http://www.consumerreports.org/cro/2012/05/what-to-reject-when-you-re-expecting/index.htm
I thought this was a very informative article!
http://www.consumerreports.org/cro/2012/05/what-to-reject-when-you-re-expecting/index.htm
I thought this was a very informative article!
blogger / wonderful cherry / 21616 posts
Very interesting!! In general that was what I wanted too but circumstances changed that.
I had to have continuous fetal monitoring because I had pre-e and they needed to be sure baby didn't go into distress during contractions.
I think a lot of those have to do with women's comfort levels and personal preferences too.
hostess / wonderful persimmon / 25556 posts
That's a great article. I'm a big fan of Consumer Reports.
papaya / 10560 posts
Interesting! I had a med-free birth with no induction, the only that applied to me were fetal monitoring, and an episiotomy...and I'm in the camp where my labor went so quickly I needed one.
grapefruit / 4819 posts
Excellent article....and precisely the reasons why I'm so happy I gave birth in Australia and not the US. I love that the Australian system views pregnancy as a natural occurrence, not a medical condition requiring treatment, and I think this article highlights a lot of the key differences. I'm hoping to give birth to our next (or next two!) in Australia for many of the reasons listed in the article.
ETA: I know there are many practices in the US where one can have a more natural childbirth experience (not referring to a med free birth, but a low intervention pregnancy/labour) but I'm referring to the system as a whole.
cantaloupe / 6146 posts
This makes me want to barf. Every time I see this stuff I feel like my c-section was my fault.
pear / 1787 posts
This is great! I hope this encourages more women to make informed decisions regarding procedures.
GOLD / wonderful grape / 20289 posts
All I know is I got an epidural as soon as they would let me. And not only did I know when to push, but it was down right painful. The meds didn't wear off yet, but what they call "uncmfortable pressure " kicked in. My nurse never had to tell me when to start pushing, I was the one begging her to push.
GOLD / squash / 13464 posts
@pastemoo: I'm 100% sure your c section was NOT your fault. And you have a perfectly healthy and happy baby so don't let this article make you feel bad!!
Things like this always make me mad too. It must be nice to assume all women have low risk pregnancies and births and then to make them feel badly about certain procedures they may have needed. I had pre term contractions at 26 weeks and now have to have frequent ultrasounds to make sure my cervix isn't dialating. The more informed my doctor is about what's going on with my body the better armed she and I are to make the right decisions about my care. So I will have plenty of ultrasounds after 24 weeks and it's in my best interest.
pomelo / 5178 posts
@pastemoo: you have nothing to feel bad about. Mosr c-sections aren't a choice. You did what was necessary to have a healthy baby.
wonderful pear / 26210 posts
I think the article itself has good information, but I do wish it was presented in a more neutral manner.
GOLD / wonderful coffee bean / 18478 posts
How is sending your newborn to the nursery considered a procedure? After pushing for 3.5 hours, I was beat and had her in the nursery that night. They brought her to me when she needed to nurse and then she went back. I don't regret that at all. There is no such luxury when you get home so I think it's great that I could do that during my limited time in the hospital. A momma's recovery is very important, too.
hostess / wonderful watermelon / 39513 posts
@pastemoo: I felt the same way when I read it.
blogger / pomelo / 5400 posts
Hmm. I normally like CR, but I agree with @looch, it could have been presented much better.
cantaloupe / 6610 posts
Ditto @mrs. yoyo and @looch....It was kind of "Judgey" for me. Especially because I'm in violation of the one about getting induced "for convenience." It makes it sound super petty. Yeah, I want to have my baby while my husband is not thousands of miles offshore working. It's a little more than convenient to have him present at the birth of our first baby. And of course induction increases the chance of C-section. So I might be on the bad list for that too. Whatevs! Every pregnancy/labor/delivery is different, and I get so sick of Moms who think they know more or better and want to force their opinions or judgement on others.
pomegranate / 3890 posts
i dont like this article, i feel like its meant to judge moms and make them question thier decisions (that u cant change). plus find it highly contradictive, one sided and narrow minded. alot of these things like ultrasouds after 24 weeks cant be avoided.
personally i am thankful for my ultrasounds and fetal monitoringand felt like it helped bring my baby here safely.
hostess / watermelon / 14932 posts
@jholler25: totally agree. I get so sad when other Moms get judgy...oftentimes, those same moms end up with things (either by choice or not) that they were against, such as inductions, epidural, c-section, formula feeding, CIO, etc. It's so easy to throw stones, but really..it doesn't help anyone!
