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Below are the 12 most recent journal entries recorded in The Trust Birth Initiative's LiveJournal:

Tuesday, January 15th, 2008
12:40 am
Vote for a Free Baby CranioSacral Clinic!
Your vote can help me to create a free infant AquaCranial clinic in a therapeutic, eco-pool to provide CranioSacral Therapy for babies ages 0-3 with gentle aquatic bodywork.


Please help me to make my dream a reality and support hundreds of babies and families with gentle preventative therapies.
Friday, October 26th, 2007
9:38 pm
A Butcher's Dozen
I thought you guys would like this article - A Butcher's Dozen

It was sent to me by misslam2u</lj>

x-posted elsewhere
Friday, May 25th, 2007
10:54 am
I know a similar question was posted a few months ago, but I'm hoping to wake y'all up. ;)

I'm rip roaring angry after hearing about a bad experience an informed, strong woman had locally, with 2 doulas in tow. All that was not enough to stop the arrogant sOBs from meddling and harming and just totally crapping up this lady's birth. And maybe it's stirred some ptsd in me. I've dragged my feet long enough, NEPA needs a wake up call. I need to start a group here. I'm not super well educated (I have a few books and read a lot on the internets, but I don't retain info very well). I'm not a good public speaker. And I've never really run anything before. But darn it, I'm going to do something.

So, talk to me, those of you who are facilitators, or in a local trustbirth or other group. I don't really have a specific question, I just want to know how things have gone for you. Tips and tricks. Cheerleading and kick-in-the-butt. I need to act now while I'm still angry.

Current Mood: determined
Saturday, January 20th, 2007
10:51 pm
anyone awake here?

I just wanted to check in and see who, if anyone, is a facilitator here?

Anyone attending a group in their area?

Also.......hope this ain't too tacky.......but we seem to have two trust birth groups here, and they both appear to be "official". I know that norwegian_wood is active as a facilitator, but I don't see cheekymamas name on the list of active facilitators..?? I was hoping we could merge these two LJ groups, hopefully our online presence will be shaping up a lot in the coming months and it would be nice to centralize our LJ presence, you know?

Just a thought...........
Monday, July 31st, 2006
2:50 pm
naturally birthing twins info needed
HI there! :)

( I hope it is ok that I post this here!!)

I am in need of some info for my sil, she is expecting twins in Jan, and is trying to learn about all of her options.

Friday, June 16th, 2006
3:42 pm
On birth tears or; The Many Ways to Apply Comfrey
As some of you know, I had a second degree tear with Fiery's birth. It didn't hurt at all, and I didn't have the whole 'ring of fire' experience, so I wouldn't have even known that I tore if I hadn't looked. After I discovered it, I was pretty freaked out, because I didn't know what I know now about healing. So I share this in hopes of empowering the lot of you to heal with confidence. Here I will be talking about only tears that can happen at a home birth. Injury that occurs in hospital birth is too severe for me to address.

Sometimes birth tears are preventable, and sometimes you can only speculate on their preventability. There are some things which we *know* can effect tearing. Some of these things are:

* Diet Poor diet can affect skin elasticity as well as tissue healing. You HAVE to eat well during pregnancy! Vitamin E (200-400 IU) supplementation and daily intake prenatally of Vitamin C (1000-2000) may help with skin elacticity, and you need to drink lots of water!

* Labor and birth position Certain positions stress the perineum in ways it is not meant to be stressed, and can make you more prone to a tear or injury. Unless you regularly squat to pee, poop, cook, and socialize, birthing in a true full squat will likely result in a bad tear. Don't get me wrong, squatting in labor is super, but not usually for birth itself. Also, laying flat on your back can be bad as well. What positions are good will vary from woman to woman, but these two are common no-no's for tearing. Many women also tear badly on birth stools when used improperly. Being upright in a supported squat, standing, kneeling, hands and knees, and bending over standing are the best positions for avoiding tears and for birth in general!

