Friday, February 8, 2008

ICAN's Response to ACOG and AABC statements

Thursday, February 7, 2008

ICAN's response to ACOG and AABC statements
Redondo Beach, CA, February 7, 2008: The International Cesarean Awareness Network (www.ican-online.org) would like to publicly condemn both the AABC (American Association of Birth Centers) and the ACOG (The American College of Obstetricians and Gynecologists) for their statements* this week that limit not only women's choices in birth but imply that birth is a fashion trend rather than a safety concern.Since VBAC is the biological normal outcome of a pregnancy after cesarean, ICAN encourages women to get all of the facts about vaginal birth and elective cesarean before making a choice. This decision should not include weighing the choices of your doctor's malpractice payments but only be a concern of the mother, her baby and their health and safety.Since some mothers will make the choice to give birth outside of the hospital, we encourage the AABC to not cave into ACOG's demands that all women give birth in a hospital facility with a surgical specialist, but instead allow women to make their own choices about care providers, birth settings and risk factors. ICAN respects the intelligence of modern women and accepts that the amount of information available about VBAC and elective repeat cesarean should serve as informed consent.ICAN further encourages the governments of individual states to look closely at their cesarean rates (31.1% national cesarean rate as of 2006) and the informed consent laws that apply and help women to reach a standard of care that lowers the risks of major surgery and the risks of elective or coerced cesarean without medical indication. Women and children should not bear the brunt of malpractice risks being conveyed into physical, mental, emotional and spiritual health risks in order to protect their physicians.Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean. There are more than 94 ICAN Chapters across North America, which hold educational and support meetings for people interested in cesarean prevention and recovery.* AABC statement: http://www.birthcenters.org/files/file.php?id=2&file=file&file_type=file_typeACOG statement: http://www.acog.org/from_home/publications/press_releases/nr02-06-08-2.cfm

2 comments:

Anonymous said...

This is a comment in response to a September 2007 post you made. Since I don't know if you read comments on old posts, I wanted to repost...

"And my county has a 34.89% rate of cesarean and a 23.58% for all first time mothers having cesareans."

I want to challenge you on this, because I believe you are making a common mistake.

Have you looked up the "primary" cesarean rate, and determined that this is the cesarean rate for first time mothers?

It's not. Its a measure of how many cesareans are the mother's first cesarean. So it could be a 2nd time mother, or 3rd... and the denominator is the number of women who starting labor...had never had a cesarean before.

The reality is that the cesarean rate for primaparas is about 1.5 to 2 times the "primary cesarean rate." Which would mean that in your county, anywhere from 35-46% of first time moms are birthing via cesarean.

Scary, huh? When birth advocates start really pushing this information, perhaps some of the mainstream moms will wake up and realize that the revolt is needed NOW!

Jenn
www.babybodybirth.com

Mitchell Clan said...

Jenn, I just saw this and I'm going to go back to Florida stats and look it up. I think you might be correct about my "misinterpretation" but I know where I took the data from was a state site and that they actually said it was the primary/first time mom rate...so I want to confirm that their stuff is correct as well or correct it...Thanks for reading!