I haven't given birth yet but I've had a couple ultrasounds after 24w for growth concerns. I can see how those are perhaps linked to c-sections *maybe* in the fact that discovery of issues leads to an earlier delivery, but that's not always a horrible thing. I'm so glad that they monitored my LO's growth just in case.
And yes, I totally plan on BEGGING my OB to induce me on my due date if I don't go by then...I challenge anyone who has thrown up multiple times a day, every day, for 34 weeks to NOT want to be done by 40 weeks!
cantaloupe / 6610 posts
@sorrycharlie: This is terrible to admit, but when I see Moms who overbearingly post about things like no meds, etc, and I feel like they're being judgey, I secretly hope they end up with what they're judging against. It worked a couple of times, and I was pleased to see the judginess go away after delivery went in a direction that they had formerly judged against. Maybe I am a bad person for wishing that on them!
I really try to not judge- just because I feel like it's so easy to do. You want an epidural instead of feeling your vagina ripped in half? Go for it! I do too! You want to feel your vagina ripped in half? More power to you! You want to do CIO? Great! You think it makes the baby have abandonment issues when he/she gets older? That's fine too. I just want to do what's the best for my baby and my situation at that moment, and no one can ever really know what that may/may not be! The ONLY things that matter is that the baby gets here safely and is loved to pieces after he/she is born. The rest is just small stuff.
cantaloupe / 6610 posts
Whew sorry for the rant! I haven't finished my Maxim Mocha Gold coffee this morning and it shows!!!
pomegranate / 3890 posts
@jholler25: haha i thought i was the only one who secretly hoped people who were overbearen would have to get what they were judging about...i feel guilty admiting it. lol....hey atleast it teaches them to not judge so eaisly, right?!?!?
cantaloupe / 6610 posts
@stargal: Seriously! I was actually really amazed at the "flip" that happened to a couple of moms! So it worked, actually even better than I had anticipated!
coconut / 8305 posts
@Arden: Thanks for posting this! It was actually part of my extenstive research of birthing options when I was pregnant with DD. first go round with DS I had pretty much all of those things & ended up with an "emergency" cesarean. It took a really long time for me to not blame myself & finding things like this actually helped me! It reminded me that I was the patient & it was my doctors that decided to practice in a way that isn't/wasn't evidence based.... The only mistake I made was, unfortunately, trusting my doctors believing they wouldn't use procedures that put me & my baby at more risk. Yea, I have a healthy baby, but what about being able to have a healthy baby without all the negative risk & consequence.... Ie. risk of placenta accreta & uterine rupture in future pregnancies (not just labor but through all subsequent pregnancies). These were the things I was NOT made aware of the first go round but I got to worry about with DD.
Now, I 100% understand that there is a place & time for every single intervention listed BUT it's certainly not all the time or even most of the time which is how they're used now. If the benefit doesn't outweigh the risks (all risks) then doctors shouldn't okay doing them.
I probably seem in the judgy camp & can totally agree... But my problem isn't with the moms it's with the medical community & that they really should change their model of practice. I'm sure having friends & other moms I talk to experience horrible outcomes because of their misuse of technology just adds to how I feel. If a mom is aware of all the risks and still chooses to go along with the intervention then that is there informed choice to make. Since most aren't fully aware though I guess something in me just gets very protective of women in a time that they should be able to be vulnerable & trusting but can't because of things like this.
cantaloupe / 6146 posts
@MamaMoose: @Honeybee: Thanks.
