The Perinatal Paradox, Eli Manning, Czech News Magazines and More

You have undoubtedly already read this L.A. Times article entitled, “Childbirth: Can the U.S. Improve?” In case you haven’t, you should know that we’re going in the wrong direction.

“We’re going in the wrong direction,” said Dr. Roger A. Rosenblatt, a University of Washington professor of family medicine who has written about what he calls the “perinatal paradox,” in which more intervention, such as cesareans, is linked with declining outcomes, such as neonatal intensive care admissions. Maternity care, he said, “is a microcosm of the entire medical enterprise.”

 

I might start watching football after reading this on the NY Daily News site.

Eli and Abby Manning donate funds for new birthing center at St. Vincent’s Hospital

Eli Manning and his wife are bankrolling a new birthing center at St. Vincent’s Hospital Manhattan - but don’t worry, Jets fans are welcome, too.

The Giants quarterback and his wife, Abby, will announce plans today for a facility bearing their name - a state-of-the-art center focusing on natural childbirth and holistic care.

“We wanted to make it a special place to bring new life into the world,” the 28-year-old Super Bowl hero told the Daily News.

“For Abby and I, it’s about being part of that, to make sure all the parents have a comfortable experience.”

The Mannings - who don’t have children yet - have a relationship with St. Vincent’s and frequently visit patients to boost morale.

 

The Czech news magazine Respekt covered cesareans. The article was then regurgitated in English online by the Prague Daily Monitor. The lost-in-translation effect makes this excerpt sound interestingly blunt.

Some experts speak about “a stolen childbirth” over a caesarean section. It deprives women of the strong experience to witness their child coming into the world, especially in the hospitals where general and not only regional anaesthesia is applied during this surgery and mothers are automatically sent to the intensive care units afterwards, Respekt points out.

“Women have lost the ability of instinctive behaviour since they have been raised to suppress it and behave rationally for the whole life. Yet during a child delivery the irrational side must be used, which is almost impossible for many women,” doctor Helena Maslova, who deals with childbirth-related traumas, told Respekt, adding it was the result of the obstetrics’ technical development since the 1960s.

Though such a radical opinion has not been confirmed scientifically, supporters of natural child deliveries agree with it. But it is only a minority among women, and most mothers rather nod willingly to a doctor’s offer of a quick and painless surgery, the weekly writes.

 

From a random blog. Odd that the abdominal surgery and slicing through fascia didn’t get a Freaky rating, but the naked woman and her vernix covered baby were, like, totally grody! Uh mah gaw!

we saw two videos; one of several natural childbirths and one of a c-section. the natural childbirthing video was of women with no clothes on who had no medication for their deliveries. talk about freaking everyone in the room out! one of the babies came out with white stuff all over it and the mother said, “that doesn’t look like a baby!”

 

A senator in Wisconsin wants to take on the childbirth industry in her state, including lowering the c-section rate. I wish her much luck with that.

By my rough math, Wisconsin could save $7 million if we could drop the C-Section rate from almost a quarter of all Medicaid births to 17%. Iowa was able to drop Medicaid C-Section rates to 12% in some HMOs. And cost savings don’t end there. Almost one quarter of all Family Medicaid hospital costs are related to pregnancy, birth and neonate care. Let’s have fewer infants in intensive care and fewer moms with pregnancy complications.

 

Message board post from a woman who was induced for high blood pressure. I did not know that doctors could just keep the oxytocin going for several days. L&D readers, is that common?

We went in Sunday evening and I was given cervadil (not sure how to spell) and put on an all liquid diet. Boo….. Monday morning they started the pitocin. My doctor came in around noon to check to see if I dilated at all. Ha….. not even close to 1 cm. So they stopped the pitocin in the afternoon and the doctor came back to give me another cervadil. The nurse explained to us that usually the second day of pitocin has more of an effect. Tuesday morning the doctor came in took the cervadil out and my cervix had softened some more. They began the pitocin and we began to wait. Mind you I’m still on a liquid diet. Blah…. Noon thirty rolled around and my doctor came back to check on me. There was no good news this time. Doctor said my cervix became long and had not progressed any further. He said we can do a c-section this afternoon or we can do another day of pitocin but suggested the c-section would be more ideal since the third day of pitocin could cause complications.

What have you been reading or writing lately?

 

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