The gentlebirth.org website is provided courtesy of
Ronnie Falcao, LM MS, a homebirth midwife in Mountain View, CA
An interactive resource for moms on easy steps they can take to reduce exposure to chemical toxins during pregnancy.
Other excellent resources about avoiding toxins during pregnancy
These are easy to read and understand and are beautifully presented.
In referencing Thorp, I meant to reference his meta-analysis of studies about epidurals (Birth, volume 23, no. 2, June 1996) and not just his own 1989 and 1993 studies.
My point was that prospective trials are being done (not just by Thorp) and that they are all showing from 2 to 4 times greater cesareans for epidurals compared to narcotic analgesia. Imagine what the difference would be if the control group were mothers having labor support, doulas, and/or home births!
I wanted to summarize for you the prospective studies.
Prospective Clinical Trials Investigating the Association between Epidural Analgesia and Cesarean Birth Rates by Randomizing Women to a Narcotic versus an Epidural Group:
Reference and Parity Sample Size Relative Risk of Cesarean Birth with Epidural Analgesia (95% CI) 1. Combined 111 2.8 (0.8-10.0) 2. Nulliparous 93 11.4 (5.8-16.9)* 3. Nulliparous** 693 2.6 (1.5-4.3)* Parous** 637 3.8 (1.3-11.0)* Combined*** 869 2.3 (1.3-4.0)* All three prospective trials combined 1073 2.5 (1.6-4.0)****,* * Relative risk is statistically significant at least at p < 0.05 ** This represents the odds ratio for all women in the study adjusted by multivariate logistic regression analysis. *** The cesarean birth rate was significantly greater (p = 0.002) in the epidural group (9%, 39/432) compared with the narcotic group (4%, 17/437). **** Comparison of the proportions by Mantel-Haenszel yields a chi-squared of 18.1 and a p-value of 0.00003.
|About the Midwife Archives / Midwife Archives Disclaimer|