mamafeliz

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...

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...

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'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, ...

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...

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 am writing to get a better sense of home birth culture across the US and how home birth and hospital birth cultures blend, dovetail, or clash in your experience. I live in a state where licensure for direct entry midwives (DEM) is voluntary, meani...

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 ...

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...

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...

Let me clarify---I mean sources demonstrating safety of these practices AT HOME. I work in a facility where we do VBAC and vaginal twins routinely. I am interested in your references demonstrating safety of home VBAC, twins, breech. Thanks.

Do you have sources to back this? I ask respectfully, not to challenge your statement. As I often act as buffer in my hospital between home birthers and L&D staff, I would love to have research that supports this statement. This is the one are...

We do terminations in our facility. No one is ever forced to be involved if they have religious/spiritual objections. This is important for the woman/family, too. A woman is extremely vulnerable during these late terminations primarily done becaus...

Hi, out there. I'm curious how frequently all you OB nurses out there are seeing elective primary C/S. I work at a large University Hospital where 70% of patients are not private, and have only seen one. We hear word that the trend is on the upswi...

25 years ago I was volunteering in Chiapas, Mexico, on the Guatemalan border, working with Guatemalan refugees that were the victims of the repressive military dictatorship there. I had my Bachelor's degree in Community Studies, a liberal arts degre...

The topic of women's ability, or lack thereof, to breastfeed comfortably in our culture is intimately tied to this post. I am sorry you can't see the connection. That is truly the crux of the problem.

Or, conversely, not cover them. If we as women are going to work to shape a culture where we are empowered and living fully, we need to support the already vast efforts to normalize BFing in public. I would celebrate if the sex industry lost their...

I am not trying to emphasize the difference, just the simple irony. Because breasts have been so sexualized in our culture, women cannot expose them, even discretely, for the naturally biological function of feeding her babe. Thus a stripper advis...

Increased midwifery model would absolutely help. You would think insurance companies would be motivated to decrease c/s rates and frown upon elective c/s. Certainly any state funded patients would not have this option..