When I get more than 20 tabs open in my internet browser, I know that I need to blog so that I can clear them up and stop frustrating my husband! (He's a one-tab sort of guy.)
So here goes!
This will be quick, though, because today is Lepkuchen Day! (see my other blog for more information) and I have a ton to do to get ready.
To start, an article on my pet subject (physiologic cord clamping, known popularly as delayed cord clamping):
Don't Clamp Umbilical Cords Straight After Birth, Urges Expert
The gist of it? Basically that the research community is realizing that immediate cord clamping (i.e. baby is born and cord is clamped within 10 seconds, still the normal practice in U.S. hospital) is not healthy for baby.
I am so thankful this is finally getting some media attention!
"Write About Birth" has written up a nice little summary of the article (the original article from the British Medical Journal, that is):
British OB questions premature cord clamping
The one thing I find frustrating about this is the following (from the first article I linked):
"Obstetricians and midwives should wait a few minutes before clamping the umbilical cords of newborn infants so that babies are not harmed by the procedure..."
Okay, okay. I know it's progress, but couldn't we move straight to the logical conclusion? If clamping the cord before it stops pulsing is unnatural and unhealthy, let's just move to the end-conclusion right now - waiting to cut clamp the cord until it is totally done pulsing, not just waiting "a few minutes." I can just see new hospital protocol - "The cord shall be clamped and cut three minutes - not four or five, but three - after the birth." It seems that progress must always be made in grudgingly tiny increments.
However, progress is progress, and I am overjoyed to see it.
Also, from "Write About Birth" - a fascinating look at the language of childbirth:
Why Natural Childbirth is Not a "Great Accomplishment"
Absolutely fascinating. I never would have thought of those points. Definitely also check out the article she links to - "Watch Your Language."
Really good stuff!!
Also, from the Huffington Post:
Women Speak Out About What's Gone Wrong with the United States Birthing System
Can I say that I LOVED this article? Way to go!!! Thank you for writing!
On the subject of shoulder dystocia (a fascinating topic), the following three videos from a Midwifery Today Conference:
Shoulder Dystocia I
Shoulder Dystocia II
Shoulder Dystocia III
I have always found shoulder dystocia (a birth emergency in which the baby's anterior shoulder is impacted behind the maternal pubic bone, and which can cause injury to the baby if mishandled or death if is not resolved quickly) a fascinating subject. Why? Well, (1) it's equally an emergency at home or in hospital (because it's too late for a cesarean), and (2) it's an emergency in which natural childbirth - and thus a mobile mother - is a HUGE bonus, and (3) the best resolution is usually through the Gaskin Manoever, which was named after midwife Ina May Gaskin, who brought the procedure to the United States.
I have also found the subject of shoulder dystocia rather amusing, because obstetric textbooks often ignore the Gaskin Manoever (which is basically hands-and-knees for the mother) in favor of more severe - and gruesome! - procedures, such as the symphysiotomy (cutting the pelvis open by cutting through the connective tissue of the pelvic bone - OUCH!) or the Zavanelli Manoever (shoving the baby back up the vaginal canal and doing a cesarean - very bad results due to trauma to the baby and time from emergency to birth). Turning a mama over on her hands and knees is much more pleasant - and effective!
Oh, and if you want to see something screamingly funny, try this video - it is actors portraying (with the use of a model) a shoulder dystocia in-hospital. I'd be laughing if it wasn't so sad - get the mother off her back!!! The incidence of shoulder dystocia is drastically reduced in upright, mobile and unmedicated mothers.
There's probably more, but I am OUT of time! Off to make delicious Lep Kuchen! Happy weekend, everyone!