Western Bulldog Brian Lake* has requested that his wife be induced 2 weeks before her due date so that he can 'focus on the finals'.
Since when did it become acceptable for football to trump the birth of your first child? And why on earth would his wife agree to such a preposterous and unnecessarily risky request?
When women are induced, there are given pitocin which is a synthetic form of oxytocin, the hormone that kicks off labour. With induction, there is no gradual build up with contractions become increasingly stronger and more frequent over an extended period of time. Induction essentially sticks women right into the second stage of labour so contractions are strong straight away. Some studies have shown that induction is linked caesareans because when you don't have a gradual build up to get your body used to being in pain, women often will have an epidural because the contractions are so strong straight away. As a result, for some women labour is slowed with the epidural, they can't push as effectively, the baby can become distressed and then needs to be born surgically. There are also considerable risks with induction including brain damage to the baby as a result of lack of oxygen if contractions are too strong or too frequent.
In my mind, unless induction is medically necessary, I can't conceive of how one could justify putting the lives of loved ones at risk. When Adam Gilchrist's** son Harrison had complications after being deprived of oxygen in his induced birth before the 2002 Boxing Day Test, he wondered if the induction was partly to blame. "Looking back, it seems stupid that I got myself into that position. I should have just walked away from cricket for the critical week or weeks, however long it took," Gilchrist wrote in his autobiography True Colours.
What is really worrying is that that having high profile people in the community participate in these sorts of things, it sets a precedent by which it becomes increasingly acceptable to have interventions in birth unnecessarily.
I am befuddled that his wife's obstetrician would consent to doing this. Considering we now live in an age in which patients have power as paying consumers of medicine, is an obstetrician breaching their duty of care to the patient by ceding to the patient's wishes for a scheduled birth (and of course the same argument can be made with regard to elective caesarean)?
BIRTH IS SUPPOSED TO TAKE TIME, DAMN IT!
*this is an Australian rules football player for those of you who are outside of Oz
**Australian cricket player
Showing posts with label induction. Show all posts
Showing posts with label induction. Show all posts
Choices in childbirth more complex in 2009
Welcome to 2009. What better way to celebrate the new year then to see new statistics from NSW that show a huge disparity between childbirth intervention rates in private and public hospitals. According to recent reports, here are some humbling statistics:
Although there are not any easy solutions to such a complex issue, particular when it comes to the role of choice and power in hospitals, it seems that some things can be addressed quite easily. For instance, midwives often encourage women to give birth standing up or in other positions that progress labour more quickly and effectively. When women have epidurals, standing is not possible.
Any Aussies out there who feel they were forced to 'choose' intervention during birth?
Source: http://www.smh.com.au/news/national/the-painful-truth-about-childbirth/2009/01/02/1230681748836.html
- the caesarean rate is hovering close to 40% in private NSW hospitals
- between 1/4 and 1/3 of women in private hospitals have an episiotomy compared to only 10 % in public hospitals
- forceps and vacuum deliveries comprise nearly 15% of all private hospital births
- in one NSW private hospital, only 4% of women go without any pain relief
Although there are not any easy solutions to such a complex issue, particular when it comes to the role of choice and power in hospitals, it seems that some things can be addressed quite easily. For instance, midwives often encourage women to give birth standing up or in other positions that progress labour more quickly and effectively. When women have epidurals, standing is not possible.
Any Aussies out there who feel they were forced to 'choose' intervention during birth?
Source: http://www.smh.com.au/news/national/the-painful-truth-about-childbirth/2009/01/02/1230681748836.html
Jamie Lynn: on the cover of Ok!
The photos are in. In the midst of a raging moral panic about teen pregnancy in the US (hello, Gloucester!), Jamie Lynn Spears has come out of hiding to pose with her baby Maddie for Ok! She was induced but had a 'natural' birth in about 4 hours. She says:
"Once I got in there, my doctor was just so calm and so good it was not bad at all," she says. "I was just talking to Casey. And you know what's so weird? I was asking him if he was okay. He was like, 'Yeah.' We were both so excited."
Hmm. This Casey is clearly a man of few words. And what is with her hair? It looks like a blue rinse!
Source: http://www.okmagazine.com/news/view/7750
A tour de force of birth
I finally saw On The Business of Being Born (OTBOBB). Ricki Lake and Abby Epstein have created a film that will make you experience what feels like a lifetime of emotions in the short span of 85 minutes. Navigating the streets of New York with a lone midwife on a mission to bring birth back into the home, OTBOBB draws on the experiences of pregnant women as they navigate the bureacracy of the American maternity system. In between providing a brief history of medicalised birth, the most profound and ultimately moving feature of this film is the up close and very personal view of birth---something which most women have never witnessed until their own. Babies are born throughout this film in some of the most humbling and beautiful footage I have seen on the subject to date.
Whilst the American and Australian maternity are relatively similar, the glaring lack of midwives in the American system is where the cracks in the foundation begin to show. The overwhelming use of 'pit' or pitocin in New York hospitals where an astounding 90% of births are induced is the trigger for the cascade of interventions to which American women are subject in contemporary maternity wards.
