Why cesareans are a big deal to you, your wife, and your daughter
Induction is wrong, wrong, wrong… wait, what?
Resources for processing traumatic births and losses
You need to talk to the doctor/midwife face-to-face
VBAC: A husband’s experience and lessons learned
Home VBAC threatened for California families
What I told the California Medical Board about home VBAC
New Research on Home Birth with an Obstetrician
Applying medical research to clincial realities
Shoulder pain is a symptom of uterine rupture
“No one can force you to have a cesarean” is false
“Hospitals offering VBAC are required to have 24/7 anesthesia” is false
Calling women who plan home VBACs “stupid” misses the point
When you are the statistic: Uterine rupture loss
Judgment in the birth community: Fitting in after a cesarean
Why I’m feeling conflicted about AB 1306: CNM Physician Supervision vs. Home VBAC Hurdle
What I told the California Medical Board about home VBAC
My intention in attending this meeting was to amplify the voice of the consumer. I think sometimes it's difficult for OBs who attend VBACs, or for those who live in communities where they have access to hospitals that allow VBAC, to understand that not everyone lives in that world.
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New Research on Home Birth with an Obstetrician
“Home birth is not for everyone but informed choice is. The patronizing statement, “home delivery is for pizza”, is unprofessional and has no place in the legitimate discussion. Some suggest making hospital birth more homelike.
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Applying medical research to clinical realities
A reader recently asked, “I wonder however if there are studies that compare the method of induction. My Doula said that the increase rates of uterine/ scar rupture was due to using high dosages of Pitocin, but now the induction uses lower dosages and administered at longer intervals. Do you know something about this?"
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Shoulder pain is a symptom of uterine rupture
Internal bleeding from uterine rupture can cause referred pain through the phrenic nerve which can present in the shoulder. Shoulder pain is sometimes not included in lists of uterine rupture symptoms, but I have seen it cited multiple places (see below) and have had conversations with OBs, nurses, and anesthesiologists who have experienced uterine ruptures with shoulder pain. I’m also aware of two cases where the uterine rupture diagnosis was delayed because staff was not familiar with the incidence of referred pain.
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