Podcasts about cesarean section an american history

Jacqueline Wolf, PhD, is a history profess at Miami University. She has probably read more medical literature pertaining to the history and consequences of c-section in the United States. She is the author of an AMAZING book called "Cesarean Section: An American History of Risk, Technology, and Consequence". 30-40% of babies in the U.S. are born by c-section, and the rate doesn't seem to be in decline any time soon due to the universalization of continuous fetal heart monitoring. Litigation against doctors for things out their control in birth makes matters even worse. With the advent of FHR monitoring, we have seen an increase in c-section rate without any benefits to mom or baby. Womp. This episode is (insert fire emoji)! Made possible by: Fit for Birth - 20% off pregnancy- and postpartum-specific exercise and nutrition coaching (or courses to become a better coach yourself!) FullWell Fertility - code BELOVED10 (best prenatals and men's virility vitamins on the market) BiOptimizers - 10% off Mag Breakthrough plus free gut health goodies! [00:07:30] OBGYNs need to learn the history of c-section In some parts of U.S., >40% of babies are born by c-section OBGYNs are being de-skilled 70% of our training is in surgery C-sections are traumatizing [00:14:00] Gynecology deals with pathology; obstetrics dealing with surveillance of a natural, physiologic process Joke: how do you hide something from an OBGYN? (Punchline is too good to include in show notes…) C-section used to be rare because it was so dangerous WW2 brought blood banking and antibiotics Mortality and morbidity initially went up when birth moved to the hospital [00:30:30] The unforeseen downsides to high c-section rates (e.g. placenta accreta) A maternal death should be a worse case scenario Should there be firm indications for c-sections in the U.S.? [00:36:00] Up until 1940, most births took place at home 25% of births in the US are induced ContInuous fetal heart monitoring has been the greatest reason for high c-section Rates It was initially designed to be used for high risk birth but it has become universal “Physicians began dropping the knife with every drop in fetal heart rate “ Intermittent auscultation > continuous monitoring [00:59:00] Malpractice concerns Skilled birthworkers generally need to do very little at a birth Midwives should be attending most uncomplicated vaginal births My c-section rarely goes above 5% [01:16:00] Labor curves should be forgotten Preventing the First Cesarean Delivery, by Spong et al Jacqueline's website (buy her books!)and her podcast Find me on Instagram @nathanrileyobgyn and my practice at: www.BelovedHolistics.com Music by: Labrinth and Preservation Hall Jazz Band --- Send in a voice message: https://anchor.fm/theholisticobgyn/message

By 2009, one in three births in America was by cesarean section. But the dramatic jump in numbers wasn’t necessarily due to miracles of modern medicine. Jacqueline H. Wolf, professor of the history of medicine at Ohio University, joins host Krys Boyd to talk about the history of cesarean birth and the impacts it has on women’s lives and the public health system as a whole. Her book is “Cesarean Section: An American History of Risk, Technology, and Consequences.”

Jacqueline Wolf grew up in Chicago and currently lives in Athens, Ohio. She has a grown daughter Cora and a 16 month old grandson. Jackie is a professor in the Department of Social Medicine at Ohio University. She is a historian of medicine, with teaching expertise in the history of women’s and children’s health, the history of public health, and the history of biomedical ethics. Her research focuses on the history of birth and breastfeeding practices in the United States, and is primarily concerned with the long-term impact that specific medical recommendations and practices have on public health. She is the author of three books: Don’t Kill Your Baby: Public Health and the Decline of Breastfeeding in the 19th and 20th Centuries, Deliver Me from Pain: Anesthesia and Birth in America and Cesarean Section: An American History of Risk, Technology, and Consequence. She also has a podcast, Lifespan: Stories of Illness, Accident and Recovery that talks about encounters with the health care system and contains stories bound by a common theme – a person’s personal journey through a particular type of medical trauma. Show Notes: Book: The Womanly Art of Breastfeeding: https://www.goodreads.com/book/show/191632.The_Womanly_Art_of_Breastfeeding Jackie's Books: - Don’t Kill Your Baby: Public Health and the Decline of Breastfeeding in the 19th and 20th Centuries: https://www.goodreads.com/book/show/1761654.DON_T_KILL_YOUR_BABY?from_search=true&from_srp=true&qid=rNb34qX69w&rank=1 - Deliver Me from Pain: Anesthesia and Birth in America: https://www.goodreads.com/book/show/6317665-deliver-me-from-pain?from_search=true&from_srp=true&qid=EeeOu8YkQ5&rank=1 - Cesarean Section: An American History of Risk, Technology, and Consequence: https://www.goodreads.com/book/show/36707327-cesarean-section?from_search=true&from_srp=true&qid=aX19xcCnYa&rank=1 Jackie's Podcast 'Lifespan': https://www.npr.org/podcasts/645650988/lifespan-stories-of-illness-accident-and-recovery#:~:text=Lifespan%3A%20Stories%20of%20Illness%2C%20Accident%2C%20and%20Recovery%20On%20Lifespan,The%20stories%20are%20deeply%20personal. Jackie's Amazon Author Page: https://www.amazon.com/Jacqueline-H-Wolf/e/B001JS63KI?ref=sr_ntt_srch_lnk_2&qid=1607499107&sr=1-2 Untaming Contact: FB: https://www.facebook.com/Untaming-396582437559159/ IG: @untaming_podcast Twitter: @UntamingP Email: untaming.podcast@gmail.com https://anchor.fm/emily033