* Slowed expulsion If the baby's head is allowed to crown and slip out slowly (breathing the baby out and allowing the fetal ejection reflex to do the work) rather than hard pushing, tearing may not happen, or it may be substantially less. Of course, sometimes a mother will have an intinctual feeling that the baby needs to be born quickly, and will find it impossible to slow the baby's entrance - which is for the best in those cases. Always follow your instinct, it exists for a reason!

* Catching your own baby Catching your own baby means that you are in contact with your perineum during the baby's birth, and will be more aware of your tissues and how they are stretching than if someone else catches.

* Waterbirth/well lubricated birth Waterbirth may provide women with less propensity to tearing. I have a theory that this may be because the water can act as a barrier to intervention: most midwives do not enter the water with you, and most waterbirth moms catch their own babies. Also the water makes tissues more pliable and relaxes the mother, as well as lubricating the birth passage. Lubrication can also be found in the form of a water based (does not need to be sterlie) lubricant such as you would use for sexual intercourse, or olive oil.

* Orgasms Speaking of lubricated birth...

* No fingers in the vagina No vaginal checks, unless you are doing them yourself!

No matter what you do, sometimes you will tear. Blondes and redheads are much more likely to tear than brunettes of any nationality. If you do tear, do not freak out! It can really color your first days with your baby with unnecessary feelings of fear or sadness. Women have been tearing and healing and going on to have sex and more babies for hundreds of years, and you can too!

On to healing:
First, hopefully you are familiar with what your perineum looks like before birth. If you have no comparison, you will be less able to know the true extent of the tear.

The most important parts of the healing process happen in the first 3 days. Before I go into treatment options, let me say that the best course of action may be the simplest: Keep your legs together and stay down! Do not sit! If you must sit, sit on the side of your ass, and only briefly. If you sit to nurse, do it slightly reclined and prop yourself up with pillows. Now is a great time to master nursing while laying down! Do this for at least 5-7 days, and you will have helped your body heal tremendously. I also recommend not looking until several days have passed (if ever!). Swelling can make things look worse than they really are. So no pants, underwear, pads, lots of stairs, riding in cars, etc. Stay in and enjoy the baby!

Ice should only be used in severe cases of swelling or hematoma. Ginger tea hot packs can be very soothing, and they help stimulate circulation and promote oxygenation of the area to help with healing.

If you have bad swelling, start with cold compresses for the first 24 hours. A condom (with lubricant washed off) filled with water and frozen makes a perfectly shaped, long lasting compress. Wrap them in paper towels before freezing so they don't stick to things in your freezer. You can also make great ice packs by taking sanitary pads, cutting them in half, and dribbling them with a comfrey leaf infusion before freezing. If you want plain pads, you can use cloth menstrual pads or disposable ones, get them wet (don't soak them, this makes them hard as a brick!) and freeze them in a bowl so they have contour. These are good things to prepare before labor. After 24 hours, switch to warm compresses, as warmth facilitates healing, and cold only reduces swelling.

Fresh comfrey leaves (check ebay!) make a great healing poultice. This can be made in advance and frozen in an ice cube tray then thawed one at a time as needed. If no fresh comfrey is available, steep (not boil!) dry comfrey for an hour or more.

Comfrey root (again, ebay!) can be simmered for 40 minutes, then soak cloths in the infusion, and apply warmed (strain for root debris). It's awesome. Or, put comfrey leaves in a blender with some water and whirl for a few seconds and apply to perineum, it's like a gel.

I liked adding garlic, sea salt and uva ursi to my poultices. Just throw it in a large pot of water with the leaves and steep it (overnight is best, but for at least 30 minutes). Amounts used are a whole cup of sea salt (don't be afraid, it won't burn at all), a whole bulb of of peeled garlic whizzed in a blender, and uva ursi (1/2 cup or as much as you want). To make the poultice, get some 4x4 inch gauze pads. Spoon the mixture onto the pads and make a burrito for your underpants! Leave on the area for 25 minutes, 3-4 times a day. Apply them warm for added benefits.

You can put any of these strained infusions in a squirt bottle to rinse your perineum after using the bathroom. Keep any unused mixture in the fridge for up to three days.

