Reply to Focus on Infants During Childbirth Leaves US Moms in Danger

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Reply to "Focus on Infants During Childbirth Leaves US Moms in Danger"

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Yeah, it's not a focus on infants that's the problem. It's our terrible healthcare system. [/quote]

I'm not so sure. They put a ton of resources into promoting breastfeeding, which has negligible if any benefits.  The protocols developed by Canada to prevent pre-eclampsia wouldn't take that much money; just the organization/political will to do it.  [/quote]

I disagree that there are a ton of resources promoting breastfeeding. I'm a new mom struggling with breastfeeding and I'm struggling to get support. The hospital provided minimal service (and before my milk even came in with no follow up) and LCs are expensive. I went to a support group at the hospital but there were too many people there to get any specific guidance. Also, it's really tough to continue breastfeeding with a lack of paid maternity leave. Now Congress wants to get rid of the ACA mandates related to breastfeeding. [/quote]

Well there's certainly been MUCH more institutional support for breastfeeding compared to maternal health. There's the whole Baby Friendly Hospital accreditation that takes money to organize, political capital to push, and then money and commitment for the hospitals to implement.  Resources are also expended on reducing c-sections, which may reduce some morbidity/mortality, but fails to address the main causes of maternal death.  And JAHCO's "Perinatal Core Measures" are almost exclusively focused on promoting vaginal birth and breastfeeding, not maternal health.  http://www.jointcommission.org/assets/1/6/s11.pdf.

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Out of curiosity PP what resources are being expended to reduce c-sections?  I'm genuinely curious b/c I ended up having to have one b/c my baby was OP and didn't budge after two hours of pushing.  To be honest, I was fucking furious. . .what was the point of all of those visits in the last weeks?  I really don't understand why they don't do some imaging in the last week or two to determine positioning beforehand so you can try to do something about it BEFORE you go into labor.  [/quote]

I don't think there's really anything you can do about an OP baby to reduce c sections.  If anything, maternal-health focused care would develop procedures to identify patients like you where going to c-section sooner rather htan later is the best plan to avoid injury to you.  The resources I'm talking about are things like the JAHCO and California efforts to reduce c sections by encouraging operative births, longer pushing, etc (which both increase maternal pelvic injury rates, btw ...)[/quote]

Bad positioning can be influenced in the weeks before the birth ... mostly through working with the mother on posture and certain techniques.  It's not 100% successful but certainly more than just ignoring it.  I had MWs for all 3 of mine and there was a lot of education on what I should do to improve baby's positioning.  For an OP baby, there's also a lot you can do in labor to move the baby before its head is fully engaged .. after that you're kind of stuck.  Regarding longer pushing, what the recent study showed is that the 1 hr cutoff was an artificial (and capriciously applied) timeline that did not improve outcomes.  
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