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Gloria Lemay
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Marsden Wagner, MD
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Sarah Buckley, MD

Childbirth Quotes by Gloria Lemay

Compiled by LLM

Wisdom gleaned from private birth attendant Gloria Lemay about a wide variety of pregnancy and childbirth topics. Click to go to the desired quote.

For an index of Gloria's articles, go to this page. Also see the Natural Health and Healing page.


The Cervix and Assessing Dilation in Centimeteres

The cervix in a pregnant woman feels like your lips puckered up into a kiss. On a non-pregnant woman it feels like the end of your nose. When it is dilating, one finger slips into the middle of the cervix easily. As the dilation progresses the inside of that hole becomes more like a taught elastic band, and by 5 cms dilated (5 fingerwidths) it is a perfect rubbery circle, like one of those Mason jar rings that you use for canning, and about that thick.

"If you take a dressmaking tape measure and start measuring circles (the top of your shampoo bottle, the bottom of a coffee mug, etc.), you'll get familiar with the diameters in centimetres. One centimetre (about half an inch) is the diameter of your fingertip. Therefore, if you can insert one finger in the opening of the cervix- you're 1 cm dilated. Two fingers loosely together is approx 3 cms, 5 cms is the two fingers parted and the outer edge touching the rubbery edges of the cervix, 9cms you just have a small band of the rubbery edge around the baby's descending head, 10 cms is no cervix felt along the edges.

"Get practise by going out to a rosebush. The tight buds are a closed (0 cm) cervix, fully bloomed roses are 10 cms from edge to edge when you make your fingers do 'the splits'. I especially think it's a good and empowering thing for a woman to check her own cervix for dilation. This is not rocket science, and you hardly need a medical degree or years of training to do it. Your vagina is a lot like your nose- other people may do harm if they put fingers or instruments up there but you have a greater sensitivity and will not do yourself any harm." Also see- How to check your own cervix.


To suture or not

Also see Healing after Tearing in a Homebirth.

Question: "What is your experience with NOT suturing second degree tears (at least not very deep ones) What about labial tears?"

"The thinking on suturing tears seems to change as time goes by. Here are a couple of things to think about.

"1. Having a foreign body (suture material) that the body has to fight can interfere with proper healing and produce a lot of pain. Think about having a splinter in your finger. Your finger gets swollen and inflamed in order to surround and push the sliver out. Suture material is an irritant so consider that before making the decision that a tear needs stitches.

"2. The stitches don't fix the tear, they merely bring the two edges together so the healing can happen- the tissue approximates and knits itself together. I think about ear piercings- you have to wear earrings all the time or the holes will heal over if left empty too long. Therefore, if you have a tear that comes together in a nice match when the woman brings her knees together, it will heal fine with bedrest.

"3. I believe that blood is Nature's repair agent for torn tissue so don't be washing and cleaning too much. Also, in Ayurvedic medicine, urine is used as a treatment for skin abrasions. It could be that Nature was pretty smart to make our torn vulvas burn when urine passes over. Usually that "burning during peeing" only is there for the first 24 hours so the healing happens quite quickly.

"4. If there is a tear where one flap of skin definitely goes off in a direction that it shouldn't, crazy glue (dermabond) can be used in minute amounts to bring the flap to where it should be for 24 hours. Caution: don't get it anywhere near the anus."


Re: bleeding to death in homebirth

Comment: "There were nurse midwives who did births outside of the hospital and there were a number of girls who bled to death."

"Dear Steve, this is such a lie and it, of course, would stop most parents from having a homebirth. When I was pregnant 26 yrs ago, my obstetrician (temporarily) said to me "Gloria, if you knew the statistics on homebirths in the United States, you would never entertain such a dangerous idea." That would have stopped me but my husband, who was a physician, was sitting there. He said "Well, Dr., do you mean the statistics that include the poor black pop. in the south who only have laundry starch to eat?" Her face went all red because she had been caught twisting the truth. I think that's when I made my break with the church of modern medicine for life.

"I have worked in the childbirth field for 26 years and I receive publications and now email from all over the globe on midwifery and homebirth. As well, I keep a very close eye on my own region. Every baby death involving a mw is splashed all over the papers, so you can imagine what would happen if there was a maternal death. I have heard of two maternal deaths in Washington state due to high blood pressure problems in women having home births.