Thus, it is easy to see how the production of oxytocin, the naturally occurring hormone in women's bodies that triggers birth and is also described as a 'love' hormone to help with bonding when the baby is born, is stifled in this environment. The use of 'pit' or syntocinin (in Australia) is a synthetic form of oxytocin. However, when women are induced with this synthetic form of oxytocin, contractions are much stronger. When contractions are stronger, there is more pain and it is no wonder that the obstetric residents in certain NY hospitals were shoving epidurals in womens' spines as soon as the pain started to increase. However, epidurals slow labour right down. Ironic, eh? Women are induced to speed labour up in order to keep more beds open and the turn-over high in American hospitals. Yet, induction = pain = epidural. This slows labour down and puts baby at a higher risk for complications. The naturally occuring oxytocin? Replaced with adrenalin, the 'fight-or-flight' hormone which is produced when women are afraid or feel unsafe. No natural endorphins, no oxytocin. Just fear, shame and 'failure'. And you know what happens next? Caesarean. NY state hospitals have some of the highest caesar rates in America, hovering at 46%. Birth centres are closing faster every day due to the daily battles against insurance companies, rising costs and the inability to compete with hospitals. Homebirths? Only 1% of all births in America.
OTBOBB portrays modern birth as a battle being waged on women's bodies. There are no 'choices' when birth is left in the hands of 'experts' and midwives are nowhere to be found. Australian women are lucky in the respect that 'normal' birth is largely left up to midwives. However, the intervention rate is still extremely high in Australia and there is a growing lack of trained midwives available to all of the women that need them. Hospitals are increasingly reluctant to hire midwives because it is a competition for their obstetric business. Moreover, private midwifery care is rarely covered by insurance but this is most likely changing.
I had chills watching this movie. There were times when I felt so angry watching women in hospital being moved around like cattle, being told they had to be induced without any information provided to them as to the risks of the procedures being performed on their bodies. Informed consent is pretty much non-existent in the American system. America has one of the worst infant and maternal mortality rates in the world despite being one of the richest countries. Why? Birth has been taken out of the hands of women and their bodies are used to line the pockets of insurance companies, hospitals and obstetricians who don't care about the process but only about the product. As long as a baby comes out alive, it doesn't matter how it got there.
YOU MUST SEE THIS MOVIE.
NOW.
YOUR LIFE DEPENDS ON IT.
Whilst the American and Australian maternity are relatively similar, the glaring lack of midwives in the American system is where the cracks in the foundation begin to show. The overwhelming use of 'pit' or pitocin in New York hospitals where an astounding 90% of births are induced is the trigger for the cascade of interventions to which American women are subject in contemporary maternity wards.
Thus, it is easy to see how the production of oxytocin, the naturally occurring hormone in women's bodies that triggers birth and is also described as a 'love' hormone to help with bonding when the baby is born, is stifled in this environment. The use of 'pit' or syntocinin (in Australia) is a synthetic form of oxytocin. However, when women are induced with this synthetic form of oxytocin, contractions are much stronger. When contractions are stronger, there is more pain and it is no wonder that the obstetric residents in certain NY hospitals were shoving epidurals in womens' spines as soon as the pain started to increase. However, epidurals slow labour right down. Ironic, eh? Women are induced to speed labour up in order to keep more beds open and the turn-over high in American hospitals. Yet, induction = pain = epidural. This slows labour down and puts baby at a higher risk for complications. The naturally occuring oxytocin? Replaced with adrenalin, the 'fight-or-flight' hormone which is produced when women are afraid or feel unsafe. No natural endorphins, no oxytocin. Just fear, shame and 'failure'. And you know what happens next? Caesarean. NY state hospitals have some of the highest caesar rates in America, hovering at 46%. Birth centres are closing faster every day due to the daily battles against insurance companies, rising costs and the inability to compete with hospitals. Homebirths? Only 1% of all births in America.
OTBOBB portrays modern birth as a battle being waged on women's bodies. There are no 'choices' when birth is left in the hands of 'experts' and midwives are nowhere to be found. Australian women are lucky in the respect that 'normal' birth is largely left up to midwives. However, the intervention rate is still extremely high in Australia and there is a growing lack of trained midwives available to all of the women that need them. Hospitals are increasingly reluctant to hire midwives because it is a competition for their obstetric business. Moreover, private midwifery care is rarely covered by insurance but this is most likely changing.
I had chills watching this movie. There were times when I felt so angry watching women in hospital being moved around like cattle, being told they had to be induced without any information provided to them as to the risks of the procedures being performed on their bodies. Informed consent is pretty much non-existent in the American system. America has one of the worst infant and maternal mortality rates in the world despite being one of the richest countries. Why? Birth has been taken out of the hands of women and their bodies are used to line the pockets of insurance companies, hospitals and obstetricians who don't care about the process but only about the product. As long as a baby comes out alive, it doesn't matter how it got there.
YOU MUST SEE THIS MOVIE.
NOW.
YOUR LIFE DEPENDS ON IT.
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