icanofbuffalo : Messages : 429-458 of 524

wow! That is the best! In the slim chance I ever have more children I will use this and be sure to pass it on to any friends that also feel the same way. Thankyou!

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Tuesday, June 16, 2009 9:27 AM

Subject: [icanofbuffalo] FW: Physician's Consent Form

This came off the BirthNetwork National Leader list� anyone who�s having trouble getting their VBAC might consider printing this out!

-R

FWD>>>The following consent form was developed by a mother after repeatedly being denied VBAC care by the Obstetricians in her area. This woman's brilliance and tenacity astounds me. Would your OB think differently if he/she were on the receiving end of one of these consent forms? Very likely.

I, the undersigned physician, have, in violation of the Consumer Bill of Rights and Responsibilities, the Emergency Medical Treatment and Active Labor Act, the Patient Self Determination Act, the ethical guidelines of the American Medical Association and the American College of Obstetricians and Gynecologists, Constitutional Law (the right to privacy and self determination protected by the 1st and 14th amendments), international tort law, and case law (of particular interest "In re A.C.", 1987, "In re Fetus Brown, 689 N.E.2d 397, 400 (Ill. App. Ct. 1997)", and "In re Baby Boy Doe, 632 N.E.2d 326 (Ill. App. Ct. 1994)") and the Patient Rights as determined by this institution, deprived my client,________________, of her right to self determination and her right to bodily integrity by ignoring her repeated refusal for delivery by repeat cesarean section. I acknowledge that by refusing to honor my client's denial of consent, I have not only violated the above laws, but I also affirm that I have used unwarranted and unethical pressure including emotional threats to my client's and her unborn child's life and safety, in my attempts to obtain such consent. I further affirm that I have stressed the risks of vaginal birth after cesarean, but neglected to inform my patient of the risks of delivery by repeat cesarean section. I further affirm that I understand, that should I resort to physical force, including but not limited to physical or chemical restraints, to compel my client's cooperation, I will be guilty of criminal battery, which is defined as "any form of non-consensual touching or treatment that occurs in a medical setting".

In compensation for the above violations of my client's rights, I hereby guarantee the following:

* a healthy baby, born in perfect condition, with no physical, mental or developmental defects whatsoever, whether arising from surgery or any other cause
* no complications for the infant, including but not limited to: persistent pulmonary hypertension, transient tachypnea of the newborn, respiratory distress syndrome, iatrogenic prematurity, lacerations, or hematoma
* a speedy, uncomplicated post-operative recovery for my client. Specifically, I guarantee that my client shall not experience nerve damage, organ damage, hemorrhage (whether sufficient to require transfusion or not), disability or disfigurement, intraoperative or postoperative infection of the wound or surrounding skin and tissues, post partum depression and post partum post traumatic stress disorder (PTSD), and other conditions not listed here.

Signed,

.

Several of our Syracuse, NY birth advocates posted it on their Facebook. Evidently it's from some woman's blog:

gisellestotalwasteofbandwidth.blogspot.com

(I'm a real stickler for knowing where things originate from, particularly on the internet!)

--
Jody Brown
Suzuki Piano Instructor (315) 476-0447
Simple Abundance Certified Leader
Central New York BirthNetwork Co-Leader
www.whollyeducation.net

We have a secret in our culture, and it's not that birth is painful; it's that women are strong.
~ Laura Stavoe Harm

You must be the change you wish to see in the world.
~ Mahatma Gandhi

Peace is not merely a distant goal that we seek, but a means by which we arrive at that goal.
~ Martin Luther King, Jr.

#457

From: AzeMom@...
Date: Tue Jun 16, 2009 2:42 pm
Subject: Re: Looking for provider - Southtowns

azemom

Offline

I've heard of Omni. I met them at the baby fair in March. I didn't talk too much with them other than to find out they have CNM's on staff. I worked with one of them in my first pregnancy and liked her very much. Her name is Wendy Zitzka.

In a message dated 6/16/2009 11:29:22 A.M. Eastern Daylight Time, ICANofBuffalo@... writes:

Hey all,

I have a mom looking for a provider in the southtowns area. One suggestion I’ve heard is Omni (used to be Evergreen, I think?). Anyone know about them, or have any other suggestions? This is a first-time mom.

Thanks!

Rachel

An Excellent Credit Score is 750. See Yours in Just 2 Easy Steps!

Reply | Forward | Messages in this Topic (4)

#456

From: "Rachel" <ICANofBuffalo@...>
Date: Tue Jun 16, 2009 3:26 pm
Subject: Looking for provider - Southtowns

icanofbuffal...

Offline

Hey all,

I have a mom looking for a provider in the southtowns area. One suggestion I’ve heard is Omni (used to be Evergreen, I think?). Anyone know about them, or have any other suggestions? This is a first-time mom.

Thanks!

Rachel

Reply | Forward | Messages in this Topic (4)

#455

From: ICANofBuffalo@...
Date: Tue Jun 16, 2009 1:53 pm
Subject: Medscape: Neonatal Outcomes May Be Better With Vaginal

icanofbuffal...

