Chandler, Arizona
Sweet Pea ​Births
Sweet Pea ​Births
...celebrating every swee​t pea their birth
...celebrating every swee​t pea their birth
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Uterine Rupture: Assessing the Risks
Posted on April 26, 2016 at 10:18 AM |
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Uterine rupture is a topic that came up when I was pregnant with
Otter that I was not ready to allow into my consciousness until she was
safely in our arms. After enough time
had passed and we have proven to ourselves that homebirth can be a safe option
when a person is healthy and low risk, I am ready to write about it.
I gave Stephanie Stanley, former facilitator of the East Valley
ICAN group, byline credit for this because I am using her research from a
uterine rupture presentation she did at a meeting for my post today. ICAN, the International Cesarean Awareness
Network, is a non-profit organization that strives to improve maternal-child
health by preventing unnecessary cesareans through education, providing support
for cesarean recovery, as well as educate about Vaginal Birth After Cesarean
(VBAC) and options for what is called a "gentle cesarean" where the event is honored as a birth even though it's via a surgery. ICAN’s goal is to see a healthy
reduction of the cesarean rate that is patient-driven. By providing education and support, they hope
that more women making evidence based, risk appropriate childbirth decisions
will lead to an overall reduction in the rate of cesareans performed.
Uterine rupture seems to be the leading reason why care providers are
hesitant to allow a mother to have a trial of labor (TOL) after a previous
cesarean. In Arizona, a licensed midwife or certified professional midwife can attend a homebirth
with a mom who is striving to have a VBAC only if the mother meets certain criteria. Arizonana for Birth Options is leading a grassroots efforts to change this so
that as per the ICAN vision, women living here can make evidence based and risk
appropriate decisions. They want all
options to be available: for a hospital birth if mom feels that is the best
option, or a homebirth if both mom and midwife agree that they are a good
candidate for VBAC.
Uterine rupture is defined as an anatomic separation of the
uterine muscle with or without symptoms.
What this means for baby is that the uterus ceases to function as a sealed protective container from the rest of the blood and organs surrounding the baby. The function of the placenta and umbilical
cord may also be compromised. Mom is
subject to blood loss and shock. A
decision also has to be made about repairing the uterus or performing a
hysterectomy.
Another term used when talking about uterine rupture is
“dehiscence”. A dehiscence is the
splitting or incomplete opening of the cesarean scar. It can happen without complication for mom or
baby and sometimes it is only discovered after the delivery. It is also called a “window” by some care
providers.
As it turns out, while uterine rupture is a consideration when you are preparing for a birth after a cesarean, it's not the only one your care provider should be having a conversation about. You can read THIS post to see where the risk for uterine rupture falls in comparison to other risks of pregnancy and labor. So what does the research say?
Here is the overarching conclusion: anyone can be at risk,
whether you have an unscarred or scarred uterus. At most, your risk rate is 2%. 2 percent!
Why then is it that this is such a big deal? I believe it lies with the potentially
devastating circumstance a family will find themselves in if the uterus does
rupture. While 98% of the population
may have a successful VBAC, the worst case scenario of a uterine rupture is
the loss of the baby and possibly a hysterectomy for mom which makes future
pregnancies impossible.
Another point to ponder is that the statistics listed below
are close to other statistics for labor emergencies, such as placenta accreta,
placental abruption, miscarriage; for a longer list click here.
Statistics for the risk of uterine rupture – see links at
the end of this post for references: VBAC: .5% - .7% VBA2C: 1.7% (vaginal
birth after 2 cesareans) VBAMC: 1.2% (vaginal
birth after multiple cesareans) Previous VBAC: .4% - .5%
(if you had a previous successful VBAC) VBAC + Augmented labor:
.9% (stats for first attempt) VBAC + Induced labor: 1%
(stats for first attempt)
Here is a link to the comparison of risk rates for VBAC,
CBAC (a cesarean birth after a trial of labor) and ERC (elective repeat
cesarean)
http://www.sciencedirect.com/science/article/pii/S0002937808004213
The risk factors when considering whether or not to do a
trial of labor after a cesarean are: The type of scar you have: the most favorable is a low
transverse scar. Classical T-shaped
scars, vertical scars or high uterine scars are said to have a higher risk of
rupture.
Induction of labor using cervical ripening agents, i.e., Cytotec,
Cervidil: the prostaglandins that soften the cervix may also soften the scar
tissue. In addition, ripening agents can
cause uterine hyperstimulation, meaning contractions that are much more intense
and frequent than the uterus is designed to withstand in the course of an unmedicated
labor.