Other supplementation to help healing can be in the form of daily vitamin C with bioflavinoids (500mg), vitamin A (25,000 IU), vitamin E (1200 IU), and zinc (15-25 mg). Also you can take homeopathic Arnica (30C 2x a day) to help reduce bruising and swelling and relieve trauma.

Seaweed! Using food quality seaweed from a health food store, Cut a piece of seaweed that is twice the length and width of the tear, fold in half, and moisten with water. Place it down the center of the tear and bring the edges of the tissue together, carefully aligning them. Then cover the entire length of the tear with a patch of moistened seaweed. Replace it after using the bathroom, each time. It may sting a little for a minute, but it's just the salt water in the seaweed and it will not be uncomfortable for long.

After 10 days, vitamin E from the capsule can be applied directly into the area if there is still discomfort.

Times that you may want to seek a second opinion or medical help:
Excessive bleeding from the tear site
Prolapsed uterus (when the uterus is out of the body, VERY uncommon and not life threatening)
A tear that extends into the anus (extremely uncommon in a birth where no instruments are used)

I know someone will ask, so I have to give my opinion on perineal massage. Studies are inconclusive about the effectiveness, and it is not comfortable when done 'correctly'. So I don't advise it, but it's your vag, do what makes you confident!

So, so SO much more great information can be found in these two (affordable! easy to understand!) books: Saving the Whole Woman (which makes a great case for avoiding sutures), and the Tear Prevention & Treatment Handbook from Midwifery today, full of useful treatments, tips and opinions.

When you had sex for the first time, your vagina changed, you 'popped your cherry'. Birth is similar. Your first birth or tear will 'pop your birth cherry'. Your vagina may look and feel different even after healing, but most women agree that sex after a natural birth with a tear vs. an episiotomy is better than it was before the birth! Sara Wickham put it well when she said, "Birth is a rite of passage that takes women's bodies on a journey. We become marked with the symbols of our passage into motherhood and retain the cellular memories of the experience. Whether we judge these marks as good, bad, or neutral, we hold them as women whose bodies tell the stories of our lives. To what extent does the fact that we often judge all tears to be bad affect the way that women percieve their bodies, their tears and scars?"

Food for thought!

If you have any suggestions, please add them in the comments! I will add to this post over time as I have time.
Tuesday, February 14th, 2006
11:38 pm
Hello All!

I need a miracle,and this community has always come through for me, so I thought that I'd reach out again and hope for the best...

This weekend, I have a CAPPA labour doula conference in Guelph, Ontario. I'm over the moon - I finally have the opportunity to partcipate in something that I've always dreamed of. The bad news? I have no way to get there! My conference starts at 8:45AM on Saturday, and I can't find a bus that leaves Waterloo, Ontario early enough to get me there in time.

What I need is some combination of the following: a ride to Guelph for Saturday & Sunday, a ride home from Guelph to Waterloo on Saturday or Sunday (say around 7PM) OR **cheap** overnight accomodations for Friday and Saturday. I will gladly pay gas money and I will happily bake cakes, cookies...anything...in return.

Please, I am desperate. This is something that I have always wanted to do and if I can't get to Guelph...I'll not only be broken-hearted, I'll be out $400. If you, your roommate, your neighbour, that guy you know...anyone...are able to help me out in any way, please, please, please, please, please contact me immediately. Thank you!

X-posted like...whoah. Sorry if you see it a million times.

Current Mood: hopeful
Friday, September 9th, 2005
11:47 pm
Aspiring Midwife...
I hope you don't mind me joining...I'm not a mom yet but I am an aspiring midwife (just trying to get in to school at the moment) I'm NOT joining to give advice (I'm probably the least qualified at the moment) but to meet mom's and others who also believe in women taking charge of their birth experiences and listening to what they have to say, ask questions and forming friendships I hope!
Monday, June 6th, 2005
12:17 pm
Outline from May Trust Birth meeting
I'm going to post our meeting topics here to share with other leaders, and hopefully spark some interesting dialogue...I'm planning to share our past meeting topics as well, when I have a minute :P

Embracing pregnancy - How trusting (or not trusting) pregnancy affects trusting birthCollapse )
Friday, May 13th, 2005
5:48 pm
Hi, I hope you don't mind that I joined your community.
Wednesday, May 11th, 2005
8:23 am


[Hospital corridor. A mother-to-be is being wheeled very fast down the corridor on a trolley, which crashes through several sets of doors. A nurse with her slips into a consultant's room, where one doctor is throwing beer mats through the crooked arm of another.]

