Why the Negative Birth Story?
Posted by doularama | Filed under Birth Stories
I think most of the people scanning the pages of Midwifery Today understand the potential of the positive birth story—how empowering it is to know from someone else’s experience how beautiful birth can be, the trial and triumph. It is also important, however, to understand the power of the negative birth story and why it is told.
Perhaps many of the women who share stories of woe need validation or closure. It could be that they are still trying to understand what actually happened during their births. It is also possible that they are all about the spectacle. In a culture that doesn’t value women and their powerful role as mothers, a good sob story can be a source of pride.
I sadly admit that I told my negative birth story, too. I tearfully offer my public apology to the dark-haired woman at the Hale and Hearty soup shop. Honestly, I think I was jealous. I think I needed to convince myself that I hadn’t missed out. I regretted it almost immediately but it was too late. She, with her big belly, sat next to the table I shared with my baby girl and told me that she was having a homebirth.
“I wanted a homebirth,” I said, “but my husband and my mother weren’t comfortable with it. It’s good thing, too, because I think I would have died if I had been at home. I hemorrhaged right after she was born and again the next day.”
The words flowed effortlessly. At the time, I believed everything I had said, but why did I need to say it? Before the woman started eating, she put her hands together and prayed. I can guess what she was likely praying for. After, she gazed dreamily out the window while she ate. I hope she tells a beautiful birth story, and maybe includes a bit about the horrible woman she met one day at lunch.
For a long time after my daughter was born, I mourned the loss of the birth I had envisioned. There were so many things I didn’t know when I was pregnant, and only discovered after giving birth. That is why I became a doula, to help give other women in our society the chance to know.
Last year, I was saddened to receive an e-mail from a client who, at 39 weeks, perfectly comfortable in her strong, robustly pregnant, yet delicate, petite body, wrote:
Lately I have been bombarded by women who want to share with me all their negative stories, how much pain I will feel, how I will want to give up, how I don’t know what pain is until I try to labor without an epidural. All of it really disturbs me. Why would they want to transmit such images into my mind right before I birth? It seems like they think they are being helpful. Yesterday I was meditating and thought of all the thousands of women who’ve been passed these images of pain and who pass them on to others in kind. I felt so sorry that it goes like that for most of us. I want to see this as having potential to be anything, and like that woman in the video you showed us, view it like a celebration.
I apologize on behalf of this culture for the way pregnant women are being treated. I don’t know why so many women choose to share such stories. Maybe they feel a need to justify for themselves why they chose to labor as they did. Do not doubt your decisions or your body. For all the women who can tell you their horror stories, so many more have tales of victory and empowerment.
That particular client’s birth turned out to be one of the most beautiful I have ever experienced. It seems to me that, as much as we need to help spread the good birth stories, we also need to listen to the bad ones with a helping spirit. Maybe we can listen with compassion and offer to explain why so many of these births are typical, but far from normal. Mostly, though, we need to continue to help make the positive birth story the only one there is to tell.
This is a preprint of Why the Negative Birth Story?, an article published in Midwifery Today Issue #99, p. 19 Copyright © 2011 Midwifery Today, Inc. http://www.midwiferytoday.com/
Tags: Birth Story, Homebirth
Save Homebirth in New York City
Posted by doularama | Filed under News, Recommendations
At midnight tomorrow, April 30th, the majority of New York City’s home birth midwives will no longer be able to practice legally. Unless immediate action is taken by the Governor and the NYS Department of Health the women that these midwives serve will be denied access to a home birth with their chosen provider and these providers will no longer be able to practice legally in NYS.
YOU MUST ACT NOW to save the home birth option for New York Women:
Call:
*311
*Wendy Saunders, Executive Deputy Commissioner for the NY State Department of Health, appointed by Governor Paterson. 518-474-8390
*Larry Mokhiber, the Secretary of the Board of Midwifery (518-474-3817, extension 130)
With the closing of St. Vincent’s Hospital, half of the licensed, highly trained home birth midwives serving NYC have lost their Written Practice Agreement (WPA). St Vincent’s was the only Hospital in the city supportive of a woman’s right to choose a home birth and willing to sign a WPA. In the weeks since it’s announced closure, these midwives have reached out to hospitals and obstetricians all across the city looking for support, with no success. Please help us to save the homebirth option in New York.
People can also email the Governor at http://www.state.ny.us/governor/contact/GovernorContactForm.php.
Tags: home birth, Homebirth, Midwives, St. Vincent's Hospital
Face of Birth- Homebirth Documentary
Posted by doularama | Filed under News, Recommendations
This preview was a tear-jerker. I’m sure that watching the film will make me angry. I hope it makes many, many people angry!
