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#94 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Fri Feb 3, 2006 1:31 am
Subject: Massachusetts Bans Free Formula
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I don't know if you all heard about this, but the piece below was in our local independent weekly (The Metroland):
Carolyn Keefe
CfM/BirthNet
Albany, NY
carolyn@...

The First Bottle’s (No Longer) Free

Massachusetts has become the first state to bar hospitals from giving away freebies from infant-formula companies to new parents. Compared to breastfeeding, formula feeding has a number of adverse health effects; it has been associated with everything from compromised immunity to lowered IQ, and studies have shown that the free samples, and even nonformula gifts from formula companies, decrease breastfeeding rates. The Massachusetts Breastfeeding Coalition, which led the campaign to end the giveaways, compared them to giving out Big Mac coupons in the cardiac unit.



#93 From: "Shannon M." <shanon.phoenix@...>
Date: Sat Jan 28, 2006 5:50 pm
Subject: Fwd: [ICAN-online] C-Sections, Breastfeeding and Bugs For Your Baby
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---------- Forwarded message ----------
From: Danielle Nelson <danielle@...>
Date: Jan 27, 2006 11:34 PM
Subject: [ICAN-online] C-Sections, Breastfeeding and Bugs For Your Baby
To: ICAN List <ican-online@yahoogroups.com>


 
http://english.ohmynews.com/ArticleView/article_view.asp?menu=A11100&no=270919&r\
el_no=1&back_url=

    C-Sections, Breastfeeding and Bugs For Your Baby
    [Opinion] What the doctor probably won't tell you
    Jeff Leach

    There I was, with a camera in one hand and wiping the tears from my
  eyes with other. It was delivery day -- I was going to be a dad. Like an
  eerie scene from a B-rated alien movie, out popped his little head from
  an amazingly small incision in my then wife's stomach. The flash from my
  camera filled the room; this was the happiest day of my life.

    Since that day over 11 years ago, my then wife and I had another
  beautiful child, also through cesarean delivery. I had not given much
  thought to the fact that both my children entered this world through a
  small incision rather than the birth canal until recently, when the
  Center for Disease Control's National Center for Health Statistics
  released its update on births in the United States in late 2005.

    Since my first child was born, the rate of c-section deliveries appear
  to have been rising at a steady clip, jumping over 40 percent since
  1996. In 2004, 29.1 percent of all children born in the United States
  were delivered through c-section -- that's nearly 1.2 million incisions.
  The reasons for the increase are complicated, but have a lot to do with
  medical malpractice associated with vaginal deliveries, parental
  preference, health of the mother and or the unborn child, and just plain
  old convenience.

    In the days following the release of the CDC report, I scoured the
  media outlets that picked up the story to see if anyone mentioned an
  interesting and potentially alarming consequence of the rise c-sections.
  I was looking for the mention of words human biology, bacteria, mammals,
  and the new nine-letter curse word of 2005 -- evolution. Nary a mention
  from a single report, not one.

    As a right of passage, the delivery of a fetus through the vaginal
  canal of the mother completes one of the most important cycles in the
  evolutionary history of humans. From an evolutionary point of view, our
  sudden adoption of c-sections as an increasingly preferred mode of child
  delivery, may be tinkering with some very important processes that took
  millions of years to develop. Let me explain.

    In what famed British "Darwinist" Richard Dawkins calls an
  evolutionary stable strategy, humans have evolved a symbiotic
  relationship with a particular and complex set of bacteria in our
  intestinal system -- a.k.a. the gut. The 500 or so species of bacteria,
  whose numbers are measured in the trillions, occupy every inch of our
  gut, with most of them living in an ecological niche they literally
  carved for themselves in our colon. As the evolutionary stable strategy
  suggests, the presence of these few hundred species, among all the tens
  of thousands of species of bacteria found in the air, water and soil
  throughout the world that theoretically have access to our "open"
  intestinal ecosystem (think mouth to anus), is not random. This means
  our established intestinal ecosystem is composed of a set of bacteria
  that can live in nutritional and physiological harmony with us.
  Importantly, current members make it their evolutionary determined job
  to keep out new members -- i.e., pathogens that seek to do us harm.

    The intestine of the unborn fetus in the mother's womb is sterile,
  devoid of any bacteria at all. However, during vaginal delivery the
  newborn comes in contact with bacteria-rich vaginal and fecal matter of
  the mother. These bacteria quickly invade and populate the newborn
  child. Saving of umbilical cords and the creepy ritual of eating the
  mother's placenta aside, this cycle links the co-evolution of intestinal
  "microflora" of the mother to child, and may represent a more
  significant bond for those who understand it exist. This evolutionary
  bacterial right of passage has been and continues to be critical to the
  success of our species, and all mammals for that matter.

    A child born through c-section essentially skips this critical
  evolutionary process. Though a c-section baby does receive bacteria from
  the mother, it's not the diverse and dense "base population" that it
  would have received from the vaginal fluids and fecal matter via a
  traditional birth. In either birthing method, the baby is subject to all
  the bacteria in the room -- that even means the weird looking
  rubber-gloved fellow in the corner -- who appears to be assisting the
  delivery staff in some way. But who can be sure?

    Once this truly amazing and scary ritual of childbirth is completed,
  the newborn is typically cleaned, shown to the mother for short period,
  and then whisked off to some warm place to spend some quality time with
  other new members of our species. The mother usually settles in for some
  much needed rest and the new father anxiously paces the corridors
  mumbling to his self all the things his is going to change or do better
  in his life. Seems some things are timeless.

    But the next 24 for 48 hours pose another critical evolutionary step
  for mother and child - breast-feeding. Like all other mammals -- and
  that includes our tree swinging cousins -- the secretion and release of
  fluid from breasts (mammae) is the sole nourishment or food for the
  newborn child. Yet, over 30 percent of new mother's do not breastfeed in
  the hospital. It is often the case that some mother's never get their
  milk, others have problems getting the newborn to suckle, and others are
  just not interested.

    At six months of age, the number of baby's receiving breast milk drops
  to around 31 percent, and at 12 months it drops further to 17 percent.
  The number of baby's receiving some level of breast milk at 24 months
  hardly makes a blip on the radar screen.

    C-sections and short-term breast-feeding have no precedence in our
  evolutionary past. Before insurance companies and organized medicine,
  all children entered this world via the birth canal and participated in
  the time-honored cycle of transfer of bacteria from mother to child.
  Like our monkeys and a few of the modern forager groups that still
  follow traditional life-ways today, breast-feeding by the mother or
  other women in the group (wet nursing) continued for 24 to 36 months,
  sometimes longer.

    Breast-feeding newborns, like the evolutionary process of vaginal
  birth, is about bacteria. The breast milk of a human mother, like other
  mammalian mothers, is species-specific, having been adapted over eons to
  deliver specific and sufficient nutrition to guarantee proper growth,
  health, and immunity development. Researchers have long known that
  breast-fed babies possess an intestinal flora that is measurably
  different than formula-fed infants. Of specific interest is a group of
  bacteria known as bifidobacterium. Some of you may immediately recognize
  the name, as they are often added to dairy-based foods such as yogurt,
  often advertised as "live cultures" on the packaging. These are probiotics.

    Studies have shown that at one month of age, both breast-fed and
  formula-fed infants possess bifidobacterium, but population densities in
  bottle-fed infants is one-tenth that of breast-fed infants. The presence
  of a healthy and robust population of bifidobacterium throughout the
  first year or two of life contributes significantly to the child's
  resistance to infection and overall development of defense systems --
  not to mention the physical development of the intestinal system in
  general. Aside from the substances secreted by these specific bacteria
  that are known inhibit the growth of pathogenic bacteria, they also work
  to make the intestinal environment of the infant more acidic, creating
  an additional barrier against invading pathogens. In short, breast-fed
  babies are sick less, are less fussy, have fewer and shorter duration of
  bouts of diarrhea, and have more frequent -- and softer -- bowel movements.

    The dominance of health-giving bifidobacterium in breast-fed babies is
  due the presence of special carbohydrates in mother's milk known as
  oligosacchrides. These special carbohydrates are virtually absent in
  cow's milk. From a physiological point, these special carbohydrates
  escape digestion and absorption in the small intestine of the infant,
  and thus reach the colon intact -- where they serve as food for, among
  other bacteria, the all-important bifidobacterium. As the bacteria
  thrive on this "food" from mother's milk, they grow in number and absorb
  water, resulting in more regular and soft bowel movements. It's
  important to know that the bulk of infant feces are made up of live and
  kicking bacteria. Look next time if you don't believe me!

    Baby formula manufacturers are catching on and creating products that
  contain these special carbohydrates -- which are known as prebiotics
  (remember, prebiotics are food for bacteria and bacteria are called
  probiotics). While it's virtually impossible to mimic the exact
  composition of mother's milk, it is possible to mimic some of the
  physiological effects, specifically targeting the growth of select
  bacteria through the delivery of oligosacchrides. One Belgium-based
  company in particular, has developed a natural variant of the mother's
  oligosacchrides from chicory roots (think chicory coffee). After years
  of careful study and peer review, they are being added in greater and
  greater frequency to formula for infants. They love this stuff in Japan.
  Any company that wants to stay in the lucrative baby formula business
  will need to adapt their products to include these ingredients, or else
  be left in the dust.

    In the dozens of doctor visits my then wife and I made during
  pregnancy, and through two births, never once did the doctor or any
  other person involved tell us what I just told you. In all of the "how
  to be a new parent" and "how to take care of your new baby" books we
  read, not one detailed reference to the critical passing of mother's
  microflora to the child via the birth canal or the importance of feeding
  bifidobacterium, was ever provided.

    In many cases, c-sections are absolutely necessary and should be
  performed. But a 40 percent increase in just the last 10 years? This
  makes no sense. As a father of two, I am acutely aware of the physical
  and emotional toll that breast-feeding has on an active mother -- the
  little creature literally sucks the life right out of you. Face it, we
  live in a very different world than our not-so-distant ancestors
  occupied. Things are hard, but in different ways.

    It's important that expecting parents understand some of the basic
  evolutionary processes of bringing a new member of our species into the
  world. A few snips and stitches, followed by only by a small number of
  sips, ain't going to cut it. The physical, nutritional, and metabolic
  features that make us uniquely human have been shaped by millions of
  years of evolution. While we are culturally and socially modern, driving
  around in hybrid cars and arguing about stupid things, we are literally
  and biologically ancient hunter-gatherers. Just as lack of exercise
  (something we always did) and excess caloric intake (something we rarely
  did) will make you fat -- and probably cause a number of other ailments
  and disease -- we just can't simply up one day and start delivering
  babies through the stomach and not breast feed them. Such things have
  consequences, they always do.

    If physicians and care givers whom we entrust the safety of the mother
  and child were required to have some basic understanding of Evolution
  101 -- as it applies to birthing and infant health and biology -- we
  might all be healthier. Or at least, better rested.


  The medical issues discussed are not intended as a substitute for
consultation from your own health-care provider.

 
`����,��,�`����,��,�`������`����\
,��,�`����,��,�`����,��,�

  The International Cesarean Awareness Network, Inc. (ICAN) is a
nonprofit organization founded by Esther Booth Zorn in 1982. ICAN's
mission is to improve maternal-child health by preventing unnecessary
cesareans through education, providing support for cesarean recovery,
and promoting Vaginal Birth After Cesarean (VBAC).

