Category Archives: c-section

Heading Down the Road to C Section?

This article is written by an OB who has been practicing for 14 years.
I hope you enjoy.

Top Ten Signs Your Doctor Is Planning To Perform An Unnecessary Cesarean Section On You

I have been a practicing OB/GYN for fourteen years. I live in Frisco, Texas, one of the fastest growing cities in the United States, and I truly enjoy living and working here.  It is a great place for my family and, for the first time, my office is attached to the actual hospital I practice in.  This is the third and final place I will practice medicine.  I trained with some of the most respected academic OB/GYN’s in the country.  These physicians have contributed to books on Obstetrics, created practice guidelines for the American Congress of Obstetricians and Gynecologists (ACOG), and taught me to practice medicine based on scientific evidence.

I follow a few simple rules: do no harm, give your patients options, and provide information so they can make informed decisions.  So, last night I was sitting in my office looking at the fourth Cesarean Section (C/S) operative report of the day for yet another patient who wants to have a vaginal delivery following a previous C/S. I am frustrated and feel like I am fighting a losing battle.

When did Cesarean Sections (C/S) and elect Read the rest of this entry »


Why I won’t leave my births up to chance

This is a great article by The Feminist Breeder.  She totally explains how I feel about why you have to prepare for a natural birth, and what you can do to get the birth you want.  I didn’t do the courses she recommends, but I read sooooo many good quality birth books while pregnant, which of course has an impact on your mental preparation.  Birth is probably the most vulnerable time in a woman’s life, and I don’t think you can be too prepared.
[edit] I’ve had to take down most of this article, as apparently having more than 100 words on here would actually violate her copyright and impact on her income.  And I don’t want to do that!  So to read her fantastic article go to her blog!

Why I Won’t Leave My Births Up to Chance
May 29th 2010

The Feminist Breeder came across a Mumma’s website where she was asking people if they thought she was crazy for wanting a natural birth…

“There were around a dozen interviews with different mothers, and every single one of the moms supported her decision to have a natural birth. In fact, every single one of the moms said they had planned to go natural as well.  However, out of all the moms, only ONE mentioned taking a 12-week intensive natural birth class only that mom actually reported getting the birth she wanted.

Coincidence? I think not.

What happens during a woman’s birth is not all up to chance. Maybe some of it, but certainly not all of it.”

To read the rest of this article go to The Feminist Breeder’s website:


Birth Story: Cord Prolapse Survival

This is an amazing birth story.  Please don’t think I’m putting it here to scare you, but instead, to educate you, if you have the rare birth complication of a cord prolapse.  This baby was born completely healthy, due to the mother’s quick thinking.  I’ve included down the bottom a ‘How to Handle a Cord Prolapse’ guide from another site.
The lady who originally posted this story on her blog is great.  Go check it out her site.

Birth story: cord prolapse at home

A reader recently sent me an incredible birth story, and I wanted to share it with you. After a few irregular contractons, she had a cord prolapse at home. She wrote to me:

“This was a planned homebirth…we had called the midwife as soon as my water broke to have her come out (my water had never broke previous to the pushing stage before). Then when I stood to get up, I saw the cord. Feel free to post and link back to me, I thought it was a story you might be interested in hearing. Amazingly, when I went in for my postpartum visit with the OB who did the c-section, the first thing he said to me was, ‘You know, nothing would have been any different if you had planned a hospital birth. You still would have been at home when your water broke and the cord would still have prolapsed.’ I was amazed at how positive he was and how willing he was to admit this was not a ‘home birth’ issue. I think Apollo’s story is important for people to hear…being knowledgeable about that one issue (what to do in case of a cord prolapse) is what saved his life.” Read the rest of this entry »


Relative Risks of Uterine Rupture

Again, I’m going to preface this by saying that I have never had a c-section, so I have no idea of the mental games that having one plays on you.  My main aim in posting this is to encourage and help women develop their faith in their God-given bodies.  You aren’t broken! You are an amazing woman, and I have every faith that you can have the birth you want next time.
After this fabulous article, I have included some research I have done regarding VBACs, and their risk factors compared to other birth complications.  I hope you find it useful and / or interesting.
UPDATE: I’ve updated my references to make it easier to check my facts.  I will be updating the graph soon too.  Thanks 🙂

Relative Risks of Uterine Rupture
Written by Eileen Sullivan, with assistance from her husband, Patrick.

After checking, it seems I was a bit off on the frequency of deadly lightning strikes… you are more likely to suffer a rupture than to be struck and killed by lightning, by about thirty times.  Then again, how many people do you know who HAVE been struck and killed by lightning? <s>

Ruptures are also more common than dying in a plane crash.  Henci Goer’s review of the literature on VBACs found 46 ruptures in 15,154 labors.  This equates to a 0.3% rate… or 1 in 333, if you prefer. Your annual risk of dying in a plane crash is 1 in 4000, according to one source, and 1 in 700,000 according to another.  I can’t explain the massive discrepancy between the two figures, except to quote Mark Twain about “lies, damn lies, and statistics.”

