Word: cesareans
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...from many sources, including the Centers for Disease Control and Prevention, approximately half of the pregnancy-related deaths in the U.S. are preventable, the result of systemic failures, including barriers to accessing care; inadequate, neglectful or discriminatory care; and overuse of risky interventions like inducing labor and delivering via cesarean section. "Women are not dying from complex, mysterious causes that we don't know how to treat," says Strauss. "Women are dying because it's a fragmented system, and they are not getting the comprehensive services that they need...
...women and failure to pay attention to vital signs after C-sections. And just this week, a panel of medical experts at a conference held by the National Institutes of Health (NIH) recommended that physicians' organizations revisit policies that prevent women from having vaginal births after having had a cesarean. Such policies, designed in part to protect against litigation, have contributed to the rise of the U.S. cesarean rate to nearly 32% in 2007, the most recent year for which data are available...
...lesions found during Pap smears, which are common in young women and teens, but often go away on their own if left untreated. The procedures used to remove the lesions may be linked to long-term reproductive harms, such as premature birth, underweight babies and an increased risk of cesarean section birth. Weighing the risks, the ACOG determined that the evidence supported later, and less frequent screening. "A review of the evidence to date shows that screening at less frequent intervals prevents cervical cancer just as well, has decreased costs, and avoids unnecessary interventions that could be harmful," Dr. Alan...
Experts point also to the increasing number of women who elect to induce labor or give birth by cesarean section before 39 weeks. While a baby is technically considered full-term at 37 weeks' gestation, the American College of Obstetricians and Gynecologists advises women not to deliver before 39 weeks. Many women, however, still choose to give birth between 37 and 39 weeks, for nonmedical reasons ranging from convenience to simply wishing not to be pregnant any longer. "But babies that are meant to stay in should just stay in," says Riley. "More maturity goes on between...
...hypertension in the mother. And because most women fail to shed all their pregnancy fat, the additional weight can lead to an increased risk of postpartum obesity, along with elevated risks of heart disease and stroke. Babies delivered by obese women tend to be born bigger, earlier and by Cesarean section. And many studies suggest that a mother's gestational obesity predicts later weight problems in her offspring. One recent study conducted by researchers at Harvard Medical School found that among nearly 12,000 children and teenagers, those whose mothers gained more than the recommended amount of weight during pregnancy...