  Normal birth is being threatened for us and our daughters. Help us by
joining ICAN! ICAN has always consisted of people just like you. You
will be supporting an all-volunteer international organization, which
educates families in need of birth, cesarean and VBAC information. We
also reach interested professionals and groups with similar goals for
birth and health. ICAN is the voice to end the practice of unnecessary
cesareans worldwide.

  For more information and to join, please go to:
http://www.ican-online.org/about/subscribe.htm





  ________________________________
  YAHOO! GROUPS LINKS


  Visit your group "ICAN-online" on the web.

  To unsubscribe from this group, send an email to:
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  ________________________________


--
Shannon Mitchell

#92 From: MBKendell@...
Date: Wed Jan 25, 2006 10:54 pm
Subject: Fwd: where does your city rank regarding birth?
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In a message dated 1/25/2006 5:39:27 PM Eastern Standard Time, sarah@... writes:
http://www.fitpregnancy.com/bestcities/
Your friend Sarah (sarah@...) wanted you to see this page from Fit
Pregnancy.
---------------------------------------------

http://www.fitpregnancy.com/bestcities/
---------------------------------------------

#91 From: "DeeDee Lafayette" <dlafayette@...>
Date: Wed Jan 25, 2006 5:55 pm
Subject: Cochrane Database of Systematic Reviews say Perineal Massage is Effective!
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Perineal massage cuts episiotomy rates
Source: Cochrane Database of Systematic Reviews 2006; 1: Not yet available online

A Cochrane review evaluates the effect of perineal massage on the need for episiotomy and on the incidence of perineal pain after birth.

Performing perineal massage in the last month of pregnancy could help women avoid the need for an episiotomy, a Cochrane review concludes.

The review looked at data from three studies that assessed the effects of perineal massage in 2434 women. In these studies, the women practiced the technique for as little as 4 minutes three to four times a week or as much as 10 minutes each day beginning in week 34 of pregnancy.

During perineal massage, a woman kneads the tissue of the perineum to prepare it to expand during childbirth.

There was a 15 percent reduction in the number of episiotomies performed among the women who practiced perineal massage, compared with those who did not, the reviewers found. And whether or not they had an episiotomy, women who practiced the massage technique were also less likely to report perineal pain 3 months after the birth than those who did not massage.

Although it is not yet as well known as pelvic floor muscle training, perineal massage is now common in some corners of maternal healthcare, so "it's nice to see there's some evidence behind it," said head reviewer Michael Beckmann.

"Expecting women should now be provided with information on perineal massage and its likely benefits," he added.

Posted: 25 January 2006

 

DeeDee Lafayette

 

********************************************************************

To heal the world, we must start by healing the way we birth.

 

DeeDee Lafayette

Executive Director

Association of Labor Assistants and Childbirth Educators

ALACE

P.O. Box 390436

Cambridge, MA  02139

888-222-5223

fax: 617-441-3167

www.alace.org

 

 


#90 From: positivediabeticpregnanci8@...
Date: Sat Jan 21, 2006 5:08 pm
Subject: Human-buttons
positivediabeticpregnanci8@...
Send Email Send Email
 
This message is about Human beings, Democracy, UNHCR, Refugees, The Iraqis,
Islam, Kurds, Human rights, Respect, Money, Donations, Angelina Jolie,
Pavarotti, Giorgio Armani, Donors, Peace, History, Campaigns and about you if
you care about these words.

Hi there,

I am SAM, an Iraqi refugee living in Lebanon at the moment; I have spent the
last 10 years of my life as a refugee registered with the UNHCR in Beirut. The
last 4 years, I have spent as an activist for peace and human rights (especially
refugees and asylum seekers) on the Internet; I'm also books author and ebooks
publisher. I have launched many campaigns to improve our situation as refugees
in Lebanon and hopefully bring more understanding to our problems worldwide. I
helped make many changes and improvements at the UNHCR office in Beirut; I used
the Internet as the field for my activities (you can read more about that in my
free ebook 'MY CAMPAIGNS'). All my ebooks are free and could be download from my
sites.

This is my newest campaign, it's about the illegal and humiliating actions of
the UNHCR, who using photos of refugees as banners and human-buttons to collect
money. This is an abuse of the dignity and humanity of the refugees and must
stop immediately and a clear public apology present by The United Nations High
Commissioner for Refugees. My friends, I am talking about the pictures you can
see here: http://www.tbns.net/unhcr Where you can read the rest of this message
as web page.

Also you can read my new campaign 'Urgent, we need smile' here:
http://members.fortunecity.co.uk/unhcrlebanon/smile.html

For more info about UNHCR and life of refugees you can read my free ebooks. I
invite you as fellow humans and members of the world community to support my
campaign by reading my article on my site and see the human-buttons. The
campaign is to support and improve the UNHCR http://www.unhcr.ch especially
after the last scandals in the UN and UNHCR, just for example: The refugees
allege that UNHCR staff is selling most of the food items they are supposed to
be supplied.
"They aren't supplying sufficient food to us because they sell most of the food
items," they allege: http://allafrica.com/stories/200503140214.html

  Here is another example: Burmese Refugees Withdraw Protest Against UNHCR 
http://www.mizzima.com/archives/news-in-2005/news-in-april/12-April05-22.htm

"We make demonstration and fast because the UNHCR office in Cairo did nothing
for our problem..." http://news.bbc.co.uk/2/hi/africa/4440730.stm

Together we will build better world.

You could reach me fast via this form:
http://unhcrlebanon.exactpages.com/email_me.htm and if you like to know more
about me, you can google for my name 'osam altaee'.

Thanks
THE TRUTH WARRIOR
http://www.xmail.net/read

#89 From: positivediabeticpregnanci8@...
Date: Sat Jan 21, 2006 5:04 pm
Subject: Human-buttons
positivediabeticpregnanci8@...
Send Email Send Email
 
This message is about Human beings, Democracy, UNHCR, Refugees, The Iraqis,
Islam, Kurds, Human rights, Respect, Money, Donations, Angelina Jolie,
Pavarotti, Giorgio Armani, Donors, Peace, History, Campaigns and about you if
you care about these words.

Hi there,

I am SAM, an Iraqi refugee living in Lebanon at the moment; I have spent the
last 10 years of my life as a refugee registered with the UNHCR in Beirut. The
last 4 years, I have spent as an activist for peace and human rights (especially
refugees and asylum seekers) on the Internet; I'm also books author and ebooks
publisher. I have launched many campaigns to improve our situation as refugees
in Lebanon and hopefully bring more understanding to our problems worldwide. I
helped make many changes and improvements at the UNHCR office in Beirut; I used
the Internet as the field for my activities (you can read more about that in my
free ebook 'MY CAMPAIGNS'). All my ebooks are free and could be download from my
sites.

This is my newest campaign, it's about the illegal and humiliating actions of
the UNHCR, who using photos of refugees as banners and human-buttons to collect
money. This is an abuse of the dignity and humanity of the refugees and must
stop immediately and a clear public apology present by The United Nations High
Commissioner for Refugees. My friends, I am talking about the pictures you can
see here: http://www.tbns.net/unhcr Where you can read the rest of this message
as web page.

Also you can read my new campaign 'Urgent, we need smile' here:
http://members.fortunecity.co.uk/unhcrlebanon/smile.html

For more info about UNHCR and life of refugees you can read my free ebooks. I
invite you as fellow humans and members of the world community to support my
campaign by reading my article on my site and see the human-buttons. The
campaign is to support and improve the UNHCR http://www.unhcr.ch especially
after the last scandals in the UN and UNHCR, just for example: The refugees
allege that UNHCR staff is selling most of the food items they are supposed to
be supplied.
"They aren't supplying sufficient food to us because they sell most of the food
items," they allege: http://allafrica.com/stories/200503140214.html

  Here is another example: Burmese Refugees Withdraw Protest Against UNHCR 
http://www.mizzima.com/archives/news-in-2005/news-in-april/12-April05-22.htm

"We make demonstration and fast because the UNHCR office in Cairo did nothing
for our problem..." http://news.bbc.co.uk/2/hi/africa/4440730.stm

Together we will build better world.

You could reach me fast via this form:
http://unhcrlebanon.exactpages.com/email_me.htm and if you like to know more
about me, you can google for my name 'osam altaee'.

Thanks
THE TRUTH WARRIOR
http://www.xmail.net/read

#88 From: "amyro513" <amyro@...>
Date: Sat Jan 14, 2006 1:28 am
Subject: grassroots health care advocacy resource
amyro513
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I just came across a group called Families USA (www.familiesusa.org).
They have an upcoming conference in DC with some interesting sounding
sessions and worksops for people working to change our health care
system.  See http://www.familiesusa.org/conference/2006-conference-
agenda.html

They also have a page on their web site where people can tell their own
stories which then go into a database that media representatives,
lawmakers, etc. can access in order to put a human face on "health care
hardship" stories.  I think some stories of forced c-section, unsafe
maternity care practices, restrictions on access to VBAC, midwifery
care, etc., belong in this database.  Please consider forwarding to
anyone you know who might have a story to share.  Here's the link:
http://www.familiesusa.org/tell-us-your-story.html

Best,
Amy

#87 From: MBKendell@...
Date: Mon Jan 2, 2006 10:24 pm
Subject: Fwd: Consumer Reports Questions Cesarean Frequency
mbkendell
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In a message dated 12/30/2005 7:18:00 PM Eastern Standard Time, MichiganDoula@... writes:

Consumer Reports Questions Cesarean Frequency

 
30 Dec 2005

Consumer Reports has named cesarean section number three on its list of “12 Surgeries You May Be Better Off Without.” The recommendation, based on research at the non-profit Rand Corporation, encourages consumers to “check out safer alternatives” before having any of the 12 listed “invasive procedures.”

Consumer Reports has named cesarean section number three on its list of “12 Surgeries You May Be Better Off Without.” The recommendation, based on research at the non-profit Rand Corporation, encourages consumers to “check out safer alternatives” before having any of the 12 listed “invasive procedures.”
CLICK HERE.

The number three ranking of cesarean surgery appears just above episiotomy (#4) and hysterectomy (#5) and below angiography (#1) and angioplasty (#2). The recommendation from Consumer Reports Medical Guide comes on the heels of the Centers for Disease Control report showing that the primary cesarean rate in the United States has reached a historical high of 20.6 percent and an overall rate at 29.1 percent in 2004. The latest overall rate reported in Canada is 22.6 percent.

“Women need to be selective consumers and study their birth options,” said Tonya Jamois, president of the International Cesarean Awareness Network (ICAN). “The priority should be to avoid that first cesarean, and if you have a scar on your uterus, educate yourself about vaginal birth after cesarean (VBAC). Twenty years of research shows VBAC to be safer for mother and baby than repeat cesarean surgery.”

According to Consumer Reports Medical Guide, most cesareans are performed because labor is progressing too slowly. The Guide notes that a number of less invasive procedures may be enough to stimulate labor. Consumer Reports encourages women to ask “what percentage of normal deliveries as well as births following a prior cesarean the physician delivers by C-section. Ideally, look for rates below 15 percent in women who haven't had the procedure and about 60 percent in those who have.”

The guide also states that physicians perform cesareans in the vast majority of women who have already had one. But ACOG, the American College of Obstetricians and Gynecologists (as well as SOGC, the Society of Obstetricians and Gynaecologists of Canada) has published research showing most women could safely try for a VBAC, which would succeed about 70 to 80 percent of the time; and if it does not, a cesarean can take place. Unfortunately, cost concerns and fears over liability have led some physicians and hospitals to ban VBAC and require repeat cesarean.

Consumer Reports also recommends women consider giving birth in a hospital with a certified nurse-midwife, if available, since their births have lower cesarean rates than births with obstetricians.

