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Friday
Jun022006

Cover Your Ears

Because I am going to SCREAMMMMMMMMMMMMMMMMMMMMMMMMMMM!!!!!!!!!!!!!!!!!!!!!!

http://www.thestate.com/mld/thestate/news/nation/14721225.htm

This article and another one mentioned below came in my Google Alert today. I am not kidding when I say I want to slam myself on the floor and pound the earth and scream and cry until there are no more tears or voice left.

Some pertinent quotes (please read and respond to the articles and their writers):

From "Rate of C-section births at all-time high":

One thing on which people on all sides of the issue agree: The stated national goal of a 15 percent C-section rate will probably never happen.

Said Trofatter (the DIRECTOR of the hospital): “I really do envision a time when all patients deliver by C-section.”

NOT ME!!!!!!!! Everyone needs to scream NOT ME to him so he will hear us. Screaming yet?

Another OB says about women wanting a patient-choice cesarean:

They have a fear of going through labor, sometimes because prenatal tests indicate a big baby, he said. They especially dread enduring a long, arduous labor after which they might have to have a Caesarean, after all.

Ah, let's make labor sound so delicious to everyone, eh? Who wouldn't want a ROUTINE delivery instead of a... how did he say it? "long, arduous labor."

If you kept your prenatal tests out of the uteri, the crazy presumption of a big baby wouldn't be had! I wish I had a dollar for every woman who cried to me about her HUGE baby that ended up weighing under 9 pounds. Let's remind people that my over 11 pounder last year was an HBAC. WOMEN CAN BIRTH!!!

Oh my god, I think I am going to have an MI.

Let's move on, shall we?

Decades ago, Green might have faced hours of exhausting labor, painful efforts to turn the baby manually and possibly a difficult delivery with forceps. Now, it’s routine for breech babies to be born by Caesarean.

Doesn't that sound appealing? Who wouldn't choose ROUTINE instead of "exhausting," "painful efforts," "difficult," and "forceps?"

What happened to turning a baby through non-painful ways such as positioning? Chiropractic? Acupuncture? Versions?

What happened to describing the risks of a cesarean - even a scheduled one - in such graphic terms as "puncturing the bladder," (not to mention cutting the bladder off the uterus in the first place) "cutting a slice in the baby's face" or "permanent infertility because of adhesions that strangle the reproductive organs" and beyond.

As if the statement about all women having cesareans wasn't enough to make me vomit, here is another sentence to chill you to the bone (cited as a reason for the rise in cesareans):

Desire for a pain-free birth.

EXCUSE ME?!?!?!?!?! Who is allowing this LIE to be perpetuated?! Who actually THINKS a cesarean is pain-free?!?! Do they think because they threw that word "birth" in there it makes it alright? That women don't experience horrid paid DURING their surgeries even WITH anesthesia? And let's move to POSTPARTUM PAIN, shall we?!? The woman quoted in the article says she didn't need pain medications after a week on them. A WEEK!!!!!!!!!!!

A FUCKING WEEK OF PAIN compared to 24 hours (or so) of labor - that goes on and off every few minutes. A WEEK OF PAIN. Since when does a WEEK of pain meds constitute "pain-free?"

I am so angry I am shaking.

Another OB (of course):

“Honestly, the way many people look at it, most women who are young and healthy will recover quickly, anyway,” Risinger said. “They may say, ‘I had one C-section, and it wasn’t so bad.’”

This after describing that most of the women were having cesareans because they were FAT and unhealthy. That in Utah they have healthy women who eat right and don't drink or smoke, but that Americans are FAT and unhealthy. Could we contradict ourselves any more? And what about those women who are over 30 that they talked about... those that needed help with fertility meds and docs... do they account for the young and healthy, too? If we are so young and healthy, WHY AREN'T WE HAVING VAGINAL BIRTHS?!?!?!

Vaginal birth after Caesarean carries a small risk of serious complications. In the worst-case scenario, the scar from the mother’s previous C-section could rupture; the baby could be thrust into the abdominal cavity; bleeding could be catastrophic; the uterus could be lost; baby and mother could die.

rolling eyes

No wonder women choose a "routine" cesarean with publicity like this!

Expectant mothers hear about the risks of Caesareans as well as risks of VBACs, Browning said. But he said they seem to react most strongly to possible hazards from going into labor and attempting a VBAC.

Really?!? Wonder why.

Tonya Jamois, president of ICAN, says:

I believe that it is a bit hypocritical to honor women’s choices in mode of delivery when it comes to a medically unnecessary primary Caesarean, but then enforce VBAC bans when her choice happens to be vaginal birth,” Jamois said.

