ICAN 2011: Day One
It is 1:20 a.m. and, well, I haven’t been awake awake at 1:20 a.m. since I had a wee nursling. So I have nary a usable, analytical brain cell left. Hence, I’m “just” going to make note of some major points from the speakers at today’s ICAN Conference sessions. Except that these conference speakers have been so spectacular that there is no such thing as “just” describing their talks.
Seriously, people. You need to be at ICAN 2013. Wherever it is, whenever it is. It truly is all that it’s hyped up to be. And more.
From Liz Kooy, speaking on legislative advocacy
- Individual bills often go through many, many amendments. If you want to show support for a particular bill, it is important to call your legislator after each amendment.
- It is important to read a bill before you call in to support it.
- When speaking with legislators, it is important to avoid birth acronyms (like VBAC, CPM, etc.). Like many “non-birthy” people, legislators probably don’t know what these terms stand for!
From Jodi Burnley, on speaking to nursing staff regarding VBAC and healthy birth practices
- When doing birth advocacy work, it is important to meet people where they are.
- People’s beliefs aren’t often changed through logic or persuasion or reason–people believe what they see. Doing birth advocacy needs to take this into consideration.
From Dr. George Macones, speaking on trends in VBAC research
- Although the cesarean rate “only” rose from 32.1% to 32.9%, this small increase is still significant: it is a difference of about 40,000 cesareans, after all!
- Rates of complications related to external cephalic version, chorionic villus sampling, and placental abruption with pre-eclampsia are comparable to if not higher than the rate of uterine rupture in most women with a prior cesarean.
Isa Herrera, speaking on postpartum cesarean scar care
- Physical therapy is provided for other major surgeries–why not for cesarean sections?
Henci Goer, speaking on gaps in evidence-based medicine and practice
- The World Health Organization recommends no more than a 10% induction rate.
- When we describe postpartum mood disorders as depression, it allows many care providers to center these feelings in the woman herself. When we describe birth trauma as trauma when it occurs, the “center” shifts to the institution: to care providers, to the birth location, to others.
- Referred to uterine rupture as “uterine scar rupture.” (My editorial: If we described uterine rupture as uterine scar rupture, how might this affect women’s perceptions of the risks of VBAC?)