“Giving birth in a free-standing birth center or at home with a midwife is another option that women should consider," Jamois said. "Midwifery care has been proven to be a safe alternative for most pregnant women. Countries where the majority of babies are born into the hands of midwives, such as The Netherlands, have cesarean rates below 10 percent, and they boast the best maternal and infant health outcomes in the world.”

Those who seek information about preventing a cesarean, or support in recovering from a cesarean, can visit
ican-online.org for more information. In addition to more than 70 local chapters across North America, ICAN hosts an active online discussion group that can serve as a resource for mothers.

About Cesareans: ICAN recognizes that when a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies include: low birth weight; prematurity; respiratory problems; and lacerations. Potential risks to women include: hemorrhage; infection; hysterectomy; surgical mistakes; re-hospitalization; dangerous placental abnormalities in future pregnancies; unexplained stillbirth in future pregnancies and increased rate of maternal death.

Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean.

INTERNATIONAL CESAREAN AWARENESS NETWORK
http://www.ican-online.org

Consumer Reports Questions Cesarean Frequency

 
30 Dec 2005

Consumer Reports has named cesarean section number three on its list of “12 Surgeries You May Be Better Off Without.” The recommendation, based on research at the non-profit Rand Corporation, encourages consumers to “check out safer alternatives” before having any of the 12 listed “invasive procedures.”

Consumer Reports has named cesarean section number three on its list of “12 Surgeries You May Be Better Off Without.” The recommendation, based on research at the non-profit Rand Corporation, encourages consumers to “check out safer alternatives” before having any of the 12 listed “invasive procedures.”
CLICK HERE.

The number three ranking of cesarean surgery appears just above episiotomy (#4) and hysterectomy (#5) and below angiography (#1) and angioplasty (#2). The recommendation from Consumer Reports Medical Guide comes on the heels of the Centers for Disease Control report showing that the primary cesarean rate in the United States has reached a historical high of 20.6 percent and an overall rate at 29.1 percent in 2004. The latest overall rate reported in Canada is 22.6 percent.

“Women need to be selective consumers and study their birth options,” said Tonya Jamois, president of the International Cesarean Awareness Network (ICAN). “The priority should be to avoid that first cesarean, and if you have a scar on your uterus, educate yourself about vaginal birth after cesarean (VBAC). Twenty years of research shows VBAC to be safer for mother and baby than repeat cesarean surgery.”

According to Consumer Reports Medical Guide, most cesareans are performed because labor is progressing too slowly. The Guide notes that a number of less invasive procedures may be enough to stimulate labor. Consumer Reports encourages women to ask “what percentage of normal deliveries as well as births following a prior cesarean the physician delivers by C-section. Ideally, look for rates below 15 percent in women who haven't had the procedure and about 60 percent in those who have.”

The guide also states that physicians perform cesareans in the vast majority of women who have already had one. But ACOG, the American College of Obstetricians and Gynecologists (as well as SOGC, the Society of Obstetricians and Gynaecologists of Canada) has published research showing most women could safely try for a VBAC, which would succeed about 70 to 80 percent of the time; and if it does not, a cesarean can take place. Unfortunately, cost concerns and fears over liability have led some physicians and hospitals to ban VBAC and require repeat cesarean.

Consumer Reports also recommends women consider giving birth in a hospital with a certified nurse-midwife, if available, since their births have lower cesarean rates than births with obstetricians.

“Giving birth in a free-standing birth center or at home with a midwife is another option that women should consider," Jamois said. "Midwifery care has been proven to be a safe alternative for most pregnant women. Countries where the majority of babies are born into the hands of midwives, such as The Netherlands, have cesarean rates below 10 percent, and they boast the best maternal and infant health outcomes in the world.”

Those who seek information about preventing a cesarean, or support in recovering from a cesarean, can visit
ican-online.org for more information. In addition to more than 70 local chapters across North America, ICAN hosts an active online discussion group that can serve as a resource for mothers.

About Cesareans: ICAN recognizes that when a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved. Potential risks to babies include: low birth weight; prematurity; respiratory problems; and lacerations. Potential risks to women include: hemorrhage; infection; hysterectomy; surgical mistakes; re-hospitalization; dangerous placental abnormalities in future pregnancies; unexplained stillbirth in future pregnancies and increased rate of maternal death.

Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean.

INTERNATIONAL CESAREAN AWARENESS NETWORK
http://www.ican-online.org

#86 From: "Linda J. Smith" <lindaj@...>
Date: Wed Dec 21, 2005 2:39 pm
Subject: NEW REGS AIM TO ENCOURAGE BREAST FEEDING BY TARGETING FORMULA GIVEAW...
lindabflrc
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FYI –

 

This law supports the International Code of Marketing of Breastmilk Substitutes and the Baby-Friendly Hospital Initiative Step 6. Since the MFCI Step 10 links to the BFHI, this law also supports and fosters implementation of the MFCI in Massachusetts.

 

Linda J. Smith, BSE, FACCE, IBCLC

Bright Future Lactation Resource Centre Ltd

6540 Cedarview Ct, Dayton OH 45459

937-438-9458 / fax 937-438-3229

www.BFLRC.com 

-----Original Message-----
From: Marshalact@...
Sent:
Wednesday, December 21, 2005 9:28 AM
 

Hi Everyone,

 

I thought all of you might be interested in some good breastfeeding news. The state of Massachusetts has banned formula company gift bags from being given to new mothers. Below is a news release from our state house. The Massachusetts Breastfeeding Coalition also has a news release on its website at www.massbfc.org.

 

Marsha Walker

 

NEW REGS AIM TO ENCOURAGE BREAST FEEDING BY TARGETING FORMULA GIVEAWAYS

By Amy Lambiaso
STATE HOUSE NEWS SERVICE
amy.lambiaso@...

BOSTON, DEC. 20, 2005.....With more research supporting the benefits of
breastfeeding for mothers and their children, state public health
officials on Tuesday took a step toward reducing the use of formula by
new mothers in hospitals.

The state Public Health Council adopted new regulations today requiring
all hospitals to develop a comprehensive policy for breastfeeding that
includes the availability of lactation counseling and requiring nurses
to have special training on how to help new mothers learn to breastfeed.
The regulations also prohibit hospitals from directly marketing formula
to mothers as an alternative to breastfeeding, essentially removing from
hospital rooms the "gift bags" formula companies had provided to
hospitals that included formula sampling, coupons and other items for
new mothers.

Sally Fogerty, associate commissioner for the Department of Public
Health, said formula will be available to mothers upon request, but it
will no longer be given "routinely" to all patients.
"If they need it, they can get it there," Fogerty told members of the
council at a meeting today, responding to concerns that women who are
unable to breastfeed will not have access to formula.
Hospital officials say they want to ensure women who cannot afford to
buy formula and rely on coupons from the manufacturers and samples from
the hospitals can still get the help they need. Items needed for infant
care may be "out of reach" for some new mothers, said Paul Wingle,
spokesman for the Massachusetts Hospital Association.
Public health officials say the Women, Infant and Children (WIC)
program, a federal program that provides services, counseling and
nutritional food for income-eligible families, is available to assist
low-income women and their children, and can provide formula if
necessary.
The move makes
Massachusetts the first state with a policy prohibiting
the direct marketing of formula to new mothers, public health officials
said.
Many hospitals, including
Boston Medical Center, have individual
policies that encourage breastfeeding, and several other states are
considering similar regulations, officials said.
But drug companies and formula manufacturers say the decision to
breastfeed or use formula should be a decision made by the family, not
the hospital.
"Prohibiting or restricting health care professionals from discussing
feeding options and providing formula samples and information....will
impede a health care professional's primary goal, namely to ensure the
health and well-being of their patient," Mardi Mountford, executive
director of the International Formula Council, said in a statement.
Fogerty said doctors and nurses will still have discussions with the
family about the best feeding options for their child.
According to the Centers for Disease Control and Prevention, breast milk
is the best source of nourishment for newborns because it contains
antibodies that can help protect an infant from bacterial and viral
infections. Breast milk is also easy to digest and has been shown to
lower a mother's risk of developing certain breast and ovarian cancers.
Formulas contain many of the same nutrients as breast milk but are not
as beneficial to the baby and mother as breastfeeding, officials say.
Fogerty said studies also show that babies receive the most benefit if
they are given breast milk immediately upon birth. Wanda Barfield, an
epidemiologist with the Bureau of Family and Community Health, said
breast milk also reduces the risk of babies developing asthma,
gastrointestinal problems, and other infections.
Hospitals have until
July 1, 2006 to comply with the new regulations,
officials said.
END


 


#85 From: "Linda J. Smith" <lindaj@...>
Date: Tue Dec 13, 2005 3:01 pm
Subject: FW: Research mailing from the Baby Friendly Initiative
lindabflrc
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-----Original Message-----
From: Baby Friendly News [mailto:bficoord@...]
Sent:
Tuesday, December 13, 2005 9:32 AM
To: Linda J.Smith
Subject: Research mailing from the Baby Friendly Initiative

 

Baby 
 
 Friendly Initiative logo

 

13 December 2005

Research news from the Baby Friendly Initiative

Baby Friendly Initiative increases breastfeeding rates in Switzerland

A Swiss study has provided more evidence for the effectiveness of Baby Friendly implementation as a mechanism to improve breastfeeding rates.

The proportion of babies exclusively breastfed for their first 5 months of life was 42% for those born in Baby Friendly hospitals, compared with 34% for infants born elsewhere. Median breastfeeding duration for infants born in Baby Friendly hospitals, compared with infants born in other hospitals, was longer if the hospital showed good compliance with the Ten Steps (35 weeks vs 29 weeks for any breastfeeding, 20 weeks vs 17 weeks for full breastfeeding, and 12 weeks vs 6 weeks for exclusive breastfeeding).

Data was analysed for 2861 infants aged 0 to 11 months of age born in 145 different health facilities. Breastfeeding data was compared with both the progress towards Baby Friendly status of each hospital and the degree to which accredited hospitals were successfully maintaining the Baby Friendly standards.

In 2003, the median duration of any breastfeeding across
Switzerland was 31 weeks, compared with 22 weeks in 1994. The median duration of full breastfeeding was 17 weeks, compared with 15 weeks in 1994.

The authors conclude that the general increase in breastfeeding in Switzerland since 1994 can be interpreted in part as a consequence of the growing implementation of the Baby Friendly Initiative.

Longer breastfeeding duration was also associated with 24 hour rooming-in, early initiation of breastfeeding, feeding on demand and avoiding dummy use.

