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It is said that “once a cesarean, always a cesarean”. It is commonly believed that a woman who has undergone a c-section delivery will have to opt for the same method while giving birth to her next child. But medical experts are trying to dispel this myth.
According to them, Vaginal Birth After Cesarean, commonly termed as VBAC, can be adopted by any mother for her second or third birth if she wishes to avoid the complications of c-section delivery.
“Any woman with a previous caesarean section can attempt a VBAC. The majority of women, despite having a c-sect delivery, often prefer a vaginal delivery. Women are showing more courage towards this. It is safe and the established hospitals are providing full support to mothers who plan to go for a vaginal delivery,” Dr Mukta Kapila, Director, Obestrics and Gynaecology, at Fortis Gurgaon, told IANS.
Dr Rinku Sengupta, who had been associated with the Sitaram Bhartia Institute of Science and Research as Maternity Programme Head, said that in recent times two out of three women with a previous c-section deliveries attempt a VBAC and almost 90 per cent of them are successful.
“Only pregnant women above the age of 40 are more at risk for stillbirths and unsuccessful VBACs. Careful consideration should be given to the timing of delivery in these cases,” Sengupta said.
Sengupta explained that obesity is also a factor that could potentially increase the risk of uterine rupture and this can be a limitation for VBAC. She also pointed to a study that 85 per cent of normal weight women (BMI 18.5-24.9) achieved successful VBAC, while only 61 per cent of morbidly obese (BMI 40 or more) women achieved VBAC.
Kapila said that before opting for a VBAC, the history of the previous delivery needed to be considered.
“Under which conditions and circumstances, a caesarean was conducted — in emergency or breach — first needs to be identified. The mother, planning for vaginal delivery, should at least maintain a minimum gap of two years before opting for the second or third child,” she stated.
Often c-section delivery leaves a scar in the uterus, which, according to the medical experts, is a vital factor to be considered before they suggest a VBAC.
According to the American Congress of Obstetricians and Gynecologists (ACOG), some uterine scars (such as vertical scars which are now rare) are more likely than others to cause a rupture during VBAC.
“Therefore, it is important to show medical records of prior cesarean delivery so that doctors can assess viability for a VBAC in case of increased risk of uterine rupture.Sometimes women are discouraged from trying for a VBAC because of a thin scar,” Sengupta noted.
However, when it comes to vaginal delivery, the first thought that crosses most womens’ minds is of the labour pain which develops a fear of the VBAC.
“Everyone knows that labour is painful and even an epidural injection cannot make labour 100 per cent pain-free. But with proper physical and emotional support, continuous one-on-one presence of a skilled care provider or birth partner, and use of natural methods like warm showers, massages and exercises, most mothers cope very well with labour pain,” Sengupta explained.
Also, the fear of labout pain, according to the experts, can be dispelled by timely counselling and talking about the benefits and less risk involved in VBAC.
Yet, there is always the chance that a VBAC might be called off at the last moment even if the mother didn’t face any complications during pregnancy.
“A doctor may suggest an emergency c-section if complications occur during labour. If the baby is not able to tolerate labour or the contractions aren’t effective in moving the baby down the birth canal, then a cesarean may be the best way to deliver the baby,” Sengupta explained.
Kapila said that it is the patient’s decision that gets greater priority.
“There is no point in pushing a mother for VBAC if she is not mentally prepared or feels scared or delivery complications arise at the last moment. Although the doctors will recommend vaginal birth, the patient’s life cannot be put at risk,” Kapila said. (IANS)
The Reformation in England is notorious for the religious impact it had on the countries of the world, and the current ongoing dispute among the various factions of Catholicism and Protestantism. Three Blind Mice, a rhyme that emerged in 1609, roughly a few years after the death of Queen Elizabeth I, is somewhat a dark reminder of the Dark Ages.
The Reformation began in England when King Henry VIII broke away from the Catholic church because he wanted to divorce his wife, to marry another woman who would bear him a male heir. His wife was a devout catholic and refused to give up her crown to another. The king decided to break away from the Papacy, from Rome, where the Catholic church reigned from. He created the Church of England, and put himself as the legal head. England broke into two factions based on religion, and after Henry's death, the country was plunged in war.
Henry's eldest daughter, Queen Mary I took the throne after her father, and propagated Catholicism, as taught by her mother. Henry's other daughter, through his second wife, Queen Elizabeth I embraced the Protestant faith. Queen Mary was always paranoid of losing her throne to Elizabeth, and she hated the Protestants because of what happened to her mother. She set about ruthlessly persecuting anyone who openly professed their faith, which led to her being known as 'Bloody Mary'.
