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Gloria Lemay
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Sarah Buckley, MD

Childbirth Index

Compiled by LLM

see Lea's Birth- A Case For "Undisturbed Birth"

For many excellent items regarding birth and the postpartum period, see the Natural Health page- this page includes protocols for when your water "breaks" before labor, preventing and controlling postpartum hemorrhage, herbal remedies for the perineum, what is a normal flow of lochia, and so much more.

Also see the Birth Stories Index for hundreds of birth stories of all kinds imaginable, and BirthLove's Forums for much more birth-related topics. See the Featured Authors' indexes for birth articles as well (look in navigation units).

On this page:


Birth News

Assisted Reproduction

  • Higher Rate of Major Birth Defects Seen in ART Infants Excerpted: "Babies born as a result of assisted reproductive technologies had a significantly higher rate of major birth defects compared with children conceived naturally, according to a large, retrospective cohort study. But the rate of birth defects was increased across various fertility treatments, including intrauterine insemination (IUI), suggesting that the increase may be a result of the parents' underlying infertility rather than a result of procedures used to treat it..."
  • Popularity, Success of in Vitro Births Rise in U.S. A total of 40,687 births resulting from in vitro and other fertility technologies were reported in 2001- that was 16% more than the previous year.

Meconium Aspiration Syndrome More Common in Black Infants Babies of color are almost twice as likely to aspirate meconium- breathe in their feces during birth. This links to pages on BirthLove that tell how to prevent babies from aspirating in the first place. (Number one way- don't cut the cord in the "meconium stained neonate"- or any other baby!!!)


Plus-Size Childbirth

Having been a big woman, and knowing so many others, I have to say it is criminal in how they are denigrated by the "health care" system. Big women give birth beautifully! Following are stories and articles links proving this.

Corina Rose's Birth Story (home waterbirth after cesarean before the midwife showed up to "catch")

Pablo Felix's Birth Story (home waterbirth after three previous cesarean sections)

Jenny's Journal, Entry 7 Jenny Hatch's pregnancy journal entry, shortly before giving unassisted homebirth to her fifth child. Read the rest of her journal, and birth story, here.

Does one have to be skinny for a homebirth? Midwives answer this question- and the answer is a strong NO. Being active and well-fed are far more important than weight is!

Are You a Size-Friendly Midwfe? Excellent off-site article from Plus-Size Pregnancy.org


Gentle Birth

By British Statistician Marjorie Tew

Safest birth attendants: recent Dutch evidence Marjorie proves that homebirth is safer than hospital birth, for all babies born after 32 weeks gestation, and that obstetricians' care is fraught with risk. A must-view!

Birth At Home is Safer, Even if You are "High Risk"

Excerpt from the study Safest birth attendants: recent Dutch evidence:

"It is obvious from the analysis of results by birth attendant why perinatal mortality is in nearly all cases so much lower for home than for hospital births. It is demonstrated that, except possibly for the extremely immature babies, high technology can rarely make birth safer, whether the predicted risk is high or low. This is the conclusion reached by all previous analyses of British data (Tew, 1985; Tew, 1986a, Campbell& Macfarlane, 1987), of New Zealand national data (Rosenblatt et al, 1985), of Finnish regional data (Hemminki, 1985), and of specific studies in other countries such as the US (Mehl, 1978). The conclusion has been accepted by the World Health Organization which recommends that the contribution of modern technology to childbirth should be reduced (WHO, 1985).

"In an editorial in The Lancet (Lancet, 1986) it was acknowledged that in the light of the accumulated British evidence neither the lack of safety of birth at home nor the greater safety of birth in hospital had been proved, a judgement contrary to established medical claims. The results from Holland in 1986 now point to the strong probability that birth at home is indeed the safer option and that, despite all the technological innovations, the claim for the greater safety of birth in hospital cannot be sustained. If promoting the welfare of mothers and babies is its paramount concern, the maternity service needs urgent reorganisation to take account of the unanimous conclusions from world wide experience and to reverse the policy of withdrawing low technology options for childbirth."

Safer Childbirth? A Critical History of Maternity Care, Chapter 1 Marjorie's classic discourse about what results the influx of obstetrical care has been on women and babies. A must-read for ayone who thinks OB care is the safest way to go (or medicalized birth care altogether). The bottom line of Marjorie's research: low intervention is preferrable to high tech birth attendance for safety (including "high tech" of the early twenteith century).

