The American College of Obstetricians and Gynecologists (ACOG) is the organization that US doctors turn to for practice recommendations. This post will review their guidelines on the management of late-term and postterm pregnancies. If you go past your due date, this is the information your doctor will be using to guide your care. Should babies just “come when they’re ready”? What are the risks?
Typically, the umbilical cord is cut immediately after birth in the hospital setting. Many organizations are beginning to recommend a change in practice to include delayed cord clamping. However, doctors are frequently hesitant to wait to clamp the cord. What does the evidence say?
Is nipple stimulation an effective way to induce labor? Or will it just give you sore breasts? What does the research say? Continue reading “Ways to Induce Labor Part 4: Nipple Stimulation”
AGOC has new recommendations for managing labor to help decrease c-section rates. Parts 1 and 2 look at the article your doctor should be reading. Part 3 will discuss what you should expect them to recommend based on the research and what this means for you.
Part 1 reviewed the current state of cesarean sections in the US. It also reviewed ACOG recommendations for management of abnormal first and second stage of labor. Part 2 will discuss the second most common indication for primary c/s, an abnormal fetal heart rate tracing, as well as the effects of induction on c/s rate, and other common indications for primary c/s, such as twin and breech presentation. Part 3 will discuss what the patient can expect from their provider based on these recommendations.
One in three women in the US will give birth by cesarean section. ACOG recognizes that this is a problem, and that many of these cesareans are unnecessary and can be prevented by a change in labor management. I will be reviewing their 2014 Obstetric Care Consensus findings and recommendations in a 2 part series. I will follow that in Part 3 with what the patient can expect from their provider, based on these new recommendations.