Merten S et al (2005). Do Baby-Friendly Hospitals Influence Breastfeeding Duration on a National Level? Pediatrics 116: e702-e708 [Abstract]

Longer breastfeeding protects against maternal diabetes
Longer duration of breastfeeding is associated with reduced incidence of type 2 diabetes according to a large study from the
USA.
Research among two large groups of parous women (n=83585 and n=73418) found that for each additional year of lactation, women had a 14 to 15 percent reduction in risk of type 2 diabetes.
After controlling for current body mass index and other relevant risk factors for diabetes, mothers in group 1 who had given birth in the previous 15 years had a 15% reduced risk (95% CI, 1%-27%) while women in the second group had a 14% reduction (95% CI, 7%-21%).
The researchers suggest that lactation may reduce risk of type 2 diabetes by improving glucose homeostasis.
Stuebe AM et al (2005). Duration of Lactation and Incidence of Type 2 Diabetes. JAMA 294: 2601-2610. [Abstract]

Longer breastfeeding linked to lower coeliac disease risk
A systematic review and meta-analysis has concluded that longer breastfeeding is associated with a reduced risk of developing coeliac disease. Breastfeeding during the introduction of dietary gluten is also linked to lower risk (pooled odds ratio 0.48, 95% CI 0.40 to 0.59) compared with infants who were not breast-feeding during this period. The authors remark that it is not clear from the primary studies whether breast-feeding delays the onset of symptoms or provides a permanent protection against the disease.
Akobeng AK et al (2005). Effect of breast-feeding on risk of coeliac disease: A systematic review and meta-analysis of observational studies. Arch Dis Child. Published Online: 15 November 2005. [Abstract]

Breastfeeding duration and Helicobacter pylori infection
A study of 407 people born in Newcastle in 1947 suggests that the duration of breastfeeding is significantly associated with Helicobacter pylori infection, which is an important risk factor for gastric carcinoma. The study used prospectively recorded, detailed information on infant feeding and found that the risk of H. pylori infection at age 50 was significantly reduced among those breastfed for longest (odds ratio per 30 days, 0.88; 95% CI, 0.78 -0.98).
Pearce MS et al (2005). Does Increased Duration of Exclusive Breastfeeding Protect Against Helicobacter pylori Infection? The Newcastle Thousand Families Cohort Study at Age 49-51 Years. J Pediatr Gastroenterol Nutr 41: 617-620. [Abstract]

Stress reduced in breastfeeding mothers
A study of 216 women has found that breastfeeding may protect against negative moods and perceived stress. Breastfeeding mothers had more positive moods, reported more positive events, and perceived less stress than formula-feeders. Reports of stressful life events were generally equivalent in the two groups.
Gror MW (2005). Differences Between Exclusive Breastfeeders, Formula-Feeders, and Controls: A Study of Stress, Mood, and Endocrine Variables. Biological Research For Nursing 7: 106-117 [Abstract]

This is a research update from the UNICEF UK Baby Friendly Initiative. To unsubscribe or to change your subscription,
click here
.

 

UNICEF logo 

 

Subscribe

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#84 From: "Linda J. Smith" <lindaj@...>
Date: Mon Dec 12, 2005 6:32 pm
Subject: FW: 14 Worst Corporate Evildoers - Nestle
lindabflrc
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FYI - Nestle is a "corporate evildoer"

Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre Ltd
6540 Cedarview Ct, Dayton OH 45459
937-438-9458 / fax 937-438-3229
www.BFLRC.com

-----Original Message-----
From: Janice Reynolds [mailto:momsformilk@...]
Sent: Monday, December 12, 2005 11:26 AM
Subject: 14 Worst Corporate Evildoers - Nestle

The 14 Worst Corporate Evildoers

http://www.alternet.org/story/29337/

Nestle USA

Nestle is also notorious for its aggressive marketing of infant formula in
poor countries in the 1980s. Because of this practice, Nestle is still one
of the most boycotted corporations in the world, and its infant formula is
still controversial. In Italy in 2005, police seized more than two million
liters of Nestle infant formula that was contaminated with the chemical
isopropylthioxanthone (ITX).

(Above is the complete reference to infant formula, see link if you want to
read the full article)

Janice Reynolds

#83 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Wed Dec 7, 2005 2:54 am
Subject: [Fwd: Reclaiming Midwives Exhibit]
kpbitbox
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Hi all,
    Thought you might find this interesting.  BirthNet & NYFOM had the privilege of partnering with two other local organizations, the Center for Black Women's Wellness and the New World African Film Forum, to bring Bringin' in Da Spirit to Albany in the Spring of 2004.  If you are in the DC area (or plan to be), try and check out this exhibit.  You can get some addtional information at http://anacostia.si.edu/exhibits/exhibits.htm.  Also check out the website at the end of the following email.
Carolyn Keefe
BirthNet
Albany, NY
carolyn@...

-------- Original Message --------
Subject: Reclaiming Midwives Exhibit
Date: Mon, 05 Dec 2005 22:43:38 -0500
From: "Rhonda L. Haynes" <lou.productions@...>
To: Andrea Davis <anddav@...>, Carolyn Keefe & Gregory Popp <kpbitbox@...>, "GUYJGGIRL@..." <GUYJGGIRL@...>, Johanna Brenner <cndm@...>, Mozella Galloway <mgallow@...>, Sanaa Seaton <Milagrofilms@...>, Zeina Omisola Jones <omisola@...>

Greetings,

I want to let everybody know that "Bringin' in da Spirit" is at the
Smithsonian Anacostia African American Museum in Washington, D.C.
December 4th was it's official opening.  The exhibit is called
"Reclaiming Midwives" which is an incredible exhibit!  It will run until
April 2, 2006 and also will be a traveling exhibit in other States.
Artifacts, photos of African American midwives from the early 1900's,
excerpts from the 1950's, "All My Babies" documentary, and of course a
10 minute trailer of yours truly, "Bringin; in da Spirit".  A very worth
while exhibit to see if you are in the D.C., Maryland, and Virginia
area.

Also during "Black History Month", February 9th @ 6:30pm "Bringin' in da
Spirit" will be shown in it's entirety at the Anacostia Museum and I
will be speaking at the event.  So if you have friends in the area let
them know.  There are also three other exhibits along with Reclaiming
Midwives that are just as fascinating.

I just want to say Reclaiming Midwives exhibit is part of African
American history that needs to be recognized and studied.  It's history
for our children to know and feel proud of, African American Women who
are heroines.  Also go and check out the website,
www.reclaimingmidwives.org


Peace
Rhonda L. Haynes




#82 From: "amyro513" <amyro@...>
Date: Sun Dec 4, 2005 1:49 am
Subject: Normal Birth Blog
amyro513
Offline Offline
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The Lamaze Institute for Normal Birth has just launched a blog!  Judy
Lothian and Charlotte DeVries, authors of "The Official Lamaze Guide:
Giving Birth with Confidence", will write about normal birth, respond
to what's in the news, share their stories, and take on what's
controversial.  Check it out and come back often:

http://birthwithconfidence.blogs.lamaze.org/

#81 From: "Linda J. Smith" <lindaj@...>
Date: Sat Dec 3, 2005 1:56 pm
Subject: FW: bill gates supports breastfeeding
lindabflrc
Offline Offline
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bill gates supports breastfeeding!
http://www.nytimes.com/2005/12/02/health/02gates.html?adxnnl=1&adxnnlx=11335
29847-7NoaRyhAG4udjxSloWNfqg

This is especially noteworthy because his gift focuses on birth practices
(cutting the cord with a sterile instrument) and care of premature babies
with Kangaroo care - both addressed in the MFCI. Mary Kroeger did quite a
lot of work for Save the Children" in several countries.

Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre Ltd
6540 Cedarview Ct, Dayton OH 45459
937-438-9458 / fax 937-438-3229
www.BFLRC.com

-----Original Message-----
From: Norma Ritter [mailto:breastfeedingmatters@...]
Sent: Friday, December 02, 2005 3:02 PM
Subject: bill gates supports breastfeeding

bill gates supports breastfeeding!
http://www.nytimes.com/2005/12/02/health/02gates.html?adxnnl=1&adxnnlx=11335
29847-7NoaRyhAG4udjxSloWNfqg

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#80 From: "Linda J. Smith" <lindaj@...>
Date: Sat Nov 26, 2005 9:29 pm
Subject: UNICEF Innocenti+15 meeting
lindabflrc
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Breastfeeding Saving Six Million Lives Annually, UNICEF

Six million lives a year are being saved by exclusive breastfeeding, and
global breastfeeding rates have risen by at least 15 per cent since 1990,
says a report released on the 15th anniversary of the Innocenti Declaration
on the Protection, Promotion and Support of Breastfeeding...

To read the full article, please go to:
http://www.medicalnewstoday.com/medicalnews.php?newsid=34031

Linda J. Smith, BSE, FACCE, IBCLC
Bright Future Lactation Resource Centre Ltd
6540 Cedarview Ct, Dayton OH 45459
937-438-9458 / fax 937-438-3229
www.BFLRC.com

#79 From: "Kate" <ketilave@...>
Date: Sat Nov 26, 2005 2:48 am
Subject: More news regarding the Frederick,MD family moving b/c VBAC ban
ketilave
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Does once a Caesarean mean always a Caesarean?
Published on November 19, 2005
By Katie E. Leslie
News-Post Staff

http://www.fredericknewspost.com/sections/news/display.htm?
StoryID=44452

Editorial piece related to above
FMH VBAC policy
Published on November 23, 2005
http://www.fredericknewspost.com/sections/news/display.htm?
StoryID=44502

Once a C-Section, Always a C-Section?
Women Who Want to Try Labor on Later Deliveries Are Increasingly
Refused

By Rob Stein
Washington Post Staff Writer
Thursday, November 24, 2005; Page A01

http://www.washingtonpost.com/wp-
dyn/content/article/2005/11/23/AR2005112302295.html

#78 From: HLGoer@...
Date: Sun Nov 20, 2005 12:54 pm
Subject: new resources that underscore cesarean concerns
hlgoer
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I thought this might be helpful. -- Henci
Dear Friends,

Maternity Center Association (MCA), the oldest national organization
advocating on behalf of mothers and babies (established 1918), has prepared
two web pages in response to the recent release of the record-setting 2004
U.S. cesarean rate of 29.1% by the National Center for Health Statistics.

The first page points to important health and financial costs associated
with increasingly casual use of major abdominal surgery in a primarily
healthy population. It raises concerns about factors that are driving the
steady increase in the national cesarean rate.  And it addresses the fallacy
of the common assumption that cesareans with no sign of a medical need on
birth certificates were initiated by mothers themselves. The URL for this
page is:

   http://www.maternitywise.org/cesarean_response.html

The second page is a brief, clear overview of Maternity Center Association's
advice for pregnant women about cesarean section, vaginal birth, and vaginal
birth after cesarean (VBAC). This page can be found at:

   http://www.maternitywise.org/cesarean_advice.html

This work is a component of MCA's ongoing national program to promote
evidence-based maternity care.

We would be grateful if you would inform colleagues and friends about these
resources.

Best wishes,
Carol Sakala

Carol Sakala, PhD, MSPH
Director of Programs
Maternity Center Association
281 Park Avenue South, 5th Floor
New York, NY 10010

(212) 777-5000 x5  phone
sakala@...
http://www.maternitywise.org
 
______________________________________________________________
Henci Goer's latest book is The Thinking Woman's Guide to a Better Birth. You can find out more about her and her book at http://www.hencigoer.com/. Previously appearing on ParentsPlace.com as the "Birth Guru," she is now a Resident Expert on the Lamaze Institute for Normal Birth website at http://normalbirth.lamaze.org/. Visit her online at www.lamaze.org/lamazeforums/index.cfm?forumid=4.

-----------------
Forwarded Message:
Subj: new resources underscore cesarean concerns 
Date: 11/19/2005 10:18:26 AM Pacific Standard Time
From: sakala@...
To: sakala@...
Sent from the Internet (Details)

Dear Friends,

Maternity Center Association (MCA), the oldest national organization
advocating on behalf of mothers and babies (established 1918), has prepared
two web pages in response to the recent release of the record-setting 2004
U.S. cesarean rate of 29.1% by the National Center for Health Statistics.