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See: "My Cervix is My Own"- a BirthLove newsletter about women reclaiming "vaginal exams".

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The Bag of Waters in Birth, and Before

The Water Bag: If intact leave alone, if leaking handle with care Two midwives discuss how they deal with waters breaking before labor, as well as the foolish cruelty of actually breaking a woman's bag of waters. Included: ways to prevent infection if waters break long before birth (well over 24 hours), and mention of lovely, intact births.

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Doulas

Birth Companions Lesia, a doula, writes about her organization, "Birth Companions". It is comprised of doulas who assist women who give birth while incarcerated. Included in this article: the difficulties that pregnant, birthing and postpartum inmates face, and the beautiful results that support- both from doulas and other women prisoners- engenders; especially in breastfeeding.

The BirthLove Newsletter: Doulas An index, of sorts, of doula informaion in BirthLove, including the BirthLove Column- "The Power of the Doula".

Doula Course Gloria Lemay assists doulas and others with learning the art of empowered and gentle birth attendance.

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Hypnosis in Birth

Also see: Hypnosis in Homebirth birth stories.

Spiritual Childbirth Kerry Tuschhoff, HCHI, CHt talks about her dream for gentle birth for women and babies, as well as about Hypnobirthing, and what it can do for families. Includes the benfits of hypnosis in birth, in point form.

Gentle Beginnings

"HypnoBirthing truly does involve a lot of good things- babies coming into the world through a birth path that is truly untraumatized.

"The babies are breathed down to birth. No pushing, so no one can blame later incontinence on pelvic floor damage or rush them into a surgical birth to avoid pelvic floor damage for a subsequent birthing. We also are seeing no decels as the babies travel down the birth path, and no postpartum hemorrhage.

"Another plus is that our moms don't experience postpartum depression; it is just the opposite. They think they are so great for having birthed their babies in a calm, gentle, and comfortable way, many, even first-time moms (we don't have 'primips' or 'multips'), in a matter of two, three and four hours. They are ready to take on the world. No time for depression; they are shouting their accomplishments from the rooftops. Read their testimonials on our website.

"Do I have stats? Heck no. We don't birth by numbers in any sense. When medical people ask me for evidence, I tell them that we have just about as much as is available for the protocols that they follow during birthing."

-Mickey Mongan
HypnoBirthing Institute

Hypnosis for Birthing A hypnotherapist talks about just what hypnosis in birth is, and its myriad benefits and rewards, including maternal empowerment and freedom from pain.

Hypnosis for a Wonderful, Calm Birth A mother having her first child used hypnosis to have a birth without pain- and it worked! Says Maggie about what hypnosis is- "...you are having a chat with your subconscious while your conscious is fully aware of what you are doing."

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Not Suctioning for Meconium

Suctioning for Meconium Doesn't Save Lives Suctioning doesn't change meconium aspiration risk or improve neonatal mortality (save babies' lives). Includes a helpful chart.

No Benefit Seen With Suctioning During Birth of Meconium-Stained Neonates "A single study back in the 1970s was the foundation for the recommendation of suctioning when meconium staining is evident...but the practice is 'widespread- and it's done around the world.' However, the current study shows that suctioning before the shoulders are delivered does not prevent meconium aspiration or its complications."

Also see: Don't Cut the Cord for the Meconium Stained Baby!!! -a midwife's wisdom and experience in delayed cord cutting. When the cord is cut, the baby gasps for air- thereby deeply breathing in meconium. The doctors create the problem of meconium aspiration when they aggressively suction!

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Natural Protection

Cervical Plugs Have Antimicrobial Properties A good reason to not break a woman's waters, and wash this protection away prematurely.

Newborn Skin has Antibacterial Skin Defense Babies' skin is equipped at birth to ward off dangerous microbes. Yet another reason to not wash babies with soap!

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No Perineal Massage!

BirthLove Columns by LLM:

Perineal Massage in Labor Fails to Prevent Perineal Damage

Hands Off the Birthing Woman Keeping hands off of women's perinea (regions between vagina and anus) is birth attendants' best way to attend births, says Austrian researchers (and others in the know). No perineal massage, please!

