Archive for February, 2010

Pregnancy & Childbirth Are Normal

February 26, 2010 2 comments

This post is here for information about birth and birth procedures. Feel free to add any links that you feel may be helpful!

I’ll start off with an encouraging tidbit that I wrote myself. I hope you all find this helpful!

Giving birth and giving birth away

Childbirth is one of the most empowering events in a woman’s life. It is an opportunity to trust in the nature of how we were designed and what we were created for. It is a time to revel in our beauty, our flawless construction for creating life. It is a time to celebrate, not to numb our bodies and our minds out of fear. Giving birth is a very special event that each woman should remember always as a pivotal moment in life. It should never be reflected on in regret. Yet so many women are experiencing mourning after their childbirth experience because they gave birth away.

Doctor’s Voices – Stuart Fischbein, MD

I’ve been wondering what I could do to help our friends in Australia as well as here in the US where midwifery is constantly under threat…where midwifery and women and baby’s right are being trampled…hear the truth from the doctors who are bravely speaking out. I present “Doctor’s Voices” as a way to support midwifery AND the doctors who support the midwifery model of care/mother-baby focused birth and reform of our current system.

Restricting oral fluid and food intake during labor

Since the evidence shows no benefits or harms, there is no justification for the restriction of fluids and food in labour for women at low risk of complications.

Intrapartum antibiotics for known maternal Group B streptococcal colonization

This review finds that giving antibiotics is not supported by conclusive evidence.

Music for pain relief

Listening to music reduces pain intensity levels and opioid requirements, but the magnitude of these benefits is small and, therefore, its clinical importance unclear.

Maternal positions and mobility during first stage labor

Here is evidence that walking and upright positions in the first stage of labour reduce the length of labour and do not seem to be associated with increased intervention or negative effects on mothers’ and babies’ wellbeing. Women should be encouraged to take up whatever position they find most comfortable in the first stage of labor.

Enemas during labor

The evidence provided by the three included RCTs shows that enemas do not have a significant effect on infection rates such as perineal wound infection or other neonatal infections and women’s satisfaction. This evidence does not support the routine use of enemas during labour; therefore, such practice should be discouraged.

Routine perineal shaving on admission in labor

There is insufficient evidence to recommend perineal shaving for women on admission in labor.

Immersion in water in labor and birth

Evidence suggests that water immersion during the first stage of labour reduces the use of epidural/spinal analgesia. There is limited information for other outcomes related to water use during the first and second stages of labour, due to intervention and outcome variability. There is no evidence of increased adverse effects to the fetus/neonate or woman from labouring in water or waterbirth. The fact that use of water immersion in labour and birth is now a widely available care option for women threatens the feasibility of a large, multicentre randomised controlled trial.

Position in the second stage of labor for women without epidural anesthesia

The tentative findings of this review suggest several possible benefits for upright posture, with the possibility of increased risk of blood loss greater than 500 ml. Women should be encouraged to give birth in the position they find most comfortable. Until such time as the benefits and risks of various delivery positions are estimated with greater certainty, when methodologically stringent trials’ data are available, women should be allowed to make informed choices about the birth positions in which they might wish to assume for delivery of their babies.

Routine Newborn Baby Care Procedures

Choices for newborn baby care procedures begin immediately at birth. The best preparation is to have considered them and decided beforehand what procedures you desire (or don’t want) for your newborn. For a hospital birth, there are numerous routine procedures which can be administered, delayed or even refused…Many parents don’t realize the impact that these procedures can have on their newborn child…Another critical point to remember is that you can and absolutely have the right to receive information about each and every procedure that will be performed, as well as the right to either request the procedure be performed in your room or that a parent/guardian accompany the newborn for each one. This includes weighing, measuring and the pediatrician’s evaluation of the baby – all can be performed right there in the mother’s room. Remember, your first responsibility is to the welfare of your child, not to the comfort of the hospital staff nor arbitrary hospital policies.

The most commonly performed routine newborn baby care procedures to consider are:
Delayed Cord Clamping Vs. Immediate Cord Clamping
Newborn Vitamin K Injection
PKU Test
Silver Nitrate or Antibiotic Eye Ointment
Hep B Vaccine
To Bathe or Not to Bathe

Benefits And Risks Of Episiotomy

The benefits and risks of episiotomy are very disproportionate. When compared together, the research supports that routine episiotomy should be banished as a practice of the past. Even ACOG’s positions is that the research does not support the practice of routine episiotomy.

The Cascade of Intervention

Normal, natural birth sets the stage for problem-free breastfeeding—what nature intended—while a complicated, intervention-intensive labor and birth set the stage for problems.


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