Medical Guideline Policy And Carilion Clinic Policies On A National Level

The writer explained there could be no concern for fetal or maternal health during the delivery although some obstetricians tended to induce labor in all diabetic mothers to protect babies and mothers. Moreover, labor progress was supposedly assessed by old-fashioned methods, which resulted in performing unnecessary obstetrical practices. Intervention was imposed in cases of inaccurately labeled slow or abnormal labors and failures to progress. It is common practice that a primary cesarean generally produces subsequent surgical deliveries. The author realized that cesareans were performed because of insufficient data on laboring women’s

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.

Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally

Cesarean births have been on the rise over the last decade and are associated more with failed inductions than with medical necessity. C-sections are associated with more short and long term complications for mother and baby. By promoting a pregnant woman to opt out of inductions before 40-42 weeks and educating about vaginal birth after cesarean section, the United States can drop the number of cesarean sections performed.

According to “Human Sexuality: Diversity in Contemporary America,” women and couples planning the birth of a child have decisions to make in variety of areas: place of birth, birth attendant(s), medication, preparedness classes, circumcision, breast feeding, etc. The “childbirth market” has responded to consumer concerns, so its’ important for prospective consumers to fully understand their options. With that being said, a woman has the choice to birth her child either at a hospital or at home. There are several differences when it comes to hospital births and non-hospital births.

The purpose of this handbook is to advise expectant mothers to avoid getting a C- section when it is time for them to give birth. In addition, the report discusses what a C-section is and the risk factors associated with it. This report points out that many doctors and hospitals tend to preform unnecessary C-sections in order to gain more money.

North America’s childbirth conditions and practice have been revolutionized throughout time. Today, many aspects of childbirth are carefully inspected to create, in their opinion, the healthiest environment for the women and child. The vast majority of Americans birthing environment takes place at a “hospital, birthing-centers, and homes,” while “planned home births” are fewer then 1% of birth (347). When having a planned at home birth, a birthing center will bring all the required equipment to your

Delivering a baby at 40 weeks gestation is optimal for mother and for baby. Spontaneous deliveries decrease the incidence of maternal and/or fetal complications (Bingham, Ruhl, & Cockey, 2013). Exploring ways to decrease elective deliveries that are not medically necessary in the current obstetric clinic setting is the point of interest. An important step in the reduction of non-medically necessary inductions is to develop and implement standardized protocols that can be used by all providers in any setting. The use of a standardized guideline offers advanced practice nurses (APN), certified nurse midwives (CNM), physicians and other providers a document to reference when scheduling induction procedures for patients. The World Health Organization (WHO) recommendations for induction of labor (World Health Organization [WHO], 2011) provides guidance and offers specific instances of induction, methods used to induce, management of complications and safe settings for induction. The purpose of this paper is to appraise an existing guideline to determine if the guideline might be used in the current obstetric clinic as it is written or if the guideline needs modifications.

As stated by Penny Simkin, April Bolding, Ann Keppler, Janelle Durham, and Janet Whalley, the authors of the number one best-selling book, Pregnancy, Childbirth, and the Newborn: The Complete Guide, “While maternity care practices are continually changing the way women are helped to give birth, childbirth itself hasn’t changed. How a women’s body functions during pregnancy, labor, birth, and the postpartum period—and what she needs during these things—hasn’t changed since the beginning of humankind.” The process of birth is one of God’s greatest miracles. Although all babies go through the same stages of conception and development while in utero, that “average gestation period is 280 days, but it can be shorter or longer by as many as 14 days. At the end of the gestation period, the fetus has reached full term and is positioned for the birth process. The process, generally referred to as labor, includes three stages” (Wittmer, Petersen, Puckett, 2013, pg. 103). However, not all babies are born through vaginal births and as technology has increased many doctors are beginning to see a trend of patients asking for elective C-sections for non-medical reasons for convenience and avoiding the pain of labor, as well as concerns about vaginal tearing, incontinence, or other complications.

Not too long ago, the term Cesarean Section would strike fear into the heart's of expecting mothers because of the number of risks involved with the surgery and not to mention the ghastly scar it leaves behind. Today, however, physicians give their patients the option to go through with natural delivery or chose a natural delivery. This may be due to the increase in celebrity trends or because women are having babies later in life and advanced maternal age comes into play when making the decision. Regardless of the increase of this type of delivery, one thing remains true, it is surgery and the

As medicine has advanced greatly over the centuries, a large amount of people across the globe would suggest that a baby should be delivered in a hospital setting. A hospital birth has many, if not the most, positive aspects to its approach. As far as experience, knowledge, accessibility, and safety goes it is top notch. It takes twelve years to become an Obstetrician after graduating high school. At this point in time, one has learned and gained immense wisdom and knowledge about the human body studying the course of pre-medicine and medicine. Not only has an Obstetrician gained educational knowledge

A cesarean section is when the baby is surgically removed from the placenta. Since 1996, cesarean section rates rose to 46 percent. In 2005, 1 out of every 3 babies were delivered through a cesarean section (New Line Home Entertainment). Cesarean sections are considered major surgeries, but they are not depicted as such. They can lead to a variety of complications such as infection and damage to the bladder, intestines and appendix. Hospitals are in favor of cesarean sections because they can reduce the labor time from 12 hours to about 20 minutes. This is beneficial because it shortens the doctor’s busy schedule, but the time shortage is not worth the possible risks that a cesarean section brings. The cesarean section is also beneficial for the hospital because it is a major operation, so it will bring in money. Money paid by the parents of the child, who, more than likely, did not need the cesarean section to begin

Caesarean Delivery upon request it is defined as a primary pre-labor delivery on the request of the mother in the absence of any maternal or fetal indications. Risks that are potential with a maternal requested delivery will explain that hospital stay is longer, increased risk with respiratory issues with mother and infant, and greater complications for the maternal with other pregnancies. Those complications can include rupture of the uterus, implantation problems with next pregnancy and the need for hysterectomy due to complications of prior caesarean. Potential benefits from a planned caesarean can include decrease in complications from birth, decrease in the risk of hemorrhage and transfusions from blood lost. Fewer complications from surgery and the fetal outcome from respiratory complications is decreased. According to The American College of Obstetrics and Gynecologists "The belief that the absence of maternal and fetal indications for caesarean delivery, a planned delivery is safe and appropriate and should be recommended to patients, delivery should not be performed before a gestational age of 39 weeks". (2013). The ability of maternal requested should not be available or recommended unless there is complication or effective pain management. This is also not recommended for maternal that want to have more children. The risks outweighs the benefits of maternal

Cesarean sections, a surgical procedure to remove the fetus from the mother, have been performed for hundreds of years. Doctors have been turning to cesareans, also known as c-sections, more than ever in last few years[1] to reduce risks that may occur during vaginal birth, such as the baby getting stuck in the vaginal canal, and the tearing of the mother's’ vagina. Although c-sections make the labor process easier, they need to be regulated to reduce postpartum risks for the mother, recovering for months from the surgery, for the baby, asthma, and evolutionary risks, passing down of the gene for narrow hips. The increase in c-sections has brought about issues such as mothers continually getting them after their first child, more women having

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.