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Delayed Cord Cutting

Regarding cutting a cord that is around the neck:

“Let the loop be loosened to enable it to be cast off over the head. … [or] by slipping it down over the shoulders. … If this seems impossible, it should be left alone; and in the great majority of cases, it will not prevent the birth from taking place, after which the cord may be cast off. … Should the child be detained by the tightness of the cord, as does rarely happen, … the funis may be cut … Under such a necessity as this, a due respect for one’s own reputation should induce him to explain, to the bystanders, the reasons which rendered so considerable a departure from the ordinary practice so indispensable. I have known an accoucheur’s capability called harshly into question upon this very point of practice. I have never felt it necessary to do it but once. … The cord should not be cut until the pulsations have ceased.” - Charles D Meigs, M.D. Professor of Midwifery Philadelphia, 1842. From: Neonatal Resuscitation: Life that Failed

Leaving Well Alone: A Natural Approach to the Third Stage of Labour In this excellent article, Sarah Buckley, MD talks about just why the active management of the third stage of labor- the time before the placenta comes out- is such a disastrous idea for women and babies. Aggressive handling of mother, child, cord and placenta cause insurmountable harm. A must-read for anyone interested in birth as a beautiful, normal, life-enhancing event.

Cord Closure: Can Hasty Clamping Injure the Newborn? Early cord clamping deprives the baby of 54-160 ml of blood, which represents up to half of a baby's total blood volume at birth.

Excerpted: "Clamping the cord before the infant's first breath results in blood being sacrificed from other organs to establish pulmonary perfusion [blood supply to the lungs]. Fatality may result if the child is already hypovolemic [low in blood volume]".

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The Myth of CPD

(cephalopelvic disproportion- baby's head too big for mother's pelvis)

"CPD is a Crock" (babies do fit, dear) -a BirthLove newsletter summing it all up.

"This study confirms what I have said in my article Pelvises I Have Known and Loved. Isn't it nice to see the studies following our women's knowledge." -Gloria Lemay

Use of fetal-pelvic index in the prediction of vaginal birth following previous cesarean section. Obstet Gynaecol Res. 2003 Apr;29(2):104-8.

Wong KS, Wong AY, Tse LH, Tang LC. Department of Obstetrics and Gynecology, Kwong Wah Hospital, Kowloon, Hong Kong SAR, China. cw1wong@netvigator.com

AIM: To clarify the usefulness of the fetal-pelvic index as a predictor of vaginal birth after previous lower segment cesarean section.

METHODS: One hundred and seventy women with one lower segment cesarean section who attempted for trial of vaginal birth were enrolled. Pelvimetry was performed to measure maternal pelvic inlet and mid-cavity circumferences at 37 weeks gestation. Ultrasound was performed to measure fetal head and abdominal circumferences at 38-39 weeks. The fetal-pelvic index was derived. The predictability of fetal-pelvic index in the predicting the outcome of delivery was calculated.

RESULTS: Fifty-seven (33.5%) women required repeated cesarean section and 113 (66.5%) delivered vaginally. Twenty-two women with positive fetal-pelvic index had repeated cesarean section. The predictability of positive fetal-pelvic index was 48.9%. Ninety of the 125 patients with a negative fetal-pelvic index delivered vaginally. The predictability of negative fetal-pelvic index was 72.0%.

CONCLUSIONS: Fetal-pelvic index derived in the antenatal period has low predictive value in predicting of successful vaginal birth after cesarean section. This index is not useful in clinical practice.

PMID: 12755531 [PubMed - in process]

The following articles showcase the beauty of women's pelvises and natural birthing abilities. Also see birth stories from women who had cesareans for "CPD" then went on to have homebirths with bigger babies- click here.

  • CPD and FTP = Bad Practice (or, "there's no evidence to support a belief of brokenness") -by Gretchen Humphries. Women are not broken: caregivers' ingrained disbelief in women's birthing abilities, and their subsequent routine manipulation, is.
  • Cephalopelvic Disproportion (CPD): rare, and massively over-diagnosed Midwife Gail Hart tells how women's uteruses need rest in labor, instead of evermore stimulation to make them work faster. Women are said to have "CPD" when in fact they just need rest, food and to be left alone.
  • Is CPD Real? A study shows that CPD is hard to define, very rare, and way over-diagnosed.
  • Pelvises I have Known and Loved Gloria Lemay talks about the beautiful elasticity of women's pelvises; an talks about births she has attended with women who would have been sectioned had they been in OB care.


