Welcome!

News Feed Item

New Consensus Statement Important Step to Reduce Unnecessary Cesareans

Michele Ondeck, President of Lamaze International, in response to the ACOG consensus paper "Safe Prevention of Primary Cesarean Delivery"

WASHINGTON, Feb. 19, 2014 /PRNewswire-USNewswire/ -- Today's release of the American College of Obstetricians and Gynecologists' (ACOG) consensus statement on preventing first-time cesareans is an important step in closing gaps between evidence and the day-to-day care that women receive in pregnancy and labor. 

While cesareans can save lives when used appropriately, it exposes women and babies to real health risks when it's used without true medical need. ACOG's consensus statement reflects research, both new and old, and aligns with the fundamentals of Lamaze's Six Healthy Birth Practices that educators have taught for years. If adopted into practice, Lamaze expects these recommendations will lower the number of cesareans and associated complications for women and their babies.

The statement covers a multitude of important prevention strategies, and several key takeaways include:

  • Women are being rushed into cesareans they don't need. The message for care providers is clear - stop putting a strict clock on laboring women. As long as mother and baby are doing well, labor should be allowed to progress at its own rate. Labor should be considered active starting at 6 cm dilation, not 4 cm.
  • Providers are resorting to cesareans before exploring alternatives. Factors that have long been considered an "automatic cesarean" – like suspected large baby, carrying twins or a malpositioned baby – are not based in evidence, and ACOG calls on their members to change their practice.

While this paper is focused on preventing primary cesarean, it should be noted that VBAC (Vaginal Birth After Cesarean) continues to be grossly underutilized in lowering the overall cesarean rate, and women still routinely face obstacles in accessing VBAC, including bans, misinformation or provider surcharges.  

ACOG rightly acknowledges that systemic change will be hard, and that there are many barriers to implementation. This is why it's critical for women to have the education, resources and support they need to push for evidence-based care now, rather than waiting for providers to change their practice.  In short, women don't have be doctors to understand how to push for the safest, healthiest birth possible.

Women should have the information and confidence to ask key questions that will help reduce her risk of having a cesarean. 

  • In early pregnancy, ask your provider about his or her personal cesarean rate.  Interview other providers and see how rates compare. Also, what is the hospital's rate, do they have measures in place to reduce the cesarean rate. Hire a doula for labor support. Women who have continuous labor support are less likely to have a cesarean.
  • During pregnancy, ask about your provider's approach to situations like breech baby, long labor, suspected large baby, or going past the estimated due date. These discussions will give you important information about your provider's approach to care. 
  • During labor, if a cesarean is suggested, press for more information with these questions:
    • Is my baby in any danger? Am I in any danger? If no, you have choices.
    • What are the risks and benefits of this intervention? All interventions have pros and cons. Watch out if you only hear the pros of Option A, and only the cons of Option B.
    • What does the research say? Not all medical practices are based on the best research.
    • Is there another alternative? There are many alternatives to common interventions, including waiting.

Lamaze urges women to be prepared to push for better care, and take a Lamaze childbirth education class. Learn more about Lamaze International's Six Healthy Birth Practices and what women can do to ensure the safest birth possible. Lamaze's Push for Your Baby campaign is designed to help women recognize common challenges faced in childbirth and share strategies for playing an active role in decision-making.  To read more about the consensus statement, read an analysis by Judith Lothian, PhD, RN, LCCE, FACCE at Science & Sensibility.  Read the consensus statement on ACOG's website. 

About Lamaze International
Lamaze International promotes a natural, healthy and safe approach to pregnancy, childbirth and early parenting practices. Knowing that pregnancy and childbirth can be demanding on a woman's body and mind, Lamaze serves as a resource for information about what to expect and what choices are available during the childbearing years. Lamaze education and practices are based on the best and most current medical evidence available. Working closely with their families, health care providers and Lamaze educators, millions of pregnant women have achieved their desired childbirth outcomes using Lamaze practices. The best way to learn about Lamaze's steps to a safe and healthy birth is to take a class with a Lamaze certified instructor. To find classes in your area, or for more information visit www.lamaze.org.

SOURCE Lamaze International

More Stories By PR Newswire

Copyright © 2007 PR Newswire. All rights reserved. Republication or redistribution of PRNewswire content is expressly prohibited without the prior written consent of PRNewswire. PRNewswire shall not be liable for any errors or delays in the content, or for any actions taken in reliance thereon.

