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Friday
Jun022006

Gory, but oh so cool...

Okay, so being out of school has given me FAR too much reading and writing time.

I love blogging and reading blogs, though, so here's what I'm finding out there.

These make my "indiscretion" look like so much nothing. (I know, was it ethical... I remember!)

http://fingersandtubesineveryorifice.blogspot.com/ You see his blog's name?! This is an ER doc and shares amazing pieces of information, including CT and X-ray scans along with gory pictures of the insides of people. Don't go here if you are squeamish. DO go if you are as morbidly curious as I am. (It was good to see he, too, has been castigated for blog-spilling - my new name for being accused of violating someone's privacy. He tells people to kiss his gluteus boot-ocks. I just keep writing.)

This began as a reading of an essay about a precipitous birth, but some of what Peg shares is interesting. She shares a LOT of her real self, too. The precip birth story is great! A terrific description of how it looks from the inside to those of us watching on the outside.

http://pegspot.blogspot.com/2006/05/nurse-margarets-magic-words.html

Make me stop reading!

Reader Comments (6)

No school = blogreading midwife!

:)

Hh

Wow I just found your blog. Dont send me somewhere else. For goodness akes theres hours of reading right here! LOL

June 2, 2006 | Unregistered CommenterMrs. Darling

Hannah: It's out of control! I'm going to have an ass the size of the house if I don't quit sitting here. I best be gettin' to the Y.

Mrs. Darling! Thanks so much... I hope my latest posts don't send you away screaming. I guess if they do, then you weren't meant to get a house-sized butt, either. *laugh*

Thanks so much for hanging out here.

June 2, 2006 | Unregistered CommenterNavelgazing Midwife

thanks for sharing and I have had to roam this week as I am trying to avoid the evil anti-homebirth blog- and I have been reading Flea, Moof and a few other links and also this great birth story on pegspot- nurse Margrets magic words -- so we have been reading some of the same things.

----------------
Now I have a question for you how can we improve homebirth midwifery? I mean are there things that you think we can do to be safer, or do you think that there is a need to be safer? pondering the question these days--
anon s

June 2, 2006 | Unregistered CommenterAnonymous

S: I find your question intriguing and it might end up being a blogspot all on its own because of the importance of the topic.

So, I, too, find reading Dr. Amy's rants too much to bear. She harps and harps and harps, never going anywhere but chasing her ass... er, tail.

But, is homebirth as safe as it could be? Is there anything else we can do to make it safer? Does what we carry and how we are trained make any difference on the safety of homebirth? Should we carry oxygen (I do)? But, now the latest recommendations isn't O2 initially - is it necessary for all births?

Should we all be IV certified (or able to do IVs)? (I am and can.) Is it enough to transport if an emergency IV is necessary? Is IV knowledge simply a convenience in keeping women out of the hospital because of dehydration or IV antibiotics?

Should we learn to intubate? Our EMS personnel don't intubate newborns anymore, so what would be the use? Also, we don't get any practice at it, so we could possibly cause more harm than good.

I have been hanging around birth for so long and, for a midwife/doula, seen so much. I know that many of the complications that happen are iatrogenic (prolapsed cord because of ROM, infection because of multiple vaginal exams, etc.).

I know that if birth is left alone - for the most part - it unfolds beautifully and perfectly. Care is there as a lifeguard mechanism, not as a contol-the-whole-experience mechanism. Why medical care believes if they can control most things then nothing will surprise them is beyond me. I think that in their goal of controlling everything, they overlook the human-ness of it all and really end up controlling nothing.

I think that because they expect everything to be controlled, when it isn't, they wig out. We who do midwifery care (and I speak generically) are always in a place of watchfulness (not expectation, but merely awareness), so when something goes down, we are anticipating it. I believe that our having intimacy with our clients (fostered by long stretches of TIME with said clients) is what drives the ability to anticipate something serious and MOVE to the hospital before that something serious happens.

Example: a woman whose BP is normal or slightly elevated in pregnancy. Already, if it rises in labor, some is to be expected, but a trend is watched carefully. If any other symptom of PIH moves in - protein in the urine, lack of ability to void, headache, etc. occurs, off we go to the hospital. There is no reason to wait because the trend tells us what is happening. In the hospital, PIH is permitted to go further before anything is done *because* they can do stuff there (mag sulphate, etc.). We don't want to have a seizure on our hands without appropriate care; therefore, we don't wait until we get to seizure place!

Is this patient dumping? (Not in the dump and run sense, but in the "Here, doc... have my train wreck" sense.) Is this why doctors think we are incompetent? Because we bring complications into the hospital? If they allowed us to do normal birth there, they might actually think differently of us. But that isn't going to happen.

So, how do we make homebirth safer, s... I don't know. I believe if I thought I COULD make it safer, I sure would do what I could. I can be prepared and bring prepared assistants. Is there anything else I can do? What are your thoughts?

June 4, 2006 | Unregistered CommenterNavelgazing Midwife

BRAVA ........ I do NOT have too much time on my hands, but simply cannot pull myself away. I'll go along for the ride, if you don't mind :)

direct-entry trained midwife and doula here! Love your stuff....

June 20, 2006 | Unregistered CommenterAnonymous

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