A Timely Birth

Here is a great article on the EDDs in pregnancy from Midwifery today.

Taken from the article on induction: But induction of labor causes so many problems that it should be a rarity, performed only when the benefits can be proven to outweigh the risks. Induction multiplies the risk of cesarean section, forceps-assisted delivery, shoulder dystocia, hemorrhage, fetal distress and meconium aspiration. It is a major contributor to birth-related expenses and complications in the US. Yet it is so common that we almost think of it as normal. More than a third of American women were induced in 1999, and another third had labors augmented with Pitocin. (The FDA says that this is the lowest estimate and that the true incidence of induction is "widely under-reported.")

This article goes on to talk about the risks of premature birth, the role of inductions (watch video), increased risks with induction, and the relatively unfounded worries of postdated babies. As the article states, induction is being used FAR TOO OFTEN for women with small risk, but the introduction of pitocin causes much higher risk than what was originally feared, and therefore, seems to be actively causing more danger to mother and child than if they were left alone. This is why I teach and push my students and clients toward an evidence-based medicine model of care, and birth team.

I really think this article gives priority to evidence based medicine, as well as talking plainly about the complicated topic of postdatism, which can be hard to get an answer on. Even the link I've used here considers 37 weeks postdate, of which it is not. It is simply past the general medical idea of 'term', which any professional will tell you is just a guess. HAppily, this article first lists that the EDD might be wrong, and second lists the nonsense!

Thank you Midwifery today-- a fine media outlet, promoting what's best for women and their babes.

Labor drugs and breastfeeding problems... more news

Here is another Article on Labor drugs and breastfeeding difficulties.

Of course, I understand that these interventions were invented to fill a need, and that every situation is different. Some situations warrant medications to promote safety, but I just want to re-emphasize my firm belief in evidence-based medicine, and informed consent.

I cannot tell you how important it is to fully understand and appreciate the risks and benefits of each intervention BEFORE you need decide about them. Being prepared is the way to really have effective control and choice over tour situation, when there are so many other variables you don't get to choose.

My experience with LLL has revealed some interesting lessons to me, the largest of which is that

moms who have C-sections are at a much higher risk for breastfeeding problems. And as has

been proven, c-sections are MUCH more likely when an epidural and pitocin are involved. I also know that some of the medications administered can dry up milk, and that mom has less exposure to baby, and about a thousand other variables.... but it is my opinion that data like this should not be ignored.

Know your options, know your body, know what to expect, and know your doctor!!