Latest Stories
One of the hottest areas in cloud right now is DRaaS and related offerings. In his session at 16th Cloud Expo, Dale Levesque, Disaster Recovery Product Manager with Windstream's Cloud and Data Center Marketing team, will discuss the benefits of the cloud model, which far outweigh the traditional approach, and how enterprises need to ensure that their needs are properly being met.
Internet of @ThingsExpo, taking place June 6-8, 2017 at the Javits Center in New York City, New York, is co-located with the 20th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. @ThingsExpo New York Call for Papers is now open.
WebRTC has had a real tough three or four years, and so have those working with it. Only a few short years ago, the development world were excited about WebRTC and proclaiming how awesome it was. You might have played with the technology a couple of years ago, only to find the extra infrastructure requirements were painful to implement and poorly documented. This probably left a bitter taste in your mouth, especially when things went wrong.
Up until last year, enterprises that were looking into cloud services usually undertook a long-term pilot with one of the large cloud providers, running test and dev workloads in the cloud. With cloud’s transition to mainstream adoption in 2015, and with enterprises migrating more and more workloads into the cloud and in between public and private environments, the single-provider approach must be revisited. In his session at 18th Cloud Expo, Yoav Mor, multi-cloud solution evangelist at Cloudy...
When you focus on a journey from up-close, you look at your own technical and cultural history and how you changed it for the benefit of the customer. This was our starting point: too many integration issues, 13 SWP days and very long cycles. It was evident that in this fast-paced industry we could no longer afford this reality. We needed something that would take us beyond reducing the development lifecycles, CI and Agile methodologies. We made a fundamental difference, even changed our culture...
The proper isolation of resources is essential for multi-tenant environments. The traditional approach to isolate resources is, however, rather heavyweight. In his session at 18th Cloud Expo, Igor Drobiazko, co-founder of elastic.io, drew upon his own experience with operating a Docker container-based infrastructure on a large scale and present a lightweight solution for resource isolation using microservices. He also discussed the implementation of microservices in data and application integrat...
All organizations that did not originate this moment have a pre-existing culture as well as legacy technology and processes that can be more or less amenable to DevOps implementation. That organizational culture is influenced by the personalities and management styles of Executive Management, the wider culture in which the organization is situated, and the personalities of key team members at all levels of the organization. This culture and entrenched interests usually throw a wrench in the work...
Containers have changed the mind of IT in DevOps. They enable developers to work with dev, test, stage and production environments identically. Containers provide the right abstraction for microservices and many cloud platforms have integrated them into deployment pipelines. DevOps and containers together help companies achieve their business goals faster and more effectively. In his session at DevOps Summit, Ruslan Synytsky, CEO and Co-founder of Jelastic, reviewed the current landscape of Dev...
In his General Session at DevOps Summit, Asaf Yigal, Co-Founder & VP of Product at Logz.io, will explore the value of Kibana 4 for log analysis and will give a real live, hands-on tutorial on how to set up Kibana 4 and get the most out of Apache log files. He will examine three use cases: IT operations, business intelligence, and security and compliance. This is a hands-on session that will require participants to bring their own laptops, and we will provide the rest.
IoT is at the core or many Digital Transformation initiatives with the goal of re-inventing a company's business model. We all agree that collecting relevant IoT data will result in massive amounts of data needing to be stored. However, with the rapid development of IoT devices and ongoing business model transformation, we are not able to predict the volume and growth of IoT data. And with the lack of IoT history, traditional methods of IT and infrastructure planning based on the past do not app...
"LinearHub provides smart video conferencing, which is the Roundee service, and we archive all the video conferences and we also provide the transcript," stated Sunghyuk Kim, CEO of LinearHub, in this SYS-CON.tv interview at @ThingsExpo, held November 1-3, 2016, at the Santa Clara Convention Center in Santa Clara, CA.
"We're bringing out a new application monitoring system to the DevOps space. It manages large enterprise applications that are distributed throughout a node in many enterprises and we manage them as one collective," explained Kevin Barnes, President of eCube Systems, in this SYS-CON.tv interview at DevOps at 18th Cloud Expo, held June 7-9, 2016, at the Javits Center in New York City, NY.
With major technology companies and startups seriously embracing IoT strategies, now is the perfect time to attend @ThingsExpo 2016 in New York. Learn what is going on, contribute to the discussions, and ensure that your enterprise is as "IoT-Ready" as it can be! Internet of @ThingsExpo, taking place June 6-8, 2017, at the Javits Center in New York City, New York, is co-located with 20th Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry p...
@DevOpsSummit at Cloud taking place June 6-8, 2017, at Javits Center, New York City, is co-located with the 20th International Cloud Expo and will feature technical sessions from a rock star conference faculty and the leading industry players in the world. The widespread success of cloud computing is driving the DevOps revolution in enterprise IT. Now as never before, development teams must communicate and collaborate in a dynamic, 24/7/365 environment. There is no time to wait for long developm...
Updating DevOps to the latest production data slows down your development cycle. Probably it is due to slow, inefficient conventional storage and associated copy data management practices. In his session at @DevOpsSummit at 20th Cloud Expo, Dhiraj Sehgal, in Product and Solution at Tintri, will talk about DevOps and cloud-focused storage to update hundreds of child VMs (different flavors) with updates from a master VM in minutes, saving hours or even days in each development cycle. He will also...