Posts Tagged ‘midwife’

May 5th, 2010

International Day of the Midwife

Today is the International Day of the Midwife, as well as Cinco De Mayo, but I totally think the Midwife one is way more important.

To celebrate this, I wanted to put together a list of some of my favorite blog posts about midwives, blogs that midwives themselves write, and overall celebrate midwives because they are such an amazingly important part of out maternity care system today.

The Midwife Difference – One of my own posts about the difference of care I experienced between pre natal care under an OB/GYN and a Midwife for my second pregnancy. Incomparable!
Science & Sensibility – Amy Romano a local CNM to my area, and amazing birth advocate, researcher, and educator writes awesomely amazing posts weekly.
The Feminist Breeder & Friends Radio Show – Today, Gina AKA The Feminist Breeder is going to host her radio show focused around midwives with Amy Romano, Mary Murry, and Amie Newman.
Home Birth in Connecticut – An interview with a local Connecticut CPM that attends births at home.
My reaction to The Business of Being Born – I think this was the turning point that really got me involved in the childbirth community.
Gloria Lemay – A Canadian Midwife who I enjoy reading about. She has some great posts you will probably love too!

What are your favorite midwives posts and posters?

April 22nd, 2010

Post Cesarean Feelings Survey – Question #6

Continuing to unveil the results of the World Wide Post Cesarean Feelings Survey that I recently worked on with Theresa from Health Baby Network, I wanted to move on to question number 6 which was “Did you feel like you were in control or your care and respected through out the process?”

Like every other question on this survey, we saw complete extremes on each side of the question, and very few moderate or middle of  the road answers. 312 women left a comment with their answer for this question, which left me with 14 pages of information, experiences, and comments that could be a trigger for anyone with any sort of a birth trauma. So I truly caution those same people from reading further.

Our of the 851 women who answered this question :
37.4% or 318 women felt like they were in control of their experience, and respected.
35.3% or 300 women felt like they were somewhat in control of their experience, and/or respected.
31.4% or 267 women felt like they were not in control of their experience, and were not respected.

When I discussed some of the comments these women left, Theresa said to me “Man, some nasty treatment” which is horribly sad for any woman who has been subjected to such treatment. It took me nearly 2 weeks to get through these comments and write this post because of the extreme nature of some of it.

So on to the comments.

“They treated me like a number. Like a ticking clock. They seemed to be prepping the OR behind my back, and every request, from ice to squat bar was ignored and almost sneered at.”

“No one treated me harshly at any time, my requests were carried out without protest, good lactation help”

“No respect, no compassion. At the mention of a c-section I started sobbing and the OB just stared at me stone-faced.”

“Dr. came into the room only a couple times the entire day, told me what was going to be done (never asked) she even laughed when she saw me sitting on the birth ball”

“Doctors are experts. I was OK with them being in control.”

“I am disappointed that no one ever explained the risks of c/s to me, especially to subsequent pregnancies, but I do feel like my OB would have respected my choices/opinions had I known better and refused c/s”

“The doctors were very respectful, explaining every step & making sure I understood why & what was going on.”

“I was constantly told what I needed in an effort to wear me down so that I would agree to their demands. I was forced to have my legs open in front of many strangers. I cried and nobody batted an eyelid. I wasn’t important. Childbirth is supposed to be a sensual, sexual, and most significant event in a woman’s and her child’s life which is certainly not acknowledged by the hospital system. I would say that I was sexually abused while in the hospital bed – another doctor (this time male) came and put his fingers into my vagina and the hospital midwife looked on with a smirk on her face that said ” You’re lucky to have such a good looking doctor like that up you”

“my membranes were ruptured without my consent, the OB did an episiotomy without my consent, the midwife was rude and confrontational, students were invited into the delivery room for the birth without my consent, i was left to hemorrhage until i came close to death, and so many more instances of poor care.”

