Breastfeeding: Latch On

These sites have some great information about latching on and starting breastfeeding.

http://www.breastfeeding-problems.com/Latching-on.html

http://www.kellymom.com/bf/start/basics/latch-resources.html

Dr Jack Newman has some amazing videos, showing not just latching on a newborn, but what good breastfeeding looks like in a newborn (see the “good drinking” videos).

http://www.breastfeedinginc.ca/content.php?pagename=videos

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NPR’s Birth Series

NPR recently ran a series on childbirth. I thought others might find it interesting too!

http://www.npr.org/series/137710210/science-and-medicine

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HealthGrade Numbers

This report by HealthGrade, states that the rate for c-section births in the 19 states surveyed from 2007 – 2009 was 34%. 34%!! Even allowing for the fact that this represents less than half of the states in the country, it’s sad news, although hardly surprising.

The report quotes a statistic: in 1965 the c-section rate was 4.5%. I’d be curious to see more information on that, such as how many births were figured into that calculation (was it truly a representative sample? or a small cross section?). Also, I would want to compare some other information from then and now, such as what were the rates for infant and maternal mortality that year? And deliveries with forceps/vacuum?

It was interesting to see that of all the hospitals surveyed for the report — unfortunately nowhere did I see a statement of how many hospitals were included in the survey in total — only 219 rated 5 stars for maternity care. That means only 11 hospitals on average per state qualified for the top rating. Sounds like a lot until you think about the fact that Columbus alone has 7 hospitals that provide maternity care, and you don’t have to expand far outside of the I-270 outer belt to find 4 more hospitals. Eleven per state? Yeah, that sucks.

The hospitals were rated based on the following criteria:

  • Vaginal delivery maternal complication rates for single live deliveries (single live delivery is a pregnancy with a single fetus alive at birth)
  • C‐section delivery maternal complication rates for single live deliveries
  • Overall volume and volume of low birth weight deliveries
  • Risk‐adjusted infant mortality rates for single live deliveries

I wonder how far that number would fall if they included breastfeeding initiation rates? Right, I probably don’t want to know. (Although initiation rates are fairly good overall, standing right somewhere between 70% and 75%.)

 

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What to Read When You’re Waiting for Baby

The last month of pregnancy is hard. Really hard. It’s more than just the physical difficulties– being enormous and swollen and with pains in places you didn’t even know you had prior to pregnancy. There’s also the constant waiting and wondering… will today be the day? What was that twinge-a contraction? Was that a Braxton-Hicks contraction or a labor contraction? Was that trickle my water breaking? Should I run all these errands today–what if I go into labor tonight and I’m exhausted?

It’s also the well-meaning, anxious family and friends calling, emailing, and Facebooking to ask whether or not a baby has arrived yet. Now, rather than answering their nagging queries, simply post this link:

http://haveyouhadthatbabyyet.com/

Ha!

On a more serious note, there are some good things to read in those few weeks. It’s very tempting to give in and accept (or even ask for!) the elective induction that many care providers offer at 37 or 38 weeks. I just gave birth myself 10 weeks ago and even I, a committed natural birth advocate, was sorely tempted to call my midwife and ask her to hook me up to the pitocin! It’s hard to wait and be so uncomfortable. Still, the waiting is important. Because, although you might be uncomfortable, those last few weeks are important for the baby! Lungs are developing, baby is storing up fat, and all kinds of other important things are happening. The longer baby stays inside, the better for baby it is.

5 Quotes to Remind You Not to Induce

If induction seems like it might become necessary, ask your care provider for your Bishop score. This is a way of determining how likely an induction will be at any given time. If your score does not indicate that it’s a favorable time to induce, talk to your care provider about delaying the induction — why is s/he recommending induction now, what happens if you wait, what alternatives are there.

Doctors Have Much to Learn from Midwives when it comes to Induction

If your care provider is insisting that induction is necessary, educate yourself! Do some research about the reason(s) s/he is giving for induction being necessary. Make sure you understand the reasons and believe they are legitimate and serious before giving your consent (it should always be informed consent!).

Reasons to Induce Labor

Even if your care provider isn’t suggesting induction yet–or if it is being suggested but you’re choosing to wait–you can try some natural methods for starting labor at home. Trying natural methods gives you something to do to help you feel a little bit less out of control with your situation. Even if they don’t work quickly, you’ll be doing something other than simply waiting. And most importantly, these natural methods are not going to start labor if the baby’s not ready to be born.

Natural Induction Methods

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