Offline

A link to the following article was sent to you by: Rachel Zeller

More evidence supporting the safety of VBAC.

Neonatal Outcomes May Be Better With Vaginal Birth After Cesarean Delivery
Medscape Medical News, 2009-06-03

This message was sent to: icanofbuffalo@yahoogroups.com

Medscape
attn: Member Support
111 Eighth Avenue
New York, NY 10011

#454

From: "Rachel" <ICANofBuffalo@...>
Date: Tue Jun 16, 2009 1:27 pm
Subject: FW: Physician's Consent Form

icanofbuffal...

Offline

This came off the BirthNetwork National Leader list… anyone who’s having trouble getting their VBAC might consider printing this out!

-R

FWD>>>The following consent form was developed by a mother after repeatedly being denied VBAC care by the Obstetricians in her area. This woman's brilliance and tenacity astounds me. Would your OB think differently if he/she were on the receiving end of one of these consent forms? Very likely.

I, the undersigned physician, have, in violation of the Consumer Bill of Rights and Responsibilities, the Emergency Medical Treatment and Active Labor Act, the Patient Self Determination Act, the ethical guidelines of the American Medical Association and the American College of Obstetricians and Gynecologists, Constitutional Law (the right to privacy and self determination protected by the 1st and 14th amendments), international tort law, and case law (of particular interest "In re A.C.", 1987, "In re Fetus Brown, 689 N.E.2d 397, 400 (Ill. App. Ct. 1997)", and "In re Baby Boy Doe, 632 N.E.2d 326 (Ill. App. Ct. 1994)") and the Patient Rights as determined by this institution, deprived my client,________________, of her right to self determination and her right to bodily integrity by ignoring her repeated refusal for delivery by repeat cesarean section. I acknowledge that by refusing to honor my client's denial of consent, I have not only violated the above laws, but I also affirm that I have used unwarranted and unethical pressure including emotional threats to my client's and her unborn child's life and safety, in my attempts to obtain such consent. I further affirm that I have stressed the risks of vaginal birth after cesarean, but neglected to inform my patient of the risks of delivery by repeat cesarean section. I further affirm that I understand, that should I resort to physical force, including but not limited to physical or chemical restraints, to compel my client's cooperation, I will be guilty of criminal battery, which is defined as "any form of non-consensual touching or treatment that occurs in a medical setting".

In compensation for the above violations of my client's rights, I hereby guarantee the following:

* a healthy baby, born in perfect condition, with no physical, mental or developmental defects whatsoever, whether arising from surgery or any other cause
* no complications for the infant, including but not limited to: persistent pulmonary hypertension, transient tachypnea of the newborn, respiratory distress syndrome, iatrogenic prematurity, lacerations, or hematoma
* a speedy, uncomplicated post-operative recovery for my client. Specifically, I guarantee that my client shall not experience nerve damage, organ damage, hemorrhage (whether sufficient to require transfusion or not), disability or disfigurement, intraoperative or postoperative infection of the wound or surrounding skin and tissues, post partum depression and post partum post traumatic stress disorder (PTSD), and other conditions not listed here.

Signed,

Several of our Syracuse, NY birth advocates posted it on their Facebook. Evidently it's from some woman's blog:

gisellestotalwasteofbandwidth.blogspot.com

(I'm a real stickler for knowing where things originate from, particularly on the internet!)

--
Jody Brown
Suzuki Piano Instructor (315) 476-0447
Simple Abundance Certified Leader
Central New York BirthNetwork Co-Leader
www.whollyeducation.net

We have a secret in our culture, and it's not that birth is painful; it's that women are strong.
~ Laura Stavoe Harm

You must be the change you wish to see in the world.
~ Mahatma Gandhi

Peace is not merely a distant goal that we seek, but a means by which we arrive at that goal.
~ Martin Luther King, Jr.

#453

From: Simbapurr@...
Date: Tue Jun 16, 2009 7:54 am
Subject: Re:ICAN Birth Class: Cesarean Prevention

simbapurrr

Offline

Thank you, I e-mailed all of that to my sister. :)

My grace is sufficient for you, for my power is made perfect in weakness 2Co12:9
Debra
Loving Wife of Kelly
Loving Mom of God's Miracles
Princess Haley - 9
And 3 who live in heaven
Little Miss Fiona Quinn
(5/24/07-5/24/07)
Baby April (9/15/06)
The Mighty Quinn Jacob
(8/26/04-11/28/05)

An Excellent Credit Score is 750. See Yours in Just 2 Easy Steps!

#452

From: "Rachel" <rzeller143@...>
Date: Mon Jun 15, 2009 8:46 pm
Subject: ICAN Birth Class: Cesarean Prevention

icanofbuffal...

Offline

https://www2.gotomeeting.com/register/999201490

ICAN Birth Class: Cesarean Prevention

Webinar Registration

Planning YOUR birth?

