Cesarean Awareness Month: Why is it so hard to get a vaginal birth?

April is Cesarean Awareness Month. You may wonder why an entire month needs to be devoted for raising awareness about c-sections. Here’s why. The c-section rate in the United States is on the rise at an alarming rate. It’s estimated that in 2008 over 1.3 million babies in the US were born by c-section, accounting for 32.3% of all births. It also marks the 12th consecutive year the Cesarean birth rate has risen, despite a number of medical organizations — including The World Health Organization (WHO) and American Congress of Obstetricians and Gynecologists (ACOG) — urging medical care providers to work on lowering the Cesarean birth rates and increase access to Vaginal Birth after Cesarean (VBAC).

Cesarean Awareness Month - April

My Gentle Birthing Blog discusses that while VBAC is often suggested as an option to a woman who has had a c-section, in reality, VBACs are hard to come by due to the fact that many hospitals no longer allow them.

According to the National Center for Health Statistics, the C-section rate in the United States has risen 53% since 1996. Cesarean birth is being overused, and VBAC (Vaginal Birth After Cesarean) is being grossly underused, at about 8%, because many hospitals are outlawing VBACs. Because of bans on VBACs, women have been denied access in over 40% of hospitals in the United States. The National Institutes of Health has found that VBACs are reasonably safe for women who had a previous cesarean birth and are low risk for uterine rupture.

Andrea Owen says, “Fighting for my own VBAC has changed my life. I don’t use that term very often, only when I truly mean it. It opened my eyes up to the world of American obstetrics, and how far we’ve come away from birth as a natural process. In my opinion, we’ve shoved a big, fat middle finger in Mother Nature’s face.”

And in the sometimes the truth is stranger than fiction category, the Keyboard Revolutionary wants to know how it is that “a woman can waltz in off the street, say she’s pregnant and wants a Cesarean, and everyone leaps to her command….yet a woman who IS pregnant has to jump through hoops and fight tooth and nail just to give birth vaginally?” Yep, in 2008 in Fayetteville, NC, a woman who was NOT even pregnant was given a c-section.

So how can a woman avoid a c-section in the first place? Knowledge is power. Here is a list of Five Essential Questions to ask your care provider. My Gentle Birthing Blog also has a list of the risks with cesarean birth as well as a list that might help you avoid having your first c-section.

On Live Your Ideal Life guest blogger Pamela Candelaria who writes over at Natural Birth for Normal Women discusses the risks of a c-section as described on a typical consent form and says, “what isn’t on the form may be surprising.”

Heather of A Mama’s Blog provides a lot of information about The Reality of C-sections.

And Breastfeeding Moms Unite posted What to Expect of Your Body after a C-section.

Bellies and Babies has a great round up of posts in honor of Cesarean Awareness Month.

There is one victory worth celebrating regarding Cesarean birth and women’s health in general. Thanks to the Health Care Reform, c-sections, giving birth and domestic violence can no longer be considered pre-existing conditions and used to deny insurance coverage. It’s a step in the right direction, but so much more needs to be done to lower the c-section rates and allow women access to VBACs, so that they don’t have to travel 350 miles just to have a vaginal birth. And that’s why an entire month is needed to raise awareness about cesarean sections.

Additional resources:

Photo credit: Flickr – Grendellion

Cross-posted on BlogHer

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The highs & lows of nature and my Earth Day Challenge

Last night the kids, Jody and I enjoyed a show put on by Mother Nature. A rain storm complete with lightning streaking across the sky and rattling thunder was our pre-bedtime entertainment. Thunderstorms are somewhat of a rarity here (or at least it feels like it lately), and I love sitting in the upstairs window seats watching them with the kids. Lightning is nature’s perfect fireworks.


Image credit: Flickr – PeWu

Seeing my kids get excited about the storm – “Oooh, that was a big one!” – made me enjoy the experience all the more. I love it when they appreciate nature, and after being cooped up inside all winter, I’m so glad that spring is here and more nature discovery is on its way.

Earlier this week I read on Mama Milkers Facebook page that her daughter’s class took an impromptu field trip to see the dead gray whale on a beach in West Seattle. What a great opportunity for those children to see a whale up close like that, but also so sad that it died.


Image credit: West Seattle Blog

While the cause of death of the 37-foot near-adult male whale is still unknown, it turns out that he had quite a bit of trash in his stomach, including a pair of sweat pants, a golf ball, 20 plastic bags, small towels, plastic pieces, surgical gloves and duct tape.

How are these two things – the storm and the whale – related? Well, they aren’t directly, but they are both part of nature, part of this planet Earth that we are celebrating today with Earth Day. There’s so much beauty in nature, but there is also so much pollution that is, literally, trashing and killing it. The whale’s death may have had nothing to do with the garbage in his stomach, but many animals’ deaths *are* a direct result of the trash they ingest.

Today on Earth Day, let’s set our differences aside. Regardless of how you feel about climate change, politics or President Obama, perhaps we can all come together to do something positive that makes us feel good about ourselves. We humans have a lot of power. Let’s use it for good.

“We do not inherit the earth from our ancestors, we borrow it from our children.” – Native American Proverb

I challenge you to give some thought to your daily habits and routines and find one positive change you will make (no matter how small). Do it not to save the Earth – because the Earth is going to be just fine regardless of what we do – but to save ourselves, our children, our grandchildren and all of the animals that have no control over the way humans treat their environment.

