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Birthing Methods

Birthing Methods. Ashley Anderson & Melanie Anderson BIOL 269: Human Reproduction Oral Presentation April 10 th , 2012. Birthing Methods Discussed. Vaginal delivery Cesarean section VBAC Water Birth Home Birth Hypnobirthing. Vaginal Delivery. What is it ?

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Birthing Methods

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  1. Birthing Methods Ashley Anderson & Melanie Anderson BIOL 269: Human Reproduction Oral Presentation April 10th, 2012

  2. Birthing Methods Discussed • Vaginal delivery • Cesarean section • VBAC • Water Birth • Home Birth • Hypnobirthing

  3. Vaginal Delivery • What is it? • How frequent are they conducted?

  4. Vaginal Delivery CONT. Pros: Cons: Painful Vaginal injuries Incontinence • Hospital stay • Hysterectomy less likely • Less NICU admittance

  5. Vaginal Delivery CONT. • Best for mother and baby • Low risk for death • Easier to breastfeed

  6. Vaginal Delivery CONT. • Some adverse effects on mother and child • Mother: • pelvic floor damage • Child: • Brachial plexus injury

  7. Cesarean Section-General Information • Two incisions • Abdomen • Uterus • Anesthetic • Regional • General • Various reasons/purpose • Risks • Baby • Mother

  8. Cesarean Section-Social Aspects • Increase around the world (esp. developed countries) • China at epidemic rate (50%) • Saved lives, but now done unnecessarily

  9. Cesarean Section- Social Aspects • 15% rule • Risks of earlier than 39-week delivery • 3 C-section limit advisory

  10. Vaginal Birth After Cesarean (VBAC) • What is it? • Statistics • Controversies

  11. VBAC CONT. • Risks: • Scar re-opens • Labor stops or fetal complications • Uterine problems • Ruptures • May need a Hysterectomy

  12. VBAC CONT. • Physicians’ point of view • Less blood loss, fewer infections, no uterine scars • 30% of hospitals offer VBAC • Insurance companies wary

  13. Water Birth- General Information • Contractions only or Contractions and Birth • Options for location • Hospital or Home • Amniotic fluid for 9 months more natural to be born in water

  14. Water Birth- Social Aspects • Lack of formal research on benefits and risks • Experiences vary per mother • Debates of potential choke/drown occurrence in newborns

  15. Water Births-Social Aspects Potential Benefits Potential Risks Water entering the mother’s bloodstream Infant Inhaling water Umbilical cord is severed Infection transfer (ex. Herpes) • Relaxing • Ease of positioning • Reduce tearing risk • Similar environment to amniotic sac

  16. Home Births • What is it? • Most popular birthing method years ago • Midwife’s supplies • medication, sterile equipment, suturing equipment

  17. Home Births CONT. • When to consider home birth: • Low-risk pregnancy • Do not want medication • Comforts of home • When NOT to consider home birth: • Diabetic mother • Past preterm labor • Not supported by partner

  18. Home Births CONT. • Sometimes a hospital transfer may be in order, why? • Premature rupturing • Fetal distress • Hemorrhage

  19. Home Births CONT. • Doctors’ opinions: • High-risk pregnancies • Safest birthing place at a hospital or birthing center

  20. Home Births CONT. • Home birth supporters’ opinions: • Not a disorder • Want personalized care • Less chaotic • Want control

  21. Hypnobirthing- General Information • Also known as the Mongan Method • Type of natural childbirth • Emphasis: pregnancy and birth • Technique taught through class

  22. Hypnobirthing- General Information • Discourages intervention • Self-hypnosis • Relaxed, but in control • Not in a trance or sleeping • Seeks to eliminate mother’s fear and anxiety

  23. Hypnobirthing-Social Aspects • National Health Service (NHS) is studying the effectiveness Hypnobirthing • ~60% of women use some sort of pain relief while giving birth • Thus far proven to be effective with ¼ of all births • Critics: should not be used in place of pain relief