Are you keeping your fingers crossed and hoping for the best? Well, take charge and find out ways you can increase your chances of having an easier and safer birth. First-timers and experienced mothers both can benefit from this class.

This 2-hour online session will help you learn:

    * Different kinds of care providers you can use, and the pros and cons of each
    * How to empower yourself to make educated choices during your pregnancy and during labor
    * What factors contribute to your chances of having an unnecessary or preventable cesarean
    * What is the "downward spiral of intervention"
    * Why avoiding an unnecessary cesarean is safest for you and your baby
    * When cesareans are truly necessary

Register now for only $20.00.

NOTE TO REGISTRANTS: Upon registration, you will be redirected to the ICAN store.  Please "add to cart" and check out using your VISA, MasterCard, or PayPal account.

#451

From: "Rachel" <ICANofBuffalo@...>
Date: Sun Jun 14, 2009 7:27 pm
Subject: RE: Meeting Reminder!

icanofbuffal...

Offline

I have your phone number: 941-3315 – correct?

I think it is going to be you, me, Renee, and possibly my friend Mindy if I can get in touch with her in time to give her instructions J

-R

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of Alli Pelletreau
Sent: Sunday, June 14, 2009 11:03 AM
To: icanofbuffalo@yahoogroups.com
Subject: Re: [icanofbuffalo] Meeting Reminder!

I'll be there (here)! ;)

Rachel, you have my phone number? Call me if you need anything!

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Sunday, June 14, 2009 10:25 AM

Subject: [icanofbuffalo] Meeting Reminder!

Our June meeting will be tomorrow at Ally's house in Holland at 10 a.m. This is a kid-friendly space! Please RSVP today (if you haven't already), and let me know if you need directions! We do have a few people coming, so it should be a good meeting J

See you there!
-Rachel

#450

From: "Rachel" <rzeller143@...>
Date: Sun Jun 14, 2009 3:04 pm
Subject: Mothers' death rates under scrutiny

icanofbuffal...

Offline

http://www.poughkeepsiejournal.com/article/20090614/NEWS/906140351/1006

Mothers' death rates under scrutiny

Analysis of mortality report shows possible links to surgery

#449

From: "Alli Pelletreau" <flstfi@...>
Date: Sun Jun 14, 2009 3:03 pm
Subject: Re: Meeting Reminder!

aylwyn_pelle...

Offline

I'll be there (here)! ;)

Rachel, you have my phone number? Call me if you need anything!

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Sunday, June 14, 2009 10:25 AM

Subject: [icanofbuffalo] Meeting Reminder!

Our June meeting will be tomorrow at Ally's house in Holland at 10 a.m. This is a kid-friendly space! Please RSVP today (if you haven't already), and let me know if you need directions! We do have a few people coming, so it should be a good meeting J

See you there!
-Rachel

#448

From: "Rachel" <ICANofBuffalo@...>
Date: Sun Jun 14, 2009 2:28 pm
Subject: FW: AMA Resolution Would Seek to Label "Ungrateful" Patients

icanofbuffal...

Offline

(1) Resolution 710 “Identifying Abusive, Hostile or Non-Compliant Patients”

I don’t think this went through the first time, so here it is again.

From: Rachel [mailto:rzeller143@...]
Sent: Saturday, June 13, 2009 8:42 PM
To: buffalobirth@yahoogroups.com; icanofbuffalo@yahoogroups.com
Subject: AMA Resolution Would Seek to Label "Ungrateful" Patients

Contact the Medical Society of the State of NY to voice your opinions about Resolution #710 – see attached document or follow link below to read the actual resolution. It is quite an outrage.

http://ican-online.org/

AMA Resolution Would Seek to Label “Ungrateful” Patients

Redondo Beach, CA, June 11, 2009 - At the American Medical Association’s (AMA) Annual Meeting next week, delegates will vote on a resolution which proposes to develop CPT (billing) codes to identify and label “non-compliant” patients (1)

The resolution complains:

“The stress of dealing with ungrateful patients is adding to the stress of    physicians leading to decreased physician satisfaction.”

“This resolution is alarming in its arrogance and its failure to recognize, or even pay lip service to, patient autonomy,” said Desirre Andrews, the newly elected president of the International Cesarean Awareness Network (ICAN).

If approved, the resolution could hold implications for women receiving maternity care. For pregnant women seeking quality care and good outcomes, “non-compliance” is often their only alternative to accepting sub-standard care. Physicians routinely order interventions like induction, episiotomy, or cesarean section unnecessarily.

Liz Dutzy, a mother from Olathe, Kansas, delivered her first two babies by cesarean and was told by her obstetrician that she needed another surgical delivery. “My doctor told me that I needed to have a cesarean delivery at 39 weeks, or my uterus would rupture and my baby would die.” She sought out another care provider and had a healthy and safe intervention-free {home} birth at 41 weeks and 3 days gestation.