"I have only ever heard of one woman dying from bleeding at a homebirth and that story was from a town called Chilliwack about an hour's drive east of my home. The story was that the birthing woman was 19 years old., healthy, living in a rural farming area, first baby, and a member of a religious sect that did not believe in using drs. Her birth was assisted by her husband and the two grandmothers of the new baby. There was a coroner's inquest into the death of the mother. As far as I can tell, the young woman was very tired after giving birth and the grandmothers took the baby out of the room to let her sleep (BIG MISTAKE). The newborn having skin contact with the mother, even when sound asleep, sends the messages to the brain to stop the bleeding. The baby and mother must be velcroed together after the birth. The grandmothers did not think to check the bleeding (something a good midwife will do as a routine in the 4 hours of the postpartum watch). Four hours after the birth, they called 911 and the young woman could not be revived.

"It's important to know that hemorrhage is not something that takes a woman's life within the first hour. If someone is bleeding too heavily, most midwives carry pitocin to inject into the thigh muscle. If that doesn't do the trick, there is time to transport and the mother will do well with just IV fluids, bedrest, and iron supplements. In 1000 births I have only had two clients who needed a transfusion.

"An Ontario midwife tells a story from her work in rural India. She had a woman who was very poor, very poorly nourished and pregnant. The woman gave birth to the baby and then had very heavy bleeding. Nothing the mw did to stop it worked and so she decided she had better "transport". Transport consisted of draping the woman over the back of a donkey and then walking for two hours to the local medical clinic. Believe it or not, the woman lived.

"Here's a recipe for a post baby tea that helps the uterus expel the placenta easily and rejuvenates the woman. It is delicious, too.

1 T. Shepherd's Purse herb
1 T. Cramp Bark
1 Broken Cinnamon Stick

"Put these ingredients in a large tea pot and pour boiling water over. Let it steep for about 40 mins (we make this at the beginning of the pushing stage) Have a mug ready with a little maple syrup for sweetener (hey, I'm Canadian). You'll need a tea strainer (sieve) and a bendable drinking straw, too. The mother should be offered the tea as soon as the baby is in her arms. Most women love it and ask for several cups.

"No mention should be made about the placenta for a full 30 minutes, by the clock. Most women, at exactly 30 mins feel cramping which they push with and the placenta comes easily at that time. After the baby's born, don't make phone calls or otherwise disturb the "birth flow" until the placenta is born."


Question for Gloria about Umbilical Cord Veins

"My friend is 6 months pregnant, her baby was diagnosed with "missing one of the three veins or tubes" of the umbilical cord. I would like to know if there are any problems for the baby? what can the woman do right now? It's said that the baby might suffer from heart disease or liver disease, is it true?"

"First of all, never trust an ultrasound. It is very difficult to determine a single artery umbilical cord outside the womb, after 40 weeks of gestation, in a good light and with it right up close to your face; so, we know it must be hard to see it on a fuzzy TV screen from an audio transmission from the core of a woman's body in the sixth month of pregnancy.

"Secondly, I'd like to share my experience with a 2 vessel cord. There should be 3 vessels in the umbilical cord- 2 arteries and a vein. What it says about single artery cords in most midwifery texts is "If there are only 2 umbilical cord vessels, notify the pediatrician right away and have the baby checked." Most books do not tell you what to worry about. I've only seen one case of single artery in 25 years of attending births but I knew what to do when I found it- call the pediatrician. When I did, the friendly pediatrician said "I don't know what that means... could you go to the Library at the hospital and look it up and tell me?"

"Well, so much for that source of illumination! What the books at the medical library said (who knew there would be one about an inch and a half thick entitled "The Human Placenta"? what could there possibly be to say about a placenta that could take up that many pages?) was that the concern with single umbilical artery is that there could be a kidney problem.

"I then decided to take my query to the Pathologist at the hospital and see what he had to say about it. (I'm not associated with the hospital but I do find some departments very helpful and not weird at all about home birth attendants). The Pathologists are the loneliest people in the hospital. They work alone and no one wants to visit them in case there is a body laid out on their cold marble slab. The pathologist's first question to me was "How much did the baby weigh?" When I told him 8 lbs, he sent me home to get the placenta because he wanted to check it himself. He said it was unlikely that I was right that there was only one artery since a baby would be much smaller (4# range) if it had a single artery.

"When he cut the cord and looked closely, he said "Yes, it does seem to be only one artery but I think that what has happened is that the two arteries simply grew together". That boy is now 14 years old and has never had any kidney problems or other health concerns.