Dangerous Medical Interventions, Drugs and Procedures

For articles about Cesarean and Vaginal Birth after Cesarean, click here.

Neonatal Resuscitation: Life that Failed An obstetrician discusses the sad results of cutting a sick baby's blood circulation just after birth; the results could be disastrous, as can resuscitation. Morley also quotes nineteenth century doctors' wisdom regarding cutting the cord too soon, such as:

“Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases. As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child.” - Erasmus Darwin, Zoonomia, 1801 [24]

Birth- A Labour of Love A grandmother shares her learning about birth issues; sometimes writing with great anger about the cruel and senseless danger of medicalized birth.

Technology in Birth: First Do No Harm by Marsden Wagner, MD- pediatrician, neonatologist, perinatal epidemiologist, and former Director of Women's and Children's Health for the World Health Organization. This could possibly be the most important article you will ever read about birth. Written as if speaking to a first-time mom, it tells how technology such as epidural and cesarean section kills women, and why doctors are so deadset against changing their practices. (i.e.- OBs make well over a quarter million dollars a year.) For more by Marsden Wagner, MD go to his index page.

Rape of the Twentieth Century Site editor Leilah's first six birth stories, and a crucial discourse abut the dangers of medicalized childbirth. This is now translated into Spanish- LA VIOLACIÓN DE SIGLO XX

Radical BC Birth Stats Statistics have faces; figures feel pain. They represent bellies and vaginas, hopes and dreams gone painfully awry as women endlessly choose to give birth within the hospital machine.

One's birth determines one's wellbeing later in life:

Be Born by the Sword, Die by the Sword

Violent birth makes one up to 5 times more likly to commit violent suicide later in life

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External Fetal Monitoring

Electronic Fetal Monitoring- Useless in "Low Risk" Women

External fetal monitoring (EFM- the straps around the mom's belly in labor to record contraction strength and fetal heart rate) has been proven to be useless in "low risk" women's births. It actually causes more harm than good. Says Ros Goddard in the British Medical Journal (he's the specialist registrar in obstetrics and gynaecology at the Royal United Hospital) BMJ 2001;322:1436-1437 16 June:

"By the 1990s systematic reviews of randomised controlled trials of electronic fetal monitoring versus intermittent auscultation during labour had shown no effect on neonatal outcomes such as metabolic acidosis at birth, low Apgar scores or admissions to neonatal intensive care...Electronic fetal monitoring did, however, have an effect on women in labour. Levels of obstetric intervention, augmentation of labour, epidural anaesthesia, instrumental delivery, and caesarean section consistently increased...The impact on the mother and her experience of labour was therefore considerable, without any gain for the baby...[in fact] The intervention rate increased significantly with no effect on neonatal outcome...So the evidence is strongly against the routine use of electronic fetal monitoring."

How indeed can a woman give birth properly when confined- literally caged in by- monitor straps and electrodes? And why does the monitoring continue, despite papers such as this? More selective grasping of obstetrical fact, one can only assume. View the paper here-Fetal Monitoring useless in "low risk" women

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Drugs

Induction Drugs

Induced Labor and Informed Consent in Canada by Gail J. Dahl. This is the story of how one woman's hospital birth experience turned her from a real estate agent into a bestselling author and childbirth and midwifery activist. A must-read!

Being Seduced to Induce: What Women Should Know About Their OBs Included is discussion about how dangerous cesareans are.

Induction Dangers References and stories about the dangers of chemically inducing birth.

The Devil Cytotec Birth stories, articles, links and Cytotec research about the ulcer drug used illicitly by thousands of doctors and midwives to induce labor- with agonizing, even deadly, results.

