--> Getting It Right: Taking Back Birth

Thursday, October 19, 2006

Taking Back Birth

Women who have caesarean sections for the births of their babies are more likely to end up with future ectopic pregnancies and stillbirths, issues around infertility, and increased newborn breathing difficulty.

These major side-effects don’t seem to stop the growing number of BC women handing over the most important physical moment in their lives to their obstetricians who blind following a medical program rather than standing up for normal birth.

Driven by fear, women have bought into the “as long as the baby is healthy” mantra espoused by doctors too impatient to allow births to unfold as they should.

The World Health Organization thinks that 10-15% maximum of all births warrant a caesaren section. In Vancouver, the rate is 27% - almost one in the three births is conducted as surgery, rather than a loving, natural experience. In some BC communities, the rate is over 40%.

Dr. Jan Christilaw from BC Women’s Hospital spoke earlier this year at a conference aiming to get to the bottom of this sad phenomenon. She feels that women are scared of birth and because of this fear, they are more likely agree to drugs to speed up labour and numb the pain.

Known as a “cascade of interventions”, this scenario often ends up in a c-section for the mother, giving her permanent physical and psychological damage.

I can’t count how many times I’ve heard women announce that they refuse to labour without an epidural not knowing the negative outcomes that could flow from this choice.

Doctors care more about getting the birth done quickly than supporting a woman emotionally through the most amazing experience in her life. If they could knock us out completely, as they did during the 1950s, it would make their jobs much easier.

Due to this approach, less than 45% of women believe birth is a natural process that should be left alone. The path to normal birth isn’t like following a road map, it unfolds like a story, with unexpected plot twists.

Unfortunately, many doctors want a predicable straight line and aren’t trained nor have the patience to just let it happen, no matter how long it takes.

According to Dr. Christilaw, the main factor that predicts c-section rates is the obstetrician. Some doctors have rates as low as 8% and others are way above even our high provincial average.

Pregnant mothers need to shop around for an obstetrician with a low c-section rate. Or better yet, look into midwifery care which, using standards supportive of womens’ needs and a different understanding of birth, reduces much of the fear and pain that can lead to unnecessary caesarean sections.

This week Canadian midwives are meeting in Ottawa for their annual conference. More information about the midwifery option in Canada can be found at: www.canadianmidwives.org

Published today in 24 Hours Daily


At 9:29 a.m., Blogger Bernie said...

This comment has been removed by a blog administrator.

At 2:11 p.m., Blogger Bernie said...

Midwifery and Its Subspecialties

“Midwife is the oldest helping vocation after motherhood itself.”1 Midwives, not doctors attend more than 70% of the world’s births outside the U.S. Inside the US the percentage is much lower due to the strong influence of the medical approach to birth. Midwives attend the vast majority of births in those industrialized countries with the best perinatal outcomes, yet in the United States, midwives are the principal attendants at only a small percentage [5%] of births.2 The midwifery model is known as “with women” care. Unlike the medical approach, which tends to treat pregnancy like a disease, midwifery views pregnancy as a natural process. The midwife sees herself as a partner in health and as an advocate for the expectant mother and her family. True midwifery care is an “art of service.”3 The midwife offers personalized, continuous one-on-one and non-interventive, maternity care (meaning limiting the use of technological interventions such as sonograms) to the healthy woman and infant. She continually assesses for normalcy and refers any deviations from normal to medical oversight.

The International Definition of a Midwife4 states that:

A midwife is a person who has successfully completed the prescribed course of studies in midwifery and has acquired the requisite qualifications to be registered and/or licensed to practice midwifery. She must be able to give the necessary supervision, care and advice to women during pregnancy, labor and postpartum period, to conduct deliveries on her own responsibility, and to care for the newborn and the infant. This care includes preventive measures, the detection of abnormal conditions in mother and child, the procurement of medical assistance, and the execution of emergency measures in the absence of medical help. She has an important task in counseling and education, not only for patients, but also within the family and community…. She may practice in hospitals, clinics, health units, Domiciliary conditions or any other service.5
Within the midwifery care model, levels of training and styles of service to the childbearing woman have developed. As birth became more medicalized and moved out of the home, a new subspecialty to midwifery care developed — the “doula” and the “childbirth assistant.”

The “doula” is a woman, usually experienced in childbirth herself, who specializes in the emotional-care component of midwifery — the component that suffered most when birth left the home. The doula provides continuous emotional support, praise, physical-comfort measures, and advocacy to the laboring women and her husband/family. She is highly trained in the non-pharmacological methods of pain control, i.e., relaxation and breathing techniques, use of massage, position changes, heat, cold, and the use of water therapy. Her job is best described as one who “mothers the mother,” or as one father put it, using industry jargon, the doula provides, “just-in-time” childbirth education. Doulas do not deliver babies. They perform no clinical tasks, but are present exclusively to provide non-clinical support. Women planning hospital birth are now hiring doulas in record numbers. Studies consistently show that the presence of a doula at births reduces the length of labors, the use of drugs, and the need for cesarean sections. Women breastfeed their babies more easily and bond more readily with their infants. Many couples also report greater marital harmony after their doula attended births.6 These results come because women experience far less stress in labor. This, in turn, allows their labors to progress normally as God intended.

At 2:18 p.m., Blogger Bernie said...

