Showing posts with label cfm news. Show all posts
Showing posts with label cfm news. Show all posts

Tuesday, March 13, 2012

GRN: CPM Symposium Offers Live Streaming


Hello Friends,


Citizens for Midwifery is a proud sponsor of the CPM Symposium co-sponsored by NACPM and AME this coming weekend. We are very excited to both participate and support this gathering because it promises to be a unique and fresh approach to assessing the current landscape, identifying opportunity and challenges and creating realistic next steps in order to advance the profession of midwifery. We're particularly excited to see that they are offering Live Streaming, making conference content affordable and accessible to those who cannot make the Symposium in person. Live streaming participants will be able to contribute and interact with the conversation happening inside the Symposium!

We wanted to let you know that they are giving away one free Live Streaming pass. All you have to do is share the information about the conference on one of your social networks and leave a comment to enter to win. Learn more and enter here!

If you are attending the conference please make sure to introduce yourself and say hello to Susan Hodges, Jeanette McCulloch and Nasima Pfaffl who will be participating as Citizens for Midwifery representatives.

Warmly,

Hillary Boucher & the CfM team

P.S. If you can't make the conference or attend the Live Streaming event you can still follow along on Twitter! Follow the hashtag #CPMsymp12 to join the conversation!

Wednesday, December 15, 2010

CfM e-newsletter & FREE membership!

Citizens for Midwifery is pleased to have launched our new e-newsletter! You can read the newsletter online here. A printable version is available here. You can also subscribe to the newsletter via Facebook by going to the CfM Facebook page and clicking on the tab that says Email Signup.

An especially important announcement from this first edition is that membership in Citizens for Midwifery is now FREE! Here are the details:

Anyone who signs up with CfM either on our signup page, on Facebook, or CfM’s “Grassroots News” yahoo group will now all be considered members of CfM and will receive the free CfM e-news. In this day and age of social networking the concept of CfM membership needed to evolve to include all the ways people communicate and participate in CfM’s activities. We hope you will be excited by this open membership structure and will encourage all your friends, clients, Facebook friends and associates to sign up for a free membership with CfM today.

Membership is now free, but CfM still needs your financial support. Please donate today! We are so grateful to all the individuals and midwifery practices who have been paid members with CfM over the years. Many of you have been faithful members for years. Your support has made all our work on behalf of consumers, midwifery, and the Midwives Model of Care possible. We hope you will continue to support CfM with an annual donation. If you are a midwife who has been giving “Gift Memberships” to your clients we hope you will continue to make a donation to CfM in honor of each of your clients and encourage your clients to sign up for free with CfM. Donations of any amount are greatly appreciated!

Your donations are fully tax deductible. Donate at our suggested giving levels, or in any amount you can. Donate today on the CfM website or by mail Thank you for your support.

Sunday, May 2, 2010

International Day of the Midwife (& the changing nature of communication...)

May 5th is International Day of the Midwife! A 24-hour virtual event in honor of the day is being held here and there is a lot of interesting content scheduled, including a free workshop about using social networking.

Social networking brings me neatly to my next topic, which is the changing nature of internet communication. I've noticed that a lot of the things I would have posted to this blog in the past, I am now posting to CfM's Facebook page (or, alternatively, I'm noticing that plenty of other people have already posted the article link, video, what have you and so I see that I don't need to do it).

While I still plan to post to this blog, I think I am going to transition away from my Friday posting schedule and only post when I have original content to share, longer articles, action alerts specific to CfM, Grassroots Network messages, or reviews, and keep more of the casual, information-sharing content on the Facebook page instead.

I also have my other blog (personal + birth education business) where I post my own articles/ideas about birth-related subjects, which limits my availability to generate original content for this blog versus just reporting on other peoples' content.

I've noticed that the various email lists I belong to are much more quiet lately and also much less likely to share article links, etc. I think it is for the same reason--these things are shared most commonly on Facebook now, which removes the need to share via other means. I wonder how communication will continue to change/evolve over the next handful of years?! Who knows what the next big thing will be?

--
Molly
CfM Blogger

Monday, February 22, 2010

Grassroots Network: Online Survey: Tell Citizens for Midwifery What We Can Do Better!

