Impactful Tweets (pt 1) from ICAN 2011 Conference

I’m taking a break from my “Emotional Clutter” post that I’ve been working on.  Ahhh, nice to take a breather from that topic.  My friend, L, pointed me to http://twitterfall.com as the best hashtag (#) reader out there.  And well, she would know!

So, I’ve been reading the #ICAN2011 channel and want to share some of the tweets that I’ve seen that should make an impact on VBACtivists as we do our important work!  (Since I’m pulling this content from a public channel, I am not asking permission to repost.  I will remove tweets if the OP requests.)

@DeepSouthDoula: [Macones] Be patient and keep working on us (OBs). Things will get better but it will take time. #ICAN2011
This is encouraging to read.  Other tweets indicate that consumers should be addressing hospital administrators.  However, from personal experience I can tell you that our hospital’s CEO said he can’t make the OBs change.  It’s easy for folks to displace and deflect in this business.

@Preparing4Birth: VBAC candidacy – low vertical incision 98% are this type. 1 or 2 prior ces should have access. Birthweight not a predictor. #ICAN2011
I read another tweet that indicated he supports VBA2+C but that it takes the right patient with the right provider in the right hospital.  I’ve also read that the steepest increase in rupture rates is between 1 (.5%) and 2 (1%) cesareans and then begins to level out.

@Unnecesarean: Macones: We’ve all focused so long on uterine rupture but need to also focus on the consequences of multiple cesareans #ICAN2011

@babydickey: We are underestimating the risks of multiple c-sections. #ICAN2011
A great site for weighing the risks of VBAC and repeat cesarean is Childbirth Connection.  Also have a look at the NIH VBAC Consensus.

@ShannonMitchell: When vbac rates CAN be 60-80% Don’t ask me to wait for ten years for a 20% rate #ican2011 #birthaction
I love me some Shannon.  She’s absolutely right, so we all need to get off of our duffs and DO SOMETHING!  Or do MORE!!

@ Unnecesarean: Macones: If hospitals can’t respond to emergencies, they probably don’t have any business doing obstetrics. (attributed to Landon) #ICAN2011
This is a very important point and should be addressed any time a facility with a maternity ward imposes a VBAC ban.  People who live in towns with VBAC bans in place should write letters to the paper, picket the hospital, and set up an on-line petition at the very least.  The average family doesn’t know that a facility that can’t handle a VBAC is unsafe for childbirth.

@ShannonMitchell: From 30 to 32% is 40,000 cesareans #ican2011 #birthaction
Wow, 30-32% is not nearly as offensive as knowing that 40,000 more women were cut open . . . many (most?) unnecessarily!  And other tweets indicate that the 40K cuts refer to the increase from 32-32.9% (our current national cesarean rate).  If that’s the case, how is that not perceived as a national crisis????

@tiffrobyn: Dr Macones: ECV, CVS testing, carry 1-2% risk, greater than vbac. #ICAN2011
Tests and procedures (including cesareans) that OBs may offer are sometimes riskier than what they refuse to do (attend VBAC).  I will say that I’ve never been offered an amnio, ECV, or CVS even at my advanced maternal age. ;)

More later, I am certain . . .

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