Notebook for MBC Staff and Members Jan 2003

Table of Contents

Text Box:

Section One ~ Issues Relative to the LMPA and SB 1950: LMPA amendment – SB 1479, 2000; Synopsis Judge Roman’s Decision – Alison Osborn case 1999; Letter from obstetrical practice terminating care because the mother was planning a home birth, 1999; California College of Midwives statement on professional midwifery; Examples of Standards of Practice (1) Nurse-Midwifery – Am College of Nurse Midwives; (2) Midwives Alliance of North America Statement of Values and Ethics; (3) Excerpts from the New Zealand College of Midwives Handbook for Practice

Section Two ~ Statistical Resources and Recommendation for Maternity Care: Press Release for CDC - Births: Preliminary Data for 2001; NVSR Vol. 50, No. 10; CDC - Safe Motherhood 2002 – Department Health & Human Services; National Vital Statistics Report Vol. 47, No 271999 “Trends … in the Use of Obstetric Interventions 1989-1997”; Results of the “Listening to Mothers” survey – Report of the 1st national US survey of women’s childbearing experiences conducted for the Maternity Center Assoc by Harris Interactive - October 2002; The Rights of Childbearing Women, 1999, Topical Guides from the MCA;  Guide to Safe and Effective Care During Labor and Birth, 2000; Maternity Center Association; Excerpts of Chapter 29 – Hospital Practices – of  A Guide to Effective Care in Pregnancy and Childbirth”, published 2000

Section Three ~ General Status and Safety of Midwifery and Home-based Birth Services:  Excerpt from “Care in Normal Birth; a practical guide”, WHO “Safe Motherhood Series, 1996; Excerpts, Exec Summary Joint report of UCSF & Pew Healthy Professions “Future of Midwifery” 1999; Abstract Obstet Gynecol 1998 Sept; Murphy and Fullerton, Outcomes of intended home birth in nurse midwifery practice: a prospective descriptive study, by; The Cost Effectiveness of Home Birth Journal Nurse Midwifery, Jan-Feb1999; Outcomes of Planned Home Birth in Washington State: 1989-1996 Letters to Editor,  ACOG Green Journal (Obstetrics and Gynecology) Jan 2003; Perinatal death associated with planned home birth in Australia: population-based study, British medical Journal 1998;317:384-388; Outcomes of planned home birth versus planned hospital birth after regulation of midwifery in British Columbia; 2002, Journal of Canadian Medical Association; Letter to Editor, CMAJ “Are Home Birth Safe? Dr Blais, Professor, Universite de Montreal Feb 2002; Home Birth: A Safe Low-Risk Birth Option – Review of Literature Documenting Safety, Guideline for risk reduction, by CNMs, March 1998, prepared for insurance industry

Section four ~ Physiological Management Normal Birth: Selected Cochrane Systemic Review – Women's Position During 2nd Stage of Labour Mar 2001; Upright Positions Offer Most Room for Delivery Ob.Gyn.News Feb 1, 2002, Vol 37, No 3 Delayed [Physiological] Pushing Doesn’t Increase Fetal Trauma, Ob.Gyn.News Feb 1, 2002, Vol 37, No 3; Physiology in Childbearing Text book – excerpt on physiological management of second stage (1999)

Section Five ~Medical Surveillance & Intervention of -- Ultrasound / Pitocin / Cytotec / Ultrasound Comparable to Educated Guess in Predicting Birth Weight; Ob.Gyn.News Oct 1, 02, Induction Rate Doubled in the US from 1990 to 1998; Ob.Gyn.News May 1, 2002, Vol 37, No 9; Induction, Expectant Management Equally Safe – Managing PROM at term, Ob.Gyn.News, Oct 1, 2001, Vol 36; Data Don’t Support Postdates Pregnancy Guidelines, Ob.Gyn.News Oct 15, 2002; Labor Induction for Macrosomia Not Justified—Expectant management associated with lower CS rate, Ob.Gyn.News Mar 1, 2002; Fetal heart rate abnormalities higher with Cytotec inductions, Ob.Gyn.News, July 1, 2001; Package insert for drug Pitocin (Oxytocin , USP, synthetic manufactured by Parke-Davis) 1996; Understanding Autism, Newsweek July 31, 2000, association between Autism and use of Pitocin in labor; 

