A few 2007 birth statistics

I’m not bored, but I did wake up at 4am which led me to the CDC.  Under “What’s New” at the NCHS page I read, “Twin Births Remain Stable, New Report Shows”.  Ok, so I was a bit disappointed that it wasn’t an entire report about multiple birth, but since I still hadn’t actually read the 2007 birth report, I suppose it was good that I took a peak.  If you’re interested to see what I posted about multiple gestation and birth as well as a collection of other data points that I found interesting, have a look here.

I browsed the site further and found some interesting statistics.  I was particularly looking for information on multiple gestation, of course, and was disappointed not to find method of delivery stats readily available for multiple gestation sets.  I did create a little spreadsheet though for 2007 births by gestational age and method of delivery.

I only looked at 34+ weeks gestation.  Information from 20-33 weeks gestation is available, but since I know less about those groups, I didn’t include it.  It is possible that premature babies are more at risk of dying during vaginal delivery than cesarean, I don’t know for certain, and I’m sure that parents need to consider their options carefully, if options are given.

ATTENTION!  Notice that the nation 2007 cesarean rate was 31.8% in 2007, another all-time high.  The World Health Organization suggests that a cesarean rate of 10-15% is indicative of a birth reality that is consistent with science and good practice as measured by healthy birth outcomes for mom and child(ren).  Get above that 15% range, and THE RISKS BEGIN TO OUTWEIGH THE BENEFITS.  I repeat . . the risks outweigh the benefits outside of the cesarean rate range of 10-15%.

So let’s extrapolate a bit . . .
You’re the MOST likely to birth vaginally if you make it to 40 weeks.  Problem is that most OBs do not encourage women to gestate to 40 weeks and a high number of elective cesareans take place in the 39th week.  If your baby comes before 37 weeks, look out . . . 41% of all live US births between 34 and 36 weeks gestation happened via cesarean surgery.  We need to be asking . . . WHY.  And why are nearly 1/3 of all babies being born via major surgery.  Why are so many women having their babies surgically extracted from their bodies, especially when subsequent pregnancies will even more likely end with a repeat cesarean?  WHY WHY WHY!!!!!

ASK SOMEONE WHY!

WHY 32% . . .

Bad news for homebirth in Utah

From an article in the Salt Lake Tribune:

    The bill would put new limits on direct-entry midwives, who are licensed and attend home births. By defining a “normal” birth, it bans them from administering to women with a host of medical conditions, from diabetes to hypertension.
    They also would be stopped from assisting women whose babies are breech or who want a vaginal birth after a previous cesarean section (VBAC).

How is it that people who never see “normal” birth (a term that is easily usurped and unfortunately true of augmented birth in this day and age) are able to determine normalcy.  If they can determine “normal”, then perhaps they should start overtly forcing more women into induction, augmentation, and other interventions.  Medically-managed labor & delivery is certainly most common in a hospital setting.  In fact, why don’t we just get rid of the mother’s (and other vested persons’) desires altogether?  Many – if not most – OBs are contemptuous towards mothers with birth plans anyway.

I can tell you that “normal” should equate to “natural”, but it doesn’t any more.  And really the only venue for assuring natural birth is home.  Sure “natural” might not happen for everyone.  I’m not even trying to suggest that all women should give birth at home.  But these restrictions . . . why not ensure that direct-entry midwives are well-trained for breech, twin, and VBAC scenarios.  How do you ensure this?  By keeping it legal and supporting midwives who feel confident in their skill level with breech, twin, and VBAC labor.  Just as an OB should know if s/he is the appropriate person to deliver a breech baby or perform an amniocentesis (and lemme tell you, some simply are NOT), so should a CNM or direct-entry midwife.

I’ve written about “normal” and “natural” before – click here to read!