Since i’ve been on the subject…….

Note: I did not write this, this was infromation taken from http://vbacfacts.com/2010/09/19/the-risks-of-cesarean-section/. I’ve been on a kick today about how women should fight for there right to VBAC and this information is so helpfull if your Dr has decided to bully you into a repeat c-section. Remember its your body, your baby, your birth!  This will be my blog for the week, since i’ve been crazy busy awaiting my husband return from deployment:) Enjoy and ill be back next week writing about attachment parenting!

The Risks of Cesarean Section

We all know the primary risk of VBAC – uterine rupture. And when your typical VBACing mom meets with an OB, she must sign a “VBAC consent form” acknowledging that she understands this risk. However, I find it ironic that women signing up for a repeat cesarean are not required by their OB to sign a “Repeat Cesarean Section consent form” as a matter of course during prenatal exams since there are risks associated with cesarean section. But since this does not happen, and most OBs breeze over the risks if they even bother to mention them, expectant moms are lead to believe that VBACs are risky and cesareans are not.

What most moms signing up for cesareans don’t know, is that this decision not only introduces risks that can impact them or their baby immediately, but this decision also impacts their future fertility as well as future cesarean deliveries and babies. And some of these complications increase with each surgery.

This is an excellent overview of the risks of cesarean section compiled by the Coalition for Improving Maternity Services dated February 2010. You can download a PDF here.

The Risks of Cesarean Section

A Coalition for Improving Maternity Services Fact Sheet

Cesarean section is the most common major surgical procedure performed in the United States. The Coalition for Improving Maternity Services (CIMS) is concerned about the dramatic increase and ongoing overuse of cesarean section. The surgical procedure poses short- and long-term health risks to mothers and infants, and a scarred uterus poses risks to all future pregnancies and deliveries. For these reasons, CIMS recommends that cesarean surgery be reserved for situations when potential benefits clearly outweigh potential harms. The cesarean rate can safely be less than 15 percent84 and 11 percent or less in low-risk women giving birth for the first time,28 yet, in 2007 the U.S. cesarean rate was 32 percent.30 When cesarean surgery rates rise above 15 percent health outcomes for mothers and babies worsen,5 and increasing numbers of scheduled cesareans are contributing to the rising number of late-preterm births.2,6

Cesarean rates have been rising for all women in the United States regardless of medical condition, age, race, or gestational age,52 and while the number of first cesareans performed without medical indication is increasing, no evidence supports the beliefs that these elective cesareans represent maternal request cesareans or that the rise in elective first cesareans has contributed significantly to the overall increase in cesarean rates.52 Elective first cesarean at physician request may, however, play a significant role,39 and the rise in elective repeat surgeries, which has climbed by more than 40 percent in the last ten years, certainly does.64 Although 70 percent of women or more who plan a vaginal birth after cesarean (VBAC) can birth vaginally and avoid the complications of repeat cesarean surgeries,28 almost all women today have a repeat operation because most doctors and many hospitals refuse to allow VBAC.20,35,54

A cesarean can be a life-saving operation, and some babies would not be born vaginally under any circumstances; however, it is still major surgery. Women have a legal right to know the risks associated with their treatment and the right to accept or refuse it.14 CIMS encourages childbearing women to take advantage of their rights and to find out more about the risks of cesarean section so they can make informed decisions about how they want to give birth.

What are the potential harms of cesarean surgery compared with vaginal birth?

Health outcomes after a cesarean may be worse because medical problems may lead to surgery. This fact sheet, however, is based on research that determined excess harms arising from the surgery itself. In other words, women with a healthy pregnancy who have a cesarean rather than a vaginal birth are at increased risk for the following complications as are their babies:

Potential Harms to the Mother

Compared with vaginal birth, women who have a cesarean are more likely to experience:

• Accidental surgical cuts to internal organs.53,60,72

• Major infection.43,48

• Emergency hysterectomy (because of uncontrollable bleeding).38,48,83

• Complications from anesthesia.28

• Deep venous clots that can travel to the lungs (pulmonary embolism) and brain (stroke).28,48

