Friday, November 07, 2008
Hospital sends wrong baby home
Tuesday, October 28, 2008
Monday, October 27, 2008
Patient undergoing C-section dies - The Boston Globe
"The mother died Friday, and the baby experienced complications but appears to be improving, Dr. Kenneth Sands, the hospital's senior vice president of healthcare quality, said in a brief statement.
The risk of death from a caesarean section is estimated at fewer than 1 in 2,500, according to information on the hospital's website.
That is significantly more than the roughly 1-in-10,000 risk of death during a vaginal birth.
CAREY GOLDBERG
� Copyright 2008 Globe Newspaper Company."
Cesarean Section Quadruples The Risk Of Maternal Death
"CESAREAN SECTION QUADRUPLES THE RISK OF MATERNAL DEATH
FOR IMMEDIATE RELEASE October 1, 2003
Contact: Rae Davies, Executive Director Phone: (888) 282-CIMS Fax: (904) 285-2120 E-mail: info@motherfriendly.org
The Coalition for Improving Maternity Services views with alarm a recent study showing that U.S. women having cesarean sections are four times more likely to die compared with women having vaginal births.1 Investigators reported a maternal death rate of 36 per 100,000 cesarean operations versus 9 per 100,000 vaginal births. This is the difference attributable to the surgery itself, not any complications that might have led to the need for surgery. Based on calculations of what constitutes a reasonable cesarean rate versus the actual U.S. cesarean rate,* 135 women die every year as a result of having surgery they did not need.
Moreover, the difference in mortality rates between cesarean section and vaginal birth is almost certainly larger than it appears. Investigators only considered deaths occurring up to 1 year after delivery. Some surgically-related deaths—scar tissue causing a twisted bowel, for example—may occur after the 1-year cut-off.
In a press release entitled “Weighing the Pros and Cons of Cesarean Delivery,” the American College of Obstetricians and Gynecologists offered the theory that cesarean section benefits mothers by protecting against pelvic floor prolapse as a counterbalance to the fact that it was associated with an increased maternal death rate.2 The research, however, does not support this theory. While some studies do report a short-term benefit with cesarean section for a few women,3 none find long-term differences in symptoms resulting from pelvic floor weakness or injury to maternal tissues.3-7 Other studies report considerable percentages of women with urinary or bowel problems in the early weeks and months after cesarean surgery.8-9
The finding that cesarean section offers no long-term advantages holds true even without taking into account that many features of standard obstetric management cause or contribute to weakness or damage, and the use of these features could be greatly reduced or eliminated. These include episiotomy, fundal pressure (pushing down on the woman’s belly to expel the baby), vacuum extraction, forceps delivery, and how and in what positions women are directed to push.10 Indeed, the ACOG press release acknowledges that vaginal instrumental delivery produces the worst results. Epidural analgesia also contributes indirectly by increasing the need for vaginal instrumental delivery and episiotomy.11-12 Had women birthing vaginally received optimal care, the incidence of pelvic floor laxity and genital injury would likely have been much smaller.
CIMS contends that reducing the use of injurious practices would do far more to improve maternal health and well-being than substituting major abdominal surgery. Increased risk of maternal death is but one of the many hazards of cesarean section. (See CIMS fact sheet, The Risks of Cesarean Delivery to Mother and Baby.)
*The 2002 cesarean rate was 26%. This means that about one million of the 4 million U.S. women giving birth every year have cesarean sections.13 The World Health Organization recommends no more than a 10% to 15% cesarean rate.14 If the U.S. cesarean rate were halved, 500,000 fewer women annually would have had cesarean sections. The death rate among them would have been 9 per 100,000 (45 women) rather than 36 per 100,000 (180 women) – a difference of 135 lives. {the present cesarean rate in the US is 33.1%}"
Thursday, October 23, 2008
Brewer Diet Registry USA
Wednesday, July 09, 2008
Tuesday, July 08, 2008
Thursday, July 03, 2008
Birthing Options - Traditional Midwifery Care
should not be held;
It would spoil them
and make them cry.
I wished to do what is
best for them.
And the years went
swiftly by.
Now empty are
my yearning arms:
No more that
thrill sublime.
If I had my babies
back again,
I'd hold them all the time."
Wednesday, April 02, 2008
Monday, March 31, 2008
Maybe Pregnant mammas CAN eat Canned Fish!
The research team, led by Harvard’s Dr. Emily Oken, wrote:
“The 28 mothers (8 percent) who reported eating canned tuna at least twice weekly had children with higher scores … compared with the 130 mothers (38 percent) who reported never eating tuna fish” while pregnant."“We next examined maternal fish intake and mercury levels simultaneously … Children whose mothers consumed more than two weekly fish servings and whose mercury levels were in the top decile also had somewhat higher scores, whereas children of mothers who consumed up to two weekly servings of fish and had mercury levels in the top decile had somewhat lower scores.” [emphasis added]
Translation: Among mothers with the highest mercury levels, those who ate the most fish (more than two servings per week) had children who performed above average on cognitive tests. High-mercury moms who ate less fish were the ones whose kids appear to be at a disadvantage. The key appears to be tuna. The most maligned fish in the sea, it turns out, is actually a comparatively low-mercury choice. We found as much in our 2006 fish-testing reports (see page 7 here, and page 10 here).
