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Re: Fish can't see the water...From: Barbara Nicol (blnicol@ix.netcom.com)Mon May 8 10:54:38 2006
It's weird that anyone thinks she can control labor and birth. Don't you think we are setting women up for a sense of failure when things don't go well, by asserting that they ever had control of the process? It's not like she can start or stop labor, any more than you can start or stop a sneeze, or magically make a high risk condition go away. We should do away with this idea that doctors "took control" away from women - no one controls labor in nature. It happens by itself. It happens to unconscious women in the ICU! By itself!! We give them _more_options than they would naturally have! There is always the option of letting nature take its course, which will work well 90% of the time - but for the others, there are options of starting labor, doing indicated CS, stopping postpartum hemorrhage - all of this represents an _increase_ in control for the patient over letting nature take its course. Sure, they have to have help - no one can do her own CS, not even me <g> - but we exist to help, not to control. This article is all about dehumanizing obstetricians, not humanizing labor. Sure, the choices we can offer to patients are limited, but not by us. Did I invent ACOG, ATLA, AWHONN, ATLA, the various midwifery organizations, ACP, and ATLA? Didn't think so. Did I publish all the evidence we use to decide what care we can safely offer? Didn't think that either. I have zero control - I am limited to offering the best care available, and the patient has all the control that exists in the relationship - she can accept some, all, or none. Yeah, it's limited control, but it's all the control that there is between the two of us, and she has it all. The rest of this article contains several outright misrepresentations - for example, not quoting the rate of postpartum back pain _without_ epidural, for comparison, and some pretty skewed and outdated numbers about interventions post epidural (And hello! If the goal is to give women a sense of "control" then pain relief is something women ought to be able to choose as well, with balanced information, not scare tactics.) There is also some frankly very offensive language about how we'd do more surgery just because we have anesthesia - this is _worse_ than anything the artist had to say about us, IMHO. Not very human, not very kind, and not very accurate, Gail. I normally enjoy your posts, though I don't always agree, but this is not up to your usual standard. Try another article. I believe there are some articles about the statistical safety of homebirth that do not spend most of their time inaccurately vilifying other options and other providers. - Barb
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