This tag is associated with 34 posts

Forced c-sections. Unethical outliers or a disturbing trend?

RH Reality Check is reporting that Jennifer Goodall, a woman in her late 3rd trimester with 3 previous c-sections who wants to attempt a vaginal birth has been notified by the chief financial officer of the hospital where she planned to deliver (Bayfront Health Port Charlotte) that her “prenatal care providers intended to report her … Continue reading

More VBACs will take communication, compromise, better training, and tort reform

The NY Times has reported on a woman who wanted to deliver vaginally and claims she was forced to have a repeat c-section (her third c-section) against her will. I can’t comment on the veracity of her claims, however a forced c-section is never, ever acceptable. It doesn’t mater if the fetus has an agonal rhythm … Continue reading

Celebrity birth plans and being mom enough for a “natural” delivery

Reports that Mila Kunis, the actress, plans on a “natural” delivery are all over the Internet. As a celebrity  she is clearly a medical expert and somehow it is relevant to hear how an actress with no financial concerns, doesn’t need to work on her feet until she goes into labor, has a BMI of … Continue reading

Rocking delivery dogma: induction of labor doesn’t increase c-section rate

There is a widely held belief that induction of labor increases the risk of c-section.  This is something that has been widely promoted by many OB/GYNs, nurses, midwives, doulas, and patients alike. I can not tell you how many times I have heard, “Don’t let them induce you.” I think that so many health care … Continue reading

A water birth isn’t natural it’s an intervention

The joint statement on laboring in water and delivering in water (the latter also known as immersion births) from the American Academy Pediatrics (AAP) and the American Congress of Obstetricians and Gynecologists (ACOG) is making the rounds. I’ve linked to the full statement above, but in essence it says that some women find laboring in water … Continue reading

Using pot in pregnancy linked to stillbirth, new study

Legality and safety (from a health perspective) are two different things. Cigarettes, alcohol, and opioids while all legal have health consequences. Some more concerning than others. This is especially true in pregnancy. Chemicals (whether they are naturally occurring or not) may have effects on blood flow to the uterus or at a microscopic level in the … Continue reading

Who is keeping a pregnant woman on life support against her wishes? The hospital or Texas?

Brain death is death. This is one of the definitions of death. Even in Texas. Because brain death is death a do not resuscitate (DNR) order or invalidating a DNR are both meaningless, because you don’t do procedures on dead bodies. This is why taking someone off a ventilator who is brain dead is not … Continue reading

Acupuncture does not improve pregnancy rates in IVF

Acupuncture has become, for many women, an accepted part of their infertility journey. Several studies, including a meta-analysis of 24 studies published in the journal Fertility Sterility in 2012, indicated higher pregnancy rates among women who had undergone acupuncture as part of their treatment protocol compared with women who had no acupuncture or a sham procedure. … Continue reading

Antidepressants and postpartum hemorrhage. New data, but questions remain.

Postpartum hemorrhage (blood loss > 500 ml after a vaginal delivery and > 1,000 ml after a c-section) complicates 2.9% of deliveries in the United States. It is a leading cause of both maternal complications, such a blood transfusions and hysterectomy, and maternal death. The rate of postpartum hemorrhage has been slowly increasing, so anything … Continue reading

Listeria and pregnancy, when discussing risk it’s all perspective

Emily Oster has a book coming out entitled Take Back Your Pregnancy. In preparation for the book launch, as most authors do, she wrote a nice piece in the Wall Street Journal about decision-making, risks, and how some of what OB/GYNs recommend during pregnancy isn’t always evidence based. In particular, she mentions listeria, a bacteria … Continue reading

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