

By ANDREW LEVY
Last updated at 12:19 AM on 9th August 2011
When Laura Hill’s waters broke after only 16 weeks of pregnancy, doctors advised her to seek a termination.
Not only was her own health at risk but the baby had only a one per cent chance of survival. Even then he would probably have devastating problems such as brain damage.
But certain she had already felt his first kicks, Miss Hill defied the doctors’ advice.
Thrilled: Laura Hill's son Charlie was born on her own birthday. He had been given a one per cent chance of survival
‘I said one per cent is still a chance he could live and I didn’t want to give up on my baby,’ she said.
She gave birth to Charlie after a pregnancy that almost lasted a full term, and five months later he is in perfect health. ‘I was determined to hold on to him,’ said Miss Hill, 20, from Norwich. ‘I just wanted to keep him safe.’
Miss Hill, who lives with trainee mechanic Richard Folkard, 22, and their two-year-old daughter, Tillie, had a scan at Norfolk and Norwich University Hospital after her waters broke.
‘I was told I was likely to go into labour within two weeks and that the baby only had a one per cent chance of survival and if he did survive there would be a chance of brain damage or lung deformities,’ she said.
Over the following weeks she had scans and blood tests twice a week while preparing for the worst by planning her unborn baby’s funeral.
Happy family: Charlie is enchanted with his big sister Tillie
At 21 weeks the tests revealed the membrane had resealed and by 24 weeks she was ‘amazed’ to be told it had completely filled up with amniotic fluid again.
Charlie was born weighing 7lb 3oz on her birthday – March 1. ‘He cried but it was a weak cry so I started panicking,’ she said. ‘But then the midwife told me “He’s perfectly normal. He’s your little miracle”.’
Mr Folkard said: ‘When I first saw his head and heard his first cry I thought, “We have got our little boy. He’s safe here with us”. I was so happy.’
Consultant obstetrician Alastair McKelvey said things had looked ‘bleak’ for Miss Hill as she was weeks away from a viable birth and the lack of amniotic fluid would normally prevent the foetus’s lungs from developing properly.
‘But, wonderfully, when the time came and Laura had a normal birth the baby’s breathing was completely normal. Whilst Laura’s story is not unique, it is the first I’ve seen in my career.’
FOR IMMEDIATE RELEASE | Contact: HHS Press Office |
Historic new guidelines that will ensure women receive preventive health services at no additional cost were announced today by the U.S. Department of Health and Human Services (HHS). Developed by the independent Institute of Medicine, the new guidelines require new health insurance plans to cover women’s preventive services such as well-woman visits, breastfeeding support, domestic violence screening, and contraception without charging a co-payment, co-insurance or a deductible.
The Affordable Care Act helps stop health problems before they start,” said HHS Secretary Kathleen Sebelius. “These historic guidelines are based on science and existing literature and will help ensure women get the preventive health benefits they need.”Before health reform, too many Americans didn’t get the preventive health care they need to stay healthy, avoid or delay the onset of disease, lead productive lives, and reduce health care costs. Often because of cost, Americans used preventive services at about half the recommended rate.
Last summer, HHS released new insurance market rules under the Affordable Care Act requiring all new private health plans to cover several evidence-based preventive services like mammograms, colonoscopies, blood pressure checks, and childhood immunizations without charging a copayment, deductible or coinsurance. The Affordable Care Act also made recommended preventive services free for people on Medicare.
New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after August 1, 2012. The rules governing coverage of preventive services which allow plans to use reasonable medical management to help define the nature of the covered service apply to women’s preventive services. Plans will retain the flexibility to control costs and promote efficient delivery of care by, for example, continuing to charge cost-sharing for branded drugs if a generic version is available and is just as effective and safe for the patient to use.
The administration also released an amendment to the prevention regulation that allows religious institutions that offer insurance to their employees the choice of whether or not to cover contraception services. This regulation is modeled on the most common accommodation for churches available in the majority of the 28 states that already require insurance companies to cover contraception. HHS welcomes comment on this policy.
Previously, preventive services for women had been recommended one-by-one or as part of guidelines targeted at men as well.For more information on the HHS guidelines for expanding women’s preventive services, please visit:http://www.healthcare.gov/news/factsheets/womensprevention08012011a.html. The guidelines can be found at:www.hrsa.gov/womensguidelines/.
