6
Wednesday, November 8,1995
Midwives Reduce Occurence of Caesareans
BYJOSH AHN
STAFF WMTER
Chances of a Caesarean childbirth are
reduced dramatically when a woman uses
a nurse-midwife during labor and child
birth, a recent study reported.
This decrease may come from the emo
. tional support and individualized care that
nurse-midwives give, said Trish Payne, a
, nurse-midwife in UNC Hospitals Family
Practice Division.
“Ifyou provide holistic care, the woman
. is more likely to keep her appointments
, and show up,” she said.
“You have to be really patient and fo
cus. There is a mind-body connection,”
Payne said.
Nurse-midwives are more cost-effective
and have good outcomes with lower
Caesarean rates, even in groups of women
at high risk, Payne said.
According to a survey by the Public
Citizens Health Research Group, 25 per
cent of the babies bom in the United States
COUNCIL
FROM PAGE 1
development, elected officials reported that
the largest contribution to their success
was not that visible to the public.
“A campaign is not simply a bunch of
forums that I go to, looking pretty and
saying the right things,” Capowski said.
“A lot goes on behind the scenes. I have
to thank Flicka Bateman and the entire
team who did a great job backing me.
They’re the ones who tell me where to go,
make me look pretty and see that things go
CARRBORO MAYOR
FROM PAGE 1
volunteers. “We had a great campaign
team, ” he said. “They did a very good job. ”
Nelson waited with his campaign man
ager and a group of about 30 supporters at
Main Street Travel in Carrboro as the re
sults came in on the radio. Nelson works as
a travel agent there.
Carrboro elected a mayor who will work
with the good of the community as his
LOUGANIS
FROM PAGE 3
In 1993, during preparations for his 33rd
birthday, Louganis revealed his HIV status
to his mother.
“She took it pretty well,” he said. “She
told me that mothers aren’t suppose to
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today are bom by Caesarean section, but
less than 12 percent have attending nurse
midwives.
In 1991-1993, the rate of Caesarean
sections performed in Orange County was
18.9 percent and 20.7 percent in 1988-
1990, according to statistics from the N.C.
Department of Environment, Health and
Natural Resources.
Payne said the percentages were too
high, but she said she was especially pleased
with the percentage at UNC Hospitals,
which she estimated in the teens.
The nurse-midwife option is also more
cost-efficient since only the nurse-midwife,
a registered nurse, and the couple are
present for the delivery, said Elizabeth
Sciora, a nurse-midwife in Durham Re
gional Hospital’s Women’s Clinic. When
there are signs of an abnormality a physi
cian is called in, she said.
"CNM’s (Certified Nurse-Midwives)
are very low technology, low intervention
people,” Sciora said. “We can let nature
do its thing, and it usually does the right
smoothly.”
As predicted by Chilton, the question of
the fourth town council seat did become
the ultimate surprise factor in the race.
Incumbent council member Pat Evans
was elected over former chairman of the
Board of Transportation, Richard Franck,
by only 36 votes.
“I am very satisfied with the results,”
Franck said. “I really want to thank every
one, especially my campaign manager
Ruby Sinreich. I can’t complain about los
ing by 36 votes.”
The election of former Town Council
main focus, said Matt Stiegler, Nelson’s
campaign manager.
“I’m pleased that we won,” Stiegler
said. “It says something good about Mike
Nelson, and it says something really good
for the people of Carrboro.”
The campaign team kept in touch with
voters, talking to them by phone or through
door-to-door visits, Stiegler said.
“I think the number one thing was that
we were able to keep the race focused on
the issues.”
outlive their sons. Then she said, ‘You’ve
beaten so many odds that I have nothing to
worry about.”’
After telling his mother, he said he knew
it was time to come out publicly. At the
1994 Gay Games in New York, he re
vealed that he was gay.
"I knew I was around people who un-
STATE & NATIONAL
thing.”
There is a difference between midwives
and nurse-midwives, Payne said. Nurse
midwives go through a training and ac
creditation program through the Ameri
can College of Nurse-Midwives, whereas
midwives have little formal training, Payne
said.
“We stay with women during labor and
provide them continuous support,” she
said.
