Interview questions

1. Today we’ve seen a rise in the number of c-sections, particularly within the U.S. In your professional opinion what do you attribute the increase to?

2. What is your opinion on VBAC (vaginal birth after c-section)? Are VBAC’s a procedure you would feel comfortable with? If not, what is your reasoning.


3. What are some of the most critical risks and side effects that come to your mind when performing a c-section?

4. I’ve heard of women having several c-sections, in some cases 4 or more. How is this possible and how much of a risk are they putting themselves in?

5. Just because my baby is big, am I more likely to have a c-section?

6. Pitocin is sometimes used to speed labor, are there other less invasive ways to strengthen labor first?

7. Why would a doctor want to avoid a woman going into labor when a c-section has been scheduled?

8. At what week during the pregnancy is a c-section typically scheduled?

9. What are some of the things that might indicate to you that a pregnant woman may need a c-section?

10. In your opinion, are there any advantages of having a c-section over having a vaginal delivery? I’ve always heard that it’s tough on the mom but actually better for the baby, is this true?

11. How important is timing with regard to a c-section? In other words, what are the negative affects, if any, to delivering too soon?

12. What options does a woman have if her baby is breech?

13. What are your professional thoughts about electing to have a c-section for non-medical reasons?

14. Can you explain the bishops score?

15. What is the normal amount of recovery time with a c-section vs. a vaginal delivery?

16. Is there anything you would like to add?

Wk 9 CR EX 2.2 & Sites I want to look at

Author: Molly M. Ginty
Title of page:As C-Section Rate Grows, So Does Resistance
Publication name and date of print version:
Name of online publication or database:Womensenews
Online publication(volume or issue, date, page or paragraph numbers):09/02/05
Date you accessed the page:03/24/2009
Full Internet address:http://www.womensenews.org/article.cfm/dyn/aid/2435
Gives costs and the changing stats follows a women who had a c-sec that didnt go well

Author: Katrina Woznicki
Title of page:More Women Choosing C-Sections, Despite Risks
Publication name and date of print version:
Name of online publication or database:Womensenews
Online publication(volume or issue, date, page or paragraph numbers):03/24/03
Date you accessed the page:03/24/2009
Full Internet address:http://womensenews.org/article.cfm/dyn/aid/1266/
Doctors and pateints reasons for c-sect more stats

Author:Sharon Worcester
Title of page:Elective Cesarean Rates Differ by Ethnic Group
Publication name and date of print version:OB.GYN.NEWS
Name of online publication or database:www.obgynnews.com
Online publication(volume or issue, date, page or paragraph numbers):Volume 39, Issue 16, Page 10 (15 August 2004)
Date you accessed the page:03/25/2009
Full Internet address:http://www.obgynnews.com//article/S0029-7437(04)70570-4/fulltext

Author:JANE SALODOF MACNEIL
Title of page:VBAC Has More Risks Than Second Elective Cesarean Section
Publication name and date of print version:Family Practice News 05/01/2005
Name of online publication or database:www.familypracticenews.com
Online publication(volume or issue, date, page or paragraph numbers):Volume 35, Issue 9, Page 49 (1 May 2005)
Date you accessed the page:03/25/2009
Full Internet address:http://www.familypracticenews.com//article/S0300-7073(05)70686-1/fulltext

Author:BETSY BATES
Title of page:Pain Lasts 6 Months in Some C-Section Patients
Publication name and date of print version:OB.GYN.NEWS
Name of online publication or database:www.obgynnews.com
Online publication(volume or issue, date, page or paragraph numbers):Volume 40, Issue 12, Page 10 (15 June 2005)
Date you accessed the page:03/25/2009
Full Internet address: http://www.obgynnews.com/article/S0029-7437(05)70561-9/fulltext




Author: Lisa Varano
Title of page:Making birth convenient
Publication name and date of print version:
Name of online publication or database:news media journalism
Online publication(volume or issue, date, page or paragraph numbers):Spring 2007
Date you accessed the page:31 Mar 2009
Full Internet address:http://www.fims.uwo.ca/NewMedia2007/page298183714.aspx

