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Archive for the ‘Current Affairs’ Category

Being Good Enough

Monday, April 26th, 2010

On the same subject as ‘brining up babies’ that has been in the press recently, there was a fantastic half hour on Radio 4

Between Ourselves: Series 5 where Olivia O’Leary talks to Laverne Antrobus , and educational psychologist, and Oliver James, the now very successful author and child psychologist about what children actually need, and what we can do as parents to bring up happy, emotionally healthy children. I highly recommend a listen.

An Inconvenient Truth

Friday, April 23rd, 2010

This is a letter I sent to the Guardian this week in response to a comment by Zoe Williams ( who herself was responding to a very interesting article Baby Wars: parenting guru cries foul over Queen of Routine’s tough-love approach

I highly reccomend reading the article. My letter is below.

I disagree with Zoe Williams ( For Crying Out Loud, Thursday April 22nd). I am all for showing compassion to mothers- they are undervalued enough as it is- but stifling the critics and the debate smacks of political correctness gone mad. We seem to have developed an ‘anything goes’ mentality where we now avoid the difficult parenting and birth conversations in case we make someone feel guilty. Yet science has made huge leaps over the last decade and we are now capable of plotting the development of the human brain like never before. The importance of touch and of responding to a baby’s early cries can no longer be underestimated. This does, and should, throw new light on the parenting debate. It is, to borrow a phrase, an inconvenient truth to some that parenting is and needs to be intensive in the beginning, but to imply otherwise is simply doing mothers a great disservice. Everyone is up in arms if it is doscovered that we have been misled by a corporation, or if an industry seeks to withhold the facts- the cigarette industry immediately springs to mind. Knowing the facts doesn’t take away our choices, it simply makes them informed.
Nicole Croft
Buddhabellies

Health in Pregnancy Grant

Monday, September 14th, 2009

Health in pregnancy grant…… Are you aware that if your baby’s due date is on or after 6th April 2009, and you are 25 weeks pregnant or more the Government will pay you a non-refundable grant of £190 to you help prepare for the birth of your baby. That could cover the cost of a whole series of yoga and birth classes. To access the fund, go to www.direct.gov.uk/money4mum2be

Women should endure more pain in childbirth?

Tuesday, July 14th, 2009

In Sunday’s Observer there was an article entitled ‘Its good for women to suffer the pain of a natural birth,’ says Medical Chief.  Good old journalists- we can always rely on them to throw something eye-catching, controversial and ultimately misleading into the ring. And in this case, what a red rag to a bull Dr Walsh’s comments have been.

To say that the debate has been heated since Sunday is an understatement. The column inches suggest it was Sunday months ago, not just two days ago and the debate is without doubt coloured by anger and vitriole. A trawl through websites , comments boxes and online mothers forums makes you hope that Dr Walsh is not reading. Whilst the odd woman meekly puts her hand up to say she had a drug-free birth and-god-forbid- quite enjoyed it, the vast majority are angry women who feel that they are having their choices squeezed or are being made to feel guilty for them. And if this was the case- if women were being denied choices, or we were somehow being told that childbirth is our due punishment a la Old Testament, then the outpourings might well be justified.

But misunderstandings can start wars, and I am increasingly convinced that this outcry is exactly that. A misunderstanding. No one is saying that women shouldn’t be allowed epidurals. They are available, many women’s experience with them is positive- in fact I have a friend who very proudly proclaims that she has given birth three times without ever feeling a contraction, thanks to early epidurals, and no one is condemning her. Epidurals are often described as the rolls royce of anaesthesia and they can sometimes mean the difference between a positive birth experience and a traumatic one. And for that reason alone they should be an option for all women.

But to think that we can have something for nothing is equally just short-sighted. It is essential that women recognise that to debate the pros and cons of an epidural is nothing but healthy- and that is exactly what Dr Walsh, admittedly rather big-footedly, is trying to do.

To say that there are downsides to epidurals is not to condemn the women who opt for them. It is simply to state a fact. There is that saying ‘ you cant get something for nothing’ and in the case of epidurals it is absolutely true. It is a fantastic and usually very effective form of pain relief but it has a downside that we need to acknowledge and consider.

What concerns me is that we seem very happy with understanding the risks of anything else when it comes to medicine- the pros and cons of HRT, the potential downside of an anti-cancer drug, even the possible side-effects of paracetamol, but for a doctor dares to suggest that not enough consideration has been taken of epidural downsides, he is painted as the devil incarnate.

