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Re: cesarean artFrom: Barbara Nicol (blnicol@ix.netcom.com)Mon May 8 10:54:35 2006
catching up after some time spent actually working... /snip/ It's a shame because judging from the ICAN list there is a lot of resentment pointed at the OB's when the truth is they would probably support a woman in a VBAC but can't because of the constraints placed upon them by the hospitals. /snip/ Gail Yes, that's what I thought about the website. I see a lot of anger at the obstetricians and at the whole concept of surgery, but no anger at the midwife who didn't induce at 42 weeks (Hannah's study says it would have cut her chances of CS compared to expectant management), no anger at the lawyers who stop VBACs (or the other women that those lawyers represent, who are cutting off their sisters' choices), and, sadly, no sense of her own (or other women's) strength in going forward with surgery and healing from it. Women who have CS are not respected enough, IMHO - if anyone else has surgery to benefit another person, they get glowing write-ups in the paper, but patients who have CS for fetal distress wind up feeling like angry failures instead of heroes. I don't think obstetricians are going to be able to fix that, either singly or in groups - it's something that will need to come from the natural-childbirth community. No one believes her obstetrician when she says "you did great!" after a CS when she has the gut feeling that her natural-childbirth buddies will think she didn't fight the CS enough, or didn't eat right, or breathe right, or somehow did something wrong that "caused" the CS. As though any amount of healthy behavior will prevent all diseases! "Wiped free of clot and debris" - it's a phrase I use too. It's a pretty gentle wipe, but I just don't think that all that vernix and meconium that sometimes remains inside belongs there, and I always thought that "debris" was a pretty nice way of saying "stool"... but I can see how it might sound bizarre. I suppose I could start saying "the blood, stool, and vernix were cleaned off the uterus" but it sounds like an unnecessarily grody way of describing things. It's so amazing that we can do this and people do heal from it - I wish the patient could give herself more credit for arranging 2 safe deliveries for her children, and healing from them, and spend less time obsessing about the physical process. (I also wonder how she would have felt about the maternal-stool and torn-flesh realities of a vaginal birth - a lot of people are pretty surprised - the birth class videos of vaginal birth are all clean and pretty and the anus is always completely clean with no hemorrhoids or stool or anything! This is _not_ adequate preparation IMHO, but then I'm not a childbirth educator.) Anyway, thanks for sending us the site. It's an excellent example of one of our daily stresses - the patient who is angry at us for doing our jobs excellently and according to the latest legal and medical standards in a system that we don't control... - Barb
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