Friday, May 30, 2008
* Learn the reality of the U.S. technological birthing system
* Discover how to make positive changes, now and for the future
* Be inspired to return birthing wisdom to women and babies
Nasima spoke about consumer activism. Nasima is also a lead researcher for the CIMS Transparency Project and will be speaking while wearing this "hat" at the Lamaze "Off and Running for Normal Birth" conference in Kentucky this fall.
After the presentations, attendees had the opportunity to view the new film, Orgasmic Birth!
You may already know about Solace for Mothers: Healing after traumatic childbirth, a resource for mothers started by Sharon Storton.
Now there is an online community associated with this very useful and thoughtful website. Please read the announcement below and feel free to forward to other lists and individuals!
Susan Hodges “gatekeeper”
- This message is to announce a new online discussion board called Solace For Mothers, An Online Community For Healing Birth Trauma. It is for women who have experienced trauma around the process of giving birth. For these women, giving birth has left them feeling deeply disappointed, traumatized, or even violated. We want these women to know that they are not alone, that birth trauma is very real, and that other women have had similar experiences and feelings. We have created an online community as a place for women to begin or continue their healing journey.
- In the online community, there are different categories and forums, and the topics covered are issues that often come up for women dealing with birth trauma. It is our hope that women can virtually support each other on their healing journeys in this online community, and perhaps eventually connect with each other in the real world if they choose.
- There is an introduction page (got to www.solaceformother
s.org, scroll down and click on “online community”) and from this page you can register for the discussion board. Due to the very personal nature of this subject, we have made an effort to keep this community private, and women must register before being able to enter or view posts. If you do not fall into the category of a woman suffering from birth trauma, or if you would like to see a preview of the community before joining, you may visit this link to do so http://www.solacefo rmothers.This link is not the actual community and you will not be able to view members' posts from there, it will simply give you an overview of the topics covered. org/preview. html
- We are sending this message out via email and posting it to online communities and to lists in order to reach these women. Please send this message to anyone who you feel may benefit from it.
- Jenne Alderks and Jennifer Zimmerman, creators and moderators of the discussion board
- Supported by Sharon Storton and the Solace For Mothers team
Overall, this is very encouraging progress!! Kudos to all who are working so hard to make legal access to direct entry midwives a reality!!
Susan Hodges “gatekeeper”
Saturday, May 24, 2008
It still remains absolutely stunning to me to see the different attitude expressed by RCOG compared ACOG! In the conclusion of the RCOG statement it says, "[for midwife attended homebirth]...outcomes are likely to be optimal." This is in such stark contrast to the statement widely publicized earlier this year from the American College of Obstetricians and Gynecologists.
Friday, May 23, 2008
"...the United States placed 27th in an international ranking of best and worst countries in which to be a mother.
That's right, 27th!
The US-based, independent global humanitarian organization Save the Children has published its 9th annual Mother's Index as part of its State of the World's Mothers 2008 report. The well-being of mothers is analyzed and compared in 146 countries.
Analysts looked at a number of factors, including the likelihood of death in childbirth, female life expectancy, expected years of female schooling, maternity leave benefits, participation of women in national government, and the ratio of female to male earned income.
The US has the highest risk of maternal mortality in the developed world. Women are only 17% of elected legislators in the US Congress. There is no nationally guaranteed paid maternity or paternity leave, and women only earn 66% of what men earn. The US fell one place in the ranking this year, having held the 26th spot in 2007.
The top ten countries in which to be a mother include: Sweden, Norway, New Zealand, Ireland, Germany, France, and Finland. Other countries ranking better than the US are: Italy, the Czech Republic, Slovenia, Greece, the United Kingdom, and Lithuania."
