conversations.from: human
conversations.value: What could be a title for a book about Covering, Daily, Mail with the genre: Parenting & Relationships, Parenting?
conversations.from: assistant
conversations.value: A title for this book could be 'Natural Pregnancy'
conversations.from: human
conversations.value: the first four paragraphs for this book. Start with the sentence 'Natural Pregnancy
  Home birth practices such as at The Farm Midwifery, where midwife Ina May Gaskin practices, have a C-section rate of 1'.
conversations.from: assistant
conversations.value: Natural Pregnancy
  Home birth practices such as at The Farm Midwifery, where midwife Ina May Gaskin practices, have a C-section rate of 1.7 percent. In order to accomplish this low C-section rate, Gaskin and her partners emphasize an overall healthy approach including nutritious diet and exercise, and they work with women to reduce the fear and anxiety current in the West about birth, to help demystify the experience. For women who are given the option of an elective C-section, I urge you to make an informed decision, and consider the benefits both you and your baby can reap from a vaginal birth including boosting baby's immune system which can have an impact on health in later years (see "Vaginal Birth and Gut Flora").
  However, there are times when a woman genuinely benefits from a C-section such as when there are problems with the placenta detaching or covering the opening of the cervix, which is the neck of the womb. However, one of the most common reasons cited for cesarean section is cephalo-pelvic dysproportion (CPD), which occurs when the baby's head is too big to pass through mother's pelvis. In Gaskin's experience, this situation of small hips and a large baby rarely necessitates a C-section in the midwifery model of care (see "Postpartum Wound Care" in Chapter 5).
  One reason that led to increased C-section rate was the opinion that "once a cesarean section, always a cesarean section." Soaring healthcare costs combined with patient dissatisfaction led to the beginnings of vaginal-birth-after-cesarean groups (VBAC) such as ICAN (International Cesarean Awareness Network). Finally obstetricians responded and agreed to recommend as a standard of care a trial of labor in low-risk women who had previously had cesarean sections. According to the American Congress of Obstetricians and Gynecologists (ACOG), one of the contributing factors for the rise in C-sections from 5 percent in 1970 to 32.3 percent in 2008, was that there were fewer vaginal births after cesarean section (VBACs). Many hospital policies restricted doctors from a trial of labor after cesarean (TOLAC). By 2006, VBACs decreased to 8.3 percent. In 2010, ACOG issued new guidelines for obstetricians, "Attempting a VBAC is a safe and appropriate choice for most women who have had a prior cesarean delivery, including for some women who have had two previous cesareans." Obstetricians were urged by the ACOG President Richard N. Waldman, M.D. to "recommit to do everything in our power to reduce the cesarean rate." In nonemergency C-sections, the transverse incision, a horizontal bikini cut across the abdomen above the pubic area, is the current choice by most surgeons. It also allows the woman the option of having a VBAC for the next pregnancy. The classical vertical incision (from below the navel to the pubic area) may be used in emergency situations as it allows quicker access to the baby. With the vertical incision there is a higher chance of rupture of the uterus with future deliveries, and it is recommended to have a repeat C-section for the future.
  But other reasons have contributed to the rapid rise in C-sections and these include technological, cultural, professional, and legal factors. According to the U.S. National Library of Medicine at the National Institutes of Health (NIH), "The growth in malpractice suits no doubt promoted surgical intervention, but there were many other influences at work." In the U.S., C-sections are a big moneymaker for both doctor and hospitals. With current insurance reimbursements, doctors are compensated less and have to work more. A woman's attitude about childbirth, her desire to have a vaginal birth, as well as the support of her birth team and healthcare provider, can all affect the outcome of the birth. Some mothers who have had a previous C-section elect to have another C-section based on the belief it is easier and more convenient. During a C-section, there are pediatricians in the operating room who evaluate the newborn because there can be more complications following a C-section than with a normal vaginal delivery. In the end, the child is deprived of experiencing the different stages of labor that are important for baby's health. Going through the birth canal squeezes the fluid out of the lungs at the time of birth. For this reason, babies born by C-section are more prone to breathing difficulties such as transient tachypnea of the newborn, abnormally fast breathing, and other types of respiratory distress.
conversations.from: human
conversations.value: five more paragraphs
conversations.from: assistant
conversations.value: The medical approach includes use of antiviral therapy to all women who experience their first outbreak of genital herpes in pregnancy, regardless of early or late pregnancy. Treatment is also indicated for women who have active recurrent infections. Suppressive antiviral therapy begins at 36 weeks and is continued until delivery. Cesarean section is recommended for women with active genital lesions or early signs of an impending outbreak. Cesarean is not recommended for women with a history of herpes, who do not have an outbreak during labor.
  Many women with a history of recurrent outbreaks prefer to take preventive natural measures when possible. Homeopathic medicines can be extremely helpful. It is recommended to consult with your healthcare practitioner, and consider the following suggestions:
  Grief and sorrow can be likened to a wound of the heart and soul. Like any injury, it takes time to heal. Feelings of grief and sorrow can result from loss of a pregnancy or loss of a child, and can also include a period of postpartum depression following childbirth, when one mourns the loss of a former lifestyle. Following any difficult experience, it is normal to go through a period of pain and suffering.
  Ask for help and support from friends, family, and professionals. Homeopathic medicines can help in dealing with difficult experiences in acute situations. A meeting with a professional for a constitutional remedy can alleviate symptoms in chronic cases.
  As pregnancy progresses, many women experience heartburn especially in the second and third trimester. Often referred to as indigestion or acid reflux, it is caused by the hormonal changes which affect the digestive tract as well as the growing baby that crowds the abdomen, pushing up in the stomach. This condition is characterized by a myriad of symptoms such as burning, irritation, regurgitation, discomfort, burping, distention, nausea, and fullness—all of which can be felt in the stomach and extend upward through the chest and throat. Indigestion can also interfere with sleep.
conversations.from: human
conversations.value: the last four paragraphs
conversations.from: assistant
conversations.value: Lusskin, Shari I., MD, FAPA Shaila Misri, MD, FRCPC. "Postpartum Blues and Depression." UptoDate.com 2013.
  The Fertility Awareness Network. P.O. Box 1190, New York, NY 10009; (212) 475-4490. www.FertAware.com.
  Hilgers, Thomas W. "The intrauterine device: contraceptive or abortifacient?" "Minnesota Medicine," June, 1974, 493-501.
  Kahlenborn, C., Modugno, F., Potter, D.M., & Severs, W.B. "Oral contraceptive use as a risk factor for premenopausal breast cancer: A meta-analysis." Department of Internal Medicine, Altoona Hospital, Altoona, PA.
conversations.from: human
conversations.value: Delete the first sentence.
conversations.from: assistant
conversations.value: , MD, FAPA Shaila Misri, MD, FRCPC. "Postpartum Blues and Depression." UptoDate.com 2013.
  The Fertility Awareness Network. P.O. Box 1190, New York, NY 10009; (212) 475-4490. www.FertAware.com.
  Hilgers, Thomas W. "The intrauterine device: contraceptive or abortifacient?" "Minnesota Medicine," June, 1974, 493-501.
  Kahlenborn, C., Modugno, F., Potter, D.M., & Severs, W.B. "Oral contraceptive use as a risk factor for premenopausal breast cancer: A meta-analysis." Department of Internal Medicine, Altoona Hospital, Altoona, PA.