Dearest Sue
Just wish you were close by so I could nick around and give you a great big
hug right now.

Many of know the woman Sue Cookson and we admire her for her wisdom,
strength, support, love and total care she gives to the women who choose her
for their birth experience.  Maybe Sue you should present your stats to
someone like Andrea Robinson (independent) to publish and distribute to
those who have maligned you (or write a book).

The reality is that not much has changed over the past 30 years, in fact the
intervention rate has rocketed out of control.  Nearly every woman I see for
a breastfeeding problem and the number is high relates back to a traumatic,
out of control birth experience - disempowerment of women - high levels of
depression among these women - the system blames the women.  What hope do
they have?

Even in the days when the old GP and midwife worked together with women in
the community there were many more satisfying birth experiences.  My mother
in law (5' tall) laboured for 3 days at home with the her GP and midwife,
large posterior baby (my husband's brother - first born)  the family there
to support her, no negative feedback, she spoke always of the wonderful
challenging experience. She nurtured and loved her grandchildren and was the
quiet and strong matriarch until her death. This tight knit family has stuck
together through thick and thin over the years and I feel sure that the
empowering experience (hard and painful) birthing her son is the reason the
family is strong and united.

The mental, physical and emotional trauma experienced by women who encounter
the medicalised approach to 'saving women' in labour and birth (the hero
effect)  can never be properly measured.  Only those of us who have the
privilege of experiencing pregnancy, labour, birth and afterwards out of the
system and have the knowledge of the comparative behaviours and experiences
in the system can really see the BIG PICTURE.

Sue, maybe it is time to rest for a while, contemplate, restore your energy
and relight the flame - to return to the women with your wisdom and
experience after you have had time to recuperate and heal these sad times.
(I have also taken 3 months off just to be myself for a while). Those of us
who know you well know how hard it is to survive in the natural and
nurturing world of birthing especially when confronted/attacked/abused by
such powerful opinions, negative language and behaviours.  Most of all these
opinions etc are framed without the slightest knowledge or respect for your
long lived experience.

When the sun comes over the horizon tomorrow Sue, just think you are another
day ahead.  This means live one day at a time and enjoy as many as you can,
rest and rethink when the time is right.

Lots of warm and loving wishes to you and your family

Robyn



-----Original Message-----
From: [EMAIL PROTECTED]
[mailto:[EMAIL PROTECTED]]On Behalf Of Sue Cookson
Sent: Sunday, January 05, 2003 3:27 PM
To: [EMAIL PROTECTED]
Subject: [ozmidwifery] DISHEARTENED ANGRY AND ASHAMED


Hi all,
Am writing my last missive to this list but would love some replies before I
sign off.

I was in attendance at a Christmas day birth.
41 week  34 year old primip, everything normal in pregnancy, but endured
severe pain in early labour and was unable to 'break through' this. So, 24
hrs after SRM, and 12 hours of severe pain, 3 cms and needing help. Light
mec with some tachchardia.
Arrival at hospital at 7.30 am
First midwife (older and 'very experienced') declared baby to be either
breech or OP. Wee in this cup she demanded to a woman who was screaming in
pain. Lie here then and examined her through a contraction ...probably OP
...
Next came the Resident who asked the woman how tall she was. 5'2" was the
reply - Well your husband had a big head so there is probably disproportion,
and baby will not fit through.
Our request was simply for an epidural for pain relief. Next doctor arrived,
the registrar who said " I will order an epidural, a syntocinon drip and
antibiotics" (the latter because she was prolonged rupture of membranes).
We just want pain relief was her answer - no  to routine antibiotics and
routine synto. "So what are you going to do," he asked, "just lie about all
day?"
Next midwife on duty had been an independent midwife for 10 years. She
repeated the request about 10 times to have synto set up - this with a baby
whose heartrate was incredibly variable, and whose contractions had remained
very strong throughout. Fresh mec appeared on and off.
Catheterised with a bag against our request - we were happy for the catheter
to be inserted and removed, but not left in. "I can't take it out, says the
ex homebirth midwife, because I might need to catheterise you again."
To cut a long story short, all we asked for was 4 hours of pain relief
followed by a period of being active, maybe cutting down or out the
epidural, and assessing progress. Such a big request?? ( I had experienced a
similar situation only a few weeks before with a wonderful outcome of baby
being born vaginally and home 3 hours later - same hospital, next door room)