To learn more about the Affordable Care Act, please visit www.healthcare.gov.Rushing to save his baby's life, David Weber was issued a huge speeding ticket (JOE BRYKSA / WINNIPEG FREE PRESS).
A man in Manitoba, Canada has been given a whopping $1,000 ticket and a suspended driver's license as punishment for speeding to the hospital in order to save the life of his pregnant wife and his unborn child, reported the Winnipeg Free Press.
David Weber and his wife Genevieve one day last March were on their way home from a day of shopping when she began to have contractions. Genevieve was 38 weeks pregnant and the couple knew, because of complications she incurred while giving birth to their first child, they had very little time to get her to the hospital for a Caesarean section.
In what is described as an adrenaline-filled panic, Mr. Weber mashed the gas pedal of his Honda Civic, and began speeding towards the hospital on "lightly trafficked roads," the newspaper reported, at more than 105 MPH.
Unfortunately, the couple flew right by a police officer.
The couple's first reaction was that of relief, thinking the officer would hear their situation and offer them an escort to the hospital. Forget it.
"[The officer] said, 'If you go to [the hospital], I don't want to see you guys speeding,'" David told the Winnipeg Free Press. "I was half-crying... I said, 'We don't have time for a lecture.' (I was) trying to save my wife and baby's life."
After a 15-minute delay, the Weber's were back on the road, but with a baby-gift of a $1,000 speeding ticket, and time running out.
Mr. Weber knew the delay had made it even more imperative that they get to the hospital, so he again mashed the gas pedal. But 30 minutes later, incredibly, the couple was stopped by another police officer who had actually been alerted by the first that the Webers might be speeding again in the direction of the hospital.
The second officer also ignored the situation, started another lecture on speeding, and called an ambulance instead of allowing Mr. Weber to continue to the hospital, or escorting him there. Genevieve suffered through yet another 15 minute delay in pain and agony as they waited for the ambulance to arrive.
Fortunately, the Weber's baby was born healthy at the hospital, but it was a dangerously close call. According to the couple's doctor, Genevieve's uterus was very nearly ruptured.
Mr. Weber decided to fight the ticket with the support of the doctor that delivered the couple's baby. But in spite of the doctor's testimony that speeding was absolutely necessary to save Mrs. Weber and her baby, the police refused to drop the ticket. They did, however, reduce the fine to $400.
And take a suspended license too!
Last month, Mr. Weber attended a hearing about the speeding incident, and in early July received even more appalling news: His license would be suspended for five months.
Only upon the completion of a safe-driving course will Mr. Weber be able to legally drive again. Even after his 5-month suspension is up, he'll also likely incur a heavy financial burden from higher auto insurance premiums.
Police officials would not comment to the Free Press on the situation due to privacy concerns, but maintained that protocols designed for keeping the roads safe were followed in this instance.
David Weber still is holding on to hope that the authorities will grant him some slack due to the obviously special circumstances surrounding his traffic violation. David told the Free Press that he has taken his situation to the media in the hopes of garnering public support.
For the time being, David Weber is left wondering what might have happened had he been delayed even longer. Perhaps a Canadian solicitor will show interest in the case and charge the police with endangering the lives of Mrs. Weber and her baby?
But the larger question is why the police were such sticklers for official procedure in the face of a medical emergency. Certainly, there are many officers who would react differently in the face of the same circumstances.
I think I will put a little more trust in this Arizona hospital system... They are definitely trying to make birth safer for women and babies.
The Arizona Republic
Arizona hospitals are taking a stricter stance on doctors and mothers who want to deliver babies before full term.
Banner Health is the latest to join a growing number of hospitals that are informing doctors and expectant mothers that they will no longer schedule deliveries before 39 weeks of pregnancy unless there is a medical reason to do so.
Hospitals are citing medical research that shows even the last few weeks of a full-term pregnancy are critical for a newborn's development. Babies who are born at 39 or 40 weeks are more likely to have improved brain, lung and eye development as well as lower risk of death compared with babies born earlier.
The change marks a cultural shift for Phoenix-area obstetricians and expectant mothers who have grown accustomed to planning births due to schedules, convenience, family visits or other non-medical reasons.
More than one dozen Valley hospitals have taken a hard stance, no longer scheduling elective Caesarean sections or inducing labor before 39 weeks.
