The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS,
a homebirth midwife in Mountain View, CA
The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS,
a homebirth midwife in Mountain View, CA
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I just had my mind expanded this morning by Laureen Hudson's hour long online session on how to use the internet to get a message out. Laureen's session “Creating an Online Presence," gave me a wealth of information in a short time and impressed me with how many people are out there who completely rely on the internet for their information. I needed that, and maybe you do, too. - Ina May Gaskin I just hung up the phone from doing the hour long session with
Laureen Hudson on “Creating an Online Presence”. Laureen’s know-how
and expertise were enough to wake up even the birth oldtimers like me and
Ina May to the many unused opportunities of the internet. Laureen’s
engaging and easygoing teaching style made even those scary (to me) terms
like “hypertext, streaming, wordpress, technorati, feedreader and trackback”
start to make sense. Her passion is to reach the generation of young
women who have not yet given birth BEFORE they fall into the black hole
of aggressive obstetrics. I came away from the class today with lots
of ways to improve my website and make it more modern, usable and interesting
for readers. This class will run again this coming Friday (August
22) and I heartily recommend it.
Cost: $35 per session Each session will be 60 minutes in length Creating An Online Presence
Search!
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In referencing Thorp, I meant to reference his meta-analysis of studies about epidurals (Birth, volume 23, no. 2, June 1996) and not just his own 1989 and 1993 studies.
My point was that prospective trials are being done (not just by Thorp) and that they are all showing from 2 to 4 times greater cesareans for epidurals compared to narcotic analgesia. Imagine what the difference would be if the control group were mothers having labor support, doulas, and/or home births!
I wanted to summarize for you the prospective studies.
Prospective Clinical Trials Investigating the Association between Epidural Analgesia and Cesarean Birth Rates by Randomizing Women to a Narcotic versus an Epidural Group:
Reference and Parity Sample Size Relative Risk of Cesarean Birth with Epidural Analgesia (95% CI) 1. Combined 111 2.8 (0.8-10.0) 2. Nulliparous 93 11.4 (5.8-16.9)* 3. Nulliparous** 693 2.6 (1.5-4.3)* Parous** 637 3.8 (1.3-11.0)* Combined*** 869 2.3 (1.3-4.0)* All three prospective trials combined 1073 2.5 (1.6-4.0)****,* * Relative risk is statistically significant at least at p < 0.05 ** This represents the odds ratio for all women in the study adjusted by multivariate logistic regression analysis. *** The cesarean birth rate was significantly greater (p = 0.002) in the epidural group (9%, 39/432) compared with the narcotic group (4%, 17/437). **** Comparison of the proportions by Mantel-Haenszel yields a chi-squared of 18.1 and a p-value of 0.00003.
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