“The greatness of a nation and its moral progress can be judged by the way its animals are treated… I hold that, the more helpless a creature, the more entitled it is to protection by man from the cruelty of human kind.” – Gandhi

Will you accept my challenge? What will *you* do?

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Health Care Reform Lends Support to Breastfeeding Moms, But Is It Enough?

If we’ve heard “breast is best” once, we’ve heard it a thousand times. Health experts agree the benefits of breastfeeding for both the baby and the mother are numerous. A study published earlier this week by the journal Pediatrics points out just how valuable breastfeeding can be. “If 90 percent of new moms in the United States breastfed their babies exclusively for the first six months, researchers estimate that as many as 900 more infants would survive each year, and the country would save about $13 billion in health care costs annually.”

It seems that while everyone gives lip service to the importance of breastfeeding, there isn’t a lot of support for women once they make the decision to breastfeed. Women have been asked to cover up or leave restaurants, water parks, airplanes, and stores when they try to give their baby what’s “best.” Maternity leave in the United States is, at best, 12 weeks. Women who work outside the home have often been forced to pump their breast milk in bathroom stalls, hide under a desk, or sit in their car just to get a little bit of privacy because rooms for nursing/pumping mothers just don’t exist. So yes, breast might be best for baby, but until there are more regulations in place that allow moms to breastfeed without so many roadblocks, how can breast be “best” for moms?

There is, however, a bit of good news on the horizon. Health Care Reform is lending some support to breastfeeding moms with the Reasonable Break Time for Nursing Mothers law.

  • Section 4207 of the Patient Protection and Affordable Care Act (also known as Health Care Reform), states that employers shall provide breastfeeding employees with “reasonable break time” and a private, non-bathroom place to express breast milk during the workday, up until the child’s first birthday.
  • Employers are not required to pay for time spent expressing milk, and employers of less than 50 employees shall not be required to provide the breaks if doing so would cause “undue hardship” to their business.

Tanya from The Motherwear Breastfeeding Blog thinks this is a step in the right direction. “I’m not thrilled that it extends the right for only up to 1 year (I pumped longer for my son), but what a huge difference this would make for mothers in the many states, mine included, that do not extend this right under state law!”

Currently, only 24 U.S. states, Puerto Rico, and the District of Columbia have legislation related to breastfeeding in the workplace. Yet women now comprise half the U.S. workforce, and are the primary breadwinner in nearly 4 out of 10 American families. The fastest growing segment of the workforce is women with children under age three.

Doula-ing is excited about the new law and calls it “a giant leap forward for mother’s who want to continue to breastfeed their babies once they return to work.”

Kim Hoppes, who doesn’t appear to be a fan of Health Care Reform is, however, pleased with this change. “Well, something good came out of the health care reform nightmare. Places now have to give breaks to nursing moms so they can pump.”

Lylah from Boston.com Moms seems to think the new law is not enough and asks, “How can we expect 90 percent of new moms to breastfeed without support in the workplace?”

One thing seems pretty clear: If it’s in the country’s best interests to have new moms nurse their infants exclusively for at least six months — and the billions of dollars in health care savings indicates that it may be — then new moms should get at least six months of paid leave in which they can do so. The United States and Australia are the only two industrialized countries in the world that do not offer paid maternity leave. And moms in the Outback have a sweeter deal than we do: In Australia, your job is protected for a year, but in the United States new working moms only get that guarantee for 12 weeks.

What do you think about the Reasonable Break Time for Nursing Mothers law? Is it too much? Not enough? Just right? None of the government’s business?

Photo credit: http://www.flickr.com/photos/tundakov/2550864384/

Cross-posted on BlogHer.

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Now Accepting: Chickens, Goats, Kids, Farmers, Bloggers

Many of you know that my husband and I have been working hard at getting our house ready to sale for the past few months (which is why my posts here have been so few and far between). In addition to trying to sell our house, we’ve also been scouring the real estate sites looking for a good deal on a house with a fair bit of land. We haven’t had any luck so far, but what we did stumble upon is an amazing deal on 50 acres in southern Wyoming! We drove out to see the land this weekend and fell in love.

Jody and I started talking about it and while we definitely don’t need that much land for ourselves, we’ve always joked, but also dreamed about living in a commune. So we’re going for it! We talked to the owners of the land and they are cool with waiting until our house sells as they aren’t in a huge hurry to sell. So as soon as our house sells, we’re buying the land and starting our dream! :)

That’s where you come in. We figure that between the land that will be committed to gardening/farming, an orchard, livestock, a huge communal kitchen and dining hall, a big playground, land for hiking, and maybe even a pool and small rec center, we’ll still have room for about 30 families to join us. Jody is writing up an application form which I will post in a few weeks for interested families to complete. Anybody interested? :) Leave a comment if you think you might be interested in learning more or if you have ideas on how to make this commune an awesome place to live.

Obviously we have a lot of details to work out, but we’re both very excited about this opportunity for us and for the many families who will eventually be joining us. But most of all we’re excited to say April Fool’s! :) Too bad it’s not for real. I was really getting excited about it. ;)

Photo credit: Tourism ROI

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