Unnecessary Cesarean? I would have...
I would look up journal articles from PubMed and the Cochrane Reviews. I would have consulted with a private midwife about having twins. I would have looked more carefully into induction of labor. I would have switched providers at the 37 weeks. I would have kept Google-ing key words until I hit scientific articles, not just random birth sites. I would have looked into ICAN (International Cesarean Awareness Network) and Childbirth Connection, as well as AIMS USA (Alliance for the Improvement of Maternity Services). I would have requested relevant hospital protocols so I knew what I was going to be up against. I would have made sure my birth team knew what we were up against too. I would not have caved in to coercion. I would have been informed and prepared. I would have read Care During a Normal Birth from the World Health Organization, which includes twin pregnancies. I would have found this article http://www.ncbi.nlm.nih.gov/pubmed/14550996 on in-utero death in twin pregnancies, which equals less than 1% at 40 weeks. I would have known more about who's behind the names of Marsden Wagner, Ina May Gaskin, Gloria Lemay, and Sarah Buckley.
Birth Is Not An Illness: The Fortuleza Declaration from the WHO
These 16 recommendations are based on the principle that each woman has a fundamental right to receive proper prenatal care: that the woman has a central role in all aspects of this care, including participation in the planning, carrying out and evaluation of the care: and that social, emotional and psychological factors are decisive in the understanding and implementation of proper prenatal care.
1. The whole community should be informed about the various procedures in birth care, to enable each woman to choose the type of birth care she prefers.
2. The training of professional midwives or birth attendants should be promoted. Care during normal pregnancy and birth and following birth should be the duty of this profession.
3. Information about birth practices in hospitals (rates of cesarean sections, etc.) should be given to the public served by the hospitals.
4. There is no justification in any specific geographic region to have more than 10-15% cesarean section births.
5. There is no evidence that a cesarean section is required after a previous transverse low segment cesarean section birth. Vaginal deliveries after a cesarean should normally be encouraged wherever emergency surgical capacity is available.
6. There is no evidence that routine electronic fetal monitoring during labor has a positive effect on the outcome of pregnancy.
7. There is no indication for pubic shaving or a pre-delivery enema.
8. Pregnant women should not be put in a lithotomy (flat on the back) position during labor or delivery. They should be encouraged to walk during labor and each woman must freely decide which position to adopt during delivery.
9. The systematic use of episiotomy (incision to enlarge the vaginal opening) is not justified.
10. Birth should not be induced(started artificially) for convenience and the induction of labor should be reserved for specific medical indications. No geographic region should have rates of induced labor over 10%.
11. During delivery, the routine administration of analgesic or anesthetic drugs, that are not specifically required to correct or prevent a complication in delivery, should be avoided.
12. Artificial early rupture of the membranes, as a routine process, is not scientifically justified.
13. The healthy newborn must remain with the mother whenever both their conditions permit it. No process of observation of the healthy newborn justifies a separation from the mother.
14. The immediate beginning of breastfeeding should be promoted, even before the mother leaves the delivery room.
15. Obstetric care services that have critical attitudes towards technology and that have adopted an attitude of respect for the emotional, psychological and social aspects of birth should be identified. Such services should be encouraged and the processes that have led them to their position must be studied so that they can be used as models to foster similar attitudes in other centers and to influence obstetrical views nationwide.
16. Governments should consider developing regulations to permit the use of new birth technology only after adequate evaluation.
More...
http://viv.id.au/blog/20080325.1568/the-who-on-birth-the-fortaleza-declaration-and-safe-motherhood-care-in-normal-birth/