tag:blogger.com,1999:blog-4181472671648618071.post5017116199124148600..comments2023-10-18T15:20:33.029+01:00Comments on cesarean debate (now caesareanbirth.org): Instrumental delivery is avoided with elective cesarean deliverycesarean debatehttp://www.blogger.com/profile/01711913972260724246noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-4181472671648618071.post-63180949301270529722008-11-04T19:41:00.000+00:002008-11-04T19:41:00.000+00:00birthkeeper - You are correct that it is not all a...birthkeeper - You are correct that it is not all about me or you, and this is why I list medical research papers on the risks and benefits of planned cesarean delivery on my website.<BR/><BR/>I encourage women to educate themselves further, but if they want to find out more about home births, my website and blog are not the best places for them to do that. I am interested in hospital birth data because that is where the majority of births occur and that is where the vast majority of medical research takes place.<BR/><BR/>Home birth is taken up as an option by so few women that I simply do not have the resources to go into that area of research as well - I suggest you go to Dr Amy Tuteur's blog (homebirthdebate.blogspot.com) to continue your debate on this subject.cesarean debatehttps://www.blogger.com/profile/01711913972260724246noreply@blogger.comtag:blogger.com,1999:blog-4181472671648618071.post-46286772568387030742008-11-04T19:28:00.000+00:002008-11-04T19:28:00.000+00:00Whatever decision is made by you, or by me is not ...Whatever decision is made by you, or by me is not the issue. <BR/><BR/>It is the misrepresentation of data, and inaccurate conclusions that you make that I have a problem with. <BR/><BR/>By comparing the avoidance of episiotomy to a planned cesarean delivery, you are very misleading to women who choose not to do research for themselves. And unfortunately, we have a whole lot of those running around. <BR/><BR/>I'm sorry that you feel most comfortable in an environment that continues to abuse women, create traumatic situations, and harms babies. <BR/><BR/>I pose a challenge to you. Do some thorough research on home birth. Thorough, unbiased research. Go read the studies. Compare the outcomes of PLANNED home birth, planned hospital vaginal birth, and planned cesarean. <BR/><BR/>Can you bring yourself to do it? <BR/><BR/>Again, this has nothing to do with personal preference, and everything to do with the misinformation that you are representing...or the incomplete information that you are representing without offering the third, and very viable, option.Christine Fiscer, Birthkeeperhttps://www.blogger.com/profile/14620390732672123849noreply@blogger.comtag:blogger.com,1999:blog-4181472671648618071.post-4529706273643279642008-11-04T19:12:00.000+00:002008-11-04T19:12:00.000+00:00birthkeeper - Even if you use the word 'decreased'...birthkeeper - Even if you use the word 'decreased', this still means that my blog post title remains correct - episiotomy is avoided with planned cesarean delivery.<BR/><BR/>Even if you insist on saying that giving birth at home will secure the same avoidance of an episiotomy, that does not alter the fact that I choose to give birth via planned cesarean delivery in a hospital environment.<BR/><BR/>That is where I feel most comfortable, and I don't know why this upsets you so much. If you want to give birth at home, that is for you to decide.cesarean debatehttps://www.blogger.com/profile/01711913972260724246noreply@blogger.comtag:blogger.com,1999:blog-4181472671648618071.post-63004124836732715742008-11-04T18:30:00.000+00:002008-11-04T18:30:00.000+00:00Ah, did I use blanket statements? I don't see that...Ah, did I use blanket statements? I don't see that I did. <BR/><BR/>I said that the use of instrumental delivery can be DECREASED, and avoided, if more women avoid epidurals, and inductions. <BR/><BR/>The *fact* is that epidurals are present in most of the vaginal births that occur within the hospital walls. And the *fact* is that epidurals increase the risk of instrumental delivery dramatically. By more than 50% in most studies. <BR/><BR/>When compared to out of hospital birth statistics, the rate of episiotomy and instrumental delivery is STAGGERING in the hospital. You don't find that interesting? Midwives often have an instrumental delivery rate of less than 5%. In the hospital, instrumental delivery is quite commonplace, and again, especially when an epidural is chosen by the laboring woman. <BR/><BR/>Yes, women need to be informed of what may happen...I wholeheartedly agree. This is why I make it a personal goal to make women aware of the differences between a hospital delivery, and a home or birth center delivery. Much better outcomes, much higher satisfaction, and much healthier women and babies. ;)Christine Fiscer, Birthkeeperhttps://www.blogger.com/profile/14620390732672123849noreply@blogger.comtag:blogger.com,1999:blog-4181472671648618071.post-42555059031615978142008-11-04T18:22:00.000+00:002008-11-04T18:22:00.000+00:00birthkeeper - If you read the research on this, yo...birthkeeper - If you read the research on this, you'll know that instrumental delivery can also occur where no epidural has been administered. <BR/><BR/>As far as I am aware, the vacuum extraction you refer to occurs during emergency or medically necessary cesarean deliveries - not the more straightforward delivery in a healthy maternal request planned cesarean delivery. But please, I would be happy to read any specific research papers that you can show me that suggest otherwise.<BR/><BR/>You propose that through a reduction of birth fear, combined with a thorough preparation for vaginal delivery, a woman will automatically avoid instrumental delivery. <BR/><BR/>This is simply not true, and I think it is typical of the mis-information that is given to women about the risks and benefits of vaginal delivery. You need to be honest with women about what might happen, and not simply lull them into a false sense of security that with the right attitude, nothing can go wrong.cesarean debatehttps://www.blogger.com/profile/01711913972260724246noreply@blogger.comtag:blogger.com,1999:blog-4181472671648618071.post-76364813464002947662008-11-04T17:42:00.000+00:002008-11-04T17:42:00.000+00:00Instrumental delivery can also be avoided by avoid...Instrumental delivery can also be avoided by avoiding intervention, and epidurals, in labor. <BR/><BR/>It's a simple fix. Really. <BR/><BR/>And are you unaware, or simply ignoring, that a good number of cesarean babies are pulled out quite roughly with a vacuum extraction? <BR/><BR/>So are we worrying about babies here, or mom? <BR/><BR/>So much can be changed by changing the way that women view birth. The less afraid we are of it, and the more educated women are to what interventions do and cause in labor, the more problems like this are avoided.Christine Fiscer, Birthkeeperhttps://www.blogger.com/profile/14620390732672123849noreply@blogger.com