2017 U.S. Birth Statistics Head in the Wrong Direction

According to provisional U.S. data for 2017, after four years of inching downward from 32.9% in 2013 to 31.9% in 2016, the overall cesarean rate rose by a tenth of a percentage point to 32.0% in [...]


Medical-Model Labor Management Fails Head-to-Head Comparison with Physiologic Care

The winter issue of Birth includes a study that provides proof positive that physiologic care is superior to medical management. The study reports the results of Strong Start, a program providing [...]


Labor & Delivery Unit Management Approach Impacts Cesarean Rate

Research has long established that hospital-level cesarean rates vary widely for reasons that cannot be explained by variations in their patient populations. Theorizing that the challenges of [...]


U.S. 2016 Cesarean & Preterm Birth Stats Now Available & Not Much to Cheer About

Consumer Reports announces the publication of the latest U.S. birth statistics. The 2016 cesarean rate was 31.9%, continuing a decline for the fourth year in a row, but don’t break out the [...]


Is Hospital Birth Safer Than Out-of-Hospital Birth?

UPI has published an article on the Midwives Alliance of North America (MANA) data analysis, “Perspectives on risk: Assessment of risk profiles and outcomes among women planning community birth [...]


Reducing First Cesareans: It Can Be Done!

If you’ve ever wondered how much could be accomplished if a hospital made a concerted effort to reduce cesareans—and not because an insurance company held a metaphorical gun to its head—this [...]


Why Are Cesarean Rates Are So High? Perspectives from the Trenches

A study in the most recent issue of Birth provides eye-opening illumination on non-medical reasons for high cesarean rates (Kennedy 2016). Investigators at Yale’s med-school affiliated hospital [...]


Doctors Discover Miracle Treatment for Ineffective Contractions: Physiologic Care

Italian obstetricians report that replacing standard management of slow labor with a physiologic approach greatly reduced cesarean deliveries and the use of other medical interventions in [...]


Is the Needle Finally Moving on Maternity Care Reform?

The past few years have seen a flurry of reports and guidelines aimed at improving the quality of maternity care. These include “Supporting healthy and normal physiologic childbirth: a consensus [...]


ACOG Issues New Committee Opinion on Home Birth: Some Things Old, Some Things New

The American College of Obstetricians & Gynecologists (ACOG) has published a revised and updated Committee Opinion on “Planned Home Birth.” If you read the media reports on it, you would [...]

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