blog

What Should the Cesarean Rate Be?
Since the cesarean rate began rising in the late 1970s, the obstetric community has debated what the rate should be and even objected to trying to set a rate at all.6, 7 A guest post I did awhile back for Lamaze’s blog “Connecting the Dots” documents that yes, it is possible to establish an...

My baby is breech. What can I do to get the baby to turn head down?
You ask: I'm 37 weeks and my baby is still in a breech position. I'm frustrated because I really wanted to have a vaginal birth. What can I do to get the baby to turn head down? I answer: There’s a lot you can do! Here’s an article from the American Academy of Family Physicians. In it, you’ll find...

My doctor says it’s fine to induce labor once I’ve gotten to 39 weeks. Do you think this sounds like a good plan?
You ask: I'm due on Christmas day and my doctor wants to induce me the week before. I'd like to spend the holiday with my family and introduce them to our new little one. My doctor says it's fine to induce labor once I've gotten to 39 weeks. Do you think this sounds like a good plan? I answer:...

Just Say “No” to Hospital Admission in Early Labor
If this is your first baby, unless you have a medical condition that warrants closer monitoring, you don’t want to be in the hospital until you are in active labor. Let’s look at why admission in early labor could theoretically be a problem and the evidence supporting that, in fact, it is one....

Should Labor Be Induced Immediately with Term Prelabor Rupture of Membranes?
Here's an oldy-but-goody guest post I did for Lamaze's "Connecting the Dots" in which I deconstructed a large randomized controlled trial concluding that labor should be induced if membranes ruptured at term and labor didn't begin shortly thereafter.