Author:
Title of page:
Publication name and date of print version:
Name of online publication or database:
Online publication(volume or issue, date, page or paragraph numbers):
Date you accessed the page:
Full Internet address:



http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102234242.html
http://www.womenshealth.gov/pregnancy/childbirth-beyond/labor-birth.cfm
http://www.americanpregnancy.org/labornbirth/vbac.html
http://www.americanpregnancy.org/labornbirth/cesareanprocedure.html
http://www.obgynnews.com/article/S0029-7437(05)71317-3/fulltext
http://www.jmwh.com/article/S1526-9523(04)00002-9/fulltext
http://www.familypracticenews.com/article/S0300-7073(05)70323-6/fulltext

WK 8 CR Ex 2.1

Call Number: RG 651 .C55 2009
Authors: Fisanick, Christina
Title:Childbirth
Place of Publication: Greenhaven Press
Date of Publication: 2009
Might be an interesting read to gain insight on the right of a woman to have and elective c-section. Also why c-sections should not be performed routinely.


Author: Putre, Laura
Title: Rise in C-Sections Tax Hospitals' Resources.
Title of periodical:H&HN Hospitals & Health Networks
Volume or issue number and date: Apr 2008, Vol. 82 Issue 4
Pages covered by the article: p12-12
stats in rise of c-sections, litigation issues, vbacs, elective

Author: Taffel, Selma M.; Placek, Paul J.
Title: Complications in Cesarean and Non-Cesarean Deliveries: United States, 1980.
Title of periodical: American Journal of Public Health
Volume or issue number and date: Aug83, Vol. 73 Issue 8
Pages covered by article: p856-860
Has stats for the 80's and reason for increase back then graphs and numbers, old but might be useful


Author:Rubin, Rita
Title: Answers elusive as C-section rate rises
Title of periodical: USA Today
Volume or Issue date: 19 Mar 2009
Pages covered by article:
Talks about risks and rise in c-sections. Also talks about docs not wanted to be sued, and amount of money it takes.

Rita Rubin. "Answers elusive as C-section rate rises." USA Today (n.d.). Newspaper Source. EBSCO. [Library name], [City], [State abbreviation]. 19 Mar. 2009 .

Author: Rubin, Rita
Title: Study: Early C-sections put the babies at risk
Title of Periodical: USA Today
Volume or Issue date: 08 Jan 2009
Pages covered by Article:
Good info. Sources The New England Journal of Medicine must find original work


Author:Kahn EB, Berg CJ, Callaghan WM.
Title: Cesarean delivery among women with low-risk pregnancies: a comparison of birth certificates and hospital discharge data.
Title of Periodical: www.pubmed.gov
Volume or Issue date:2009 Jan
Pages covered by Article:33-40

http://www.ncbi.nlm.nih.gov/pubmed/19104357?ordinalpos=9&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum

Wk 7 CR Exercise 1.8 Ways of Reading to Write

1. The most important thing about reading for a research paper is to be able to discern through the information that is being read.

2. I think the purpose the the scene was to capture the readers interest which it did a very good job at. It used a lot of imagery which helped and it was a very dramatic beginning which captured my interest. It set the scene very well with a hot summer in Georgia, I felt the heat just by reading "The grass scorched and withered in the fields, and bare patches of red clay earth began to appear and to crack and cake in the sun like the bottoms of dried up lakes.""...the heat droned and shimmered in the fields, and the locusts sprang..." I felt the strong since of friendship with the five boys and as they went to play in the river. The sense of danger arouse when the author said that the river "roiled when he hit" and then the pain that the kid went through as he made his way to the shore. He had loyalty towards his friends so that they did not suffer the same fate as he when he warned them not to jump. The other boys I sensed were scared when they saw their buddy in pain and die. I think this dramatic beginning is central to the rest of the story because it showed a very traumatic event in the boys lives that had an impact on them which might lead to how they feel are behave later in the story.

