WHO-JAMA-and-YOU

A recent piece in Science & Sensibility reported on the Journal of the American Medical Association article which questioned the World Health Organization’s (WHO) long held cesarean surgery rate recommendation of 10% – 15%.  And their comments were spot on.

How do you go about determining an optimum cesarean rate for 194 different countries?  There’s entirely too many factors and varying data to calculate a one-size-fits-all number.

What we do know is that here in the United States “for what we spend on health care dollars in the USA, it is shocking how poor our outcomes are.”  Consider the following:

  • In the 2013 the cesarean rate of the Antelope Valley Hospital was 36.9%.  That’s 7 points higher than the state average.[1]
  • 85% of pregnant women are considered low-risk and are a good candidate for midwifery care.[2]
  • Attending a childbirth education class can increase your chances of having a vaginal delivery.[3]
  • Having continuous labor support can also increase your chances of having a vaginal delivery.[4]

If an unmedicated, vaginal birth is your desire, then know that it IS possible to achieve that here in the Antelope Valley. Regardless of where you live, you just need to make sure you’re an educated consumer of health care.

What’s the recipe for having a successful vaginal birth?  Planning is the key:

  1. Take a childbirth class from a certified educator,
  2. Hire a certified and experienced doula, and
  3. Choose midwifery care from a licensed midwife.

All of which are available to women and families of the Antelope Valley.  Visit the Antelope Valley Birth Resource Network (AVBRN) to learn more about these services.

 

[1] http://www.cesareanrates.com/2015/02/Californiacesareanrates.html

[2] http://www.lamaze.org/page/care-provider

[3] http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3489119/

[4] http://evidencebasedbirth.com/the-evidence-for-doulas/