"History books are written by the winners. They are written by the powerful. They don't pay attention to underground movements and unaccredited thinking until it becomes mainstream. They don't document the three stages of cultural transformation:
"That's a ridiculous idea."
"It might be true, but so what?"
"We've always known . . . ." '

Solution: A Pure Laissez-Faire Christian Capitalist Industry with MANY SUPPLIERS, meaning A COMPETITIVE stock exchange ( a business ) industry.

Analogy: "Anyone should be able to start their own CLOTHES MANUFACTURER ( a business ) tomorrow morning, WITH THEIR OWN DESIGNS."

Analogy: "Anyone should be able to start their own NEWSPAPER PUBLICATION ( a business ) tomorrow morning, WITH THEIR OWN WRITINGS."

Likewise: "Anyone should be able to start their own STOCK EXCHANGE ( a business ) tomorrow morning, WITH THEIR OWN RULES."

With much competition of Rules ( Regulations ) they would be constantly refined and improved in the best interests of the Consumer-Investor. Stock Exchanges would be competing for the most number of investors by offering the "best" rules ( regulations ).

This means conceivably 50 stock exchanges in British Columbia alone, each with 250 listed companies. Each exchange specializing in a certain industry. With an average 40 employees per company, that's 500,000 jobs in BC providing a living for 500,000 fathers and their families. Exporting quality products all over the world.

The correct number of stock exchange's there "should be" in British Columbia is this: Whatever number the free-market of consumers and suppliers says there should be. That could be 1 or that could be 1,000 or anywhere in between. But the most important reason is this: Anyone has a God-given right to have their own business in any industry they choose. Am I allowed to say that
there could be one [ junior ] stock exchange for every million people?
That would amount to 330 junior stock exchanges in The USA and Canada.

Also each industry needs its own customized, specialized type of stock exchange rules. "One size fits all", does not work and is not optimal or efficient in almost all human endeavors. People do not believe this because they do not understand the fundamentals of liberty. After 12 plus 5 years of Statist/Public/Sovietised/Socialist indoctrination, I mean education, how could it be otherwise?

The more competition and suppliers you have in an industry, the less need there is for State Regulation and the less the Crime Rate also for that industry.

Also, with a competitive supply and a free market in stock exchanges, the cost for a company to go public would fall dramatically. Computers $250,000 30 years ago, $2500 today. Who could have predicted? Cost of stock exchange listing $250,000 now, start a real free market in stock exchanges, and the cost might only be $2500 after some years ( any securities lawyers reading this just had their
heart drop down to their stomach ).

Stock Exchanges could start small and grow ( Duh! ). That means
a basic trading system might only cost $25,000, not $25 million.
They could have revenue sources like fee per trade, free stock
positions or even royalty on sales of successful companies.
The free-market would allow for limitless new ideas for revenue sources.
A centralised quotation distribution service for many stock exchanges
could likely develop if the free market of suppliers and
consumers desired that kind of system.

A "shell" costs or is "worth" $500,000? Folks, give me a break, let
me tell you this cost or "worth" would plummet, and I mean PLUMMET
to somewhere in the vicinity of $5,000 in a real free
market. What kind of racket is this?
You mean a father and mother work all their lives
in a back-breaking job to pay off the mortgage on their $500,000 home,
and a bit of paper-shuffling and "waiting" should be worth the same, or requires
the same dedication and effort? How many times have I heard that this shell organizing "is really difficult and hard work ya know." Spare us all such crapology.

All of the numbers in this piece can be played with, but the Big Picture point to believe in is the general and moral principle of a Laissez Faire Christian Capitalist Competitive Industry.

Any newspaper columnist should be able to start their own stock exchange ( or newspaper publication business ) tomorrow morning. Most uninformed and socialist brainwashed people would disagree with that statement.
But the people in the best position to own and operate these entreprenurial stock exchanges would be people with regulatory experience at the Securities Commissions. These would become the future nine figure millionaires as
they "cloned" their successful idea in 200 other provinces or states
throughout the World.

People who are skeptical about free, open competition should consider this: If a system were to be deliberately designed to consistently lose 90% of investors large amounts of money, we would have the current uncompetitive monopoly system.

Soviet-style, Socialist-style, Monopoly-style Systems have never worked at any time, place or industry in the history of the world. They have only benefited a few elite at the top but never benefited the masses of people, never benefited the masses of Living Souls.

If real free market principles of privatised, decentralised,
competitive and voluntary suppliers in this industry
were followed, then maybe the record of successful
and profitable investors could be turned around. Maybe
there would be 90% winners. No? Ok, I'll settle for 50% winners,
a 400% increase from the current dismal statistics.

Signed: Bernie
Academic degree - Se. M. (Hons)
that means: (S)elf (e)ducated M)an, Honors :~ )

At 12:37 p.m., Blogger rondi said...

I kinda like the sound of the 1950s method myself! (o:

At 12:17 a.m., Blogger YVRpilot said...

Well I'm sure glad I didn't write this post! :)

Now here's a subject no man should dare to comment too much on (at least not around other women).

All I can say is that in my opinion, a lot women are simply afraid of natural child birth and some chose to opt for the available "choices". Some doctors are more supportive of these choices than others.

I know that my wife was ready to jump off the 4th floor of RCH during her wait for her epidural. And I supported her decision 110% percent as I couldn't stand to see her in that much pain any longer. I was almost ready to jump with her.

I'm not sure how I would've reacted if she would have told me a couple of months prior that she wanted to "schedule" the birth of our child.

I'll leave it at that...


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