@autumnlove: Hugs!
@Andrea: YES! Mama needs to recover, too!
@jholler25: <3. LOL. You want your vagina ripped in half? Great! Cuz I totally do next time. Haha.@runsyellowlites: How did it help you? It made me feel worse about my "emergency'C. The more I learn the more I think I shouldn't have gone to the hospital after my water broke because then they start doing checks and then pitocin and whatnot.
persimmon / 1087 posts
One huge thing I regret everyday is being unnecessarily induced. I am sure my labor and delivery would have been much smoother. It was a traumatic experience that I don't want to go through again! I hope to go into labor on my own next time.
persimmon / 1453 posts
Interesting article! It seems like there's more and more awareness of the issues within the US maternity system. I'm currently reading the Milbank report on evidence-based maternity care in the US. The CR article seems to draw heavily on that information, just with more..."reporting flavor," haha.
The Milbank report is a really good read. It explores the overuse/underuse of interventions and care practices, and how they can best be used. It's super interesting, compelling information for all of us women who are trying to navigate the US maternity system. And it's completely non-judgey.
If anyone's interested in reading the report, you can find it here: http://www.childbirthconnection.org/article.asp?ClickedLink=1082&ck=10575&area=2
coconut / 8305 posts
@Minnie_Girl: I love childbirthconnection.org! It had great unbiased, matter-of-fact vbac vs. erc info so I refer a lot of expecting moms to their site!
grapefruit / 4819 posts
Maybe I read the article wrong but I clearly got the message that there is definitely a time and a place for each of those interventions - of course there is. A healthy mum and baby s the goal here and sometimes it takes more interventions to reach that goal, which is fine.
I just think the article was saying that the medical community is so quick to rush into a lot of these interventions without justified cause. And I think a lot of people go along with this because it doesn't even occur to us to question our doctor when our baby's health is the issue. That's all I thought the article was saying - I don't think it said anywhere that these interventions were always bad and no one should ever have them, just that they're maybe happening too frequently without justified cause and without people realizing the risks that come with trying to manipulate pregnancy without medical cause. Sorry if that sounds judgy, it's not a criticism of individuals but of the system as a whole.
blogger / wonderful cherry / 21616 posts
@sorrycharlie: @jholler25: I will be the first to admit I WAS one of those pg moms!!! I totally planned a lovely, natural waterbirth with midwives. I was SO excited. And while I was heartbroken that I didn't get that, I see how every woman and their birth is SOOO different.
I ended up being transferred to the hospital and induced. Both of which I never planned on or even researched about because I was so set on my natural birth. But it was SUCH a great experience and everyone took amazing care of me. I no longer have a fear of hospitals or the feeling that they are "bad" or "evil" and want me to fail at natural birth. Having a different birth than intended really opened my eyes and I am so much less judgmental now! I am still sad I didn't get the birth I wanted, but I'm also happy that I learned from my experience. And I do hope that eventually I get the birth I want, but that doesn't mean I think everyone should do it the same way as I want to.
@pastemoo: aww sweetie!! I know it was really hard for you, but I know that it wasn't your fault and was necessary. I really, really hope you can find healing and come to terms with it soon.
pear / 1787 posts
@jholler25: "I really try to not judge- just because I feel like it's so easy to do. You want an epidural instead of feeling your vagina ripped in half? Go for it!" To be fair, that's a pretty judgmental/holier-than-thou statement. It makes it sound like someone who doesn't want an epidural is crazy.
The title of this article is "Ten Procedures to THINK TWICE About," which to me implies that the goal is for all women to make informed, educated decisions that work best for themselves and their families rather than accepting everything the medical establishment tells them as the absolute best way to go, no questions asked. Asking questions and researching things on your own is great! Everyone is different. For example, if I were in @jholler25's position, I would also totally have an induction so my husband could be there--that's what's best for the whole family.