A recent report by Childbirth Connection and The Milbank Memorial Fund, called “Evidence-Based Maternity Care: What It Is and What It Can Achieve ,” (2) shows that the state of maternity care in the U.S. is worrisome, driven largely by a failure of care providers to heed evidence-based care practices. For most women in the U.S., care practices that have been proven to make childbirth easier and safer are underused, and interventions that may increase risks to mothers and babies are routinely overused. The authors of the report point to the “perinatal paradox” of doing more, but accomplishing less.

The resolution proposed by the Michigan delegation of the AMA could threaten patient care and patient autonomy for several reasons:

• Billing codes that would categorize any disagreement and exercise of autonomy on the part of the patient as “non-compliance” “abuse” or “hostility” could create a pathway for insurance companies to deny coverage to patients
• Use of these labels fails to recognize patients as competent partners with physicians in their own care
• Tagging patients as “non-compliant” fails to recognize that there is not a “one size fits all” approach to care, that different opinions among physicians abound, and that patients are entitled to these very same differences of opinion
• Labeling patients as “non-compliant” may, in fact, be punitive, jeopardizing a patient’s ability to seek out other care providers

The resolution also fails to address how it would implicate patients navigating controversial issues in medical care, like vaginal birth after cesarean (VBAC). While a substantive body of medical research demonstrates that VBAC is reasonably safe, if not safer, than repeat cesareans, most physicians and hospitals refuse to support VBAC. (3)   The language in the resolution suggests that patients who assert their right to opt for VBAC could be tagged as non-compliant, even though their choice would be consistent with the medical research.

“The reality is that the balance of power in the physician-patient relationship is decidedly tipped towards physicians. The least patients should have is the right to disagree with their doctors and not be labeled a ‘naughty’ patient,” said Andrews.

About Cesareans: 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 from cesareans 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 percentage 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. ICAN has 110 chapters in North America and Europe, which hold educational and support meetings for people interested in cesarean prevention and recovery.

(2) Evidence-Based Maternity Care: What It Is and What It Can Achieve

(3) http://www.ican-online.org/ican-in-the-news/trouble-repeat-cesareans

1 of 1 File(s)

refcomg.pdf

#447

From: "Rachel" <ICANofBuffalo@...>
Date: Sun Jun 14, 2009 2:25 pm
Subject: Meeting Reminder!

icanofbuffal...

Offline

Our June meeting will be tomorrow at Ally's house in Holland at 10 a.m. This is a kid-friendly space! Please RSVP today (if you haven't already), and let me know if you need directions! We do have a few people coming, so it should be a good meeting J

See you there!
-Rachel

#446

From: "Rachel" <ICANofBuffalo@...>
Date: Fri Jun 12, 2009 10:09 pm
Subject: RE: The Business of Being Born

icanofbuffal...

Offline

If I get it, will do!
-R

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of Alli Pelletreau
Sent: Friday, June 12, 2009 5:20 PM
To: icanofbuffalo@yahoogroups.com
Subject: Re: [icanofbuffalo] The Business of Being Born

Rachel, if you get it back - can you bring it on Monday?

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Thursday, June 11, 2009 10:00 PM

Subject: RE: [icanofbuffalo] The Business of Being Born

ICAN of Buffalo has a copy of it… it is out on loan but I’ll bet I can get it back… Oh Jen….????? :D

-Rachel

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of aylwyn_pelletreau
Sent: Thursday, June 11, 2009 8:11 PM
To: icanofbuffalo@yahoogroups.com
Subject: [icanofbuffalo] The Business of Being Born

Does anyone have a copy of this movie that I could borrow??

:D

Thanks!

#445

From: "Rachel" <ICANofBuffalo@...>
Date: Fri Jun 12, 2009 10:10 pm
Subject: RE: The Business of Being Born

icanofbuffal...

Offline

Also, there may be a small-scale showing in Fredonia between now and the end of the month – details to follow!

-R

Rachel, if you get it back - can you bring it on Monday?

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Thursday, June 11, 2009 10:00 PM

Subject: RE: [icanofbuffalo] The Business of Being Born

ICAN of Buffalo has a copy of it… it is out on loan but I’ll bet I can get it back… Oh Jen….????? :D

-Rachel

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of aylwyn_pelletreau
Sent: Thursday, June 11, 2009 8:11 PM
To: icanofbuffalo@yahoogroups.com
Subject: [icanofbuffalo] The Business of Being Born

Does anyone have a copy of this movie that I could borrow??

:D

Thanks!

#444

From: "Alli Pelletreau" <flstfi@...>
Date: Fri Jun 12, 2009 9:20 pm
Subject: Re: The Business of Being Born

aylwyn_pelle...

Offline

Rachel, if you get it back - can you bring it on Monday?

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Thursday, June 11, 2009 10:00 PM

Subject: RE: [icanofbuffalo] The Business of Being Born

ICAN of Buffalo has a copy of it� it is out on loan but I�ll bet I can get it back� Oh Jen�.????? :D

-Rachel

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of aylwyn_pelletreau
Sent: Thursday, June 11, 2009 8:11 PM
To: icanofbuffalo@yahoogroups.com
Subject: [icanofbuffalo] The Business of Being Born

Does anyone have a copy of this movie that I could borrow??

