Mar 14 2010
Twitter Weekly Updates for 2010-03-14
- New blog post: The Cove Wins! http://theexcellentadventure.com/ea/2010/03/08/the-cove-wins/ #
- I'm going to have a debut video to show at my TrustBirth Conference talk that's gonna rock the house! Be there! http://bit.ly/cyeeE5 #
- RT @Preparing4Birth: It is starting.. Follow her for great NIH VBAC conference tweets! #
- GO DESIREE! #NIHVBAC #
- Thank goodness for the tweets, cause the vidcast bites! http://videocast.nih.gov/ #nihvbac #
- Great. Getting a socket error for the vidcast. No VBAC ethics joy for me. #nihvbac #
- @ShannonMitchell WOOT! Go Shan! More tweets, since the NIH's stream is wonky. #nihvbac in reply to ShannonMitchell #
- @BirthCut Yeah. It's showing a socket error? Technology fail. I hope this tells NIH how much this mattered to those of us not there #nihvbac in reply to BirthCut #
- @RobinPregnancy THANK YOU! Working now here too. #nihvbac in reply to RobinPregnancy #
- I am SO looking forward to the day when ACOG actually follows science rather than expedience and personal narrative. #nihvbac #
- You bet they're not all women, Rita! Birth affects fathers too! #nihvbac #
- Hubby just brought me tea, so I didn't have to leave the vidcast for a moment. He's listening too. #nihvbac #
- Loving hearing about @feministbreeder's story! Stories *matter* #NIHVBAC #
- Only 1000 HBACs in 2006? Probably only that many *recorded*, but I think the stats are off. #nihvbac #
- Unassisted birth! The elephant in the room just got bigger! #nihvbac #
- Thank you, Rita. Reclaiming women's voices. #nihvbac #
- OMG! Malpractice most important factor??? At least he's honest. But now I wanna scream. #nihvbac #
- The transcription service is translating this speaker's VBAC as "feed bag". Funny, or sad? #nihvbac #
- @midwifeamy He's asking them how many deliveries *they* performed. All the bias alert you need, right there. #nihvbac in reply to midwifeamy #
- His survey indicates 90+% Dallas/FtWorth hospitals have no vbac ban, but the ICAN database says otherwise. #nihvbac #
- What this says is that there is no *evidence based* reason to deny VBAC. It is all about OB opinion/comfort/perception. #nihvbac #
- RT @midwifeamy: So sad that newer doctors have "grown up" in the VBAC ban era and now don't do them. #nihvbac #
- He's right. We need to focus on the providers. Midwifery model of care! #nihvbac #
- RT @BirthBabiesBlog: YAY I see Jen from VBACFacts.com in line to ask questions! #NIHVBAC // Waiting for JEN! YEAH! #
- The playback skipped over Jen! GAH! What did she say? #nihvbac #
- GO Farah! #NIHVBAC #
- @RWV4HealthCare It wasn't Lynn, it was Farah Diaz-Tello, IPIF in reply to RWV4HealthCare #
- GO JEN! GO GO GO! @vbacfacts #nihvbac #
- Speaker is assuming that physicians are honest about their opinions. #nihvbac #
- Speaker is now going to have to justify physician dishonesty. Neat. #nihvbac #
- Gene Declerc! GO GO GO! Very cool! #nihvbac #
- Declerc: It's not about evidence, it's about practice culture" #nihvbac #
- @RobinPregnancy Good question. Maybe it's because they don't care as much as activists do? How many ACOG nonspeaker attendees? #nihvbac #
- Hope the NIH realizes that the numbers of women following this consensus should be considered in their report. This *matters* to us #nihvbac #
- @Chicago_Places soooooo Jealous! Wanna be there! in reply to Chicago_Places #
- @PregnancyMyths Heck no! Go with someone who isn't a fear- and liability-based creature. I had my two HBACs with a DEM. in reply to PregnancyMyths #
- @soozenw I can't believe I'm up this early listening, and reading the prelim report. #nihvbac in reply to soozenw #
- Reading the report. Breech, multiples, big babies… all under the bus. Frustrating. #nihvbac #
- YEAH! Acknowledging the limitations of the data. You can't get data if you don't examine *all* of it. That's hopeful. #nihvbac #