GOLD / papaya / 10206 posts
@Ree723: I totally agree. I think the article is just trying to offer ideas that are not so much the common choice any longer.
and FWIW, I did have some interventions and ended up w Pitocin after 40hours from when my water broke, but still didn't have an epidural. I never felt like anything was being ripped in half, and had the easiest recovery with the least pain of anyone I know. I know plenty of people who opted for the epi and ended up with some awful tears (3rd degree) and were in tons of pain for much longer than the 20 minutes it took me to push her out.
pomelo / 5331 posts
Thanks for posting -- the article did seem to be a weird fit for Consumer Reports, and it makes me feel bad for choosing a doctor instead of a midwife lol but whatevs. It does give me an idea of what to watch out for and what to ask for -- only obtaining interventions in the event that the baby will suffer from a lack of them. There comes a point, though, where I need to trust the provider we've chosen and their ability to recommend what's best for me.
Speaking of judgey, I had an acquaintance tell me that ultrasounds are bad for my baby because they can hear them and that I shouldn't have any. So I told her I've already had 6. That shut her up.
coconut / 8305 posts
@prettylizy: agreed! I certainly didn't feel like I was dying or being ripped in half & as soon as she was delivered I felt amazing! My MW was telling me out of her 800 births she's only seen ONE 4th degree tear but many of the epi moms that I've gotten up know have had 3rd & 4th degree tears, they just seem to be common. Every women definitely has her right to choose but I think the difference of outcome really says something about what may benefit more moms.
cantaloupe / 6164 posts
hm... this article did nothing for me. for the record, having the nursery keep your baby so you can shower or nap after pushing a figurative watermelon out of your vajay does not make you a bad mommy. i hope that this article doesn't make any of you feel guilty or less worthy!
pomegranate / 3275 posts
My second baby was a c-section because my first was a c-section. I wanted SO badly to have a VBAC but no doctor in my area would allow me to do this! I would have to travel into Houston to the teaching hospital in order to attempt a VBAC. What kills me even more is that my water broke with my second baby, I really really really wonder if he would have come out vaginally and I'll never know I hate hate hate that. I have to agree with @pastemoo I always feel like my c-section was my fault (even though I pushed for an hour and was all the way dilated) and because of that my second pregnancy resulted in a c-section and now I am doomed to ALWAYS have a c-section...
pomegranate / 3643 posts
I don't think this is meant to criticize mothers, but to help them be aware that a lot of standard medical practices aren't helpful. It's not our job to be our own doctors, but educated patients can help reduce these. But it's the doctor that really should be focused on that.
cantaloupe / 6146 posts
@MamaBehr: Aww. Hugs! And.. my cousin's wife had to have a planned c-section for #1 because she (baby) had a serious medical condition. No one in her area did VBACs so she had #2 by Csec. #3 she tried to labor at home but ended up at hospital w section #3. BUT #4 and #5 were BOTH VBA3C.
So it is possible--she had to pay for midwives to come out to her area. After 3 sections, 2 of which she did not want, she everything in her power to get people who would let her have her VBAC.
But I hear you on hearing those constant what-ifs. Ugh those darn what ifs!
I know so many of you say the article is about the medical community and not about us moms. Still, when I see an article written this way it seems like I should have been able to do something differently because I KNOW the c-section rate and unnecessary intervention rate is so. I KNEW that going in and I was just so sure it wouldn't happen to me. Even before the c-section as soon as they told me they were going to do one I lost it. It sucked. I felt like if I had waited longer to go to the hospital they wouldn't have done monitoring which wouldn't have led to pitocin which wouldn't have led to internal monitoring, which wouldn't have led to introducing an infection to me and the baby, which wouldn't have led to c-section. And I am the one who chose to go to the hospital when I did even after all the books, magazines, and websites I read that had information like that article.
However that was the first article that pierced me so painfully.
cantaloupe / 6610 posts
@DigAPony: I was just making a joke about vaginas splitting in half to lighten the tone;) That's the way I speak - I tend to make things more colorful than simply using normal wording...I honestly don't care one way or the other what others choose to do...If it sounded that way, I apologize!
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