The REDUCE Campaign














Home | The REDUCE Campaign | The Happiest Baby On The Block | Tour The Birth Place | Meet the Midwife | Contact The Birth Place | Why Choose A Midwife? | Why Choose Out-of-hospital Birth? | Financial Information | What I Learned From My Midwife | Recommended Reading





Did you know that in the Walla Walla area in 2004, over 1 in 4 babies were surgically delivered?  Read on to discover why this is a problem.
















csec_table.jpg
Why are 27% of women in Walla Walla unable to give birth normally?

Soaring Cesarean Section Rates Cause for Alarm

Cesarean section rates are off the charts and women are being duped into thinking that this is all right; in fact they are being enticed to consider c-sections on demand based upon questionable promises.

A woman considering cesarean section should be told that, compared to vaginal birth, she has an increased risk of infection, hemorrhage, damage to abdominal and urinary tract organs, and complications from anesthesia/narcotics. She needs to know that the incidence of drug resistant infections is increasing and blood transfusions can lead to life threatening complications. She should also be told that she will probably not be allowed to attempt a vaginal birth in the future, and that the risk of complications from cesarean section increase with each subsequent surgery. Recent studies note higher rehospitalization and draw a direct link between chronic pelvic pain and cesarean section. These complications can ultimately limit her ability to have the number of children she desires.

Yes, lives can be saved by cesarean sections and the majority of women will not be permanently harmed by this procedure. But, a national cesarean section rate of 24%, and climbing, cannot be justified. It is particularly alarming as we once again are told that ?once a cesarean section, always a cesarean section.? Even worse, women are being told that a cesarean section will save them from future problems with incontinence. Unfortunately, there are many examples of surgical procedures that have been promoted in the name of prevention that have fallen far short of their goal. Women have been told they should have an episiotomy to prevent incontinence: wrong; radical breast removal to prevent cancer in those whose DNA suggest they are at high risk for breast cancer: wrong; and that their children should all have tonsillectomies for improved health: wrong! Similarly, the evidence being used to suggest that cesarean section can prevent incontinence is weak and cannot be generalized to all women.

While each woman and each pregnancy deserves careful evaluation as to the safest approach for delivery, a woman must not be denied the full information she needs to make a potentially life-threatening decision. A woman wants to trust that her health care professional is placing her welfare and that of her baby above fear of litigation, monetary gain and convenience. This recent rush to downplay the risks of surgical birth, in favor of promoting a surgical cure for a nonexistent problem?paired with unproven promises for the future, is guaranteed to erode that trust.

These are confusing times and perhaps some of the blame can be attributed to the ethos of contemporary America. Have we become a nation so obsessed with expediency and control that we are willing to relinquish our humanity to technology? Are we truly willing to sacrifice our health and future childbearing for the lure of ?birth by appointment?? Are our demands for perfection OR compensation forcing unnecessary interventions?

Calling for a return to common sense, it is our recommendation that all obstetric providers acknowledge the scientifically proven fact that the majority of women are healthy and capable of delivering healthy babies with a minimum of intervention. Professional health care organizations must ensure that their members are qualified to differentiate between those women who need watchful waiting and those who need proactive interventions.

Most importantly, health care must be guided by evidence-based outcomes. Fear of litigation must not negate the evidence or unduly influence decisions made by health care professionals. Women need unbiased, individualized information, a safe environment in which to birth, and supportive, ethical health care professionals. A cesarean should be the last resort, not merely an option based on convenience or defensive practice.

[These are the words of Deanne Williams, Executive Director and Mary Ann Shah, former President of the American College of Nurse-Midwives in response to the preliminary data just released from the National Center for Health Statistics which show the 2001 cesarean section rate reached an all-time high of 24.4%, and the number of women having a vaginal delivery after a previous c-section dropped to an all-time low of 16.4 %.]
















6ed0218323.jpg
Midwives avoid c-sections through continuous labor support

What is The Birth Place doing about the
c-section epidemic? 
A message from the midwife:
 
As primary midwife at The Birth Place, I believe the most important thing I can do about the c-section epidemic is to help women avoid the first c-section.  I support normal birth, and believe that most of the time, non-interventive labor management will minimize the risk of an unnecessary c-section.  For women who have already had one or more c-sections, I offer VBAC support.  Since VBAC's are not available at either Walla Walla hospital, I have made arrangements with an obstetrician who currently does VBAC's in Tri-Cities to be able to give prenatal care to women here in Walla Walla, and then accompany them to Tri-Cities when labor begins, to support them in their desire for a normal birth.  I am also working hard on the REDUCE campaign and hope to see hospital policies changed in the future, allowing me to resume offering VBAC's here in Walla Walla.
 
 

03_emrg_c.jpg

"What Every Pregnant Woman Needs To Know" Free MCA booklet download

For more information about the cesarean epidemic, click on these links:
 

Letters of support for the REDUCE campaign from Lamaze International and others. . .

Making the best of your experience

Options: Situations that Can Lead to Cesarean Section

Recent news and commentaries

Research comparing risks of VBAC and c-section

Tips for avoiding unnecessary c-sections and having a more satisfying experience if you must have a c-section