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Sometimes I think that doulas have the worst job out there. Thankfully that does not happen too often. I LOVE the work I do and it is a greatest honour to share in that special moment. It is also a humbling experience. I know I have it in my blood and everything around me is saturated with pregnancy/birth/breastfeeding. But sometimes, and the past week I had been thinking this, I don’t understand my job and grow frustrated.  And as this feeling peaked I came across this awesome video of a baby being born in the caul (in the amniotic sac, in the membranes, in the bag of waters, behind the veil, etc) IN WATER! How cool!!

It was made even cooler as I just came from a hospital birth where the OB AROMed my client, the birthing woman. Just before the procedure she expressed some reservations about the intervention. The OB replied that the membranes will have to break at some point before the baby is born so why not do it now to get things going, to which I replied that they don’t have to break at all and that baby can be born in the sac without the AROM-associated risks. After some debate the woman chose to have her membranes ruptured (AROM). She ran up a fever and had to be put on antibiotics few hours later.

I learned from the Navalgazing Midwife Barbara Herrera about birth in the caul and that the amniotic membranes, just like newborn boys’ amputated foreskins, stolen from their rightful owners (“donated” by omission in most cases), are a) used as a grafting tissue (truly thank you for that) and b) sold to cosmetic and big pharma industry to do what they want with it (no thanks there).

It can be quite disheartening seeing the birth rape and coercion women willingly subject themselves to, and feeling that I am not doing enough). Maybe I am feeling a bit too depressed right now with all the crap happening in my life and major life changes swirling around me tugging and pulling in all sorts of directions. I don’t know why women want to hire a birth professional to guide them on their journey through pregnancy and birth so they can NOT listen to a word that the professional says, and be surprised that they ended up with a c-section when they let the doc induce at 40wk GA and have pit and epi through out the labour.

But I should know. I was one of those women, sort of. Not once, but twice, except it was reversed.

When I was pregnant for the first time I hired a midwife who fought with me through out our prenatals. Patronized me in early birthing, interrupted my birth at the end and I had trouble birthing the placenta, and did not believe me in postpartum about breastfeeding being slightly off. I felt unsupported and not heard through out my pregnancy and postpartum.

When I was pregnant for the second time I hired a different midwife. I felt good during my prenatals and felt no pressure to do any tests and my autonomy was not questioned once, though the intended use of a doppler by my midwife during the birth was a concern for me. The birth was very different. After every contraction I was interrupted by talking, cellphones, dishes falling, door bells, testing of equipment, and requests to do vaginal exams that I had to turn down three times. Again, as my son was visibly being born the anxiety and anticipation in the people around me increased, they started shuffling things around, unzipping this and that, setting up the other, and I felt my birthing to be interrupted even more. I felt no urge to push the placenta again but this time I had to have it manually removed in a hospital.

I knew what i wanted from before I was pregnant. I knew how my body worked and my psyche. I knew how birth worked and how I was going to get it right. I did not listen to myself and surrounded myself with people that were not willing to go the distance for my birth because I wanted to ‘keep peace’ and appease my husband.

What is about women wrecking their first birth so they can finally have the third birth the way they want to, and that is not measured by the ‘outcome’ but rather by the MOTHER’s feeling of satisfaction with the process and the whole experience, and feeling that she is the most powerful woman walking on Earth and that she can do ANYTHING? Even Gloria Lemay blogs about it here.

“I swear by Apollo the physician …” “Let your food be your medicine and medicine be your food.” Hippocrates, 400BC.

I had been immersed in my free time in looking up pre-eclampsia. My friend a trained nutritionist and I often discuss the importance of nutrition in pregnancy and in life in general. My midwifery mentor cannot stress the need for excellent eating habits during the childbearing time more or more often. And recently I have received two calls in one week from two separate women saying their doctors want to induce them the next day for pre-eclampsia. When I got the stories out they both sounded very similar. They were both well into the 39th week of gestation. Both had a blood test done showing some signs of pre-eclampsia. One had a blood pressure checked and it was a bit higher but still within limits (as per her doctor, she did not know or remember the reading), the other one did not even have a BP done before the OB said to induce.

I know that in both cases no more testing was done and they were automatically scheduled for an induction. Is there really such a rush that a care provider does not have to do more of assessing and consultation for risks and the nature of the condition? What about nutritional counselling and providing info about the only effective treatment available the Dr. Brewer’s diet?

Well. I guess that is why they pay me the BIG bucks! Oh wait a second …

So, here is “some” (actually this is the most complete look on pre-eclampsia) info on pre-eclampsia. Of course you cannot discuss pre-eclampsia without the backing of  Dr. Brewer.

Alas, this post will have to await my rant. It is past midnight, I have a client starting her birthing process and I also have to pick up my kids from their Dad’s in the morning. The time demands are maddening at times. I wish I had a time machine. Sometimes.

STOP INDUCING OUR WOMEN! It is an assault. Provide them with a real choice of care providers and different settings for birth. STOP prosecuting us for our informed decisions. Enough with coercion.

Vancouver Sun and other dailies reported on a new study coming out of UBC regarding high c-section rates in BC. That is nothing new. They also say that the rates vary among practitioners/hospitals/regions. That is nothing new either. As much as I like the wording used and perhaps a bit fresher look at the issue I wonder how many more studies will it take to make a change. http://www.vancouversun.com/opinion/caesareanratesecondhighestCanada/3094656/story.html

BC c-section rate 30.4% highest in all provinces, c-section rate for induction 26%, first time Mom inducing for “post dates” – 50% chance of surgery, rates may be higher per doctor and hospital, conclusion …. need more monitoring, data, and research to come up with a plan on how to lower the section rate (quality improvement strategies) and hope we will find people (hosptl admin and team members) willing to implement it. ??? WTF?
source: c-section birth task force report 2008, BC Perinatal Health Program
Read more:
http://www.vancouversun.com/opinion/caesareanratesecondhighestCanada/3094656/story.html#ixzz0pyEnmIyt

WTF?

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