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Articles most recently posted from Midwifery Today magazine
- Cytotec and the FDA - by Ina May Gaskin
This is a powerful and emotional article against Cytotec and its use in pregnant women written by one of the most inspiring women in natural childbirth, Ina May Gaskin.
- Cytotec Induction and Off-Label Use - by Marsden Wagner, MD, MS
Without adequate testing of Cytotec (misoprostol) for labor induction, obstetricians simply began to use it on their birthing women. They were taking advantage of a huge loophole in our drug regulatory system.
- Midwives and Cytotec: A True Story - by Marsden Wagner MD, MSPH
Midwives must find the strength and courage not to be sucked into practicing a more interventionist type of care-resist the temptation to become a 'medwife.'
- Midwives and Cytotec: A True Story - by Marsden Wagner, MD
When the obstetrician said he would use Cytotec, the woman and her husband said they expected he would use prostaglandin gel but he said that he now uses Cytotec, as it is 'more modern and reliable.' They were not told Cytotec is not approved by the Food and Drug Administration (FDA) for this purpose...
- The Assault on Normal Birth: The OB Disinformation Campaign - by Henci Goer
We seem to have spent the last few years reeling from assault after assault on the concept of normal birth. Have you wondered, as I have, what is going on? This isn't a matter of chance; it's a concerted effort.
- Technology in Birth: First Do No Harm - by Marsden Wagner
Cesarean section can save the life of the mother or her baby. Cesarean section can also kill a mother or her baby. How can this be?
- Misoprostol (Cytotec) for Labor Induction: A Cautionary Tale - by Marsden Wagner, MD, MSPH
The experimental use of misoprostol (Cytotec) to induce labor is putting an increasing number of pregnant women at risk without their knowledge or consent. Cytotec, a cheap prescription drug for ulcers, is not FDA approved for labor induction and has been linked to uterine rupture and fetal tachycardia.
- Misoprostol: More on the dangers of Cytotec - by Marsden Wagner
Of 170 women given misoprostol (Cytotec) for induction with VBAC, eight have lost their uterus and two lost a baby as well, according to the combined data of two articles published in the American Journal of Obstetrics and Gynecology.
- What Every Midwife Should Know about ACOG and VBAC: Critique of ACOG Practice - by Marsden Wagner, MD, MSPH
Learn what every midwife should know about ACOG and VBAC from Marsden Wagner, MD.
- Adverse Events Following Misoprostol Induction of Labor - by Marsden Wagner, MD, MS
Off-label use of misoprostol (Cytotec) for labor induction has been steadily increasing for 10 years, even though this use is approved neither by the U.S. [FDA], other national drug regulatory agencies, the pharmaceutical industry, the Cochrane Library nor a number of national obstetric organizations
- Fetal Demise: Helping a Mother Cope with Her Pain - by Jude Stensland
When I arrived, I immediately scanned the quiet tummy. Lydia watched the screen with a worried expression. I could find no cardiac movement. Finally I put away the probe and moaned, “Lydia, I am so sorry, the baby is gone.”
- A VBAC Primer: Technical Issues for Midwives - by Heidi Rinehart, MD
Women pregnant after a previous cesarean section have special needs and concerns.
- Homebirth after Cesarean: The Myth and the Reality - by Amy V. Haas
No studies are available on homebirth after cesarean (HBAC). Is it as safe as inhospital VBAC? What elements make it risky? Amy Haas takes on the difficult task of wading applying the available studies on VBAC to the domain of homebirth to give a general idea on its safety.
- Editorial: Routine Active Management of the Third Stage - by Jan Tritten
Midwifery Today mother Jan Tritten shares her thoughts on the third stage and how it isn’t such a good idea for this part of birth to be routinely managed.
- Editorial: Lessons from Kitty Birth: Using Placenta to Control Hemorrhage - by Jan Tritten
I went to a totally beautiful and undisturbed birth today. Five of them, actually! The mother had the most natural births as we looked on, not disturbing her but just being “with woman.” With woman—with kitty.
- Editorial: Changing Birth Practices - by Jan Tritten
Editor-in-chief Jan Tritten reminds us to not simple follow culture, but to use right practices when we are dealing with motherbaby
- Teaching Respect for Hands-On Care - by Ina May Gaskin
One of the greatest challenges before US midwives is teaching the value of hands-on care. Our culture's love affair with machines, contraptions and gadgets has blinded literally hundreds of millions of people to the importance of human contact, feeling, experience and judgment in maternity care.
- Midwifery Care for the VBAC Woman - by Gloria Lemay
Someone asked me what things are done differently with vaginal births after cesarean (VBAC) as opposed to a first baby. Midwives usually reply to this question with a reassuring, Oh, we treat you normally, but there are differences in the two situations that can be distinguished in midwifery practice.
- Editorial: Professional? - by Jan Tritten
What is a professional? How do we become professionals who serve women instead of ourselves? Is it possible?
- The Enduring Qualities in Midwifery - by Elizabeth Davis
As midwifery is poised to go mainstream, we must be very clear on our foundation: What is essential to our work, and what is momentary or temporary? In other words, what about midwifery has endured, and what must endure if we are to continue to provide what women want when they seek midwifery care?
- Editorial: The Battle Is in the Mind - by Jan Tritten
We are mammals. Most mammals birth fine. So what happened to us? We used to birth fine. Women in "primitive" cultures birth fine. What happened to modern women?
- Ultrasound: More Harm than Good? - by Marsden Wagner
In assessing the effectiveness of ultrasound in pregnancy, it is essential to make the distinction between its selective use for specific indications and its routine use as a screening procedure.
- The Ties that Bind - How Belief Creates Birth Realities - by Kim Wildner
Women believe that birth is a dangerous medical event. The fact is that normal birth is safer than many things we do each day without a thought.
- Mortalidad materna: La Maternidad Segura se encuentra en el Protagonismo de las mismas Mujeres - by Marie Lynne Tyndall
La maternidad segura toma en cuenta los derechos humanos de las mujeres, el derecho a decidir sobre sus vidas reproductivas; este incluye los derechos en el parto, en especial el derecho a informacion precisa sobre los riesgos y beneficios de los procedimientos en el parto.
- In Memory of Marsden Wagner, A Friend to Midwives, 1930–2014
The world lost a treasure earlier this year, but his passion and kindness will forever remain in our hearts. This tribute contains memories, stories and thoughts about Marsden from some of his midwife friends.