• Admission to intensive care.58

• Readmission to the hospital for complications related to the surgery.18,28

• Pain that may last six months or longer after the delivery.19 More women report problems with pain from the cesarean incision than report pain in the genital area after vaginal birth.19

• Adhesions, thick internal scar tissue that may cause future chronic pain, in rare cases a twisted bowel, and can complicate future abdominal or pelvic surgeries.19

• Endometriosis (cells from the uterine lining that grow outside of the womb) causing pain, bleeding, or both severe enough to require major surgery to remove the abnormal cells.27

• Appendicitis, stroke, or gallstones in the ensuing year.18,46,47,50 Gall bladder problems and stroke may be because high-weight women and women with high blood pressure are more likely to have cesareans.

• Negative psychological consequences with unplanned cesarean. These include:

o Poor birth experience, overall impaired mental health, and/or self-esteem.12

o Feelings of being overwhelmed, frightened, or helpless during the birth.20

o A sense of loss, grief, personal failure , acute trauma symptoms, posttraumatic stress, and clinical depression.37

• Death.12,22

Potential Harms to the Baby

Compared with vaginal birth, babies born by cesarean section are more likely to experience:

• Accidental surgical cuts, sometimes severe enough to require suturing.1,28

• Being born late-preterm (34 to 36 weeks of pregnancy) as a result of scheduled surgery.6

• Complications from prematurity, including difficulties with respiration, digestion, liver function, jaundice, dehydration, infection, feeding, and regulating blood sugar levels and body temperature.25,26 Late-preterm babies also have more immature brains,63 and they are more likely to have learning and behavior problems at school age.25,26

• Respiratory complications, sometimes severe enough to require admission to a special care nursery, even in infants born at early term (37 to 39 weeks of pregnancy).28 Scheduling surgery after 39 completed weeks minimizes, but does not eliminate, the risk.31,32

• Readmission to the hospital.25

• Childhood development of asthma,3,78 sensitivity to allergens,61 or Type 1 diabetes.11

• Death in the first 28 days after birth.51

Potential Harms to Maternal Attachment and Breastfeeding

Failure to breastfeed has adverse health consequences for mothers and babies. Breastfeeding helps protect mothers against postpartum depression, Type 2 diabetes, high blood pressure, heart disease, ovarian and pre-menopausal breast cancer, and osteoporosis later in life.36,71 Breastfeeding helps protect babies against ear infections, stomach infections, severe respiratory infections, allergies, asthma, obesity, Type 1 and Type 2 diabetes, childhood leukemia, sudden infant death syndrome (SIDS), and necrotizing enterocolitis (a severe, life-threatening intestinal infection).15,36

• Women who have unplanned cesareans are more likely to have difficulties forming an attachment to their babies.23

• Women who have cesareans are less likely to have their infants with them skin-to-skin (cradled naked against their bare chest) after the delivery.20 Babies who have skin-to-skin contact interact more with their mothers, stay warmer, and cry less. When skin-to-skin, babies are more likely to be breastfed early and well, and to be breastfed for longer. They may also be more likely to have a good early relationship with their mothers, but the evidence for this is not as strong.16,57

• Women are less likely to breastfeed.21,44

Potential Harms to Future Pregnancies

With prior cesarean, women and their babies are more likely to experience serious complications during subsequent pregnancy and birth regardless of whether they plan repeat cesarean or vaginal birth. The likelihood of serious complications increases with each additional operation.28

Compared with prior vaginal birth, prior cesarean puts women at increased risk of:

• Uterine scar rupture. Planning repeat cesarean reduces the excess risk, but it is not completely protective.8,49,55,75

• Infertility, either voluntary (doesn’t want more children) or involuntary (can’t have more children).7,12,56,70,74,79,80

• Cesarean scar ectopic pregnancy (implantation within the cesarean scar), a condition that is life-threatening to the mother and always fatal for the embryo.67

• Placenta previa (placenta covers the cervix, the opening to the womb), placental abruption (placenta detaches partially or completely before the birth), and placenta accreta, (placenta grows into the uterine muscle and sometimes through the uterus, invading other organs), all of which increase the risk for severe hemorrhage and are potentially life-threatening complications for mother and baby.17,28,85

• Emergency hysterectomy.42,53

• Preterm birth and low birth weight.6,40,65,73,76

• A baby with congenital malformation or central nervous system injury12 due to a poorly functioning placenta.

