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Meta
Category Archives: Research
Anesthesia and Brain Development
Today I came across this article in which the author describes research being performed to determine anesthesia’s effect on developing brains. The article is talking about children who undergo surgery but can easily relate to the use of epidural anesthesia in birth. Many practitioners blow off parental concerns related to effects of anesthesia in labor, despite their validity. While a lot of investigation is going on about the effects of television, vaccinations, video games, etc. on our children’s brains why are we not spending more time/money/energy on the events surrounding their entrance into the world? Continue reading
Posted in Baby, Obstetricial Interventions, Research
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Women Willing To Accept “Natural Birth Risk”
A study done in the UK shows that women are more likely to accept risks to have a “natural birth” (I think ‘natural’ means ‘vaginal’ in this case, not ‘drug free’) than their care providers are. When women are given the power to make an informed choice about their births, they are willing to take risks to avoid a cesarean section.
To be fair, this wasn’t a very broad study. However, the majority of the women chose to take the risks and go for the “natural” birth. With attitudes like that, it is hard to imagine why the cesarean rates are so high. I feel it must have something to do with the care provider’s influence or sway over the woman while she is in labor.
Click here to read the article.
Post Traumatic Stress Disorder After Childbirth
There has been a great deal of awareness about Postpartum Depression in recent years, but not so with Post Traumatic Stress Disorder after childbirth. The reason for this is likely that people believed this to be a very rare disorder. Only three years ago, after my son was born and I began to experience symptoms of this disorder, there was barely any information available about it online or elsewhere. The rate of occurrence was reported to be between 1.5 and 5.9%. There were only two websites at that time that focused on this issue, both of which were from other countries.
There is a new survey out that suggests that PTSD after childbirth occurs quite a bit more frequently then previously thought. The survey is called New Mothers Speak Out and was a follow up survey to the Childbirth Collective’s Listening To Mothers II survey. The survey found that 9% of the 900 women screened met all of the diagnostic criteria for PTSD, and 18% showed some signs of it.
This new data indicates that many more women are suffering from PTSD, or symptoms of trauma after childbirth then previously thought. It is not clear why there is a discrepancy in figures, if it is because the women are not seeking treatment, or they are being misdiagnosed. Either way, it is very good that this issue is being brought to people’s attention.
One of the main risk factors for PTSD is having negative interactions with care providers and staff during your birth experience, and feeling not in control of your labor or birth. When women, birth care providers, and staff are aware of these risk factors, adjustments can be made that may help prevent PTSD or symptoms of trauma from occurring. Women may decide to choose providers or birth settings where they feel they will have more control over their experience and will be respected. Care providers and staff should be aware of how their treatment affects women and strive to allow her to be in control of her own experience and to respect her wishes and individuality. It is also shown that a large amount of medical interventions can be a big risk factor for experiencing PTSD after childbirth. Both women and care providers should be aware of this and try not to use interventions that are not necessary. Another risk factor is previous trauma, which can be screened for before a woman gives birth. If previous trauma is an issue it may be helpful for the care provider and the woman to strategize on how to work with this issue during labor and birth. Debriefing shortly after a birth that was perceived as traumatic by the mother can also be very helpful for some women and this should be an option for women who find themselves experiencing symptoms of trauma.
The Wall Street Journal just ran an article about this issue entitled Birth Trauma: Stress Disorder Afflicts Moms. There is a very interesting accompanying podcast found here.
Today, there are more resources available for PTSD after childbirth then there was three years ago when I was searching for information. There is a growing awareness of the issue and this will hopefully help to prevent it from occurring in the majority of cases. In the cases where there are true emergency situations, an awareness and the subsequent adjustments in treatment of the mother and her baby can hopefully help to minimize the trauma that the woman might experience.
Continue reading
Posted in Birth Trauma, Jennifer, Postpartum Depression, Research
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C-Sections, Allergies and Asthma
I’ve had allergies and asthma since I was a kid. I thank my mom all the time for breastfeeding me as long as she did – who KNOWS how much worse off I would be had she not!? But I think about this baby I worry about my child inheriting this less-than-wonderful trait. A new study suggests that there is a link between babies born by cesarean and allergies and asthma. Dr. Ly said “This finding is exciting because it suggests that the mode of delivery may be an important factor influencing immune system development in the neonate.” By avoiding a c-section I might help the chances of my child not having these conditions. That’s awesome! You can read more about the study here Continue reading
Posted in General, Research
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Cuddling Cuts Preemie Pain
I found this article on WebMD today;
Cuddling Cuts Preemie Pain
Kangaroo Mother Care Helps Very Preterm Infants Get Over Pain Faster
Some quotes from the article;
“It works in premature infants of 32 to 36 weeks’ gestation, according to an earlier study by Celeste Johnston, DEd, RN, and colleagues at McGill University School of Nursing. But can it work in babies born as early as 28 weeks’ gestation? The answer is a qualified yes, Johnston and colleagues now find.”