"We've sort of gotten into this habit (of scheduling deliveries)," said Dr. Ken Welch, an obstetrician and Banner Estrella's chief medical officer. "We have gotten very good at inducing labor. Just because we can do it doesn't mean we should do it."
Banner Health will stop scheduling elective C-sections or inducing births for pre-term babies beginning July 18. Banner's decision will impact 19 hospitals in Arizona and other states.
Other Valley hospitals, including Scottsdale Healthcare, Abrazo Health Care and Catholic Healthcare West, already have made the switch.
The new policies will likely affect a significant number of mothers-to-be in metro Phoenix.
Local experts estimate that such convenience births represent 20 to 30 percent of all deliveries at some Valley hospitals.
Banner Health said that 42 percent of babies born at its hospitals last year were delivered before 39 weeks. Those deliveries covered the spectrum of births, including medically necessary births and natural births that occurred before full term. It included elective C-sections or early inductions of labor, although hospital representatives said they did not have reliable data on the number of such early, elective births.
The rate of Caesarean births climbed steadily over the past decade. About one out of three births in the United States are delivered via C-section. In Arizona, 26.2 percent of all births were by C-section in 2007, up from 16.1 percent in 1996, according to Centers for Disease Control and Prevention statistics.
Hospitals that already have targeted the early, elective births said that reaction has been mixed among doctors and patients. Some doctors have said they've successfully induced labor or performed C-sections before 39 weeks and saw no reason to change.
"There has been a transition," said Dr. BJ Johnson, chairman of the board of trustees for Arizona Perinatal Trust, which certifies Arizona hospitals with labor and delivery wards.
"Initially, there was some significant pushback from the doctors."
Johnson said doctors have become more receptive to the policy after they reviewed medical data and told their patients about the new hospital policies. It also has emboldened doctors pressured by patients who want to schedule a birth.
"They changed their culture and basically moved forward and informed patients this is policy now," Johnson said.
When doctors need to intervene early for medical reasons, they will still be free to do so.
Banner Health cited nearly two dozen medical reasons that would prompt an early delivery. Some common medical reasons could include high blood pressure, kidney disease, pre-eclampsia or placenta previa, a condition in which the placenta is too close to the cervix.
Organizations such as the American Congress of Obstetricians and Gynecology, Joint Commission and March of Dimes have advocated that the medical community adhere to the 39-week standard.
The March of Dimes, a non-profit that promotes baby health, has launched a public-awareness campaign that encourages hospitals, doctors and patients to follow the standards.
The group believes that if expectant mothers see the evidence for the benefits of full-term births, they'll be willing to wait a little longer rather than pressure their doctors for an early birth.
Of particular concern to the March of Dimes and physician organizations is the rise in the number of "late pre-term" births between 34 and 36 weeks. They believe the likely culprit is elective early births.
The March of Dimes' "2010 Premature Birth Report Card" gave Arizona a "D" and estimated that 12.9 percent of births in this state were premature, higher than the national target rate of 7.6 percent. Other factors contribute to premature births, such as a mother's health and habits; and availability of medical insurance can be a factor, too, paying for needed health care before and during a pregnancy.
One complicating factor is getting an accurate estimate on the fetus' age. If a mother-to-be does not get an ultrasound during the first trimester, it becomes more difficult to accurately gauge the fetus' age, said Dr. Michael Foley, Scottsdale Healthcare's chief medical officer.
"The size of the baby doesn't necessarily reflect the maturity," Foley said. "A baby may in fact be 40 weeks and only measure 36 weeks."
Still, those final weeks can be critical for a newborn's development. Full-term babies are less likely to have hearing, vision, feeding or birth-weight problems. Those final weeks of a pregnancy also give the lungs, eyes and brain enough time to fully develop.
Babies born early are more likely to spend time in a neonatal intensive-care unit, which can be expensive for the parents
In rare cases, those final weeks can be the difference between life and death. Babies born at 39 weeks or later were 50 percent less likely to die than babies who were born earlier, according to a study in the June 2011 issue of the medical journal Obstetrics and Gynecology.
"The ones that are 37 weeks have twice the amount of problems of babies at 39 or 40 weeks," Welch said. "If I am looking at my child or grandchild, I want to have the best odds of them doing well."
Reach the reporter at ken.alltucker@arizonarepublic.com or 602-444-8285.