HMW 40 Insights from Book part 3

Whilst sipping on a cocktail at a costume party I clocked on to someone in the corner of the room sharing tales of hippies in Berkley and recalling 'this time a woman gave birth to her child in the back of an old Ford in the rain.' Only one person knew that story. Could it be? Surely not. Wait a second. Yes, yes it was. The person standing in a giant baby costume was indeed Peggy Vincent. Enthralled by her chronicles of a midwife throughout the decades, her no nonsense approach to birth fascinated me, so I decided to introduce myself. "Nice diaper" "Excuse me?" she replied, bemused at this girl standing infront of her in a wonder woman outfit. "Don't worry.." embarassed I attempted to change the subject. "Hey, I just wanted to thank you for writing Birth." She smiled, I think I was forgiven for the awful joke. I continued- "Your 'childbirth is normal until proven otherwise' approach was refreshing. I loved the way that you reinforce that childbirth is unexpected, and mainly that it is different for every woman, as I feel as though most people pigeon hole their views. And your first hand experience was an added bonus that made me approach childbirth completley differently." She looked bemused I had spouted such an organised, almost thesis-like statement to her with a gold crown and red wellies on. "Really? Well wonder woman what were the most important or effective parts for you?" I took this as a challenge and knew it had to be good. "Well..." I paused for what seemed like emphasis but was really a moment to try and sound intellegent. "Well in the last third of the book, where you are discovering what it is like to be a mother and a midwife, and you reminsce about your stories of women through your time as a midwife. But let me be more specific-" At this moment Peggy was sipping on champagne through a baby bottle, which was not only very weird, but distracting to say the least. I started of with simple flattery "I love your frank, honest way of writing, afterall if you cannot be straight to the point and have no inhibitions in a business, midwifery should be it. For example, i've forgotten the page number but-" I was interrupted by a distracted Peggy who was patting herself down and murmuring to herself. "Aha!" she exclaimed as she pulled a copy of her book out from inside of her giant diaper. Reclutant as I was to take it from her she was pushing it in my hand, and eventually I caved. "Yes so, as I was saying, when you say '.. the womans eyebrows had shot up when she heard me say "vagina" and "placenta" without whispering' I thought it displayed the difference in compassion between doctors and midwives. I feel as though you demonstrate a emotional connection that goes far beyond a cold 'in and out' approach. And that would be on page 153. She looked surprised but impressed. So I continued yet again, high on the knowledge of a book I never knew I had. To me, the main point that you were trying to get across was that of "Childbirth is normal until proven otherwise." This was a powerful message to me as I feel as though there is a certain amount of fear instilled in pregnant women. That of things going wrong, the pain, horror stories almost. Your approach was refreshing. I agree that women need to be proud and not afraid of their bodies. The human body is a powerful thing that we often do not give enough credit, and I feel as though the dependance on hospitals and drugs has undermined the natural process that has worked for thousands of years. She nodded approvingly. This time the baby bottle was down. "One more thing.." I continued, hoping she wasn't getting too bored with my incesant talking. "On page 187 you say 'I felt like offering drugs to a woman during labour sent a message she wasnt handling labour well, and i didn't want to send that message.' I felt like this reinforced how there is a much deeper sense of connection and emotion with a midwife than doctor, as the woman feels reliant on the midwife to guide her through an emotional experience, rather than the doctor forcing drugs on an uncomfotable woman in labour in the hospital." She was smiling enthusiastically, but I knew I need to stop and let her talk. But to my surpirse she encouragingly asked "But what could I have done to make this book better?" I thought about this one, after all I didn't want to insult her, but thought I should stop arse kissing for at least a brief minute. "Well lets be honest your text sought to provide narratives, historical analysis, journalistic analysis and policy analysis from the perspective of a midwife for the book reading public to better understand pregnancy and birth in our culture. Given your book and the aim, the best advice I would give you for a 2nd edition would be to give the reader what they haven't already seen. Mix in a little statistical evidence along with the anecdotal. Or how about comparing birth stories of the US with that of different countries? Or maybe exploring the change in the attitude to natural childbirth since you published the book in 2003?" This time she looked a little less accepting of a girl in blue hotpants with stars on them giving her writing advice... "But I don't want you to think I'm criticising! I apreciate the immense amount of labour you dedicated to this important issue and particularly for making me think about the scrutiny people come under for their decision towards childbirth. There is not a one size fits all policy and nobody should be discriminated against. Not only this but also the emotional connection a midwife develops with her patients, and how much more emotionally invested you are in them generally than doctors. In fact, I am likely to consider a natural birth in the future as a result of your book. But hopefully not too soon!" She laughed and replied "Thanks! talking to you gives me hope about our future as a soicety! But Wonder Woman, you should really try not to sound like your reciting an essay in the future!" Finally, she winked and slowly walked away, sipping from her baby bottle on the way...