The first page points to important health and financial costs associated
with increasingly casual use of major abdominal surgery in a primarily
healthy population. It raises concerns about factors that are driving the
steady increase in the national cesarean rate.  And it addresses the fallacy
of the common assumption that cesareans with no sign of a medical need on
birth certificates were initiated by mothers themselves. The URL for this
page is:

   http://www.maternitywise.org/cesarean_response.html

The second page is a brief, clear overview of Maternity Center Association's
advice for pregnant women about cesarean section, vaginal birth, and vaginal
birth after cesarean (VBAC). This page can be found at:

   http://www.maternitywise.org/cesarean_advice.html

This work is a component of MCA's ongoing national program to promote
evidence-based maternity care.

We would be grateful if you would inform colleagues and friends about these
resources.

Best wishes,
Carol Sakala

Carol Sakala, PhD, MSPH
Director of Programs
Maternity Center Association
281 Park Avenue South, 5th Floor
New York, NY 10010

(212) 777-5000 x5  phone
sakala@...
http://www.maternitywise.org

#77 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Fri Nov 18, 2005 2:02 am
Subject: [Fwd: consensus panel on elective cesareans]
kpbitbox
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Hi all,
    I apologize if you are receiving this twice, but I am sending it to some individuals and some lists.  Someone from BirthNet brought this upcoming conference to my attention and I thought you all would like to know about it:

NIH State-of-the-Science Conference: 
Cesarean Delivery on Maternal Request

March 27-29, 2006 
Bethesda, MD

    You can get background and more info at http://consensus.nih.gov/2006/2006CSectionSOS027html.htm.  You can also register at this site.  The conference is free and open to the public.  According to the chatter below, only those attending can provide comment, they don't take papers or comments from those who don't attend (ie, letters, papers, etc.)
FYI,
Carolyn Keefe
BirthNet/CfM
Albany, NY
carolyn@...


-------- Original Message --------
>X-Accept-Language: en-us, en
>Date:         Thu, 17 Nov 2005 10:50:00 -0500
>Reply-To: New View Campaign Discussion List 
>Sender: New View Campaign Discussion List 
>From: Amy Allina 
>Subject: Re: [NEWVIEW] NIH Reply
>To: NEWVIEW@...
>X-UNB-MailScanner-Information: Please contact the ISP for more information
>X-UNB-VirusScanner: Found to be clean
>X-UNB-SpamDetails:
>
>you do have to attend the consensus conference to submit your views 
>for the panel's consideration, but the conference is free and open 
>to the public.  typically at NIH consensus conferences, there is 
>time allowed for questions and comment from the conference audience 
>within the discussion time set out on the agenda.
>
>Amy
>
>--
>
>     Amy Allina
>
>     National Women's Health Network
>
>     http://www.nwhn.org
>
>     A Voice for Women, A Network for Change
>
>
>Patricia Whelehan wrote:
>
>>HI,
>>The NIH is not having any kind of open forum regarding the 
>>conference on elective C-sections.  Only those people attending the 
>>conference have a voice.
>>Pat



#76 From: "Tonya Jamois" <tjamois@...>
Date: Tue Nov 15, 2005 6:42 pm
Subject: ICAN Press Release regarding record cesarean rates
tjamois
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Feel free to forward this on...

Tonya Jamois

President, ICAN

 

 

 

Contact:        Berna Diehl 

                                    p) 703-280-2682

                                    m)703-966-3602

                         berna.diehlATcox.net

 

 

For Immediate Release                                                    

 

Coerced Cesarean Surgeries Feed Growing Nationwide Rate

CDC Reports 6% Increase in Cesarean Rate

 

Redondo Beach, CA, November 15, 2005 – As public health officials and other observers struggle to understand the causes of the latest increase in the cesarean rate, many will blame consumer demand as the primary source.  But they will be overlooking another significant source of cesareans in the U.S. – the growing number of women who are being forced into this surgery.     

 

Over 300 hospitals and thousands of physicians across the country have banned vaginal birth after cesarean (VBAC) based on cost concerns and fears over liability.  These bans mean that women are pushed into cesareans they do not want and likely do not need. 

 

The CDC reports that the cesarean rate for 2004 is X%, up from 27.6% in 2003.  The rate of first-time cesareans is at an historical high of x%.  The cesarean rate for VBAC mother is X%, even though studies show that over 70% of mothers can give birth vaginally after a cesarean.  With the ever-increasing first or “primary” cesarean rate, the issue of VBAC is becoming more common among childbearing women. 

 

“It’s tempting for doctors to point to the alarming c-section rate in the U.S. and say, ‘Hey, we’re just giving mothers what they’re asking for.’  But that’s rarely the case.  Women across the country are having their choices trampled because hospital administrators and doctors are favoring cost-effectiveness and liability protection over basic patients’ rights,” says Tonya Jamois, president of the International Cesarean Awareness Network.

 

For women being threatened with a coerced cesarean, ICAN has developed a guide to help them understand their rights as patients.  The resource discusses the principles of informed consent and the right of every patient to refuse an unwanted medical procedure.  The guide can be found at http://www.ican-online.org/resources/white_papers/wp_vbacbanqa.pdf.

 

“Every medical and regulatory organization espouses the principles of patients’ rights, yet we’re finding that the realities these women are facing don’t jive with what’s on paper,” says Katherine Prown, ICAN’s director of advocacy.    

 

While there has been no formal study on the number of women being coerced into cesareans, ICAN has received reports from mothers across the country, and requests for assistance in finding another alternative to forced surgery. 

 

“The e-mails and calls we get from pregnant women are just heart-wrenching.  Women are struggling to avoid unnecessary surgery, but the medical system has abandoned them.  For many, they have to submit to major surgery in order to get medical care,” says Jamois.

 

Most hospitals that have banned VBAC will point out that the strict VBAC guidelines issued by the American College of Obstetrics and Gynecology have made it difficult to offer VBAC.  ACOG’s guidelines require that the hospital be capable of an “immediate” cesarean if complications should arise, which means surgical teams must be available at all times.  But others point out that these strict standards are largely unattainable and not based on the available medical evidence. 

 

According to another physician’s group, the American Academy of Family Physicians, VBAC “should not be restricted only to facilities with available surgical teams present throughout labor since there is no evidence that these additional resources result in improved outcomes.”

 

“ACOG’s guidelines defy logic.  Other emergencies occur in labor. If a hospital says it isn’t safe for a VBAC labor, then it isn’t safe for any woman to labor there,” says Henci Goer, a noted expert on VBAC research. 

 

Women who are seeking information about VBAC or are recovering from a cesarean can visit www.ican-online.org for more information.  In addition to over 70 local chapters nationwide, the group hosts an active on-line discussion group that can serve as a resource for mothers. 

 

About Cesareans: ICAN recognizes that when a cesarean is medically necessary, it can be a lifesaving technique for both mother and baby, and worth the risks involved.  Potential harms to babies include: low birth weight; prematurity; respiratory problems; and lacerations.  Potential harms to women include: hemorrhage; infection; hysterectomy; surgical mistakes; re-hospitalization; dangerous placental abnormalities in future pregnancies; unexplained stillbirth in future pregnancies and increased maternal death rate. For additional information download the resources at  http://www.ican-online.org/resources/white_papers/index.html and http://www.maternitywise.org/mw/topics/cesarean/booklet.html.  

 

Mission statement: ICAN is a nonprofit organization whose mission is to improve maternal-child health by preventing unnecessary cesareans through education, providing support for cesarean recovery and promoting vaginal birth after cesarean.  There are 71 ICAN Chapters across North America, which hold education and support meetings for people interested in cesarean prevention and recovery.

 

 

###


#75 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Tue Nov 15, 2005 2:21 pm
Subject: [Fwd: new birth publication, 11/15/05]
kpbitbox
Offline Offline
Send Email Send Email
 
FYI -- Apparently the cesarean rate hit 29.1% in 2004 and VBAC crashed to under 10% (9.2%).  Also, preterm and low birthweight rates are at their highest levels.
Carolyn Keefe
CfM/BirthNet
Albany, NY
carolyn@...

-------- Original Message --------
Subject: new birth publication, 11/15/05
Date: Tue, 15 Nov 2005 08:39:04 -0500
From: "Mathews, Thomas J." <tjm4@...>
Reply-To: Birth Publications <BIRTH-PUBLICATIONS@...>
To: BIRTH-PUBLICATIONS@...


Message
Preliminary Births for 2004: Infant and Maternal Health
by Joyce A. Martin, M.P.H.; Brady E. Hamilton, Ph.D.; Fay
Menacker, Ph.D.; Paul D. Sutton, Ph.D.; and T.J. Mathews, M.S.,
Division of Vital Statistics
 
This report from CDC’s National Center for Health Statistics 
summarizes the 2004 preliminary infant and maternal health
birth data for the United States. It is an e-stat publication  
and available at: 

#74 From: Kate Semp <ketilave@...>
Date: Fri Nov 11, 2005 11:40 pm
Subject: Fwd: [vfom] Call for Art: Defining Moments: An Exploration of Birth Through the Arts
ketilave
Offline Offline
Send Email Send Email
 
Call for art; please forward as appropriate.
 
The event includes multiple performances of BIRTH, film screenings, dance pieces and birth art workshops.
 
Kate Semp

Leslie Lytle <leslie.lytle@...> wrote:
To: <vfom@yahoogroups.com>
From: Leslie Lytle <leslie.lytle@...>
Date: Fri, 11 Nov 2005 15:01:03 -0400
Subject: [vfom] Call for Art: Defining Moments: An Exploration of Birth Through the
Arts

Dear VFOM Members,

I am coordinating a visual arts exhibit in conjunction with Defining Moments: An Exploration of Birth Through the Arts, that will take place in Richmond next January 12 - 22. Please feel free to forward the attached call for art to anyone you know who might have work pertinent to this exhibit. I am also cutting and pasting the document within this email for those who may not be able to open the document. If you have any questions, please email me privately at leslie.lytle@....
Thank you!

Leslie Lytle

Leslie Lytle, MS, CMA, RYT
OmMama LLC
2203 West Grace Street
Richmond, VA 23220
804-359-0839
leslie.lytle@...

Birth Arts Council
2203 West Grace Street, Richmond, VA 23220       o       (804) 359-0839       o       birthartscouncil@...

Defining Moments: An Exploration of Birth Through The Arts
Call for Artwork

The Birth Arts Council is seeking original art and craft works that are representative of or inspired by pregnancy, birth, and the life changes these events entail. Selected works will be presented in a visual arts exhibit to be offered as part of Defining Moments: An Exploration of Birth Through the Arts. This festival is presented in partnership with the Firehouse Theatre Project and will include a production of the play Birth, dance performances, film screenings, and panel discussions. All events will take place January 12-22, 2006 at the Firehouse Theatre, 1609 West Broad Street. The visual arts exhibit will be displayed in the Firehouse Theatre lobby and will be available for view prior to and after each program. The exhibit will be juried by the Birth Arts Council Steering Committee. Artists whose work is selected will receive a festival ticket for film and performance events.
Guidelines
We are seeking works of art that express the emotional, spiritual or social significance of pregnancy, birth, and the transition to early parenting. Artwork can be representational, narrative, abstract, or metaphoric in nature. Humor, paradox, ambiguity and irony are welcome. Well-crafted original art or craft in any media are acceptable. All work must be presented professionally to conservation standards and display ready.

Calendar and Deadlines
December 9st, 2005
   Slides due.
December 16th, 2006
   Notifications sent.
January 8th, 2006
   Deliver or ship all artworks to Firehouse Theatre.
January 12th - 22nd, 2006
Exhibition Dates
January 22nd - 25th
   Pick-up Dates (Shipped work will be returned as soon as possible).
Artists must arrange and pay for return shipping and will include a pre-paid shipping label with the artist's name, return address, and weight of loaded crate/box and crate dimensions.