More than one cesarean: as you can see from the statistics
above, there is a slight increase of risk.
Among factors that are disputed in medical literature are: - Age of mother: if a mother is over 30 she may be considered
at higher risk for uterine rupture. - Obese women - Size of baby: more than 8 pounds, 14 ounces - Post-term baby: 40+ weeks gestation from last menses To compare, here are the stats and risk factors for an
unscarred uterus: “The normal, unscarred uterus is least
susceptible to rupture. Grand multiparity, neglected labor, malpresentation,
breech extraction, and uterine instrumentation are all predisposing factors for
uterine rupture. A 10-year Irish study by Gardeil et al showed that the overall
rate of unscarred uterine rupture during pregnancy was 1 per 30,764 deliveries
(0.0033%). No cases of uterine rupture occurred among 21,998 primigravidas, and
only 2 (0.0051%) occurred among 39,529 multigravidas with no uterine scar. A meta-analysis
of 8 large, modern (1975-2009) studies from industrialized countries revealed
174 uterine ruptures among 1,467,534 deliveries. This finding suggested that
the modern rate of unscarred uterine rupture during pregnancy is 0.012% (1 of
8,434). This rate of spontaneous uterine rupture has not changed appreciably
over the last 40 years, and most of these events occur at term and during
labor. An 8-fold increased incidence of uterine rupture of 0.11% (1 in 920) has
been noted in developing countries. This increased incidence of uterine rupture
has been attributed to a higher-than-average incidence of neglected and
obstructed labor due to inadequate access to medical care. When one assesses
the risk of uterine rupture, this baseline rate of pregnancy-related uterine
rupture is a benchmark that must be used as a point of reference.” If you choose to have a VBAC, or realistically for any woman
in labor since the statistics show she has a slight risk, here are the signs that may
help you recognize that a uterine rupture is occurring or may have occurred: - Excessive vaginal bleeding - Extreme pain between contractions – these may or may not
be felt through an epidural block, though due to severity of pain it’s possible
they may be felt - Contractions that slow down or become less intense - Abdominal pain or tenderness - Baby’s head moves back up the birth canal - Bulge in the abdomen, bulge under the pubic bone, or
pressure on the bladder where the baby’s head may be coming through the tear in
the uterus - Sharp onset of pain at the site of the previous scar - Uterus becomes soft - Shoulder pain - Heart decelerations in the baby - Maternal tachycardia (rapid heart rate) and hypotension
(low blood pressure)
If you have a true uterine rupture, then an emergency
cesarean will be required. A Chandler
doctor told the ICAN group that the care provider has 5 – 7 minutes to get the
baby out safely, although in reading for this post I saw some estimates as 10 –
37 minutes. According to a 2010 National Institutes of Health study,
there have been no maternal deaths in the US due to uterine rupture. Overall,
14 – 33% will need a hysterectomy. 6% of
uterine ruptures result in perinatal death, and for term babies this risk was
put at less than 3%. **
If you do have a uterine rupture, it will have an effect on
your future pregnancies. Each cesarean a
mother has increases the risk for future complications of cesarean
surgery. If you have a hysterectomy, you
will not be able to carry any more children.
In today’s medical climate, a uterine rupture will most likely result in
all future pregnancies being delivered via repeat cesarean.
There are a lot of points to ponder as a new mom or as a mom
considering a VBAC. Our Bradley® mantra
is: Healthy Mom, Healthy Baby. We teach
that as long as you make all your decisions with those two goals in mind, you
are likely to make the choices that have a positive outcome for both Mom and
Baby. What are your thoughts on VBAC and/or uterine rupture?
**NOTE: Stephanie’s presentation called out these statistics
as inflated as the Landon study (2004) included women who had pre-labor
stillbirths included in the statistics.
