Sunday, September 9, 2007

The Legacy of a Cxion Baby.

Ok, so why did I write Cxion? or C-xion? Because the speaker this weekend, Dr. Michael Klein, used it in all his research presentations. I'm assuming it was born of his need to abbreviate for studies. I mostly hope this does not catch on in trade publications, seriously looks "too posh to push" kind of media hip.
So back to the Legacy.
Dr. Klein shared that he was born by Cesarean section and I found that to be unique in and of itself. How many children will be leaving legacies born of a generation of surgical births? I'm probably going to update this post several times in the process, but here are some highlights I found from listening to him.

1. He's still a doctor. Medical model/statistical significance, those things matter to him so it's a bit like having a spy on the "inside".
2. His statement on the conflict of interest inherent in "informed consent":
"Counseling over the mode of birth should not be in the hands of those who benefit the most from it."
3. He was explaining some data and compared it to cesarean birth, then changed his wording and stated, "See, even I get caught in that trap. I shouldn't be saying cesarean birth. The term is cesarean section."

High points from the Research commentary:
*He stated that the epidemic of placenta accreta has parallelled the rise in cesarean section.
*He emphasized looking at the totality of the environment when assessing research. You can't transfer the results of an optimal environment with excellent care onto the vast audience of women getting substandard medical care in the United States, just as you can't take a midwifery driven program in Israel and transfer those results onto OB care populations in the US. You will not get results that apply to your life, your environment, your hospital.
*Nulliparas (first time moms) should never be compared to multiparas due to the differences that arise in how birth happens the first time vs subsequent pregnancies. Totally different animals. "You have to be a very bad doctor to screw up multiparas"
*Acknowledgement that nurses are not looking at the mother, but watching the machinery.
*He emphasized using both sides of your brain. You can not take only the left-sided thinking of 'this action equals this outcome' without taking into account the larger picture and impact on a variety of consequences. The global approach is necessary if you don't want to cause more problems than you are trying to prevent.

1 comment:

Laureen said...

OMG, I want this for the eNews. you're gonna write it up, yeah???