3.The main idea in this passage is identity formation it reads that a child needs to find their identity and this is one of the biggest challenges. Ones identity is often changed based on new experiences and things that happen to them. There are some peoples identity that doesn't change because they avoid experiences and new things.

4. I did approach the passages differently because the first one was identified as a novel and the second was an article and I found myself having to read the article a couple of times before I was able to write anything on it. I was easily captured by the passage from the novel because it read like a book.
When I read a book I tend to get more into it and am able to soak more knowledge and not skip around. Informational articles I have to read over a couple of times because I skip around a lot. So I did use my typical reading strategies.
My behaviors when reading text and articles I read them first and might make a mark with a pencil when I think I find something important than I go back and highlight or underline things that I might want to use. If its on the computer I will bookmark the page and I might copy and paste something relevant to the word pad, or I have printed out things to highlight info as well. It does vary on the excerpt mostly depending on where I am at and where I got it from.
I would like to think that I did take my advice based on the question. I tried to discern through the information to find the main ideas in the article, as for the novels passage there was quite a bit of information that I could pick and choose from so it is mostly based on my own opinion.
The only problems I ran into when reading these passages was the article really i found it very boring after reading something so alive and cleverly written I had to read the article several times. The first time I read it I actually didn't realize that I had read it and did not retain anything. And then I read the question and about there being two different passages and then went back to find it. So I read what I was supposed to do for that passage again then with that in mind I read the article again and than again so I was able to do the summery.

Week 7 CR Exercise 1.7 Research Proposal

1.Why are Cesarean sections becoming a more frequently used way of birthing a baby?

2.Primary Purpose

• Explore:

Are you limited to the number of kids that you can have if having c-sections?
Are they more cost effective?
Is there danger to baby or mother when an elective c-section is done?
Are c-sections done more often in heavily populated areas? What about in low income areas vs higher income?
Are doctors more comfortable doing this surgery than a vaginal delivery?
Do doctors like to schedule them so that it is in a more predictable environment and they have more control over the situation or do they do them so that they can get it over with quickly and not play the waiting game.
Are there less lawsuits when c-sections are preformed rather than vaginal deliveries?

• Argue

My tentative main claim is that Doctors might be pursuing c-sections for their own benefits rather than the mothers. I believe that there are risk factors involved with a cesarean that are not being revealed to patients as well as they could be vs the risk factors for vaginal deliveries. I also believe that doctors might be reasoning with the patients to elect to have one so that there is a less of a chance for something to go wrong that might bring a lawsuit. Also I believe that by having a c-section the doctor gains control rather than the patient having control.

• Analyze

The theory that I am testing is that more cesareans take place than have to.

3. I never really thought twice about people having cesareans until I started to watch a lot of birthing shows on TV. I have always assumed that women had them because something was wrong with the baby or there was some type of a medical emergency that required the baby to be removed from the mother. After watching so many shows that ended in a c-section and being pregnant myself I began to wonder why there was such an increase in c-sections. Some of the women on the shows didn't appear to need them yet still received them. Now more than ever I believe that something is up after I went in for an elective inducement (for medical reasons) and the doctor kept pressuring me to rupture my water, even though I had only dilated one centimeter over the course of 24 hrs, and the chance of me having a successful vaginal delivery became very slim. After that experience and doing a little research asking the nurses at the hospital and a looking on the web, my prejudice's seem to be justified.

wk 7 CR exercise 1.6 Finding the Relationship

Big Hospitals, Predictability, Cost, Dangers Vs. Benefits



CESAREANS



Vbacs, Money, Mal-practice, Patient preference, Physician impatience

Working knowledge

I first got interested in this subject when I began to watch alot of birthing shows on discovery. My son beleives that the doctor is going to cut the baby out of mommys tummy like the doctor on the shows do. I heard that c-sections are every one in five nowadays and am fasinated by something that was so frowned upon growing up and considered so dangerous is so popular today. I have a step sis who has had three c-sec already the latter two being elective. My doctor frowns upon it and will only do it if necessary.