You go girl!!

The article ends this way:

As obstetrician Hutchinson prepared to stitch up his patient while 7 pound, 14 ounce Manning was whisked away to the nursery (and that would be why?!?), he noted the shape of Elizabeth Green’s uterus. A cleft (bi-cornate? babies can and do move even in complete bi-cornate uteri... a cleft? Sheesh. Barely noticable.) in it made it unlikely the baby ever would have turned around, he said. And C-sections probably will be necessary in any future births, he said. (And what he says is true, of course.)

Green isn’t worried about that. She gave birth on a Wednesday, went home on Saturday and needed pain medication for less than a week. Around his one-month birthday, Manning was down to one overnight feeding and the family was enjoying her maternity leave.

Because, you know, sleeping through the night is a premium sign of a good baby that came from a perfectly ROUTINE cesarean section.

“My experience was great, really,” she said.

If she only knew.

And on to this one found on C. Everett Koop's site:

http://www.drkoop.com/newsdetail/93/532966.html

After a long and convoluted article talking about varying statistics, "Dr. Richard Frieder, an obstetrician-gynecologist at Santa Monica-UCLA Medical Center and a clinical instructor of obstetrics and gynecology at the David Geffen School of Medicine at the University of California, Los Angeles" (I wanted to get the whole title correct) said:

"The main complication of VBACs is not death but morbidity, such as blood transfusions, hysterectomy, infection, heart attack, stroke, kidney failure, the baby having low Apgar scores or brain hemorrhage," Frieder said. "All they are talking about is how many people lived or died. But they didn't measure complications. If they had looked at complication rates, there would have been a huge difference favoring C-section."

I just don't even know what to say. Who is this person thinking that having a cesarean lowers the rates of these complications? Do these doctors not even SEE what we see? Are they blind?

I just can't figure it out.

I am so, so saddened by all of this. So, so saddened.

All I can do is keep doing my part. Sometimes I feel pretty alone in that fight, though. Kudos to those who fight with me - beside, before and behind me.

We have to keep going. Women deserve our care and love.

Fight on!

Reader Comments (5)

Use your weapons. You have them, you know what they are.

USE THEM.

June 2, 2006 | Unregistered CommenterKristina

I don't know whether I'm going to cry or throw up first.

Wanna completely lose your voice?? http://www.shns.com/shns/g_index2.cfm?action=detail&pk=HART-06-01-06" REL="nofollow">Read this. "Even my own young daughters are already afraid that it's a terrifying experience." Now that's just fantastic.

The problem is not the difference of opinion or differences in experience - the problem is that these things are being published and you know that women are eating it up as truth. This is their education about childbirth.

"Cesareans are easier than vaginal births." "Having a natural birth is stupid and unnecessary."

I think I'm going to go vomit before I resume screaming.

June 3, 2006 | Unregistered Commenterjenn

I cannot believe she said there will be a time when all women give birth by Cesarean.

We will be going underground to have our babies in hiding to avoid being forced to have surgery?!

I am facing an abdominal surgery in the next few weeks...and wish I could avoid it...and it's not related to birth! I don't want my muscles cut and my body opened.

Hh

ARGH! After reading that I feel like my brain was just sandpapered. Especially the pain-free c-section part. How is that even remotely accepted as a piece of viable information?!?!?!
Ok, must get back to studying so I can scream along side you as an even more educated/empowered woman in the future!
Thanks for the consistently great read!

June 4, 2006 | Unregistered CommenterM

Kristina: Oh, OH! Words such as yours DRIVE ME! I read them to my partner and she laughed and nodded saying, "Don't you believe me when I tell you the same thing?" I said, "It's different when Kristina says it."

I do know what my weapons are... I am using them right this second - keyboard and words and life experiences.

I'm going to rite a sane rant later as a contrast to this out-of-control rant. I think it would be heard better. Too bad I can't do that the first time around, eh?

Jenn - thank you for sharing the shit, too! Where do these people come up with this crap? I am flabbergasted these things really really are believed. (Is this what they say about us?!?)

Hannah: Remind me to talk to you about my laparotomy - had one in 1986. Please don't be frightened. You can do this to be out of pain and healthy. I, too, am glad it isn't cancer. Thank goodness for small favors, eh?

M: I KNOW!!!!!!! Pain-free cesarean? I mean, I know of a LOT of oxymorons, but this is the biggest ever. I'll have to remember it when we are talking about oxymorons in our lives. (And it does come up, believe it or not. Ah, those of us that play with words.)

Thank all of you for reading and standing beside me in my disgust and anger. I need all of you.

June 4, 2006 | Unregistered CommenterNavelgazing Midwife

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