A Good Ob Provider

In the 25th week of her pregnancy, the mother was advised by the nurse to remain on bed rest to avoid further complications and potentially hurting her unborn baby. The mother continued to work from the hospital placing additional stress on the baby despite the nurse’s appeal that such stress can cause the baby harm. Attempts to stop premature delivery were made but failed, the mother asked the medical team not to take any extraordinary measure to save the baby. The premature baby lived but the mother showed little interest in his health and wellness. The nurse tried to the best of her ability to spark

Four years later, I got pregnant. I was nervous, scared and anxious. The doctor I saw said that I could have a VBAC(vaginal birth after c-section). I raided the library and read books on that subject. It was then I found out that the United States had the highest incidence of C-sections in the world. Research shows that epidurals increase the use of other interventions that themselves carry risks. These interventions include electronic fetal monitoring (which has shown to increase the likelihood of a cesarean without improving outcome), I. V oxytocin, and instrumental delivery. Epidurals also deprive women of a sense of mastery over labor. Goer, Henci. "Epidurals Myth Vs Reality." Childbirth Instructor Magazine Winter 1995: 17-22

Johnson et al. emphasize lower cesarean section rates of physician-mothers under physician-induced demand (2). One reason concerns higher reimbursement of surgical births rather than vaginal deliveries, which functions as a non-medical factor. Financial incentives are imposed on uninformed patients so that cesarean deliveries become more frequent in the health environment. Despite the non-medical factors applying cesarean sections should be regarded in terms of maternal mortality and morbidity. In addition, performing the vaginal delivery safely could involve more resources and treatment of any arising complications during the birth. Patients’ knowledge about interventions could achieve larger cuts in cesarean section

The intent of this paper is to examine effective solutions for reducing cesarean deliveries. Cesarean deliveries involve more risk to both the mother and baby than vaginal births do. Cesarean deliveries have a higher potential of complications than vaginal births. Cesarean deliveries cost more, require longer hospital stays, and require more resources—both human and systemic—than vaginal births.

A concern that many women have who have undergone cesarean birth, is whether or not they can have a vaginal birth after. The answer is yes; they can have a vaginal birth, but only if the incision made was a horizontal one. The benefits are the woman ass’d with fewer blood transfusions, fewer post-partum infections and shorter hospital stays (Rose, 1). On the other hand there are many risks: the uterine may rupture, it could result in maternal and

Throughout most of the shift, my nurse preceptor and I were in the patient’s room either evaluating her and the fetus, performing exams, taking vital signs, administering medications and fluids, charting, or reading the fetal monitoring strips. We also kept in regular contact with the physician to keep him up to date on the patient’s status and to receive new orders. We also spent a lot of time talking to the patient, her mother, and her boyfriend. They were concerned for the status of the mother and the baby. We explained to them that both the mother and the baby’s heart rate was high and their goal was to decrease them both. In addition, my nurse preceptor explained how we were administering Tylenol and amoxicillin to reduce the fever and

I believe expecting mothers need to seek guidance from their doctor on whether or not she should have a vaginal birth, or follow through with a "Elective" C-Section. I feel like women are so concerned about their rights, and though our female rights are important, I also feel that we need to seek guidance from those that are medically trained to see what they think is going to be best for the mother as well as the child. If the doctor feels that the mother and the child will be okay with proceeding with an "Elective" C-Section, I think it is so important (more important than the doctor's opinion) to seek our Heavenly Father's will. Our will might not always be His will, and it is important that we come before Him in all things in order for

Shah then goes on to state how cesarean surgeries may be beneficial, or may not be beneficial to the mother, but are most likely unbeneficial to the newborn, unless there is a serious threat. Shah states, “ … that those born by cesarean were significantly more likely to develop chronic immune disorders.” of which he acquired from a Danish study from two million children born at full term. In contrast Dr.Shah states how many of his patients benefit from his surgeries, even though he stated previously how dangerous they were, and how he gets to save lives and bring new ones into the world. Finally, Shahs closing remarks are on how to fix the overuse of C-sections. Shah states how natural birth is the preferred way to go and that cesarean surgeries should be only for emergency use only and not for choice. In addition, Dr.Shah goes on to say how a perfect way to fix the overuse is to take the “British way” and to “...stay away from obstetricians altogether - at least until you need

Vaginal birth is not a easy trip for a baby. These days the death rate in U.S. for full-term babies is 2 in 1000. According to some experts a C-section during the week the woman is due would save lives.

