Monday Reading: Health Care Reform and More

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As a contributor to the high-traffic Common Ground series on RH Reality Check, Amy Romano explores attainable goals in making hospital birth better and providing access to the midwifery model of care for all American women in Improving Maternity Care: A Mother and Child Reunion.


On Science and Sensibility, Amy Romano notes the similarity in theme between her Common Ground article and the recent publicizing of midwife Denis Walsh’s alleged theories (co-opted as link bait for several major British and Aussie publications) on epidurals and maternal bonding that recently ignited the cliché web furor about birth, motherhood and parenting. She writes in Denis Walsh, mommy wars, and coming together On Common Ground:


I believe that mothers and babies experience physiological and emotional benefits when the woman has an unmedicated vaginal birth. But in our culture, women are not given a fair shake to achieve unmedicated vaginal births, and are fed messages that they shouldn’t care how they give birth as long as there’s a healthy baby. Even when care is top-notch, some women will still need epidurals or cesareans. Do we really want to tell these women that they might not be able to parent effectively?


I squealed with delight (is that weird?) when I read of my favorite blogging OB-GYN student’s proposed research focus. Mom’s Tinfoil Hat summed it up this weekend:


What I want to know is why there is a disconnect between evidence based clinical research and practice. Also, it seems that the same practices that are proven in literature but ignored in practice are the woman centered, autonomy encouraging practices, and the practices that disfigure and deprive women are the ones that persevere.

So, now I am going to do a study on attitudes on and barriers to incorporating certain practices into clinical obstetrics. I think I am going to compare those four practices: episiotomy, denial of food and water, continuous labor support by a doula, and upright positions in second stage. I want to examine perceptions of their evidence, confidence in the support of their effect on outcomes, and general attitudes toward each of the practices and evidence based medicine in general.


If you have a few hours to kill, the entire 1018 page “America’s Affordable Health Care Choices Act of 2009” is online.


Kevin pulled together a few quotes from articles about malpractice and liability in Fixing malpractice is a vital part of health reform.


Odd, but interesting: Duncan Cross blogged ’save my Body from the Surgeons’.


Reality Rounds reminds busy nurses to pee. That goes for all of us. Life is busy. Pee as frequently as needed.


Have a great week!


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