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Re: Born In the USAFrom: Anna Meenan, MD (annam@uic.edu)Wed Nov 1 11:55:30 2000
At Sat, 28 Oct 2000, ginny lee BSN, GNM wrote: > >This is a PBS documentary, I've not seen it yet..those interested can >find schedule/info at the website >http://www.itvs.org/bornintheusa >aloha >ginny Ginny, I watched Born in the USA last night (I had to do some fancy juggling with the VCR to be able to catch Born in the USA, The History of Britain, and Dharma and Greg all on the same night, but I managed). I was particularly interested in the hospital birth, which started out as a natural birth. The mother was confident and said that if her mother could tolerate labor, she was sure she could too. Apparently she spent quite a bit of time in very comfortable labor and was only 3.5 cm after all that. (I don't think they said how many cm she was to start with or how long it took her to get to 3.5--I was watching it off the antenna from 70 miles away in Madison and the picture and dialogue were both fuzzy). Anyway, at that point the OB-Gyn told her that they could speed things up with pitocin, but it was her choice. The patient said she would be willing to either try the pitocin or take something to let her sleep awhile. Cut to next scene with patient in agonizing labor and doctor ordering increasing pitocin dose. Next step was of course the EPIDURAL, and then of course she stalled at 9.5 cm and got sectioned. Never once did we see her in any position except flat on her back in bed (OK, I think she was rolled to her side in one scene) in contrast to the home birth patient who stalled late in labor and got through it by getting out of the tub she was in, walking up the stairs to another room, squatting, and changing position a couple more times. The thing that struck me is that when the c-section was all over, the ObGyn blamed it all on BIOLOGY. I'm not sure what part biology played in all that, and felt more inclined to blame it on TECHNOLOGY. In the same situation, a midwife would have encouraged a patient who was slowly progressing from latent phase labor to active labor, as this lady was doing, to get up out of bed and walk around, try relaxing in a tub of water, take a shower, or something, while all the while encouraging her that this is normal, nothing is wrong, and her labor WILL progress eventually. At the very least I think I would have slept this lady. Anyway, it was an interesting special. Has anyone else seen it?
-- Anna Meenan, MD, FAAFP
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