:D

Thanks!

#443

From: "Rachel" <ICANofBuffalo@...>
Date: Fri Jun 12, 2009 2:00 am
Subject: RE: The Business of Being Born

icanofbuffal...

Offline

ICAN of Buffalo has a copy of it… it is out on loan but I’ll bet I can get it back… Oh Jen….????? :D

-Rachel

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of aylwyn_pelletreau
Sent: Thursday, June 11, 2009 8:11 PM
To: icanofbuffalo@yahoogroups.com
Subject: [icanofbuffalo] The Business of Being Born

Does anyone have a copy of this movie that I could borrow??

:D

Thanks!

#442

From: "aylwyn_pelletreau" <flstfi@...>
Date: Fri Jun 12, 2009 12:10 am
Subject: The Business of Being Born

aylwyn_pelle...

Offline

Does anyone have a copy of this movie that I could borrow??

:D

Thanks!

#441

From: "Alli Pelletreau" <flstfi@...>
Date: Wed Jun 10, 2009 8:07 pm
Subject: Re: Pampered Chef Party!

aylwyn_pelle...

Offline

Sounds like fun! I love pampered chef....but I might be busy around that date ;)

I'll check it out online!

Alli

----- Original Message -----

From: Rachel

To: icanofbuffalo@yahoogroups.com

Sent: Wednesday, June 10, 2009 4:01 PM

Subject: [icanofbuffalo] Pampered Chef Party!

If you love to cook, you'll love Pampered Chef products! Please join us to learn new cooking tricks and recipes, plus check out some new kitchen goodies as well as summertime and grill items! Learn recipes that are ready in less than 30 minutes and cost around $2 per serving!

Plus, as an added bonus, you will be helping support ICAN of Buffalo, a local organization that support group whose mission is to improve maternal and child health by preventing unnecessary cesareans through education, provide support for cesarean recovery, and promote vaginal birth after cesarean (VBAC).

If you are unable to attend, vist www.pamperedchef.com, and search for Rosesann Cook in Buffalo, NY under "Find a Consultant" - hope you can make it, and bring a friend or two too!

Tuesday, July 21 � 6:30 PM

At my house, 143 Shepard Ave., Kenmore

If you cannot make it, feel free to view the catalog at www.pamperedchef.com, and place orders through Roseann Cook, Buffalo NY under the �find a consultant� tab.

Hope you can make it!

-Rachel

#440

From: "Rachel" <ICANofBuffalo@...>
Date: Wed Jun 10, 2009 8:01 pm
Subject: FW: International Cesarean Awareness Network: New Board members announcement

icanofbuffal...

Offline

-----Original Message-----
From: International Cesarean Awareness Network
[mailto:webmaster@...]
Sent: Tuesday, June 09, 2009 6:46 PM
To: icanofbuffalo@...
Subject: International Cesarean Awareness Network: New Board members
announcement

We have three new Board members to share with you.  We are excited to be
expanding the Board by adding a brand new Conference Chair position while
filling the International Director and Development Director positions to our
Board to serve those volunteering within ICAN and to further our education,
support and outreach into our communities.

We would first like to thank Dawn Kubik as the outgoing Development Director for
her dedication and service during her term.  She has been a great asset to ICAN
International and to her local area.  She will be missed by all of us.

Please join the Board in welcoming Melody Thompson as our incoming Development
Director.   Melody has been active in the Orlando chapter as co-leader.  She is
passionate about women’s rights and access to safe care.  She has served on
leadership while at University as well as a small business owner.  She has
participated in successful local fundraising and is excited to have those same
successes nationally.  To reach Melody, email at development@....

Please join the Board in welcoming Lily Beck as our new International Director. 
Lily has been active in her St. Louis chapter since 2006. Lily works in research
for Washington University in St. Louis while spending most of her time at home
with her three beautiful children, born by cesarean for "CPD," VBAC, and home
VBAC.  She is a native Spanish speaker and is diving right in for a Spanish
website and forum section.  She has lived in a variety of countries and deeply
understands the outreach and in-reach that is needed.  She is dedicated to
making a difference in the lives of women and babies. Holding on to this idea
has made the pain from her cesarean a little easier to bear.  She received great
support from ICAN as a mother and sees this as an opportunity to give back and
support others. She is raring to go with many good ideas and plans.  Be on the
lookout for emails from her. Lily can be reached at
international@....

Please join the Board in welcoming Maureen Finneran Hetrick as our inaugural
Conference Director. Maureen has been active in the Atlanta chapter as
co-leader. She also served as Volunteer Chair on the 2009 ICAN conference
committee.  As a health educator, she feels that reaching out to young women and
demystifying the birth process is crucial to improving birth outcomes for all
women.  Maureen is excited for the opportunity to educate women and reach out to
the community.  She will accomplish this through our biannual conference,
pursuing and supporting opportunities for ICAN leaders to speak and/or represent
ICAN at conferences put on by other organizations.  You can contact Maureen at
conference@...

