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	<title>Choices In Childbirth &#187; midwifery model of care</title>
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	<description>Childbirthirth Labor Support, Childbirth Education</description>
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		<title>Illinois Cesarean Rates for 2008 &#8211; How Does Your Hospital Compare?</title>
		<link>http://choices-in-childbirth.com/2009/11/illinois-cesarean-rates-for-2008-how-does-your-hospital-compare/</link>
		<comments>http://choices-in-childbirth.com/2009/11/illinois-cesarean-rates-for-2008-how-does-your-hospital-compare/#comments</comments>
		<pubDate>Wed, 04 Nov 2009 16:11:16 +0000</pubDate>
		<dc:creator>doula</dc:creator>
				<category><![CDATA[Choices we Make]]></category>
		<category><![CDATA[Evidence Based Maternity Care]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[VBAC]]></category>
		<category><![CDATA[natural childbirth]]></category>
		<category><![CDATA[birth centers]]></category>
		<category><![CDATA[birth statistics]]></category>
		<category><![CDATA[cesarean section]]></category>
		<category><![CDATA[midwifery model of care]]></category>

		<guid isPermaLink="false">http://choices-in-childbirth.com/?p=187</guid>
		<description><![CDATA[In the past few weeks, Illinois has released its Public Health Hospital Statistics.   Today the Tribune ran a brief piece on Cesareans,  the reasons behind them and the rates of some of the local hospitals.  You can view Julie Deardorff's article here: Illinois Hospital C-section rates]]></description>
			<content:encoded><![CDATA[<p>In the past few weeks, Illinois has released its Public Health Hospital Statistics.   Today the Tribune ran a brief piece on Cesareans,  the reasons behind them and the rates of some of the local hospitals.  You can view Julie Deardorff&#8217;s article here: <a title="IL Hosp Cesarean Rates" href="http://featuresblogs.chicagotribune.com/features_julieshealthclub/2009/11/illinois-hospital-csection-rates.html" target="_blank">Illinois Hospital C-section rates</a></p>
<p>Here is an excerpt from her article and you can plainly see how where you go to give birth can play a huge role in your outcome.</p>
<ul>
<blockquote>
<li>Advocate Good Shepherd Hospital in Barrington—<strong>35 percent</strong> (1,724 births 601 C-sections)</li>
<li>Advocate Medical Center in Oak Lawn—<strong>35 percent</strong> (4,233 births 1520 C-sections)</li>
<li>Resurrection Saint Joseph Hospital, Chicago—<strong>34 percent</strong> (1895 births 647 C-sections)</li>
<li>Advocate Condell Medical Center Libertyville, <strong>30 percent</strong> (545 births 165 C-sections)</li>
<li>University of Chicago Medical Center, <strong>29 percent</strong> (2,013 births 585 C-sections)</li>
<li>Advocate Illinois Masonic Medical Center, Chicago, <strong>29 percent</strong> (2,931 births 866 C-sections)</li>
<li>Northwestern Memorial Hospital, Chicago, <strong>28 percent</strong> (11,958 births 3,418 C-sections)</li>
<li>Elmhurst Hospital, <strong>26 percent</strong> (1,426 births 374 C-sections)</li>
<li>Evanston Hospital, <strong>26 percent</strong> (3,590 births 966 C-sections)</li>
<li>Adventist Hinsdale Hospital, <strong>26 percent</strong> (2,252 births 588 C-sections)</li>
<li>Swedish Covenant Hospital, Chicago, <strong>25 percent</strong>, (2,464 births 618 C-sections)</li>
<li>West Suburban Hospital, Oak Park, <strong>20 percent</strong> (2,175 births 453 C-sections)</li>
<li>University of Illinois Medical Center, Chicago, <strong>14 percent</strong> (2,893 births 433 C-sections)</li>
</blockquote>
</ul>
<p>Some notes about the three hospitals with the lowest cesareans:</p>
<ul>
<li><a href="http://uillinoismedcenter.org/content.cfm/midwife" target="_blank">UIC </a>is one of the few hospitals in the area that supports vaginal birth after 2 cesareans (VBA2C).  Most hospitals in the area view women who have had multiple cesareans as too risky for vaginal births and schedule them for repeat cesareans.</li>
<li><a href="http://www.reshealth.org/sub_wsmc/wsmcservices/service_detail.cfm?rhcServiceID=106" target="_blank">West Suburban</a> and <a href="http://www.swedishcovenant.org/medical/default.asp?id=a3008_4554" target="_blank">Swedish Covenant </a>both have alternative birthing centers on the premises used by midwifery practices that support natural childbirth and evidence based maternity care.  Women birthing in these birth centers aren&#8217;t forced to having labors conform to a curve or else face called cesareans for: &#8220;Failure to Progress&#8221;, &#8220;Arrested Labor,&#8221; or &#8220;Cephalopelvic Disproportion- CPD.&#8221;</li>
</ul>
<p>if your hospital is not listed here, leave a comment and I&#8217;ll crunch the numbers and post your hospital&#8217;s rate.  Or you can check out the report yourself and leave it in the comments.</p>
<p><a title="2008 IL Hospital Profiles" href="http://choices-in-childbirth.com/wp-content/uploads/2009/11/2008-Illinois-Hospital-Profiles.pdf" target="_blank">2008 Illinois Hospital Profiles</a></p>
<p><strong>It <em>does </em>make a difference where you choose to give birth.</strong></p>
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		<slash:comments>5</slash:comments>
		</item>
		<item>
		<title>Where can I find Safer, Less-Costly Maternity care?  With a Midwife.</title>
		<link>http://choices-in-childbirth.com/2009/09/where-can-i-find-safer-less-costly-maternity-care-with-a-midwife/</link>
		<comments>http://choices-in-childbirth.com/2009/09/where-can-i-find-safer-less-costly-maternity-care-with-a-midwife/#comments</comments>
		<pubDate>Thu, 17 Sep 2009 14:09:12 +0000</pubDate>
		<dc:creator>doula</dc:creator>
				<category><![CDATA[Evidence Based Maternity Care]]></category>
		<category><![CDATA[Midwifery]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[midwifery model of care]]></category>