Activist news items:

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Painkilling Drugs

the epidural catheter

Epidural Damage

"My mom works at a rehabilitation center for spinal cord and brain injuries. She's had two older woman patients in the past year with permanent damage from epidurals during abdominal surgery. This damage is serious enough that they needed months of rehab and will never regain full use of both legs. Six months ago I was at our local pool talking with a lady who had limped in, her leg in a brace. She suffered permanent damage from an epidural administered for an elective repeat c-section. Her daughter is two years old and she has never been able to carry her daughter and walk around because of the weakness in the leg. Finally, my mother also had a patient last year who is a parapalegic- resulting from an epidural administered for some kind of abdominal surgery.

"I am frustrated that even the better birth literature downplays the range of dangers inherent in the use of epidurals, but happy that you are providing a service to get out 'the real truth' about so-called modern obstetrics and all its trappings." -Amy Gow, Fredericton, NB

Epidurals- Real Risks for Mother and Baby Epidurals cause so many troubles- and their benefits are misconceived and transient.

Drugs in birth make babies more likely to be drug addicted later in life

Painkillers may prevent mother-infant bond--study

Birth drugs 'could prevent bonding'

Russia: Gas Was Opiate Fentanyl The gas that killed 119 people in a Russian theater was the same drug that women get in their epidurals, by the minute all over the world. A Russian health expert says the people died due to hunger, fear, captivity and exhaustion- the same sort of condition that birthing women are so often in. Women, beware!

Links

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Episiotomy

For episiotomy birth stories, click here.

BirthLove Columns by LLM:

  • Rips, Snips and a Promise Doctors are finding that tearing into women's bellies during c-sections actually helps promote better healing afterwards. So why not just tear into vaginas instead of cutting them open with scissors during episiotomies?
  • "I Killed my Laptop" and "The Future Will Cry" Revisited Breech babies get castrated during episiotomies. How can I not cry...
  • There is Only Now to to Give Safe Birth, There is Only Now to Not Get Cut (view column here) I saw my first episiotomy photos... I am distressed that they cause so much pain- and are overwhelmingly of no value whatsoever.

Rectovaginal Fistula Question and Answers A mother writes in for help- does she have a fistula?- all the symptoms are there. What can she do to help herself?

The Shame of Mandatory Episiotomies British Independent Midwife Mary Cronk talks about her days as a NHS hospital midwife, and the episiotomies she was ordered to perform by a violent, egomaniacal Consultant. This includes a brief mention of incidences when episiotomy might actually be a good idea.

Episiotomy Scar Question and Answers How can one make an episiotomy/tear site feel better months or years after birth?

Why has so much surgery (episiotomy) been performed on the female genitalia in North America?

Because:

"Healthy young women recover and heal from this abuse amazingly well.
  • It's hard to imagine that a baseball can get through a keyhole.
  • Women are medicated and can't kick the guy with the scissors in the head.
  • All the grandmothers who should be warning their daughters not to have the surgery are stoned on tranquilizers or hormone replacement therapy.
  • Women were not taught in high school how wonderful and stretchy their perineums are.
  • Women were not told that "peri" means around and "neum" means the temple. In many cultures the perineum is considered the seat of the soul and would never be desecrated by scissors.
  • We didn't have the video camera until recently and we didn't know that other women were giving birth in water tubs and unassisted.
  • Women will do anything for their children and they thought the doctor knew best." -Gloria Lemay

obstetrical forceps

Episiotomy Links

  • Benefits and risks of episiotomy: A review of the English-language literature since 1980 by Robert J. Woolley, MD. 60% of North American women get a procedure done that can kill them, and castrate their babies- even though there is no evidence for its use. Pass this one on to your doctors... Key points:
    • "Episiotomy causes anal sphincter damage, poor wound healing, infection, pain, dyspareunia [painful sexual intercourse], and excessive maternal blood loss. Less common, but particularly severe consequences of episiotomy are extreme fear of subsequent delivery, intractable rectal hemorrhage, massive vulvar hematoma, necrotizing fasciitis and myonecrosis (deathly gangrenous infections), relapsing toxic shock syndrome, brain abscess- seeded from an infected episiotomy site, hypersensitivity reactions- including anaphylactic shock, from latex contact during episiotomy repair, endometriosis arising in the episiotomy site, granular cell tumor of the vulva in the episiotomy scar, clear cell carcinoma arising in the episiotomy site, and the episiotomy scar can become a site for metastasis of carcinomas, particularly of the cervix.
    • Episiotomy DOES NOT prevent or relieve the following in babies: fetal injury, intracranial hemorrhage, intrapartum asphyxia, fetal distress, shoulder dystocia. Rare but serious damage to babies include: castration [in breech babies], eyelid laceration, methemoglobinemia [red blood cells being unable to release oxygen], lidocaine toxicity, increased rate of vertical transmission of HIV."
  • Episiotomy causes anal incontinence (This is in direct contrast with 1994 findings that blame instrumental delivery.)
  • Obstetric Myth Versus Research Realities -a well-respected book by Henci Goer. This page includes her full chapter on episiotomy.
  • 90% of women in Latin America get episiotomies

