April 2013

Elective & emergency caesareans associated with higher maternal/infant risk of morbidity.

by faithgibson on April 28, 2013

in Contemporary Childbirth Politics

Thanks to Jen Kamel’s VBACFacts facebook page and an alert reader we now have a link to a study: http://www.ncbi.nlm.nih.gov/pubmed/23316937 BJOG. 2013 Mar;120(4):479-86; discussion 486. doi: 10.1111/1471-0528.12129. Epub 2013 Jan 15. Maternal and infant outcome after caesarean section without recorded medical indication: findings from a Swedish case-control study. Karlström A, Lindgren H, Hildingsson I. SOURCE ~ […]

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Our Dangerous, Expensive System of Childbirth ~ Dr. Funkhouser, former Kansas City mayor; director, Governing Institute.

by faithgibson on April 26, 2013

in Contemporary Childbirth Politics

Mark Funkhouser Dr. Mark Funkhouser, a former Kansas City mayor and auditor, is the director of the Governing Institute. Posted By Mark Funkhouser | April 18, 2013 http://www.governing.com/gov-institute/funkhouser/col-childbirth-midwife-doula-home-birth-mortality-rate.html After the birth of our second child and her second unnecessary Caesarian birth, my wife was semi-outraged about the way the American system of childbirth treated women. She taught […]

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Identifying the Essential Qualities of Maternity Care: Part 6 –> Evidence-based policies and a plan for action

by faithgibson April 23, 2013

Part 6: Obstetricians are unfairly handicapped by being legally defined as a surgical specialty Unfortunately for all of us (especially those who pay the bills for maternity care), the current legal ‘standard’ for the surgical specialty of obstetrics is a medical-surgical model of care. Physiologically-based principles of care have not been a legitimate part of […]

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Identifying the Essential Qualities of Maternity Care: part 5 of Evidence-based policies & a plan for action

by faithgibson April 22, 2013

Part 5: The risk-benefit continuum among the 4 responses to normal childbirth and the 3 types of birth attendants: Simple access to prenatal care, on-going risk-screening and physiological management of active labor, birth and immediate postpartum-neonatal period by experienced birth attendants of all categories improved outcomes by orders of magnitude. Here is the breakdown for each […]

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Identifying the Essential Qualities of Maternity Care: part 4 ~ Evidence-based policies & a plan for action

by faithgibson April 21, 2013

A multi-part series originally posted on HealthCare_2.0 (to read entire document) Part 4 ~:~ Safety & the maternity-care continuum in an essentially healthy population     Two kinds of data are required to intelligently determine if the current configuration of medical and midwifery care is making the kind of cost-effective contribution that economists refer to as ‘value added’. In […]

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