- Cesarean for arrest of labor associated with high degree of successful VBAC. Take that, FTP/CPD!!!! #nihvbac #
- I know we need to keep it scientific, but it's chilling to hear "maternal mortality" being discussed like this. #nihvbac #
- Oh… fat chicks stay in the hospital as long with cesarean as with VBAC. ::sigh:: Really? #nihvbac #
- No higher risk of rupture with pitocin induction? Are you freaking kidding me??? #nihvbac #
- I wish I understood more about how they're grading the evidence. That could be very useful in assessing future studies. #nihvbac #
- sorry, augmentation, not induction, my bad. #nihvbac #
- Essentially no comparative data exist on breastfeeding practices among women undergoing ERCD or TOL. That should be pretty easy… #NIHVBAC #
- Their liability, our bodily integrity. Which one should be valued more highly? #nihvbac #
- Just scrolled down to the conclusions of the report. I am pleasantly surprised, and hopeful. #nihvbac #
- @nihconsensus @DeepSouthDoula Downloaded, opened in Adobe Reader, Save a Copy. Maybe it's a mac thing? in reply to nihconsensus #
- @swainlori http://consensus-nih.org/omar-public/PublicComments/VBAC/PublicComments.aspx?AspxAutoDetectCookieSupport=1 in reply to swainlori #
- @RobinPregnancy Considering I was expecting to be thrown under the bus again, it really wasn't bad. #nihvbac in reply to RobinPregnancy #
- Yeah Michelle Lyons! It should be reworded as "requiring surgery" rather than "restricting access to TOL" #nihvbac #
- Practicioner bias dictates outcome! GO @shannonmitchell! #
- Practicioner bias dictates outcome! GO @shannonmitchell! #nihvbac #
- OB is saying "Term means different things to different people and needs to be defined." Really? ::headdesk:: #nihvbac #
- @RobinPregnancy Call me a luddite; term is when labor begins on its own. Anything else is a procedure, and not term. #nihvbac in reply to RobinPregnancy #
- @anderzoid Would be tricky… can you even compare, say, homebirth, to purple pushing in stirrups? #nihvbac in reply to anderzoid #
- Prenatal care! For *sure* is a factor and needs to be included! Great point! Who's the speaker? #nihvbac #
- @ShannonMitchell neonatal mortality; it's a question. Are we preventing these deaths by cesarean? #nihvbac #
- Lack of information on mental impacts of lack of access to VBAC is a critical issue. #nihvbac #
- YES! Must understand risks of *both* TOL AND ERCS!!! #nihvbac #
- @swainlori Yeah. Me too. It's like a dog, it smells fear and attacks. Or something. in reply to swainlori #
- RT @BirthBabiesBlog: YOU GO @SHANNONMITCHELL !!! #NIHVBAC #
- The OB says she's hurt by comments about "OBs". You lie down with dogs… ::shrug:: #nihvbac #
- Go Barb Stratton! Include VBAmC! "ultimately the decision for informed refusal to surgery rests with the WOMAN!" YES!!! #nihvbac #
- RT @PushforMidwives: #NIHVBAC Panelist just said pregnant women aren't people.//Yes he did. Terrifying, cause he said it cold. #
- A father asks for risk stratification of VBAC. Wow. #nihvbac #
- OK, so I was optimistic, until the Q&A. I am not autonomous? Really? Time to pony up a donation to @NAPW. #nihvbac #
- @soozenw BStratton asked for explicit statement that a woman can refuse surgery without penalty. He denied that, saying that it's unsettled. in reply to soozenw #
- I'll be talking about this at my panel @ TrustBirth Conference this weekend. Trust birth, but we aren't legally people? How? #nihvbac #
- @alecmuffett You ain't seen acronyms until you've been neck-deep in medico-legal jargon. in reply to alecmuffett #
- RT @ShannonMitchell: i am appalled that when the choice is given, an ob thinks it defaults to him. It is my baby. #nihvbac #
- RT @DeepSouthDoula: What kind of influence will this report have? #nihvbac //Could potentially be huge: be sure you COMMENT #