“We try to know what they want and
give support both physically and emotion
ally and talk to her about what’ s safe for her
baby and what she wants to do,” Payne
said.
Nurse-midwives also can administer
medication, treatment and prenatal care,
Payne said.
Plans are under way to build anew birth
center on Airport Road which should be
operating by January, run by a staff of
nurse-midwives.
In 1991-1993, the N.C. Memorial Hos
pital had a total of 1,229 Caesarean births,
member Rosemary Waldorf to the posi
tion of mayor has opened up an additional
seat on the council.
The seat must be filled by an appointee
of the council. Town Council members
will vote on the seat in early December,
and many see Franck as the choice.
“He is the most logical choice,” said
Ann Margaret Franck, his wife. “The race
was so close that it only makes sense he
should be appointed.”
Emily Newell and Megan Driscoll contributed
to this article.
Randy Marshall, a 10-year veteran of
the Carrboro Board of Aldermen who ran
against Nelson, will give up his seat on the
board at the end of the month.
He said he did not have any plans to run
again in two years.
“I don’t know if I have any plans to stay
involved in Carrboro politics,” Marshall
said.
“I haven’t given it that much thought. I
don’t know what I will be doing in two
years.”
derstood,” he said. “That made the transi
tion much easier.
“Barbara Walters asked me the big ques
tion, ‘HTV or AIDS?”’ he said. “Techni
cally I have AIDS because my t-cell count
is below 200.”
This year, Louganis wrote his book. He
performed in the New York production of
I “Jeffrey,’’thestoryofamanwhodiesfrom
AIDS. He beat his dependency on pain
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with a rate of 19.2 percent, according to the
State Center for Health and Environmen
tal Statistics.
Caesarean sections are performed for
several reasons: when there is fetal distress,
labor is failing to progress or a similar
emergency arises, said Dr. Steven Wells,
associate professor of the Maternal Fetal
Medicine Division of the UNC Medical
School.
Some of the other situations that can
arise include breach babies, births where
the fetus comes feet first or in a sideways
position.
When there is a premature delivery of
the placenta or when other emergency situ
ations arise.
The performance of a Caesarean sec
tion usually is decided by clinical judg
ments, Wells said, but can be determined
by the mother if she has had a previous
Caesarean section.
Wells said some of the dangers facing
the mother included excessive bleeding,
infection and damage to internal organs.
CHAPEL HILL MAYOR
FROM PAGE 1
“I believe that the opponent’s campaign
was an attack on me and that I had to many
times defend myself.”
Foy, who is a newcomer to town poli
tics, did not share Waldorf’s opinion.
“Campaigning has been very exciting, ” he
said. “A local campaign involves talking to
yourneighbors. This is fun, especially when
your neighbors are cool.”
Although he came up short at the polls,
Foy said his issues were well received in
thecommunity. “Evenwhenpeopledidn’t
agree with me, they were gracious and
civil, this is what a community is about.”
Foy said if Waldorf considered devel
opmentcarefully, she would serve the com
munity well. “She looks at the outcome.
There is a great depth of feeling about
growth and development. If the council
and the mayor keep that in mind, it will be
good for the community.”
Mary-Kathryn Craft and Alex Poldogar
contributed to this article.
killers and anti-depressants, to which he
was addicted, and he performed the dive
scenes for a movie about his life, he said.
“I’m living with AIDS, not dying from
it,” Louganis said. “Hate AIDS, not life.
“Love yourself enough to protect your
self. HIV crosses all borders.”
The audience rose in ovation when he
concluded, “I’m Greg Louganis; I’m gay,
and I’m living with HlV.’’
New Materials at Recycling Sites
Paperboard milk cartons and
drink boxes:
1. Remove and discard straws and caps.
2. Rinse and flatten.
3. Plastic juice spouts OK. fjESfcsrv
sponsored in part by Tetra Pak.
Aluminum Foil and Foil Pans/TVays:
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NO durable goods.
These materials can now be deposited at all Recycling Drop-Off Sites and
Orange County Solid Waste Convenience Centers. Please place in designated
bins at drop-off sites. These items are jM accepted in curbside recycling bins.