Illustration of Christian protestants being burned at the stake Image source: wikimedia commons
History has recorded the death of three Bishops, Ridley, Lattimer, and Crammer, known as the Oxford martyrs. They were burned at stake for teaching the Protestant doctrine. The rhyme Three Blind Mice is believed to be an allegorical allusion to the incident of the bishops' execution. They are called 'blind' because of their refusal to recant their confession. Queen Mary is said to have "cut off their tales with a carving knife" and is referred to as a farmer's wife to lighten the scene for children; perhaps to also reduce the ruthlessness of the act.
Three blind mice. Three blind mice.
See how they run. See how they run.
They all ran after the farmer's wife,
Who cut off their tails with a carving knife,
Did you ever see such a sight in your life,
As three blind mice (Modern version of the rhyme, Wikipedia)
Three Blind Mice is sung widely in nurseries of the world by little children, often innocent of the true story behind it.
Keywords: Three Blind Mice, Nursery Rhymes, Reformation, Persecution, England, Queen Mary
The pandemic brought about a global boom of entrepreneurship in 2020. Thousands of small businesses launched in the UK last year, and many were very successful. Some businesses started as passion projects, while others aimed to fill a hole in the pandemic market. Services and products, like at-home workouts, popped up all over social media from new and exciting businesses. The pandemic left many Brits financially unstable and scared for the future of their career. Launching their own business gave them something to focus on again and a small amount of income.
The Financial Times reported that the number of registered companies in the UK increased by 30% in 2020. As the world returns to normal, it will be interesting to see how these new businesses approach the post-pandemic world.
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If you have just set up a new business, here are some essential marketing tips to get the ball rolling:
Exploit social media
Social media is one of the most effective marketing platforms available. You can connect with a global audience for free and market your product or service to them. Post consistently and use high-quality imaging to catch your audience's attention. Engage with potential customers by replying to direct messages, comments, shares and likes. Use a few platforms to maximise your exposure and create a strong brand identity.
You can connect with a global audience for free and market your product or service to them. | Photo by Alexander Shatov on Unsplash
Network as much as you can
Networking is a vital part of business, and you can do it on and offline. Use sites like LinkedIn to connect with fellow entrepreneurs and those in different industries. Reach out to them directly and ask about their company or role. You might be surprised by how much you can learn from one conversation. Once in-person events return, you should look to make the most out of meeting people in your industry. You might find brands to collaborate with or a mentor to learn from. Make sure to hand out your business cards at the event so people can get in touch with you in the future.
Networking is a vital part of business, and you can do it on and offline. | Photo by Chris Montgomery on Unsplash
Create a blog
You need to be an expert in your industry. Create a blog and share your journey of learning to be a business owner. You can share your expertise and why you started the company, which other entrepreneurs can read and learn from. Your knowledge and experience might be extremely helpful for those just starting out. Use a range of marketing techniques to launch your business into the next phase.
Use a range of marketing techniques to launch your business into the next phase. | Photo by Sincerely Media on Unsplash
(Disclaimer: This article is sponsored and include some commercial links)
One of Indias fast growing Direct To Consumer (DTC) beauty and personal care brands, MyGlamm, launches its national TVC around the message 'All Natural #NoNasties today with actress Shraddha Kapoor, who is also an investor in the brand.
Kapoor who has a great millennial and Gen Z connect introduces 'My SUPERFOODS Kajal' which has No Parabens, No Mineral Oils, No Nasties while still being long-lasting and smudge-free and made with the goodness of nature. This is followed by many girls trying applying the kajal with confidence and while highlighting the ingredients Avocado Oil, Goji Berries, Vitamin E and Sunflower Seed Oil.
Commenting on the campaign, Apratim Majumder, CMO, MyGlamm says "Women have been telling us about what they want from their beauty products for a while now. Wikimedia Commons
The brand focuses on creating quality products that are high efficacy made with all-natural and no chemicals in the formulae. his campaign follows the #TellMyGlammWhatYouWant campaign where women logged in to tell the company what they wanted from their beauty products. It aims to establish a beauty democracy by giving consumers the power to tell the brand what they want thus changing the entire experience of how women buy beauty products in India.
Commenting on the campaign, Apratim Majumder, CMO, MyGlamm says "Women have been telling us about what they want from their beauty products for a while now. We have been innovating to serve those needs with products. When they told us that they want a kajal that is not only long-lasting and smudge-proof but also takes care of their eyes, we knew we had to do this. The campaign is about telling everyone out there who told us they need a kajal that cares, MyGlamm Superfoods Kajal is here for you! The campaign debued on MyGlamm's social channels- YouTube & Instagram on September 16. (IANS/ MBI)
Keywords: India, Direct beauty brands, My Glamm national, girls, kajal, confidence ingredients, Avocado Oil, Shraddha Kapoor