First Doctor: One thousand and eight!

Nurse: Mrs Moore's contractions are more frequent, doctor.

First Doctor: Good. Take her into the foetus-frightening room.

Nurse: Right.

[They pass through the delivery room.]

First Doctor: Bit bare in here today. isn't it?

Second Doctor: Yeees.

First Doctor: More apparatus please, nurse.

Nurse: Yes doctor.

First Doctor: Yes, the EEG, the BP monitor and the AVV, please.

Second Doctor: And get the machine that goes 'Ping'!

First Doctor: And get the most expensive machines in case the administrator comes.

[Apparatus starts pouring into the room. The mother is lost behind various bits of equipment.]

First Doctor: That's better, that's much better.

Second Doctor: Yeeees. More like it.

First Doctor: Still something missing, though.

[They think hard for a few moments.]

First and Second Doctors: Patient?

Second Doctor: Where's the patient?

First Doctor: Anyone seen the patient?

Second Doctor: Patient!

Nurse: Ah, here she is.

First Doctor: Bring her round.

Second Doctor: Mind the machine!

First Doctor: Come along!

Second Doctor: Jump up there. Hup!

First Doctor: Hallo! Now, don't you worry.

Second Doctor: We'll soon have you cured.

First Doctor: Leave it all to us, you'll never know what hit you.

First and Second Doctors: Goodbye, goodbye! Drips up! Injections.

Second Doctor: Can I put the tube in the baby's head?

First Doctor: Only if I can do the epesiotomy.

Second Doctor: Okay.

First Doctor: Now, legs up.

[The legs are put in the stirrups, while the Doctors open the doors opposite.]

First and Second Doctors: Come on. Come on, all of you. That's it, jolly good. Come on. Come on. Spread round there.

[A small horde enters, largely medical but with two Japanese with cameras and video equipment. The first doctor bumps into a man.]

First Doctor: Who are you?

Man: I'm the husband.

First Doctor: I'm sorry. only people involved are allowed in here.

[The husband leaves.]

Mrs Moore: What do I do?

Second Doctor: Yes?

Mrs Moore: What's that for?

[She points to a machine.]

First Doctor: That's the machine that goes 'Ping'!

[It goes 'Ping'.]

First Doctor: You see. It means that your baby is still alive.

Second Doctor: And that's the most expensive machine in the whole

First Doctor: Yes, it cost over three quarters of a million pounds.

Second Doctor: Aren't you lucky!

Nurse: The administrator's here, doctor.

First Doctor: Switch everything on!

[They do so. Everything flashes and beeps and thuds. Enter the administrator...]

Administrator: Morning, gentlemen.

First and Second Doctors: Morning Mr Pycroft.

Administrator: Very impressive. What are you doing this morning?

First Doctor: It's a birth.

Administrator: And what sort of thing is that?

Second Doctor: Well, that's when we take a new baby out of a lady's tummy.

Administrator: Wonderful what we can do nowadays. Ah! I see you have the machine that goes 'Ping'. This is my favourite. You see we lease this back to the company we sold it to. That way it comes under the monthly current budget and not the capital account. [They all applaud.] Thank you, thank you. We try to do our best. Well, do carry on.

[He leaves.]

Nurse: Oh, the vulva's dilating, doctor.

First Doctor: Yes, there's the head. Yes, four centimetres, five, six centimetres...

First and Second Doctors: Lights! Amplify the ping machine. Masks up! Suction! Eyes down for a full house! Here it comes!

[The baby arrives.]

First Doctor: And frighten it!