Call Orange Community Recycling for more information. 968-2788
IN THE NEWS
Top stories from the state, nation and world
U.S. Servicemen in Japan
Admit to Planning Rape
NAHA, Japan The three U.S. ser
vicemen spotted the 12-year-old schoolgirl
as she stood outside a stationery store where
she had gone to buy a notebook.
According to prosecutors, the men
grabbed her, shoved her into a car and
bound her with tapetheyhad bought, along
with condoms, at a grocery store on a U.S.
airbase.Thentheydroveherdownalonely
road lined with fields of sugar cane.
Navy Seaman Marcus D. Gill calmly
confessed Tuesday to raping the girl —a
crime that has damaged America’s secu
rity ties with Japan, its most important
Pacific ally. Marine Pfcs. Rodrico Harp
and Kendrick Ledet admitted to helping.
Prosecutors gave a graphic account of
the crime, saying it began on the afternoon
of Sept. 4 when Gill, Harp and Ledet were
out cruising in a rented car.
The rape was Gill’s idea, prosecutors
said. First, the three men drove to a grocery
story on a U.S. airbase, where they bought
condoms and electrician’s tape. Next they
went to a nearby town in search of prey,
prosecutors said.
That search ended at about 8 p.m. when
the 12-year-old girl stepped out oftheneigh
borhood stationery store. Ledet and Harp
allegedly shoved her into the car and bound
her with the tape as Gill drove down the
remote road. Gill confessed to raping the
girl and then dumping her there before
returning to his base.
Acquitted Navy Officer
May Not Be Promoted
WASHINGTON, D.C. The Navy
will likely refuse to promote a captain
acquitted last month in a sexual-harass
ment case, a Navy official said Tuesday.
Navy Secretary John Dalton is consid
ering blocking the promotion of Capt.
Everett L. Greene who was cleared of
criminal wrongdoing after being accused
of making repeated contact with two fe
male subordinates. Greene was in line for
promotion to admiral until he refused a
settlement in the harassment case, opting
to stand before a full-blown court-martial.
At that point, the Navy asked the Senate
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Armed Services Committee to withhold
confirmation of Greene’s promotion.
After reviewing the case file, Dalton
told aides he had serious questions about
Greene's judgment, in spite of the not
guilty verdict. Greene was being given an
opportunity to respond to Dalton’s con
cerns, either in writing or in a face-to-face
meeting, according to the Navy official,
who spoke on condition of anonymity.
McNamara Visits Vietnam
HANOI, Vietnam Robert
McNamara returned to Vietnam Tuesday
for the first time since the end of the war he
helped escalate in the 19605, hoping to
persuade the country to open its archives
on the conflict.
The former U.S. defense secretary ad
mitted in his memoirs, published last spring,
that American participation in the Viet
nam war was “terribly wrong.” The mis
sion of his current trip to the former enemy
capital was to propose a conference of war
era decision-makers from both countries.
“We’re here, obviously, for one reason
to see if Vietnam and the United States
can draw lessons from what was a tragedy
for both sides,” McNamara told reporters.
McNamara, who was defense secretary
in 1961-68 under Presidents Kennedy and
J ohnson, came as part of a delegation from
Brown University and the New York-based
Council on Foreign Relations.
Council Vice President Karen Sughrue
said the group hoped Vietnamese leaders
would release new archival materials and
answer questions about their perceptions
of American wartime policy.
“The majority of the American writing
on this subject is completely uninformed
about Vietnamese decision-making,” she
said.
Government Doesn't Want
To Stockpile Cancer Drug
WASHINGTON, D.C.—Easily made
and costing only pennies, potassium io
dide pills can prevent thyroid cancer in
people exposed to radiation. But the gov
ernment has made no effort to stockpile
them at nuclear plants despite the recom
mendation of a presidential commission.
The nuclear industry says stockpiling
the pills would be impractical. Critics say
the industry is just scared of bad publicity.
Federal regulators have said a large-scale
effort “would not be worthwhile” —but
they’re about to take another look.
In the 16 years since the Three Mile
Island accident, there has been dispute
among nuclear safety officials, the nuclear
industry, scientists, health experts and gov
ernment bureaucrats over whether the go v
emment should stockpile the pills in the
event of a major release of radiation.
FROM WIRE REPORTS