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:
“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.
“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.
“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”.
“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:)