• Stillbirth.28,29,40,65,76

Cesarean Surgery and Pelvic Floor Dysfunction

Cesarean proponents claim that cesarean surgery will prevent pelvic floor dysfunction, but it offers little or no protection once healing is complete and no protection in later life.12 Moreover, risk-free measures such as engaging in exercises to strengthen the pelvic floor or losing weight can often improve or relieve stress urinary incontinence (loss of urine with pressure on the pelvic floor such as with exercise, laughing, sneezing, or coughing).9,12

• Cesarean surgery does not protect against sexual problems,4,33,41 gas or stool incontinence,10,59 or urge urinary incontinence (loss of urine after sudden need to void).10,13,24,62,82

• Cesarean surgery does not protect against severe stress urinary incontinence.62,82 As many as one more woman in six having vaginal birth may experience stress urinary incontinence of some degree, mostly minor, at six months or more after birth.10,13,24,62,82

• Perhaps one more woman in twenty having vaginal birth will experience symptomatic pelvic floor prolapse (muscle weakness causes the internal organs to sag downwards).45,66,77,81 With three or more vaginal births, this number may be as high as one more woman in ten.66 However, many other factors, including smoking, hysterectomy, hormone replacement therapy, constipation, irritable bowel syndrome, and urinary tract infections are also associated with pelvic floor prolapse.

Cesarean Section, Care Providers and Place of Birth

To reduce the risk of cesarean surgery, CIMS encourages women to seek providers and hospitals with low cesarean rates (15% or less) and those that support VBAC. Women can access this data from their state health departments. They can also access hospital-specific cesarean rates and rates for other birth interventions for several states at www.thebirthsurvey.com and a listing of hospitals that do or do not support VBAC from the International Cesarean Network at http://ican-online.org/vac-ban-info.

Healthy women at low risk for complications should also know that choosing midwifery care or giving birth in a birth center or at home can lower their risk for cesarean section.68,69 Having a doula reduces the likelihood of a cesarean as well.34

This fact sheet was co-authored by Henci Goer, BA and Nicette Jukelevics, MA, ICCE.

This fact sheet is endorsed by the following organizations (as of Feb. 2010). Academy of Certified Birth Educators, Birth Matters Virginia, BirthNet of Albany NY, BirthNetwork National, Birth Network of Santa Cruz, Birth Works International, Childbirth Connection, Choices in Childbirth, Citizens for Midwifery, DONA International, International Childbirth Education Association, Lamaze International, The Lawton and Rhea Chiles Center for Healthy Mothers and Babies, Midwives Alliance of North America, National Association of Certified Professional Midwives, North American Registry of Midwives, Perinatal Education Associates, Reading Birth and Women’s Center, The Tatia Oden-French Memorial Foundation, toLabor: The Organization of Labor Assistants for Birth Options and Resources.

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Why choose cloth?

 

When most people think cloth diapering they think folding a diaper onto a baby and using pins and a plastic cover. This is a thing of the past when it comes to cloth! Sure that style is still available to use and a lot of people still choose to use cloth that way. Cloth diapers now are just as easy to use as a disposable. Having the option of snaps or Velcro, one size or sized. they come in pockets(meaning you put an insert into a pocket opening in the back) All in ones(everything is sewn in and requires no insert), Fitteds(not waterproof and requires a cute cover), and All in 2’s. Cloth comes in so many different colors and prints that once you start buying them it becomes an addiction for many mothers. I myself use cloth and have a stash that’s pretty good size, it is an addiction for me. I see the new cute prints out and have to buy it! For a lot of new parents and moms cloth is the way to go, its great to see how many more parents are choosing cloth and actually giving it a try. Cloth has so many great benefits!

