No studies are available on homebirth after cesarean (HBAC). Is it as safe as inhospital VBAC? What elements make it risky? Amy Haas takes on the difficult task of wading applying the available studies on VBAC to the domain of homebirth to give a general idea on its safety.
We are mammals. Most mammals birth fine. So what happened to us? We used to birth fine. Women in "primitive" cultures birth fine. What happened to modern women?
Off-label use of misoprostol (Cytotec) for labor induction has been steadily increasing for 10 years, even though this use is approved neither by the U.S. [FDA], other national drug regulatory agencies, the pharmaceutical industry, the Cochrane Library nor a number of national obstetric organizations
One of the greatest challenges before US midwives is teaching the value of hands-on care. Our culture’s love affair with machines, contraptions and gadgets has blinded literally hundreds of millions of people to the importance of human contact, feeling, experience and judgment in maternity care.
Women believe that birth is a dangerous medical event. The fact is that normal birth is safer than many things we do each day without a thought.
When the obstetrician said he would use Cytotec, the woman and her husband said they expected he would use prostaglandin gel but he said that he now uses Cytotec, as it is ‘more modern and reliable.’ They were not told Cytotec is not approved by the Food and Drug Administration (FDA) for this purpose…
When I arrived, I immediately scanned the quiet tummy. Lydia watched the screen with a worried expression. I could find no cardiac movement. Finally I put away the probe and moaned, “Lydia, I am so sorry, the baby is gone.”