"I believe that it is sheer foolishness to worry your friend this way so early in her pregnancy. If the fundal height of her uterus is normal, she should relax and enjoy her pregnancy knowing that there are far more errors on ultrasound than truly useful information that can make a difference in the health of a baby."


"Assisting" Power, or "Helping" to Manipulate It

"Most of the people involved in caring for birthing women have a "lifelong quest to help". For the first four years I worked in childbirth I wanted so much to help people and nothing seemed to work. Often, people resented me, insulted me, didn't pay me and the births were awful.

"Then, I had an opportunity to take a weekend course that changed it all permanently called the Landmark Forum. During that course, from different angles I began to realize that "helping" comes from my arrogance. A feeling that others are less magnificent than I am, and need me to "fix" their problems. By the way, I did a lot of advice giving to family and friends, too, which no one ever acted on. What I distinguished in this course was the fine line between "assisting" others and "helping" others.

"Assisting comes from a belief that others are capable and able. I got way better results making a difference when I let go of my arrogant attitude. I learned to listen (still on the journey to perfect that and know it will take a lifetime) and to listen on the side of people being great. I have seen birthing women overcome odds that seemed impossible. My mantra is "Never underestimate the power of a birthing woman." Of course this doesn't mean ignore obstructed birth or pathology. It means "expect the normal and be prepared for all else".

"One of my clients was a young Aboriginal woman who had had a cesarean with her first birth. She was having a terrible time coping at 3 cms and asked me to take her to the hospital for medication. All commitment to a home VBAC had left her mind and she wanted major help. I suggested we go for a walk before we made that move. Coming back from the walk outside she said to me "You know Gloria, my trouble is that I never grew up. I can't do this because I'm not mature enough to face this kind of pain." I told her "You know, Anna, I never grew up till I was 29 years old having my first homebirth either. Today is the day for you to grow up."

"She went in the house, settled down to her work and birthed her baby. The first thing she said when it was over was "I need a cigarette." Oh, I know we don't want second hand smoke around a newborn but we were happy to get her a celebratory cigarette after what she'd done.

"This is what I learned from that course: to be a little less righteous, a little less helpful, a lot more trusting in the strength of others, and a lot more effective at realizing my dream of making a difference with the people I love."


from Lea's Birth- A Case of Undisturbed Birth

Calming 'cord around the neck' fears

Also go here.

"So many women are told the baby didn't breathe or wasn't pink because of the umbilical cord being around the neck. It is a lie. We don't see this at unmedicated home births and I have attended births where the cord was tight and up to five times around the neck.

"It is the 'smart' babies who put their cords around the neck. This keeps the cord from prolapsing and keeps it safely out of trouble. You can only get the cord around the neck if it is nice and long. In the book 'Waterbirth' by obstetrician Yehudi Gordon and exercise instructor Janice Belaskas, Dr. Gordon tells practitioners not to even feel for the cord and to just let the baby come out in the water tub and then unwrap it. This, of course, would apply on land, too. In more than 800 births, I have never had a problem with a baby's cord around the neck where I had to cut it or do anything fancy. No worries."


Moms taking lots of time to birth babies with big heads

"I think about the long pushing stages I have had with first time moms, and then the baby is born with an extra big head:

1. the room is darkened and the mother has very little sensory input (i.e. no one talking to her, examining her, doppling her)

2. she pushes to her own sensations. Often the sensations are irregular and sometimes she can just breathe through and not bear down.

3. she uses the toilet and drinks diluted juice- juice is offered with a straw, kept by the mother until she sees it, and decides she wants it

4. when the baby comes it is received by the father and there is not a lot of drama about the midwife being so clever. The mother knows she listened to her own body's rhythms and comes away trusting her baby and herself. Next birth she enters the process with self-confidence no matter where she lives and her next midwives will not be able to convince her to do all this midwifery on her."

Also see: Pushing for Primips (first time moms)


Optimal Use of Language ("Speech Magic") to Assist our Clients

"The only way we can undo the mass psychosis about childbirth in North America is to invent new language and new images. We midwives must make a conscious and disciplined effort to become "speech magicians."

I train my clients to ask for what they WANT rather than what they DON'T want. For example, the client doesn't want an episiotomy = the client wants an intact perineum. Or a client says "I don't want my baby taken away from me! = the client says "I want my baby 'Velcroed' to my skin from the moment he/she is born." All my notes in my chart are what the client WANTS, not the "Don't" instructions. This way, I am constantly picturing the image of what is wanted and so are my assistants. When everyone is picturing "Baby Velcroed to skin" then it happens. This technique is particularly effective at hospital births.

