Tuesday, January 07, 2014

Birth and Health

Hormonal Surge During Pregnancy Repairs Faulty Brain Signaling: Scientific American

Pregnancy is good for mamma!

Science is proving this more and more.

Gee, you would think a loving God designed women to give birth or something.
Certainly tucking baby in with you and dozing off is more natural than having to get up and make a bottle. God's way is better.

Science & Sensibility » Is Elective Repeat Cesarean Surgery Truly Safer Than Planned VBAC?
Uhhh, no. 

Frederick Leboyer: 'Babies are overlooked in labour' | Life and style | The Guardian
Modern medicine treats baby like a parasite, not a human being.
"In Norway we found that the use of ultrasound in the population as a whole went down after everyone was offered one (all maternity care is completely free). Previously, you needed a medical indication, but the lack of a routine ultrasound seemed to increase the demand for ultrasound. It is an offer, not a recommendation, and is used mainly to date the pregnancy and check for twins and placenta praevia."

I had ultrasounds with my first 4 babies, not with the last 5. The lack of ultrasound (and some of the other standard tests) drasticly reduced my level of anxiety and fear.

These tests don't MAKE baby healthy and if you are pro-life (won't abort) there is seldom a real need for them.

How Breastfeeding Benefits Mothers' Health: Scientific American

God is so good to provide for a baby and mother's needs this way!
The First Hour Following Birth: Don’t Wake the Mother! - by Michel Odent

A new study of homebirths vs hospital births

400+ Certified Proffesional (non-nurse)midwives, 5000+ moms

655 (12.1%) women who intended to deliver at home when labor began were transferred to hospital.

Medical intervention rates included
  • epidural (4.7%), 
  • episiotomy (2.1%), 
  • forceps (1.0%), 
  • vacuum extraction (0.6%), and 
  • caesarean section (3.7%)[c-section rates in the general population at this time were nearly 30%]; 
These rates were substantially lower than for low risk US women having hospital births. The intrapartum and neonatal mortality among women considered at low risk at start of labor, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America. No mothers died. No discrepancies were found for perinatal outcomes independently validated.
"Conclusions Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States. ...

"Individual rates of medical intervention for home births were consistently less than half those in hospital, whether compared with a relatively low risk group (singleton, vertex, 37 weeks or more gestation) that will have a small percentage of higher risk births or the general population having hospital births (table 3).

Compared with the relatively low risk hospital group, intended home births were associated with lower rates of electronic fetal monitoring (9.6% versus 84.3%), episiotomy (2.1% versus 33.0%), caesarean section (3.7% versus 19.0%), and vacuum extraction (0.6% versus 5.5%). The caesarean rate for intended home births was 8.3% among primiparous women and 1.6% among multiparous women. ...

No maternal deaths occurred. After we excluded four stillborns who died before labour but whose mothers still chose home birth, and three babies with fatal birth defects, five deaths were intrapartum and six occurred during the neonatal period (see box). This was a rate of 2.0 deaths per 1000 intended home births.[the US average is around 7 deaths per 1000 births] The intrapartum and neonatal mortality was 1.7 deaths per 1000 low risk intended home births after planned breeches and twins (not considered low risk) were excluded. The results for intrapartum and neonatal mortality are consistent with most North American studies of intended births out of hospital11-24 and low risk hospital births (table 4).14 21 22 24-30 ...

"When the author compared 3385 planned home births with 806 402 low risk hospital births, he consistently found a non-significantly lower perinatal mortality in the home birth group. The results were consistent regardless of liberal or more restrictive criteria to define low risk, and whether or not the analysis involved simple standardisation of rates or extensive adjustment for all potential risk variables collected.22"

Read the whole reportof the study here http://www.bmj.com/cgi/content/full/330/7505/1416

The Dangers of Epiddurals

Avoid epis (for birth) if at all possible. The best way to avoid epis is to avoid induction. Induced labor hurts more necessitating more pain relief. Avoiding epis also lowers your risk of c-section.http://www.sarahjbuckley.com/articles/epidural-risks.htm

"Norwegian recommendations state that ultrasound has not been shown to reduce mortality and morbidity, so that is not the reason for the offer. Of course, you can buy private services.

Another Norwegian study shows that parents who found out about malformations before birth had more severe and longer lasting negative psychological symptoms than parents who found out at birth or shortly after. This suggests that knowing may be worse than not knowing ahead of time, or that coping with a shock is easier than preparing for the worst."
— Sarah Margaretha Fogth Lindqvist, Facebook

(Emphisis Mine)

This doesn't surprise me a bit. Bad experiences are always worse when you have the time to anticipate them.

This is about right on the difference between an appointment with an OB and an appointment with a midwife.

State Bans Elective Inductions and C-Sections! Victory! | The Stir
Of course "elective" induction and c-section usually means  "elected by doctor who manipulated the woman" induction or c-section. For many reasons, inductions and c-sections are better for doctors (mainly, due to law suits).

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