Dear Friends,

As part of our exciting transition, with new leadership and an expanded board ahead of us, we at Citizens for Midwifery are also thinking about how we can better focus our work to serve our members and friends: you! Please help us out by taking our online survey (information below). You can participate any time over the next two weeks, and the results will help inform CfM's mission and goals as we move forward.

Thanks so much for your time! We really look forward to hearing from you!

Sincerely,
Arielle Greenberg Bywater, "sidekick"

----------------

Citizens for Midwifery Survey

Citizens for Midwifery is conducting a survey. Please check it out at www.surveymonkey. com/s/CfMsurvey1.

As Susan transitions into retirement this year, CfM is taking this opportunity to evaluate our communications, products, services, and membership. We'd like to identify what we are doing really well, and what value CfM brings to our members, supporters and the public in general. We'd also like to know what we could do better as we grow as an organization. So please take a few minutes and visit our survey at www.surveymonkey. com/s/CfMsurvey1. We want to hear your voice. Thank you.

Thursday, February 18, 2010

Childbirth Connection Tribute to Susan Hodges

How delightful to see a nice tribute to CfM's Susan Hodges in the most recent issue of the Childbirth Connection eNews! This is a great e-newsletter overall and I suggest checking it out by scrolling down to the bottom of the Childbirth Connection homepage.

I am reprinting the tribute below.

--
Molly
CfM Blogger

A Tribute to Susan Hodges
Susan Hodges, co-founder of Citizens for Midwifery, has just stepped down after serving as the group’s president for 13 years.

We salute Susan for her many contributions to support the Midwives Model of Care, which 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.

Under Susan’s leadership, Citizens for Midwifery has supported such care by working collaboratively with like-minded organizations, maintaining a website, producing the Midwives Model of Care brochure, sending Grassroots Network email messages, publishing a newsletter, using social media, and many other means. We wish Susan and her family and Citizens for Midwifery well!

Friday, October 9, 2009

PBS Newshour Segment Referencing Homebirth

A great piece on home birth and health care reform was done on PBS’ McNeil Lehrer Newhour on (10/7). They featured the Netherlands and talked about home birth as part of the country’s cost savings and quality care. They mentioned how low their neonatal mortality is compared to the US. Really a good plug for home birth without the show being about that topic. Go to this link to see the transcript or you can download the segment titled “Health Care in The Netherlands.” It is vastly better than the recent Today show piece. Just as birth advocates organized to decry the terrible reporting of the TODAY show, we should work to thank the “Newshour” for their positive coverage of this topic. If people want to thank the McNeil Lehrer Newshour for their excellent coverage, you can give feedback here: http://www.pbs.org/newshour/letters.html.

--
Molly
CfM Blogger

Friday, October 2, 2009

Film Review: Laboring Under an Illusion

Laboring Under an Illusion: Mass Media Childbirth vs. The Real Thing
Filmmaker: Vicki Elson
50 minutes, $39.99 (any use except broadcast, so personal, public screening, classroom, etc.)
An order of 5 of more DVDs and they are $19.99 each
www.birth-media.com

Reviewed by Molly Remer, MSW, ICCE
http://talkbirth.wordpress.com

Laboring under an Illusion is a treasure trove of discussion-provoking material. Filmmaker Vicki Elson is an anthropologist and childbirth educator who has created a striking documentary exploring media-generated myths about childbirth. As a childbirth educator, I often reference in my classes how our attitudes and expectations about birth are shaped by media messages—birth is an emergency, etc. This film eloquently and entertainingly provides 50 minutes of backup material for the idea!

The film blends media messages from comedy shows like Murphy Brown, Mad About You, and I Love Lucy, movie clips such as Juno, Coneheads, and Nine Months, along with “reality” based shows on Discovery Health with the inherently contrasting messages in clips of beautiful births from films like Birth as We Know It, The Business of Being Born, and Orgasmic Birth. It also contains brief voiceover narrations from “regular” women about birth. Occasionally, there is a scene with the filmmaker speaking directly to the viewer about concepts raised in the film. These scenes are less entertaining than the popular media clips and the friends with whom I watched the film wanted to fast-forward these segments—the media clips chosen so clearly speak for themselves that they don’t really need explanation, at least to the already birth-savvy viewer. Because of some strong language in the media clips, I caution parents are to preview the film before sharing it with children.