Why should we choose cloth diapers? Cloth diapers were all that the world had for centuries until the 1980’s when disposables were pretty much being used by everyone. There is 2 major chemicals that are in disposable diapers, Sodium Polyacrylate, and Dioxin. Dioxin is a by-product of bleaching paper and according to the EPA is known to cause damage to the central nervous system, kidneys, and liver. Sodium Polyacrtylate(also known as the absorbent gel that allows the diaper to hold urine for hours)has been linked to toxic shock syndrome, allergic reactions and is very harmful and potentially lethal to pets. Your child is also more likely to get a diaper rash using disposables. Sure there are a few benefits to disposables for example, not having to wash, being able to just toss the diaper out(which sit in our landfills for hundreds of years) and just the overall convince. The cons of using disposables is spending tons of money over the course of on average 3 years, which is around 2,500 dollars your throwing away. Using cloth diapers from birth to potty training you can spend anywhere from 300-1000 dollars depending on the style of diapers you want to use. Plus a pro of cloth is you don’t throw them away you can wash them, also use them for more than one child, and also resell them when you are finished using them. Another pro of cloth is less diaper rashes and better on babies skin. A lot of pro disposable diaper parents argue that by using cloth your using water and detergents that are harmful to the planet. Washing cloth at home only adds 2 extra loads a week depending on how many days you can go between washing, plus the diaper detergent is all eco friendly and all natural soap! I don’t see this as harmful at all! I see the chemicals in disposable sitting in the landfills as harmful to our planet.

I believe that if most parents just did the research and compared the two, the choice would be obvious on which is better to use. We all know that disposables are easy but sometimes easy isn’t always a good thing. Next time you go into that store to pick up a pack of diapers just think about what’s in it and where it goes, think about how you could have used that 20 dollars on some cloth diapers to use! You are your own person and choose what’s best for your family so the choice is up to you! So do the research when your expecting or even thinking about making the switch, and you will see that cloth is just better all around for your baby and our planet!

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Breastfeeding in America…

Have you ever been to a restaurant and there in a booth across from you or next to you there is a woman breastfeeding their baby? How do you react to this? If you are like the vast majority of people you would give dirty looks or just looks of disgust. Americans today view breast as these sexual objects and it’s down right absurd. Breast are there for you child to receive the best nourishment in life they can. So many times I’ve been out with my family to see people with a disgusted look on their faces when they see a woman start to nurse. It sickens me that people react this way to the most natural thing you can do with your child. I’m sure you have all heard the comments, why can she go to the bathroom and do that! I can’t even fathom why people would expect a nursing mother to go into a dirty bathroom and feed their child. I always say would you want to eat your dinner in a bathroom? I think not! I think the way breastfeeding is viewed in America today is what prevents a lot of younger mothers from doing it. They are worried about the reactions they are going to get when they have to nurse in public. We need to do something and change the way society is, promote breastfeeding as the beautiful natural thing that it is!

It is said that only 36.4% of mom’s breastfeed for 6 months and that only 17.7% stick it out for the full 12 months. 71% of moms start out breastfeeding in the hospital and the first week of life but end up quitting for different reasons. If women knew the different programs they have that can help with the struggles breastfeeding can bring on, I think they would be more likely to continue to breastfeed. The U.S has the lowest breastfeeding rates among other developed countries. This can easily be changed with a little more education and support for the new mother.

Women in America should feel empowered to breastfeed and encouraged by society. We as mothers shouldn’t feel uncomfortable to nurse our babies in public. I am a mother and I know I have felt awkward a few times while nursing my son. I strongly recommend getting involved with the breastfeeding community in your area if you are having struggles or a hard time dealing with the negativity society shows towards breastfeeding. This is our choice and as mothers we should stand up and not let others control where and how we feed our child.

Happy Worlds Breastfeeding Week!!!!

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Why are so many women getting induced!

