Vaginal Seeding
Vaginal Seeding is the concept of swabbing a baby, born via cesarean section, with vaginal fluid from the mother to replicate the process of collecting flora while traveling through the birth canal. The reason for this concept is to expose the infant to the mother’s natural interior and exterior bacteria. These bacteria are thought to assist in alleviating certain conditions thought to be more closely associated with children born by way of C-section . While there appears to have been several studies and comparisons done on children born vaginally and children born via C-section, the debate stands whether the pros of the procedure outweigh the cons. There are some doctor’s and parents alike who agree with the concept and think it to be beneficial for the child. However, there are others who use lack of evidence and potential dangers of the technique as a premise of its many criticisms. Vaginal seeding is thought to have a number of advantages for a newborn. Many doctors assume that the benefits are reflected mostly in the “gut” where a large part of the immune system is developed. Dr. Amy Myers states that the benefits of “seeding” include “an increased immune system, decreased risk of food allergies, and even a lower chance of developing obesity and type 1 diabetes.” On her website, she states that she highly recommends vaginal births because of this and recommends “seeding” if a C-section is “unavoidable” (1). “Microbes that are collected during a
Giving birth to a baby is the most amazing and miraculous experiences for parents and their loved ones. Every woman’s birth story is different and full of joy. Furthermore, the process from the moment a woman knows that she’s pregnant to being in the delivering room is very critical to both her and the newborn baby. Prenatal care is extremely important and it can impact greatly the quality of life of the baby. In this paper, the topic of giving birth will be discussed thoroughly by describing the stories of two mothers who gave birth in different decades and see how their prenatal cares are different from each other with correlation of the advancement of modern medicine between four decades.
Vacuum assisted deliveries are a method to help facilitate a vaginal birth even if the mother is becoming to exhausted to push or if the baby has reached a difficult position during labor and is prevented from progressing. While the vacuum may be helpful for the labor it runs the risk of causing a subgaleal hemorrhage (SHG) in newborns this condition is a result of the connection between the sinuses of the scalp and the veins of the brain have been ruptured which causes bleeding and swelling of the head and can lead to severe hypovolemia and death (Davis, 2001). SGH occurrences after vacuum delivery are in the range of 26 to 45 per 1000 vaginal deliveries (Modanlou, 2010). In order to treat and correct SGH nurses are
Cross-contamination of newborns must be prevented because they are at risk for infection during their first couple months of life. Their immune system is immature. In the nursery, individual bassinets are provided that have a thermometer, diapers, t-shirts, and bathing supplies for that bassinet. All persons who care for the newborn should scrub first with a microbial soap prior to entering the
Also, for reasons that are still being investigated in public health, poorer pregnant women are much more likely to be diagnosed with labor-inducing bacterial infections such as bacterial vaginosis or chorioamnionitis (inflammation of the fetal membrane) (Allsworth & Peipert, 2007; Dammann, Leviton, & Allred, 2000). In a study sample of over 3,700 women who participated in the National Health and Nutrition Examination Survey, the prevalence of bacterial vaginosis was higher in pregnant women who were living at (34%) or below (37%) the federal poverty level compared to those who were living above it (24%) (Allsworth & Peipert, 2007). Additionally, pregnant women in lower SES communities have been found to suffer from more chronic healthcare care conditions such as hypertension and diabetes which are highly associated with preterm birth and small gestational size (Nagahawatte & Goldenberg,
Randomization was used to generate what patient went to which group. The way the patients were chosen eliminated bias because “Randomization was performed according to a computer-generated list by means of sequentially numbered, opaque, sealed envelopes which revealed the allocation of the subject to either induction or expectant management”(Nielsen et al. p. 60). This secure randomization added a great strength to the study. The sample size seemed fairly large, 226 patients were split into 116 for elective induction and 110 to expectant management, although the power analysis was disclosed in this study and determined that 600 patients were required. Only 226 patients were used and because it would take 4 years to reach the required amount of patients, the study was discontinued. This was both a strength and weakness because disclosing