Showing posts with label technology. Show all posts
Showing posts with label technology. Show all posts

Friday, March 18, 2011

You want to stick that WHERE?!?

Some things you wouldn't believe were true, except they are.

Like the story of my birth. My mom had a straightforward unmedicated delivery of my older sister in Washington state with a supportive nurse who coached her through the process. When she was pregnant with me and living in Rochester, MN (home of the Mayo Clinic), she assumed that the next birth would be much the same.

So she was astonished when she found herself upside down during my birth. Literally. Her doctor had a theory that giving birth upside-down would prevent hemorrhoids. He hung my mother by her ankles from the ceiling, with only her shoulder blades touching the bed. Without her permission. She was screaming to be let down, to no avail. I made my entrance into the world in a rather unconventional fashion.

To top it off, she has never had hemorrhoids with any of her five children, no matter what position she gave birth in.

But that was a generation ago, you're thinking. Surely we're more enlightened now.

Remember the BirthTrack?




Oh yeah. Well, but...

How about the Hem-Avert Perianal Stablizer Device? This FDA-approved medical device, which one commenter on At Your Cervix described as "something that belongs in the S&M section of a sex store, not in L&D," is supposed to prevent hemorrhoids due to childbirth.

Looks really comfortable!

Then there's the Materna medical device that is supposed to prevent tears by stretching the vagina for 1-2 hours before the baby is born.
Yes, that's right: instead of feeling the "ring of fire" for just a few minutes as your baby's head is emerging, you get to enjoy hours of that pleasant sensation!

Please hop on over and complete the survey about the Materna. Here's an excerpt from page 3:

It is has been shown [argh! bad grammar!] that 8 out of 10 women will have some degree of tearing during childbirth. These tears can range from from small vaginal tears, to tears that extend from the vagina all the way through the anus. Additionally, there can be invisible damage to your pelvic muscles which can lead to consequences later in life. Short term consequences include infection, extended pain, and longer recovery times. Long-term consequences may include pelvic organ prolapse, loss of urinary and fecal control, and potential sexual dysfunction.

Materna has developed a device that may be able to decrease some of the pelvic damage and the resulting complications that can arise as a result of childbirth. The device is a semi-automated mechanical vaginal dilator similar in design to a standard obstetrician’s speculum.

The soft, blue portion is inserted into the vagina after you arrive at the hospital or birthing center in labor, and will require 1-2 hours of dilation time before delivery. A medical provider will control the expansion of the device, which will gradually stretch the vaginal tissue during labor. The device can be easily removed at any time, and will pose no harm to the baby.

By dilating the vagina over 1-2 hours instead of the rapid dilation which normally occurs during childbirth, perhaps some of the pelvic damage can be prevented. The idea is similar to an athlete stretching muscles before a workout to increase flexibility and prevent injury. The device will be removed before you deliver, and should never come in contact with your baby.
Both Navelgazing Midwife and Dou-la-la have comment on the Materna. Go read their posts for a good laugh.

Then finally, there's the Cervo-Check. It's a prototype device that goes inside the vagina to detect early signs of pre-term labor.

L&D nurse & student nurse-midwife blogger At Your Cervix commented:
1. Painful and huge
2. You want to stick that where???
3. Will in fact irritate the cervix more. Hello - manual stimulation to the cervix/a device touching the cervix is going to trigger more prostaglandin release --& contractions!
Seriously, my bottom hurts just thinking about all these devices. Clips on my cervix, inflatable dildo in my vagina, plastic V pushing against my rectum...SIGN ME UP!

Not. 
.
Read more ...

Wednesday, September 09, 2009

We are the Borg

What happens when the BirthTrack meets the LaborPro?
Birthing women become the Borg.

Don't worry--some intrepid bloggers have deconstructed both of these menacing gadgets for you. Read my analysis of the BirthTrack: More! Better! BirthTrack! (TM). And Nursing Birth, a L&D nurse, just wrote about LaborPro: The WORST Idea Since Routine Continuous Fetal Monitoring for Low Risk Mothers.

Let's beat back the Borg invasion before it's too late! 
Read more ...

Wednesday, July 16, 2008

More! Better! BirthTrack (TM)!

Remember in Pushed, where Jennifer Block mentioned a company developing a continuous dilation and station monitor that would clip onto the cervix? Well, the BirthTrack is here and being actively marketed to both doctors and mothers-to-be. It consists of an internal electrode that is screwed into the baby's head and two ultrasound clips that attach to the cervix. Its purported benefits include (quotes from the manufacturer's website in red):



It will reduce the number of vaginal exams during labor. Instead, you'll have two clips permanently attached to your cervix the whole time! Sign me up! "In the usual procedure vaginal examinations are performed numerous times during normal labor. In the case of labor arrest or other complications the number of vaginal examinations increases."

It will help doctors perform a cesarean for "failure to progress" even faster! Because we're not jumping the gun fast enough as it is, with our 31.1% cesarean rate! Remember, labor must never stop or slow down! "In the event of non-progressive labor, the diagnosis may be delayed, thereby preventing the mother from obtaining the best medical care."

It will make sure you don't go too slow or too fast! "In managing labor, obstetricians are faced with a number of important challenges, including...identification of inadequate progress of labor and assessment of a quick developing labor process."

It is more accurate! "The information available to the caregiver is inaccurate due to the objective nature of the measurement and intermittent [assessment]."

You'll have information streaming at you non-stop, every second! Next up: sending the info to your Blackberry in real-time! "You will have continuous information regarding the progress of labor and you will know the position of your baby every second."

Your partner will be more involved in the birth! He can stare even more at the machines and less at you! "Your partner will be able to be an active participant in the labor process as he/she follows the progress of the partogram on the screen next to your bed."

Oh and of course, as this last statement indicated, you WILL be lying in bed!
You won't even notice it! It will just "minimally disrupt patient comfort."

It's more convenient for your doctor's pocketbook! He will get sued less, since the machine gives him "a lower risk of malpractice"! BirthTrack is also a "Support tool during litigation--BirthTrack provides full documentation of cervical dilatation and fetal head descent during the labor process."

More is better! This new device results in "significantly improved medical care"!

More is cheaper! By buying this expensive piece of machinery, we can achieve "reduced costs" by reducing human-to-human interaction even more! We can also make more money at each birth by increasing the cesarean rate due for failure to progress!

It provides not one, not two, not three, but FOUR paths to getting an infection. First, your water is broken. Next, an internal fetal monitor is screwed into your baby's head. Then you get two clips attached to the opening of your uterus. Free ride to any germs looking for some action!

My suggestion to BirthTrack and to those who stand to profit by making, marketing, and selling this new piece of gadgetry: get your hands (or rather your cervical clips) outta my vagina and outta my pocketbook!
Read more ...
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