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Dear Denise,
EM in Queensland means endorsed
midwife.
Perhaps I did not explain myself properly. I
believe many of us see pathological pain states in labour more often than we
care to admit. I believe this occurs because most of us in Australia work
in pathological birth environments where there is a lack of endorphins between
midwives and midwives; midwives and mothers; doctors and midwives; doctors and
mothers. Particularly where the woman feels
intimidated, frightened, where there is no trust, no continuity of care; no
informed consent; no love in the medicine......
Odent helps me to understand this fully when
he says "women can undilate with one unkind glance....He states "If
the method of the mammals be inefficient in any particular instance there must
always be teams capable of doing epidurals to compensate for the lack of
endorphins; to use drips to compensate for a deficiency of hormones from the
posterior pituitary; to perform cesarean sections to rescue babies in
distress....but it should not become the usual way to be born". By saying
this it could be said that he is inadvertantly supporting these
methods. However you and I know that this is not the case. He legitimises
the womens pain because the environment is so pathological in comparison to
what the normal birth process requires.
On more occasions then we care to admit, many
midwives in the hospital environment feel powerless to keep a safe
space for the woman; to allow the complex cascade of hormones to be released in
the womans time and not our time; to limit the use of abusive
language to women. All to often we succumb to the patriacial domination of
the environment in which we all work.
The use of the language "severe pathological pain"
occurs in Oxorn and Foote (1986) The authors refer to this pain state being
associated with "a malpresentation; or when the uterine action is
abnormal as in the incoordinate uterus, where the propagation wave does not
start at the pacemaker part of the uterus. They talk about "cervical
dystocia, obstructed labours, contractile waves with inverted gradients where
the normal contraction begins in the lower segment and moves upward. The
polarity of the uterus is reversed and the is no effacement or dilatation of the
cervix. Pain may be present all the time and is out of proportion with the
intensity of the contractions". We have all seen women like this and some of us
have not appreciated the extent of their pain because it does not show up on the
monitor, or we cannot palpated the contractions; or they are just prostin
pains. These women are deemed not in labour, therefore it does not legitamise
their pain.
Denise as you have inferred, and I wholeheartedly
support, the environment is not conducive to normal birth. My
continuation on this note is that the womans pain does become pathological in
many instances and does require extraordinary means to releive it because the
environment for birth is so abnormal. "Failure to progress" becomes the physical manifestation of a woman who
is spiritually unsupported.
It is these above situations that I am referring to
when I am describing pathological pain states. It is my belief that it is our
lack of continuity of care that is utimately responsible for why pethidine and
epidurals become so necessary to some women and many midwives.
I can not remember the last time I initiated the
use of pethidine or epidural to a birthing women. I am fortunate that the
births I often attend are unmedicated and normal. I put the hard yards in,
I dont deliver obstetric solutions from the desk. I strive to be totally
connected to the energy surrounding the birth . I once had a birth bag
which carried the odd bit of aromotherapy, rescue remedy, crystals....I
wish to reestablish these modalities in a legitimate way....
On a positive note I delivered my first baby 3
years ago at the Birth Centre at the Royal Womens in Brisbane. I had a
waterbirth, no drugs, no stitches, I breastfeed for 12months, I had Tania
Nairn and Trish Schneider (DON of RWH) as my midwives who were experienced,
supportive women who had an incredible faith in the power of the normal
birthing process. I was informed; I used alternative therapies to deal with my
pain (rescue remedy, water, homeopathics, aromotherapy) The birth centre gave me
a choice to use these modalities.... Why should it only be available at the
birth centre and not to all women who wish to achieve an unmedicated normal
birth.............God Bless. Jennie.
P.S I Have just read the Revelations in the bible
and God forbid the crystals are mentioned in a positive way........I will remain
ever so delighted with the fact that Jesus was born in a manger and my baby
received the same care, my son has been given the opportunity to
remain deeply contented to humanity. I thank my midwives for that now and
always........
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