this information made the study more honest but the quota needed to reach the best answers was not attained. The study for the 226 patients was pretty standard with the 80% power and alpha at 0.05. T-test and chi square tests were used to compare the proportions between the groups of people. The women were chosen based on the inclusion criteria of being 39 weeks gestation or older, maternal age of more than 17, fetal cephalic presentation, singleton gestation, a candidate for vaginal delivery, and a Bishop score of 5 or greater in nulliparous women and 4 or greater for multiparous women. This inclusion criterion was a concern because both nulliparous women and multiparous women were being tested together. This was a weakness because the labor patterns of a nulliparous woman compared to a multiparous woman are very variable and sure to distort study data. It was also disclosed how gestational age was achieved which included the crown rump test measured in 6-12
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
Ricci, S. Kyle, T. and Carman, S. (2017). Maternity and pediatric nursing 3rd ed. Philadelphia:
|Rationale: |trips to the bathroom (o) |time of delivery. |understanding of |well as that of her baby during my |technique reduces the spread of germs. |plenty of fluids during |
In depth discussion of planned and emergency C/S deliveries were also discussed. Planned C/S births were defined as “breech presentation, multiple pregnancy, preterm birth, small for gestational age, placenta praevia, morbidly adherent placenta, cephalopelvic disproportion in labor, mother-to-child transmission of maternal infection, Hepatitis B and C viruses, Herpes, and maternal request for C/S birth was outlined” (National Guideline Clearinghouse, 2011). An in-depth outline of anesthesia and surgical techniques followed. It seems that this source addressed nearly every type of C/S birth technique, including “method of placental removal, exteriorization of the uterus, closure of the uterus, peritoneum, abdominal wall, and subcutaneous tissue, use of superficial wound drains, closure of skin, and even timing of antibiotic administration and thromboprophylaxis for C/S births. Care of the woman after C/S surgery, routine monitoring, pain management, eating and drinking after surgery, and removing the urinary catheter after C/S surgeries was also discussed(National Guideline Clearinghouse, 2011)”. There is even a benefits/harms section that looks at potential risks and successes of C/S deliveries. The National Guidelines Clearinghouse
There has been a long debate over which birthing method women should use today: natural versus medicalized. The World Health Organization defines natural birth as a vaginal birth without the use of any.. and medicalized birth as being .. However, medicalized births are becoming increasingly popular in the United States. The use of technology and medical interventions in the birthing process has increased despite the unchanged basic physiology of childbirth. One of the most common medical interventions in the birthing process is having a cesarean delivery. Despite the known risks of having a cesarean section performed, the rates of this procedure have increased much higher than the acceptable rate of 10-15% as recommended by the World Health Organization. This is due to the reason that cesarean sections are now being performed as a matter of convenience of the physician or at the request of the patient more often than being performed as a life-saving intervention. Thus making surgical and medicalized interventions a part of a common routine in the childbirth experience.
An argument for the case of minimal medicalized intervention during birth can be made in terms of low-risk pregnancies and reserving medical interventions for high-risk deliveries and emergency situations. The purpose of this paper is to ensure that members of the childbearing community, including healthcare professionals, are familiar with alternative interventions to cesarean section and thoroughly consider the risks and benefits of said interventions so that natural child-birthing methods can be promoted in low-risk situations.
It is approximated that 50% of all newborns will colonize GBS on their skin during a vaginal birth. However, colonization
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.
Prenatal care is widely accepted as an important element in improving pregnancy outcome. (Gorrie, McKinney, Murray, 1998). Prenatal care is defined as care of a pregnant woman during the time in the maternity cycle that begins with conception and ends with the onset of labor. A medical, surgical, gynecologic, obstretic, social and family history is taken (Mosby's Medical, Nursing, and Allied Health Dictionary, 1998). It is important for a pregnant woman as well as our society to know that everything that you do has an effect on your baby. Because so many women opt not to receive the benefits of prenatal care, our society sees the ramification, which include a variety of complications primarily