Laboring Under an Illusion is an entertaining and illuminating film for consumers as well as for birth educators, doulas, and midwives. I highly recommend it!

Saturday, August 29, 2009

DVD Review: The Big Stretch


DVD Review: The Big Stretch
By Alieta Belle & Jenny Blyth
60 Minutes, includes 20 page booklet
www.birthwork.com

Reviewed by Molly Remer, MSW, ICCE
http://talkbirth.wordpress.com

The author of the book Birthwork is also a filmmaker whose recent project is the film The Big Stretch, which she co-created with another mother. The particularly special thing about this film is that it is all about women sharing their own experiences and feelings--unlike many current birth movies there are no "experts" present in the film (other than the true experts--women themselves!), the focus is on the families preparing for birth or reflecting on their past birth experiences. The many topics addressed are insightful.

The film's emphasis is on, "Women in different stages of pregnancy and preparing for a natural birth reflect on how they and 'stretched' in everyway - emotionally, physically and spiritually" and I enjoyed this "stretch" theme that ran throughout.

Introducing new scenes/topic is neat artwork and the images in this film in general are particularly gorgeous. In one exception, I was taken aback by footage at the close of the film of a totally naked man riding a bicycle and feel I should warn other viewers to be prepared for that!

The DVD is accompanied by a 20 page booklet full of questions that carries the themes from the film into personal questions to increase self-awareness during pregnancy.

The Big Stretch is a unique and beautiful film in which women’s voices are clearly represented. There are no titles, no degrees, no qualifications listed. This film is a perceptive “motherful” look at the many stretches of birthing: physical, emotional, mental, and cultural.

Friday, August 28, 2009

Book Review: Birthwork


Birthwork
By Jenny Blyth
Reprinted 2007
Softcover, 460 pages
ISBN: 0-9757610-0
www.birthwork.com

Reviewed by Molly Remer, MSW, ICCE
http://talkbirth.wordpress.com

From Australia, comes a gorgeous and unique book called Birthwork. It is such an amazing and compelling read that it took me a very long time to write my review—it is difficult to describe such a remarkable book. I have never read another book like this. It is truly extraordinary. Subtitled "a compassionate guide to being with birth," Birthwork was written for all birthworkers--anyone who works directly with birthing women (midwives, doulas, nurses, childbirth educators, physicians...).

This book covers issues of a range and depth I’ve never before seen in a birth text. Subsections include titles like: touching vaginas, respect and relationship, dipping in and out of the birth milieu, group dynamics, conflict, birth culture, loving presence, birth is sacred, trauma release, letting down in the pelvis, and stresses and stretches of childbearing. This is just a sampling of the amazing, comprehensive range of topics explored in Birthwork. I particularly enjoyed sections on directed breathing and “dynamic anatomy in labour.” The book delves into a lot of the emotional and psychological elements of being in a caregiving field and also covers physical components as well.

The book includes lots of questions to ask yourself to increase self-awareness, understanding, and personal development and also exercises to try/explore. Some of the questions are difficult to answer and require you to take a deep look at your motives and ideas about doing birthwork.

The photographs are stunning and there is gorgeous cover art (front, back, and inside). Birthwork has a spiritual component that runs throughout—sort of an Eastern philosophy—that might not appeal to all readers.

The book includes sources and a glossary of fields of care, but no index and no resources sections. It is an expensive book, but so very worth it!

Birthwork is deep and intense. I usually read very quickly and this book took me several weeks to finish because it needs time and space to soak in and be absorbed. Truly a phenomenal read!

Monday, August 24, 2009

Book Review: The Doula Guide to Birth


The Doula Guide to Birth: Secrets Every Pregnant Woman Should Know
By Ananda Lowe & Rachel Zimmerman
Bantam Books, 2009
Softcover, 270 pages
ISBN: 978-0-553-38526-7
www.thedoulaguide.com

Reviewed by Molly Remer, MSW, ICCE

http://talkbirth.wordpress.com

The Doula Guide to Birth is written for pregnant women, though the title may suggest that it is for doulas. It also has a chapter and sections specific to birth partners. However, doulas will also find the book to be a friendly, enjoyable read and may pick up some fresh perspectives for their work with birthing women.

