#CVLAFirstMoments - a convening of local #birth and #breastfeeding providers - #RNs, #IBCLCs, #NursePractitioners, #midwife - in-training, lactation counselors/educators, inpatient and outpatient #breastfeeding support, @BabyCafeBak staff, and a #mother-to-be!
Local #RN (#Obstetrics) Mary K Stanley sharing how she, as a nursing student at San Jose State Nursing School in 1950s, heard Dr Grantly Dick-Read speak and it had an important impact on her #CVLAFirstMoments
Sloan: After 1920’s, birth in the US remained an in-hospital event, with family members banished, and sedation and forceps played an increasingly larger role #CVLAFirstMoments
Sloan: just like with #chloroform, doctors scrambled to begin using it without sufficient training and improper dosing resulted in harm - injuries and death, full restraints on laboring women, use of forceps #CVLAFirstMoments
Sloan: #TwilightSleep - #scopolamine was tried in #obstetrics in early 1900s but abandoned; 2 doctors tried again later in a clinic in Germany but were their results were largely ignored until women found out and clamored for access #CVLAFirstMoments
#TwilightSleep was still commonly used in early 1960’s in #Bakersfield #KernCounty per local #RN (#Obstetrics) Mary K Stanley #CVLAFirstMoments
Sloan: but once chloroform was known to be dangerous, there was still no alternative AND public was seeking labor pain medications - emergence of #TwilightSleep #CVLAFirstMoments
Sloan telling history of use of #chloroform during #childbirth; reports of maternal and fetal deaths, liver damage, and brain damage emerged - doctors scrambled to offer chloroform without training & did not understand dosing #CVLAFirstMoments
Sloan: story of Queen Victoria is a large piece of the history of labor pain management - a 4’10” tall woman who birthed 9 babies in 16.5 years, was miserable during #pregnancy, & preparations for her death were made each time #CVLAFirstMoments
Sloan: Rate of #epidurals is 90% at some American hospitals #CVLAFirstMoments
Next up at #CVLAFirstMoments: Pain & Politics - A Brief History of Labor Pain Management with Dr Mark Sloan http://www.marksloanmd.com/bio.html
Strong call in the room for evidence-based advice to #pregnant women about #birth options - @CompanyNest in the room advocating for #birth support #CVLAFirstMoments
Local RN (Obstetrics) Mary K Stanley engaging with Dr Mark Sloan about the history of hospitals facing liability regarding their #anesthesia coverage; hospitals became less able to facilitate #VBAC #CVLAFirstMoments
Sloan interacting with audience about what is not working in #KernCounty with regard to #breastfeeding support and advocacy #CVLAFirstMoments
Sloan: To improve #childbirth, advocate for children because good #pregnancy outcomes begin with a healthy childhood! #CVLAFirstMoments
Sloan: #Cesarean-born #babies can develop a very different gut microbiota than what #breastfed babies develop #CVLAFirstMoments
Sloan: Bacterial colonization of the gut during birth kick-starts the newborn’s immune system #CVLAFirstMoments
Sloan: teaching #FamilyMedicineDoctors about long-term health impacts of type of birth is more effective than teaching #OBGYNs #CVLAFirstMoments
Sloan: the mindset of using the #cesarean has changed drastically over one life/career span of health care providers #CVLAFirstMoments
Sloan: #cesareans are not the enemy - the problem is the over-use of an often life-saving tool #CVLAFirstMoments
Sloan: numbers tell us that birth interventions and cesarean births are rising worldwide - is that where we are headed? #CVLAFirstMoments
Sloan: “Obligate Midwifery” - most humans seek help with birth #CVLAFirstMoments
Sloan: birth is a uniquely social experience for humans - “helpers” employed or required, unlike all other mammals, who birth alone #CVLAFirstMoments
Sloan: Humans have the most complex placental system; gorillas have the “easiest” birth of all large mammals since they encounter ONLY soft tissue in birth canal
#CVLAFirstMoments
In #Bakersfield today listening to Dr Mark Sloan, courtesy of @CVLactation and @BreastfeedLA - First talk on the Evolution of #Childbirth. Follow at #CVLAFirstMoments