[They grab the baby, hold it upside down, slap it, poke tubes up its nose, hose it with cold water. Then the baby is placed on a wooden chopping block and the umbilicus severed with a chopper.]

And the rough towels!

[It is dried with rough towels.]

Show it to the mother.

[It is shown to the mother.]

First and Second Doctors: That's enough! Right. Sedate her, number the child. Measure it, blood type it and... *isolate* it.

Nurse: OK, show's over.

Mrs Moore: Is it a boy or a girl?

First Doctor: Now I think it's a little early to start imposing roles on it, don't you? Now a world of advice. You may find that you suffer for some time a totally irrational feeling of depression. PND is what we doctors call it. So it's lots of happy pills for you, and you can find out all about the birth when you get home. It's available on Betamax, VHS and Super 8.
Tuesday, May 3rd, 2005
10:03 pm
Getting a Stubborn Patient to Say Yes
When a woman threatened to compromise her own and her baby's health, this doctor was able to defuse the situation with a "one-text" solution.
By Rajamalliga N. "Lee" Sharma, MD

[Ed. - This article is presented here for commentary and critique. A first round of comments is offered by Janet Winters, a doula in Maryland. These comments are in square brackets, preceded by "JW"]

I walked into Labor and Delivery on a slow Sunday morning. The board was empty, giving every indication that this would be a nice, calm day. Then my partner dropped a bomb.

"A patient I've seen a lot of is coming in," he said. "She's a previous section, and broke her water an hour ago. You may have a tough time with her. She's got a mind of her own and is bent on doing this her

I nodded and smiled. "No problem." Most people are fairly cooperative once they reach Labor and Delivery. I didn't anticipate any difficulty.

That was at 9 am. By 2 pm, the patient had not yet arrived, and I'd gone home to wait. When I phoned the hospital at 3, a nurse told me that the patient had finally come in, but "just to have her cervix checked." She fully intended to labor at home, and assumed we'd do what she asked and send her on her way. At the time, according to the nurse's exam, she was dilated 1 cm. Although she had been talked into seeing me, she'd refused admission, monitors, IV, even a hospital gown. I told the exasperated nurse I'd be there momentarily.

As I climbed into my car, I thought about how I was going to handle the situation. Fortunately, I had studied conflict resolution, and began to consider what course of action I could take that the patient might find satisfactory.

In conflict situations, many tools can be drawn upon to help resolve the situation and avoid making things worse. In their book, Getting to Yes, Roger Fisher and William Ury describe a joint problem-solving process called the "one-text" procedure, which I thought might be effective here. This method requires you to understand the other person's concerns, then address them by creating a detailed solution. The solution is the one-text - a statement of goals and how to reach them. It must be something the other party can respond to with either Yes or No. The one-text approach leaves no room for negotiating or uncertainty. If it's rejected, it must be revised until consensus is reached. [JW - Actually, I thought this sounded exactly like what the woman had said to the nurses: "She wanted them to check her cervix, and then she wanted to leave." Why didn't it work as well for her as it did for the doctor? In reality, the only medical problem with her suggestion was that her cervix be checked, since that is the primary source of infection during labor.] [JW - I am having some difficulty understanding the semantics of the one-text solution, i.e. what is the difference between negotiating, and revising a solution until consensus is reached. Perhaps the difference is that the solution is revised only by the party "making the offer". This sounds a lot more like bullying than anything else.]

What makes the one-text approach so effective in doctor-patient relationships is that it moves us away from trying to defend our point of view, and toward a more cooperative and sympathetic mindset in which we consider our patient's needs as well as our own. It also encourages us and our patients to refine our ideas so we can reach an agreement based on mutual objectives.

For the one-text method to succeed, certain things should be avoided.