There are still leadership opportunities available.  Go to
http://www.ican-online.org/volunteer/listings to find your next opportunity.

Regards,
The International Cesarean Awareness Network Team.

http://ican-online.org/forum/index.php

#439

From: "Rachel" <rzeller143@...>
Date: Wed Jun 10, 2009 8:01 pm
Subject: Pampered Chef Party!

icanofbuffal...

Offline

If you love to cook, you'll love Pampered Chef products! Please join us to learn new cooking tricks and recipes, plus check out some new kitchen goodies as well as summertime and grill items! Learn recipes that are ready in less than 30 minutes and cost around $2 per serving!

Plus, as an added bonus, you will be helping support ICAN of Buffalo, a local organization that support group whose mission is to improve maternal and child health by preventing unnecessary cesareans through education, provide support for cesarean recovery, and promote vaginal birth after cesarean (VBAC).

If you are unable to attend, vist www.pamperedchef.com, and search for Rosesann Cook in Buffalo, NY under "Find a Consultant" - hope you can make it, and bring a friend or two too!

Tuesday, July 21 – 6:30 PM

At my house, 143 Shepard Ave., Kenmore

If you cannot make it, feel free to view the catalog at www.pamperedchef.com, and place orders through Roseann Cook, Buffalo NY under the “find a consultant” tab.

Hope you can make it!

-Rachel

#438

From: "Rachel" <rzeller143@...>
Date: Mon Jun 8, 2009 8:36 pm
Subject: MEETING REMINDER!

icanofbuffal...

Offline

Our next meeting is going to be on Monday, June 15th, 10 a.m.

Alli has been gracious enough to invite her to her home in Holland (that's
Holland, NY - travelling abroad will not be necessary). If you can make it,
please email me privately offlist, and I will send you directions!

Moms may bring their children, and also we're trying a different day/timeslot
for this meeting in the hopes of accomodating a variety of schedules.

If you would like to host next month's meeting (you may pick a day and time that
is convenient for you, and you may host it either in your home, or wherever you
have access to!) please let me know!

Hope to see you there!

Rachel

#437

From: "Rachel" <ICANofBuffalo@...>
Date: Sat Jun 6, 2009 2:24 pm
Subject: RE: UPDATE (was Re: Cytotec)

icanofbuffal...

Offline

Well, I don’t have any hard numbers, but there are a few differences.

Cervadil, which is a prostaglandin, works to soften the cervix so that it can dilate more readily. Usually when they use it, it is with the intention of adding another augmentation agent such as pitocin or cytotec. Sometimes, if a woman’s body just so happens to be ready, she might begin labor with it; but usually it is a just a tool to make other things work better. The primary similarity between cervadil and cytotec is that they are both inserted behind the cervix, but they are different medicines. Cervadil is a gel (sometimes called p-gel) that goes in like a tampon, and cytotec is a pill.

Both pitocin and cytotec work by causing contractions. These are contractions that your body is not producing on its own and are often more forceful than your body would produce. Also, when they are being used for inductions (as opposed to augmentation), the uterine muscle may not be ready (or warmed up, if you think of it in terms of a physical activity) and this can cause injury. The benefit of pitocin in this case is that it can be turned down or turned off if distress is indicated, whereas once cytotec is in, it’s in. However, many docs feel that cytotec is faster and a more efficient medicine.

About cost… the cost of cytotec is around .02 per pill, as compared to, um… much more than pit. I can’t remember the exact numbers for pitocin but even in administering it, the costs are considerably higher since one has to start an IV and monitor how it’s working and so forth. Cytotec is far less labor intensive in this way. I want to say that pitocin is generally a couple hundred dollars, but I could be wrong – at any rate there is a tremendous difference in cost. Therefore, insurance providers encourage docs to use the path of least dollars since it’s less out of their pockets, ultimately (it’s the same reason many insurance companies will only cover “generic” prescriptions even if the name brand is better.) Of course, the hospitals want to make sure that all their billables are paid for. So, there is “bottom line” incentive to use cytotec in that regard.

A big problem with using cytotec (or pit, or p-gel) is that the doctor is rarely on-site during the entire usage to monitor the situation, and counts on the nursing staff to convey how a woman is doing. One of the arguments that Dr. Wagner has in Born in the USA is that the nurses aren’t always able to effectively communicate what’s going on with the docs. Some of this is because the docs have patient overload and some of this is simply because second-hand information is not as good as first-hand. So in the case of cytotec, we have a drug that is contraindicated for pregnancy that is untested in pregnancy, that is known to cause catastrophic rupture (although fairly unusual, when it happens, it is far worse than a VBAC-related rupture because it is not tearing neatly along the scar line but more like blowing up the uterus) and that there is no industry standard for its use and ultimately, its use is experimental despite women not being aware of that fact, and its popularity is anecdotal and not evidence-based. Now, of course we know that there are many drugs out there that the FDA has not approved that are probably quite effective in other places where they are approved, so is this all much ado about nothing?

