after 42 weeks gestation…

Read More

ACOG refines guidelines for fetal monitoring in labor

ACOG recently updated guidelines for fetal monitoring in labor.  They call it a refinement.  Very interesting. Directly from the press release “Since 1980, the use of EFM has grown dramatically, from being used on 45% of pregnant women in labor to 85% in 2002,” says George A. Macones, MD, who headed the development of the…

Read More

ACOG revises labor induction guidelines

(Originally posted July 2009. Information still relevant.) ACOG released a press release today regarding a new practice bulletin revising labor induction guidelines.  Though the practice bulletin is not available on the ACOG site, a detailed review is available by Medpage today.  I hope to soon have the full copy to share. Some high points I…

Read More

Pitocin – Be aware!

In recent days there has been much chatter in the birth and consumer worlds about the use or rather misuse of the synthetic oxytocin drug Pitocin (ICAN, unnecesarean, nursingbirth, daytondailynews). Pitocin is used very commonly in the United States before labor to induce, during labor to augment the process and post birth for the purpose…

Read More

ICAN’s response to ACOG and AABC statements

Redondo Beach, CA, February 7, 2008: The International Cesarean Awareness Network (www.ican-online.org) would like to publicly condemn both the AABC (American Association of Birth Centers) and the ACOG (The American College of Obstetricians and Gynecologists) for their statements* this week that limit not only women’s choices in birth but imply that birth is a fashion…

Read More

ACOG believes in limiting your birth choices

The American College of Obstetricians and Gynecologists (ACOG) released a statement yesterday reiterating its stance that women should not deliver their babies at home among other chafing comments. The statement is linked here: http://www.acog.org/from_home/publications/press_releases/nr02-06-08-2.cfm. So ACOG with an Executive Board of 24 with various districts and committees underneath, believes it is allowed to dictate for…

Read More