--Original Message-----
From: Terriann Shell <[log in to unmask]>
Date: Saturday, July 15, 2000 1:14 PM
Subject: Social inductions?

<<Does this seem to be a common trend throughout the US or world?  >>

Yes " Virginia" (Terriann) there is the active management of labor.  It may
not be in Alaska yet but it will be.  It began here in the states a while
back after a big study in Ireland where active management of labor was
common.  However once it got to the states license was taken and the
protocols were not exactly the same as in Ireland.  In Ireland ( at least
during the studies) in a hospital with thousands of births a year stricter
protocols were used.  Indications social or otherwise have become the norm
even where there are plenty of CNMs .


<<This leads me to think of all the problems inductions lead to for
breastfeeding.  Think of the IV's influence, the additional intervention
(c-sections, vacuum extraction, etc), the drugs for pain relief, etc ....
No wonder mothers are not getting off to a good start breastfeeding!>>

You get the picture.  I am disappointed that there are so many who don't
even question or debate the issues..
I think that the individual OB/CNM practices have a staff meeting once a
week to see who is 37 weeks showing signs of cervical change and get that
person ready for induction.
In a busy practice that deliverers 80-90 babies a month, it probably gives
the staff more predictability over the numbers that with out "active
management " could just be all over the place date and time wise--creating a
staff scheduling nightmare.
This is not our mothers Oldsmobile.
We thought that we had conquered many things in the 70's and 80's but this
one is the hardest to control.  Elizabeth Bing described it a  hydra --one
head get cut off and another more ugly appears.

It is sad to me and I don't see (yet ) the health care subscriber(consumer)
as active and passionate about having more choices in childbirth.  What
happened to that torch.? :(
Beadie Cambardella RN IBCLC FACCE
20 years in a hospital in Atlanta, GA
that has 14,000 del year and growing

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