- @RobinPregnancy I freaking HATE that! It is PITOCIN, which is a DRUG, not *oxytocin*, which is something your body produces!!!!! #nihvbac in reply to RobinPregnancy #
- @RobinPregnancy I freaking HATE that! PITOCIN is a DRUG, not *oxytocin*, which your body produces!!!!!@RobinPregnancy #nihvbac in reply to RobinPregnancy #
- @RobinPregnancy I know a doula who keeps a judge on speed dial on her phone, just in case. It's served as a great threat. #NIHVBAC in reply to RobinPregnancy #
- Loving Oakland Airport's free wifi. Yet another great reason to fly out of OAK instead of SFO. #
- @PushforMidwives Defend against. She says she can also block doctors from getting to the judge for orders, by tying up the line. Just sayin' in reply to PushforMidwives #
- Finally caved to the hotel's usurious $10/day wifi charge. Couldn't not check in…. #
- RT @rachel_w: #nihvbac day 3 video is up, for those who were waiting to hear what was said about autonomy/rights http://bit.ly/bExcmv #
- Just got back from the Trust Birth awards banquet. What an amazing group of folks. And the food was great too! #
- Amnesty International says US maternal care is "shameful" & "disgraceful". Old news, but nice to hear it out there http://bit.ly/bHQcr2 #
- Hoping the wifi is OK in the room I'm speaking in. Showing the last 5 minutes of day 3 NIH @ my VBAC talk at TrustBirth #nihvbac #trustbirth #
- Sitting at a panel discussion, "Don't Push Me!" @GloriaLemay, Laura Shanley, Karen Strange, Heather Brock. #trustbirth #
- Karen Strange: Pushing is also about the baby's experience. #trustbirth #
- Midwives haven't been around forever. Babies and women's bodies know what to do or we wouldn't have survived. #trustbirth #
- Laura Shanley: being told to push pushes my buttons. What's with the obsession with 10 cms? #trustbirth #
- There are legal guidelines for how long a woman's allowed to push. http://bit.ly/dv3MHO #trustbirth #
- Gloria Lemay: Midwives need to learn to be aware we're putting our own experience template on women. #trustbirth #
- Gloria Lemay: In midwifery, having a question is far better than having an answer. #trustbirth #
- Gloria Lemay: Your job is to explain that baby isn't stuck, it's shaping, and to be patient. #trustbirth #
- Heather Brock: Being told you can push creates pressure to perform. #trustbirth #
- Heather Brock: It doesn't matter how dilated you are. If the baby hasn't dived, it hasn't dived. #trustbirth #
- Heather Brock "If someone was trying to pull you off the toilet while you were going, it'd be the most alarming thing…" #trustbirth #
- Heather Brock: If there is a problem with birth… the mother is the first to know. She needs to trust the inside source. #trustbirth #
- @PushforMidwives Will keep that message intact, thanks. Women need to know that that opinion exists, though. #nihvbac in reply to PushforMidwives #
- Kristi Zittle, Gloria Lemay, and (swoon!) Marilyn Milos on Intactivism. Amazing what I don't know. #trustbirth #
- @ICANtweets There's never enough caffeine at any conference or gather, ever. #TrustBirth #ICAN in reply to ICANtweets #
- Still, most circumcisions are performed without any form of anesthesia. An everyday barbarism. #trustbirth #
- OK, wait. Did I say amazing what I didn't know? *Horrifying* what I didn't know. Get informed about intactivism #trustbirth #
- @purpleanvil doing a sesh on Trusting Birth thru variations of normal. #trustbirth #
- @purpleanvil says midwifery is about interacting, not waiting til the end to ask questions. #trustbirth #
- A variation is not a complication. @purpleanvil #trustbirth #
- Assess variations carefully. They're not all complications. Prepare, don't freak. @purpleanvil #trustbirth #
- Once you've seen the power of a woman's body to get her baby out, why would you worry? @purpleanvil #trustbirth #