Liability
The utmost care will be taken with artwork and slides. Neither the Firehouse Theatre nor the Birth Arts Council will assume responsibility for lost, damaged, or stolen art or slides. Insurance is the sole responsibility of the artist, both in transit and while in the exhibit. Entry into the exhibit automatically signifies agreement to the above conditions.

Sales
Commission for art sold during the Defining Moments Exhibition will be 25% to the Firehouse Theatre Project.

Photos/Slides
To submit works for consideration please fill out the form below and return with your slides or photos. Label the back of photos or slides with the artist's name, working title, and medium. Submit no more than three (3) entries of your available work. If you prefer to submit images via email, please copy the entry form information in the body of your email and send to: leslie.lytle@....

Defining Moments: An Exploration of Birth Through the Arts
Visual Arts Entry Form

Please submit digital images, slides, or photographs, along with a self-addressed and stamped envelope to:

Leslie Lytle
2203 West Grace Street
Richmond, VA 23220
804-359-0839

Number of Entries                                            
Artist's Name                            Phone                    
Address                                                
City/State                        Zip                        
E-mail                                
Website                            

Title #1        Medium        Framed/Mounted Price        
Title #2        Medium        Framed/Mounted Price        
Title #3        Medium        Framed/Mounted Price        

Notification Form
(for office use only)

Artist                                        

Title #1                             Accepted/Declined            
Title #2                            Accepted/Declined            
Title #3                            Accepted/Declined            





Yahoo! FareChase - Search multiple travel sites in one click.

#73 From: "Tonya Jamois" <tjamois@...>
Date: Sun Nov 6, 2005 1:23 am
Subject: RE: Fwd: [Bradley-SEM] Fw: Childbirth By Choice: C-Section Rate Rises
tjamois
Offline Offline
Send Email Send Email
 
Go to the link and watch the video of the story....at one point a woman is thumbing through the MCA booklet as well as an ICAN's press release about the high rate of cesareans.  They don't mention either MCA or ICAN, though.  I'll browse around the news stations homepage to see if they have links....
 
The next story on why the c/s rate is so high will be on the 14th....
 

Tonya Jamois

President,

Int’l Cesarean Awareness Network, Inc.

 

Check out the NEW ICAN online store....now accepting

Visa/MC  http://www.ican-online.org/store/customer/home.php

-----Original Message-----
From: MFCInews@yahoogroups.com [mailto:MFCInews@yahoogroups.com] On Behalf Of MBKendell@...
Sent: Saturday, November 05, 2005 5:14 PM
To: MFCINews@yahoogroups.com
Subject: [MFCInews] Fwd: [Bradley-SEM] Fw: Childbirth By Choice: C-Section Rate Rises

In a message dated 11/5/2005 7:59:04 PM Eastern Standard Time, anns@... writes:
 

Childbirth By Choice: C-Section Rate Rises

Risks Can Be Greater With Surgery

UPDATED: 9:49 am EST November 4, 2005

Many doctors, hospitals and insurance companies have said they get sued less often when they perform Caesarian sections, so they prefer that form of delivery. However, childbirth advocates say the rush to push or cut babies out of the womb carries risks, Oklahoma City television station KOCO reported.

Clothes, crib and a car seat awaited Alicia Helsley's newborn. She and her husband, Lester, knew they wanted to pick their baby's birthdate.

"My husband's a truck driver," said Alicia Helsley. "That way, we could have it planned so he could be here for the birth."

Lester was available at 8:45 a.m. on Oct. 21. Helsley was wheeled up to an operating room and -- 26 minutes later -- baby Aidan arrived via elective C-section.

"It was amazing and it's just unbelievable. I have a lot of respect for women, a lot of respect," said Lester Helsley.

Aidan was the 30th baby Dr. Darren Goff helped deliver in October. The vast majority of his patients -- 90 percent -- schedule a C-section or an induction. He said that half of planned induced births end up as Caesarian deliveries.

"Some people want to have a baby three months in advance," said Goff. "They know what to plan that day. Other people are just at the end of pregnancy. Women are miserable, want that baby out. That's been around forever. That hasn't changed."

Goff supports a patient's right to choose, and noted that scheduling can free doctors for real emergencies.

"Obstetrics is an emergency waiting to happen. If you're up at night, and three or four patients are in labor, and something doesn't look right, you need to get this patient delivered so you can move on to the next patient. It's good patient care for everybody," Goff said.

The Centers for Disease Control and Prevention does not necessarily agree. In fact, it has set a goal for curbing the skyrocketing C-section rate.

Amy Siefke, a neonatal intensive care nurse, is also the mother of two.

"For me, I don't think that's safest thing for me and my baby," she said.

She points to the risks of a C-section such as surgical cuts on babies. Goff agrees the risks are real.

"The hard thing is scars down the road, not only rupturing or if (the) placenta implants on scar, sometimes people end up with hysterectomies," he said.

The risk of death to the mother is five times greater during a C-section than a vaginal delivery. Incisional pain can last six months, and surgical complications are possible for induced births.

Moms having their second baby via planned induction have a fivefold chance of an emergency C-section. Furthermore, drugs used to induce can have complications, such as making labor too strong.

#72 From: MBKendell@...
Date: Sat Nov 5, 2005 8:13 pm
Subject: Fwd: [Bradley-SEM] Fw: Childbirth By Choice: C-Section Rate Rises
mbkendell
Offline Offline
Send Email Send Email
 
In a message dated 11/5/2005 7:59:04 PM Eastern Standard Time, anns@... writes:
 

Childbirth By Choice: C-Section Rate Rises

Risks Can Be Greater With Surgery

UPDATED: 9:49 am EST November 4, 2005

Many doctors, hospitals and insurance companies have said they get sued less often when they perform Caesarian sections, so they prefer that form of delivery. However, childbirth advocates say the rush to push or cut babies out of the womb carries risks, Oklahoma City television station KOCO reported.

Clothes, crib and a car seat awaited Alicia Helsley's newborn. She and her husband, Lester, knew they wanted to pick their baby's birthdate.

"My husband's a truck driver," said Alicia Helsley. "That way, we could have it planned so he could be here for the birth."

Lester was available at 8:45 a.m. on Oct. 21. Helsley was wheeled up to an operating room and -- 26 minutes later -- baby Aidan arrived via elective C-section.

"It was amazing and it's just unbelievable. I have a lot of respect for women, a lot of respect," said Lester Helsley.

Aidan was the 30th baby Dr. Darren Goff helped deliver in October. The vast majority of his patients -- 90 percent -- schedule a C-section or an induction. He said that half of planned induced births end up as Caesarian deliveries.

"Some people want to have a baby three months in advance," said Goff. "They know what to plan that day. Other people are just at the end of pregnancy. Women are miserable, want that baby out. That's been around forever. That hasn't changed."

Goff supports a patient's right to choose, and noted that scheduling can free doctors for real emergencies.

"Obstetrics is an emergency waiting to happen. If you're up at night, and three or four patients are in labor, and something doesn't look right, you need to get this patient delivered so you can move on to the next patient. It's good patient care for everybody," Goff said.

The Centers for Disease Control and Prevention does not necessarily agree. In fact, it has set a goal for curbing the skyrocketing C-section rate.

Amy Siefke, a neonatal intensive care nurse, is also the mother of two.

"For me, I don't think that's safest thing for me and my baby," she said.

She points to the risks of a C-section such as surgical cuts on babies. Goff agrees the risks are real.

"The hard thing is scars down the road, not only rupturing or if (the) placenta implants on scar, sometimes people end up with hysterectomies," he said.

The risk of death to the mother is five times greater during a C-section than a vaginal delivery. Incisional pain can last six months, and surgical complications are possible for induced births.

Moms having their second baby via planned induction have a fivefold chance of an emergency C-section. Furthermore, drugs used to induce can have complications, such as making labor too strong.
 
 

Childbirth By Choice: C-Section Rate Rises

Risks Can Be Greater With Surgery

UPDATED: 9:49 am EST November 4, 2005

Many doctors, hospitals and insurance companies have said they get sued less often when they perform Caesarian sections, so they prefer that form of delivery. However, childbirth advocates say the rush to push or cut babies out of the womb carries risks, Oklahoma City television station KOCO reported.

Clothes, crib and a car seat awaited Alicia Helsley's newborn. She and her husband, Lester, knew they wanted to pick their baby's birthdate.

"My husband's a truck driver," said Alicia Helsley. "That way, we could have it planned so he could be here for the birth."

Lester was available at 8:45 a.m. on Oct. 21. Helsley was wheeled up to an operating room and -- 26 minutes later -- baby Aidan arrived via elective C-section.

"It was amazing and it's just unbelievable. I have a lot of respect for women, a lot of respect," said Lester Helsley.

Aidan was the 30th baby Dr. Darren Goff helped deliver in October. The vast majority of his patients -- 90 percent -- schedule a C-section or an induction. He said that half of planned induced births end up as Caesarian deliveries.

"Some people want to have a baby three months in advance," said Goff. "They know what to plan that day. Other people are just at the end of pregnancy. Women are miserable, want that baby out. That's been around forever. That hasn't changed."

Goff supports a patient's right to choose, and noted that scheduling can free doctors for real emergencies.

"Obstetrics is an emergency waiting to happen. If you're up at night, and three or four patients are in labor, and something doesn't look right, you need to get this patient delivered so you can move on to the next patient. It's good patient care for everybody," Goff said.

The Centers for Disease Control and Prevention does not necessarily agree. In fact, it has set a goal for curbing the skyrocketing C-section rate.

Amy Siefke, a neonatal intensive care nurse, is also the mother of two.

"For me, I don't think that's safest thing for me and my baby," she said.

She points to the risks of a C-section such as surgical cuts on babies. Goff agrees the risks are real.

"The hard thing is scars down the road, not only rupturing or if (the) placenta implants on scar, sometimes people end up with hysterectomies," he said.

The risk of death to the mother is five times greater during a C-section than a vaginal delivery. Incisional pain can last six months, and surgical complications are possible for induced births.

Moms having their second baby via planned induction have a fivefold chance of an emergency C-section. Furthermore, drugs used to induce can have complications, such as making labor too strong.
Related To Story

#71 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Fri Nov 4, 2005 5:30 pm
Subject: [Fwd: [nyfom] Dr. Tom Brewer]
kpbitbox
Offline Offline
Send Email Send Email
 
FYI
Carolyn Keefe
BirthNet
Albany, NY
carolyn@...

