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Cesarean delivery on maternal request

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Virtual International Day of the Midwife
Virtual International Day of the Midwife

Please contact Lisa Hansan if you'd like more information about this presentation: lisa.hanson(at)marquette.edu

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Lisa Hanson, PhD, CNM, FACNM Associate Professor Marquette University Milwaukee, Wi Senior Staff Midwife Aurora Midwifery and Wellness Center Milwaukee, WI
However, the rising cesarean rate has not improved perinatal morbidity and mortality
 
 
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Note: General population incidences; Previa 1/200 births; Acreta 1/500 births. Adapted from Silver etal OB/GYN 2006; 107:1226 # C-S Previa % Acreta % Acreta in patients with previa% 2 1.33 0.31 11 3 1.14 0.57 40 4 2.27 2.13 61 5 2.33 2.33 67 6 or more 3.37 6.74 67
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[object Object],[object Object],[object Object],[object Object],Mode of Birth NICU Admissions Supplemental oxygen for resuscitation Supplemental oxygen after NICU admission C-S 9.3% 41.5% 5.8% VBAC+ 4.9% 23.2% 2.4% Significance p=0.25 p<.01 p<0.28
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[object Object],“ There is no convincing evidence to endorse…’ primary elective cesarean’ and there is concern for harm… [ACNM] therefore, identifies vaginal birth as the optimal mode of birth for women who do not have a health indication for cesarean section.”

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Cesarean delivery on maternal request

  • 1. Lisa Hanson, PhD, CNM, FACNM Associate Professor Marquette University Milwaukee, Wi Senior Staff Midwife Aurora Midwifery and Wellness Center Milwaukee, WI
  • 2. However, the rising cesarean rate has not improved perinatal morbidity and mortality
  • 3.  
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  • 25. Note: General population incidences; Previa 1/200 births; Acreta 1/500 births. Adapted from Silver etal OB/GYN 2006; 107:1226 # C-S Previa % Acreta % Acreta in patients with previa% 2 1.33 0.31 11 3 1.14 0.57 40 4 2.27 2.13 61 5 2.33 2.33 67 6 or more 3.37 6.74 67
  • 26.
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Editor's Notes

  1. CDMR is the tip of the iceberg and VBAC is a ship that will sail away if we don’t do something to change it.
  2. We all recall C-S don’t for the “premium pregnancy” and who can forget the Delee description of the fetal head like a battering ram against the perineum so dramatically portrayed in this Netter graphic?
  3. The woman who writes this blog advocates for C-S mothers so much that her links have been banned from some childbirth websites because they feel she is advocating for C-S.
  4. Support, accurate information and interventions may alleviate these fears Hypnosis Healing effect of vaginal birth Transformation through birth (Claudia Panuthos)
  5. Support, accurate information and interventions may alleviate these fears Hypnosis Healing effect of vaginal birth Transformation through birth (Claudia Panuthos)