- RT @feministbirther: #homebirth #feminism This is a #revolution not a public relations movement. #GloriaSteinem #
- Confidence in birthing comes from telling your kids, over and over, that birth is normal, and that it all works. @purpleanvil #trustbirth #
- Loving, birthing your babies, raising your children. Everything else is superfluous. @purpleanvil #trustbirth #
- Only ten minutes left in @purpleanvil session, and we're still talking breech! Wheeee! #trustbirth #
- knowing the basic physiology of the babys skull and the mother's pelvis, it helps the way you think about birth. @purpleanvil #trustbirth #
- Last day of Trust Birth 2010. Two sessions, and I get to meet Jen of VBACfacts! #trustbirth #
- First session: Reducing cesareans 20% by 2020. Doesn't sound like nearly enough, but I'm keen to hear what he has to say. #trustbirth #
- @Preparing4Birth Yeah. That's what I said. Including question marks. I will tweet the session, though, so stay tuned. #trustbirth in reply to Preparing4Birth #
- Sooooooooo tired. Between late sessions, chatting with roomies, and getting up superearly to get packed…. ugh. #
- Thanks to my panel peeps, Tiffany Fernandez and Pamela Hines-Powell, mod Kristi Zittle. You guys are the BEST! #trustbirth #
- Getting ready for the "Reducing cesareans 20% by 2020" talk by Elliott Berlin DC #trustbirth #
- OH! Not by 20%!!! *Under* 20%! ahhhh. Much better. #trustbirth #
- Opening slide… nothing we didn't already know. Talking about evolution of the procedure itself. #trustbirth #
- Asclepius, who was cut out of his dead mother's womb (Apollo killed Coronas for being unfaithful). First cesarean? Ew. #trustbirth #
- Unlikely that Caesar was actually born that way, because back then, the procedure was ONLY done on dead women due to burial laws #trustbirth #
- Laws on the books from 500 A.D. for trying everything else possible before trying a cesarean, because moms always died. #trustbirth #
- Cesarean section == no relation to the salad, created in 1924. BWAHAHAHAHAHAHAHAHA #trustbirth #
- Jacob Nufer, performed the first c/s where the mother lived. Not a surgeon, but a pig gelder trying to save his wife. #trustbirth #
- Frau Neufer went on to have four more births, one set of twins. So, first c/s AND first VBAC, in 1500. #trustbirth #
- 1794, first cesarean in US where mom lived. Surgeon also removed both ovaries, so as to not have to endure this again. #trustbirth #
- 1937 cesarean rate in the US, c/s rate 3%, and 70% hosp birth rate. #trustbirth #
- What we need is a standard informed consent form written by someone with no conflict of interest. — Elliott Berlin DC #trustbirth #
- RCTs in 1968 show little benefit to EFM, but substantial increase in c/s rate. #trustbirth #
- "If you mess around with a process that works well 98% of the time, there is much potential for harm" Dr. Edward Hon, 1985 #trustbirth #
- false positive rate for diagnosing cerebral palsy with EFM is 99% #trustbirth #
- OK, first fail of the talk. Practically, no, you can't refuse EFM in a hospital setting, despite guidelines and legal right. #trustbirth #
- 1970, 15% breech c/s. By 1986, 80% Then in 2000, the Hannah Disaster. #trustbirth #
- "There should be an ICOG that would issue evidence-based statements every time ACOG issues ones that aren't." Dr. Berlin #trustbirth #
- Have I mentioned lately how much I wish Dr. Robert Gagnon was head of ACOG instead of SOGC? #trustbirth #
- First RCT on epidurals had to be discontinued because c/s rate was so high, they thought it would be unethical to continue. #trustbirth #
- "Once a c/s, always a c/s" coined by E. B. Cragin in 1916. It was a warning statement of how much c/s were to be avoided. #trustbirth #
- "If they can't handle emergencies in 30 minutes, why the hell are we at the hospital?" Dr. Berlin #trustbirth #
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