The book also includes (short) sections for often-ignored or marginalized segments of the birthing population such as same-sex partners, parents using a surrogate mother, and women planning for adoption.

The first five chapters of The Doula Guide to Birth cover benefits of doulas, the role of fathers/partners and the complementary nature of the doula role to other support people, general overview of labor, childbirth education options and medications, and finding a doula.

The later seven chapters delve deeper into less typical subjects such as doulas and medical providers, when should you really go to the hospital, labor techniques, unexpected interventions, birth plans/birth essays, and what really happens postpartum.

Though not a criticism per se, I did feel like the first half of the book reads very much like an extended “commercial” for doulas. The second half of the book really shines. My favorite chapter was “labor is not about dilation”: “Although there is currently a heavy emphasis on dilation, vaginal exams, and timelines for giving birth, labor is not about dilation. Your body knows how to give birth whether or not you ever have a pelvic exam during labor. Birthing women need encouragement to trust their bodies, and to be the stars of their own labors. Doulas help provide this encouragement. And the confidence a woman discovers in labor can help carry her through the demands of parenting and future challenges in life.” (emphasis mine).

The Doula Guide to Birth is supportive of the midwifery model in philosophy, but only includes very brief mentions of midwives, the assumption being that most births with be in the hospital.

The book has extensive endnotes and an appendix with a birth evaluation form.

Friday, August 21, 2009

Book Review: We're Having a Homebirth


We’re Having a Homebirth
by Kelly Mochel
Softcover, Stapled, 16 pages
www.homebirthchildrensbook.com

Reviewed by Molly Remer, MSW, ICCE, http://talkbirth.wordpress.com

We’re Having a Homebirth is a delightful new children’s book with a contemporary feel. The illustrations have a very modern, almost “manga” type appeal.

The book is a nice, positive, simple account of birth at home—it addresses each key issue children may be concerned with in very basic, friendly terms.

My boys, ages 6 and 3, cuddled up as I read it aloud and both enjoyed it very much. They especially liked the part about the placenta and cord-cutting.

The book is very colorful and half of the pages each have a different, eye-catching background color as well (the other half have white backgrounds).

I recommend this little gem to families planning homebirths and also for midwives to have available in their offices or lending libraries.

Small in size and fairly brief at 16 pages, We’re Having a Homebirth is reasonably priced at $6.50.

Wednesday, August 19, 2009

Book Review: Homebirth in the Hospital


Homebirth in the Hospital
by Stacey Marie Kerr, MD
Sentient Publications, 2008
Softcover, 212 pages
ISBN: 978-1-59181-077-3
www.homebirthinthehospital.com

Reviewed by Molly Remer, MSW, ICCE, http://talkbirth.wordpress.com

I would venture to say that most midwifery activists and birth professionals have said at some point, “what she wants is a homebirth in the hospital…” This comment is accompanied with a knowing look, a bit of head shaking, and an unspoken continuation of the thought, “…and we all know that’s not going to happen.”

Well, what if it is possible? A new book by Dr. Stacey Kerr, Homebirth in the Hospital, asserts that it is. She was originally trained at The Farm in TN (home of legendary midwife Ina May Gaskin) and after going to medical school realized that she, “…needed to balance my new knowledge with my old priorities. I missed the feeling of normal birth, the trust that the birthing process would occur without technology, and the time-tested techniques that help women birth naturally. And so it was that I went back to midwives to find the balance.”


If you are a dedicated homebirth advocate, I recommend reading Homebirth in the Hospital with an open mind—clear out any cobwebs and assumptions about doctors, hospitals, and birth and read the book for what it is: an attempt to create a new model of hospital birth. What Dr. Kerr proposes in her book is a model of “integrative childbirth”—the emotional care and support of home, while nestled into the technology of a hospital.

The opening chapter explores the concept of integrative childbirth and “the 5 C’s” of a successful integrative birth: choices, communication, continuity of care, confidence, and control of protocols (“protocols are the most disempowering aspect of modern maternity care…”).


This section is followed by fifteen different birth stories, beginning with the author’s own (at a Missouri birthing center—my own first baby was born in a birth center in Missouri, so I felt a kinship there).

