Many people enjoy the idea of planning events before they happen. Whether it’s going on vacation, getting family together for the holidays or planning the arrival of a newborn child;. The natural way for a baby to be born is through the mother’s birth canal and vagina. But, sometimes vaginal birth isn’t possible. More than ever, woman are opting to schedule childbirth electively, even though there can be serious risks and implications involved. Many who choose an elective childbirth, do have a legitimate reason as to why they made that decision. Center for Disease Control and Prevention recently reported that, “cesarean deliveries reached a record high of 32.9 percent” out of all births in the United States (National Center for …show more content…
458). Not to mention the concern involving “fetal injury, control and convenience” (Ramachandrappa & Jain, 2009, para. 7). Obstetric-based or maternal-based reasons need to be discussed honestly between the patient and physician carefully.
Often feeling the pressure of family and the uncertainty of the baby’s arrival can be a motivating factor toward choosing a planned birth. The mode of delivery in many ways can be up to the discretion of a physician, more so because “the medical community’s fear of litigation” even so “Obstetric nurses are 10 times more likely to be in the courts” as oppose to non-obstetric nurses(Sibbald, 2003, para. 3). The advantages of performing a ECS is having the patients preferred healthcare provider available and “greater ease of balancing staffing levels with clinical volume”(Salim & Shalev, 2010, p. 4). Ultimately, avoiding patient morbidity and fatigue with the healthcare team can contribute to a positive outcome. Although, scheduling birth based on timing and convenience can be a motivating factor for CDMR. It’s been “shown that respiratory morbidity in Elective Cesarean section is inversely related to gestational age at the time of ECS” (Ramachandrappa & Jain, 2009, para. 9). With
Childbirth is one of the greatest privileges on the earth anyone could have and we, as women, should feel proud to be major contributors for it. Thus, a mother has to play a key role in aiding the healthcare workers to mitigate the health crisis associated with childbirth by performing her duties faithfully. One such associated health crisis is “Premature (preterm) birth” which occurs when the baby is born too early, before 37 weeks of gestational period (CDC, 2015). The rate of preterm birth ranges from 5% to 18% of babies born across 184 countries (WHO, 2015).
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
For hundred of years, women have wrestled with their womanhood, bodies, and what it means to be a woman in our society. Being a woman comes with a wonderful and empowering responsibility--giving birth. What sets us aside from other countries is that the process and expectations of giving birth has changed in our society; coming from midwifery, as it has always been since the early times, to hospitals where it is now expected to give birth at. Midwifery was a common practice in delivering babies in
The conclusion was ultimately reached that medical or elective induction of term women was associated with an increased risk of cesarean delivery and that estimate was determined heavily based on the Bishop Scores attained The study closes by advising that induction of labor, whether it is medical or electively induced, should be avoided because a low Bishop score means that the cervix is unripe and even with cervical ripening agents, the study showed that the risk of cesarean delivery for nulliparous women remained unchanged. Their advice is to allow the mothers to spontaneously go into labor if they have an unfavorable Bishop score because it will lower cesarean delivery rates (Vrouenraets et al. 2005). This rationale directly correlates
The author is a nurse in a level two trauma facility in a community of approximately fifty thousand people in Oregon. The community is a college-town surrounded by a large agricultural area. There is a minimal ethnic diversity within the community. The diversity present occurs mainly from internationally students and faculty from the college. There is a growing population of women who desire low interventional births in the community. The author has worked on the labor and delivery unit of the hospital for the last 14 years. The hospital is the only one in the area to offer trial of labor services to women who have previously undergone a cesarean section. The unit on average experiences around 1000 deliveries annually.
In the 20th century, 95% of young women know about contraception and at least 88% will be able to give birth in a hospital or clinic. This
gestational age, and other medical issues (Tin & Gupta, 2007). The question is because many
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
Elective inductions are becoming increasing popular and the old wait till you go into labor is becoming something of the past. Many woman want to predict when their future offspring will be here and be able to have a plan for when to take off of work. But one thing about having these elective inductions is the fact that they are more of a social event rather than a medical necessity. Studies have shown that the elective induction group makes up more than one third of the pregnant population (Jonsson 2012, pg. 198). This means woman are volunteering to make themselves go into labor before their body is ready. Not only are elective inductions increasing but being induced has been associated with a 3 to 4 fold increase in having a cesarean section (Yogev 2013, pg.1736). A Bishop Score is done before the start of any induction. This score is based off of cervical dilation, cervical effacement and the station of the babies head compared to the ischial spines. The number produced from this score shows whether or not the cervix is favorable or unfavorable. A favorable score is a score above 7. If the score falls below this, the cervix is not favorable. “Women who were closed dilation
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.
Within the March problem of OBG Management, Dr. William Camann, director of obstetric anesthesiology at Brigham and Women's Medical center in Boston and a co-employee professor of anesthesia at Harvard Medical College, co-wrote an editorial, "Mom-, Baby-, and Family-Centered Cesarean Delivery: IT'S POSSIBLE," where he explained a few of the choices which may have become available within the last year or two.
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
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.