Saturday, February 28, 2009
Thursday, February 26, 2009
Wednesday, February 25, 2009
Tuesday, February 24, 2009
"It's a numbers thing," says Dr. Shelley Binkley, an ob-gyn in private practice in Colorado Springs who stopped offering VBACs in 2003. "You don't get sued for doing a C-section. You get sued for not doing a C-section."
Often, the risk of uterine rupture is cited as a reason to avoid VBAC. However, there are lots of things that can lower that risk, including avoiding induction or pitocin augmentation during labor. And lets not forget that repeat cesareans come with their own set of risks.
With each repeat cesarean, a mother's risk of heavy bleeding, infection and infertility, among other complications, goes up. Perhaps most alarming, repeat C-sections increase a woman's chances of developing life-threatening placental abnormalities that can cause hemorrhaging during childbirth. The rate of placenta accreta--in which the placenta attaches abnormally to the uterine wall--has increased thirtyfold in the past 30 years. "The problem is only beginning to mushroom," says ACOG's Zelop.
Ultimately, the choice should be up to the parents. They should be presented with risks and benefits of both VBAC and repeat cesarean, and able to make an informed decision. Often, this is not happening.
Dr. Stuart Fischbein, an ob-gyn whose Camarillo, Calif., hospital won't allow the procedure, is concerned that women are getting "skewed" information about the risks of a VBAC "that leads them down the path that the doctor or hospital wants them to follow, as opposed to medical information that helps them make the best decision." According to a nationwide survey by Childbirth Connection, a 91-year-old maternal-care advocacy group based in New York City, 57% of C-section veterans who gave birth in 2005 were interested in a VBAC but were denied the option of having one.
Pamela Paul, the author of the article, wrote the backstory to it in the Huffington post. Go read it here.
Even if a repeat cesarean section is necessary, care should be taken not to do it too early. Read here about the risks associated with early c-sections. The bottom line is, if you've had a cesarean section and are faced with a decision about what to do for future births, make sure you're well informed. Discuss the issue at length with your care provider. Find out not only their stance on the subject, but their actual VBAC and c-section rates. And if you do decide to (or need to) go for a repeat c-section, wait as close to your due date as possible, preferably even a trial of labor before to ensure baby is ready to be born.
Monday, February 23, 2009
Thursday, February 19, 2009
Tuesday, February 17, 2009
Wednesday, February 11, 2009
The first five people to respond to this post will get something made by me! My choice. For you. This offer does have some restrictions and limitations:
1- I make no guarantees that you will like what I make!
2- What I create will be just for you.
3- It’ll be done this year.
4- You have no clue what it’s going to be. It may be a story. It may be photography or an article on properly cleaning your face before a masque. I may sew or paint something. I may bake you something and mail it to you. Who knows? Not you, that’s for sure!
5- I reserve the right to do something extremely strange.
The catch? Oh, the catch is that you must repost this on your blog and offer the same to the first 5 people who do the same on your blog. The first 5 people to do so and leave a comment telling me they did win a FAB-U-LOUS homemade gift by me! Oh, and be sure to post a picture of what you win when you get it!
Monday, February 09, 2009
Hey, what are those?
Mmmmm, carrots! (okay, no, she can't really eat those, she only has one tooth!)
I'm not so sure this one passes inspection...
Let's see, what else do we have? Spinach is good for you, right?
Uh oh, what's that I see???!!!
Better pull those weeds!
Whew, that was hard work...
Saturday, February 07, 2009
Friday, February 06, 2009
Thursday, February 05, 2009
Wednesday, February 04, 2009
Tuesday, February 03, 2009
Sorry I haven't been around much lately. Life has been getting in the way of blogging. :p Plus, my brain has been in somewhat of a fog, and it's been hard for me to organize my thoughts to write up a meaningful post.