		<guid isPermaLink="false">http://choices-in-childbirth.com/?p=141</guid>
		<description><![CDATA[There is a great article published this week outlining many of the benefits of having a midwife attend your birth.   The first and most important is that it is safer for you and your baby if you are healthy and low risk (close to 90% of pregnancies can be cared for by midwives).   [...]]]></description>
			<content:encoded><![CDATA[<p>There is a<a title="Midwives: A Safe, Cost-Saving Alternative" href="http://commonhealth.wbur.org/guest-contributors/2009/09/midwives-a-safe-cost-saving-alternative/" target="_blank"> great article</a> published this week outlining many of the benefits of having a midwife attend your birth.   The first and most important is that <strong>it is safer for you and your baby </strong>if you are healthy and low risk (close to 90% of pregnancies can be cared for by midwives).   This means that low-risk births attended by midwives have equal or better outcomes.   The to add some icing to the cake,  <strong>it doesn&#8217;t cost as much</strong>!</p>
<p>I know that culturally to Americans, this makes no sense at first glance.  We are programmed culturally to respond that when we throw more money and gadgets at a given situation, we feel  like it has to be &#8220;better.&#8221;  But in the case of childbirth, less is actually more.  The less we interfere with high tech measures and the more low-tech emotional and physical support we give women,  we have more healthy moms and babies.</p>
<p>Check it out here:    <a href="http://commonhealth.wbur.org/guest-contributors/2009/09/midwives-a-safe-cost-saving-alternative/">Midwives: A Safe, Cost-Saving Alternative</a></p>
<p>And here: <a title="Evidence Based Maternoty Care" href="http://www.milbank.org/reports/0809MaternityCare/0809MaternityCare.html" target="_blank">The Milbank Foundation Outlines how <strong>midwifery care</strong> has <strong>better outcomes <em>and</em> lower costs.</strong></a></p>
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		<slash:comments>1</slash:comments>
		</item>
		<item>
		<title>Reducing Infant Mortality &#8211; the Video</title>
		<link>http://choices-in-childbirth.com/2009/08/reducing-infant-mortality/</link>
		<comments>http://choices-in-childbirth.com/2009/08/reducing-infant-mortality/#comments</comments>
		<pubDate>Sun, 23 Aug 2009 03:18:04 +0000</pubDate>
		<dc:creator>doula</dc:creator>
				<category><![CDATA[Evidence Based Maternity Care]]></category>
		<category><![CDATA[Health Care]]></category>
		<category><![CDATA[Choices we Make]]></category>
		<category><![CDATA[midwifery model of care]]></category>
		<category><![CDATA[prematurity]]></category>
		<category><![CDATA[video]]></category>

		<guid isPermaLink="false">http://choices-in-childbirth.com/?p=122</guid>
		<description><![CDATA[Becoming parents for the first time or adding another new life to your family is full of decisions and choices about your health care &#8211; during the pregnancy, the birth, and beyond.  This video looks at pregnancy and childbirth through a broad lens advocating practices that best serve moms, babies, and families nationwide.  [...]]]></description>
			<content:encoded><![CDATA[<p>Becoming parents for the first time or adding another new life to your family is full of decisions and choices about your health care &#8211; during the pregnancy, the birth, and beyond.  This video looks at pregnancy and childbirth through a broad lens advocating practices that best serve moms, babies, and families nationwide.  </p>
<p><object width="400" height="300"><param name="allowfullscreen" value="true" /><param name="allowscriptaccess" value="always" /><param name="movie" value="http://vimeo.com/moogaloop.swf?clip_id=6182741&amp;server=vimeo.com&amp;show_title=1&amp;show_byline=1&amp;show_portrait=0&amp;color=&amp;fullscreen=1" /><embed src="http://vimeo.com/moogaloop.swf?clip_id=6182741&amp;server=vimeo.com&amp;show_title=1&amp;show_byline=1&amp;show_portrait=0&amp;color=&amp;fullscreen=1" type="application/x-shockwave-flash" allowfullscreen="true" allowscriptaccess="always" width="400" height="300"></embed></object>
<p><a href="http://vimeo.com/6182741">Reducing Infant Mortality</a> from <a href="http://vimeo.com/user2185891">Debby Takikawa</a> on <a href="http://vimeo.com">Vimeo</a>.</p>
]]></content:encoded>
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		<slash:comments>1</slash:comments>
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