Know Your Score – Before an Induction

Knowing your Bishop’s score prior to agreeing to an induction when not medically necessary or setting the stage for a medically necessary induction can make a great difference in expectations, additional interventions and understanding for the process as a whole.  Knowing your score can help you determine the type of induction or whether or not…

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Technology and the Prenatal “Diet”

In westernized countries, television and the internet have almost completely replaced the generational teaching and learning found in the “circles” of the past. Women would gather over sewing, quilting, canning, and life events including pregnancy and childbirth. They offered support, told their stories, spoke of family life, shared their everyday knowledge, wisdom and expertise while…

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Rethinking the nature of intervention in childbirth

There is much awareness and conversation of what the routine interventions are that can occur during the labor and birth process within the hospital environment.  These interventions can include induction, augmentation with Pitocin, epidural, or cesarean. In all my professional and personal roles, I am privy to a great amount of pregnancy and birth stories.…

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Preparing For Birth: 35+ and Pregnant

The disturbing trend in treating ALL  “advanced maternal age”  mothers (over 35 at the time of impending birth) high risk continues to grow despite lack of evidence to do so. My original post from 3.5 years ago still rings true today. They are being subject to weekly Biophysical profiles or Fetal Non-stress tests tests that…

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Preparing For Birth: Labor Induction Myths

It never ceases to amaze me why women are induced for labor.   I have compiled a list of commonly heard “reason” for an induction occurring.  Interestingly none among them is true.  The true reasons for induction is a very short list (shown at the end of the post) and only a small percentage of women…

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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…

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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…

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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…

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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…

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