-------- Original Message --------
Subject: [nyfom] Dr. Tom Brewer
Date: Fri, 04 Nov 2005 07:49:20 -0500
From: Amy Haas <avhaas@...>
Reply-To: nyfom@yahoogroups.com
To: RochesterICAN@yahoogroups.com, ROCHESTER BIRTH NETWORK <Roch_Birth_Network@yahoogroups.com>, "Nyfom@Yahoogroups.Com" <nyfom@yahoogroups.com>


This came in from a colleague:

Re: Dr. Tom Brewer
>
> Hello Birth People,
> You have all probably heard of Dr. Tom Brewer and
> his important work in prenatal nutrition.  He has
> devoted his life to spreading the word that
> excellent nutrition during pregnancy prevents MTLP
> (toxemia), pre-eclampsia, placental abruption,
> pre-term labor and other complications.  He has
> worked tirelessly, but unfortunately mostly
> fruitlessly, to get the medical establishment to
> understand the importance of protein, salt, and
> other nutrients during pregnancy.
>
> Dr. Brewer is now elderly and not in the best of
> health.  His son tells me that he has been in poor
> spirits and depressed that his message has not been
> accepted as truth by the birth community.
>
> So I'm asking that if you have been affected by his
> work, if you use his nutrition information to help
> clients, or have followed his advice in your own
> pregnancies, please drop him a short thank you note
> or message of appreciation.  I think that knowing
> how many moms and babies he has helped would cheer
> him up; and it would let him know that his life's
> work was not in vain to hear how many midwives,
> childbirth educators, parents, and others involved
> in birth, believe in his ideas.
>
> He is a national treasure, and he may not be around
> much longer.
>
> Here is his address (he doesn't do email):
>
> Tom Brewer, MD
>
> 249 Buttolph Dr. #201
>
> Middlebury, VT
>
> 05753

Thank you,
Amy

Amy V. Haas, BCCE
Community Resource Coordinator
Rochester Birth Network
amy@...
www.rochesterbirthnetwork.com



     
           
__________________________________
Yahoo! Mail - PC Magazine Editors' Choice 2005
http://mail.yahoo.com

#70 From: "Shannon M." <shanon.phoenix@...>
Date: Fri Oct 21, 2005 3:25 am
Subject: Fwd: {RMA} FW: Jeanine Parvati calls for our prayers Oct23 ,13mins at noon
shanonmom
Offline Offline
Send Email Send Email
 
---------- Forwarded message ----------
From: karen strange <karenmidwife@...>
Date: Oct 20, 2005 7:39 PM
Subject: {RMA} FW: Jeanine Parvati calls for our prayers Oct23 ,13mins at noon
To: ATM <ATM@...>



  Subject: Jeanine Parvati calls for our prayers Oct23 ,13mins at noon



  Hello sisters ,

  Today my friend Nikiah called me and suggested I read Jeanine Parvati's
  latest newsletter on her birthkeeper's website. Our dear crone-sister is
  ailing. She is unable to receive a liver transplant and is now in a hospice
  preparing to pass.

  She is asking for her friends/sisters/kindred spirits to tune in together at
  noon on the 23rd of October for 13 minutes and to send her your prayer
  tincture, she refers to this as settling her spiritual affairs and suggests
  that it is time to say what has been left unsaid.

  Her website is HYPERLINK "http://www.birthkeepers.com"www.birthkeepers.com
  click on fall 2005 newsletter.

  If her name sounds familiar ....you may have read one of her booksJeanine's
  books include Conscious Conception ,Prenatal Yoga (the first book on this
  subject 1970's) and Hygeia , a woman's herbal. She is a woman who has made a
  huge contribution to birth in this time and place, in a very unique and
  visionary way. Please join in sending her your love, prayers and kind
  thoughts.

  Blessed be all

  Hope

  Also please say a prayer for Liz and our friends  catching babies in
  Honduras as Hurricane Wilma passes their shores.

     _____

  Find your next car at HYPERLINK "http://autos.yahoo.ca"Yahoo! Canada Autos

  --
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  Version: 7.0.344 / Virus Database: 267.12.4/143 - Release Date: 10/19/2005


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  [Non-text portions of this message have been removed]



  ________________________________
  YAHOO! GROUPS LINKS


  Visit your group "rmamidwives" on the web.

  To unsubscribe from this group, send an email to:
  rmamidwives-unsubscribe@yahoogroups.com

  Your use of Yahoo! Groups is subject to the Yahoo! Terms of Service.

  ________________________________


--
Shannon Mitchell

#69 From: "Linda J. Smith" <lindaj@...>
Date: Tue Oct 18, 2005 2:23 pm
Subject: press release now on USBC site
lindaj@...
Send Email Send Email
 

http://www.usbreastfeeding.org/News-and-Events/USBC-SIDS-PR-10-17-2005.pdf

 

Linda J. Smith, BSE, FACCE, IBCLC

6540 Cedarview Ct, Dayton OH 45459

937-438-9458 / fax 937-438-3229

 

 

 

_______________________________________________
Members mailing list
Members@...
http://usbreastfeeding.org/mailman/listinfo/members

#68 From: "Linda J. Smith" <lindaj@...>
Date: Tue Oct 18, 2005 1:21 am
Subject: Mixed Credibility of the Revised AAP SIDS PreventionRecommendations
lindaj@...
Send Email Send Email
 

FOR IMMEDIATE RELEASE

 

CONTACT

United States Breastfeeding Committee

Chair: Audrey Naylor, MD, PhD

AJNaylor@..., 619-574-8174

Vice Chair: Ruth Lawrence, MD

ruth_lawrence@..., 585-275-4354

 

 

Mixed Credibility of the Revised AAP SIDS Prevention Recommendations

 

WASHINGTON, D.C. (October 17, 2005) – The American Academy of Pediatrics (AAP) released revised recommendations for Sudden Infant Death Syndrome (SIDS) prevention last week, one of which provides valuable new information to help parents protect their infant, while others not only lack a solid scientific basis but also entail some risks. 

 

The AAP now recommends that infants sleep in the same room as their parents because this is associated with a reduced risk of SIDS.  While studies have consistently found that isolating infants for sleep (in a separate bedroom) is associated with a higher risk of SIDS, this information has not previously been widely disseminated.  Sleeping near one’s infant has also been shown to increase maternal responsiveness to the infant’s nighttime physiologic signals and to make it easier for mother to succeed with breastfeeding.  Breastfeeding, in turn, is linked to a reduced risk of many acute and chronic illnesses, including a 21% lower all-cause infant mortality rate in an analysis by the National Institutes of Health, and to a reduced risk of SIDS in a number of studies. 

 

Two recommendations in the new AAP statement have stirred particular concern: to give babies pacifiers and to remove the infant from the parental bed prior to sleep.  Both recommendations are problematic in a number of ways, including that they lack a clear scientific basis, constrain parental choice, complicate the potentially challenging process of putting infants to sleep, and impair breastfeeding. 

 

Because early pacifier use reduces breastfeeding duration, the AAP SIDS statement recommends waiting until one month of age (to allow breastfeeding to get off to a good start) before starting pacifiers in breastfed infants.  Even beyond this period pacifiers entail health risks, however, and may undermine breastfeeding success.

 

A number of studies (but not all) have found an association between pacifier use and lower rates of SIDS.  But these studies cannot determine if the relationship is causal, and therefore whether pacifier use can reduce the risk of SIDS.  Nevertheless, even if the oral stimulation of sucking were protective, only those infants lacking the natural source of nighttime suckling, breastfeeding, would be likely to benefit from an artificial pacifier source of such stimulation.  Only in such “at risk” groups might it make sense to assume the health risks of pacifier use which include yeast infections, oral malocclusion, and ear infections.

 

Data are also lacking to justify telling parents whether or not they should sleep with their infants—beyond informing them of the protective effect of sleeping in the same room as their baby.  In the best controlled studies, infant safety is not associated with whether the baby sleeps in the parents’ bed per se, but on specific environmental factors that warrant attention whether the baby is in a bed, a crib, or other sleeping surface.  For example, SIDS has been associated with prone sleep position, maternal smoking, soft mattresses, and bedding near the baby that could cover the head.  Avoidable exceptions in which bedsharing itself has been associated with an increased risk of SIDS include the use of particularly unsafe furniture (e.g., couches, which are associated with a 25-fold increased risk of SIDS) and parent smoking or incapacitation due to alcohol or drug use, or exhaustion.

 

The United States Breastfeeding Committee recommends caution before advising pacifiers for breastfeeding infants even after one month of age.  It also emphasizes the importance of closeness to one’s infant and supports the statement of the Section on Breastfeeding of the AAP that mother and infant sleep in close proximity.

 

The United States Breastfeeding Committee is a national committee made up of over 30 organizations that promote, protect, and support breastfeeding.

 

  1. AAP Task Force on Sudden Infant Death Syndrome. The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding Sleeping Environment, and New Variables to Consider in Reducing Risk. Pediatrics November 2005; 116(5):1245-1255
  2. American Academy of Pediatrics, Section on Breastfeeding, Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics 2005; 115(2):496-506
  3. Chen A, Rogan WJ. Breastfeeding and the Risk of Postneonatal Death in the United States. Pediatrics 2004; 113:e435-439

URL: http://www.pediatrics.org/cgi/content/full/113/5/e435

  1. McKenna JJ, McDade T. Why babies should never sleep alone: A Review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Pediatric Respiratory Reviews 2005; 6:134-152 (available on line at www.sciencedirect.com)

 

 

United States Breastfeeding Committee (USBC)

2025 M Street, NW, Suite 800

Washington, DC  20036

General: (202) 367-1132

Fax: (202) 367-2132

office@...

www.usbreastfeeding.org

 

The USBC is an organization of organizations. Opinions expressed by the USBC are not necessarily the position of all member organizations and opinions expressed by USBC representatives  are not necessarily the position of the USBC.

_______________________________________________
Members mailing list
Members@...
http://usbreastfeeding.org/mailman/listinfo/members

#67 From: Carolyn Keefe & Gregory Popp <kpbitbox@...>
Date: Mon Oct 17, 2005 6:36 pm
Subject: Lifetime TV Channel
kpbitbox
Offline Offline
Send Email Send Email
 
Hi all,
    I came across the article below in yesterday's NY Times.  It talks about how the Lifetime Cable Channel combines some of its programming with lobbying efforts on behalf of women.  This might be an idea for moving birth issues forward -- maybe the VBAC issue for example.  If anyone has access to the leadership of Lifetime, this may be something to encourage them to cover.  Just an idea that I don't have time or connections to follow up with, but something to consider.
Thanks,
Carolyn Keefe
BirthNet/CfM
carolyn@...


http://www.nytimes.com/2005/10/16/arts/television/16aurt.html?pagewanted=print

October 16, 2005

Lifetime's Place Is in the House (and Senate)

"LADIES and gentlemen, the United States is one of the largest markets for sex slavery in the entire world. We need to realize that modern-day slavery is only occurring because we choose to ignore it."

If these words sound more like lines from a political address than dialogue from a made-for-television movie, that may be because they were inspired by a speech that Tony Blair gave in 2003. It got Trevor Walton - a senior vice president at Lifetime, who was in London at the time - thinking, and the result is "Human Trafficking," the channel's first mini-series. Starring Mira Sorvino as the sexy-but-determined government agent who delivers those words, it is scheduled to be broadcast on Oct. 24 and Oct. 25 at 9 p.m. "The biggest percentage of people that are trafficked in the world are women, and women are our business at Lifetime," Mr. Walton said in an interview.

Lifetime has been unquestionably successful in that business: it is the No. 1 cable channel among female viewers. Since its debut in 1984, it has offered women the television equivalent of comfort food. Its programs - the soft-focus "Intimate Portrait" biographies of everyone from Kelly Ripa to Bella Abzug, reruns of "Designing Women" and "Golden Girls," and movies in which, more often than not, someone is stalking Shannen Doherty or Jaclyn Smith - provide a warm, consistent hum.

In recent years, however, Lifetime has promoted its issue-oriented programming by tying it to direct appeals to viewers to improve their lives. In April, for instance, after the broadcast of "Terror at Home," a documentary about domestic abuse, the National Domestic Violence Hotline had a 7,000 percent increase in calls.

But Lifetime's most surprising experiment has taken place off screen. Through its public affairs office, it has become a political lobbying force - and quite an effective one at that - rallying its audience to back laws about a broad slate of women's issues.

The Justice for All Act of 2004, for example, which sought to speed the DNA testing of rape kits, wasn't getting a lot of attention on its own. ("I had many a press conference," said Congresswoman Carolyn B. Maloney, a Democrat from New York who sponsored the act, "and the only press in the audience was Lifetime TV.") So Lifetime collected 110,000 signatures. President Bush signed the bill into law last year.