The family may refuse a cesarean section for various reasons, even when the life of the fetus is in danger. For instance, it may be because of fear for her own life, health reasons, carelessness, a lack of

To begin my experiences were very unfortunate & unprofessional to say the least. To give you a little backstory I had been thinking about this day every since I found out I was pregnant. My emotions at this point were out of range. I was so scared, anxious and extatic. My mind wondering of all the possibilities that could happen. My ultimate fear was having a C section as Iv been terrified of surgery and the chance of being put under my entire life. I was also scared I would be stripped from a vaginal birth experience. Despite all of this I had an open mind knowing anything could happen. I had a birth plan on paper, knowing all births obviously

When I gave birth to my son, the recuperation process was not tough for me. I completed my pregnancy at forty weeks with a natural delivery. I was able to move around by myself with little to no pain or difficulty that same day. But, it was a complete different story when my second child came around. At thirty-seven weeks I went to the emergency room with contractions. My baby was breeched and they had to do an emergency C-section because my blood pressure was really high. Unlike, my natural delivery, I was not able to move without feeling pain. The recuperation process from my C-section consisted of many little processes throughout the day and the longest and most painful one was taking a shower.

According to the American College of Nurse-Midwives (ACNMb) (2015), home births account for 1.4% of all births in the US. In eight years the number of home births in the US increased by 41% (ACNM, 2015b). Providing home births fall within the scope of practice of midwives and is supported by the American College of Nurse-Midwives (ACNM, 2015b). A mother can have the option of a home birth as long as the home birth follows regulations set in place by the state and can provide a favorable safe environment for both mother and newborn (ACNM, 2015b). Both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) state that the ultimate decision of having a home birth is a patient’s right, especially if she is medically well informed (Declercq, & Stotland, 2016).

According to the American College of Nurse-Midwives (ACNMb) (2015), home births account for 1.4% of all births in the U.S. In eight years the number of home births in the US increased by 41% (ACNM, 2015b). Providing home births falls within the scope of practice of midwives and is supported by the American College of Nurse-Midwives (ACNM, 2015b). A mother can have the option of a home birth as long as the home birth follows regulations set in place by the state and can provide a favorable safe environment for both mother and newborn (ACNM, 2015b). Both the American College of Obstetricians and Gynecologists (ACOG) and the American Academy of Pediatrics (AAP) state that the ultimate decision of having a home birth is a patient’s right, especially if she is medically well informed (Declercq, & Stotland, 2016).

Vaginal birth after caesarean (VBAC) is the name used for identifying the method of giving birth vaginally after previously delivering at least one baby through a caesarean section (CS). A trial of labour (TOL) is the term used to describe the process of attempting a VBAC. An elected repeat caesarean (ERC) is the other option for women who have had a caesarean in the past. The rates of women choosing to deliver by means of an ERC has been increasing in many countries, this is typically due to the common assumption that there are too many risks for the baby and mother (Knight, Gurol-Urganci, Van Der Meulen, Mahmood, Richmond, Dougall, & Cromwell, 2013). The success rate of VBAC lies in the range of 56 - 80%, a reasonably high success rate, however, the repeat caesarean birth rate has increased to 83% in Australia (Knight et al., 2013). It is essential to inform women of the contraindications, success criteria, risks, benefits, information on uterine rupture and the role of the midwife in relation to considering attempting a VBAC (Hayman, 2014). This information forms the basis of an antenatal class (Appendix 1) that provides the necessary information to women who are considering attempting a VBAC and can therefore enable them to make their own decision regarding the mode of birth.