1. Don't get angry. The initial thought that went through my head when the nurse phoned me was, "How dare this woman! Here it is, Sunday afternoon, I've been waiting for her since 9, and when she finally shows up six hours later and has the gall to order us around!" [JW - Wow! This makes it clear who's supposed to be running the show, doesn't it?] I had to stop and remind myself that her behavior was not directed at me. Patients who make these kinds of demands are usually trying to control the situation in an effort to keep their own fear in check. Few things are as daunting as labor, especially for someone who has had a primary cesarean delivery. [JW - Yep! She trusted them before, and look where it got her.] If I walked into that room irritated, I realized, all I would do is ruin the possibility of maintaining a good working relationships with my patient. [JW - Well, it's nice that she's not such a bully that he doesn't want to maintain the appearance of the woman's being in charge.]

2. Don't get pushy. Back in the "good old days", the doctor's word was law. If a physician said that jumping in the air three times induced labor, patients would be out on a trampoline. But today we encourage patients to be active participants in their own care, rather than taking our word as gospel. Although it's sometimes inconvenient and time-consuming, allowing the patient to participate in decision-making enhances the relationships between caregiver and recipient. [JW - Hmm, this sounds good, but I don't see any point here where the patient's wishes affect management at all, other than that she isn't simply ushered into the operating room for a repeat section.]

3. Don't counterattack. I had to be prepared for the possibility that, because she was scared, this woman might hurl ultimatums and insults at me. Such hostility, I reminded myself, wasn't a personal attack.
[JW - This is good; she realizes that most women are angry at ALL OBs and the system where they make all the calls, resulting in neonatal morbidity that is worse than all other industrialized countries, a cesarean rate that is twice that recommended by the World Health Organization, and an episiotomy/suture rate that clearly indicates that OBs simply do not value an intact perineum. (Either that or they're truly stupid, and I simply don't believe the med. school taunts that OBs are in the bottom 5% of the med. school class.)] By keeping a level head - and using humor, hand-holding, and other supportive behavior - I could prevent the conflict from escalating.

Part of understanding conflict is realizing that specific motives usually underlie another person's demands. Designing the one-text with a contrary patient can help you understand what his or her motives may be. On that Sunday, I began by unhurriedly taking the patient's history in order to get to know her. I learned that she wanted a vaginal delivery because she hoped to return to her work as a missionary in South
America as soon as possible. I also found that she had tried to educate herself about active management of labor, but that her understanding of it was incomplete. [JW - Which part - the part about more pain, higher cesarean rates, increased risk of fetal distress, postpartum swelling and subsequent engorgement/breastfeeding problems since pitocin in an anti-diuretic, or perhaps one of the other eddies in the cascade of interventions?) Mentally, I adjusted my one-text based on her background. Since she knew something about labor and delivery, I reasoned that she would cooperate with us if I explained, from a medical standpoint, exactly why certain things had to be done in order for her to have a healthy baby. (Wow! This doc really does think he's the omniscient God. He implies that if she does what he suggests, he can guarantee a healthy baby; if she doesn't, her baby will be compromised. How dare he talk in terms other than relative risk. This case is particularly grating because the doctor's recommendations are not based on evidence: expectant management of ruptured membranes does not increase risk; there is also some good evidence that pitocin should not be used with a VBAC labor because it increases the risk of uterine rupture. But, none of this matters when God is making the calls.)

"My two goals for you, which I believe you share, are, first, to have a vaginal delivery, if possible, and second, to have a healthy baby." She nodded. "Because you had a C-section in the past, specific risks must be addressed. The most worrisome complication of a vaginal birth after a C-section is separation of the scar on the uterus. The first indication of this would be an abnormality in the baby's heartbeat. </i>[JW - This, of course, is a gross lie. What the good doc means is that this will be the first indication that standard management would notice. She ignores the many other signs that typically accompany uterine rupture: pain experienced by mothers who aren't anesthetized; a shift in the baby's position as the baby is extruded into the abdomen; the accompanying shift in the way the baby feels on palpation and a corresponding shift in the place where the baby's heart is heard best. This signs are only available through one-on-one attendance at a VBAC labor. In addition, she shows a gross lack of understanding of the ways in which uterine rupture can actually be prevented: avoiding pitocin and avoiding positions that arnot upright. A baby with the head well engaged in the pelvis cannot possibly be extruded into the abdomen.]</i> That's why continuous monitoring will be very helpful. Also, since you're not having any contractions yet, we should consider low-dose Pitocin to start your labor; if we wait too long, we'll risk an infection from ruptured membranes. And an IV would help protect you and your baby in the event of an emergency, which I hope won't happen." [JW - Notice the smooth way the doctor sells the IV as a safety measure for the baby, rather than as something necessary for the administration of the pitocin. Again, this is a lie. A saline lock (so-called "heplock") would provide instant IV access if needed without limiting the mother's mobility.] Having put my one-text solution on the table, I asked, "Are these things that you agree with and think you can do?" [JW - Notice another smooth move - presenting compliance as a challenge whereby she can demonstrate her strength, rather than as her conceding to the doctor's demands and the doctor's needs.]

