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'R \RX UHPHPEHU" Compiled by Sue Renno

50 years ago

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Patiently waiting Waiting for labor to arrive naturally may increase health for mom and baby $0(5< $PHULFDQV RIWHQ OHDYH OLWWOH URRP IRU DQ\WKLQJ XQSODQQHG HYHQ ELUWKLQJ D EDE\ 0DQ\ RI WRGD\¡V SUHJQDQW ZRPHQ DUH DOVR FDUHHU ZRPHQ )LWWLQJ D ELUWK LQWR D MDP SDFNHG VFKHGXOH FDQ VHHP LPSRVVLEOH 3HUKDSV WKH PRP WR EH ZDQWV WR EH VXUH KHU GRFWRU LV QRW RQ YDFDWLRQ ZKHQ VKH JRHV LQWR ODERU (YHQ VZROOHQ ankles and other causes for discomfort may provoke a SUHJQDQW ZRPDQ WR UHTXHVW DQ LQGXFHG ODERU :KLOH \RX and everyone around you may be eager for the baby to DUULYH HYHU\ ZHHN FRXQWV IRU D JURZLQJ IHWXV ,Q WKH $PHULFDQ &ROOHJH RI 2EVWHWULFLDQV DQG Gynecologists found that approximately one out of HYHU\ Ă€YH SUHJQDQW ZRPHQ KDG DQ LQGXFHG ODERU $QG in the last two decades, the number of inductions has GRXEOHG “Many hospital leaders are unaware that the hospital has a high rate of elective births, which is why it’s LPSRUWDQW WR PHDVXUH LW Âľ H[SODLQV 3DW &RRSHU YLFH president of clinical operations for Quorum Health ReVRXUFHV ´6WDUWLQJ -DQ 7KH -RLQW &RPPLVVLRQ will require hospitals with 1,100 or more births per year WR UHSRUW RQ 7-&¡V SUHQDWDO FDUH PHDVXUH VHW :LWKLQ WKDW VHW LV D PHDVXUH IRU WKH UDWH RI & VHFWLRQV SHUIRUPHG Âľ TJC’s new rule is expected to reduce many unnecessary HOHFWLYH &DHVDUHDQ VHFWLRQV Many women believe that delivering a few weeks HDUO\ LV MXVW DV VDIH DV GHOLYHULQJ RQ WKH GXH GDWH :URQJ $ GXH GDWH LV VLPSO\ DQ HVWLPDWH DQG QRW DQ LQGLFDWLRQ WKDW WKH EDE\ LV UHDG\ WR EH ERUQ Sometimes inductions are essential for the health RI WKH PRP DQG WKH EDE\ /DERU FDQ EH LQGXFHG E\ medication that softens the cervix to jump-start contracWLRQV 7KH GRZQIDOO" 7KH $&2* VD\V PHGLFDO LQGXFWLRQV can increase a mother’s odds of having a C-section by SHUFHQW IRU PHGLFDOO\ LQGLFDWHG LQGXFWLRQV DQG SHUFHQW IRU HOHFWLYH LQGXFWLRQV $ & VHFWLRQ LV D PDMRU

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surgery and requires several extra weeks to recover when compared with a natural birth, which usually reTXLUHV RQO\ D IHZ GD\V WR UHWXUQ WR QRUPDO DFWLYLWLHV Mounting research suggests that if a birth is induced SULRU WR D IXOO WHUP SUHJQDQF\ ZHHNV WKH PRP DQG EDE\ KDYH DQ LQFUHDVHG ULVN IRU FRPSOLFDWLRQV $FFRUGing to the March of Dimes, in the last two decades the QXPEHU RI LQGXFWLRQV KDV PRUH WKDQ GRXEOHG 6LQFH many births are scheduled early for nonmedical reasons, the March of Dimes launched an education campaign, +HDOWK\ %DELHV DUH :RUWK WKH :DLW WR EULQJ DZDUHQHVV to the dangers of unnecessary inductions and C-sections SULRU WR ZHHNV $W ZHHNV D EDE\¡V EUDLQ ZHLJKV MXVW WZR WKLUGV RI ZKDW LW GRHV DW ZHHNV 7KRVH ODVW IHZ ZHHNV FDQ EH FULWLFDO WR WKH GHYHORSPHQW RI WKH IHWXV 6SHFLĂ€F SURElems which can be caused by inducing labor include EUHDWKLQJ GLIĂ€FXOWLHV WURXEOH VXFNLQJ VZDOORZLQJ DQG staying awake long enough to eat; vision and hearing issues; liver not fully developed (vital for getting rid of toxins); skin is not thick enough to regulate body temperature; changes in baby’s heart rate; and increased ULVN RI GHYHORSLQJ MDXQGLFH “Nonmedical inductions should only be performed if D IHWXV LV GHWHUPLQHG WR EH DW OHDVW ZHHNV RU LI IHWDO OXQJ PDWXULW\ LV HYLGHQW Âľ VDLG FHUWLĂ€HG QXUVH PLGwife Brenda Johnson at Amery Regional Medical CenWHU ´6WLOO HYHQ WKRXJK LQGXFWLRQV DIWHU ZHHNV DUH considered safe, the safest and best labor plan is to be SDWLHQW DQG ZDLW IRU QDWXUDO FRQWUDFWLRQV WR EHJLQ Âľ To spread the word about the importance of waitLQJ DW OHDVW ZHHNV WR GHOLYHU D EDE\ \RX FDQ SXUFKDVH D 0DUFK RI 'LPHV +HDOWK\ %DELHV DUH :RUWK WKH :DLW 7 VKLUW RU YLVLW PDUFKRIGLPHV FRP ZHHNV WR OHDUQ PRUH 7KH $PHULFDQ &ROOHJH RI 1XUVH 0LGZLYHV also endorses full-term pregnancies and offers a helpful guide to understanding normal, healthy childbirth, ZKLFK FDQ EH GRZQORDGHG IRU IUHH DW RXUPRPHQWRIWUXWK PLGZLIH RUJ – from ARMC and QHR

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