HMW 39 - Insights from book part 2

'Baby Catcher' by Peggy Vincent

Scribner

2002

1. In 'Baby Catcher' Vincent describes more of the ups and downs of homebirth, wehreas in 'The Business of Being Born' the filmmaker only depicts home births as being 100% positive. Also, the doctors try to persuade patients to comply with their desires, rather than informing them fully of the options.

2. To me, the major insight of 'Baby Catcher' is that a natural birth is a life changing experience that simply cannot be recreated by a hospital experience. "She sprawled on the edge of the bed,grunted once, and pushed her baby's head out." The romanticised way in which Vincent recalls her natural birth stories shed an illuminating light on the spiritual aspect of birth, and create an image that is incomparable to a hospital birth.

The fact that Vincent's evidence is anecdotal gives it an extra edge, as it is real stories from real women, but I cant help but wonder, 'ICBTS'? Whilst Vincent gives the odd sign of a non spiritual, idyllic scenario, there is always the prominence of an underlying triumph. I don't agree with the one size fits all theory, and whilst most of her stories are in the hippie era when the rejuvination of natural birth was erected I think that some women dont want to go through the pain, for there own reasons, and more of this opinion should be explored.

3.

5 Interesting aspects of pregnancy or birth:

• The spirituality factor of birth and why it does not occur so strongly in non natural births (according to Vincent)
• Hormones released during birth, Oxytocin and how and why it has been artificially mirrored in the drug 'Pitocin'
• Why doctors constantly change the rules and guidelines, ie. how long you can go overdue
• How a 'perfect' birth can affect the mother in comparison to a 'troubled' one
• The emotional investment comparison between doctors and midwives

4. "Women's bodies have a near perfect knowledge of childbirth; it's when their brains get involved that things can go wrong." -Peggy Vincent

I agree with this quote completley, and think that it perfectly sums up what Vincent is trying to get across in her book. I do not understand the mentality of inducing a pregnant woman if she is a few days overdue, isn't it common sense that the baby will come out when it is ready? I also think that this is the main arguement for natural childbirth. Woman delivered perfectly healthy babies for centuries the natural way before hopsitals and epidurals, so why now do we so desperately need the medical intervention? I think that one aspect of the reliance on hospital care is the terror that is instilled in women in our culture. Pregnant woman are overwhelmed with the horror stories of 'a friend's friend' who had a nightmare during birth, or the home birth gone wrong, rather than filled in on everything from the start.

HMW 38 Insights from pregnancy and birth part 1

The book is mainly complied from the author's, Peggy Vincent, stories about being a professional 'babycatcher' stemming from an inital meeting with a rebellious patient.

The main question the book tries to answer in the first 100 pages would probably be 'Why is natural childbirth superior to a hospital experience?' It answers this by giving Vincent's real life experience and stories of joyous natural birth experiences, with the occassional horror story of a hospital birth.
The fact that Vincent has worked in the childbirth area for so long gives the book credibilty as first hand experience is alot more effective to a reader. Although natural childbirth is great in theory, and obviously we had dealt without the hospital for intervention for centuries before, I am still a firm believer that it is up to the women and depends alot upon circumstance. I also think that this book (so far) seems to be slightly biased. It is fine to have an opinion, but supplying the reader with an equal amount of information and having them make the decision would be more refreshing than shoving an opinion down the readers throat.

Throughout the book Vincent demonstrates the reasons for natural childbirth, and the horror stories that working in the profession of childbirth can give you. She is a firm believer that childbirth is a natural process that the body is meant to be experienced naturally, and if done right, can be an enjoyabe and life-altering event.
Whilst I agree in theory, I feel like I don't have the authority or right to judge whats right or wrong in this situation as I feel like you should only do what feels right for you at the time. Whilst we can judge everything about each other I think childbirth is one of the only things that should be an acception. Everything depends upon circumstance and as Vincent agrees in the book, you can never 100% plan for childbirth, as at the end of the day, it will go completley differently.

5 aspects that deserve attention:
1. Hospital vs Home - Pros AND Cons rather than one sided information
2. How religion affects the above. Is there a trend among certain religious groups and birthing experience?
3. When did America come to be a generation of doctors, and switch from midwives?
4. Why the backlash against midwives? They were put in place for a reason.
5. Is there judgement around natural childbirth? By doctors, friends, family, yourself?