The births are not all happy and “perfect,” not all intervention-free, and most are quite a bit more “managed” and interfered with than a lot of homebirthers prefer (one is a cesarean, several involve epidurals or medications). I, personally, would never freely choose a “homebirth in a hospital” (I also confess to retaining a deep-seated opinion that this phrase is an oxymoron!). However, that is not the point. Over 90% of women do give birth in a hospital attended by a physician and I appreciate the exploration of a new model within the constraints and philosophy of the hospital.

The book closes with a chapter called “how to be an integrative childbirth provider.” The book has no resources section and no index.

I certainly hope that doctors read this book. I am also glad it is available for women who feel like homebirth is not an option or not available and would like to explore an integrative approach. Even though my opinion is that none of the births are really “homebirths in the hospital” as most bear little resemblance to the homebirths I know and love, unlike the content of the standard hospital birth story, they are deeply respectful births in the hospital and that’s the issue truly at the heart of this book.

Saturday, July 18, 2009

ACNM Opposition Letter

On Wednesday, the American College of Nurse Midwives (ACNM) posted a letter to Congress expressing opposition to the proposal to federally recognize Certified Professional Midwives under the Social Security Act (which would make CPMs eligible for Medicaid reimbursement). The letter emphasizes differences in educational preparation for CNMs vs. CPMs. ACNM also sent a letter to the membership regarding the organization's opposition to the MAMA Campaign.

The Midwives Allianace of North America (MANA) has responded to these letters here with an exploration and critique of some of the claims made by ACNM.

Citizens for Midwifery is part of the coalition of organizations behind the MAMA Campaign that supports federal recognition of CPMs.

--
Molly
CfM Blogger

Tuesday, July 7, 2009

Items of Interest

On the Mindful Mama website this past week I was interested to read an article called Five Things Every Woman Should Know Before Giving Birth.

Written by the author of a fairly new book titled Homebirth in the Hospital, she suggests 6 "C's" for having a "homebirth in the hospital":
  • First, take responsibility for your choices.
  • Expect communication to be open and flowing both ways
  • Pay attention to continuity of care
  • The confidence you have in your provider and in your birth team is essential.
  • In any hospital, there must be control of protocols...I can not stress this point strongly enough: Protocols are the most disempowering aspect of modern maternity care, giving the message that our bodies don’t really know how to have babies without someone else managing the process for us.
  • Finally, the sixth C to consider, the one that should never be allowed into a birth: conflict. Conflict releases stress hormones that work against the powerful hormones that facilitate birth. Humans are mammals, and no mammal gives birth easily when fearful or in an unsafe situation. If you resolve most issues long before your first contraction, you shouldn’t have to fight for your choices while you are in labor.
The author is also interviewed in a video clip on the site about Finding Your Power in Birth:



Also from Mindful Mama is another short Penny Simkin video called Alternative Ways to Relieve Labor Pain (she teaches a hand massage technique):



Finally, I'm a little behind in mentioning this, but a Letter to the Editor from OBOS director Judy Norsigian regarding Evidence-Based Labor and Delivery Management was published in the American Journal of Obstetrics and Gynecology in May. The conclusion of the letter was: "In the absence of adequate evidence, we believe that the American College of Obstetricians and Gynecologists should retract its strong opposition to home births."

--
Molly
CfM Blogger

Friday, July 3, 2009

Maternal-Fetal Conflict

Critiques of homebirth sometimes rest on a (flawed) assumption of maternal-fetal conflict (which is also invoked to describe situations with substance abuse or other risky behavior). In the Fall 2007 issue of CfM News, Board member Willa Powell wrote about maternal-fetal conflict in response to an ABC segment on unassisted birth. She wrote:
[quoting the expert physician interviewed for the segment] "The few hours of labor are the most dangerous time during the entire lifetime of that soon to be born child. Because of this, I would argue, all soon to be born children have a right to access to immediate cesearean delivery, and women who insist on denying this right are irresponsible."

This was the only professional opinion in the program on unassisted birth, and he set up a typical expression of an obstetric community belief: the “maternal-fetal conflict.” The notion is that there are two “patients”, where the mother’s desires are sometimes in conflict with the well-being of the baby, and that the obstetrician has a moral/professional obligation to abandon the mother in favor of the baby.