“I felt in control of everything and I was able to explain my desires/wants”

“My first c-section – No. I felt like scare tactics were used to get me to induce w/o medical reason (“every day past your due date your baby has a higher chance of dying”), and then after 13 hours of labor, progressing nicely, I was told I had to have a c-section because my baby’s heart rate was very concerning. Yet, it took nearly 1.5 hours from decision to incision. Doesn’t seem very emergent to me.
Later, when I requested my records, I found that it listed my c-section as ELECTIVE. I still think I was coerced into a c-section because the doctor felt my labor was taking too long, it was the night before Thanksgiving, and she wanted to go home. After the surgery, they told me I couldn’t be with my baby and she HAD to go to the nursery. I didn’t see her for two hours and no one would call the nursery to find out if she was okay. I laid in a hospital bed, unable to move, terrified for my baby who was FINE (the nursery was understaffed). No one seemed to care how I felt or how upset I was. My second c-section was much better supported – however, I firmly believe that was because I demanded it of my caregivers. I knew everything I could know about VBACs and repeat c-sections
and refused to let myself be treated as poorly as I was the first time.”

I feel as though some of these comments are very telling as to the way maternity care works today, and the way that women view their providers, especially the comment above that a woman was happy her Doctor was in control because they are the professionals show us how much faith and trust women are putting into their providers. Good, bad or middle of the road outcome way too much faith and trust is being placed blindly in providers today.

Women need to build relationships with their provider, and build trust, it is not something that we should just automatically be giving because we picked Dr. X to deliver our baby, or provide us with prenatal care.

March 31st, 2010

The Midwife Difference

With my first pregnancy, like most people I chose the care of an Obstetrician. Misconceptions on pregnancy, birth, and medical treatment surrounding pregnancy is what ultimately brought me to my choice, and looking back I wish I had a clock that could turn back time.

After the half care I received from my first Obstetrician practice, and the negative birth experience that they provided with their misinformation, lack of informed consent, pushed birth, and ultimately my first cut, I know it was something I would never willingly go through again.

I understand that there are some wonderful Obstetricians out there, I am not anti OB and I do not hate them. They simply do not have a place in normal birth or with low risk pregnant women. It is over kill to say the least, and healthy women are experiencing maternity complications at their hands because as trained surgeons they are taught to see pathology where there simply is none.

With my second pregnancy, I oped for midwives after learning more about the midwifery model of care, and had a great desire to have a simple, healthy, and low risk pregnancy with providers who looked at me as a mother, and a human, not just a paycheck or a liability.

But when people use the term Midwifery Model of Care, sometimes it confuses people because they are not familiar with what it actually is. Per the Citizens for Midwifery website, it describes the Midwifery Model of Care as the following :

The Midwives Model of Care is based on the fact that pregnancy and birth are normal life processes.

The Midwives Model of Care includes:

• Monitoring the physical, psychological, and social well-being of the mother throughout the childbearing cycle
• Providing the mother with individualized education, counseling, and prenatal care, continuous hands-on assistance during labor and delivery, and postpartum support
• Minimizing technological interventions
• Identifying and referring women who require obstetrical attention

The application of this woman-centered model of care has been proven to reduce the incidence of birth injury, trauma, and cesarean section.

Copyright (c) 1996-2008, Midwifery Task Force, Inc., All Rights Reserved.

I think that if we had a turn in how Obstetrics is practiced in The United States and started utilizing this model of care, we would see amazing improvements in the lacking care system we see today.  We spend more than any other nations and have the highest maternal and infant death rates of all industrialized nations.  Half of that bill is footed by the tax payers through medicaid programs.

With all the recent reports on the rising cesarean rates, the dangers, and the sky high maternal mortality rates, we really need to take a second look at the way we are handling birth.

But back to my story. With my second child I used midwives. The differences I found?

Ob Care :

• Rushed appointments
• Long waits
• Numbers of tests
• My concerns were never fully listened to
• I was treated like a child, or uneducated fool not a person with feelings

Midwifery Care :

• Long appointments
• Very short wait times
• My questions were actually answered
• My providers believed in me and the choices I made in my own care
• I felt like I was being mothered, cared for, and educated not treated like a fool.
• I made a direct connection to my providers who I am still in contact with on a friendly basis.

Take the time to find a midwife!

