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Subject:
From:
Judy Le Van Fram <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Fri, 5 Mar 2004 19:16:18 EST
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Nikki wrote:
This paragraph gives me the impression that nursing care in labor might
be perceived as more expensive than the 1 hour of surgery.
Another problem these days is that high epidural rates ( and the mothers who
cannot move around, support their own legs during pushing etc.) are wreaking
havoc with nurse's bodies. That is another kind of cost. Nursing presence to
hold legs is not required during CS, nor would the poor nurse have complications
herself from the mother trying to birth vaginally while under the influence.
Now of course, surgical nurses would still have to be present, right? The
short-sightedness of this, plus needing more nursing care post-partum just makes
things murkier.
And...Anisa wrote:
The Verdoux article suggests that among diagnosed schizophrenics, early age
of onset is correlated with a "complicated birth" and Cesarean delivery.  I was
only able to find one Appleby article on pubmed from 1998 that correlated
suicide with obstetric
complications, and from a cursory read it seemed to suggest that it was
opiate use and traumatic delivery that was correlated with later suicide.
***
Another idea that gets obscured with elective and knee-jerk CSs is the idea
that a healthy baby helps itself get born ( as a pediatrician I used to work
with used to say). WHere CS rates are low, and CS are performed when medically
necessary and not iatrogenically cascaded into being, a baby whose mom had a CS
might indicate a baby who already had a tendency toward certain problems.
When sections are so common, and the medications and procdures that increase
their risk so widespread, who has a CS may not provide  the same kind of potential
for clues anymore.
Judy LeVan Fram, PT, IBCLC, Brookyn, USA

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