Because they perceive that medical staff are too quick to push interventions like c - section, induction, and
episiotomy on them.
In fact, in 2015, an obstetrician in the United States surrendered his license after being caught on video performing a forced
episiotomy on a patient.
Not exact matches
Her work in systematic reviews has consistently addressed tough topics and has included documenting harms of
episiotomy, the limitations of data about outcomes of fetal surgery, inconsistencies in results of programs designed to reduce use of cesarean, marginal effectiveness of medications for overactive bladder, and the burden
on cervical cancer prevention programs introduced by liquid cytology collection for pap testing.
Do you have any strong views
on episiotomy, birth positions, directed pushing, giving birth naturally or anything else?
The National Maternity Hospital in Dublin and CUMH both had very high rates of
episiotomies performed
on first time mothers at 39.4 % and 38.78 % respectively.
The figures are broken down into first time mothers and mothers who have already given birth and provide important information
on the rates of C - sections, instrumental deliveries,
episiotomies and vaginal births after Caesareans in Ireland.
In Spain, obstetric care includes routine enemas, pubic shaving, and
episiotomy, procedures that are not evidence based and which ignore the WHO's guidelines
on the care of women in labour.
Ina May Gaskin's C - section statistics over 40 years: 1.7 % American hospital C - section statistics: 32 % not including routine
episiotomy and so
on... Oh yes, I know who I would trust for my child's birth... And if the price of an intact body and a peaceful birth was «gentle stimulation» I would accept it with no hesitation... Of course I live in France where obstetric violence is the norm and home birth nearly considered as criminal by the establishment, but where puritanism is long gone (thank God)... You may remove this post as you did for my previous one... It's OK we've got lots of you this side of the Atlantic telling us what's good or bad for us and we trust them less and less.
Despite him being born about 10 minutes after our arrival, my experience there was very negative, being forced to lie
on my back, being given an
episiotomy and having a vacuum delivery without my consent, performed by an impatient doctor.
Once nearly standard,
episiotomies are
on the decline and experts now agree that the procedure shouldn't be done routinely.
Guide to Childbirth by Ina May Gaskin will teach you about
episiotomies whether it is good or bad and how to handle labor without the use of drugs
on the woman.
Perineal outcomes
on first births are critical because the biggest risk factor for needing suturing
on subsequent births is a previous
episiotomy.
Truly unnecessary interventions, done out of ignorance, stupidity or cruelty are another matter, and are rare, based
on old science that has long since been abandoned (routine
episiotomy comes to mind), and I would join you in arms to prevent these.
Worst case scenario is baby's head becomes stuck
on the way out, possibly requiring an emergency C - section, forceps or vacuum assistance, or
episiotomy.
Unit cost estimation involved a combination of bottom - up and top - down costing methods and followed guidance
on costing healthcare services as part of an economic evaluation.15 17 Detailed unit costs, derived from the finance departments of participating trusts and information provided by senior midwives, were estimated for resource inputs into the following components of intrapartum and after birth care for all settings: homebirth delivery packs; NHS reimbursement for midwifery travel; some forms of pain relief; alternative modes of delivery; active management of the third stage of labour; suturing for
episiotomy; suturing third and fourth degree perineal tears; manual removal of the placenta; blood transfusions; and care after a stillbirth or neonatal death.
I was sitting
on my doughnut (so that my
episiotomy stitches wouldn't rip out), chatting it up with the crowd.
Specifically, women were
on average less likely to experience regional analgesia,
episiotomy, and instrumental birth.
Future research should focus
on possible explanations for the significantly higher risk of PPH among those planning a hospital birth, and address the possibility that procedures such as augmentation, emergency Caesarean section and
episiotomy are over-used in the hospital setting.
According to the website for the National Childbirth Trust, an
episiotomy may be necessary if there are signs of fetal distress, you have a large baby, your health depends
on a speedy labor, or you are exhausted from pushing.
«I did end up having vacuum assistance (the cord was wrapped around my sons neck twice so after crowning he couldn't come out
on his own) so I was given an
episiotomy and even though it really hurts to have scissors cut you open it wasn't horrible.
The evidence
on the dangers of breastfeeding is actually far more compelling than the evidence
on the dangers of
episiotomies.
I agree 100 % he should have respected her request to wait
on an
episiotomy.
Yes, a «botched»
episiotomy causes more morbidity to mom... it's just that most NCB / homebirthers are 100 % focused
on «interventions» that cause increased morbidity to mom... so they make choices that cause increased mortality to baby.
I had an
episiotomy and I think the pain medication, they put me
on, was just, I'm really sensitive to stuff, so I was just, take me about two weeks to be able to take care of myself with the loneliness, like tiny infant, like when I think about the first couple weeks with him, the most positive I think about is sitting in my glider after I've nursed him, and that feeling of that little head
on your chest.
Neither is a doctor who does routine
episiotomies, or doesn't understand how to catch a baby unless mom is laying
on her back.
This was the ONLY thing I could sit
on comfortably during the first 6 week because of my
episiotomy.
I did a lot of preparation ahead of time, and from previous dramatic injuries I am known as someone with really high pain tolerance... However, I went past - term and needed to be induced, contractions were then constant and more painful than I could have imagined, dilation was fast, my perineum did not have much chance to stretch
on its own, labor stalled when pushing should have begun, and I ended up with an epidural, pitocin to re-start contractions, and an emergency
episiotomy.
Breaking the water,
episiotomy, IV's, continuous fetal monitoring, the list goes
on and
on... I consider unecessary in a normal unmedicated birth, and so does the research (look for recent article from Consumer Reports).
She was determined not to give birth in a hospital, though, because her obstetrician, like many others at the time, almost always performed
episiotomies — surgical incisions between the vagina and the anus —
on first - time mothers.
Pooping
on the table, crowning,
episiotomies — you can't unsee that stuff.
ACOG also recently published a Practice Bulletin
on the «Prevention and management of obstetric lacerations» that addresses
episiotomy use.
If a care provider routinely induces, gives
episiotomies or schedules c - sections, it will be much more difficult to have a natural vaginal birth under their care than with a practitioner who limits interventions, avoids scheduled c - sections, and waits for labor to begin
on its own.
According to Jill Arnold, a consultant
on consumer engagement in maternity care and founder of CesareanRates.com, «Without pairing information
on quality measures — such as hospital C - section rates and
episiotomy rates — with an out - of - pocket cost estimator, consumers don't have the opportunity to make the connection between facility and provider fees and rates of procedures performed.»