I have to remind myself that Dr. Chervenak is setting up a false choice. In fact, this scenario is a “doctor-patient conflict”. The mother wants what’s best for herself and her child, but she disagrees with her doctor about what is, in fact, best. Women are making choices they believe are best for themselves and best for their babies, but those choices are often at odds with what doctors consider best for both, and certainly at odds with what is best for the obstetrician!
In the book Birth Tides, the author discusses maternal-fetal conflict:
According to obstetricians, the infant's need to be born in what they have defined as a safe environment, i.e. an obstetric unit, takes precedence over the mother's desire to give birth in what doctors have described as the comfort of her own home. It is a perspective that pits the baby's needs against those of the mother, setting 'overriding' physical needs against 'mere' psychological ones. It is rooted in the perception that the baby is a passenger in the carriage of its mother's body--the 'hard and soft passages,' as they are called. It is also rooted in the notion of the mind-body split, in the idea that the two are separate and function, somehow, independently of each other, just like the passenger and the passages. While women may speak about 'carrying' babies, they do not see themselves as 'carriers,' any more than they regard their babies as 'parasites' in the 'maternal environment.' If you see your baby as a part of you, there can be no conflicts on interests between you.
I previously linked to a book review that explores this concept of the more aptly described "obstetric conflict" in even more depth.

Tomorrow is Independence Day and I think it is fitting to remember that mother and baby dyads are NOT independent of each other. I have written before about the concept of mamatoto--or, motherbaby--the idea that mother and baby are a single psychobiological organism whose needs are in harmony (what's good for one is good for the other).

As Willa concluded in her CfM News article, "...we must reject the language that portrays a mother as hostile to her baby, just because she disagrees with her doctor."

--
Molly
CfM Blogger

Monday, March 9, 2009

DVD Review: Pregnant in America

DVD Review
Pregnant in America
www.pregnantinamerica.com

Reviewed by Molly Remer

Filmed by a father-to-be, Pregnant in America follows a young couple as they prepare for the birth of their first child at home and are surprised by what they learn about “life’s greatest miracle in the hands of a nation’s powerful interests.” The film was created by a layperson and sometimes that shows, but overall the film’s format lends a contemporary edge. Interview clips with birth experts such as Marsden Wagner, Robbie Davis-Floyd, Ina May Gaskin, and Kerry Tuschhoff are interspersed with segments of the pregnant mother (Mandy) talking about her pregnancy and her hopes for the birth. There are also a number of clips of person-on-the-street soundbites that add interest to the film.

Substories about a woman who travels to Canada for a chance at a VBAC, about Cytotec and the Tatia Oden French foundation, and about the birth practices in Holland add to the strong dose of activism to the film. There are also some interesting encounters when Steve (the father/filmmaker) tries to get answers from a hospital as to why a cesarean was recommended for his sister-in-law (she gives birth vaginally with a different doctor and then they discover her original doctor is scheduled for vacation time—her supposedly medically-indicated cesarean having been proposed for right before the vacation is to begin…).

The film comes to a fairly dramatic close when the Buonaugurio baby is born at home and then transferred to the NICU for an undiagnosed reason. Because of the stressful feelings generated by the hospital footage, I would hesitate to recommend this film to a pregnant couple without a “disclaimer” letting them know that the baby is hospitalized (the baby is later fine and is shown as a happy, walking one year old).

The main emphasis of Pregnant in America is advocacy and activism. It is not a “birth movie” per se in that it has no live birth footage (there is some labor footage and then snapshots of the birth). It definitely kept my attention and it has a powerful message to share with parents-to-be about maternity care as an industry.

Friday, March 6, 2009

Violence, Women, & Birth

Edited to say that I made a mistake with the posting dates on my posts this week and International Women's Day was Sunday, March 8th.

Today is International Women's Day. The United Nations theme this year is "Women and men united to end violence against women and girls." As I've referenced before, domestic violence was the first cause in which I became deeply invested. Though I do not work in shelters any more and my focus has shifted to birth work, I continue to pay special attention to matters concerning violence against women. So, this theme naturally made me think about violence against women in the birth place. In 2002, Susan Hodges wrote an article for CfM News called "Medical Model Maternity Care and 'Violence Against Women'" and I wanted to share some thoughts from that article today.

