Down to Birth

#253 | The ACOG Files: Exploring the Guidelines That Support Physiologic Birth


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In today's episode, Cynthia and Trisha break down some of the current guidelines published by ACOG (the American College of Obstetricians & Gynecologists). You'll see many of these guidelines favor physiological birth and stand for minimal medical intervention in exactly the ways we recommend, which makes it  all the more perplexing why so many of today's obstetricians don't follow along. By understanding ACOG's position on common concerns in pregnancy and birth, you can feel more empowered to advocate for what you know is best for you and your baby.  Did you know that ACOG clearly and strongly states that the use of medical coercion is harmful and should never be practiced or that delivery of a baby is not warranted for suspected fetal macrosomia (big baby)? Or that ACOG knows that routine amniotomy (breaking the bag of water) is not necessary and suggests its use does not improve outcomes? Furthermore, ACOG states that ultrasound performed in late pregnancy is associated with an increase in cesarean section, with no evidence of neonatal benefit (yet how many OBs recommend third-trimester ultrasound)? Tune in to hear what this revered medical authority has to say, and stand tall in defense of your physiological birth plan. You'll see ACOG is on your side more than you might have believed, particularly in light of how today's American obstetricians tend to practice.

ACOG Statement on Refusal of Medically Recommended Care in Pregnancy
Approaches to Limit Intervention During Labor & Birth
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Down to BirthBy Cynthia Overgard & Trisha Ludwig

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