Since you asked, here are some more probability statistics for you:

Your risk of dying in a car accident, over the course of your lifetime, is between 1 in 42 and 1 in 75.  This is roughly 4 to 5 times greater than the risk of uterine rupture.

You’re about twice as likely to have your car stolen (that’s an annual risk) than to experience a uterine rupture. Read the rest of this entry »


Posted by on June 4, 2011 in All, c-section, trusting birth


VBAC vs Repeat C/Sec

I’m going to preface this by saying that I have never had a c-section, so I have no idea of the mental games that having one plays on you.  My main aim in posting this is to encourage and help women develop their faith in their God-given bodies.  You aren’t broken! You are an amazing woman, and I have every faith that you can have the birth you want next time.
Here is an article I found by expert in evidence based maternity care, Henci Goer, and my next post will have some statistics and information that I have collated that you might find interesting and / or helpful.

The NIH VBAC Consensus Conference: Will It Pave the Road to Hell with Good Intentions?
First the good news: based on the presenters, it looks like the NIH VBAC conference will be a great improvement over the elective cesarean surgery travesty of four years ago. The conference seems likely to provide solid, evidence-based information on for whom and under what circumstances VBAC is safest and most likely to end in vaginal birth. Objective, unbiased information on these points is sorely needed, as illustrated by this 2008 response by ACOG vice president Dr. Ralph Hale, who one would expect to know better, to a plea to make VBAC more available:

VBAC is potentially an extremely dangerous procedure for both mother and infant. Although 98% of women can potentially have a successful VBAC, in two percent of cases the result can be a rupture of the old scar. If this happens, then death of the baby is almost certain and death of the mother is probable. Even if the mother does not die, virtually 100% will lose their child bearing ability. To prevent these disasters, the ability to perform immediate surgery is critical.

In point of fact, with appropriate care the scar rupture rate can be 0.5% or less (6,13,15), not 2%, and the chance of the baby dying as a result of scar rupture is 5% (9), not “almost certain.” As for the mother, women rarely die or have hysterectomies, but both are more common with elective repeat cesarean than planned VBAC (3,17,18,19). Read the rest of this entry »

The Slow Labour: Patience is a Virtue

This is a chapter from a book by Henci Goer called The Thinking Woman’s Guide to a Better Birth.  This chapter is on slow labours and inductions.

The Thinking Woman’s Guide to a Better Birth

Practical Information for a Safe, Satisfying Childbirth

Chapter 7: The Slow Labor: Patience is a Virtue

  1. Problems with Typical Management
    1. Active Management of Labor
    2. Procedures
  2. The Bottom Line
    1. Benefits and Risks of Techniques for Coping With Poor Progress
    2. Strategies to Avoid the Need for IV Oxytocin, Instrumental Delivery or Cesarean Section
  3. Gleanings from the Medical Literature
  4. Bibliography

Problems with Typical Management

Obstetricians treat women laboring slowly the way Peter Pan treated the Lost Boys. He expected everyone to adapt to his ideas of the way things should be. If they didn’t, Peter saw to it that they did. For example, the boys entered the Neverland underground home through hollow trees. If a boy didn’t fit his tree, James Barrie writes, Peter “did something” to the boy. So too with obstetric management. Obstetricians have inflexible ideas of how labor ought to go. If your labor doesn’t conform to that pattern, typical doctors “do something” to you to make you fit. There are, as you may gather, a number of drawbacks to this myopic approach.

The first is that the standard for labor progress doesn’t give you nearly enough time before you are declared over the line. Doctors base their standard on studies from the 1950s and 60s supposedly of normal labors, but many women had interventions that could shorten labor such as oxytocin (trade name: Pitocin or “Pit”) or forceps delivery. A recent study evaluating healthy women who had no interventions that would affect labor length got very different results. For example, the standard says that starting from 4 centimeters cervical dilation, the average first-time mother will take 6 hours to achieve full dilation of 10 centimeters. Doctors set the cutoff defining “abnormal” progress in dilation at 12 hours for first-time mothers and 6 hours for women with previous births because, according to the standard-setting studies, only 5% of women will take longer than this. However, the new study found that average duration in first-time mothers was 7 1/2 hours, not 6, and the threshold for abnormal, fell at 19 1/2 hours, not 12, in first-time mothers and over 13 1/2 hours, not 6, in women with prior births. The standard also stipulates smooth, linear progress. More than a relatively brief halt is thought to require action. However, averaging many labors together evens out the variations. Individual labors often don’t work this way. Read the rest of this entry »


Natural Birth is Actually Better!

Monday, April 18, 2011

Natural Birth is Actually BETTER

I received a comment recently on the blog about a natural birth post. I don’t want to single out this person individually so I won’t quote it directly but the basic point she made was this:

“Natural birth might be a great choice for you, but it isn’t for everybody. I was perfectly happy with my birth involving XYZ interventions, and so are lots of women. It is about choices.”

I have to disagree. This isn’t just about “choices.” Natural birth is not just a great choice for women like me. It is almost always the best choice for the mother and baby.

Yes- I just said that. Natural birth is usually the best choice for mother and baby. And, I can prove it. Read the rest of this entry »

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