New Maternity Care Recommendations in the UK
Government advisory body the National Institute for Health and Clinical Excellence (Nice) has laid out recommendations for how women should give birth in an attempt to standardize the currently varied practices across the country.
It says that women should be given information and support to make an informed decision about where they would like to give birth.
Among the options of the surroundings for labour are a home birth, hospital birth and water birth – with the latter not currently available to all women in labour.
Other Nice recommendations include supportive one-to-one care for women in labour; clinical intervention only being offered if the labour is not progressing well; and informing women about the risks and benefits of choosing epidural analgesia.
Source: In The News UK
NICE indeed! I’m especially pleased about the bits I’ve highlighted. Though, I suppose one issue (of the many that have come up over this, most of which I’m not familiar with because I’m not overly familiar with the medical system in the UK) is that there is a lot of debate about when labour is not progressing well—by who’s timetable??
As is to be expected, reaction in the UK to this announcement has been all over the map. Childbirth groups have welcomed the guidelines and encouraged health organizations to implement them as soon as possible. On the flip side, Prof James Drife, a specialist in obstetrics and gynecology at Leeds University, says that because midwife-led maternity units are not staffed by consultants trained to deal with life-threatening emergencies during birth thousands of women may need to be rushed to hospital if complications arise, possibly putting the lives of mother and child at risk.
Related articles:
Water birth 'provides the safest form of pain relief'
The Facts about Birth in the UK
More commentary on the case of the homebirth death in Oregon reported last week
Elise Hansen, regional representative of the Oregon Midwifery Council, wrote a letter co-signed by 15 midwives lamenting that home birth makes the news only when there are deadly complications.
I couldn’t have said it better myself!
Bill Maher
I don’t watch Bill Maher. I don’t have a tv. But I have noticed the web ripples he’s caused with his latest “New Rules” on breastfeeding in public. Louise Marie Roth, who writes regularly at HuffingtonPost.com wrote this excellent piece in response. I took a class in persuasive writing in University and it makes me incredibly happy to read a well-researched, cool-headed response to small-mindedness and ignorance. It’s easy to get angry and write something scathing or equally small minded; It’s a lot more difficult to have the control to present a well thought-out argument that puts someone in their place without letting your emotions get in the way. Kudos to Ms. Roth.
The Politics of Breastfeeding
This commentary from the Toronto Star examines the recent rise in activism for breastfeeding rights. Here’s a choice quote:
So don't people have a right to not be comfortable with public breastfeeding? Sure, but even the YMCA this week said it's time to start dealing with their discomfort as the problem, and not the breastfeeding mom. Those who are uneasy can leave, or look away, or just get used to it. Or as Gilmore says, think of it this way: "What about the rights of the baby – to eat?"
Vitamin D
The Canadian Pediatric Society urged pregnant and breastfeeding women to increase their daily vitamin D intake to up to 2,000 IU. This goes against Health Canada’s recommendation to take 200 IU a day. Health Canada says that 2,000 IU is the maximum allowable safe intake. However, this is the second time in recent months that a health advocacy group has recommended an increase in Vitamin D without the backing of Health Canada. In June, the Canadian Cancer Society said that adults should increase their daily intake to 1,000 IU. This week, Health Canada continued to assert that no changes to Vitamin D intake should be made until further studies showed evidence of a need to revise recommendations.
Vitamin D is included in most multivitamins, some foods, such as milk, are fortified with it, and it is also found in oily, cold water fish, such as salmon. Vitamin D has been shown to offer protection from multiple sclerosis, diabetes, cancer, asthma, osteoporosis, dental cavities and inflammatory bowel disease.
Increase spending to support midwifery?
The Green Party’s platform (in Ontario’s provincial election) includes a promise to increase funding of midwifery training by $10 million over four years, increasing the amount of midwives in the province. Cool.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
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