Issue 049 - Family Health and Wellness Updates and Resources
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Table of Contents
- Birth and Breastfeeding
o LA Times: Cesarean Epidemic
o Breastfeeding study shows need for more support
o Study Finds Many Reasons for Labor Induction are Groundless
o Many Inductions for Labor Found to be Unnecessary, Unsafe
o Walking or Being Upright Can Shorten Labor Without Complication
o Fetal Distress Most Affected by General Anesthesia for C-Section
o Great Short Film on Natural Birthing and Midwifery
Birth and Breastfeeding
- Chiropractic Helps with Acid Reflux and Colic
- Get the Benefits of Pathways: Subscribe!
LA Times: Cesarean Epidemic -- Once reserved for cases in which the life of the baby or mother was in danger, the cesarean is now routine. The most common operation in the U.S., it is performed in 31% of births, up from 4.5% in 1965. With that surge has come an explosion in medical bills, an increase in complications -- and a reconsideration of the cesarean as a sometimes unnecessary risk. Read more here: www.latimes.com/business/la-fi-cover-birth17-2009may17,0,7665456.story
Read more on c-sections here: www.icpa4kids.org/research/pregnancy/csections.htm
Breastfeeding Study Shows Need for More Support
Hospital Practices and Women’s Likelihood of Fulfilling Their Intention to Exclusively Breastfeed
Read the abstract here: www.ajph.org
Read about the Ten Steps to Successful Breastfeeding here: www.babyfriendlyusa.org/eng/10steps.html
Read more articles on breastfeeding here: www.icpa4kids.org/research/children/breastfeeding.htm
Study Finds Many Reasons for Labor Induction are Groundless
According to a 2006 national survey, 41% of birthing women were medically induced. Every week counts in terms of an infant's brain and lung development, and since the estimate of how long a fetus has been developing can be off by up to two weeks, labor induction can result in a preterm birth.
Many Inductions for Labor Found to be Unnecessary, Unsafe
Recent Childbirth Connection Press release announces many labor inductions are unnecessary: www.childbirthconnection.org/pdfs/press-release-evidence.pdf
Here is the evidence to show ineffectiveness of induction, despite its overutilization. Read the entire article here: www3.interscience.wiley.com/journal/121677185/abstract?CRETRY=1&SRETRY=0
Read more on inductions here: www.icpa4kids.org/research/pregnancy/induction.htm
Walking or Being Upright Can Shorten Labor Without Complication
A new Cochrane review finds that remaining upright or walking around during the first stage of labor may be associated with shorter labor and less use of epidural analgesia. Due to concerns in other studies about adverse effects on mothers and fetuses of supine position in labor, the authors recommend not lying on the back for extended periods.
Read the abstract here:
Infants With Fetal Distress Are Most Affected by General Anesthesia for Cesarean Delivery
From the abstract: Anaesthesia guidelines recommend regional anaesthesia for most caesarean sections due to the risk of failed intubation and aspiration with general anaesthesia," write Charles S. Algert, from Kolling Institute of Medical Research, University of Sydney in Sydney, Australia, and colleagues. "However, general anaesthesia is considered to be safe for the foetus, based on limited evidence, and is still used for caesarean sections."
The main concern with general anesthesia for cesarean delivery is the risk for failed endotracheal intubation and aspiration of gastric contents among women in labor.
In the current study, general anesthesia for cesarean delivery was associated with higher risks for intubation of the infant and low Apgar scores vs regional anesthesia. This finding was independent of the indication for cesarean delivery and the type of hospital in which the delivery was performed.
Read more here: www.medscape.com/viewarticle/702233
Read more about drugs in labor here:
Great Short Film on Natural Birthing and Midwifery
A YouTube film contest debuts this great clip on natural birthing: www.youtube.com/watch?v=H7DrP4-po5U
Read more on natural birthing here: www.icpa4kids.org/research/pregnancy/natural.htm
Chiropractic Helps with Acid Reflux and Colic
A new study shows promising results on chiropractic care and reflux. Read about it here: www.atypon-link.com/MCY/doi/abs/10.5555/pmfh.2009.2009.2.1a
Read more about chiropractic and colic here: www.icpa4kids.org/research/children/colic.htm
FYI: Our next Pathways issue (#22) features some great articles on colic!
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Many, many blessings,
Jeanne Ohm, DC
ICPA, Executive Coordinator
HPA, Executive Secretary
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