“Kangaroo mother care was invented in 1978 by Colombian pediatrician Edgar Rey. Faced with a shortage of incubators, Rey found that mothers could use their own bodies to warm premature infants. Years of study show the technique to be at least as safe and effective as incubators, and it lessens mothers’ anxiety while promoting mother/infant bonding and breastfeeding.”
“The technique calls for the tiny child to be held upright between the mothers’ breasts and covered with a blanket. Because the child must be held upright against warm skin 24 hours a day, mothers can share kangaroo care with fathers and others.”
“More importantly, the very preterm babies recovered from the painful heelstick about a minute faster when held kangaroo-style than when left in the incubator. That’s a sign the babies’ bodies are beginning to self-regulate, a process known as homeostasis.”
“‘Mothers should be offered kangaroo mother care as neonatal intensive-care unit policy, not only to be close to their infant, but also to provide comfort,’ they add.”
If kangaroo care, or skin to skin contact, helps reduce preemie pain, wouldn’t it help reduce the pain or discomfort of full term infants as well? If it “lessens mothers’ anxiety while promoting mother/infant bonding and breastfeeding”, wouldn’t the same benefits be seen with full term infants? If kangaroo care becomes “neonatal intensive-care policy”, why shouldn’t it also become the policy in the regular labor and delivery unit?
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Posted in Baby, Jennifer, Prematurity, Research
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Breathing problems in elective cesarean babies
A new study published in the British Medical Journal indicates that babies born via elective cesarean section prior to 39 weeks gestation are up to four times more likely to have breathing difficulties than babies born vaginally or via emergency cesarean.
In other words, if a cesarean is performed for non-emergency reasons before labor naturally begins, the baby is more likely to have problems breathing. The study notes that stress hormones released when labor begins affects successful infant lung function. When a cesarean is performed before labor begins, these hormones aren’t released.
Interestingly, the researchers included information about the number of mothers in the study who requested their cesarean surgery. This data was only collected for the last four years of the eight-year study, but it seems that only a fraction of the elective cesareans were actually requested by the mothers. So who’s doing the electing for the rest of them?
In the wake of the CDC report of rising c-section rates, it’s important (albeit alarming) to read more evidence of the risks of cesarean. Now if only the doctors would INFORM pregnant women of the risks…
Read the entire study
Read MSNBC coverage of the study Continue reading
Posted in General, Media, Research
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What does the evidence say about breaking the water?
The Cochrane Reviews has come out with a study that shows that artificially rupturing the membranes, otherwise known as breaking the water, or AROM, does nothing at all to speed up labor nor does it benefit the mother or baby in any way.
Since there are risks associated with this procedure, and the evidence shows us that there are no benefits, women should carefully consider if they want to allow their water to be broken or not. Artificial rupture of the membranes is routine in many places and is not always considered to be a procedure that a care provider must acquire consent for, therefore, a woman should be very clear about her choice in this regard. If she chooses not to have AROM due to the lack of evidence of any benefits, she should discuss this with her care provider before the birth, and again remind the care provider at the birth. She should clearly state that she does not consent to artificial rupture of the membranes. Some women find that avoiding vaginal exams altogether is the best way to keep their bag of waters intact. Continue reading
Posted in Jennifer, Obstetricial Interventions, Research
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Breastfeeding & IQ
For a long time lactivists have said that they believed breastfeeding made children smarter. The debate was originally whether or not breastfed children had a higher IQ. Now certainly, there was also debate on what caused the IQ to be higher in breastfed children – was it the breast feeding or the breast milk?
Scientists have now discovered that there is a gene responsible for that rise in IQ. So we can add this one to the long list of reasons that breastfeeding is good for Continue reading
Posted in Breastfeeding, Research
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Anesthesiologists Change Okay Specific Labor Diet
After years of women pleading with hospitals to allow clear liquids in labor, the anesthesiologists have finally agreed that this is acceptable for most laboring women:
“Drinking clear liquids in limited quantities has been found to bring comfort to laboring patients and does not increase labor complications. Patients with uncomplicated labor may drink small amounts of clear liquid, while patients scheduled to undergo a nonemergency cesarean section may drink small amounts of clear liquids up to two hours before receiving anesthesia.”
This will be a relief to many of the women who will labor going forward, in hospitals around the US. The problem is now getting this information into the hands of the hospitals and getting their policies changed…
American Society of Anesthesiologists Press Release on Pain Management in Labor Guidelines
New Study: Epidural babies can’t get grip on what’s breast
A new Australian Breastfeeding study was released today! It looks at the impact of the Epidural (especially those with Fentanyl). Read a news article about it here: epidural and bf
Or look for the original study in the issue released today International Breastfeeding Journal! Continue reading
Posted in Breastfeeding, Research
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