“Science doesn’t lie. Pregnant women who frequently eat canned tuna are having brainier children than those who don’t. Green groups have been demonizing tuna for years. Now it looks like they’ve been causing the very harm they sought to prevent.”
Birth Trauma Myths
MYTH 4: Just concentrate on your healthy baby, and get over it, can also be: You’ll forget all about it as soon as you see your baby.
FACT: If you are raped, being given a present at the end of it doesn’t wipe out the rape. It may give you very ambivalent feelings about the gift but it doesn’t somehow cure you of the trauma and to suggest that women are so facile and stupid is offensive indeed. What this usually means is that the person speaking is uncomfortable with the pain they see visible in the woman and wish she would stop making them feel that way.Facing off a Butcher | The Daily Telegraph
Women, including victims, will protest outside Parliament House over the health system's inaction on Reeves, who allegedly mutilated and sexually abused hundreds.
And more nurses who worked with the doctor are breaking their silence."
Women have taken their rage to Facebook, setting up a club site called "Hang the Butcher of Bega".
The site has spread the message about today's rallies, organised by the Joyous Birth Network. It has 86 members.
The Many Faces of MRSA: Community-Acquired Infection Knows No Bounds
A Breeding Ground?
Jevons’ finding ushered in several decades in which methicillin-resistant staph became a feared nosocomial pathogen. It sparked ferocious outbreaks in critical care units: In 1980, in just one example, a burn patient transferred to Harborview Medical Center in Seattle transmitted MRSA to 34 other patients in 15 months despite the staff’s best efforts at infection control, and 17 of the patients died.3 That outbreak also signaled how formidably resistant the hospital strain of staph would become: the original patient’s isolate was resistant to quinolones, clindamycin, erythromycin, trimethoprim, and gentamicin in addition to the beta-lactams.
The new prevalence of CA-MRSA poses additional challenges for ED staff. Hospital-acquired-MRSA became endemic in hospitals through simple failures in infection control; several studies in the past decade have demonstrated that EDs’ record of hand-washing is poor.34, 35, 36 The risks of poor hygiene in an ED are likely to be exacerbated not only by ED stress and crowding, but also by MRSA’s known ability to remain viable on hospital surfaces—in one study, for more than 12 days.37
And if EDs become amplifiers of CA-MRSA, it may not only be patients who are at risk. Last year, a Garland, TX firefighter and emergency medical technician died of invasive MRSA,38 and a Troy, NY firefighter/EMT was temporarily disabled by extensive soft tissue infection.39 In 2005, this journal carried a report of an emergency medicine resident with recurrent MRSA infection that might have been occupationally acquired.40
CA-MRSA “is here to stay,” Moran said, who hopes to repeat the EmergencyID Net study this year to see whether prevalence continues to increase or has plateaued. “It has become the new normal. There is something about these strains that gives them a survival advantage, and I don’t think we will see that go away.”
What happens when an infant gets a staph infection in the hospital that is resistant to drugs?
Women in labour turned away by maternity units | Society | The Guardian
The NHS encourages mothers planning a hospital delivery to make a booking early in pregnancy and get to know about the facilities during regular check-ups with a midwife. Most mothers discuss a birth plan with a consultant obstetrician, including choice of pain relief.
These preparations are made on the assumption that the hospital will have enough capacity to deal with unpredictable peaks in demand when women go into labour. But information disclosed to the Conservative party under the FoI Act showed 42% of trusts could not get through last year without turning women away at least once."
Thursday, March 27, 2008
The Dangers of Prenatal Ultrasound
Tuesday, March 25, 2008
VBAC Facts.com Don't freak, know the facts
Saturday, March 22, 2008
SARAH -Wife of Abraham
The ultimate example of true femininity.
1Likewise, ye wives, be in subjection to your own husbands; that, if any obey not the word, they also may without the word be won by the conversation of the wives;
2While they behold your chaste conversation coupled with fear.
3Whose adorning let it not be that outward adorning of plaiting the hair, and of wearing of gold, or of putting on of apparel;
4But let it be the hidden man of the heart, in that which is not corruptible, even the ornament of a meek and quiet spirit, which is in the sight of God of great price.
5For after this manner in the old time the holy women also, who trusted in God, adorned themselves, being in subjection unto their own husbands:
6Even as Sara obeyed Abraham, calling him lord: whose daughters ye are, as long as ye do well, and are not afraid with any amazement.