I tried to catch as much of the Henci Goer chatter on twitter as I could tonight. We have a full house tonight (our 3 plus 2 neighbor kids spending the night, oy!) so I’m playing with less than a full deck. Ha!
Disclaimer: Since I read these tweets on a public hashtag channel, I’m not asking permission to repost. If anyone wants their tweet removed or wants to clarify a tweet, please let me know.
anderzoid #ICAN2011 henci goer: how much we have over medicalized birth? IV drip- not allowed to eat or drink – induction- cord clamping- etc
I assume this was a slide of the topics used to justify the point that birth is over medicalized. My previous research leads me to concur that these are some of the ‘biggies.’
poderyparto Ineffective & harmful practices: sonograms to estimate fetal weight, planned cesarean for breech,not supported by research. #ICAN2011
Ultrasound is such a poor diagnostic tool for assessing fetal weight in the 3rd trimester. I can’t recall exactly ‘when’ ultrasound is more accurate for predicting due ‘dates,’ but it’s very early on – I’m thinking 8-12 weeks gestation, but don’t quote me on that. Only one mom out of the many I know personally that were told they were going to have a big baby actually did have a big baby. Friends and family members who have had 3rd trimester estimates done with specialists have birthed babies 2 pounds lighter than predicted!!!! Regarding the no-questions-asked cesarean for breech – a flawed Canadian study is what dictates current US practice. Thank goodness Canada is taking the lead to restore breech as a version of normal.
bbybirthingmama Scheduling a section for breech, twins, “big baby” and slow labor are not supported by research! #ICAN2011
I was sad to discover that 75% of twins in Montana are born by cesarean. I imagine all breeches are born by cesarean except for the rare surprise breech or unattended breech births. Many docs aren’t ‘allowed’ by their insurance companies to deliver breeches naturally – how convenient for them. Slow labor – yeah! Most women just DON’T dilate 1cm/hr. I REPEAT – MOST WOMEN AREN’T GONNA DILATE ACCORDING TO FRIEDMAN’S CURVE.
babydickey: Perinatal death from csec scar uterine rupture is 6 in 10,000. But did you know pregnancy loss from amniocentesis is 60 in 10,000? #ICAN2011 AND Unnecesarean 6% of scar ruptures—> perinatal death (3 per 10,000). Compare to excess risk of pregnancy loss from amniocentesis… 60 per 10,000. #ICAN2011
Here’s what was stated in the NIH VBAC Report: “Approximately 6 percent of uterine ruptures will result in perinatal death. This is an overall risk of intrapartum fetal death of 20 per 100,000 women undergoing trial of labor. For term pregnancies, the reported risk of fetal death with uterine rupture is less than 3 percent.”
tconsciousdoula planned VBAC should be the norm (87%) actual rate is 9% (2007) #ican2011
Add this information to your notebooks in case you need to make the case for VBAC to a doctor, a nurse, a hospital administrator, or a friend.
tiffrobyn A 41 week pregnancy is not only normal, it is AVERAGE! #ICAN2011
Like . . . duh. Why have care providers forgotten that? Well, statistically that may not be the exact average for all childbearing groups (i.e. primip vs. multip), but it’s absolutely ridiculous to pressure a woman into inducing at 41 weeks. Some providers will start pressuring you at 39 weeks, especially if you let them anywhere near your cervix!
bbybirthingmama WHO Recommends no more than 10% induction rate. I didn’t know that. #ICAN2011 BUT poderyparto US induction rate 2005: 47% (babydickey tweeted 41%) of women planning vaginal birth! #ICAN2011 #CAM2011
bbybirthingmama Early Cord Clamping can take up to 40% of newborns blood volume! #ICAN2011
I had no idea! All of my babies have had their cords clamped immediately. I will definitely add this to my notebook – I had decided a while back that I wanted delayed cord clamping. I know it’s not really a strange thing to ask of a CPM but may be strange for an OB.
anderzoid Henci Goer still on ineffective & HARMFUL practices: Care by an OB for LOW-risk & MODERATE-risk women #ican2011
This point was made by a NYC OB in “The Business of Being Born.” It’s overkill, and generally speaking, normal birth just isn’t exciting enough for them. Plus, most of them have never seen a normal birth – especially the younger OBs.
anderzoid: #ICAN2011 #ppdchat Henci Goer: it’s hard to get #PTSD on radar bc TRAUMA is centered in Institution. DEPRESSION is centered in women.
This is a very interesting statement and one that I’d like to have fleshed out for me. I can almost grasp it but not quite. I will say that people seem to be aware of PPD and acknowledge it but are less able to grasp PTSD as it relates to childbirth (or pregnancy loss).
DH & I have a big to do list for the weekend, so I don’t know how thorough future posts will be. Enjoy the weekend!