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Re: Fish can't see the water...From: Anna Meenan, MD (annam@uic.edu)Mon May 8 19:10:03 2006
Responding through the web archive because Insight STILL screwing with my e-mail (I can read but not send). Sorry Barb's post is truncated below. Would someone PLEASE fix that? I have copied and pasted the relevant paragraph below: "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!!" I beg to differ. I won't say that women consciously control labor, but I have seen stuff that comes very close, and you can find similar stuff in places like "Birth Reborn" by Michael Odent, or in Ina May's "Spiritual Midwifery". The best example from my practice: I had a patient I was very close to, who wanted to keep things as natural as possible, but unfortunately had been sectioned with her first for what the consultant called "late decels" which were really variables (probably due to the velamentous insertion and the true knot in the cord). She went on to have 3 VBACs in the hospital. With one of them (I forget which), she arrived at the hospital in active labor, 4cm, 100% effaced, good strong contractions. I came in to greet her, but unfortunately I had to leave for a wedding rehearsal 70 miles away and told her i wouldn't be back for several hours. I introduced her to the on-call doc, wished her luck, and said i would call in that night to see what she had. I got home about 10 hours later and called to see how things went. The nurse told me that her labor had stopped right after i left and nothing would restart it. The patient refused pitocin and went out to the mall to walk around to see if it would restart (she lived 35 miles from the hospital so didn't want to go home). The nurse said she had come back awhile ago and was going to try to get some sleep, as she still wasn't contracting. I told the nurse to tell her I was going to bed too and would see her in the morning unless she went back into labor before. The nurse called me back about 30 minutes later and said that she had started contracting shortly after my first call and was now 5-6cm. I got to be there after all.
-- Anna L. Meenan, MD
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