The 2008 Milbank Report: Evidence-Based Maternity Care is currently available for downloading or you can browse topics from this report...
The 2008 Milbank Report: Evidence-Based Maternity Care is currently available for downloading or you can browse topics from this report online. It's a long, scientific read, but if you're a expecting a baby this year, it's at least worth a good browse. Key findings: In spite of evidence that says women should be allowed to labor and give birth without interventions, most care providers continue to perform unnecessary routine procedures during labor and birth, many of which can have negative risks or outcomes for mamas and babies. The Centers for Disease Control (CDC) notes, in their most recent findings, that most birth interventions are on the rise. For example, cesareans rates, have risen a whopping 50% in the last decade. Research continues to indicates that procedures like continuous electronic fetal monitoring, labor induction, cesareans, and more, have not improved health outcomes for women and babies and may be causing more harm than good. Why women receive so many labor and birth interventions:  The report notes the following as some of the reasons why women are still having so many interventions, in spite of evidence saying they shouldn't.
  • Lack of measures for normal birth set by care providers.
  • Adverse effects of malpractice systems.
  • Poorly planned payment incentives for care providers - i.e more women treated = more money in a care provider's pocket, but this means less individualized care and use of more routine procedures to speed things up.
  • Health care professionals who lack core childbearing knowledge and skills.
  • Inadequate informed consent processes and the fact that care providers fail to prepare women for making informed decisions.
  • Media views and popular ideas taking the place of best practices.
Next up, we'll look at what is best for mamas and babies according to the Evidence-Based Maternity Care report.

Tags: best practices evidence-based maternity care labor and birth interventions labor inteventions midwifery care proper pregnancy care


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