ICAN 2011 conference was awesome!

Re: ICAN 2011 conference was awesome!

• iris427 member

  April 2011

  Thanks for sharing!  Was there anything particularly interesting or helpful that you took away from the conference--facts, etc. that you can share with us?

  I really like the VBAC Scare Tactics post, thanks for posting that link! 

  
  

  
  

  Big sister {September 2008} Sweet boy {April 2011} Fuzzy Bundle {ETA July 2014}
  

  
  

  
  

  Report0 Reply
• Loading the player...
• chicsub member

  April 2011

  That's great!  I definitely want to get more involved in my local chapter and would love to go to the next conference.  Ditto Iris' question.

  DS born via c/s 11/08 and med-free GD VBAC DD 3/11!

  Report0 Reply
• Luv4Minnesota member

  April 2011

  There was so much good information!  Here are 3 things that stood out to me.  They are things that I have thought before, but seeing the research to back them up was so encouraging.   

  1-"Epidurals DO increase the rate of operative delivery (including vacuum and forceps delivery)."  I really really feel like my epidural hindered my c/s birth.  I wasn't able to move around during labor which didn't allow for baby to get into the best position possible.  Then, during the pushing stage I couldn't feel ANYTHING for the first 2 hours and didn't push effectively.  Then they turned my epidural OFF for another 2 hours and I was in so much pain I was not able to push effectively then either.  I mentioned this to my OB as my reason for going epi free with this birth and she specifically said that there is no research supporting that epidurals increase this rate.  I plan to inform her of the study "Epidural analgesia and Risk of Cesarean and Operative Vaginal Deliveries in Nulliparous and Multiparous Women"  Matern Child Health J. Sep 2010; 14(5): 705-12.

  2-The more c/s you have the greater your risk of placenta previs/Acreta goes up.  After 1 c/s the risk is 3%, 2-11%, 3-40%, 4-61%, 5-67%.  Doctors need to be telling patients this instead of just signing them up for c/s after s/c (Dr. George Macones, Chair of OB/GYN @ Washington University.

  3-Henci Goer, author of "The Thinking Woman's Guide to a Better Birth" and "Obstetric Myths Versus Research Realities" talked about the gap between evidence and practice.  She showed stats of how there are risks to a first time vaginal birth that are greater (potential maternal death, hemorage, risk to baby) that are HIGHER than VBAC but doctors and hospitals don't seem as worried about those.  As for the need for "immediate surgery", if any hospital doesn't have access to immediate surgery for birth than they probably shouldn't be doing delivery at all, not just banning VBACs. 

  

  Report0 Reply
• Brownie_222 member

  April 2011

  That is awesome!  Thanks for sharing the links. 

  

  Report0 Reply
• MrsVictoriaB

  April 2011

  Thanks so much for sharing!
  

  
  
  My blog
  
  
  

  Report0 Reply
• iris427 member

  April 2011

  Luv4Minnesota:

  There was so much good information!  Here are 3 things that stood out to me.  They are things that I have thought before, but seeing the research to back them up was so encouraging.   

  1-"Epidurals DO increase the rate of operative delivery (including vacuum and forceps delivery)."  I really really feel like my epidural hindered my c/s birth.  I wasn't able to move around during labor which didn't allow for baby to get into the best position possible.  Then, during the pushing stage I couldn't feel ANYTHING for the first 2 hours and didn't push effectively.  Then they turned my epidural OFF for another 2 hours and I was in so much pain I was not able to push effectively then either.  I mentioned this to my OB as my reason for going epi free with this birth and she specifically said that there is no research supporting that epidurals increase this rate.  I plan to inform her of the study "Epidural analgesia and Risk of Cesarean and Operative Vaginal Deliveries in Nulliparous and Multiparous Women"  Matern Child Health J. Sep 2010; 14(5): 705-12.

  2-The more c/s you have the greater your risk of placenta previs/Acreta goes up.  After 1 c/s the risk is 3%, 2-11%, 3-40%, 4-61%, 5-67%.  Doctors need to be telling patients this instead of just signing them up for c/s after s/c (Dr. George Macones, Chair of OB/GYN @ Washington University.

  3-Henci Goer, author of "The Thinking Woman's Guide to a Better Birth" and "Obstetric Myths Versus Research Realities" talked about the gap between evidence and practice.  She showed stats of how there are risks to a first time vaginal birth that are greater (potential maternal death, hemorage, risk to baby) that are HIGHER than VBAC but doctors and hospitals don't seem as worried about those.  As for the need for "immediate surgery", if any hospital doesn't have access to immediate surgery for birth than they probably shouldn't be doing delivery at all, not just banning VBACs. 

  Interesting!  I'm jealous that you got to hear Henci Goer speak. 

  I read an interview with George Macones recently in St. Louis's newspaper about VBAC and he seems to really know his stuff and support VBAC as a safe option.  I absolutely agree with what he's saying about placenta accreta risk and doctors needing to tell patients about it.  Placenta accreta is scary and it's so directly linked to c/s.  Yet that information doesn't seem to be getting out to women when they need to make medical decisions. 

  
  

  
  

  Big sister {September 2008} Sweet boy {April 2011} Fuzzy Bundle {ETA July 2014}
  

  
  

  
  

  Report0 Reply