Many of us are excited about these new evidence-based findings ACOG released in March. There are almost 20 statements that show how we can better support laboring moms to work in preventing a woman's first cesarean birth (knowing once she has had a cesarean birth, her chances of obtaining a vaginal birth after cesarean, or VBAC, are extremely low due to our climate). Basically what these statements boil down to are, women need more time in first and second stage, and we should not rush to cesarean delivery if mom and baby are doing well. Please share these.
I love Lamaze's amazing infographic which states it can take up to 17 years for medical practices to change when new information becomes available -- and Lamaze goes on to emphasize, as pregnant women, we don't have 17 years for our providers to catch up. It is all of our responsibilities to inform ourselves and present these best-care practices to our providers and see that we are treated accordingly.
"A prolonged latent phase (eg, greater than 20 hours in nulliparous women and greater than 14 hours in multiparous women) should not be an indication for cesarean delivery."
We have learned women don't line up with Friedman's Curve like we thought they should. So basically this new data tells us: dilation from 4-6 cm can take 4-6 hours longer than we thought! Patience is what we need -- give moms and babies more time when everything is going okay with them both.
♥ four young boys and a boy dog (offspring)