Postpartum Issues

Also see Birth and Postpartum Health

Preventing postpartum hemorrhage by Gloria Lemay Also: just how much blood is normal for a woman to pass before birth.

Postpartum Depression Linked to Later Violence in Children Research points to depression in mothers as a risk factor for later violence (A good reason to prevent postpartum depression in the first place by having gentle births. Also see- Born by the Sword, Die by the Sword.)

Birth Trauma Study Needs Volunteers

"A group of researchers in England are doing a study on PTSD following childbirth. They need women to answer two questions- a)What is the source of the trauma and b)What could have prevented the trauma- and be willing to answer some follow-up questionaires. The answers can be sent to Maureen Treadwell at www.birthtrauma.org.uk and click on "email." She said they especially need to hear from people who have experienced negetive reactions to medications."

Post-traumatic stress disorder in women (and men) after birth

Hard Labour An article from the Guardian validates what many women have known for years- that their abusive hospital births cause severe pain and anxiety, even years later; in their husbands, too.

PTSD AND CHILDBIRTH, a new website, from TABS - Trauma And Birth Stress, NZ.


Homebirth and Homebirth Safety

Click for articles about:

BirthLove Columns by LLM:

Older Moms and Homebirth Midwives share their experiences with women in their forties birthing their babies at home. This includes birth story links.

Non-hospital births gaining acceptance A newspaper article that showcases one mother's homebirth experience, and the safety of homebirth (with a focus on midwifery).

Commons committee calls for more choice over home births, Upasana Tayal BMJ 2003;327 249-0.

Home vs Hospital Birth: Experience AND Safety A nurse talks about the dangerous illogic of the hospital way of birth, and cites several references in defense of homebirth safety. Note that Molly had a homebirth herself; her story is linked from the bottom of the article. Included within:

"I feel that truly natural birth has been so medicalised that it is no longer recognizable to most people in today's society...natural childbirth is not just an endangered species in hospitals, it is extinct. From the continuous electronic fetal monitoring, the lithotomy position for delivery, and the Pitocin spiked IV running through her veins, any chance that a laboring woman thought she had to deliver without intervention is out the window.

"I also taught childbirth classes, and it was continuously frustrating to me how with all the techniques I taught, and what I knew was proven to be the most beneficial, was not facilitated by the staff at the hospital. What was more, since the classes I taught were sponsored by the University, I was explicitly told not to tell the true dangers of medications used routinely by laboring women because 'they did not want them too scared'."

Reclaiming Every Woman’s Birth Right by Sarah Buckley, MD. Why haven't women grown more passionate about defending their inherent rights to give birth in sanctity and autonomy? And are women even aware of just how dangerous medicalized birth really is? Most likely not, or else they wouldn't tolerate their births to be aggressively managed.

Responses to: "My husband won't let me have a homebirth!" -from everyone from mothers to doctors.

Welsh Health Minister Encourages Home Birth She stresses that "women with normal pregnancies should be able to consider consider home as an appropriate alternative to hospital for giving birth".

Re: "Risk only natural in natural childbirth" Letters written to a newspaper regarding an editorial that basically stated that homebirth is a dangerous, irresponsible choice compared to hospital birth. This includes references about the incredible dangers of hospital birth, and the people who attend them. Updated 2/11/03 with a new letter

Woman dies of toxic shock after giving birth to baby in Vancouver hospital Evermore reason to consider homebirth.

From an OB Nurse about Hospital Birth

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Homebirth and Homebirth Safety Links


Birth Around the World


Childbirth Links and Extras

 

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