Lauren M. Whaley's blog

U.S. delivers too many preemies. California does too

If California were a country, it would tie with Fiji for the percentage of babies born too early. In 2010, nearly 10 babies out of every 100 were born before 37 weeks of gestation. If placed on the global list, California would rank 88th -- behind Uzbekistan, Vietnam, Rwanda and Tunisia.

But California, the hypothetical country, is doing much better in reducing preterm births than the United States as a whole. 

Questions and answers about early elective childbirth

We’ve reported extensively on how hospitals across the state and country are reducing early elective deliveries of babies. To follow up my report on scheduling childbirth, I talked with research sociologist Christine Morton, PhD. Morton is project manager for the California Pregnancy Associated Mortality Review and other projects at California Maternal Quality Care Collaborative.

Myth of the Big Baby

My friend had been pushing for four hours.

“You have a size nine baby coming out of a size seven pelvis,” her doctor said.

I heard several similar stories while reporting on elective deliveries. The baby is too big to push out.

My friend’s daughter was 8 pounds 11.5 ounces. She was born, eventually, by Cesarean section.

Not, technically, a “big baby.” 

Big Baby Syndrome is also known as Large for Gestational Age or fetal macrosomia. Sometimes, it’s defined as babies born weighing 4,000 grams - 8 pounds 13 ounces - or more. Sometimes, the cutoff is 4,500 grams - 9 pounds 15 ounces.

Baby Steps: Hospitals Reducing Early Elective Births. Slowly.

This is a corrected version of a blog that was published on January 25, 2012.

“Keep ‘em cooking.”

That’s what doctor organizations, advocates and hospital watchdog groups say about babies delivered before between 37 and 39 weeks gestation.

To Know Sheryl Glatt and Kidney Disease

I didn’t know Sheryl when she wasn’t sick.

I didn’t know her as a preschool teacher, a mother, a churchgoer or dialysis support group leader. Every time I saw her, she was in a hospital bed, tethered to a dialysis machine or in a wheelchair en route to a doctor’s appointment.

She had lost one leg to amputation, was in danger or losing the other and suffered from advanced kidney disease.

Five Photographs from 2011

From salad safety to surgeries, from debt to dialysis, CHCF Center for Health Reporting journalists traveled the state pursuing stories on health and health policy.

Changing Hospital Birth Policies One Letter at a Time

“Dear Hospital Administrator,
 I had my baby at your hospital on 01-30-2010 and,
overall, I had a
[sic] unacceptable experience.”

A mother wrote this with the help of The Letters Project, an online program that birth doula Tracy Hartley designed to help mothers and mothers-to-be exert greater control during the hospital births of their babies. (Read the full letter here.)

State soda tax may generate revenue for CA counties. Someday.

Update: The Assembly taxation committee placed the soda tax bill in a suspense file on April 25. The bill is not officially "dead," but its future is unknown. The bill's author, Assemblyman William Monning (D-Carmel), called his cause "an uphill struggle." Read more here and here.

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One day, Californians may have to pay more to open happiness.

If a soda tax bill - now before the Assembly - passes, we may have to pay twelve cents more a can for the soft drinks we guzzle.

SoCal: Don't light that fire

On cold desert nights and rainy winter days, even Southern Californians enjoy the snap, crackle, pop of a fire in the fireplace.

But, this season, a new rule has Southland fireplace owners taking a breather from their hearths.

Starting November first of this winter season, the South Coast Air Quality Management District has asked people not to light fires when soot pollution is already high. Through February 2011, the rule is voluntary. Next winter, however, this “no burn” rule will be mandatory on bad-air days. The district covers Orange County as well as the urban portions of Los Angeles, San Bernardino and Riverside counties.

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