IN other words, women whose babies had passed away before labor and
still delivered via VBAC rather than choosing a repeat cesarean were counted in
the perinatal death statistics. Please
read Henci Goer’s analysis for more information
For the resource list, click here. Disclaimer: The material included on this site is for informational
purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Info Sheet: Vaginal Exams
Posted on March 4, 2016 at 2:01 PM |
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Pelvic or Vaginal Exam during Pregnancy (3rd Trimester) According to Mayo Clinic, “as your due date approaches, your prenatal visits might include pelvic exams. These exams help your health care provider check the baby's position and detect cervical changes.” *History Pelvic examination during pregnancy is used to detect a number of clinical conditions such as anatomical abnormalities and sexually transmitted infections, to evaluate the size of a woman’s pelvis (pelvimetry) and to assess the uterine cervix so as to be able to detect signs of cervical incompetence (associated with recurrent mid-trimester miscarriages) or to predict preterm labour (see Section 11.3). In an RCT that assessed the relationship between antenatal pelvic examinations and preterm rupture of the membranes (PROM), 175 women were assigned to no examinations and 174 women were assigned to routine digital pelvic examinations commencing at 37 weeks and continuing until delivery.233 In the group of women who had no pelvic examination, ten women developed PROM (6%) compared with 32 women (18%) from the group of women who were examined weekly. This three-fold increase in the occurrence of PROM among women who had pelvic examinations was significant. Based on the above study the NCBI concluded, “Routine antenatal pelvic examination does not accurately assess gestational age, nor does it accurately predict preterm birth or cephalopelvic disproportion. It is not recommended.” Another study completed by the NCBI concluded, “In patients with a US-documented viable pregnancy, the pelvic examination did not contribute to the patient's immediate obstetric treatment. Occult cervical pathogens may be present in these patients.”
*PROS Vaginal Exams can possibly measure:
*CONS
*Links to explore Pelvic Exams Near Term: Benefit or Risk? Talking to Mothers About Informed Consent and Refusal Did you have vaginal exams in your third trimester before your labor started? Thoughts? Please leave us a comment - it will be moderated and
posted. Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Patient Rights
Posted on September 25, 2015 at 9:39 AM |
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The Family-Centered Cesarean
Posted on April 30, 2015 at 9:40 AM |
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A "Family-Centered" cesarean? A "gentle" cesarean? A procedure that is Woman and MotherBaby-centered? What? Did you just read that correctly? Yes, you did. There is a "new" trend in cesareans that is hitting the mainstream consciousness here in the United States. While a lot of the focus during Cesarean Awareness Month tends to center on Vaginal Birth After Cesarean (VBAC), I also want to acknowledge that a VBAC is not the choice that all mothers want to make. Here is an option for mothers who know they want, or are considering, a repeat cesaran birth. It is also an option if a healthy, low-risk labor starts to change it's course and there is time for non-emergent cesarean. I have linked to THIS post about a "natural" cesaran more than once in previous posts, and today I want to be a little more specific about what a "natural" cesarean is and why a family might opt for this. To quote the article:
A family-centered, or natural cesarean strives to capture these components of a vaginal birth:
The idea of "seeding the microbiome" is a new concept. Here is a quote from THIS article:
And one from THIS article:
So while your initial reaction might be one of surprise and disgust, think about it. Please take a minute to read both of the excerpted articles and have a discussion with your partner and your care provider before you make up your mind one way or another. Here are some of the benefits that are causing mothers to request this kind of cesarean option:
If you would like to have a conversation with your care provider about planning for a gentle cesaean as your birth plan or "just in case" plan, HERE is a list of options for you to discuss with them, provided by ICAN of Phoenix chapter leader Jenni Froment. I also want to mention: these are evidence-based recommendations. If your care provider scoffs at you and laughs you out of the room, thank them very much for their time and go have a conversation with another provider in your area. Your local ICAN chapter or ICAN international are great resources for respectful, family-centered providers. What do you think? Please leave us a comment - it will be moderated and posted. *I think* that the amount of traffic you so generously generate has led to a lot of spam posting. In an effort to keep the spam to a minimum, I am taking the time to moderate comments now. Link List: http://www.youtube.com/watch?v=m5RIcaK98Yg ARTICLES ICAN http://blog.ican-online.org/2012/04/14/the-family-centered-cesarean/ MIDWIFE THINKING http://midwifethinking.com/2014/01/15/the-human-microbiome-considerations-for-pregnancy-birth-and-early-mothering/ MAMASEEDS http://mamaseeds.com/blog/antibiotics/how-seed-your-baby-healthy-microbiome-last-lifetime/ The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Info Sheet: Amniotomy
Posted on February 6, 2015 at 9:23 AM |
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*Definition Amniotomy, also known as Artificial Rupture of the Membranes
(AROM) is the surgical rupture of fetal membranes to induce or expedite labor. Source: *History Amniotomy is used to start or speed up contractions and,
as a result, shorten the length of labour.
