Yet in the US the national average is at least 23% – double what it was 2 decades ago. Labor induction should always be based on a medical indication, and the rate should not exceed about 10% of all births. Unnecessary inductions can lead to a host of additional unnecessary interventions – including cesarean sections – that substantially increase health and safety risks for mom and baby. To be clear, I am opposed to elective induction. Labor inductions are done too often and many times, for non-medical indications. Thus some women have found themselves with court orders to undergo hospitalizations and obstetrics interventions – including cesarean sections – against their will! It is in the spirit of women’s autonomy in the face of a compromised obstetrics system that I present what I know and have used in my own clinical practice, for getting labor started when the pressure to do so is on for gray area medical reasons. When it comes to obstetrics, however, some medical authorities have questioned whether pregnant women should retain the right to autonomy, since their decisions affect not only themselves, but also their babies. Autonomous individuals act intentionally, with understanding, and without controlling influences. We must also fiercely protect one of the fundamental tenets of medical ethics: respect for autonomy. We have to take a stand for honoring the wisdom of nature rather than succumbing to pressure and fear.
Membrane sweep effectiveness professional#
They are heavily influenced by doctors’ fears of getting sued, data that is skewed by the interests of professional societies, insurance reimbursers, hospital risk assessment teams, and even medical journal articles that have been written by or paid for by medical device and pharmaceutical companies. The sad reality is that conventional medical practices are not always based on the best available medical and scientific evidence, or the best interests of the mother. Sometimes this has put me at odds with what the medical profession says I “should” be doing – but if things are ever going to change in how obstetrics is practiced, then those of us who can must take a stand for a woman’s right to choose what she feels is best for her and her baby – even though this may be in conflict with conventional obstetric practice. At least 64% of nurse midwives in the US, based on surveys, support the use of natural methods of labor induction.Īs a homebirth midwife and also a family doctor licensed to practice obstetrics, I have worked hard to help women avoid unnecessary inductions. Many women, in their desire to avoid induction, which sometimes also means changing plans from birthing center or home birth to hospital birth, will try to self-induce labor rather than endure a hospital induction. Warning: This article contains radical ideas about labor, birth, and women’s right to intelligently choose what’s best for them and their babies! Read at your own risk of empowerment! The Induction Pressure CookerĪccording to recent data from the latest Listening to Mothers III national survey of 2400 mothers who gave birth in US hospitals from mid-2011 to mid-2012, women are being pressured by their healthcare providers to have inductions. Natural Approaches for Stimulating Labor.What Really Works for Stimulating Labor? And Is Any of it Safe?.Just a feeling.įor those second (+) time moms, what has your experience been with sweeping/stripping of membranes? Just curious to hear some stories. I'm due next Thursday, but I feel like baby might come this weekend. just the same braxton hicks i've been getting for the past few weeks. I've also had increased bowel movements (sorry if TMI), like 3-4 times a day. I continue to find more pieces throughout the day, some tinged with blood which I was told to expect. This morning I woke up and lost pieces of my mucous plug. She explained everything she was doing which helped me understand the process.
just about as uncomfortable as any internal exam has been. I said yes. This was my first experience with the membrane sweep because I had a low-lying placenta with DD, so this is new to me. It wasn't very painful. She said she could sweep my membranes if I was ok with that. Second time mom here, going for a VBAC! Yesterday midwife checked me at 2cm and 50% effaced.
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