|By PR Newswire||
|February 19, 2014 06:28 PM EST||
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
17th Cloud Expo, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, will feature technical sessions from a rock star conference faculty and the leading industry players in the world. Cloud computing is now being embraced by a majority of enterprises of all sizes. Yesterday's debate about public vs. private has transformed into the reality of hybrid cloud: a recent survey shows that 74% of enterprises have a hybrid cloud strategy. Meanwhile, 94% of enterprises ar...
Jul. 3, 2015 08:00 PM EDT Reads: 670
The 5th International DevOps Summit, co-located with 17th International Cloud Expo – being held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA – announces that its Call for Papers is open. Born out of proven success in agile development, cloud computing, and process automation, DevOps is a macro trend you cannot afford to miss. From showcase success stories from early adopters and web-scale businesses, DevOps is expanding to organizations of all sizes, including the ...
Jul. 3, 2015 07:15 PM EDT Reads: 579
DevOps Summit, taking place Nov 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, is co-located with 17th 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 development...
Jul. 3, 2015 07:00 PM EDT Reads: 702
IT data is typically silo'd by the various tools in place. Unifying all the log, metric and event data in one analytics platform stops finger pointing and provides the end-to-end correlation. Logs, metrics and custom event data can be joined to tell the holistic story of your software and operations. For example, users can correlate code deploys to system performance to application error codes. In his session at DevOps Summit, Michael Demmer, VP of Engineering at Jut, will discuss how this can...
Jul. 3, 2015 07:00 PM EDT Reads: 863
"Plutora provides release and testing environment capabilities to the enterprise," explained Dalibor Siroky, Director and Co-founder of Plutora, in this SYS-CON.tv interview at @DevOpsSummit, held June 9-11, 2015, at the Javits Center in New York City.
Jul. 3, 2015 06:30 PM EDT Reads: 1,258
The 17th International Cloud Expo has announced that its Call for Papers is open. 17th International Cloud Expo, to be held November 3-5, 2015, at the Santa Clara Convention Center in Santa Clara, CA, brings together Cloud Computing, APM, APIs, Microservices, Security, Big Data, Internet of Things, DevOps and WebRTC to one location. With cloud computing driving a higher percentage of enterprise IT budgets every year, it becomes increasingly important to plant your flag in this fast-expanding bu...
Jul. 3, 2015 05:30 PM EDT Reads: 554
"AgilData is the next generation of dbShards. It just adds a whole bunch more functionality to improve the developer experience," noted Dan Lynn, CEO of AgilData, in this SYS-CON.tv interview at 16th Cloud Expo, held June 9-11, 2015, at the Javits Center in New York City.
Jul. 3, 2015 05:00 PM EDT Reads: 934
The basic integration architecture, as defined by ESBs, hasn’t changed for more than a decade. Most cloud integration providers still rely on an ESB architecture and their proprietary connectors. As a result, enterprise integration projects suffer from constraints of availability and reliability of these connectors that are not re-usable across other integration vendors. However, the rapid adoption of APIs and almost ubiquitous availability of APIs amongst most SaaS and Cloud applications are ra...
Jul. 3, 2015 04:45 PM EDT Reads: 857
SYS-CON Events announced today that Secure Infrastructure & Services will exhibit at SYS-CON's 17th International Cloud Expo®, which will take place on November 3–5, 2015, at the Santa Clara Convention Center in Santa Clara, CA. Secure Infrastructure & Services (SIAS) is a managed services provider of cloud computing solutions for the IBM Power Systems market. The company helps mid-market firms built on IBM hardware platforms to deploy new levels of reliable and cost-effective computing and hig...
Jul. 3, 2015 04:15 PM EDT Reads: 702
"We help to transform an organization and their operations and make them more efficient, more agile, and more nimble to move into the cloud or to move between cloud providers and create an agnostic tool set," noted Jeremy Steinert, DevOps Services Practice Lead at WSM International, in this SYS-CON.tv interview at @DevOpsSummit, held June 9-11, 2015, at the Javits Center in New York City.
Jul. 3, 2015 02:45 PM EDT Reads: 829
The most often asked question post-DevOps introduction is: “How do I get started?” There’s plenty of information on why DevOps is valid and important, but many managers still struggle with simple basics for how to initiate a DevOps program in their business. They struggle with issues related to current organizational inertia, the lack of experience on Continuous Integration/Delivery, understanding where DevOps will affect revenue and budget, etc. In their session at DevOps Summit, JP Morgenthal...
Jul. 3, 2015 02:45 PM EDT Reads: 918
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.
Jul. 3, 2015 02:00 PM EDT Reads: 2,183
The time is ripe for high speed resilient software defined storage solutions with unlimited scalability. ISS has been working with the leading open source projects and developed a commercial high performance solution that is able to grow forever without performance limitations. In his session at Cloud Expo, Alex Gorbachev, President of Intelligent Systems Services Inc., shared foundation principles of Ceph architecture, as well as the design to deliver this storage to traditional SAN storage co...
Jul. 3, 2015 02:00 PM EDT Reads: 2,144
Overgrown applications have given way to modular applications, driven by the need to break larger problems into smaller problems. Similarly large monolithic development processes have been forced to be broken into smaller agile development cycles. Looking at trends in software development, microservices architectures meet the same demands. Additional benefits of microservices architectures are compartmentalization and a limited impact of service failure versus a complete software malfunction. ...
Jul. 3, 2015 01:30 PM EDT Reads: 1,166
Discussions about cloud computing are evolving into discussions about enterprise IT in general. As enterprises increasingly migrate toward their own unique clouds, new issues such as the use of containers and microservices emerge to keep things interesting. In this Power Panel at 16th Cloud Expo, moderated by Conference Chair Roger Strukhoff, panelists addressed the state of cloud computing today, and what enterprise IT professionals need to know about how the latest topics and trends affect t...
Jul. 3, 2015 12:30 PM EDT Reads: 1,401