Wednesday, June 11, 2008

A Blog to Remember

In many articles on the web it's now being promoted that obesity is an obvious reason for cesarean or at least an obvious complication leading to cesarean. Here's an enlightening blog that helps to challenge some of these assumptions:

http://www.wellroundedmama.blogspot.com/

The Multiple Cesarean Debate

This morning a beautiful child was born into the world. VBAC after multiple cesarean.

Just taking a few minutes to remind women it's still happening :)

Monday, June 9, 2008

ACOG's Recent Admission.

From their statement on the Midwifery Year in Review:
"Declining availability of VBAC.
The situation with hospitals declining to do VBAC deliveries has complicated our
advocacy efforts on midwives. ACOG Fellows in California, Washington and other
Western and Rocky Mountain states report that women are seeking out alternatives,
including home birth with midwives, in their desire for a VBAC. The VBAC issue was
one of several sticking points in California as stakeholders weighed-in on regulations to
implement a midwife licensure law"

In reading this, one has to wonder.
ACOG's guidelines are the reasons hospitals decline to do VBAC's and while over 300 hospitals have specific bans on vaginal birth after cesarean, violating women's civil rights and rights to informed refusal for medical procedures....the vast quantity of people denying women VBAC are OB's themselves. One office and one practice at a time, they have eliminated safe birth for women after cesarean in the US. And read what this really says. ACOG is having problems getting RID of the care providers who OFFER choice, midwives.

Monday, June 2, 2008

Did the NYT get it right?

The multi-level issues of the insurance crisis in US Maternity care made it into the NYT this week. The issues at hand:
1. Women are being denied maternity or health coverage by local health insurers and national health insurers for preexisting conditions like cesarean.
2. Women who have cesareans are being denied payment to their care providers, despite their care provider's insistence on the surgery
3. Obstetricians are perpetrating insurance fraud by refusing to offer safer vaginal birth or forcing women into cesareans without indication and causing cesareans through nonmedically indicated induction.
4. States with legal midwifery coverage and medicaid reimbursement are not giving out midwives names as a part of the plan because the medicaid providers don't have them in their "plan" despite the legality and safety.
5. Malpractice insurers are determining whether or not obstetricians can do VBAC and therefore, whether or not hospitals or care providers are causing more women and babies to be harmed by elective cesarean without indication.
6. Many insurance organizations have OB's in the industry helping to advise them or owning the insurance policies driving these acts, such as PLICO in Oklahoma.
So what does this say? The entire insurance industry from top to bottom is a mess in regards to the health of women and babies and are completely complicit in the cesarean crisis.

For more on the NYT article, go here:
http://www.nytimes.com/2008/06/01/health/01insure.html?_r=1&th&emc=th&oref=slogin