March 4th, 2010

New Home Birth Study Shows Increase for Out of Hospital Births…

Yesterday the Center for Disease Control (who collects National Medical statistics) release a report that detailed information on out of hospital births from 1990 to 2006.  I want to stress that the information ended in 2006, there is a good reason, but I will get back to that later in my post. What the information shows is a small, but noticeable increase in home birth, and births that take place in Free Standing Birth Centers. But surprisingly, this study also shows that the majority of women making these choices have already had at least one birth, in the hospital.

The number of midwife attended home births increase from 43% to 63% during this period of time. Which we already know that home birth, when attended by a trained medical professional is as safe as a birth in the hospital, if not safer because the lack of unnecessary intervention that takes place routinely in the hospital setting.

Unlike most people, I sat down last night, and actually read the study, news articles on it from ABC, and other various sources, and really analyzed it to write this post.

A couple interesting pieces of information that I pulled out of this study…..

• Out of 4,265,555 births for 2006, 24,970 births took place at home, and 10,781 took place in free standing birth centers.
• The majority of women choosing home birth were of white, non Hispanic descent, in the 25-29 age range.
• 33 of the births at home were to girls 15 years of age or younger.
• 6,582 of the births were second children.
• The state with the highest Home Birth rate was Oregon with 4,750 births.

Just to touch on a couple of these numbers, and pieces of information, what alarms me the most is the people choosing home birth. Mostly white, married, mid-aged women. When studies are showing more and more that the most at risk patients for unnecessary procedures, and some of the highest cesarean section rates are low income, unmarried, women of African American decent. Which is why I believe that in Health Care Reform we should be including more options for home birth insurance coverage, as well as alternative birthing coverage options for mothers who are low income on some form on medicaid.
It also shows that many of the women who are choosing home birth are very educated consumers. We need more child birth education options available to women, especially in the low income bracket. Programs that offer free classes paid by public health funds, WIC programs, etc.

33 of the home births, were to very young women, 15 years old or younger. There could be a lot of different explanations for this. But the one that stands out to me most is young women who hide their pregnancy until the baby finally comes and surprise!  It doesn’t seem that in today’s culture too many young women are signing up for any birth experience that doesn’t include someone with MD after their name and an epidural.

6,582 were their second baby. What this shows not only me, but one of the authors of the Study, Eugene Declercq, is that women are opting for their second birth out of the hospital because of what could have been a negative first birth experience, or just did not care for the hospital style maternity care system. Eugene was quoted in the ABC News story as saying “The fact that it’s primarily women who had kids before and had birth in hospitals before, certainly suggests it’s a reaction to their prior birth,”
Which I completely agree with.
The numbers for other subsequent births include, third births at 4,500, fourth birth at 2,851, fifth birth at 1,808, sixth birth at 1,137, seventh birth at 827, and eight or more at 1,438.

Now that groups like ACOG and AMA are seeing these numbers, and this change, they are worrying because these births are taking money out of their own pockets. They have not been shy in recent years about their home birth policy, and how they feel about it even with a number of studies showing the safety.  With these new numbers, and developments, they have gone public saying that films such as The Business of Being Born and celebrity home births are having a great influence on the choices women are making for their births, but before opening their mouth, they should do their research.

Remember that little 2006 number I pointed out earlier in my post?  Well The Business of Being Born, the first mainstream film that showed home birth, as well as promotes it as a safe option was released in 2007.  Oooops!
So how are they going to explain this change, and how it happened before this mainstream film?  Maybe the fact that women were fed up with the maternity care system in hospitals long before Ricki Lake decided to work on a project on it?   It is nothing new that women do not like the one size fits all care the hospital maternity care system provides.
But that is a whole other post in itself.

A couple other things I wanted to talk about is where home birth is most popular, and rising.
The states with the highest home birth numbers are :

• Vermont
• Pennsylvania
• Wisconsin
• Utah
• Nevada
• Montana
• Idaho
• Washington
• Alaska
• Oregon

States with notable increases in home births :

• New Hampshire
• Maryland
• Virginia
• North Carolina
• Ohio
• Kentucky
• Alabama
• Kansas
• Wisconsin
• Minnesota
• California

I found the number of home births in my own state of Connecticut to be sad, but again, a whole other post in itself.
If you would like to read the full study yourself, the link for it is

http://www.cdc.gov/nchs/data/nvsr/nvsr58/nvsr58_11.pdf