Research Roundup on C-sections, Breastfeeding, Infection Rates

with 2 Comments

As many of you know, I am very interested in research and how that can better my work as a doula.  I often post research articles on my facebook page, but thought I’d give you a list of the research I have looked at lately.  Here’s what’s been in the news:

A Randomized Trial of Planned Cesarean or Vaginal Delivery for Twin Pregnancy

“In twin pregnancy between 32 weeks 0 days and 38 weeks 6 days of gestation, with the first twin in the cephalic presentation, planned cesarean delivery did not significantly decrease or increase the risk of fetal or neonatal death or serious neonatal morbidity, as compared with planned vaginal delivery. ”

This may be something you might want to share with a client making the decision on whether or not to have a c-section in this instance.

Breastfeeding Struggles Matter for Women

“A recent study found that women’s breastfeeding problems and concerns played a large part in whether they stopped breastfeeding sooner than they planned.”

This really made me thing about the need to spend more time with women postpartum in making sure their breastfeeding needs are addressed.

Severe Blood Infections During Childbirth on Rise in U.S. Women

“Both severe and fatal sepsis increased by about 10 percent per year, ”

Apparently, they can’t figure out what is causing this. It was studied from 2008 and 2010. I am wondering what else increased in use during these years. Things I would be curious about looking at….c-sections, pitocin use, cervical exams given, use of internal monitors, gadgets that go inside mom, breaking the water, use of antibiotics during labor, etc

They want to look at things like “increasing microbial resistance, obesity, smoking, substance abuse and poor general health”.

Simple, validated vaginal birth after cesarean delivery prediction model for use at the time of admission.

“Prediction of Trial of Labor after Cesarean delivery success at the time of admission is highly dependent on the initial cervical examination.”

This study made a tool that looked to be very accurate at predicting successful VBAC rates. It included the Bishop’s score, history of vaginal birth, age, and body mass index. Those with high scores had an 80% change of having a successful VBAC. Those with low scores had a 50%. Notice the conclusion…..success was highly dependent on the initial cervical exam. That means that women had to be ready to go into labor to be successful. To me this was sort of another study that I felt like this is sort of obvious, but cool to have documented in a study.

 

If anyone knows of any good research out there, send it my way and I’ll repost it:)

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2 Responses

  1. Janessa
    | Reply

    I’m reading through all your posts and wanted to comment on the breastfeeding. When I had my first, I had no idea how challenging breastfeeding is. Even with nothing going wonky (does that ever happen?!), at least that first one is hard! And in talking with women since, almost everyone agrees. I stuck with it and am currently nursing baby #4, but I think it was that new friend who checked my latch and told me I was doing fine and the lactation consultant who reassured me that it was fine and yes, it can hurt till you get used to it, that gave me te added strength to keep going. Still with #4, nursing gave me the most cause to doubt myself.

    • Rachel
      | Reply

      Thanks for sharing your experiences. Breastfeeding can be a tough one sometimes and I commend you for sticking with it. If you are interested,I have created a webinare series on breastfeeding. You can get the first part free herehttps://www.google.com/url?sa=t&source=web&rct=j&ei=9XA1VP7XIJTZoASgqYDADg&url=http://www.youtube.com/watch%3Fv%3DvWUeoOcaEII&ved=0CCEQtwIwAQ&usg=AFQjCNHnrrb4vNqEjqeo5MlLMF2Rn1-wYA&sig2=XfdtEWqMXLEQ7wgKheUMdg

      The rest is free for my students or $10 for anyone else. Best of luck!

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