By Mirza Bashir-ud-din Mahmud Ahmad
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Oxytocin works gradually, and its effects vary markedly between individuals; improper dosing can produce dangerous consequences (Alfirevic, Kelly, & Dowswell, 2009). For these reasons, the Institute for Safe Medication Practices put synthetic oxytocin on its “high alert” list, which currently contains 11 other drugs with similarly dangerous potential (Clark, Simpson, Knox, & Garite, 2009). , 2009, p. 3). ” EPISIOTOMY Any discussion of mothers’ expectations about vaginal birth and their resultant experiences would be incomplete without mention of episiotomy, a surgical cut (usually) from the posterior end of the vaginal opening toward the anus, pioneered centuries ago to prevent tears surrounding the vaginal opening.
In contrast, some mothers who anticipated technological birth intervention received only midwife care during pregnancy with the expectation of having an obstetrician-attended birth. For example, Iris expected an obstetrician-attended birth with an epidural but had met only with nurse-midwives in prenatal appointments. , 2010), only one among the dozen hospital-birthing mothers who had purposely sought midwife care in pregnancy anticipated with certainty a midwife-attended hospital birth. Moreover, only 10 (13%) of this study’s 75 mothers anticipated that a prenatal care provider known to them would attend their births: One mother had sought the only physician in her area who would agree to attend VBAC, one “wait and see” mother scheduled labor induction, and another switched from planned VBAC to planned cesarean to meet preferred physician availability; the two mothers of twins also planned cesarean delivery around their preferred physicians’ input and availability.
The study received institutional ethics board approval. From 2007 to 2009, I interviewed 82 pregnant women (expecting some attrition) in or near the third trimester of pregnancy recruited from electronic bulletin boards, regional medical clinics, and parent support organizations. 5%) completed the second interview. Mothers came from three locations: Most came from a midsize Pacific Northwestern metropolitan area and neighboring rural communities, and 20% came from either a large southern metropolitan area or a rural area in the Northeast of the United States.
Anwarul 'Ulum Volume 5: Sadaqat-e-Islam by Mirza Bashir-ud-din Mahmud Ahmad