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Speakers
and Topics for the 2008 conference |
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Cesarean Trends: Economic, Legal, and Political Factors. Richard G. Roberts, MD, JD, FAAFP, FCLM. Professor of Family Medicine, University of Wisconsin Medical School. President-elect of the World Organization of Family Doctors. Past president of American Academy of Family Physicians.
Bio: Married 33 years, Rich and Laura Roberts have four children. Rich completed undergraduate and law degrees at the University of Wisconsin, medical school at George Washington University, and family medicine residency at UCLA – Santa Monica. Dr. Roberts no longer performs cesareans, but still delivers babies.
Description of presentation: the rate of cesarean birth has risen dramatically over the past decade. The most powerful influence on the upward trend in cesarean rates is the decline in vaginal birth after previous cesarean (VBAC). The economic, legal, and political factors affecting cesarean and VBAC rates will be explored. The impact of policies, practice recommendations, and changing cesarean and VBAC rates on access to care and maternal and infant outcomes will also be discussed.
Articles: Co-author of AAFP statement on Trial of Labor After Cesarean, www.aafp.org/PreBuilt/clinicalrec_tolac.pdf “How to apologize and reduce malpractice risk”: www.patientcareonline.com/patcare/AAFP06/How-to-apologize-and-reduce-malpractice-risk/ArticleStandard/Article/detail/376205
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Rising Cesarean Rates: Clinical Influences and Risks to Mother and Baby Nancy O'Brien-Abel, MN, RNC. Perinatal Clinical Nurse Specialist, Center for Perinatal and Pediatric Excellence, Swedish Medical Center, Seattle. Teaching Associate, Department of OB/Gyn, UW School of Medicine.
Bio: Nancy received both her Bachelor and Master of Nursing from the University of Washington, Seattle, Washington. She is a Perinatal Clinical Nurse Specialist with the Center for Perinatal and Pediatric Excellence at Swedish Medical Center, Seattle and a Teaching Associate in the Department of Obstetrics and Gynecology, University of Washington School of Medicine. She is a nationally recognized speaker on a variety of perinatal topics including VBAC-TOL, fetal monitoring, cesarean birth, and induction of labor.
Description of presentation: Unnecessary cesarean deliveries are being performed at an alarming rate without a clear understanding of the risks of major abdominal surgery to mother and fetus. This presentation will examine influences contributing to the increased rate of cesareans in this country, and discuss the clinical risks of cesarean to both mother and fetus, including the long-term reproductive risks to the mother.
Article on VBAC and uterine rupture at http://www.medscape.com/viewarticle/458963 Summary of her presentation on VBAC at ACNM meeting: http://www.medscape.com/viewarticle/457851_2
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Cesarean: The Personal Impact. Pam Udy. President of International Cesarean Awareness Network. Co-compiler of Cesarean Voices.
Bio: Pam Udy has served on the ICAN board since 1999. She has experience supporting, educating, and encouraging moms who are seeking to avoid a cesarean, recovering from a cesarean, and who are searching for a vaginal birth after cesarean (VBAC). Pam is mother to five children, having three natural births after two unnecessary cesareans.
Description of presentation:
i) Physical recovery for moms and babies: (1) Breastfeeding and attachment (2) That’s normal!? (3) Complications (4) If you don’t have a healthy mom, can you have a healthy baby? ii) Emotional healing for moms (1) Coercion, disempowerment and motherhood (2) Trauma (3) Voluntary secondary infertility iii) Emotional healing for dads (1) Marital impact (2) Grieving differences (3) Intimacy
Articles: Interview with Pam www.earthmamaangelbaby.com/articles/icann.html Includes info on birth planning for cesarean, and cesarean recovery.
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Education on Cesarean Birth: Finding the Right Perspective. Penny Simkin, PT. Childbirth educator, doula, author of Pregnancy, Childbirth & the Newborn, The Birth Partner, Labor Progress Handbook.
Bio: Penny Simkin, PT, is a physical therapist who has specialized in childbirth education and labor support since 1968. She estimates she has prepared over 9,000 women, couples, and siblings for childbirth. She has assisted hundreds of women or couples through childbirth as a doula. Penny is the author of many books on birth for both parents and professionals. Her latest products for birth educators and doulas are “The Road Map of Labor.” a birth video, titled “The 3Rs: Relaxation, Rhythm, and Ritual,” and a Birth Sling—an aid to the dangle position for second stage labor. Currently, Penny serves on several boards of consultants and editorial boards, and her practice consists of childbirth education, birth counseling, and labor support, combined with a busy schedule of conferences and workshops.
Description of presentation: As educators, beyond teaching the reasons for cesareans and the procedure, we must inform ourselves of the short and long term consequences, good and bad, for mother and baby. Reports are pouring in with new findings on risks and benefits of cesareans. How and how much of this information do we disclose in childbirth classes? Can we make a difference in our students’ likelihood of having a cesarean, their feelings about it post partum, or their future childbearing? What do our students already know about cesareans? How can we inform their changes of a vaginal birth? How can we help them make an informed decision regarding cesarean when it is proposed? How can we help in post partum?
Articles: Ideas for the Best Cesarean Possible; The Birth Environment: How the place and people influence outcomes
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As a preview to the conference: check out this article on the topic of:
The Cesarean Epidemic: What’s a Childbirth Educator to Do, by REACHE board member, Janelle Durham.