Susan wrote:
I recently read an article from The Lancet that put “what’s wrong” into language that made me sit up and take notice. In Violence against women in health-care institutions: an emerging problem by A. F.P.L. d’Oliveira, S.G. Diniz and L. B. Schraiber (The Lancet, Vol. 359. May 11, 2002) the women authors looked at documentation of violence against women in health institutions worldwide, focusing “on four types of violence: neglect; verbal violence, including rough treatment, threats, scolding, shouting, and intentional humiliation; physical violence, including denial of pain relief when technically indicated; and sexual violence.” In other words: emotional, physical and sexual abuse. The authors go on to specifically mention violence against women in reproductive health services: “These forms include excessive or inappropriate medical treatments in childbirth, such as doctors doing cesarean sections for reasons related to their social or work schedules or financial incentives; or adhering to obstetric practices that are known to be unpleasant, sometimes harmful, and not evidence based, including shaving pubic hair, giving enemas, routine episiotomy, routine induction of labour, and preventing women having companions in labour.”

In other words, our work is about stopping violence against women in the birthplace – we just haven’t been calling it that. I am not saying that everything that happens in hospitals is bad, or that even the abusive aspects of hospital maternity care is necessarily equivalent to being raped or beaten. However, abuse is abuse, from relatively mild to severe, and just because it is not extreme does not negate the fact of abuse or violence against women. In particular, we are talking about government-regulated health care being provided to women having babies – we should expect and demand that every aspect of that care is the opposite of abusive, that the care is respectful of us in every way.

Think about the stories you have heard, or seen on TV, or just read in the newspaper. Here we are, healthy women giving birth, but the doctor or hospital does or does not “allow” us to walk, eat, drink, have a doula, or whatever! Think of all the times women have been threatened “if you don’t progress to x-centimeters by such-and-such a time, you’ll have to have a c-section,” or told to shut up during labor, or coerced into interventions, or berated for complaining, or yelled at to PUSH. Think of all the times vaginal exams and other interventions have been conducted without asking the woman’s permission, and sometimes by strangers. Not to mention all the invasive interventions (drugs, IVs, episiotomies, etc.) that are commonly imposed without informed consent, or women who are persuaded to acquiesce by means of lies about their necessity and lack of information about risks. Etc. etc. etc. We have known these things are wrong and very disturbing, but most of us have not called them acts of “violence against women.” Under any other circumstances, many of the actions and behaviors visited upon women laboring in hospitals would be completely unacceptable as verbal abuse or, in many cases, could warrant legal action for assault and battery. They certainly include acts that are in violation of professional conduct and standards of care as delineated in state laws. Violence against women is about abuse of power, whether on the street or in the hospital. So let’s start calling the disrespect, violations of privacy, loss of freedom, unnecessary interventions, intimidation, etc. what they are: Violence Against Women.
Speaking of hospital care and women, there is another good article from CfM News available online called Effects of Hospital Economics on Maternity Care.

And, this post by Gloria Lemay has been making the rounds lately and I think it is also fitting for today: Are You a Good Candidate for Hospital Birth?

--
Molly
CfM Blogger

Friday, February 27, 2009

Articles


As always, interesting articles have come to my attention this week and I want to share some of them.

First, I just saw the cover of the September 2008 issue of Chemical & Engineering News in the letters to the editor section of Mothering Magazine. I think it is amazing! So, of course, I went looking for the accompanying article, which is available here. It is a dense and scientific read. I liked the final line in the conclusion: "Much still remains to be understood about how many of milk's natural components are synthesized and delivered, how synthesis is controlled, and the effects of the mother's diet on the final product. 'It is a remarkable fluid,' German emphasizes. 'It's extremely embarrassing how little we still know about it.'"

When people try to analyze mother's milk, I am always struck anew by the realization that no matter the hows and the whys and the chemical components, women's bodies all over the world make food for their babies day in and day out on their own and with their own inherent wisdom. She doesn't have to know how it works, or what exactly is in it. She lifts her shirt, baby nurses, and all is right with the world. And, of course, it isn't just human women who have this body wisdom, but female bodies all over the world are giving their babies species-specific milk right now--my cat is nursing her three new baby kittens in the lawnmower as I type (analyzing why she chose to give birth to them there can be the subject of another post...).

