Urg and Urg
My stomach has joined in The Fight Against The Rest Of My Healthy Body. Oohhhh has it. Major tummy troubles today… being stuck in traffic on the way home really really sucked. It keeps making noises. Gurgles. Very very unpleasant gurgles.
My appointment with the ENT is scheduled for next Tuesday afternoon. I really hope this virus thing will be gone by then so he can start looking closely at the other issues hiding beneath that won’t go away. Allergies maybe? I feel really whiny about that. I’ve never had allergies. I rather liked being allergy-less.
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So I hear a lot of birth stories lately. A lot of them sound remarkably similar. Long pushing, failure to progress, c-section. Today I was trying to catch some details.
A frustrating theme I hear is of the nurses ignore the woman regarding the progression of labor. I’ve heard several stories of the woman KNOWING she was going fast, nurses telling her she isn’t. Guess who was right? I especially love it when no one is ready for the baby to come, so the doctor isn’t there, and they either tell the woman not to push or they *hold the baby in* so the doctor can rush in and “catch” the baby who was well on its way without him, thankyouverymuch. I just want to shriek when I heard these things. What the fuck??
But what really catches my ear is the pattern of things going too slow, so the doctors give medication, and when that fails they c-section. Or they just jump for the c-section. You know what I’m NOT hearing? Women being encouraged to change position! There is a time and a place for an epidural or other medication with the intention of getting labor past a stall – and it usually has to do with relaxing the woman, relaxing the muscles, and allowing labor to progress as it should. So there are instances that I’ve heard of that being used successfully – but in the overwhelming number of cases it fails. Changing positions is free, easy, and has remarkable success. Doulas and midwives know the value of this tool, and I hear it again and again. Laying on your back is usually the worst position to be in during labor. It’s common sense: you are pushing a heavy object out a small hole. You need gravity to work with you! And beyond that, every labor is different, every woman is different. Some women do best on their sides, some do best squatting, some do best reclining. And yet their first move is to impose the exact same position and progression on every woman. That makes no sense!
If nothing is working and there is reason for concern, then by all means call a section and get the baby out. But why on earth jump to that point before trying the most basic solution?
Oh wait: epidurals. And when the woman doesn’t have an epidural the nurses frequently forget that their patient can move because they are far more used to an epidural labor.
Just makes me shake my head. I know there is absolutely nothinig I can do for these women after the fact and in general I keep my mouth. But it really does underscore how important it is to educate the doctors and nurses and hospitals – and the patients.