And after broadcasting "Video Voyeur: The Susan Wilson Story," a movie in which Angie Harmon was spied on by a creepy, high-tech neighbor, Lifetime brought Ms. Harmon to Washington to introduce legislation that would criminalize such behavior. A variation of the bill (the Video Voyeurism Protection Act of 2004) passed last year. Congresswoman Maloney said of Lifetime, "They literally have mobilized themselves into an advocacy organization that, I would say, has growing clout in Washington."

This unlikely effort has been led by Lifetime's executive vice president of public affairs and corporate communications, Meredith Wagner. In its early days, she said over drinks at the Four Seasons Hotel in Manhattan, Lifetime had a vague image as a network for women, but "we didn't really know what we were." So she and Bonnie Hammer, who has since become the president of the USA Network and Sci-Fi Channel, started searching for inexpensive, topical documentaries. "We'd go down to my house in the Village and watch the tapes and drink wine all night," Ms. Wagner said. "It was great because there was no downside - the ratings were zero." Lifetime began to produce public service announcements to go with some of its movies, and to hold screenings in Washington. "We were making it up as we went along," she said. "But we started to get really an interesting response from our viewers."

The ratings stopped being zero. Along the way, Lifetime started voting drives, beginning with the 1992 election, and joined with the Ms. Foundation for Women for the first Take Our Daughters to Work Day, in 1993. Its first big legislative push was in 1996, in support of a bill against "drive-through mastectomies," the practice of sending women home the same day they have surgery. That bill didn't pass, but it has been reintroduced many times, including this year by Senator Olympia J. Snowe, Republican of Maine, and Senator Mary L. Landrieu, Democrat of Louisiana, backed by the more than 11 million signatures Lifetime has collected in the intervening years.

Becoming involved in direct political advocacy violates a basic rule of mainstream media. Since companies never know which part of the audience they may be alienating, it is regarded as bad for business (except in those cases where it is an extension of business, as when media conglomerates lobby the Federal Communications Commission about increased fines).

So why does Lifetime do it? The answer has as much to do with synergy as with democracy. And it places Lifetime in an unusual position, between politics and entertainment.

Take the mastectomy issue. In winter 2000, Lifetime's public affairs department took the writers and producers of the series "Strong Medicine" to Washington to meet with representatives from the Department of Health and Human Services and with health advocates. "We said, 'Tell us what's going on,' " Ms. Wagner said. " 'Tell us what trends you're seeing, the issues that we need to cover.' " What they heard turned into story lines in the series. This season, drive-through mastectomies are featured in an episode to bolster the case against them.

In the case of "Human Trafficking," antiviolence organizations and human rights groups brought the issue to Lifetime's attention, Ms. Wagner said, and "Trevor was charged to look at programming that would support these kind of efforts." Mr. Walton hired a director (Christian Duguay) and an executive producer (Robert Halmi Sr.). Then the public affairs department organized conversations with groups like Equality Now and the International Justice Mission, which rescues trafficked girls from brothels. Taina Bien-Aimé, the executive director of Equality Now, called the discussions "substantive and serious."

As Betty Cohen, the president and chief executive officer of Lifetime Entertainment Services, said, "I believe our advocacy work does a lot of things for us." That includes, evidently, the ability to lure Ms. Sorvino, an Academy Award-winning actress, to the network. "Mira did this movie because she cares about this cause," Ms. Cohen said. "I would love to have more actresses and actors bring their projects to Lifetime if it's something that's important to themselves personally, and important to women as an audience."

In the mini-series, Ms. Sorvino plays an ambitious agent in Immigration and Customs Enforcement, who is unwavering in her efforts to break up a ring led by Robert Carlyle ("The Full Monty"). The women and girls have been trapped into slavery by false promises of romance or jobs.

Ms. Bien-Aimé, who read the script and gave comments to Lifetime, said, "They wanted to do a lot of intelligence work on the issues in order to craft a credible story, to give a portrayal of the trafficking issue in a way that's palatable to American audiences."

And, perhaps surprisingly, the Department of Homeland Security also signed on to advise.

Jamie Zuieback, a spokeswoman for Immigration and Customs Enforcement who read the script and visited the set, said, "There is a certain amount of dramatic license - we like to call it feasible fiction." But, she continued, "in terms of looking at this type of case, it's a fairly accurate portrayal of the complexity of the types of cases we see."

Lifetime has planned two screenings of the mini-series this week, one in New York City at the United Nations, and the other in Washington, with panel discussions about trafficking featuring the immigration agency and State Department officials. It is also supporting two anti-trafficking bills before Congress, and will direct its viewers to sign petitions on its Web site after the broadcast of the mini-series. Congresswoman Maloney, a co-sponsor of one of the trafficking bills, said, "The more Lifetime can help with the public advocacy, the better chance this legislation has."

But are legislative tie-ins good entertainment? For Lifetime, the answer continues to be yes.

Part of the Justice for All Act was named for Debbie Smith, a woman from Virginia who was raped in 1989, and whose rape kit sat on a shelf for six years. During that time, Ms. Smith lived in fear of the man who had sexually assaulted her and had threatened to find her again. When the kit was finally tested accurately, she learned that he had been sentenced to life in prison for another crime, information that could have spared her years of anguish. In addition to Lifetime's petition efforts on the bill's behalf, the network produced several public service announcements featuring Ms. Smith. When the law passed, she appeared in a spot thanking viewers.

With such a triumphant ending, her story has inspired, naturally, a movie, now in development at Lifetime.





#66 From: HLGoer@...
Date: Mon Oct 17, 2005 12:57 am
Subject: Re: Digest Number 53
hlgoer
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Ironically, my local paper, the San Jose Mercury News, accompanied the AAP anti co-sleeping and pro pacifiers article with a sidebar that listed precautions on how to safely use pacifiers.
 
-- Henci  
 
In a message dated 10/15/2005 11:03:05 AM Pacific Daylight Time, MFCInews@yahoogroups.com writes:
FW: Academy of Breastfeeding Medicine & SIDS statement
           From: "Linda J. Smith" <lindaj@...>

#65 From: "Linda J. Smith" <lindaj@...>
Date: Sat Oct 15, 2005 12:51 pm
Subject: FW: Academy of Breastfeeding Medicine & SIDS statement
lindaj@...
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FYI

-----Original Message-----
From: Mkwales@... [mailto:Mkwales@...]
Sent:
Friday, October 14, 2005 6:27 PM
To: undisclosed-recipients:
Subject: Academy of Breastfeeding Medicine & SIDS statement

 

http://www.genengnews.com/news/bnitem.aspx?name=1079469XSL_NEWSML_TO_NEWSML_WEB.xml&css=printOnly.css  

Breastfeeding Is Associated with a Lower Risk of SIDS According to The Academy of Breastfeeding Medicine

10/14/2005 2:26:00 PM EST

Contrary to even the recommendations of its own Section on Breastfeeding, the American Academy of Pediatrics (AAP) released an ill-advised and ill-informed statement from its Task Force on SIDS (1) (sudden infant death syndrome). Recommendations that advise against parent-infant bed-sharing and support the generic use of pacifiers imply a "truly astounding triumph of ethnocentric assumptions over common sense and medical research," according to Nancy Wight, M.D., president of The Academy of Breastfeeding Medicine. These controversies, and many more, will be addressed in the upcoming, new peer-reviewed journal Breastfeeding Medicine (www.liebertpub.com/bfm), the Official Journal of the Academy of Breastfeeding Medicine (www.brmed.org).

Current research from the CDC (2), as well as AAP's existing policy statement on Breastfeeding and the Use of Human Milk (3), note that breastfeeding is associated with a lower risk of SIDS. Since 1992, SIDS has decreased as both co-sleeping and breastfeeding have increased. Sleeping near one's baby or in the same room has been shown to reduce the risks of SIDS and more broadly promote maternal and child health by facilitating breastfeeding. As exclusively breastfed infants feed frequently through the night, breastfeeding is thought to reduce SIDS by the same proposed mechanism as supine sleep and pacifiers, namely less deep sleep and frequent brief awakenings. Breastfed babies do not need artificial pacifiers to get stimulation since they already have the protective effect of suckling during the night.

Pacifiers have been associated with increased risk of ear infections, later dental problems, and reduced breastfeeding. As reduced breastfeeding increases infant mortality from infectious disease and several other causes, we agree with the AAP that a pacifier should not be introduced until breastfeeding is well established and never forced on an infant. Pacifiers would only be of possible benefit to infants lacking in the natural opportunity of night-time suckling (breastfeeding).

Extensive research on infant sleep has revealed that infants are frequently aroused to lighter stages of sleep by parental movement when co-sleeping. Dr. James J. McKenna of the University of Notre Dame was a consultant to the AAP on the new policy, but disagrees strongly with their conclusions.(4) Dr. McKenna points out that there are many forms of co-sleeping and that recommendations for SAFE co-sleeping need to be publicized. Co-sleeping is defined as sleeping in close proximity to one's infant, which can include but does not necessarily imply being in the same bed. Infants should never co-sleep with other siblings, with smoking or substance-abusing parents, on sofas or waterbeds, with soft bedding materials, or adjacent to spaces that could trap the infant. As with sleeping in a crib, infants should be placed on their backs, with only a thin blanket on a firm bedding surface.

The Academy of Breastfeeding Medicine (ABM) is a worldwide organization of physicians dedicated to the promotion, protection and support of breastfeeding and human lactation through education, research and advocacy. For evidence-based recommendations regarding co-sleeping and breastfeeding, see Protocol #6 on our website www.bfmed.org.

Mary Ann Liebert, Inc. is a privately held, fully integrated media company known for establishing authoritative peer-reviewed journals in many promising areas of science and biomedical research, including Journal of Breastfeeding Medicine, Journal of Women's Health, Obesity Management, and Disease Management. Its biotechnology trade magazine, Genetic Engineering News (GEN), was the first in its field and is today the industry's most widely read publication worldwide. A complete list of the firm's 60 journals, books, and newsletters is available at www.liebertpub.com.

1. AAP Task Force on Sudden Infant Death Syndrome. The Changing Concept of Sudden Infant Death Syndrome: Diagnostic Coding Shifts, Controversies Regarding Sleeping Environment, and New Variables to Consider in Reducing Risk. Pediatrics November 2005; 116(5):1245-1255

2. American Academy of Pediatrics, Section on Breastfeeding, Policy Statement: Breastfeeding and the Use of Human Milk. Pediatrics 2005; 115(2):496-506

3. Chen A, Rogan WJ. Breastfeeding and the Risk of Postneonatal Death in the United States. Pediatrics 2004; 113:e435-439 URL: http://www.pediatrics.org/cgi/content/full/113/5/e435

4. McKenna JJ, McDade T. Why babies should never sleep alone: A Review of the co-sleeping controversy in relation to SIDS, bedsharing and breast feeding. Pediatric Respiratory Reviews 2005; 6:134-152 (available on line at www.sciencedirect.com)

CONTACT:

Mary Ann Liebert, Inc., Larchmont Karla Shepard Rubinger, 914-740-2100 ext. 2153 krubinger@... or Academy of Breastfeeding Medicine Nancy E. Wight, MD (Neonatology), 619-222-0442 Fax: 619-222-0443 Pager: 858-493-0198 wightsd@... www.bfmed.org or University of Notre Dame Professor of Anthropology James J. McKenna, Ph.D. James.J.McKenna.25@...


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