In Missouri, valiant attempts to pass a bill licensing CPMs was thwarted in the last hours of the legislative session. The bill managed to make it through the Senate (a first in years), but with only hours left in the session it was not heard in the House and thus did not make it to fruition. Hopes have turned to the Supreme Court case regarding the bill from 2007 and a decision is expected on June 10. You can read more in this St. Louis Post-Dispatch article. (The article uses the term "lay midwives", though the bill was actually about Certified Professional Midwives.) There is additional information on the Midwifery World blog as well.
Thursday, May 22, 2008
Friday, May 16, 2008
Here are a few ideas of how to celebrate International Doula Month in your community:
- Have a community family picnic in the park with a big banner announcing that it is doula month! Invite all of the local doulas and birth professionals as well as lots of happy families :)
- Ask the public library if you can use a window display area for a doula information display.
- Send a letter to the editor about doulas or about your personal experience with a doula.
- Send a present or thank you card to your doula (if you had one).
- Send a donation to a doula or birth organization.
- Wear doula t-shirts or other birthy t-shirts and carry tote bags from doula organizations.
- Ask pregnant women if they have a doula and be prepared to share information about all of the benefits of a doula.
- Send out press releases to local papers.
- Be a "day sponsor" on your public radio station.
- If you are a doula, perhaps sponsor a "contest" of some sort with doula services as the prize.
- If there is a community health fair coming up, plan a booth with information about healthy birth, doulas, midwives, and so forth. Many communities have health fairs or women's health events in the spring.
What is a doula? A doula is a non-medical labor support provider who offers her continuous emotional and physical support to women in labor, as well as information and support prenatally and postpartum. Doulas can make a huge difference in the quality of women's birth experiences, particularly in a hospital setting (research has demonstrated significantly lowered rates of interventions as well as increased satisfaction). You can read more basic information about doulas on the websites of the doula organizations DONA and CAPPA.
Tuesday, May 13, 2008
CfM created a well-received poster for the Coalition for Improving Maternity Care (CIMS) conference in February titled What Does Good Maternity Care Look Like?, and we have made a hand-out version. The colorful flier (which also looks good in black and white) includes the Midwives Model of Care, CIMS Ten Steps of Mother Friendly Care, and Lamazes Six Care Practices that Support Normal Birth, side by side, with their urls, with the caption "Supporting evidence-based care, and promoting healthy mothers and babies!
We have now posted this flier here.
Please feel free to print it out and use it for classes, conferences, whatever. It gives a powerful message of "you don't have to take my word" for what constitutes good maternity care!
Susan Hodges, "gatekeeper"
Monday, May 12, 2008
Sunday, May 11, 2008
--Naomi Wolf, Misconceptions
"I believe that these circles of women around us weave invisible nets of love that carry us when we're weak and sing with us when we're strong."
--SARK, Succulent Wild Woman
"The minute my child was born, I was reborn as a feminist. It's so incredible what women cam do...Birthing naturally, as most women do around the globe, is a superhuman act. You leave behind the comforts of being human and plunge back into being an animal. My friend's partner said, 'Birth is like going for a swim in the ocean. Will there be a riptide? A big storm? Or will it just be a beautiful, sunny little dip?' Its indeterminate length, the mystery of its process, is so much a part of the nature of birth. The regimentation of a hospital birth that wants to make it happen and use their gizmos to maximum effect is counter to birth in general."
--Ani DiFranco interviewed in Mothering magazine, May/June 2008
Saturday, May 10, 2008
I just received an email from OBOS letting me know that the University of Michigan Health System is buying a huge quantity of the books to distribute to every prenatal client in their system. Isn't that great?! Wouldn't it be wonderful if other large institutions did this as well? The book is an affirming, empowering, woman centered book that is mainly based in a "climate of confidence." I would love to see that climate of confidence spread to become the norm in prenatal care and birth, instead of the "climate of doubt" in which many providers approach pregnant women, prenatal care, labor and birth.
Quantity discounts on the book are available for institutions wishing to follow the lead of the University of Michigan!
