Sunday, August 26, 2007

Kitzinger

For my doula training I have to read The Complete Guide to Pregnancy and Childbirth by Sheila Kitzinger.

I got an older copy out of the library (published in 1996) and in it she says that 20% of women will have CPD (cephalopelvic disproportion). Now, I'm no scientist, but my gut says that this is absolute bullshit. Historically, 20% of women didn't die in childbirth because the baby wouldn't come out. In fact, Childinfo.org reports the rate in Afghanistan (we can probably agree that birthing conditions are primitive here) is 1,900 per 100,000 births - a maternal mortality rate of 1.9%. Where is all the CPD in Afghanistan?

I have to assume that this part has been edited in current editions. Anyone know?

4 comments:

liiseli said...

In the 2004 version it says (page 348):"The most common reason for Cesarean section is the failure of labor to progress, due to malposition or cephalopelvic disproportion, when the baby's head appears to be too large to pass through the pelvis. But in retrospect, it is usually not too large. (...) But the size of the baby in relation to the maternal pelvis and the way the baby is lying are factors to take into account."

liiseli said...

Ups, mine is "The Complete Book of Pregnancy and Childbirth", not "The Complete Guide to..."...

Mark said...

Yeah, I checked the latest edition and that whole discussion appears to have disappeared... Too bad the old copy is still on the library shelves. Maybe I'll send them an email so they can decide whether to pull it or not. I hate to think of someone getting crappy info like that.

womantowomancbe said...

I'm wondering if it's a poor wording saying that 20% of all births are for so-called CPD, when it may not actually be the true diagnosis.