Journey to Motherhood
In this video blog, Bedrest Coach Darline Turner answers the question, “Should I take a childbirth education class?”
Not having taken childbirth education classes with her own children, Darline sees this as one area where she missed the boat. Having a traumatic delivery with her daughter, the hustle and bustle in the delivery suite, her daughter being whisked away to the NICU and the general chaos that left dad befuddled, Darline is sure that childbirth education classes would have helped immensely. Below she shares here some of the more popular education organizations and some of the childbirth educators that she likes, knows, trusts and recommends.
Organizations that offer Childbirth Education and train childbirth educators
Childbirth Educators I Like
Desirre Andrews-Preparing For Birth
Isis Parenting. A Boston Based childbirth and parenting education organization.
Many American hospitals and Obstetricians have put a “hard stop” on elective labor inductions. As a result many hospitals and physicians are seeing a significant drop in still births, NICU admissions, cesarean sections and post partum hemorrhage. Data presenting the effects of such hospital practice policies was presented at the American Congress of Obstetricians and Gynecologists (ACOG) 61st Annual Clinical Meeting.
The United States has long been noted to have adverse birth outcomes that, in some instances, rival those of developing nations with far fewer resources. With the world’s eye upon us, many hospitals adopted a no elective labor before 39 weeks gestation policy. This means that under no circumstances is a mama to be induced before 39 weeks gestation unless it is absolutely medically necessary; there is danger to the life of mama or baby. Otherwise, Mamas and babies have to “tough it out” to term. Additionally, many hospitals are adopting strict policies against obstetricians who perform elective inductions in an effort to deter the practice.
The results of the policy has shown the following results according to researchers Nathaniel DeNicola, MD, from the University of Pennsylvania, in Philadelphia, Andrew Healy, MD, medical director of obstetrics at Baystate Medical Center, in Springfield, Massachusetts and Angela Silber, MD, director of maternal-fetal medicine at Summa Akron City Hospital, in Ohio:
Dr. DeNicola’s Study (A Survey Study)
- Many hospitals have adopted specific policies against elective induction
- Nearly two thirds of more than 2600 hospitals have “no elective induction” policies in place.
- 67% of hospitals have a formal policy against non-medically indicated labor induction, and among those without a formal policy, just over half said it was against their standard of care.
- 69% of formal hospital policies were hard-stop, meaning strictly enforced, as opposed to soft-stop or strongly discouraged.
Dr. Healy’s study
- Compared 9515 singleton births before the policy and 2641 singletons after the policy found a significant decrease of 5.9 hours in the median time to delivery (P = .002).
- The cesarean section rate for elective inductions also decreased from 16% before the policy to 7% after (P = .05).
- NICU admission rates decreased by a third. Before the policy, 3% of term babies got admitted to the NICU and after the policy that went down to 2%” (P = .02).
- No increase in the stillbirth rate
Dr. Silber’s pre- and post policy comparison
- Decrease in stillbirths and NICU admissions
- Comparing 9806 singleton deliveries before the policy and 6041 singletons after, the number of stillbirths decreased significantly from 16 to 3 ( P = .023), with a trend toward significance in the reduction of NICU admissions (from 867 to 587; P = .06).
- There was no significant difference in macrosomia (Large for gestational age) rates (P = .718)
Other data not fully analyzed shows a decrease in cesarean sections as well as postpartum hemorrhage.
As a result of these studies, many obstetricians and hospitals are really questioning the practice of induction and no longer performing inductions unless absolutely medically necessary. According to these researchers, this data may be what makes elective inductions history!
Summarized from MedScape News, OB/GYN & Women’s Health by Kate Johnson, May 23, 2013
What is a “normal birth”? The definition of a normal birth varies. Using the broadest of definitions, “Normal Birth” is defined as the spontaneous initiation of the birth process, i.e. uterine contractions and cervical dilation and effacement occurring between 39 and 42 weeks of gestation. That is the broad, baseline definition. But this has varied over time. If you ask someone who delivered back in the 1920′s, they defined a “normal birth” as a home birth with a local midwife. If you ask someone in the mid to late 1950′s, a normal birth is a hospital birth, likely in a ward and with lots of medications and monitoring and a mama who may or may not have been conscious during the process. And today, the definition has become even more broad and varied. What is comes down to is this; “normal birth” is relative. What was normal in the 60′s when I was born is not at all how “normal birth” is defined today.
What about complications? How do they play and if they arise, do they negate a birth from being “normal”. This is the central question addressed in this video blog. Mamas, if complications arise during labor and delivery, that doesn’t mean that the birth isn’t “normal” and more pointedly, it doesn’t mean that you, mama are a failure.