       In this day and age so many women are choosing to be induced out of convenience and be able to pick a date. This way they can make sure there Dr is there for the delivery and they can share with their family and friends when the big day is going to be. The main reason they are choosing is selfishness and not taking into consideration that their unborn child might need more time in the womb. These choices are made by the lack of education the woman has about childbirth and labor. Women don’t know the risk that comes along with being induced. If your body isn’t ready you stand a higher chance of your labor ending in a c-section. They don’t realize the risk of pitocin and how it increases your chance to hyper stimulate your uterus and also cause distress to the baby because contractions caused by pitocin are very hard on the baby and mother. Do you think if women knew these risks they would still pick to be induced for no reason other than convince? We all know that the end of pregnancy brings on many discomforts and most women are “done” with pregnancy and eager to meet there new addition, but come on people wake up this is no reason to induce! I know so many women first hand that have chosen to be induced and hours after the induction was started they are being wheeled away to the OR for failure to progress. This wouldn’t be happening if they had just waited for labor to start naturally. Our c-section rate is at its highest ever but it doesn’t have to be. If more women knew the risk of inductions it would change their minds on consenting to one which in turn would lower the c-section rate tremendously. Failure to progress wouldn’t be a reason for a c-section if more women would just choose to let their bodies start the natural labor process. Which in turn would again lower the US c-section rate? Women are choosing to be induced at 37 weeks “full term” just because they are uncomfortable, well guess what pregnancy is uncomfortable they know this going into it, so get over it! Too many babies are being born at 37 weeks and ending us with week long NICU stays just because mother was tired of being pregnant. This trend needs to change, Dr’s need to start educating there patients on the risk involved with inductions, and not just think about what mom wants. What about what baby wants? Does anyone every think about that? Not really! Today, it is estimated that over 40% of all births will be medically induced, and less than 10% of them actually are medically necessary. 40% of all women who have their labor induced will end up in the operating room having a c-section. Now let me list a few of the drugs and there side effects to the mother and baby.

 Pitocin effects on baby- Bradycardia, Low Apgar scores at five minutes, Premature ventricular contractions and other arrhythmias, Neonatal jaundice, Permanent CNS or brain damage, Neonatal retinal hemorrhage, Fetal death Neonatal seizures have been reported with the use of Pitocin.

 Pitocin effects on mother- Anaphylactic reaction, Premature ventricular contractions, Postpartum hemorrhage, Pelvic hematoma, Cardiac arrhythmia, Subarachnoid hemorrhage, Fatal afibrinogenemia, Hypertensive episodes, Nausea, Rupture of the uterus, Vomiting.

Effects of Cytotec on mother- Increases risk for uterine hyper stimulation, Increases risk of uterine rupture, Once administered, its effects cannot be stopped., No standard safe, effective dose., Use of cytotec for labor stimulation is not approved by the FDA.Requires continuous monitoring of baby’s heart rate which decreases mobility.

 Effects of Cytotec on baby- Uterine hyperstimulation can cause abnormal fetal heart rate, increased rates of meconium-stained fluids.

 Cervidil Effects on mother- Gastrointestinal effects such as nausea, vomiting and diarrhea, Small risk of uterine hyper stimulation., Requires continuous monitoring of baby’s heart rate which decreases mobility, Another form of prostaglandin E2, Prepidil, cannot be removed if hyper stimulation occurs.

 Cervidil effects on baby- Uterine hyper stimulation can cause abnormal fetal heart rate.

 AROM- The baby may turn to a breech position, making birth more difficult if the membranes are ruptured before head engagement. There is an increased risk of umbilical cord prolapse. There is an increased risk of infection if there is a prolonged time between rupture and birth.

 So remember next time you have a friend that wants to be induced remind them of the risk involved with it!

 

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Welcome!

First let me give you an insight into who is behind this blog. My name is Denise im a 26 year old mother of 4. Im known by most of my friends as a high tech hippy! My 4 kids are my life, their names are Isis, Athena, Thayden and my newest addition Korbin. Im starting school to become a Doula and Child Birth Educatorr, after compleation of those i will start my journey into midwifery! I decided to start this blog in hopes to spread the word for things i strongly believe in. I believe if you feel strongly about a cause to spread the word, just because you are one person doesn’t mean you can’t make a difference. In this blog i will talk about things like natural birth, homebirth, babywearing, attachment parenting, placenta encapsulation, breastfeeding, cloth diapers and anything else inbetween. I hope you enjoy the blog and again thanks for stopping by!

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