Sources:
PROS
CONS
Sources:
*Link List For further exploration on your part
What do you think? Is this an option you would consider, or that you chose for during your birth? The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Warning Labels: Epidural Drugs
Posted on May 23, 2014 at 3:22 PM |
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In light of a research study published this week, we are highlighting this blog post today, originally written on May 28, 2013. An excerpt from the article New Research: Direct Correlation Between Labor Pain Medications and Breastfeeding:
As stated below, this information is shared in the interest of true informed consent. If a mother adds another piece to the puzzle, she may decide to choose other pain relief tools aside from pain medication, or do everything to delay pain medication as long as possible in order to give her and her baby their best opportunity to get breastfeeding off to a good start. I am sharing the information below in the interest of furthering our goal that all our students have true informed consent: knowing all the benefits and risks of a drug or procedure. It is very rare for anyone to read the drug information insert that comes in all drug packages. To save you time and squinting, we are doing a “drug warning labels” series for the most commonly used drugs during labor and birth. There will be two more installments in this series. Next week we will look at the drugs used for induction, and we will conclude with drugs used for augmentation of labor. We are passionate about helping families have their Best Possible Birth. By that we mean the path that leads that individual family to a Healthy Mom, Healthy Baby outcome. We want families to have a toolbox full of tips and techniques that help them manage the ebb and flow of labor. We want them to be comfortable with the path of a normal, low-risk labor. We want them to have true informed consent by having an open line of communication with their care providers. Why do we spend time and energy preparing couples for natural birth, even when some of them will end up choosing an epidural, or maybe needing a cesarean for their Healthy Mom, Healthy Baby outcome? We know that the longer drugs can be delayed or avoided completely, the less likely it is that mother and baby will be exposed to drugs that have never been proven safe for mother and baby. As one of my favorite class handouts says, “When used wisely and at an optimal time, an epidural can give a laboring woman much needed relief and sleep. But if you are not prepared for some of the risks, you may end up wishing you had known a little more.” (read in more detail about epidurals HERE and HERE) Unfortunately, some families don’t know the side effects or possible complications of the drugs that are used in childbirth today. We assume that since they are offered, they must be safe. After all, our care provider would not purposely put us in harm’s way, right? Did you know that most drugs used in childbirth is used “off-label”? There is no drug that has been proven safe for childbirth – you can’t run a control study on pregnant women by allowing some to be drug-free and then having others use the drug. It would be highly unethical as the difference in outcomes might be devastating to the women and children involved. To be clear – we are not anti-care provider or anti-drug. We are grateful for modern medicine that saves lives in circumstances when Mother Nature needs help. It exists for a reason, and we are thankful for the opportunity to meet all the Healthy Moms and Healthy Babies when we hold a class reunion. Please read and consider this information as you prepare for the birth of your baby. I included the link to find the complete drug label on-line. Everything underneath the drug name is in quotations because I *literally* pulled it off the label available online and onto this entry. LIDOCAINE: Category B
BUPIVACAINE: Category C
CLONIDINE: Category C
FENTANYL: Pregnancy Category C
SUFENTANIL: Pregnancy Category C
DEMEROL: Pregnancy Category: B; D if used for prolonged periods or near term
This concludes the highlights I pulled out from the drug inserts. I encourage you to click on the links and read the whole insert for yourself. Going in with all the information may help you make the right decision for your family. I want to re-iterate that our perspective (Krystyna & Bruss) is that drugs are a tool, to be used wisely and at the optimal time, i.e., when the benefits outweigh the risks. If you are going to use any of these as a tool, then educate yourselves on dosage. You can ask questions like, "Is mom going to get the suggested dose all at once or over a time period?" "What can we do if she needs more than the suggested dose?" "Are there any other options?" We have had students use an epidural as a tool after a prolonged and/or especially painful labor. The epidural provided the rest and/or relief they needed, and some of them went on to have a quick progression to second stage and a vaginal birth. Their births are no less "Bradley" than our mothers who had epidural-free births. All the couples used their communication skills to make the Healthy Mom, Healthy Baby choice for their family. It all boils down to the same question, "Which choice is right for our family in the unique instance of our birth?" When you choose with a Healthy Mom, Healthy Baby filter, you can help clarify which choice works for you. The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Inside Look: Postpartum Planning
Posted on February 28, 2014 at 4:33 PM |
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New to her store are Postpartum Pads. These are fabulous for mamas who want a little "vag cush" in the postpartum period after labor.