Returning to birth issues, The National Partnership Daily Women's Health Policy Report has posted an article about the Time article about repeat cesareans. Apparently this report is widely read by politicians involved in women's health policy and most of their stories are about abortion, contraception, and sex education. So, it is good to see birth and maternity care brought to their attention!

From the Robert Wood Johnson Foundation's Building Human Capital newsroom, there was a quick article about Laborists. It says, "In response to a shortage of obstetrician-gynecologists, some hospitals are turning to a new type of physician, dubbed a laborist or OB hospitalist, to provide hospital-based obstetric services.."

Hmm. I can readily think of another professional that is more perfectly poised to provide quality maternity care!

Finally, there was an article called Freebirthing published on the Examiner.com website yesterday.

--
Molly Remer
CfM Blogger

Friday, February 20, 2009

Film Review: Homebirth Dads

From the Fall 2008 issue of CfM News, I wanted to share my review of the DVD Homebirth Dads.

DVD Review: Homebirth Dads: The Dad’s Perspective on Homebirthing, 1hr 10m.

Jorge Visions Unlimited Productions, 2007.

Reviewed by Molly Remer

Filmed in Ithaca, NY, in a question and response format, this video lets homebirth dads share their perspectives, opinions, and feelings about homebirth. Each dad is interviewed individually in his workplace (I had pictured all the men being together in one room in circle answering questions). The film cuts from father to father as they shared their responses to a series of questions about birth, homebirth, midwives, and midwifery. The fathers are a bricklayer, a massage therapist, a social worker, a doctor, a university administrator, and a museum director. This highlights a factor noted time and again in real-life midwifery circles--the homebirth population is an incredibly diverse one!

What I loved about this film were the great still photos of the dads with their babies at the opening and closing of each question scene. It made me realize how very little we see of loving daddies with their babies. I’m so absorbed by mothers, babies, and birth that I forget the awesome tenderness of a man with his newborn. We usually only see those pictures from our own families. It was very special to see those private peeks at other men’s vulnerable moments. Beautiful!

Another portion that I really enjoyed were the men’s responses to the question, "What did you realize about your wife?" I loved to hear the words they used to speak about their wives and the births of their children: Respect, amazement, awe, concentration, fortitude, stamina, amazing, admiration, endurance, self-sacrifice, gratifying, enormous, her ability to stay focused—guided us all, magical moment, clear, committed, challenging, extraordinary, full of admiration, trust, clear... One father summed up some of the magic of birth by saying, "Whole new arena—like opening a door in a house and discovering a whole new room."

One question in the series of questions is if insurance companies cover homebirth. This question needed more coverage (or a "footnote" along the bottom of the screen), because the answer from all the men was basically, "yes, insurance will cover it," which is far from true in many states.

The film is in basically in a "talking heads" format and is probably best viewed in several segments rather than all at once (there is no chapter select set up on the DVD).

I think the video fills a definite gap amongst birth films. It is also the only birth video I’ve ever seen that has NO WOMEN in it! While this might seem weird on one hand, this is also what makes this film fill a very specific gap (because men are usually on the periphery of other birth films, if they are really included at all).

As I watched it, I could think of several times when I would have liked to have a video like this available to birth classes. Homebirth Dads definitely has a useful place in the lending libraries of midwives, childbirth educators, and Friends of Midwives chapters.

Friday, February 6, 2009

NEW Membership Category: Become a "Citizen" for Midwifery!

As of February 1, CfM has a new membership option: donate just $10 to become a "Citizen" for midwifery! This membership does not include the CfM News; it is an inexpensive way to support the work of CfM promoting the Midwives Model of Care. Each "Citizen" will be acknowledged with an attractive postcard that includes the Midwives Model of Care definition and other important information and web addresses.

Our intent is to encourage more people to become CfM members, strengthening our numbers as we work on behalf of consumers. For many years we have asked midwives to sign up clients with CfM, and we appreciate each of you who have done so. We hope that this new membership option will encourage and enable many more of you to do so. And, while anyone can join as a "Citizen", we also hope that many people will continue to join and renew at the suggested level ($30) and receive the CfM News, our in-depth newsletter.