It also ignores the again very healthy and in fact very interesting debate as to why on earth there is pain in labour and whether it is of any great benefit. In fact pain is a topic that I believe is actually undercovered in child birth classes. We talk about how to cope with it, and different forms of pain relief from aromatherapy oils to epidural, but it is never truly dissected and understood. Instead, woman’s idea of pain is simply the trauma, the extremes of it and the idea that it is the most pronounced characteristic of birth. And yet time and time again women come back to my classes after they have given birth, and speak of pain as though it were an aside. They dont deny it was painful, but emphasise that the experience was so much more than that. It is not unlike a mountaineers description of his successful attempt to reach the summit of some treacherous peak- whilst there was undoubtedly pain involved in the ascent, it does not dominate his story.

So who are these women? Are they super-human, smug, lucky or plain stupid?

No, they are just normal women, like any other, but with a caveat. They are normal women who’s cultural perception of birth has been supersceded by something else. They are almost always well mentally and physically prepared for birth, they have been bolstered in confidence and in their sense of what birth entails, and are suitably convinced of the place of pain in labour to give it a go. They also labour under good conditions - those conducive to a physiological birth ( see  Primitive Brain at this link ), usually with outstanding one-to-one midwifery care, and sometimes with the luxury of having a doula.

To try to bring down epidural rates without recourse to anything else is foolhardy to say the least. It is no different to trying to cap elective c-section rates without recognising that their rising is a product not of a weakness in women but an inherent problem in our cultural perception of birth and more importantly, the system in which women in this country are pregnant and labour. Women have access to unprecedented levels of information- books, websites and endless forums. And yet most of them are more unprepared and crucially more fightened than any generation of women before them. Our interventionist system, which promotes electronic foetal monitoring and unexplained hospital protocols,  induction and intervention makes contemplating a natural birth nigh on impossible for many women. And the fact that we have too few midwives, whose ideology and caring gets swept away in a plethora of rules and the madness of overwork means that women are simply not cared for enough during their pregnancy or throughout their labours. The single biggest emotional state to ensure a woman copes with labour, and might experience the pain without the suffering ( for the two are potentially mutually exclusive) is confidence, and until we find practical ways to instill this in the next generation of mothers, we need to offer them the next best thing, and very often that is an epidural.

Fashion and Fad

Thursday, January 17th, 2008

It seems extraordinary that something as fundamental as birth could be subject to fashion and fads, yet you need only look to Brazil, where c-section rates are a mind-boggling 80% in some urban areas, to see that trends can take hold in the strangest of settings. This flippancy with regard to birth is usually something I lament. Surely, I argue, we should make decisions about the way we bring a child into the world with a little more intelligence?

But I have a confession to make. How loud I lament depends a little on what exactly is on fashion. When women were opting for major abdominal surgery because others were, I heaved a great big sigh of disappointment and disbelief. When I hear the latest fashion is for home birth and the natural way, I have to confess I lament a little less. (observer.guardian.co.uk/woman/story/0,,2237776,00.html)

This is not, however, because I am one of those natural birth teachers who believes in natural birth at all costs. As the grateful beneficiary of an emergency caesarean I have had first-hand experience of the perils of nature and the blessing that is major abdominal surgery. I do not believe a woman has failed if she does not give birth naturally. I do not believe a woman should be cajoled into a particular birth- natural or otherwise- by anyone or anything.

The reason I confess to a small quiet internal celebration, is that when something is in fashion, the general public become more open to it. Whereas the great voices in the world of birth found themselves knocking their heads against a wall 30 years ago when they questioned hospital protocol, now the debate is loosening up. We actually have debate. People are thinking once more about what it means to be born, and questioning the predominance of technology in the birth place. Only 2% of births take place at home now, but ‘home birth’ is beginning to take up a disproportionate amount of column inches. And best of all, instead of being bombarded with horror stories, these zealous celebrities speak of celebration and empowerment and positivity. Just the language we need to begin to develop a more balanced and measured view of birth in our culture. Hail to the fashionistas!

Birth in Australia

Wednesday, October 31st, 2007

SMH
If you thought women had few choices here, just be thankful that you are not in Australia, which seems positively draconian by comparison.

Read this article from the Sydney Morning Herald… http://www.smh.com.au/articles/2007/10/27/1192941404609.html

I am not sure about the argument that Australia’s size makes home births unsafe- most people live in cities!!!!