Fayetteville Rally Hopes To Raise Awareness Of Birthing Issue
Group wants fewer c-sections and induced labor
Posted: September 4, 2012 at 3:06 a.m.
Rochelle Boyce, left, Jennifer Keith, Mary Thornton and Rosanna Friesen, with her 10-month-old daughter, Mariah, hold signs Monday at Millsap Road and North College Avenue in Fayetteville in support of National Rally for Change on Labor Day.
A small group of eight men and women stood in the hot Labor Day sun, at the corner of College Avenue and Millsap Road to raise awareness about the need for informed birth choices, evidence-based practice and humanity in American maternity care.
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The reason they, the Doctors, don't want to do vbacs is sometimes the uterus ruptures under the stress of labor. It increases their liability risk and increases their time at bedside,, or they might just be lazy,,,, or miss supper.
More docs are doing vbacs now because of demand, but uses up their time and they make less money, since the mother pays up front,, and then extra for complications,, like a C-section.
The director at WRMC was either prevaricating or incorrectly quoted. Maybe some of both.
To be a certified baby friendly facility It would have to serve zero formula. I don't believe that is the case, but could be wrong.
The current director is another new one and idealistic, but uninformed. The Administration will use up her energy, frustrate her, and she will leave. As has happened in the past.
Posted by: Camelback
September 4, 2012 at 10:05 a.m. ( permalink | suggest removal )
Per the American Congress of Obstetricians and Gynecologists (ACOG, 2010, http://www.acog.org/from_home/publica...), VBAC is a “safe and appropriate choice for most women” with one prior cesarean and for “some women” with two prior cesareans. Being pregnant with twins, going over 40 weeks, having an unknown or low vertical scar, or suspecting a “big baby” should not prevent a woman from planning a VBAC (ACOG, 2010). Uterine rupture is the major concern in terms of VBAC and while it can be catastrophic, it is rare (National Institutes of Health, 2010). Permitting labor to begin naturally after one prior low transverse (“bikini cut”) cesarean carries a 0.4% risk of rupture which can increase upon labor augmentation or induction ( Landon, M. B., Hauth, J. C., & Leveno, K. J. (2004). Maternal and Perinatal Outcomes Associated with a Trial of Labor after Prior Cesarean Delivery. The New England Journal of Medicine, 351, 2581-2589.). These rates are similar to other serious obstetrical emergencies such as placental abruption, cord prolapse, and post partum hemorrhage.
Washington Regional is the first hospital in this area to even attempt the baby-friendly certification and while they do still have room for improvement, they're working on it, and that is definitely more than many other hospitals in the state are doing.
This rally was simply to raise awareness and encourage women to educate themselves on the options that are out there and what science has to say about procedures that are considered commonplace protocol in maternity care today.
Posted by: SimplySupportive
September 4, 2012 at 2:27 p.m. ( permalink | suggest removal )
The larger problem is that too many births are by Cesarean delivery, period.
They are not being reserved for the minority of birth situations (15% or so) that actually require surgical intervention.
They cost more and are harder on the mother.
Some countries have very excessive rates of Cesareans and the U.S. is becoming one of them.
Posted by: Coralie
September 4, 2012 at 5:30 p.m. ( permalink | suggest removal )
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