Preventing the First Cesarean Section

Time-frame: 60
CERP: no

Despite the known risk factors, Cesarean Delivery rates continue to climb in much of the western world.  Yet, the risk of cesarean delivery varies as much as 10 fold from hospital to hospital in America.  It seems clear that individual provider and hospital practices has more to do with cesarean rates than maternal-fetal wellness.  This presentation will discuss practices shown to decrease the risk of cesarean section and will discuss what the Labor and Delivery nurse can do to help prevent cesarean section within their facilities.



Jarold (Tom) Johnston CNM, IBCLC


Country: United States of America
Phone number: 910-964-7679
Email: jjohnston@methodist.edu
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Publications

Labor and Delivery in my Pocket: “Fetal Death”

Tom contributed a small section on perinatal loss and bereavement care to the first and second edition of this handy little pocket guide for Labor and Delivery nurses.

New route of Danazol for Endometriosis needs more study

Johnston, JT & Ericson-Owens, D. (2004) “New route of Danazol for Endometriosis needs more study” JNMWH 49(6) p. 546-8

In this article the authors discuss the use of a Danazol loaded IUD tested for the treatment of endometriosis.

On Bed Sharing [Letter]

On Bed Sharing [letter]  JOGNN 37(6), p. 619-21. Nov/Dec

In this letter to the editor the authors discuss a recent study regarding the hazards of bed sharing and attempt to counter arguments that American mothers continue to sleep with their babies despite knowing the risks.  The Authors took issue with the statistics used and the exaggerated risks portrayed in the original published article.

Dads in Breastfeeding (published in Breastfeeding in Combat Boots, 2010)

Published in Robyn Rouche-Paull’s groundbreaking book on Breastfeeding while serving in the US Military, this little piece lays out breastfeeding for new fathers using military friendly language that all Soldiers, Sailors, Airmen and Marines can understand.  Perhaps the most popular section is the appropriation of the well known basic rifle marksmanship acronym SPORTS as a troubleshooting mantra to help fathers fix a bad latch.  Mrs. Rouche-Paull has kindly modified that section into a father friendly handout for public use.

breastfeedingincombatboots.com/wp-content/uploads/2015/06/Dads_Breastfeeding_PERSONAL.pdf

Fatherhood

Johnston, J.T. (2013) “Fatherhood”.  Breastfeeding Matters, La Leche League of the United Kingdom.

A brief article written by a father, for fathers in the UK.  This article discusses useful tips that fathers can use to help his wife and child breastfeed successfully.