it's monday and four hours to midnight. no birth yet, but was paged to evaluate a mother with a potential pulmonary embolism.
what i'm about to write about may piss a bunch of people off. but i think it's important.
technology and it's appropriate use. when pitocin and an epidural might be the right choice.
i've been thinking about this recently. it's an ongoing dialogue really, but now that i have the use of pitocin and pain relief in my bag of tools it's become more relevant.
there have been a number of first time mothers with long labours recently. some who have used the resources a hospital offers without reticence and those who have chosen not to.
perhaps it's not appropriate to compare any labour to another, but it's interesting.
what happens when a mother chooses to avoid intervention in her labour, striving for a natural birth without intervention, and ends up with a cesarean? what would have happened had she opted for augmentation earlier? would the benefits of an epidural relaxed her pelvis enough to open up and let the baby down?
is the mother happier, knowing she did everything she possibly could have within her body and soul to labour that baby down and bring it into this realm? if the result is a cesarean, is this still a more satisfying birth experience than had she used these other tools or "interventions" earlier?
these are the questions in my mind.
i'm not an experienced midwife. i'm an entry level midwife and damn proud of it. i know my limitations and i'm open to learning. i'm open to a multidisciplinary approach. i'm open to using modern technologies that we are so privileged to have access to in north america.
my job now as a midwife who has these tools within her scope of practice is to use them effectively.
i am experienced enough to recognize when labour has become abnormal. if i couldn't then, well, i'm not ready to be a midwife.
the conflict of interest arises when my clinical judgement may disagree with the desires of the labouring mother.
ultimately, this is her birth, her body, her baby, her decision.
i can offer, suggest, recommend what i see as the appropriate course of action or what the available options are. but the decision is not mine to hold.
reflecting on a birth, however, i can't help to wonder. if the mother had taken my recommendation and utilized these "interventions" would she have had a vaginal birth?
this leads me to evaluate the current culture of birth in which we live, in which women live and are educated.
childbirth education, the media, books teach women how to say no to intervention. however, are they teaching them when saying yes, might be appropriate?
have we completely desensitized ourselves and abused these advancements to the point that the only option is saying no, because either a) women do not trust their care providers to use these tools judiciously and as needed, or b) women are taught that if they say yes to any intervention, they have failed. that putting themselves through hell and back, fighting, being that warrior goddess, means that they must say no to the point that their only option is surgery?
i see every mother as that warrior goddess. no matter how her birth story is written.
carrying, growing, and birthing life is the utmost human feat.
how can we get to a point where women not only trust in their bodies, but also in their care providers and the technology that is available?
how can we get to a point where care providers trust women's bodies, and not rely on these technologies to manage birth?
birth student midwife midwifery homebirth childbirth cpm symposium feminism life of a student midwife love new adventures new beginnings power of women becoming a mother birthwise midwifery school cesarean doula empowerment maternity care midwife midwives new life pregnancy public health starting over student midwife to midwife Placenta crafting VBAC acceptance birth center communication death empowering birth excitement fear growing growth health policy internationally trained midwives canada labour induction med-wives midwifery regulations midwives as primary healthcare providers moving forward personal growth prenatal yoga resolutions struggles and challenges the end is nigh transitions CPM DOR HR 1054 MAMA campaign MANA MMBP PROM Placenta Libertation Front Rowan Bailey SlutWalk Suturing activism anais nin ann sexton arizona arizona midwifery augmentation and epidurals awe babymoon inn baptism by fire being on call birth centre birth positions birthwise breastfeeding c/s canada canadian midwifery cancer catching babies changes christmas eats on feets elements family foucault future midwives alliance gender identity graduation grieving having to plan for the future health promotion herbs hospital birth hypnobirthing insomnia joy joys of birth language language of birth learning licensed midwives losing my shit midwifery education midwives as a political decision mother's day mother-baby connection movie night moving to canada multi-jurisdictional midwifery bridging program natural midwife new years resolutions overcoming depression packages in the mail phoenix placenta postpartum postpartum depression power powerful births prelabour/premature rupture of membranes racism rape regina reproductive rights roots saskatchewan midwifery self love self realization sensorship sounds of birth standard-of-care statistics stillbirth student midwife hell tending fires third stage traditional midwifery transition ultrasound uterus waiting for babies washington state midwifery water birth white privilege women's health yoga