resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
Building From the Bottom Up
I caught up with my dear friend Honora Wolfe, in her Colorado painting studio where, if she is not praying in Bhutan or doing charitable work in a Nepali free clinic, she spends most of her time now.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
May, 2006, Vol. 06, Issue 05
To C or not to C? That Is the Question
By Elaine Stillerman, LMT
Part of the work of a prenatal massage practitioner is to support your clients' decisions about their pregnancies and birthing preferences in a nonjudgmental environment. Hopefully, we also can educate them about the ramifications, benefits and potential risks associated with their decisions.In other words, make sure they are making informed decisions based on all the facts (without imposing our own will on them.)
However, I find it rather upsetting to watch the elective C-section rate escalate (it's up 36 percent in the past five years),1 simply because women don't want to go through labor. When asked if they are aware of the risk factors involved in major abdominal surgery, the reply often is, "What risks? My doctor never said anything about risks."
There are a number of medical situations and emergencies that account for approximately 70 percent of all Cesareans. They might include failure of labor to progress, questionable fetal health, prior Cesarean, and fetal malpresentation or breech presentation. In other and less frequent instances, abnormal placentation, obstruction of the birth canal, maternal illnesses and infections and cervical cancer might be indicators of a surgical delivery.23,4
However, even in some of these medical cases, the diagnosis of a C-section might be based on false or incorrect interpretations of instrumentation, and many surgeries are performed when there is little or no risk to the fetus or laboring woman.
There is no question about the safety and benefits of a Cesarean section when the medical need is compelling. However, as with any surgery, a Cesarean section is not without its risks. Whether it is performed out of medical necessity or as an elective decision, women need to be informed about the potential dangers. Dr. Peter Bernstein, MD, the author of "Complications of Cesarean Deliveries," divides the risk of surgical deliveries into three categories: short term, longer term, and those that present risks to future pregnancies. He also recognizes that risk factors are heightened when the surgery is not planned or in an emergency, compared to when it is a planned surgical delivery. Dr. Bernstein's article features the work and research of the Maternity Center Association, New York City.
Some of the short-term risk factors involving a C-section include maternal death (although low),5,6,7 thromboembolism and stroke (deep-vein thrombosis resulting in pulmonary embolism is one of the leading causes of maternal mortality after a C-section),8 excessive bleeding and hemorrhage,9,10 infection,11,12,13 rare accidental surgical injuries, particularly bladder or to a lesser degree, intestinal injuries,14 longer hospitalization,1516 pain,17 and an unhappy birth experience with a longer period of time needed to bond with the baby.18 In the long run, complications from a Cesarean might include additional hospitalization or readmission after discharge,19 incision pain,20 scar and adhesion formation,2122 emergency hysterectomy, or difficulty conceiving another pregnancy.
Although most surgical deliveries are safe for the newborn, there still are some risks that must be explored. C-section newborns are four times as likely to die than vaginally delivered babies,23 experience a higher incidence of asthma and respiratory problems,24,25 the birth is more traumatic,26 and these babies often fail to breastfeed.27 In addition, future pregnancies might be affected, with such complications as uterine rupture at the site of the initial incision,28 abnormal attachment of the placenta,29 and the need for a hysterectomy.30
While it's true that modern sanitary conditions and surgical competence reduce the chances of many of these complications, clients should be advised about the risk factors when electing to have a Cesarean. While we can't make up their minds, we can offer documentation to give them a clear picture of what their choice could mean.
Click here for previous articles by Elaine Stillerman, LMT.
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