One of our readers asked for a critique of the movie “The Business of Being Born.” I guess my sex and specialty make me the best qualified to comment. I delivered over 200 babies as a family physician. I had two babies of my own (at age 37 and 39),… read more "The Business of Being Born"
Vaginal Birth After C-Section: How Safe Is It?
Doctors used to insist “once a C-section, always a C-section.” Today it is standard practice to allow vaginal births after C-section (VBAC) for appropriately selected patients. The American Congress of Obstetricians and Gynecologists (ACOG) has issued a Practice Bulletin to guide obstetricians in determining which patients are appropriate candidates for VBAC. We… read more "Vaginal Birth After C-Section: How Safe Is It?"
Water Birth (Again)
Note: I had just finished writing this article when I discovered Dr. Jones had beat me to the punch with his March 28th article on the same subject. He did an excellent job, and of course reached the same conclusions I did (it’s not that great minds think alike, but that we base… read more "Water Birth (Again)"
Childbirth Without Pain: Are Epidurals the Answer?
Is unmedicated natural childbirth a good idea? The American College of Obstetrics and Gynecology (ACOG) points out that There is no other circumstance in which it is considered acceptable for a person to experience untreated severe pain, amenable to safe intervention, while under a physician’s care. It is curious when… read more "Childbirth Without Pain: Are Epidurals the Answer?"
Home Birth Safety
More and more American women (1 in 200) are opting for home birth, and midwife-assisted home birth is common in other developed countries. How safe is it compared to birth in a hospital? A new study sheds some light on the subject. It was recently published in the American Journal… read more "Home Birth Safety"
So many of the posts on this blog are critical and deal with examples of poor science or other problems. I’d like to offer a breath of fresh air in the form of a book by Mark Sloan, MD: Birth Day: A Pediatrician Explores the Science, the History, and the… read more "Birth Day"
Sterile Water Injections for Pain Relief
Before ethical standards changed, doctors used to occasionally fool patients with placebo injections of sterile saline or water. If my obstetrician had tried to give me sterile water instead of an epidural, I probably would have hit him. But apparently women are getting sterile water injections for childbirth and are… read more "Sterile Water Injections for Pain Relief"