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Date: | Tue, 27 Aug 2002 07:14:57 -0400 |
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Barbara has an excellent point. The trick is to get those who benefit
financially from unneeded induction (and who have blind spots in their
scruple sensors) to admit these things. That is where the push comes to
shove. Reasoned, evidence based argument sometimes does not impact those
who are lining their pockets, and who lie to themselves that they are
helping women (instead of the brutalizing, which is more accurate).
It's a power game. And a dangerously harsh one.
Kathleen
At 04:46 PM 8/26/2002 -0500, you wrote:
>We do have a weapon to combat elective inductions: published scientific
>studies describing this as dangerous to the baby. Both morbidity and
>mortality are impacted by slight prematurity.
>
> Nancy Powers points out that these "just a little early" babies are often
>managed as if they were term. She points out they are at 5-10 times the
>risk for hospital re-admits due to poor feeding with resultant weight loss
>or jaundice.
> N Powers, Slow Weight Gain and Low Milk Supply in the Breastfeeding
>Dyad, Clin in Perinatol 1999; 26(2):399-430.
>
>More recently, researchers have stated that: "Mild - and moderate-preterm
>birth infants are at high relative risk for death during infancy and are
>responsible for an important fraction of infant deaths."
> Kramer, et al: JAMA 2000, 284:843-49.
>
> Kramer, et al called for reconsideration of elective inductions due to this
>finding. Having a copy of these studies and sharing it around would be an
>excellent consciousness raising exercise in a community.
>
>Barbara Wilson-Clay, BS, IBCLC
Kathleen B. Bruce, BSN, IBCLC co-owner Lactnet
Independent Consultant
http://homepages.together.net/~kbruce/kbblact.html
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