Reddit Reddit reviews Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First

We found 2 Reddit comments about Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First. Here are the top ones, ranked by their Reddit score.

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Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First
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2 Reddit comments about Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First:

u/spamelita · 15 pointsr/TwoXChromosomes

I think things have to change with malpractice insurance. It has to. We are losing MDs doing births at all because of this. Our cesarean rate is also rising - we are losing any resemblance to natural birth in the hospital. In fact, I hear the word "natural birth" to mean "vaginal birth".

Doctors are given lower malpractice premiums when they have higher cesarean rates. This is not acceptable!

We used to be shocked at Brazil's 95% cesarean rate. I think we're well on our way. In my community, 40% of first time moms have cesareans.

I hope that we can find inroads that are free from malpractice protocols that allow docs to collaborate with midwives for teaching, safety, and general empowerment of women. I see other countries doing it, but unfortunately, our healthcare and malpractice system does little to help this goal of mine. :(

Our maternal and infant mortality rates are dismal. And it's not because we're using less technology or interventions. It's because we're using more. I really recommend a book called Expecting Trouble: The Myth of Prenatal Care in America by Thomas Strong, MD. He's a third generation MD, second gen OB and he has some amazing insights. Mainly, leave high risk and surgical birth to OBs, turn all other care over to midwives for better outcomes...and look at technology more judiciously.

Other books I recommend are:

Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First by Marsden Wagner, MD

Pushed: The Painful Truth About Childbirth and Modern Maternity Care by Jennifer Block

Birth: The Surprising History of How We Are Born by Tina Cassidy

Lying In: A History of Childbirth in America

Above all, I wish that more providers would see that the motherbaby is one unit. They are not antagonists towards each other. Less intervention is better and if we could move towards more evidence-based practices we might see better outcomes.

Again, it all boils down to allowing doctors to practice freely. We have to see malpractice reform.

u/mymyhehe · 2 pointsr/badwomensanatomy

If she's pretty healthy, it's ultimately up to momma. VBAC is generally a lot safer and better for mom and baby than repeat cesareans. If she wants to attempt trial of labor, she needs to find an OB or midwife that will support her decision. Sometimes the Dr might say they don't recommend a vbac, but the Dr has a high cesarean rate. Most times when Dr's recommend cesareans, it's out of convenience (for the Dr) and fear of litigation, not what's best for mom and baby. Look up hospitals' cesarean rates in your area. Meet with different doctors/midwives until you find the one the supports your decisions and won't "bait and switch." Do your research and ask questions. Lots and lots of questions. Houston, TX has the largest medical center in the world and there's only one hospital that will allow vbacs after 2+ cesareans, and even though vbac is proven to be safer, Houston still has a high cesarean rate (33%), but also the highest maternal mortality rate in the country🤦🏽‍. So depending on your area, it may be hard (or easy) to find a hospital that will allow mom to attempt a vbac. A cesarean should never be an elective option and should only be reserved for emergencies. It's a major abdominal surgery that takes 6wks to heal from. The "postpartum period" is generally 6wks as well (as far as maternity leave goes, but postpartum can be as long as 2yrs). Do your research and make your own informed decisions, and find a Dr/midwife that supports your decisions. You have a choice in EVERYTHING when it comes to the birth of your child. Here are some links for more info and a few good books on the U.S. maternity system and the industrialization of birth. Also, finding a doula would be beneficial as well. Look up evidence based birth, and maternity care.

Source: I'm a doula, and have doula'd for multiple successful vbacs

https://vbacfacts.com
https://m.acog.org/Patients/FAQs/Vaginal-Birth-After-Cesarean-Delivery
https://www.amazon.com/Pushed-Painful-Childbirth-Modern-Maternity/dp/0738211664
https://www.amazon.com/Born-USA-Broken-Maternity-Children/dp/0520256336
https://www.amazon.com/Farmer-Obstetrician-Michel-Odent/dp/1853432040