Romano Amy M, Gerber Hilary, Andrews Desirre
AMY M. ROMANO is a midwife, mother, and author of the Lamaze research blog , Science & Sensibility. She coordinates blogger outreach for Lamaze International and won the 2010 National Advocacy Award from the Coalition for Improving Maternity Services for her social media efforts. She is co-author with Henci Goer of the second edition of Obstetric Myths versus Research Realities and co-editor of the ninth edition of Our Bodies, Ourselves, both due out in 2011. HILARY GERBER is a third-year osteopathic medical student at Nova Southeastern School of Osteopathic Medicine in Fort Lauderdale-Davie, Florida. She is a predoctoral research fellow currently investigating evidence-based birth, pregnancy, and birth interventions. She writes the Mom's Tinfoil Hat blog (www.momstinfoilhat.wordpress.com) and is a regular contributor to the Mothers In Medicine blog (www.mothersinmedicine.com). DESIRRE ANDREWS has been part of the International Cesarean Awareness Network (ICAN) for 6 years, is the current ICAN President, and is a 2VBA2C (two vaginal births after two cesareans) mother. She is also a childbirth educator, labor doula, childbirth-educator trainer, birth blogger, and public speaker.
J Perinat Educ. 2010 Summer;19(3):43-52. doi: 10.1624/105812410X514431.
The Internet has been called a disruptive technology because it has shifted power and altered the economics of doing business, whether that business is selling books or providing health care. Social media have accelerated the pace of disruption by enabling interactive information sharing and blurring the lines between the "producers" and "consumers" of knowledge, goods, and services. In the wake of the National Institutes of Health Consensus Development Conference on Vaginal Birth After Cesarean (VBAC) and major national recommendations for maternity care reform, activated, engaged consumers face an unprecedented opportunity to drive meaningful changes in VBAC access and safety. This article examines the role of social networks in informing women about VBAC, producing low-cost, accessible decision aids, and enabling multi-stakeholder collaborations toward workable solutions that remove barriers women face in accessing VBAC.
互联网被称为一种颠覆性技术，因为它转移了权力并改变了商业经济模式，无论该商业是卖书还是提供医疗保健服务。社交媒体通过实现交互式信息共享以及模糊知识、商品和服务的“生产者”与“消费者”之间的界限，加速了颠覆的步伐。在美国国立卫生研究院关于剖宫产术后阴道分娩（VBAC）的共识发展会议以及主要的全国性孕产妇护理改革建议之后，积极参与的消费者面临着前所未有的机会来推动VBAC的可及性和安全性方面的重大变革。本文探讨了社交网络在向女性宣传VBAC、制作低成本且易于获取的决策辅助工具以及促成多方利益相关者合作以找到可行解决方案从而消除女性在获得VBAC方面所面临障碍方面的作用。
