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Sunday
May312009

The Good, The Sad, The Insensitive and The Cringe-Worthy

I compiled all but one of these links last weekend and they are growing very stale.

 

The Good

At Your Cervix posted a happy story about a cancelled c-section:

So, we got mom all prepped for a c/section.

We were delayed in going to the OR for another c/section, which turned out to be a very good thing. When I went in to mom’s room to do the final things for her c/section, mom said to me “I think the baby moved!!”

Sure enough…..guess which way the baby was presenting? VERTEX!

Mom was also contracting, and was in active labor, so we canceled the c/section. She went on to deliver her sweet baby boy vaginally in no time at all!

 

PhD in Parenting wrote a good post to bookmark if you ever need to have good breastfeeding research handy called The Scientific Benefits of Breastfeeding.

 

ZGZ Pro Parto Natural in Zaragoza, Spain wrote about the importance of luchando por tu lactancia after a c-section. The post is in Spanish and says that c-section moms should not be dissuaded from breastfeeding. Misguided health care providers will give baby bottles in the hospital and tell a mom to just start feeding her baby at the breast when her milk comes in. Of course, by continuing to give the baby bottles, milk never comes in. Consulting a midwife can help a new mom get back on track and find comfortable positions in which to nurse.

 

 

The Sad

Planet Earth Birth Services posted an article called Infant Care in U.S. a Culture Shock for Immigrant Women, which appeared in the Santa Fe New Mexican.

“I was working long hours. When was I supposed to pump? I didn’t have time. He cried because he was hungry, so I just gave him the bottle,” Chávez said.

 

Our Bodies, Our Blog covered the sad case of a 19 year old pregnant inmate who was left alone in her cell to give birth.

 

Risk to Baby Rises With Repeat C-Sections (from HealthDay News)

Babies delivered by elective, repeat cesarean section delivery are nearly twice as likely to be admitted to the neonatal intensive care unit (NICU) than those born vaginally after the mother has previously had a c-section, a new study finds.

These c-section babies are also more likely to have breathing problems requiring supplemental oxygen, the researchers say.

“In addition, the cost of the birth for both mother and infant was more expensive in the elective repeat c-section group compared to the vaginal birth after c-section (VBAC) group,” noted Dr. Beena Kamath, the study’s lead author and a clinical instructor of pediatrics at the University of Colorado School of Medicine, Denver

The study appears in the June issue of Obstetrics & Gynecology.

 

 

The Insensitive

Thus Spake Zuska was told to be quiet while in pain during her mammogram. She writes:

…I swear to you that it hurt worse, way worse, than having it mashed between the plates for a mammogram. I yelped in pain and involuntarily exclaimed “oh my god that really hurts!”

At which point, she shushed me. “Be quiet! The patients in the other rooms will hear you and be upset! They’ll think I’m really hurting you!” Oh, because, yeah, this isn’t actually hurting me. How dare I misrepresent reality so.

Then she said something really extraordinary: “Hopefully the person in the next room is some woman who’s had ten kids and doesn’t care about anything.”

 

Reality Rounds delivered this powerful reminder from a nurse’s perspective on why health care providers are most often the ones who actually need to be quiet and BE SENSITIVE AND COMPASSIONATE. [Trigger warning]

 

 

And That Which Will Make You Cringe

Lauredhel from Hoyden About Town posted about the extreme non-troversy of the adorable poster of a toddler breastfeeding a doll in Missing The Point Awards, Manchester poster edition.

 

 

This carving of a Venus figurine may be the oldest human carving ever found. According to Sociological Images, “news coverage has described the figurine with terms like “sexy,” “erotic,” “sexually-suggestive,” “sexually-charged,” “busty,” “pornographic,” and “pin up.”

 

 

 

Philip Steer, emeritus professor of obstetrics and gynecology at Imperial College, London and the editor-in-chief of the British Journal of Obstetrics and Gynaecology published an editorial in which he:

*Attributes all global decreases in maternal mortality since the 1930’s solely to technology, surgery, anesthesia, blood transfusions and antibiotics (Nothing else? Nutrition? Improved living conditions? Doctors learning to wash their hands?)

*Says you’re clearly irrational, backwards thinking and out to prove something if you eschew a high-tech childbirth.

*States that more than half of all (British) women are too risky for out-of-hospital birth.

*Puts a ribbon on this pile of dog shit with the following conclusion:

Probably our survival depends on recognising our primitive instinct-driven behaviour and learning how to substitute rational lifestyles instead.

The title of the op-ed piece? C-sections ‘a rational choice’

 

Cesareans= Modern, Scientific and Rational

Vaginal Birth= Primitive, Rejecting Technology and Irrational

 

 

What have you written or read lately?

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Reader Comments (7)

Wow, that just baffles me!!

I haven't written about it yet, but my SIL was cruising websites, and found a really great movie filmed in Europe, Portugal I think. It was a bunch of kids and they asked them about birth. Their answers were better than most women would answer them in our country. These kids picture birth as something normal, and going to a midwife as something that is not a problem that needs to be changed. It was amazing how much they knew, just because birth is a celebration in their country and not something to be feared. It was an excellent movie. I'll find the site again and post the link for you later today.

June 1, 2009 | Unregistered CommenterKayce

Here's the video!

http://obnurse35yrs.wordpress.com/2009/05/27/wednesdays-watch-children-and-birth/

June 1, 2009 | Unregistered CommenterKayce

Great round up!

Ya know, part of the problem with ECS is that it is "rational." Unfortunately, rational knowledge doesn't cover everything... especially childbirth which truly operates outside of the rational mind. ECS may be a rational choice for a doctor, but it's typically an unexamined choice for women and babies - devoid of other ways of knowing.

June 2, 2009 | Unregistered Commenterlabortrials

Labortrials, I agree. I think it often is a very rational choice made by women with the information they have. If they feel good about it, then good for them. It's such a rare treat to read someone actually take it one step further and call vaginal birth a "primitve" rejection of modern technological advances. It's one thing when it's some medical zealot on the internet, but BJOG's editor in chief? Oy.

June 2, 2009 | Registered CommenterJill

Kayce, how cute were those kids? Oh my goodness!

June 2, 2009 | Registered CommenterJill

Labortrials, I walked away after typing that and came right back. What you were saying is that there IS something primal (for lack of a better word this early in the morning) about birth and that's when it's AWESOME. It's when things really kick into gear. How totally creepy that a man that teaches fellow doctors and serves as BJOG's editor in chief is not only uncomfortable with the universal rawness of childbirth, but he actually thinks you're crazy for not being rational enough.

Yuck.

June 2, 2009 | Registered CommenterJill

I know, right! I just couldn't help but smile and wonder if that will ever be the kids in our country.

June 2, 2009 | Unregistered CommenterKayce
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