Thank you so much to all that responded to my query. It's been very helpful
and I look foward to following up the books that have been recommended.

Tania
----- Original Message ----- 
From: "Carolyn Hastie" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Friday, November 19, 2004 4:40 PM
Subject: Re: [ozmidwifery] Labour and Birth - the 4 P's ????


> What a fantastic journey to undertake Tania.  I find it interesting how
> you have been asked to consider these aspects using the multifocal
> framework of anatomy, physiology, psychology, sociology and midwifery
> care. It's also interesting that you are  STUCK as many women are in our
> society as we have sought to be reductionist and assembly line about
> this exquisite, sexual, holistic, organic, dynamic, transformatitive
> dance/process of birth :-)
>
> Some references to assist you (and I'm sure  others will have other
> ideas too)
>
> Derek Llewellyn Jones " Fundamentals of Obstetrics and Gynaecology" (an
> oldie but a goodie for the physical aspects) has a lovely run down on
> the " Powers, passenger and passage".  I'm sure you will find it in the
> Uni medical library. I have always found the drawings in this particular
> book very helpful (just need to turn the page around to imagine the
> woman upright! and of course the parts are without " the woman" .  The
> other hilarious, but sobering thing about this book and many from that
> era is the language and the fact that women's bits are represented from
> a male anatomical point of view. What do I mean by that? well, the lower
> segment of the uterus in the older versions are said to be "poorly
> endowed with muscular fibres..." er...compared to what?  And of course,
> that the lower segment of the uterus has exactly the right kind of
> muscle fibres to do the job it is meant to do completely escaped the
> good Derek (and others of his ilk).  But you can see how that kind of
> language has led/reinforced and encouraged the view that women's bodies
> are inherently defective.
>
> Psychological Processes of Childbearing by Joan Raphael-Leff; Mind over
> Labour by Carl Jones,  Birthing Normally by Gayle Peterson, Women's
> bodies women's wisdom by Dr Christianne Northrup and of course Spiritual
> Midwifery by Ina May Gaskin are all very useful resources for the Psyche
> :-)  There are so many more, the Birthing from Within book by Pam
> England etc and Transformation through Birth by Claudia Panuthos are
> excellent.  These books all demonstrate that what affects the inner
> experience/event of labour affects the physiology.
>
> Childbirth without fear by Grantley Dick Read is a fantastic read and
> he set the stage for the understandings that have since been
> proliferating about the fear tension pain syndrome.  Dr Candace Pert
> wrote Molecules of emotion and that is wonderful for understanding more
> and validating Dick Read's theory.
>
> Dr Sarah Buckley did a great article in ByronChild about the
> endocrinology of childbirth in an article called " Giving Birth: the
> endocrinology of ecstasy".  And of course Michel ODent has written
> extensively about oxytocin, the love hormone.
>
> The article " Maternal confidence in coping with labor" by Nancy K Lowe
> in JOGN Nov/Dec 1991 discussses how confidence in one's ability to cope
> with labour is critical in the perception of pain during labour.
>
> For further thinking, the Relaxation response by Dr Herbert Benson
> demonstrates how thinking relaxing thoughts produces changes in the
> electrical activity of the brain. We know that accessing slower brain
> waves, and enabling the impulses from the primitive brain area to take
> over is what is needed for women to labour and birth well.
>
> and then there is the environment....  what we do as midwives/health
> services etc
>
> Niles Newton in Maternal emotions demonstrated that disturbances in the
> environment had significant effects on birthing, noting that the release
> of oxytocin is easily conditioned and inhibited by outside stimuli. We
> now know that oxytocin, relaxin and endorphins are part of the
> relaxation response and are bonding hormones. Catecholamines, adrenalis,
> cortisols are part of the fear fight/flight/freeze response and are a
> separate and overtaking pathway when the person feels or senses a
> threat, so labour is stopped, blood is sent to essential organs and arms
> and legs for a quick response, the uterus is not considered essential in
> this instance and blood is diverted away....leading to fetal
> distress....etc
>
> So the woman is subject to influences from her inner and outer
> environment....
>
> What a great topic. I've had fun thinking about all this.  There are
> lots more interesting books, articles and information, but I'm sure
> others can suggest a lot too.
>
> warmly, Carolyn
>
>
>
>
> Carolyn Hastie
> Midwifery Educator
> John Hunter Hospital
> Locked Bag No 1
> Newcastle Mail Exchange 2310
> Australia
> Phone 02 49214462
> Mobile 0418 428 430
> Paging ring JHH 4921 3000, page # 5528
> Email     [EMAIL PROTECTED]
>
> " Good motto to live by:
>
> Life should NOT be  a journey to the grave with the intention of
> arriving safely in an attractive and well preserved body, but rather to
> skid in sideways, champagne in one hand and strawberries in the other,
> body thoroughly used up, totally worn out and screaming "WHOO HOO - What
> a Ride".
>
> Author unknown
>
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