Anonymous wrote:
[snipped]
No, they don't back up your point. Your post strongly suggested that EFM is just a meanie "intervention" that causes c-secitons, and has no other purpose. The research shows that it increases c-sections and decreases neonatal mortality. Which makes sense - the babies in trouble got c-sections. Some of them would have survived without c-sections, but that's not a reason to ditch EFM or claim that it is unjustified.
ok, wow, you really need to do something about that chip on your shoulder. You'd think I was advocating unassisted homebirth for OP, the way you are pushing back on my fairly mild post. Which, for reference, was:
OP, I count 5 mentions of "decels" as the sole reason for their c-sections on this thread. In addition to the factors OB PP mentioned, continuous fetal monitoring is often cited as a factor in the increased c section rate. Look into hospital-based midwives if you want to avoid this. They will already have fought the battle with the hospital policies to allow them to do intermittent monitoring.
from this you are getting that I am implying that the 5 pps had unnecessary c sections, that I think EFM is a "meanie intervention" with no other purpose than to CAUSE c-sections, and that I am advising OP to ditch EFM and claiming it is unjustified?
You are putting a lot of words in my mouth and it's pretty irritating. An electronic fetal monitor probably saved my baby from a major birth injury, I am not against electronic fetal monitoring. It is obviously a technology/technique that can do good, as c-sections are. But "technology is neutral, like the jungle"--how it is used matters. To deny that CONTINUOUS fetal monitoring can have unintended consequences is to deny current reality in our health care system. OBs aren't denying it. According to the papers YOU posted, the field is quite aware of the knife's edge they walk with CFM/EFM pushing docs to make the surgery decision, and the work going on now is about how to make better decisions with the data.
OP wants to avoid an unnecessary C, as do many. It's easier said than done because we all have different risk thresholds. I'm sure everyone involved in the decel pp's births thought the Cs were necessary at the time. That doesn't mean they were--as the OB on this thread said, "I find the rise of c sections rate alarming but I am pushed in this direction." I am not saying they were unnecessary. What I am saying is, it's possible that they could have had equally good outcomes without surgery. Nobody will ever know, and if OP wants to avoid such uncertainty, she should seek out practitioners who are philosophically inclined to avoid surgery. The OB on the thread gave her the SAME ADVICE.
I'd engage you on the papers and what the research shows, but I don't think you understand them well enough. I certainly don't, and I have a PhD in a related field. So unless you are a researcher closer to or in the field, you have nothing to teach me about them, and I won't presume to pretend that I can teach you, or that I am an expert after having read a few of them.