Friday, May 9, 2008
"Winning at birth - what an odd concept. Birth isn’t a contest. Or is it?...Birth is a very physical event, one in which our bodies have to exert themselves, perform. Birthing requires muscle control, determination, and grit. We even urge women to sign up for classes and practice. Women often grunt, groan, and make noise during birth just as athletes do. And because there is risk and a possibility for injury, the athlete is surrounded by skilled attendants."
As one of her tips for "winning at birth," she emphasizes choosing your birth attendant wisely (and I was happy to see she mentioned midwives as an ideal attendant to help you win at birth! Which then helps you "win" at breastfeeding.)
"Hire a skilled birth attendant as your coach. Your professional birth attendant’s attitudes and skill will play a major role in setting the stage for your baby’s birth. A professional midwife is an excellent choice, and many physicians actively support normal birth. Your professional attendant’s attitudes and beliefs about your ability to give birth normally and naturally will color all of her/his decisions and actions on your behalf. A good birth coach instills confidence, skill, and a winning attitude in her/his clients."
Speaking of midwives and breastfeeding, the most recent article from the International Breastfeeding Journal is titled "Assessing midwives' breastfeeding knowledge."
Friday, May 2, 2008
From the American Journal of Obstetrics & Gynecology 2008; 198: 391.e1-391.e7 (29 April 2008) via MedWire News Cesarean section (CS) delivery is an independent risk factor for stroke, a study of almost a million births has revealed. The researchers found that women who had cesareans had significantly higher stroke rates at 3 months postpartum, 6 months postpartum, and 12 months postpartum.
'Based on the results of this study, a reduction in the CS delivery rate should prove to be beneficial for stroke prevention,' they conclude."
This week, another study reported that unexplained stillbirth is not linked to prior cesarean section. Source: BJOG: International Journal of Obstetrics and Gynecology 2008; 115: 726-31
(MedWire Posted: 6 May 2008).
Here are some ideas to mark this day in your community:
- Be a "day sponsor" on your local public radio station--either in honor of International Midwives Day or in honor of your own baby (but include in the day sponsor message that she/he was born at home with a midwife).
- Plan a simple community family picnic in the park (bring a banner that says what you're celebrating!)
- Send a press release to your local newspaper or radio stations.
- Wear pro-midwifery buttons or pins.
- Wear t-shirts or carry tote bags with pro-midwifery slogans on them.
- Ask every pregnant woman you see if she has a midwife!
- Make a donation to a midwifery or birth related organization (hmm...maybe CfM! ;-)
- Mark the day with a brief personal acknowledgment by lighting a candle for a bright future for midwifery everywhere.
From the article:
"The full-sized, blond, pale mannequin is in demand because medicine is rapidly abandoning centuries-old training methods that use patients as guinea pigs, turning instead to high-tech simulations. It's better to make a mistake on a $20,000 robot than a live patient.
The Institute of Medicine, an arm of the National Academy of Sciences, estimates that as many as 98,000 U.S. patients die annually from preventable medical errors. [emphasis mine]
The robot is very technologically advanced and can be programmed for all kinds of "disasters" as well as for more straightforward situations. She "gives birth" to a baby with vital signs and respiration (both mother and baby can also urinate and bleed!). While I am certainly glad this teaching tool reduces the amount in which birthing women are used as guinea pigs, there is something about this "tool" that, quite frankly, really bugs me. I guess because birthing women ARE often seen through mechanical terms and as a collection of parts rather than a real, feeling, caring woman. So using a mechanical tool to prepare for attending real women in birth seems to reinforce that view of women, labor, and birth.
Thanks to Debbie in Missouri for sharing the link to this article in the first place.
In addition, I am editing this post on 5/11 to note I just read a more current article (from April 2008) on the Knoxville News site.
"'These drills are usually held for situations that don't happen very often but are very serious when they do happen,' Fry said. 'The nurses need to be able to act automatically.'"
When I read this, I immediately thought of all the normal birth situations in which nurses also act "automatically" and pursue routines instead of individual needs and wishes :(