Face of Birth
Where the personal Gets Political
Tags: Australia, documentary, home birth, Homebirth
To Be or Not To Be a Midwife
Posted by doularama | Filed under Uncategorized
Often, after attending a homebirth, I want to become a midwife. I am fortunate to be able to attend them as often as I do. Recently, I made my final decision, for now. I will do some self study work in case, when my children are older, I really want to delve in. Still, I can’t imagine that I would want to do it more than part-time and I would only attend homebirths.
It has struck me lately how I can easily predict how progressed a woman’s labor is and have always been right, but only when she is laboring at home. In the hospital, I am always wrong, every single time. In the hospital, my clients are always struggling, despite the fabulous support I provide, a little more a little earlier on. They’ve left their comfortable homes, taken off their familiar clothes, limited their mobility and often agreed to even more invasive procedures than those. I really should give myself a break. It’s no wonder they seem to be in hot and heavy labor when things are just beginning.
I realized that I do not want to be a midwife because, even at a homebirth, some time I may have to actually deliver a baby. I don’t want to deliver babies. I just want to catch them. I just want to be there with the woman throughout her prenatal journey and watch her as she labors in her uninhibited, instinctual mammalian glory. I don’t want to have to use sutures or syringes afterward either.
Oh, here’s a big one: I don’t drive. Have you seen how much stuff homebirth midwives lug around? It looks like they’re moving to Europe. Most of it doesn’t get used, but if you need it, you want it to be there. I think that many people picture homebirths happening with a long-haired woman who walks in wearing Birkenstocks and carrying a satchel of herbs. I would probably be wearing more fashionable footwear and would need my driver to bring the luggage in for me. Sounds good, actually.
Still, I want to soak in lots of information. I am a midwife at heart and would like to be a midwife in head. Being a midwife in practice isn’t really necessary. That’s my decision right now and I look forward to going back and forth on that one.
Tags: home birth, Homebirth, midwife, midwifery
The Safety of Homebirth Reviewed
Posted by doularama | Filed under News, Recommendations
Following is an abstract of a study that demonstrates the safety of midwife-attended homebirths from The Canadian Medical Association Journal. This is extremely important! People quote and misquote the findings of a very flawed study to say that homebirth is not safe and they are just wrong. Dr. Marsden Wagner, in his book Born in the USA, does a wonderful job of educating his readers on this. Too bad we’re not all his readers!
Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician.
Patricia A. Janssen PhD, Lee Saxell MA, Lesley A. Page PhD, Michael C. Klein MD, Robert M. Liston MD, Shoo K. Lee MBBS PhD
ABSTRACT
Background: Studies of planned home births attended by registered midwives have been limited by incomplete data, nonrepresentative sampling, inadequate statistical power and the inability to exclude unplanned home births. We compared the outcomes of planned home births attended by midwives with those of planned hospital births attended by midwives or physicians.
Methods: We included all planned home births attended by registered midwives from Jan. 1, 2000, to Dec. 31, 2004, in British Columbia, Canada (n = 2889), and all planned hospital births meeting the eligibility requirements for home birth that were attended by the same cohort of midwives (n = 4752). We also included a matched sample of physician-attended planned hospital births (n = 5331). The primary outcome measure was perinatal mortality; secondary outcomes were obstetric interventions and adverse maternal and neonatal outcomes.
Results: The rate of perinatal death per 1000 births was 0.35 (95% confidence interval [CI] 0.00–1.03) in the group of planned home births; the rate in the group of planned hospital births was 0.57 (95% CI 0.00–1.43) among women attended by a midwife and 0.64 (95% CI 0.00–1.56) among those attended by a physician. Wo men in the planned home-birth group were significantly less likely than those who planned a midwife-attended hospital birth to have obstetric interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95% CI 0.29–0.36; assisted vaginal delivery, RR 0.41, 95% 0.33–0.52) or adverse maternal outcomes (e.g., third- or fourth-degree perineal tear, RR 0.41, 95% CI 0.28–0.59; postpartum hemorrhage, RR 0.62, 95% CI 0.49–0.77). The findings were similar in the comparison with physician-assisted hospital births. Newborns in the home-birth group were less likely than those in the midwife-attended hospital-birth group to require resuscitation at birth (RR 0.23, 95% CI 0.14–0.37) or oxygen therapy beyond 24 hours (RR 0.37, 95% CI 0.24–0.59). The findings were similar in the comparison with newborns in the physician-assisted hospital births; in addition, newborns in the home-birth group were less likely to have meconium aspiration (RR 0.45, 95% CI 0.21–0.93) and more likely to Abstract be admitted to hospital or readmitted if born in hospital (RR 1.39, 95% CI 1.09–1.85).
Interpretation: Planned home birth attended by a registered midwife was associated with very low and comparable rates of perinatal death and reduced rates of obstetric interventions and other adverse perinatal outcomes compared with planned hospital birth attended by a midwife or physician.
Tags: Born in the USA, Canadian Medical Association, Homebirth, Marsden Wagner
