Tuesday, October 28, 2008

Celebs and Cesareans

What is with SO MANY celebrities choosing to have their babies “via c-section”? I started looking around online and was surprised at how many I found! I noticed that a majority delivered at the same hospital in L.A. I only found a few that had their babies the “old fashioned way”. Why would they choose this? They have lots of money and resources, right? Isn't a cesarean usually the last resort? The wheels in my head began to turn and I think I may have figured some of it out, maybe. I thought about some of the risks or set backs to having a c-section and then thought about why a celeb might not be bothered by it.

  • The scar. What do they care? They will have plastic surgery.
  • The longer recovery. What do they care? The nanny is there to take care of the baby.
  • The pain. What do they care? They can go to rehab again when they get addicted to the painkillers.
  • The lack of labor. Oh, you mean the lack of sweating and not looking ready for a photo shoot?
  • More breastfeeding challenges. Come on. Who does that any more?
  • Possible premature baby. Really, I don’t want my baby to be “fat”.
  • Missing the last week or two of your pregnancy. Do you mean missing the last week or two of getting more stretch marks?

Another Possible Bad Side Effect of C-section?

Read here.

Saturday, October 25, 2008

Birth Plans

Here is an interesting opinion about birth plans. Some things I think are important when writing a birth plan are:
  • Be brief. If a nurse sees a 6 page plan, she can't spend the time to read it.
  • Go over it with your provider long before your due date and have them sign it as approved. Then when something becomes an issue and you're in no mood to argue for what you want, you can say, "my doctor approved it." I had a nurse call my doctor once about something I had on my plan because she didn't believe me. He told her over the phone that he indeed had okayed it. She quit talking to me about it.
  • Organize it simply. As in, labor; delivery;in case of c-section...etc.
  • Be kind, not demanding. I have learned that becoming friendly with nurses, treating them with respect for what they do, and complimenting them for the good things they do for you helps them want to HELP YOU MORE! Do you go out of your way for someone who is bossing you around or talking down to you? There are many great nurses. Treat them kindly.
  • Bring several copies. Also, I have found that having it copied on a different color paper helps make it easier to find. Really, who has time to be sifting through the bag.
  • Be practical. Like the referred to article points out, you can't ask for no IV and an epidural.
  • Remember where you are. Understand that hospitals have a lot of liability. If you want a home birth, it is HARD to attain that in the hospital.
  • Do your research. Educate yourself. Know your options. Knowledge is power. Ignorance is not bliss.

Friday, October 24, 2008

A little laugh

Here is a long clip of Kevin James on the Late Show with David Letterman. Around 2 minutes in he talks about his new one month old baby and breastfeeding. Made me laugh. Check it out.

CESAREAN SECTION QUADRUPLES THE RISK OF MATERNAL DEATH

Contact: Rae Davies, Executive Director Phone:
(888) 282-CIMS Fax: (904) 285-2120 E-mail: info@motherfriendly.org

The Coalition for Improving Maternity Services views with alarm a recent study showing that U.S. women having cesarean sections are four times more likely to die compared with women having vaginal births.1 Investigators reported a maternal death rate of 36 per 100,000 cesarean operations versus 9 per 100,000 vaginal births. This is the difference attributable to the surgery itself, not any complications that might have led to the need for surgery. Based on calculations of what constitutes a reasonable cesarean rate versus the actual U.S. cesarean rate,* 135 women die every year as a result of having surgery they did not need.
Moreover, the difference in mortality rates between cesarean section and vaginal birth is almost certainly larger than it appears. Investigators only considered deaths occurring up to 1 year after delivery. Some surgically-related deaths—scar tissue causing a twisted bowel, for example—may occur after the 1-year cut-off.
In a press release entitled “Weighing the Pros and Cons of Cesarean Delivery,” the American College of Obstetricians and Gynecologists offered the theory that cesarean section benefits mothers by protecting against pelvic floor prolapse as a counterbalance to the fact that it was associated with an increased maternal death rate.2 The research, however, does not support this theory. While some studies do report a short-term benefit with cesarean section for a few women,3 none find long-term differences in symptoms resulting from pelvic floor weakness or injury to maternal tissues.3-7 Other studies report considerable percentages of women with urinary or bowel problems in the early weeks and months after cesarean surgery.8-9
The finding that cesarean section offers no long-term advantages holds true even without taking into account that many features of standard obstetric management cause or contribute to weakness or damage, and the use of these features could be greatly reduced or eliminated. These include episiotomy, fundal pressure (pushing down on the woman’s belly to expel the baby), vacuum extraction, forceps delivery, and how and in what positions women are directed to push.10 Indeed, the ACOG press release acknowledges that vaginal instrumental delivery produces the worst results. Epidural analgesia also contributes indirectly by increasing the need for vaginal instrumental delivery and episiotomy.11-12 Had women birthing vaginally received optimal care, the incidence of pelvic floor laxity and genital injury would likely have been much smaller.
CIMS contends that reducing the use of injurious practices would do far more to improve maternal health and well-being than substituting major abdominal surgery. Increased risk of maternal death is but one of the many hazards of cesarean section. (See CIMS fact sheet, The Risks of Cesarean Delivery to Mother and Baby.)

*The 2002 cesarean rate was 26%. This means that about one million of the 4 million U.S. women giving birth every year have cesarean sections.13 The World Health Organization recommends no more than a 10% to 15% cesarean rate.14 If the U.S. cesarean rate were halved, 500,000 fewer women annually would have had cesarean sections. The death rate among them would have been 9 per 100,000 (45 women) rather than 36 per 100,000 (180 women) – a difference of 135 lives. {the present cesarean rate in the US is 33.1%}"

Thursday, October 23, 2008

Wednesday, October 8, 2008

Belly Cast of Baby Aubryn

This was an intensely emotional pregnancy for me. I found out I was pregnant shortly after my son had died. I was in a grievous and mourning state. I was full of hard, raw, angry, scared emotions. So I started painting it red because I felt that color represented those feelings best. But amidst those intense feelings I was holding something beautiful growing inside me. Even though this was a difficult pregnancy, something wonderful emerged. I was holding it the entire time.

Saturday, October 4, 2008

Belly Cast of Baby Kylie

I casted my sister's belly near the end of her first pregnancy. I felt this was a learning time for her as she prepared for her firstborn. As it is for all of us. She started this pregnancy like a small rose bud. She bloomed and grew. I felt this blooming rose was also very symbolic of what our body goes through during labor and delivery. We have to let our body open. The result is beautiful.

When I asked her for her thoughts she wrote, "Blooming rose, blooming belly, blooming baby... Growing bigger everyday... beautiful rose, beautiful birth, beautiful baby."