The ex homebirth midwife said she had never seen anyone up and active with
an epidural in, and then said the woman failed the 'test'to be able to
manage that (left leg was pretty heavy). She could not take responsibility
for the woman to be active.
We negotiated our way through that ... ambulate at our own risk...
Hours later progress was negligible, so we asked for a few more hours, being
hassled the entire way about oxytocics.
So about 12 hours after admission there, we agreed to a c/section after no
progress. We negotiated a lotus birth and that was agreed to.
So baby born 8.30 pm Christmas Day by epidural c/section.
Apgars 9/9 but baby held at the resus table for 13 mins anyway - after being
told that if she was 'pink and screaming' she would go straight to mum. baby
then to mum for a brief 'look' then off to wherever.

Told she was a little off colour - this followed by a decision to put babe
in special care for 4 hours for observation. Luckily lovely midwife had come
on duty and took baby out of special care and in to dad's arms until mum was
out of recovery and back in her room. Initially told dad could stay there
(single room) but when requested a mattress, told dad had to go home (45
mins away) Lotus birth presented a major problem to the staff, who told mum
it put them at risk, and in fact wrapped placenta up in industrial waste
bag/ toxic waste plastic bag.
Second morning slight redness at umbilicus, with streaks up baby's tummy.
Baby whisked off to special care nursery and on IV antibiotics. NOTHING has
shown up on  skin swabs and blood tests done at birth or since. Cord cut off
with midwives telling mother how dirty it was ...

There are a lot of things I have not included here - the looks, the
inferences, the queries about who the support people were, the obs who came
in pointing at us asking our names, the sighs, the comments to the mother
about 'your type' (funny eh, this couple both work...)

This woman was made to feel she could not achieve normal birth, her baby was
too big for her, her baby was in a bad position, her requests were
unreasonable, her decisions were from poor information, her lotus birth was
'dirty' and a health hazard.

She gave birth to a 7lb 5oz baby who was presenting OT. No obvious reasons
for failing to get past 4 cms.

I am totally disheartened at how little movement the 'normal/natural' birth
movement has made in the medicalised system of childbirth in the last 22
years. The midwives who took part in the birth were active participants in
the demoralisation and bullying of this woman and her partner and her
attendants. They collaborated to intimidate and pressure her into various
positions. There was no serving of this beautiful pregnant, labouring
mother, but only the intention to make her fit into a very narrow and closed
medical framework.

I cannot and will not continue to support this method of childbirth in any
way. I hope that most people on this list do not work in this manner, but I
am also aware after being on this list for many years, that there are too
many midwives in Australia who DO NOT KNOW WHAT THEY DO by behaving in
similar ways to the midwives I came into contact with over the last 96
hours.

I care totally for the emotional state of the women I see - the c/section in
this case was not a problem, but the narrow and judgemental attitude of far
too many of the people involved in this birth was an enormous problem.

Well this is one birth attendant who is signing off, from the fight, from
the work, from the discussion. The birth scene has gone SO FAR away from
normal that it is really scary.

Good luck to you all and good luck to all of you who think you can make a
difference. After Christmas Day I am damned sure no one person can stand
alone and make a difference for others. All one person does is put herself
at risk of ridicule and danger, irrespective of her heart's desire and
intentions.

I know I have  a good heart, I work so hard for all the pregnant women and
families I have served.

I grieve for all the women who give birth in hospital with the type of
midwives I experienced recently. No wonder our children are being born with
high levels of syntocinon abuse, epidural damage leading to such increased
mevels of autism and ADD etc that our Australian society is experiencing. No
wonder our women have such high levels of PND.

Disheartened, angry, and ashamed - the shame? Of the abuse, misinformation
bullying and lack of true care our 'system' can and does give out, all in
the name of midwifery and [medicalised] childbirth.


Sue Cookson
mother of 4 homeborn gorgeous children.







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