As said above I think Vincent's use of first hand experience gives the book an extra edge. Rather than just using statistics, which would be inappropriate for the topic, she uses stories about women and herself. Which eventually make the reader feel a connection with the author, resulting in them probably agreeing with her point more.

HMW 37 Commenting on Birth Stories

Jayson - BLOGGER WONT LET ME COPY AND PASTE!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
Jared - ^^^^^^^^^^^^^^^^^^^^^^^
Lina - ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^

(I did comment on them though)

Birth Stories

The nurse came bursting into the room- "Excuse miss, you have visitors. Shall i let them in to see you?"
"I don't even have my make up on yet! Give me some time and then you can let them in."
The nurse, who coincedentaly didn't have a scrap of make up on her face begrudgingly walked away. Laura sighed and took the Lancome foundation out of her pink make up bag and applied it to fresh face. She knew that everyone would have a camera and she wanted to look her best. No one wants to look back on the photos from one of the best days of their life looking pale and tired. No. Defintely not tired. Need. More. Conceler.

No longer than 5 minutes later the nurse came bursting back into the room declaring that she was going to let the visitors in as they were getting impatient- that was sure to be Laura's Mum, Ann. This nurse had obviously never done her make up in her life before as Laura hadn't even finished her mascara yet. She succumbed to the over bearing nurse that probably thought Rimmel was a car manufacturer, and let her family come in.

Everyone cooed over the little brown cherub that lay in Laura's arms. With a mane of thick black hair and long eyelashes she was everything Laura had dreamed of. From the moment she was born, Ruby was an observer. A busy body. Her huge brown eyes wide open. She wanted to see everything that was happening around her. And to this day she is still the same.

My subject was young when she was pregnant, 18, and 19 when she eventually gave birth, and i think this was a major impact on the process. She was heavily influenced by everyone else's advice as she was young and though that this was the best way to deal with it. There wasn't a doubt in her mind that she should go to hospital, rather than opting for a home birth as that was the norm. Although it is also the norm now I think that it has become more popular recently. Although maybe it is the most popular choice for a reason.

Hospital vs home, and do age and time have a difference on the decision?

The immediate thought i have when i think of birth is the process and how it is depicted on tv. How painful it truely is, and whether the melo dramtic screaming and panting is truely necessary. What also comes to mind is how everyone describes it as 'beautiful.' As we all know the process is far from beautiful so it must be the idea of bringing new life into the world rather than the excecution that everyone is banging on about. The visual aspect when I think of birth is far from a pretty one. Probably influenced by what I see on tv, I imagine a woman panting with beads of sweat flurrying down her forehead, screaming at her husband and everyone else who is in earshot.

In the age of reality tv I also started to think, will it become part of everyday tv? Todays culture is nosy one. Nothing is too much for us to know anymore, nothing is private anymore. Will we start to see live births? Although we have already started to see it it makes me sad to think thjat nothing is private anymore. With everything from marriages to births being documented on tv and the internet, what are we keeping sacred?

HMW 30 - Comparison of UK and US Healthcare

Possibilites

- Interview Me and D differences about experience in hospitals?

Research-

- Ecoli in hospitals in UK, comparison US disease?

-Dying on tables UK

-Waiting lists UK

-Comparison between public and private healthcare UK

-Examples

-Payment of nurses

Healthcare in England is mainly provided by England's public health service, the National Health Service, that provides healthcare to all permanent residents of the United Kingdom that is free at the point of use and paid for from general taxation. Since health is a devolved matter, there are differences with the provisions for healthcare elsewhere in the United Kingdom.^[1]

^{The National Health Service (NHS) is free at the point of use for the patient though there are charges associated with eye tests, dental care, prescriptions, and many aspects of personal care.}

^{The National Health Service Act 1946 came into effect on 5 July 1948.}

^{private insurance, but it is used by less than 8% of the population}

^{The NHS is largely funded from general taxation (including a proportion from National Insurance payments).[3] Most of the expenditure of The Department of Health (£98.6 billion in 2008-9[4]) is spent on the NHS.}

NHS Constitution

The NHS provides a comprehensive service, available to all irrespective of age, gender, disability, race, sexual orientation, religion or belief, respecting their human rights.

Access to NHS services is based on clinical need, not an individual’s ability to pay (except in limited circumstances sanctioned by Parliament).

The NHS aspires to the highest standards of excellence and professionalism to provide high quality care that is safe, effective and focused on the patient experience.

NHS services must reflect the needs and preferences of patients, their families and their careers.

The NHS works across organisational boundaries and in partnership with other organisations in the interest of patients, local communities and the wider population. The NHS is an integrated system of organisations and services bound together by the principles and values reflected in the Constitution