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Hospitals around the country are now banning vaginal birth after cesarean delivery
by: James Brann, MD
Are you hoping to experience a vaginal birth after having had a cesarean delivery? You may find your hopes are squelched by modern practitioners.

Hospitals around the country are now banning vaginal birth after cesarean delivery and insisting women undergo repeat cesarean delivery. Hospitals say they cannot comply with the guidelines issued in 1999 by the American College of Obstetricians and Gynecologists. The guidelines call for a doctor to be available "immediately" throughout active labor when a woman is attempting a vaginal birth after cesarean delivery, in order to perform an emergency cesarean section if needed. Previous guidelines had called for a physician to be "readily" available. In order for a hospital to comply with the new recommended guidelines, a whole operating crew, an anesthesiologist and obstetrician would have to be in the hospital around the clock. Only major medical centers, with in house physicians, will be able to continue to offer vaginal birth after cesarean delivery. Smaller hospitals may now have to abandon the practice.

Why the controversy? Women attempting vaginal birth after cesarean delivery are at a greater risk for uterine rupture than what was once believed. Uterine rupture can be life threatening for both the mother and her baby. Some patients with uterine rupture may require a hysterectomy and some infants may die. The controversy that arises with the risks associated with vaginal birth after cesarean delivery is that many women are willing to take the risk, but their freedom of choice over who controls childbirth is being steamrolled by physicians and hospitals. Women are not being allowed to have a choice in their mode of delivery. Doctors say their position is based on concern for the patient's safety.

Doctors now have a new worry that women trying to avoid repeat cesarean delivery may give birth at home or in birthing centers that are not equipped to perform emergency cesarean surgeries if necessary. Also of concern is the possibility that laboring patients may wait to the last moment to go to the hospital to avoid repeat cesarean section.

The controversy surrounding vaginal birth after cesarean delivery is not only a health care issue, it is becoming a women's civil rights issue. A woman should have the right to choose her mode of delivery. Currently the right of a woman to be involved in her birth plan is being crushed under the weight of new laws and strict healthcare limitations that should be a cause for concern for all women across the nation.

If you are considering a vaginal birth after cesarean, be certain to discuss your options completely with your healthcare provider.

http://www.womenshealthcaretopics.com/pregnancy_week_36.htm

About the author:
Dr. James Brann is a board certified Obstetrician and Gynecologist and a Fellow of the American College of Obstetricians and Gynecologists. He is also the Editor of Women's Healthcare Topics. http://www.womenshealthcaretopics.com
At Women's Healthcare Topics website you will find valuable and up-to-date information on numerous topics related to women's health including Signs of Pregnancy, Chlamydia, Hysterectomy, Early Pregnancy Symptoms and more.


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Flattering Styles For Women With Curves
 by: Her Plus Life

Are you one of those fabulous women that has curves, and you would like to know a fun way of showing them off? There are several ways to make your figure look the way that you want. It is all in the manner that you carry yourself. Being confident and following a few basic rules on how to dress will make you look like the woman you want to be.

The first rule is to go out and buy the correct size bra. A good bra will make your outfits look the way that they should. Having curves is a wonderful thing to have, but you need to know how to make them fit right with your clothing style. It is amazing what a great bra can do for your figure.

The second rule is buying clothes that are the right size for you. So, go ahead and throw away all those clothes that are too baggy on you. Say hello to a more fun, alive figure. Stop hiding it. Wearing sizes too big or small for your body frame will only accentuate your weight, and not your lovely curves. You do not want to wear shapeless styles. Try wearing semi-fitted separates. It will make you look taller and thinner, and make it look like you have a more sculpted waist. Wear tops that just skim your waist and hips. Jackets should be worn just to the length of your fingertips. As for your bottoms, select clothes that tend to taper downwards. It will look better than other styles. Skirts will look good if they are not too high. If you can sit in your skirt without it ridding up on you, then you are all set. Shift dresses are great especially with a round neckline. It will even out your proportions wonderfully.

The third rule is not to wear anything that is too bold, and that calls extra attention to yourself. That means no super bold prints, no big patch pockets, no oversized buttons or bows, and no horizontal patterns. You want to wear a nice crisp line of color, and then accessorize with just a few simple accessories such as jewelry or a scarf. Sometimes even just wearing one solid color all over is great look. It will add height to your frame, and shrink your width.

The last rule is very easy. You should buy the best quality that you can afford. Quality fabrics can make all the difference in how you look. Fine fabrics look better than stiff fabrics that can add inches onto your body. In addition, well-made clothes will hold their shape better. Better shape will improve your shape too. If you follow all these rules, you will look and feel better. So go out, and let your light shine. Better clothes, for a better you!



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