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Updated Sunday July 16, 2006 09:33 PM	Consortium for the Evidence-based practice of Obstetrics The primary purpose of maternity care is to preserve the health of already healthy mothers and babies For J.P. in Vermont ~ July 16, 2006 MaternityCare2.0

Index Page
Most Recent Posted 2.22.06 Hospital Birth Disaster ___________ The 2-minute scoop Flat Earth Obstetrics Problem Statement Reading time 15 minutes Position Paper ~ May 9, Mothers' Day, 2004 Reading time 25 min C.E.O White Paper 2004 Reading time 35 min (1) Scientific Literature on medical & physiological management (2) Historical Background Material ~How normal birth became a surgical procedure ScienceBasedBirth.com hosts two organizations CEO for is for consumers and childbirth professionals. A_CEO -- for physicians who provide obstetrical services. Contact Us // Membership	Welcome ~	New Email address ~ info@sciencebasedbirth.com
	The C.E.O web site provides an opportunity for dialogue between childbearing women and obstetricians and between obstetricians and other providers of childbirth services. The goal of C.E.O. is to promote public debate on improving our national maternity care policy. CEO also provides information on evidenced-based birth care for healthy women with normal pregnancies. Information on the CEO web site provides background information to protect the ethical and constitutional rights of competent adult women to have control over the manner and circumstances of pregnancy and normal birth.	www.Tatia.org Cytotec // maternal-fetal death _________________________ The goal of CEO & A_CEO is national maternity care policy reform that would: (a) End the routine use of potentially-harmful obstetrical practices (b) Establish a single, science- based or ‘physiological’ model of childbirth as the universal standard for all practitioners providing care to healthy women w/ normal pregnancies	Medicine Gone Mad ~ The Death of Normal Birth Tesla Presentation June 2006 Mar 06 ~ San Francisco State University's Holistic Health Program – Future Health Conference 2006 April 06 ~ Info for Bloggers Midwife Controversy ef ** A popular Michigan hospital is remodeling its maternity wing. It is building operating rooms, in anticipation of a 50% CS rate by the time the new unit opens in 2011. Read more about the 29.1% Cesarean section rate for 2004 and the annual 14.6 Billion dollar bill for CS in 2003 in the race to see who can be first to put normal birth on the list of 'extinct' forms of biology.
	~ Consortium for the Evidence-base practice of Obstetrics ~ CEO is dedicated to bringing science-based maternity care to all childbearing women and promoting public debate on our national maternity care policy
	~ A_CEO ~ The American College of Evidence-based Obstetrics ~ For physicians who wish to re-establish the scientific foundation of their profession and reclaim their expertise in the use of physiological management for normal birth

C.E.O. White Paper 2004 ~ an in-depth exploration of the issues
& a plan for rehabilitating obstetrical care for healthy women

Physiological: to be "..in accord with, or characteristic of, the normal functioning of a living organism”

(Stedman’s Medical Dictionary definition of “physiological” – 1995)

Physiological management is the evidenced-based model of maternity care. It is associated with the lowest rate of maternal and perinatal mortality, is protective of the mother's pelvic floor, has the best psychological outcomes and the highest rate of breastfed babies. Dependence on physiological principles results in the fewest number of medical interventions, lowest rates of anesthetic use, obstetrical complications, episiotomy, instrumental deliveries, Cesarean surgery, post-operative complications and delayed or downstream complications in future pregnancies. Physiological management is both safe and cost-effective.

Conventional obstetrics as applied to healthy women (i.e. "flat earth" obstetrics) is the opposite of evidence-based, physiological management. Its associated with a high level of medical interventions, obstetrical complications, anesthetic use, instrumental deliveries, Cesarean surgery and post-operative complications including emergency hysterectomy, delayed complications such as stress incontinence and pelvic organ prolapse, downstream complications in future pregnancies, long-term psychological problems such as postpartum depression, lower rates of breastfeeding and increased asthma in babies born by cesarean section. Conventional obstetrics for healthy women is neither safe or cost-effective. [see "What Every Pregnant Woman Needs to Know about Cesarean Section", a systemic review of the scientific literature by the Maternity Care Association of NYC available at www.maternityWise.org]

A long over-due and much needed reform of our national health care policy would integrate physiological principles with the best advances in obstetrical medicine to create a single, evidence-based standard for all healthy women. Physiological management should be the foremost standard for all healthy women with normal pregnancies, used by all practitioners (physicians and midwives) and for all birth settings (home, hospital, birth center). This “social model” of normal childbirth includes the appropriate use of obstetrical intervention for complications or at the mother’s request.

(1) C.E.O White Paper 2004 Reading time 35 min Printer-Friendly PDF Version White Paper 2004		(3) Problem Statement (document begins immediately above) Reading time approx. 20 minutes
(2) Position Paper ~ May 9, Mothers' Day, 2004 Reading time 25 min		6) table of contents for the Scientific Literature on medical and physiological management