SHR # 2473 :: Cesarean Section: An American History of Risk, Technology, and Consequence - Jacqueline Wolf - Between 1965 and 1987, the cesarean section rate in the United States rose precipitously—from 4.5 percent to 25 percent of births. By 2009, one in three births was by cesarean, a far higher number than the 5–10% rate that the World Health Organization suggests is optimal. While physicians largely avoided cesareans through the mid-twentieth century, by the early twenty-first century, cesarean section was the most commonly performed surgery in the country. What were the unintended consequences of this practice?

SHR # 2473 :: Cesarean Section: An American History of Risk, Technology, and Consequence - Jacqueline Wolf - Between 1965 and 1987, the cesarean section rate in the United States rose precipitously—from 4.5 percent to 25 percent of births. By 2009, one in three births was by cesarean, a far higher number than the 5–10% rate that the World Health Organization suggests is optimal. While physicians largely avoided cesareans through the mid-twentieth century, by the early twenty-first century, cesarean section was the most commonly performed surgery in the country. What were the unintended consequences of this practice?

Jeanne talks with author, historian, Jacqueline Wolf about her book, Cesarean Section: An American History of Risk, Technology, and Consequence  Learn more about your ad choices. Visit megaphone.fm/adchoices

Medical historian Jacqueline H. Wolf, a professor at Ohio University, has just authored a new book tracing the history of the use of Cesarean Section baby deliveries in the United States noting a definite upward trend in the 21st Century. The book, “Cesarean Section: An American History of Risk, Technology, and Consequence,” explores the history of the C-Section from the 19th century until today. Wolf tells Spectrum podcast that Cesarean births rose in the United States by 455 percent from 4.5 percent to 25 percent for the period between 1965 and 1987. The growth has continued and now the rate for the procedure is one-third of all American births – one of every three. This is twice what is recommended by the World Health Organization. Although sometimes a C-Section is necessary for the welfare of the baby or the mother, too often it is used as a matter of convenience, according to Wolf. She details many of the risks associated with Cesarean deliveries compared to vaginal births and according to many, they are over-used. The book has received impressive reviews. Recently Slate.com called the book “Absorbing,” “Plainly excellent,” and said “Its vividness is unrivaled.” Jennifer Grayson, author of “Unlatched: The Evolution of Breastfeeding and the Making of a Controversy” said: “With meticulous research and sweeping insight, Jacqueline Wolf unfolds the unfathomable: how, over the course of a mere century, human beings normalized surgery as the means of bringing babies into the world. ‘Cesarean Section’ is an urgent wake-up call.” This is Wolf’s third book. She already has written “Don’t Kill Your Baby: Public Health and the Decline of Breastfeeding in the 19th and 20th Centuries” and “Deliver Me from Pain: Anesthesia and Birth in American.” This book is published by Johns Hopkins University Press.

In 19th-century America, cesarean section was a treacherous, last-ditch surgery that nearly always resulted in death of the infant and, half the time, the mother. Fast forward to today, where 1 in 3 American babies is delivered via surgical birth. But even until the 1960s, cesarean section was virtually unknown to the American public, says my guest today, historian Jacqueline H. Wolf, the author of the riveting new book Cesarean Section: An American History of Risk, Technology and Consequence. The book, which will be published this May by Johns Hopkins University Press, was funded by a three-year-grant from the National Institutes of Health. In it, Professor Wolf unfolds an astounding story: How, over the span of a mere century (and most rapidly, a few decades), industrialized America normalized surgery as the means of bringing babies into the world.Some of you may recognize Jackie Wolf’s name from my book Unlatched (where she transported us to the death-by-artificial-infant-feeding epidemic of Industrial Age America). As a professor of the History of Medicine in the Department of Social Medicine at Ohio University, she is one of the foremost authorities on the history of breastfeeding and birth practices in the United States, having authored two prior books and numerous articles on the subjects in venues such as the American Journal of Public Health, Journal of Social History, and The Milbank Quarterly. I was captivated by my conversations with Jackie back then, and I hope you’ll be as captivated as I was by this one, here: From the story of the first cesarean in recorded American history, the myth of Julius Caesar and the racially charged past of early cesareans; to the rise of birth as a pathological process, Jackie Kennedy's role in all this, reclaiming birth in the 21st century (including how to avoid your own C-section) and more, you won’t want to miss this episode!