  24. References • “C-Section Rates Around Globe at ‘Epidemic’ Levels.” MSNBC.com. Associated Press. January 12th, 2010. http://www.msnbc.msn.com/id/34826186/ns/health- pregnancy/t/c-section-rates- around-globe-epidemic-levels/ • “First-time Mothers Drive Up C-Section Rate: Study.” Yahoo Daily News. September 1st, 2010. http://article.wn.com/view/2010/09/01/Firsttime_mothers_driv e_up_csection_rate_study/ • “Giving Birth in Water-The Benefits of Water birth.” BellyBelly.com.au. 2012. http://www.bellybelly.com.au/birth/waterbirth-birth-in-water • Hall, Harriet. “Home Birth Safety”. SciencebasedMedicince.org. 2012.http://www.sciencebasedmedicine.org/index.php/home-birth-safety/. • Harms, Roger W. “C-section: How Many C-Sections Can a Woman Safely Have?” Mayo Clinic. April 17th, 2010. http://www.mayoclinic.com/health/c-sections/AN02070 • “Health and Pregnancy: Water Birth Benefits and Risks.” WebMD. 2012. http://www.webmd.com/baby/water-birth?page=2 • “Home Birth”. American Pregnancy Association. 2012. http://www.americanpregnancy.org/labornbirth/homebirth.html. • “Hypnobirthing a Rising Trend Among Mothers-To-Be.” FoxNews.com. January 31st, 2012. http://www.foxnews.com/health/2012/01/31/hypnobirthing-rising-trend-among- mothers-to-be/ • HypnoBirthing: The Mongan Method. 2012. http://www.hypnobirthing.com/ • Lawrence, Julia. “Can ‘Hypnobirthing’ Really Take the Pain Out of Having a Baby?” Mail Online. February 16th, 2011. http://www.dailymail.co.uk/femail/article-1357023/As- NHS-launches-study-hypnobirthing-ask-Can-really-pain-having-baby.html • Mayo Clinic Staff. “C-Section.” Mayo Clinic. November 13th, 2010. http://www.mayoclinic.com/health/c-section/MY00214

  25. References • Murry, Mary M. “Pregnancy Week by Week: Pregnancy and You Blog.” Mayo Clinic. January 23rd, 2009. http://www.mayoclinic.com/health/c-section/MY00518 • Oganowski, K. & Amy Romano. “A Woman’s Guide to VBAC”. 2012. http://givingbirthwithconfidence.org/2-2/a-womans-guide-to-vbac/. • Park, Madison. “Home births” No drugs, no doctors, lots of controversy”. 9 August 2010. http://www.cnn.com/2010/HEALTH/08/09/home.births.debate/index.html. • Perkins, Sharon. “Medication Options for a C-Section.” Livestrong. April 26th, 2011. http://www.livestrong.com/article/97839-medication-options-csection/ • Ponte, Wendy. “Cesarean Birth in a Culture of Fear.” Childbirth Connection. October 2007. http://www.childbirthconnection.org/pdfs/cesarean-birth-mothering-ponte.pdf • Sakala, Carol. “Vaginal or CesaerianBith?” Childbirth Connection. March 2006. <http://www.childbirthconnection.org/pdf.asp?PDFDownload=vaginalorcesareanbirth.> • “Should C-Section Moms Choose VBAC instead?” 7 May 2010. http://www.cbsnews.com/2100- 500165_162-6292729.html. • “VBAC and the Law”. Doula Ambitions. 2012. http://anthrodoula.blogspot.com/2010/09/vbac-and-law.html • “Water Birth.” American Pregnancy Association. 2012. http://www.americanpregnancy.org/labornbirth/waterbirth.html • “Water Births and Water Birth Safety.” Mumsnet. 2012. http://www.mumsnet.com/pregnancy/labour- and-birth/water-birth • Wickham, Sara. “Homebirth: What are the Issues”. mi. 1999. dddhttp://www.midwiferytoday.com/articles/homebirthissues.asp. • “X-Plain Vaginal Birth”. The Patient Education institute, Inc. 7 August 2007. <http://www.nlm.nih.gov/medlineplus/tutorials/vaginalbirth/og199102.pdf>.

  26. Questions???

  27. Thank You!!!

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