Birth - If Hippocrates meets McDonalds

Atul Gawande, associate professor of surgery at Harvard Medical School, said in an article in The New Yorker Magazine (The Score: How childbirth went industrial.10/9/2006): "And yet there is something disturbing about the fact that birth is always so easy surgery. Some hospitals already do in more than half of caesarean births ... we lose our connection to another natural process of life. And we see the disappearance of artBirth ... In traditional medicine, will soon be lost. "It 'been a revolution in medicine in the first third of the 20 th century, that all this is foreshadowed. While most urban women delivered at home were born with the help of a midwife, which was about 1933, mostly children urban doctors in hospitals. hospital care has not been beneficial, but the mothers or babies. In fact, neonatal mortality from accidents birth has increased over the past two decades! The author cites"Incompetence", as the most consistent.

As he watched, to standardize the doctors had to get something on the birth process (make it as easy as ABC!), And to improve their numbers do, or lose their credibility. Even without the tools and advanced techniques of doctors, midwives, who were the most consistent results! Caesarean section is that, at the time, as a last desperate need surgery. Historically, it is almost always killedthe mother of blood loss and infection. In a period of one quarter of a century, but none of this would really move. The turning point came in 1953 in the form of a standardized rating scale called the Apgar newborn. Around the same time, surgical techniques and antisepsis were in them. The score was a beacon for the statistical studies could be based. Health in the short and long-term prognosis of an infant was measured and then reflectedInstitutions and their medical effectiveness of their methods and procedures. But if two processes simultaneously the effectiveness (if the staff is sufficiently trained), how can you determine who to support, and its convenience?

Caesarean section is a procedure. The use of forceps in delivery is a game of skill. Gawande describes them as art. Here is a good example of where the path of least resistance is to increase the priority with respect to push the level of expertise of professionals.For this reason, mothers may suffer unnecessarily.

As part of the statistics, the C-field with their membership as a valuable means, studies of long-term effects on women who are affected by this are few and unimportant for the forward direction, in obstetrics. Gawande cites with tweezers as completely revolutionized birth. Their use drastically reduces child mortality. The problem with the tweezers is the belief that too many doctors are unable to masterTools and techniques well enough to make it effective. Physicians who are well trained in the techniques, but have the same success rate in the difficult cesarean delivery.

Working with a tool to ensure a child from an un-altered birth canal is considerably different and more difficult to stop the bleeding of a cut through fabric, brings out the kid and then sew the fabric to re-traumatized. One is to facilitate a non-natural, alwayspredictable process. The other is a paint-by-the-numbers excision.

You might think that C-shares would be used only in cases of extreme urgency. They are not. Now they are increasingly offered as a special present on the menu at birth!

The Apgar score is child-oriented, which means that the goal of producing healthy live births. It was also designed to capture the child at risk and intervene before it's too late doctor. What is not designed to do isPlace equal emphasis on the health and future well-being of the mother after she leaves the delivery room.

Caesarean section is only a reference to the procedures that have been integrated into the normal period of delivery. Today there is more routine IVs, fetal heart monitoring, Pitocin (to "drive" the contractions) and spinal anesthesia in the birth process. Many of these during the delivery, are selected so as to beat the odds and smooth the roughEdges, almost as if one says: "There will be more convenient for us today ... and let's not talk about it tomorrow." Of course it's mother and family who paid for all, but how many currencies?

What was the miracle of birth has become an industrial process. It depends on a state seen from the distribution of industrial, assembly, male hospital, which has yet to truly understand, let alone try the subtleties of a woman. If 'the role of women has become, to provide a healthy Apgar? Gawande says: "Against the score for a newborn, are among the mother's pain and blood loss and duration of recovery seems a little". It 'been put in this situation, a study that shows the statistics for women's experience? No, it's something that "looks" count for little. Caesarean section are much more brutal than the mother, the use of forceps. The recovery is prolonged. Healthy tissue is damaged. The feeling of alienation from a natural birthProcess in which you are providing a baby (as opposed to a procedure to remove a conflict of growth!) May produce traumatic origins in the bond of mother and child. Of course this is just an extrapolation on my part from interviews with women who have experienced drawn. But what I know, I have no statistics to back over me.

Maybe someone should ask.

Food Recipes DVD