-R

From: icanofbuffalo@yahoogroups.com [mailto:icanofbuffalo@yahoogroups.com] On Behalf Of Lindsay Krieb
Sent: Thursday, June 04, 2009 11:26 PM
To: icanofbuffalo@yahoogroups.com
Subject: Re: [icanofbuffalo] UPDATE (was Re: Cytotec)

I don't know what the stats are on the risks of cyotec for non-vbac moms but I don't understand why a practitioner would take any unnecessary risks when there are other safer options available. Is cost the only benefit? Doesn't cervadil work the same way with a lower risk of hyperstimulation? I understand that there are risks involved with almost anything, it just seem like this is one that could be easily avoided.

Whenever I hear the topic of cyotec comes up I always hear about it being "cheap" I guess I just assume that most pregnant women have medical coverage. I mean if they don't have group insurance don't they pretty much automatically get medicaid when you are pregnant? Sorry I am probably completely ignorant on this topic! But who is footing the cost? If it we're me and I had to pay out of pocket for cyotec vs cervadil it would be a no brainer and I would take the safer option and pay the money. Has anyone been sued yet for using cyotec with fatal results?

I am also interested to know how the risk of catastrophic cyotec ruptures compares to catostrophic vbac ruptures.

Lindsay

#436

From: Laura Wahler <laurawahler@...>
Date: Sat Jun 6, 2009 2:47 am
Subject: Re: Dr. Wopperer, anyone?

laurawahler

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Hi, he has been my doc for several years, including both of my babies. He's very kind and soft-spoken, also very old-school. He was supportive of my desire for a vbac, but I never really was convinced that he believed I could do it. I debated whether or not to change doctors but I ended up staying with him bc from my previous labor, I knew that the nurses are the ones who would support me more so than the doctor during his quick in-and-out visits. (no pun intended!) After a long labor with no progress I ended up having a repeat C, but I felt like I was in control the whole time. even though ultimately I would have preferred a vbac,�I was satisfied with the whole experience, and I have never regretted staying with him as a patient.

L

--- On Thu, 6/4/09, Rachel <ICANofBuffalo@...> wrote:

From: Rachel <ICANofBuffalo@...>
Subject: [icanofbuffalo] Dr. Wopperer, anyone?
To: icanofbuffalo@yahoogroups.com
Date: Thursday, June 4, 2009, 2:57 PM

Anyone have any experience with this doctor and want to share? I have a mom who is considering hiring him.

�

-R

#435

From: "Alli Pelletreau" <flstfi@...>
Date: Fri Jun 5, 2009 12:59 pm
Subject: Re: UPDATE (was Re: Cytotec)

aylwyn_pelle...

Offline

My first reaction to this, without referencing my 'bible' (read: Dr Marsden Wagner's "Born in the USA") is:

Is this really informed consent?

Are the women being told about the FDA contraindications and their reason behind it?

The woman I heard about it from said something like "I know Cytotec is risky for women in early pregnancy, but the midwives felt comfortable using it and I trust them."

I'm all for having a trusting relationship with your provider - but the first part of that statement doesn't indicate informed consent to me.

More later, I'm off to consult my bible now....

Alli

----- Original Message -----

From: Lindsay Krieb

To: icanofbuffalo@yahoogroups.com

Sent: Thursday, June 04, 2009 11:25 PM

Subject: Re: [icanofbuffalo] UPDATE (was Re: Cytotec)

I don't know what the stats are on the risks of cyotec for non-vbac moms but I don't understand why a practitioner would take any unnecessary risks when there are other safer options available. Is cost the only benefit? Doesn't cervadil work the same way with a lower risk of hyperstimulation? I understand that there are risks involved with almost anything, it just seem like this is one that could be easily avoided.

Whenever I hear the topic of cyotec comes up I always hear about it being "cheap" I guess I just assume that most pregnant women have medical coverage. I mean if they don't have group insurance don't they pretty much automatically get medicaid when you are pregnant? Sorry I am probably completely ignorant on this topic! But who is footing the cost? If it we're me and I had to pay out of pocket for cyotec vs cervadil it would be a no brainer and I would take the safer option and pay the money. Has anyone been sued yet for using cyotec with fatal results?

I am also interested to know how the risk of catastrophic cyotec ruptures compares to catostrophic vbac ruptures.

Lindsay

#434

From: Lindsay Krieb <lindsay.krieb@...>
Date: Fri Jun 5, 2009 3:25 am
Subject: Re: UPDATE (was Re: Cytotec)

noahsmom728

Offline

I don't know what the stats are on the risks of cyotec for non-vbac moms but I don't understand why a practitioner would take any unnecessary risks when there are other safer options available.� Is cost the only benefit? Doesn't cervadil work the same way with a lower risk�of hyperstimulation?� I understand that there are risks involved with almost anything, it just seem like this is one that could be easily avoided.

