Denise my dear:
 
The guy is Caldeyro-Barcia, and he is from Uruguay, right besides my state, Rio Grande do Sul, in the extreme south of this huge country Brasil. We have had, in the northern Brasil,  one of the most fantastic obstetricians in this conteporary world: Galba Araujo, that worked with TBAs in rural areas, and made a revolution in maternal and perinatal mortality rates.
You know, Caldeyro-Barcia's daughter is Lucia Caldeyro, that is a doula that works in S�o Paulo, and is a close friend of mine. Caldeyro was my idol when I was a medical student, and once I was presenting a lecture in S�o Paulo and I said that Caldeyro, Galba and Marsden Wagner are my idols in medical field. At the end of the reunion she said: "So, you like my father's work?" I said: "Are you Caldeyro-Barcia's daughter?" She laughed and said "Yes"..   WOW....  That's fantastic.... I got embarassed to know her, because her father was a God to me...
I would like to say some words about the "Friends in Light"...but, Maria Helena, the creator of the project, is trying to join this list, with no success till now. I prefer she says something about that, mostly because she has a much better english than mine.
Brasil is quite different from Australia and N Zealand. We are similar to USA, because tecnocracy here is absolutely dominant. We don't have ONGs already strong to protect women or birth, as USA has, or Australia (I think you do have some there...). Doctors are Gods here, and machines are replacing the relationship doctors used to have with their patients. Like the american medicine we are going to a dead end, a real "cul de sac".
But... in Brasil we DON'T have midwives in urban centers, and we only have a few ones in rural and poor areas in the extreme north and northwest of Brasil. We have very few nurse midwives delivering babies in some cities, like S Paulo, but that's much less than 1% of births. My wife is a nurse-midwife (the most charming and sexy I've ever known.. LOL) but she works as a regular nurse. She don't have permission to deliver babies in the hospital she works, even working in the obstetric ward of a great hospital here. She witness every day the institutional violence against women (proibition of parents at the delivery and labor, pytocin, episiotomies, upright position, etc...) and can do nothing besides crying in my shoulder when she arrives from the shift. So, doulas could do a good job in hospitals here, working along with tecnocratic doctors and nurse (also tecnocratized professionals). They could be cushions of women in labour. It's a different scenario than what we see in countries that have nurse-midwives or midwives (direct entry ones) that can really assist births.
We are in stone age of humanization, that's why every victory here is so great, and the struggle to modify the context is so hard. Anyway it's a fantastic task, a marvelous fight to give dignity, caress and love to all these women giving birth
The idea of "Friends in Light" is to put another actor in the birth scene, so we can, step by step, modify the relationship of these tecnocratic professionals (nurses and doctors) with women.
Maybe when we can gather a great number of midwives and humanized doctors here, doulas will be no longer necessary. That's what I expect to find in this century. Not for me, of course, but for my granchildren, maybe.
Sorry my dear friends for this "uga-uga" english...
And you are right, Denise... This is a marvelous country...
And here we love to kiss !!
 
Kisses for all of you !!
 
Ric
----- Original Message -----
Sent: Thursday, September 05, 2002 11:45 PM
Subject: Re: [ozmidwifery] Doulas in Brasil

Dear all
I travelled around Sth America including Brazil when I was younger and Ricardo's Kisses!!
brought memories back of my fabulous time particularly in Rio.
 so thank for the warm fuzzies
 
 
As the continent that brought the world Kangaroo Care and Caldo-Barcia we know we can learn from you also!
 
obrigato (?? my brazillian spelling)
 
Denise
----- Original Message -----
Sent: Friday, September 06, 2002 9:50 AM
Subject: [ozmidwifery] Doulas in Brasil

Dear Denise:
 
Next month (october) I will be in Cleveland, giving a lecture about Humanization on Childirth in Case Western University, showing my own experience with birth. It will take several years to transform birth in Brasil in a women centered and cientifically based assistance, and I honestly think that doulas is a valid way to do that.
I would love to know Sydney, and I am sure I will do that someday, bur still have to get enough money to do that.
Andrea... I will read the doula articles  you wrote, Andrea.
I know it's controversial, but I don't think that allowing parents to enter the obstetric ward colides with the idea of having a doula to give assistance to the laboring woman.
Nurses in my country don't have time to do that. They are a few in the hospital, and are involved in burocratic stuff. It's almost impossible to see a 1 to 1 care with nurses here. And, besides that, universities in Brasil graduates nurses as tecnocratic as doctors. That's a hard scenario, but that's why we all here... to change a bit and to give a better world to our kids... :o)
Anyway, I am opened to that discussion, and I want to learn ALL the alternatives to give dignity and power to women giving birth.
 
Kisses !!!
 
Ric
----- Original Message -----
Sent: Thursday, September 05, 2002 8:46 PM
Subject: Re: [ozmidwifery] Hello - Brasil here...

Dear ricardo
Welcome
Are you coming to the International meeting of OBs in Sydney next month??
Denise hynd
----- Original Message -----
Sent: Friday, September 06, 2002 4:29 AM
Subject: [ozmidwifery] Hello - Brasil here...

Hello everybody:
 
My name is Ricardo Herbert Jones
I am an obstetrician from Brasil, and had the pleasure of meeting Andrea Robertson this year in a Congress about Humanization of Childbirth in S�o Paulo, Brasil.
As an obstetrician I would like to share experiences with midwives and doulas all around the world, because I think that humanization of birth is an issue that has to do with every single person in this planet. Even thou only women deliver babies (yet - who knows where the tecnocratic paradygm will takes us?) all of us were once born, and lived during a limited time in a woman�s womb. Were we rescued from there by doctors and eletronic devices or were we cherished by mom�s tender body till we entered this world? These are different ways of looking to the same event. As I grew old (I am 43 now, and work with births from 20 years) I learned that women shall be treated with caress and gentleness. Birth in our tecnocratic society is seen as a mechanic phenomenon, and doctors usually see their patients as objects, and not as persons and subjects. That�s a terrible thing, because it�s a human�s right problem.
I am one of the leaders of Rehuna (Humanization of Childbirth Network - Brasil) and our struggle now is to empower women in their decisions about chilbirth and force the government area to humanize the assistance to women in the public hospitals. The first step is a doula project, called "Friends in Light", to graduate doulas and doula trainners in Rio de Janeiro.
Ok, as u can see my english is not quite well, and I love to talk too much...
Hope I can get good advices from you all.
 
Ricardo Herbert Jones
Ob/Gyn and Homeopath
Porto Alegre - Brasil
 
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