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QUARTERLY QUOTES
"How can a hospital say it can handle an emergency C-section due to fetal
distress yet not be able to do a VBAC?" asks Dr. Mark Landon, a
maternal-fetal-medicine specialist at the Ohio State University Medical Center
and lead investigator of the NIH's largest prospective VBAC study, as quoted in
Time Magazine article:
The Trouble with Repeat Cesareans
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A simple prenatal tea that also doubles as a great labor tea can include as
little as three natural herbs:
  
Can you tell the names of these herbs?
(answer hiding on one of the pages of this newsletter)
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STATISTICS
Hospital Care of Childbearing Women and Newborns
Of those discharged from U.S. hospitals in 2007, 25% were childbearing women and newborns. Care of childbearing women and their newborns was by far the most common reason for hospitalization.
Cesarean section was the most common operating room procedure in the country in 2007. The 2008 cesarean rate of 32.3% marked the 12th consecutive year of increase and a record-level national rate.
The cesarean rate varied across states in 2007, from a low of 22.2% in Utah to a high of 38.3% in New Jersey. It reached 49.2% in Puerto Rico.
In 2006, the cesarean section rate varied by payer — from private insurance (33.7%) to Medicaid (29.8%) to uninsured women (25.4%).
The rate of vaginal birth after cesarean (VBAC) within childbirth-related hospitalizations was 9.7% in 2006, a decline of 73% from 1997, when the VBAC rate was 35.3%.
Six of the ten most common hospital procedures in 2007 were also maternity-related:
Rank Among Cumulative Increase
Maternal and Newborn Procedures - All Procedures 1997-2007>
prophylactic vaccinations and inoculations - 2nd at 189%
cesarean section - 3rd at 85%
repair of obstetric laceration - 5th at 27%
circumcision - 7th at 12%
fetal monitoring - 8th at 25%
artificial rupture of membranes to assist delivery - 10th at 56%
Also see State Level Maternity Care Statistics.
~ adapted from Childbirth Connection
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~Trading Post~
 Apprenticeship
Opportunity
Attention aspiring midwives!
Eden Birth & Wellness has two openings for serious students to join
the team in SW Idaho. If you can appreciate a preceptor who enjoys providing learning opportunities with positive encouragement,
call for an interview!
Email
This newsletter is a free publication
for information purposes only.
Editor's desk: (208) 477-4340
Submit articles, announcements or comments: Email
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RISK OF CESAREAN SECTION
Short-term risks for mother:
- Maternal death
- Thromboembolism
- Hemorrhage
- Infection
- Incidental surgical injuries
- Extended hospital stay
- Emergency hysterectomy
- Pain
- Poor birth experience
Long-term risks for mother:
- Adhesions
- Re-hospitalization
- Risk of future c-section
- Infertility
- Placenta accreta
- Placenta previa
- Uterine rupture
Risks for baby:
- Neonatal death
- Respiratory difficulties
- Asthma
- Iatrogenic prematurity
- Trauma
- Breastfeeding difficulties
- Dental disease
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