Too Many Infants—and Moms—Die at Birth

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Sophia Nelson of GA 11:54AM October 20, 2008

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jiyrusep of MT 2:40PM October 19, 2008

On my block in a middle class suburb, so many of the women were told they "had" to have a c-section. The doctors in the hospital are too impatient with women in labor. I had my son in the hospital and though it was a healthy pregnancy and healthy birth, I was treated like I had to give complete control over to the medical staff, who kept pushing intervention (drugs) and kept me on the table for hours, instead of letting me have freedom of movement. For my second child, I chose to give birth naturally again. My baby was large (over 9 lbs.) but this time I had the support of a midwife, who let me walk, and use different positions. Squatting is the best position for giving birth! Don't let your doctors force you into an unnecessary c-section.

Anonymous of CA 8:11PM October 17, 2008

I would say that age does add a factor in the death rate, but not with women who are older. Girls having babies with underdevolped bodies plays a part. When a body isn't fully matured and developed and is creating life things happen. Smaller undeveloped bodies can lead to having undevloped babies with lower weights which can lead to infant death.
Girls don't realize the stress that they put their already growing body when they get pregant it puts the body into overdrive and things are bond to go wrong.

of ME 1:02PM October 16, 2008

The US does NOT have an increase in preterm births relative to other countries leading to higher death rates. We are simply better at saving them.
Other western countries, such as England, don't try to save and don't count babies born at less than 24 weeks gestation. In addition, fumbled deliveries at 24-26 are easily swept under the rug by lying about their gestational age on the charts. Don't malign one of the best neonatal systems in the world because it hasn't eradicated death.
Mother's death rates are more concerning. Reporting differences are, again, partly to blame. But the real culprit is the dysfunctional practices of American OB/Gyns.
No where else in western medicine is major surgery performed by doctors who are not full-time surgeons. The average OB's lack of expericence in surgical crisis management and even surgery itself is responsible. The C-section is not the problem, it is the type and availability of doctor performing it.
General Practice has been dead in the rest of western medicine for over 30 years. Yet, American OB/Gyns are trying to everything from psychiatry to surgery for women. They try to cover 2 hospitals and 3 offices as well. They are late to the scene and under-prepared for major complications of their patients. This needs to change.

anon of IN 12:57PM October 16, 2008

Dear Deborah and the Public at Large
Large babies should never necessitate a ceserean birth. Doctors have absolutely no way of weighing the baby inside the womb. Research has showed this time and again, but old habits die hard. There may be other indicators that would constitute a discussion about cesarean, but "large baby," also known as "macrosomia" in medical jargon, is not one of them. This is certainly a common misconception--one that doctor's themselves perpetuate quite often as indicated in Deborah's article above. There are many ways of aiding women who have stalled labor (which is often the main indicator or a "too large baby"): using gravity to aid the bearing down process, shifting positions often, making sure the bladder is empty, making sure no bowel movements are obstructing the head, nipple stimulation, intercourse, and rest etc. Here are resource for further reading, as well as some research that has been published on this matter:
Chauhan, S. P., Grobman, W. A., Gherman, R. A.,
Chauhan, V. B., Chang, G., Magann, E. F., et al.
(2005). Suspicion and treatment of the macrosomic
fetus: A review. American Journal of Obstetrics and
Gynecology, 193(2), 332–346.
Saying ‘‘No’’ to Induction by
Judith A. Lothian, PhD, RN, LCCE, FACCE
Journal of Perinatal Education, 15(2), 43–45, doi: 10.1624/105812406X107816
www.lamaze.org/onlinestudyguide/CarePractice_1.pdf
A good start for everyone-- including doctors, nurses and midwives-- would be taking a childbirth education series, even if you have done so before and don't see the point of it again. Research and information constantly changes.

childbirth educator and birth doula of NC 10:04AM October 16, 2008