Thanks, Elvish, for the link. I, too, signed up for the webcast. Although my hospital has a good record for VBAC after 1 previous Cesarean, we will rarely offer VBAC after 2 previous c/s. I know immediate repeat c/s is common nationally. It'll be...
See recent article about vaginal breech in the Washington Post: http://www.washingtonpost.com/wp-dyn/content/article/2010/01/04/AR2010010402755.html?hpid=sec-health&sub=AR Anyone out there attending vaginal breech in their hospital since the term...
I'll post the full text of article as can't use the links. I am posting for discussion. I believe in safety of home birth, and am actively working for better bridging between our hospital birth culture and the home birth culture in our area. So, ...
New article written by an OB/GYN with case study and following discussion of home birth. Google search "Home Birth Gone Awry" and follow link to medscape article by Maria Rodriguez MD. Interesting read for all working with birth. Sorry I cannot po...
I had two home births. I had strong, supportive OB back-up, CNM expertise guiding my labor, strong respect for the fickle nature of birth, and willingness to transfer at the first sign of trouble.
Another large study has been published demonstrating safety of home birth option for low risk women. Critical to note is that home birth in Canada is carefully regulated and has strict exclusionary criteria. The US home birth system, largely unregu...
AROM to speed labor is not evidence based. Follow link below to Cochrane Review: http://www.cochrane.org/reviews/en/ab006167.html In my opinion, AROM makes it much more difficult for women to stay on top of their pain if they desire unmedicated birt...
mamafeliz replied to im_an_honest_1's topic in Ob/Gyn
I work in a University Hospital where any IOL or C/S must have a clear medical indication. It is true that a prolonged, natural labor with 1:1 nursing support is costly, but still immensely cheaper for the "system" than a C/S with recovery, subsequ...
I have worked with the Spanish Speaking migrant population throughout my adult career. You may certainly carry your ideas regarding immigrants' need to learn language, culture. Within your job capacity, those are opinions best kept to yourself, and...
Hearts Wide Open and Redwood, you are indeed lucky! I work in a similar hospital setting here in Oregon: waterbirth, low epidural rate, nurses skilled in low intervention labor support, etc. all rolled into the midst of a high risk setting where ...
mamafeliz replied to Anxious Patient's topic in Ob/Gyn
As always, it is important to look closely at details of the Dutch study. Yes, home birth can be as safe as hospital birth. IF risk factors like multiples, breech, previous c/s are screened out. AND there is early transport with any hint of troubl...
mamafeliz replied to suewolfie08's topic in Ob/Gyn
As "suewolfie08" posted last Nov and was about ready to deliver, Congratulations! I hope your labor went well and that you are basking with your sweet babe! Although possibly too busy to check these posts anymore, let us know how your experience w...
I had interesting insight into this issue recently. My next door neighbor, who moved 5 years ago from east to west coast, just had her babe on the OB floor where I work. She had a great experience, said her east coast friends were freaked out becau...
So, this is my take, and what is legal. Staffing should be adequate enough that all nurses are able to step away from their patient assignments and have another nurse assume whatever patient care responsibilities are being left behind. It is suppose...
Anthrogirl, Birth culture is a fabulous topic to look at anthropologically. Questions abound and stakeholders include all of us, really. Although I feel fortunate enough to work in a hospital which has a low epidural rate, water birth, VBAC, we sti...