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Re: sponses: Does it matter how the baby is born?(long) From: art fougner, md (evsono@pipeline.com) Wed May 25 10:16:00 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Anna Meenan, MD: "Re: Try sometimes" Previous message: Kaycnm@aol.com: "Re: Responses: Does it matter how the baby is born?(long)" In today's Reuters ... seems as if it's the labor more than the delivery. Tough labor leaves lasting mark on new moms: study Last Updated: 2005-05-24 9:21:01 -0400 (Reuters Health) By Amy Norton NEW YORK (Reuters Health) - Many first-time mothers who go through a tough, prolonged labor say the experience will affect them forever, according to a new survey. The study, of 255 Swedish women who had recently given birth, found that one-third of those with a prolonged labor considered the birth a negative experience, compared with just 4 percent of women with a normal labor. Overall, 60 percent of the women with a difficult delivery said the experience would "mark them for life," according to findings published in the Journal of Clinical Nursing. Prolonged labor is common, particularly when a woman is having her first child. The new study included first-time mothers who gave birth at one of three hospitals in northern Sweden over a one-year period. Prolonged labor was defined as either a slowly progressing labor -- having regular contractions for more than 12 hours, for example -- or a delivery requiring emergency Cesarean section or assistance from forceps or a vacuum. The researchers found that pain was the top issue for all of the new mothers, but particularly for those with prolonged labor. Of the latter group, 62 percent agreed with the statement, "It was so painful that I thought I was going to die." That compared with 47 percent of women with uncomplicated deliveries. The findings suggest that more could be done to relieve women's pain during labor, according to Astrid Nystedt of Umea University, the study's lead author. But it's also important for women to have support from their partners and medical staff, she told Reuters Health, and to be well-informed about labor and delivery ahead of time. Of the women in her team's study, the large majority said that their "best support" during labor came from their husbands. Past research has suggested that women with a negative view of their childbirth experience are at increased risk of postpartum depression. Some other studies, though not all, indicate that talking about the experience with a midwife can help reduce the risk of depression, according to Nystedt and her colleagues. Though many women with prolonged labor in this study thought it would stay with them for life, Nystedt said it's unclear what, if any, effects this might have on the women's overall mental well-being. There is a need, she and her colleagues conclude, for more research on the "difficulties associated with a negative birth experience," and on ways doctors and midwives can better help women who go through prolonged labor. SOURCE: Journal of Clinical Nursing, May 2005. http://www.reutershealth.com/en/index.html art At Tue, 24 May 2005, Zachariah Newton wrote: > >The goal is good outcome. In OB, it can be achieved vaginally or by c/s. >Just like stock traders who buy and sell by wiggles, the individual choice >has but one measure: a healthy mom and a healthy baby or a profit vs a loss. >The Monday morning quaterbacking are for those with an agenda. > >Zach (hey, gang) > >-- > >>>----- Original Message ----- >From: "Robert J. Carpenter, Jr. MD" <zygote@icsi.net> >To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net> >Sent: Monday, May 23, 2005 11:23 PM >Subject: Re: Responses: Does it matter how the baby is born?(long) > >>I learned something from an ob who is as bright as anyone comes - 30+ years >>ago. >> "My only duty is to get a good baby and a good mother - if is vaginally >> that is fine and >> if not that's okay too!" >> >> His name is James Friedman - and he is retired. I learned many other >> things from >> him after that night! >> >> Bob >> >> On 23 May 2005 at 19:22, Joanne Bulley, MD wrote: >> >>> Well ... Good comments to this all around ... >>> >>> My experiences: >>> >>> First a vaginal birth after 3 nights of false labor (sleep an hour >>> then go in to work - as a resident) ... 30 minute second stage (from >>> -3 stantion to delivery) where they turn off the monitor sound (so I >>> wouldn't hear the decels) and rolled me onto my left saide (also away >>> from the monitor so I wouldn't see the decels) ... APGAR of 3&8 (I >>> think - but she just graduated from Mt Holyoke College Sum Laude - so >>> I guess I can't sue anyone). Couldn't nurse right away because of >>> grunting and flaring - couldn't pee at all at first (but managed to >>> after straight cath) >>> >>> Second - the kid was non stop somersaults from 34 weeks on. Labored >>> ... pushed for over 2 hours - head was asynclitic overriding the >>> symphysis -boy dod that hurt) - finally had the C/S - was nursing and >>> bonding in the recovery area within 30 minutes of delivery - could pee >>> right after the cath came out the next AM ... could SIT COMFORTABLY >>> within 24 hours of birth and nurse the baby without feeling that >>> bruised bottom. (he has ADD, depression, cyclothymia, an expressive >>> language learning disorder and just flunked out of freshman year of >>> college). (shoudl I sue?) >>> >>> I would go for EITHER an "easy" vaginal birth ... or C/S without >>> labor but not the labor & push for 2 hours then C/S. >>> >>> The kids are loved either way - and unless you are totally psyched >>> that the only thing that "makes you female" is having a vaginal birth >>> ... both are births ... and having strep throat without antibiotics >>> and having cataracts without surgery are alos "natural" ... "Natural" >>> does not mean "healthy" or "best"! >>> >>> If those answering the questions are clients / patients at perinatal >>> psyche centers - then they are obviously having issues with how they >>> birthed -- but those issues can be evaluated and or counselled in a >>> way that validates the thought that the woman involved SHOULD feel >>> that her womanhood was ripped from her (and she can continue to be >>> disabled by something that was just part of life - as my son does) -- >>> or she can be counselled about whatever loss she felt and assisted in >>> understanding that it is not necessarily something to feel disabled >>> by. >>> >>> But we are not going to change some minds and as others have said - >>> most is out of our hands and folks have to campaign for the reforms >>> etc if we are to be able to have some of the choices and to practice >>> the "art" of obstetrics (before those of us that know some of the >>> information and techniques for difficult - but possible vaginal >>> births). >>> >>> Joanne >>> >>> At Sun, 22 May 2005, Stmidwife@aol.com wrote: >>> > >>> >Here are some responses, I from some of the people at the perinatal >>> >pysch center in Santa Barbara, not sure which one, I posted to two >>> >facilities. There were 3 responses as of yesterday. >>> > >>> >>> -- >>> Joanne Bulley, MD >>> Keene, NH, USA >>> >> Robert J. Carpenter, Jr. MD >> 6624 Fannin, #2720 >> St. Luke's Medical Tower >> Houston,TX 77030-2339 >> 713-795-4600 >> -- art fougner, md "If you don't know where you are going, you will wind up somewhere else." Lawrence Peter Berra Next message: Anna Meenan, MD: "Re: Try sometimes" Previous message: Kaycnm@aol.com: "Re: Responses: Does it matter how the baby is born?(long)"

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