Although this patient had adamantly refused attentive care minutes earlier, she now knew why such measures were critical to a safe vaginal delivery. [JW - Again, this doctor has very limited understanding of either statistics or the English language. Even if this approach made a difference in 5% of cases, would you call it "critical"? I understand that the doc felt it was critical to her being able to justify her practice to her malpractice insurance carrier, but it was by no means critical to a safe birth. In fact, many women with prolonged rupture of membranes give birth to perfectly healthy babies without pitocin inductions or antibiotics, and many VBAC moms have perfectly healthy babies without continuous monitoring. In fact, shocking as it seems, some VBAC moms actually have completely unassisted births of perfectly healthy babies. How, then, can this doc call these interventions "critical"? They certainly make me feel critical, but they are not critical to the birth of a healthy baby. This doctor either doesn't know her research or she's a master manipulator with no conscience. Neither of these is a particularly appealing characteristic in a birth attendant.]

Although this patient had adamantly refused attentive care minutes earlier, she now knew why such measures were critical to a safe vaginal delivery. [JW - And can you believe the way this doctor calls IV lines, drugs and continuous electronic monitoring "attentive care"? To me, attentive care means that the care provider actually stays in the room with you, as in "attending" the birth, which, by the way, is originally derived from the sense of "attend" meaning "to wait". Obviously this doc has revised the meaning of attentive care 180 degrees. "We'll attend you by NOT waiting."] Her demeanor suddenly altered. No longer the stubborn, difficult patient who had so frustrated her nurse, she answered my question with a simple, "Yes, I can." She was placed on a monitor, received an IV, and was started on Pitocin. Four hours later, I delivered her healthy baby boy vaginally. [JW - Well, here we get to the crux of the situation. All along, this doc has considered the woman's desires simply to be an obstacle to THE DOCTOR'S delivery of the baby. Well, why not just get it out in the open to begin with and tell her that it's YOUR birth and YOUR baby, and once they've given the stamp of approval, she will be allowed to take the baby home for safekeeping if the hospital staff are happy with the way things are going.] A situation that was potentially rife with conflict was resolved in a constructive way and resulted in a very positive experience for both patient and physician. [JW - Does anyone here believe even for an instant that she went back to the woman's room the next day, after she'd had some rest, and asked her how she felt about having her plans overruled?] Perhaps the most important lesson was that conflict itself presents a valuable opportunity to become better and more creative. [JW - Better? How? By listening to the woman and reading the research that SHE has read? Or by becoming more adept at manipulating a woman during one of the most vulnerable periods of her life? I don't know about you, but when I was a child, that kind of treatment was called bullying, and it wasn't considered very nice.] If we can approach conflict without fear, the possibilities are endless.

Hospital staff are ABSOLUTELY NOT going to put YOU or YOUR BABY'S wishes, comfort, or ability first. They will not trust that you can go into and complete the process of labor without 'help', they will not trust that your baby will fit out of your vagina without 'help', they will not trust that you can sleep with your baby without crushing/dropping it from the hospital bed, or FEED your OWN BABY adequately with your breast!
THEIR MAIN PRIORITY is to PROTECT THEMSELVES from a potential lawsuit. YOU ARE THE ENEMY. If they do 'help' you, it usually to tend something THEY CAUSED, or a side effect of their paranoia, not an actual case of rescue.


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