The CIMS One Voice for Mother-Friendly Care Collaborative

The “One Voice” for Mother-Friendly Childbirth Initiative is a project of the CIMS Coalition Building Committee. The project was created to facilitate collaboration among the CIMS Organization Members and to speak with One Voice to support Mother-Friendly, evidence-based  maternity care.  To date CIMS and its Organization Members have collaborated on these “One Voice” Projects:

Response to ACOG’s Practice Bulletin #115, Vaginal Birth After Cesarean  (VBAC). 

On September 9, 2010 and again on November 10, 2010, CIMS sent a powerful "One Voice" message to Dr. Richard N. Waldman, MD, FACOG president of the American College of Obstetricians and Gynecologists (ACOG), in which CIMS is joined by 191 co-signing organizations and 958 individuals urging ACOG to revise its current recommendation that VBACs should take place in hospitals where emergency cesareans are "immediately available." In its final Consensus Development Conference statement on vaginal birth after cesarean the National Institutes of Health  urged that ACOG revise this recommendation since it was not based on current evidence and it was influential in reducing access to labor after a prior cesarean for women who chose not to have a routine repeat cesarean. 

Dr. Richard N. Waldman’s response to CIMS indicated that ACOG would not make any changes to its guidelines for VBAC. CIMS responded to Dr. Waldman’s letter with concern that maintaining its current recommendations would put mothers and babies at increased risk for complications from cesarean surgery that would be avoided if women labored and had a VBAC.

CIMS Letter to the producers of NBC’s the Today Show 

On September 23, 2009 CIMS and sixteen member organizations sent a letter to the producers of NBC’s The TODAY Show objecting to its biased and sensational segment on the dangers of home birth aired on September 11, 2009. The show mischaracterized women who chose to have a home birth with a midwife as hedonistic suggesting that they were putting their birth experience above the safety of their babies. 

Risks of Cesarean Section: A CIMS Fact Sheet

Cesarean section is the most common major surgical procedure performed in the United States.  The Coalition for Improving Maternity Services (CIMS) is concerned about the dramatic increase and ongoing overuse of cesarean section.  The surgical procedure poses short- and long-term health risks to mothers and infants, and a scarred uterus poses risks to all future pregnancies and deliveries.  For these reasons, CIMS recommends that cesarean surgery be reserved for situations when potential benefits clearly outweigh potential harms. This resource, published in 2010 which includes an important companion document, “A Checklist for Expectant Mothers to Read During Pregnancy,” was endorsed by twenty-one organizations.

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Coalition for Improving Maternity Services
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