HDFS 2010 Lecture 6: HDFS 2010 Lecture #6
-Medical Assistance -
•Cesarean Section (C-Section):
-surgical birth
-fetus can be removed quickly
-rates and reasons for c-section vary
•lower rates in poorer countries
•higher rates in richer countries
•1/3 of births in the US
-less trauma for the newborn but slower recovery for the mother
-subsequent cesarean deliveries may be necessary or VABC (vaginal brith after
cesarean)
-Reasons:
•placenta previa
•preeclampsia
•failure to process
•cephalopelvic disproportion
•multiple gestation
•previous c/s
•other maternal or obstetric indication
•health of infant
•malpresentation/breech presentation
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Document Summary
Medical assistance : cesarean section (c-section): Rates and reasons for c-section vary: lower rates in poorer countries, higher rates in richer countries, 1/3 of births in the us. Less trauma for the newborn but slower recovery for the mother. Subsequent cesarean deliveries may be necessary or vabc (vaginal brith after cesarean) Reasons: placenta previa, preeclampsia, failure to process, cephalopelvic disproportion, multiple gestation, previous c/s, other maternal or obstetric indication, health of infant, malpresentation/breech presentation, cord prolapse, shoulder dystocia or head dystocia, abruption, other emergent, sti/std. Traditional and modern birthing practices : doula. Woman who helps with labor, delivery, breast-feeding, and newborn care. Associated with decreased labor length, use of labor-inducing drugs, use of pain medication by mother during labor, the rate of cesarean sections, lessens postpartum depression. Certi ed nurse midwife (cnm: must work under direction of physician, thus, more likely to do delivery in hospitals. Newborn survival : infant mortality has decreased due to better medical care (nicu)