�

Whenever I hear the topic of cyotec comes up I always hear about it being "cheap" I guess I just assume that most pregnant women have medical coverage.� I mean if they don't have group insurance don't they pretty much automatically get medicaid when you are pregnant?��Sorry I am probably completely ignorant on this topic!� But who is footing the cost?� If it we're me and I had to pay out of pocket for cyotec�vs cervadil it would be a no brainer and I would take the safer option and pay the money.� Has anyone been sued yet for using cyotec with fatal results?�

�

I am also interested to know how the risk of catastrophic cyotec ruptures compares to catostrophic vbac ruptures.�

�

Lindsay

#433

From: Lindsay Krieb <lindsay.krieb@...>
Date: Fri Jun 5, 2009 3:07 am
Subject: Re: Dr. Wopperer, anyone?

noahsmom728

Offline

A friend of mine goes to him, she likes him but I should say that she has very "normal" pregnancy's and has not had a c/s.� I don't know where he is on any of that.� Sorry that is not much of a help!

�

While we are on the topic, my regular practitioner is Lynn Stock At Hamburg OBGYN.� She left this month and moved to Atlanta.� I was lucky to have an appointment with her and we had a long talk about whether I should stay or find someone new if I decide to havea third baby.� Lynn was great during my pregnancy and she really stood behind�me and was very reassuring about the risks vs benefits of c/s.��I will miss her!� We�she was very open�with me about the Dr's at Hamburg OBGYN and who's really vbac friendly and who isn't.� She said Koritz and Gugino and strong believers and will stand behind a vbac mom, Zuccala will do VBAC's but he's not a big�advocate for them she would say he's middle of the road but if a mom really wants he'll help her get it.� Lauria is the only one in the practice�who is against them and will battle you in the delivery room to have a c/s.� Dr Gugino delivered my vbac and he was fine, honestly it went so fast he was only in my room for about 15-20 minutes I think since I was about ready to push by the time we got there.� My only problem w/ hamburg was I felt a little over managed in the 3rd trimester, I had pre-E along with pre-term labor with my first and with my second they insisted on ALOT of week to week monitoring b/c of PIH even though the baby was consistently healthy and on track during weekly nst/bpps.� So thats my two cents on that practice if anyone is ever looking for opinions.

�

Lindsay

#432

From: "Rachel" <rzeller143@...>
Date: Fri Jun 5, 2009 3:05 am
Subject: UPDATE (was Re: Cytotec)

icanofbuffal...

Offline

One of our ICAN moms who has chosen to use Ceil and Patty at Batavia asked about
this at her visit yesterday and called me to share the response. She asked me to
pass it along.

Patty did confirm that both she and Ceil use cytotec.  They *never* use it on
VBAC moms, but will use it for inductions on other moms when they deem it
appropriate to do so.

What do others think of this? Is it ok to use a drug that is specifically
considered contraindicated by the FDA for pregnant women because it can cause
catastrophic rupture if it is cheap, easy to use and works well most of the
time? Under what circumstances would it be acceptable?

Rachel


> -----Original Message-----
> From: aylwyn_pelletreau <flstfi@...>
> To: icanofbuffalo@yahoogroups.com
> Sent: Sun, 19 Apr 2009 9:34 am
> Subject: [icanofbuffalo] Cytotec>
>
> I know others here have used the midwives in Batavia and loved them, so I
wanted to find out what you think about this.
>
>
>
> I just found out on another board I belong to that they used Cytotec for a
women having her third baby just last week (not a VBAC) and this disturbs me a
great deal. I had considered the midwives at Batavia as a good option for me,
but now I don't think I could go there knowing that they use Cytotec (even if
they wouldn't use it for me). They gave her 1/4 pill inserted vaginally, twice.
This is really bothersome to me. I didn't think there was anyone in the area who
still used Cytotec, and I'm floored that it's midwives!!!
>
>
>
> :(
>

#431

From: icanofbuffalo@yahoogroups.com
Date: Fri Jun 5, 2009 2:57 am
Subject: New file uploaded to icanofbuffalo

icanofbuffalo@yahoogroups.com

Hello,

This email message is a notification to let you know that
a file has been uploaded to the Files area of the icanofbuffalo
group.

   File        : /Resources/Cesarean Birth Plan for next time.doc
   Uploaded by : icanofbuffalo_cl <rzeller143@...>
   Description : Cesarean Birth Plan

You can access this file at the URL:
http://groups.yahoo.com/group/icanofbuffalo/files/Resources/Cesarean%20Birth%20P\
lan%20for%20next%20time.doc

To learn more about file sharing for your group, please visit:
http://help.yahoo.com/l/us/yahoo/groups/original/members/web/index.htmlfiles

Regards,

icanofbuffalo_cl <rzeller143@...>

#430

From: "Rachel" <rzeller143@...>
Date: Thu Jun 4, 2009 6:59 pm
Subject: Cesarean Birth Plan

icanofbuffal...

Offline