HERE is her tour of the postpartum pads on YouTube. I wish something like this had been around when we were birthing Sweet Peas!! Reasons why you might consider greening personal care items:
After seeing how easy it was to make that transition, we made the switch to "unpaper" towels. This family of six that used to go through a bulk store pack in about six weeks had the same package last for 4+ months. The only reason we finished the pack is because our washing machine broke down and wasn't repaired for six weeks...long story...after a few 15+ load trips to the laundromat something had to give. Anyway, happy that our machine is fixed and we are now fully back to our reusable habits. We are now venturing to try the mama cloth - the more I know about the chemicals in personal care products, the less willing I am to expose our daughters to them, especially as they enter their reproductive years. What do you think... Have you thought about making the switch to reusable items in your home? Did you make the switch? Tell us about it! Please leave us your comment - it will be moderated and posted :)
Disclaimer: The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Info Sheet: Perineal Massage
Posted on February 7, 2014 at 5:21 AM |
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"Prenatal" aka "Antenatal" Perineal Massage *Definition Massaging, stretching and/or relaxing of the perineum & perineal
tissues, the area between the vaginal opening and the rectum. Image Source: http://www.nurturingheartsbirthservices.com/blog/?p=1362 *History Women frequently suffer perineal trauma while giving birth and thus interventions to increase the possibility for an intact perineum are currently being explored. Reducing tearing has been the subject of many research studies. Some have shown favorable outcomes:
and, some have shown neutral outcomes:
*PROS
*CONS
*Pages to explore for more reading on Perineal Massage
The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Info Sheet: Hepatitis B Vaccine
Posted on January 24, 2014 at 6:28 AM |
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A .5mL dose of the Hepatitis B Vaccine is
recommended for all babies sometime after birth (within 12 hours if mother has
hepatitis B infection) and before hospital discharge by the Center for Disease Control
(CDC). A second dose is recommended between 1-3 months of age, and the third dose is recommended between 6-18 months of age. What is Hepatitis B? Hepatitis B is a contagious liver
disease that ranges in severity from a mild illness lasting a few weeks to a
serious, lifelong illness. It results from infection with the Hepatitis B virus.
Hepatitis B can be either “acute” or “chronic.” Acute Hepatitis B virus infection is a short-term illness that occurs within the first 6 months after
someone is exposed to the Hepatitis B virus. Acute infection can — but does not
always — lead to chronic infection. Chronic Hepatitis B virus infection is a long-term illness that occurs when the Hepatitis B virus remains
in a person’s body. Hepatitis B is spread when blood, semen, or other
body fluid infected with the Hepatitis B virus enters the body of a person who
is not infected. People can become infected with the virus during activities
such as:
Sources:
PROS
Quoted/Sources:
CONS
Quoted/Sources:
THE CHOICE IS YOURS Links with other options to explore for further
research
What did you consider before accepting/declining the Hep B vaccine? Please leave us a comment - it will be moderated and
posted. The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
Info Sheet: Forceps and Vacuum
Posted on November 19, 2013 at 9:50 AM |
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Today, we take a look at an option that is offered to families as an alternative to a cesarean. While at first read, it may not be something you are willing to consider, once you are in the situation, using a forceps or a vacuum may be something you will be grateful you read up on when all things were calm. One must weigh the benefits and the risks of these instrument deliveries with the benefit of a vaginal birth. Once you choose a cesarean birth, your future birth choices are going to be restricted by various players: your own beliefs, your care provider, and your birth place. Forceps: Vacuum Extraction: Definitions: Forceps/Vacuum Extraction Forceps
Vacuum Extraction (VE) aka Ventouse
Source:
Source: History Why was it developed? What was it supposed to treat? Has it been effective: as in, has the incidence decreased because of the intervention/procedure/test? Forceps
Source:
Source:
Source: Ventouse/Vacuum Extraction (VE)
PROS/CONS Forceps PROS
Forceps CONS In the immediate post partum period forceps have been associated with increased perineal and vaginal trauma and a greater requirement for analgesia compared with vacuum extractors. These findings were confirmed by another study, which also found that cervical laceration, post partum infection and other complications, and prolonged hospital stay were more common in women who had forceps delivery compared with those who had vacuum assisted delivery.
Source: Vacuum Extraction (VE)/Ventouse PROS
Vacuum Extraction (VE) / Ventouse CONS
Additional Links The material included on this site is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation. Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided. This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. |
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