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February 18th, 2009:

Can Humanity Survive the Safe Cesarean?

For further information on birthing options, contact Melissa Maimann at Essential Birth Consulting.

Can Humanity Survive the Safe Cesarean?
Human beings react differently from other mammals to interference with the birth process. When delivery of non-human mammals is disturbed, the effects are immediate and easily detected. For example, when animals give birth by c-section or with an epidural, the general rule is that the mother is not interested in the baby. Among humans, on the other hand, we need extensive statistics to detect what are mere tendencies and risk factors. These are much more complex in our species: We speak and we create cultural milieux. In certain situations, particularly in the perinatal period, human behavior is less directly under the effects of the hormonal balance than the effects of the cultural milieu. For example, a human mother knows when she is pregnant and can anticipate maternal behavior, while other mammals must wait until the birth when they release a flow of love hormones to kindle their attachment to their newborns.

Today, we understand that to have a baby, a woman—like any other mammal—has been programmed to release a cocktail of love hormones. Today the number of women who actually “give birth” to babies and placentas thanks to this hormonal release is ever-decreasing. First, because many women give by birth by cesarean. Second, most of those who give birth vaginally receive pharmacological interventions. Unfortunately substitutes block the release of the natural hormones and do not create the same behavioural benefits. We have to wonder what will happen, in terms of civilization, if this trend continues in future generations. Can humanity survive the safe cesarean?

— Michel Odent
Excerpted from “The Future of Obstetric Technology,” Midwifery Today, Issue 85

Midwives in the UK Help Women Who Have Previously had a Caesarean Section to Choose a Normal Birth for their Next Baby

For more information, contact Melissa Maimann at www.essentialbirthconsulting.com.au
Link to article

Midwives At Southampton, England, Helping Women Who Have Previously Had A Caesarean Section To Choose A Normal Birth For Their Next Baby17 Feb 2009

Nationally, the number of c-sections has dramatically increased over the last decade. This has led the NHS Institute for Innovation and Improvement to develop a toolkit to help midwives reduce these numbers.

… there has been a 4 per cent reduction in the number of c-sections [since this toolkit was implemented.]

One of the initiatives is to introduce midwife-led care for women having vaginal birth following a previous caesarean.

The consultant midwife … who helped set up the project said, “We try not to medicalise the event, so from the beginning the mother will see a midwife, rather than a doctor. They will have a risk assessment to make sure they are suitable for midwife-led care and VBAC, and we fully explain the risks and benefits so they can make an informed choice.”

After a normal birth, recovery tends to be quicker and the mother is up and about sooner. This means there is less risk of deep vein thrombosis (DVT), and breast-feeding also tends to get off to a more successful start.

What a fantastic initiative! It would be great if it could be implemented as a routine here in Australia.

Melissa Maimann, Essential Birth Consulting.

NHS Institute for Innovation and Improvement