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Advice on How to Avoid Episiotomy
By the Childbirth Connections, formerly, Maternity Center Association |
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The Dangerous Practice of Early Clamping of the Umbilical Cord,
"Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases. As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child." |
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Continuous support for women during childbirth
Hodnett ED, Gates S, Hofmeyr GJ, Sakala C
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Continuous emotional support during labor in a
US hospital. A randomized controlled trial.
J. Kennell, M. Klaus, S. McGrath, S. Robertson and C. Hinkley
Department of Pediatrics, Case Western Reserve University, Cleveland, OH.
JAMA, May 1991; 265: 2197 – 2201.
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Community-Based Doulas: A Good Investment in the Future By Jane Fonda, The Huffington Post, July 9, 2009 |
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Benefits of a Doula Present at the Birth of a Child
Pediatrics 2004;114;1488-1491
Martin T. Stein, John H. Kennell and Ann Fulcher |
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Doula study in the July 2008 issue of BIRTH Magazine
A randomized controlled trial of continuous labor support for middle-class
couples: effect on cesarean delivery rates.
SK McGrath and JH Kennell
Birth, June 1, 2008; 35(2): 92-7.
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Doula CPT Codes |
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"JAMA Study on Routine Episiotomy," Katherine Hartmann and colleagues have published a new systematic review about effects of routine episiotomy on women. It is important for pregnant women and their caregivers to understand lessons from this research, detailed below. Please see also Childbirth Connection's clear, simple advice for pregnant women on how to avoid routine episiotomy. |
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A Homeopathic Perspective on Pregnancy and Labor: Getting Off to a Good Start
Writings by Dana Ullman, MPH © 1991 |
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Homeopathic Medicines in Pregnancy, By: Dana Ullman, MPH © 1991 |
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#2 Freedom of Movement Throughout Labor (Lamaze paper)
Shilling, Teri, MS, IBCLC, CD(DONA), LCCE, FACCE, Joyce DiFranco, RN, BSN, LCCE, FACCE |
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My Doula is a Dude, By: Tsafi Sa'ar |
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"Mothers aren't behind a vogue for caesareans," By Gene Declercq and Judy Norsigian | April 3, 2006
"TOO POSH to push." The headline, which originated in British tabloids, has been used to capture what is claimed as a trend toward an increasing number of medically elective caesareans requested by upper-class mothers. A just concluded National Institutes of Health meeting on the topic of ''Maternal Request Caesareans," both by the mere title of the conference and its draft report, suggests such a trend exists and that it contributes to a record caesarean rate in the United States. |
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New Resources for Evidence-Based Practice, January/February 2003. JOGNN Special Reports. |
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NIH Cesarean Conference: Interpreting Meeting and Media Reports.
On March 27-29, 2006, the National Institutes of Health (NIH) held a state-of-the-science conference entitled "Cesarean Delivery on Maternal Request." At the end of the meeting, a multi-disciplinary panel issued a statement, also called "Cesarean Delivery on Maternal Request," about results presented and discussed at the conference. |
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No Need to Continue Oxytocin Infusion after Active Labor Established in Induction of Labor
Daniel-Spiegel, E., Weiner, Z., et al, (2004), "For how long should oxytocin be continued during induction of labour?" |
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Optimum Foetal Positioning: Ideas from a Shiatsu teacher specialising in pregnancy care: Shiatsu and Optimum Foetal Positioning, by Suzanne Yates. |
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Optimum Foetal Positioning: Randomised controlled trial of effect of hands and knees posturing on incidence of occiput posterior position at birth, BMJ.com |
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Optimal Foetal Positioning: HomeBirth Reference Site. Get Your Baby Lined Up! Optimum Foetal Positioning. 'Optimal Foetal Positioning' is a theory developed by a midwife, Jean Sutton, and Pauline Scott, an antenatal teacher, who found that the mother's position and movement could influence the way her baby lay in the womb in the final weeks of pregnancy. Many difficult labours result from 'malpresentation', where the baby's position makes it hard for the head to move through the pelvis, so changing the way the baby lies could make birth easier for mother and child.
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The Report of a structured review of evidence about clinical,
psychosocial and economic outcomes for women with straightforward
pregnancies who plan to give birth in a midwife-led birth centre, and
outcomes for their babies |
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"How can I prevent pelvic floor problems when giving birth?" An in-depth Maternity Topic on Maternity Center Association There is a lot of guidance about appropriate evidence-based intrapartum care. |
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Non-Supine (e.g., Upright or Side-Lying) Positions for Birth |
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Risk of Cesarean Section Following Elective Induction is Influenced by Choice of Physician
Luthy, D.A., Malmgren, J.A., & Lingheim, R.W. (2004), Cesarean delivery after elective induction in nulliparous women: The physician effect. |
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Routine Suctioning Before Delivery of the Shoulders of Meconium-Stained Infants Does Not Prevent Meconium Aspiration Syndrome
Vain, N.E., Szyld, E.G., Prudent, L.M., Wiswell, T.E., Aguilar, A.M., & Vivas, N.I. (2004) Oropharyngeal and nasopharyngeal suctioning of meconium-stained neonates before delivery of their shoulders: multicentre, randomised controlled trial. |
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SAFETY OF ALTERNATIVE APPROACHES TO CHILDBIRTH
A DISSERTATION SUBMITTED TO THE DEPARTMENT OF SOCIOLOGY AND THE COMMITTEE ON GRADUATE STUDIES
OF STANFORD UNIVERSITY IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF
DOCTOR OF PHILOSOPHY.
This Report is a structured review of evidence about clinical, psychosocial and economic outcomes for women with straightforward pregnancies who plan to give birth in a midwife-led birth centre, and outcomes for their babies By Peter F. Schlenzka, March 1999. |
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Interventions
We are fortunate to live in a country where the majority of women who need medical interventions during the birth process have access to them. But because no intervention comes without side effects, judicious discretion should be practiced when using interventions during birth. |
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Ten Tips for a Healthy Pregnancy (Lamaze paper) |
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Ten Tips for a Normal Birth (Lamaze Paper) |
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Ten Tips for a Normal Birth (Lamaze Paper) |
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Use of Doulas results in significant benefits in outcome |
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Webroots: Will you have a doula? |