Florena Birth Perinatal Experts

When they tell you the epidural won’t affect pushing and then show up with the stats showing that it reduces your chances of a V birth by about 14% 🙃

ETA: the below populations were nullips, aka first timers. The stats for people that have experienced vaginal birth are better but showed the same trends.

nb. the linked study specifically shows that at the onset of second stage (pushing phase) the likelihood of someone having a V birth is about 98% without epidural and 84% with epidural. Continued effort after 2h of 2nd stage without epidural led to minimal benefits, however 30 mins extra pushing for the epidural group led to more V births. This was for babies whose presentation was occiput anterior (ideally positioned).

For babies that were persistently occiput posterior (“sunny side up”) the likelihood of a V birth at the onset of 2nd stage was 78% for no epidural and 44% for those with epidural. No benefits were noted with continued pushing effort beyond 2h.

How Long Should Women Push? The Effect of Fetal Position, Parity, and Epidural Use on Spontaneous Delivery https://ow.ly/26hR50Z3sZp

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There is a LOT we can learn from the collaborative care model in Holland! 

🔥 Hear more about how Dr. Deurloo and his team are making waves of change to give the most well-rounded and individualized care to families, including offering the MAC (maternal assisted cesarean) as a healing cesarean option. 

🎧 Listen to Episode 452 of The VBAC Link podcast on Apple/Spotify or watch on Youtube. Link in bio!


MAC
VBAC
Maternal Assisted Cesarean