ACOG Releases Statement to Reduce Cesarean Sections

Anyone who knows me personally knows that I am a research geek.  I thrive on keeping up with the news, especially anything that pertains to health care.  The internet is my personal heaven on earth for all that is going on in the world.  I can subscribe to what seems like a hundred different news feeds all in one place.  I really about fell off my chair last week when all of my social media sites started to blow up with shares about the joint statement that was released by the American College of Gynecologist (ACOG) and the Society for Maternal -Fetal Medicine entitled Safe Prevention of the Primary Cesarean Delivery  (full article).  See Science & Sensibility for a great synopsis of the article.

I hate to say I told ya’ so  but I’m going to say it…Seems like Midwives have been saying this exact sort of thing for years!

This document should have been titled The Midwife Solution-Prevention of the Primary Cesarean Section!!!

One of the things ACOG mentions in their position statement is that the Friedman curve should not be utilized any longer and that the Consortium on Safe Labor Data (study 2002-2006) be used in assessing length of labor.  The Consortium basically says that normal labors are longer than previously described by Friedman, a conclusion found by Leah Albers, CNM in her studies dating back to 1996.  Glad to see some more validation and hope that they put the statement into action.

Another point that I found interesting is that this statement found that labor support by doulas has been shown to be beneficial and is probably under-utilized.  Funny the report makes no mention recommending care by  Midwives, even though the Cochrane data base and a 2012 US systematic review published in Women’s Health Issues found that midwifery led care was safe, satisfying and should be offered to all low risk woman.   See the American College of Nurse Midwives press release here.  ACOG has another position statement which states that their members should work collaboratively with CNMs, but nowhere is that statement referenced in this one.  Are they getting a little territorial?

At the end of the day in our practice, it really doesn’t matter what ACOG’s position is on this matter.  Because you see, we (Midwives in general and our practice specifically) do not have a problem with cesarean sections.  What I come back to is that I feel very fortunate to be a part of a profession that takes excellent care of women and babies.  I also feel very fortunate to have a great group of back up physicians who practice evidenced- based medicine, who do not rush to cesarean sections if mom and baby are doing well (their cesarean rate is well below the national average).  We collaborate with each other.   We realize that each of our professions have something unique to bring to the table and that by working together, we improve the health of women more so than by working alone.   This makes me happy!!!!!

Woman Power Through Natural Childbirth

I have been thinking quite a bit about natural childbirth lately.  Nothing sends a Midwife over the moon like a good natural childbirth.  In our midwifery practice, we have seen a huge increase in the number of women who are choosing to go the unmedicated route for their births:) I really am not sure why that is.  Is it a growing trend?  I hope so…or are we just attracting more of these types of patients because we have made the reputation for ourselves for being supportive?  I do know that woman were meant to give birth, and that natural childbirth certainly has many benefits, some that last a lifetime.

Women have been giving birth for millions of years, without the aid of pain relief. Our bodies were built for this. When we are able to complete this task successfully, we gain a special insight and ability to trust our inner strength. This carries over for the rest of our lives.

Once we tap into this innate strength and power, we tend to have a different outlook on disease, fatigue, parenting, difficult situations, life itself. We can do anything, face anything!

When we choose natural childbirth, we are in control. We choose how the labor will go and accept the challenge rather than being a passive participant. This leads to a more positive birth experience in many instances.

When we choose natural childbirth, our hormones peak at exactly the time that nature intended rather than being misplaced on the anesthetist.  Moms become lost in their babies.  Babies are more alert and nurse better.

Unmedicated births are safe!

I once had a nurse I worked with tell me “you know, they don’t give out medals for going natural”.  How wrong she was.  A woman carries that “medal” with her for the rest of her life.  I call it Medal001

If you are interested in a great resource for natural childbirth, check out Mindful Birthing by Nancy Bardacke, CNM.  I was able to attend a workshop given by Nancy many years ago as a young midwife and Mandy and I will be attending another one this year at the ACNM conference in Denver.  We are so excited!!!  Read a review of her book here.  You can purchase the book on Amazon.

  Feel free to leave your babbles on our page.  We would love to hear from you!!!!

Good Food Good Family Great Memories

It has been a cold and blustery winter here in Northern Kentucky.  We woke up yesterday to a good six inches of snow on the ground and temperatures in the 20s.

IMG_0172 My sisters and I had set up a date to get together  to begin the process of organizing our family photos.   The snow took the hubby and one kid away from helping me inside so the appetizer I had planned got put on the back burner so to speak.

One of my very favorite things to cook when the weather turns chilly is a big pot of soup.  I learned to cook from the very best cook around, my mom.

My Mom, Marj

My Mom, Marj

I had cooked a big ham, just like mom used to do.  Then made lentil soup from the ham bone.  Made a double batch then froze the other half.  Praise Jesus.   I was able to pull it out of the freezer and heat it up in a jiffy.   How perfect to serve a soup mom used to make on a day when we were going through the family photos.  Things just work out that way sometimes 🙂

What makes this soup Marj’s is the toppings. I promise you will not want to skip them.  They really take this soup up a notch!!  So next time you have spiral ham for your family,  make this super easy soup.  Lentils are one of nature’s powerhouse food sources so make them a part of your healthy diet.

Lentil Soup

  • Servings: 8-10
  • Difficulty: easy
  • Print


2 cups finely diced onion

2 teaspoons celery seed

2 tablespoons chopped garlic

pepper to taste

8 cups (2 quarts) chicken or vegetable stock

bone from spiral ham

1 pound green lentils


sour cream

chopped green onion

In large stock pot combine all ingredients except toppings.  Liquid should be just enough to cover your ham bone.   Cover, bring to boil.  Reduce heat to medium-low and continue to cook until lentils are tender and ham bone is falling apart and meat is coming off the bone, stirring occasionally (appox 2 hours).  Remove ham bone and chop meat if necessary.  Garnish soup with tablespoon of sour cream and chopped green onion.  Enjoy!