Section Six ~ Episiotomies /Forceps / Incontinence: Episiotomies Still Favored by Private Physicians; Ob.Gyn.News July 1, 2002 Vol 37, No 13; Episiotomy Scars Have Increased Failure Rate; Ob.Gyn.News  July 1, 2002, Vol 37, No 13; Long Term Pain, Risk of Bad Perineal Tear Higher with Midline Episiotomy, Forceps and Oxytocin use, Ob.Gyn.News Nov 15, 2001; Forceps Double Risk of Incontinence; Ob.Gyn.News Sept 15, 2001, Vol 36, No 18; Perineal Tears, Forceps Raise Anal Incontinence Risk Fivefold, Ob.Gyn.News Feb 1, 2002; Use of Sequential Vacuum Forceps Raises Injury Risk – hemorrhages, nerve injury, lacerations seen, Ob.Gyn.News April 1, 2001

Section Seven ~ the Electronic Fetal Monitoring / Cesarean Connection: Why the C-section rate is rising – Guest Editorial, Medical Economics, Obstetrics-Gynecology, Oct 2000; Excerpt Who speaks for Science in Court - Attorney Peter Huber, George C. Marshall Institute, 1999; C-Section to Prevent Cerebral Palsy: Results May Be a Wash; Ob.Gyn.News; April 15,2002, Vol 38; Auscultation vs. Fetal Heart Monitoring Ob.Gyn.News Nov 15 2001 Vol 36; FDA Reviews Continue on New Fetal Monitor Ob.Gyn.News Oct 1, 2002, Vol 37

Section Eight ~ Safety, social implications and contra-indications for Cesarean Surgery: A Scar is Born – every 39 seconds – Cesarean rate in 1995 / medical journal advertisement for a silicone sheeting product to reduce scaring in Cesarean incision; Ob.Gyn.News, April 15, 1998; Elective C-section Revisited, Ob.Gyn.News; August 1, 2002, Vol 36; Estimated Fetal Weight Not a Guide for Cesareans, Ob.Gyn.News Dec 15, 2001; Higher Rates of Respiratory Distress Seen with Cesarean; Ob.Gyn.News Dec 1, 2001, Vol 36; Cesarean Birth Associated with Adult Asthma; Ob.Gyn.News Jun 15, 2001, Vol 36; Elective Cesarean: An Acceptable Alternative to Vaginal Delivery? Peter Berstein, MD, MPH; Violence Against women in Healthy-care institutions: an emerging problem The Lancet, 5/11/02; Experts Say Guidelines Out of Step with Liberal Trend Toward Elective C-SectionPelvic Floor Protection at issue, Ob.Gyn.News Dec 1, 2002; New Zealand Physicians Urged to Avoid “Social Cesareans”, Medscape/Reuters Medical News, 2002

Section Nine~ Increased Risks and Complications of Cesarean Surgery: Cesarean Rate Portends Rise in Placenta Accreta, Maternal mortality 7% Ob.Gyn.News Mar 1 01, Vol 36; Last 50 Yrs Show 10-fold Raise in Placenta Accreta – behind 50% of emergency hysterectomies, Ob.Gyn.News Dec 15, 2001; Placenta Previa, C-section History Ups Accreta Risk; Ob.Gyn.News Sept 15, 2001, Vol 36; CME Review Article 24 – Diagnosis and Management of Placenta Percreta: a review, Vol 53, No 8, 1998

Section Ten ~ VBAC Topics: Double-Layer Cesarean Closures May be Safer – Uterine rupture more likely with one-layer closure Ob.Gyn.News, Mar 15, 2002, Vol 37; Induction vs. spontaneous labor - Fetal Weight Does Not Help Predict VBAC Success – Using weight estimates to determine who gets a trial of labor ‘is not justified’ Ob.Gyn.News July 15, 2001; Experts Say Cesarean Section Rates are Headed ‘Sky-High”; Ob.Gyn.News, April 1, 2002, Vol 37; Perinatal Death Risk Term VBAC 1:1,000, Ob.Gyn.News May 1, 2002;

Lay Press Articles: Giving Birth Their Way – Pregnant women who’ve had a previous C-section have tough time finding doctors to let them deliver vaginally, Los Angles Times, 10/07/02; Rebirth of a Controversy ~ Cesarean section rate rises again as doctors debate the safety of VBAC, July 01, 2002, Los Angles Newspaper Group Website; Home VBAC home – A VBAC, my way, Mothering Magazine, Jan/Feb 2002