Comments on: Study highlights grim realities of rural obstetric access http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access Iowa politics, news and commentary Mon, 12 Sep 2011 07:06:20 +0000 hourly 1 http://wordpress.org/?v=3.1 By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-24498 desmoinesdem Sun, 07 Jun 2009 10:14:00 +0000 http://iowaindependent.com/?p=15850#comment-24498 Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections. <br><br>It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section. Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections.

It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section.

]]> By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-24499 desmoinesdem Sun, 07 Jun 2009 10:00:45 +0000 http://iowaindependent.com/?p=15850#comment-24499 This is an important one, not only for rural areas: "changes in physicians’ attitudes toward work and quality of life."<br><br>One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.<br><br>Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.<br><br>Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery. This is an important one, not only for rural areas: “changes in physicians’ attitudes toward work and quality of life.”

One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.

Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.

Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery.

]]> By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-19580 desmoinesdem Sun, 07 Jun 2009 05:14:00 +0000 http://iowaindependent.com/?p=15850#comment-19580 Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections. <br><br>It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section. Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections.

It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section.

]]> By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-19581 desmoinesdem Sun, 07 Jun 2009 05:00:45 +0000 http://iowaindependent.com/?p=15850#comment-19581 This is an important one, not only for rural areas: "changes in physicians’ attitudes toward work and quality of life."<br><br>One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.<br><br>Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.<br><br>Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery. This is an important one, not only for rural areas: “changes in physicians’ attitudes toward work and quality of life.”

One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.

Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.

Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery.

]]> By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-17258 desmoinesdem Sun, 07 Jun 2009 03:14:00 +0000 http://iowaindependent.com/?p=15850#comment-17258 Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections. <br><br>It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section. Out of curiosity, has anyone looked at the c-section rates from rural hospitals that have since closed their obstetrical departments? I have read in the past that some rural hospitals have very high rates of scheduled c-sections.

It's conceivable that care for women could improve, even if they have to drive further to a hospital, if the hospital they are going to is more likely to give them a real trial of labor rather than a guaranteed c-section.

]]> By: desmoinesdem http://iowaindependent.com/15850/study-highlights-grim-realities-of-rural-obstetric-access/comment-page-1#comment-17257 desmoinesdem Sun, 07 Jun 2009 03:00:45 +0000 http://iowaindependent.com/?p=15850#comment-17257 This is an important one, not only for rural areas: "changes in physicians’ attitudes toward work and quality of life."<br><br>One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.<br><br>Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.<br><br>Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery. This is an important one, not only for rural areas: “changes in physicians’ attitudes toward work and quality of life.”

One of the reasons we have an explosion of labor inductions (in some areas more than 50 percent of first-time mothers are induced) is that OB/GYNs don't like to be called into the hospital in the middle of the night or on weekends. In past generations that came with the territory if you went into that field.

Unfortunately, the labor inductions are more likely to lead to other interventions if the cervix is not ripe (pitocin, epidural, cesarean birth). It shouldn't be normal to induce labor for non-medical reasons.

Expanding access to midwifery care in rural hospitals would be good for mothers, babies and the overall costs associated with labor and delivery.

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