Archive for the 'research' Category

Group Beta Strep

Lisa Barrett has a great post about GBS (Group Beta Strep).  Enjoy!

Artificial Rupture of Membranes

From the Cochrane Reviews comes this review of research that finds AROM (artificial rupture of membranes) does not hasten labor or ensure baby’s well-being.
The researchers reviewed 14 randomized controlled trials involving almost 5,000 women and found little evidence for any benefits. Amniotomy did not shorten the length of labor, decrease the need for the labor-stimulating […]

fewer prenatal visits for low-risk women?

I’m wondering how others feel about numerous studies that have shown no adverse outcomes or lack of maternal satisfaction when fewer prenatal visits are scheduled.
I’ve talked about this book before, but Expecting Trouble: The Myth of Prenatal Care in America is a harsh critique regarding what we view as “good” prenatal care, including how often […]

Important Links from Sara Wickham

I have added some evidence-based resources to my links on the left of the page. Just so you know…
And here are some good articles/research on topics that seem to be missed and stump many providers:
(From Sara Wickham’s Site)
Maternal hemoglobin NEEDS to fall during pregnancy - and routine supplementation of iron is unnecessary
Homebirth Safety Resources and […]

do they bear repeating?

I’m sharing some of my older posts here - the ones that began some real shifting for me in terms of practice. I need to just tag these posts so they can all be contained and easy to find for me:
How the Baby is “delivered”
However, I wonder if the way the mothers respond to […]

we just keep getting worse and worse….

According to the CIA World Factbook, as of 2007 (that’s this year, ya’ll!), our infant mortality rate is ranked at #180…which means there are 41 countries ahead of us that have BETTER outcomes for our babies than we do.
Guess what most of those countries have in common? Yep, access to midwifery care, low cesarean […]

uterine rupture with VBAC

This was sent to me recently by someone online. I remember reading this somewhere a couple years ago (maybe more?) but I cannot find who wrote it. Anyone?
Ruptures are also more common than dying in a plane crash. Henci Goer’s review of the literature on VBACs found 46 ruptures in 15,154 labors. This […]

Due dates, "postdates", etc

Because Rixa received some “interesting” comments on her due date entry….
I hear the term “postdates” being used all the time for women a day past 40 weeks gestation. What is frustrating is the true definition of being “postdates” is when a woman’s pregnancy goes beyond the 42nd completed week.
Then again, when we live in […]

Sara Wickham

One of the invitees to my slumber party (besides you) would definitely be Sara Wickham. I’ve long considered her one of my mentors in birth - mainly because of her stance on evidence-informed midwifery.
The whole area of evidence-informed midwifery raises far more questions than answers at present. Having established that we may need […]

the silliness of due dates

RixaRixa has this great post on due dates….

ah, the quality of prenatal care….

Tina Cassidy, brilliant author of Birth: The Surprising Way We are Born added this to my last post:

I will just add that obesity goes hand in hand with race and class. The poorer, the heavier, statistics have shown. One of the worst-kept secrets in modern maternity is that African-American women have the highest c-section rates […]

some thoughts on the maternal mortality rates…

this information on the rising rates of maternal mortality is circulating through the birth communities. of course we know that the rising cesarean rates and interventions are to blame. the docs will admit it.
what I found infuriating about this release of information is the following:
Experts also say obesity may be a factor. Heavier […]

Article on the uselessness of routine urine dipsticks

From the Journal of Family Practice, way back in 2005
So why are we still using them?
(I disagree about the benefits of a 50gram glucose tolerance test in pregnancy - I still stand by the use of a glucometer for women with concerns about blood sugar in pregnancy as a more effective, and more user-friendly […]