Another good way to create what you want with doctors is by using "indirect" hypnosis. For example, the doctor is starting to fidget as the baby's head distends the perineum. He reaches for the scissors and you know he's getting ready to do an episiotomy. So you speak to your client, not to him by saying something like "Linda, you are stretching beautifully; there's lots of space for your baby to come through. Everything is healthy and normal -- there's lots of room to stretch even wider. Breathe some oxygen down to your muscles." Everything you are saying to your client is really intended to chill out the doctor. Speaking to him directly is less effective (it makes him more resistant to your message) than speaking obliquely to him through your words to the mother. Once the doctor starts taking deep oxygenated breaths down to his muscles, you'll see him put down the scissors.

You'll notice that Dr. Odent does word magic, too. He talks about the "fetus ejection reflex" and the "ancient reptilian brain." I don't think anyone has ever located these things in the physical universe, but they are most useful concepts and ways of languaging that lead to better births for women and help undo some of the fear-based pseudo science that passes for obstetrics."


Don't Cut the Cord for the Meconium Stained Baby!!!

Comment:

"My baby was born in the hospital. He only had an Apgar of 2. He had heavy meconium staining, including some really thick brown stuff that they couldn't get out with the bulbs- they had to do deep suctioning to get all the meconium out."

Response:

"The baby only had a heartbeat for the first Apgar; now of all the things on the Apgar that is the best one to have. It's hard to have pink skin tone when you are covered in green fluid. Unfortunately at the hospital the first thing they do is cut the cord and this forces the lungs to draw in the meconium that is really unsuctionable in the lungs (they can only go into the nose, mouth and trachea). If the heart is pumping well, oxygen will keep circulating to the baby and the baby will have a chance to cough, sputter, gag, phlegm up some gunk- all the things we do automatically if we go face down in a mud puddle to clear our airways and lungs. The last thing to do is cut off the oxygen supply; which is exactly what happens in hospital in order to 'help' the floppy, meconium stained baby."

For more about meconium, go here. For an unassisted birth story with meconium staning, go here.

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."


Bonding with baby after a cesarean

"It is very difficult for a mother to reach out and love her child when she doesn't feel well herself. Parenting is the hardest thing I have ever done and I had great births. I remember thinking I'd like to throw my screaming 3 day old daughter out the window when I had sore nipples. I think that's what makes me such a passionate advocate for vaginal birth. I can't imagine what recovering from major abdominal surgery would have made me think (or do, for that matter.) The cost to society of this 20% plus cesarean rate is enormous. I am sure that post surgery parents are all fragile and not doing very well at coping. When I meet women at LLL who are still breastfeeding a 4 y.o. that was born by cesarean I always say 'You are my hero.'"


Is breaking the baby's clavicle a good way to release a "stuck" baby?

"People talk about breaking the clavicle as a technique but it's not true. Breaking the clavicle is a finding after the fact when a baby has had a rough time being wrestled out of the birth canal. It's like having a toothpick embedded in a pound of butter... if you grasped the butter at both ends and tried to squeeze it towards the center to break the toothpick, it would be pretty difficult. Babies are slippery and squooshy like butter and are pretty difficult to get a good handhold on.

When you read textbooks about maneuvers for freeing the baby with stuck shoulders, they all sound pretty reasonable and orderly. Being in a hospital room or home setting when this occurs is quite a different matter. Usually, the adrenaline level goes through the roof and a lot of yelling, cursing, and flailing around happens. After the fact, people notice that the baby is not moving one arm or has pain somewhere and, then, they figure out what is broken. It's called the 'nightmare of obstetrics' for a reason."


What came after the afterbirth?

    "Dear Gloria, two months ago I had an homebirth with my third child. A few hours after my baby's placenta was born, I had severe cramping pains in my uterus. When I went to the toilet, out came something that was long and slippery, it didn't look like a clot, but like an organ. I'm wondering what that may have been? After it came out my pain went away."

Gloria responds: "First thing about this is to notice how beautifully a woman's body works to make sure she is around a long time to feed her baby. In the two hours after your baby was born and you were oblivious to everything but your newborn, your body was forming this long, compacted clot. Yes, it was a clot and they can be very large and dense. This clot had the ability to stop the large uterine arteries at the placenta site from bleeding profusely. Meanwhile, the uterus was knotting itself up and compacting down (also to provide Nature's living ligature to stop bleeding). At the right time, you were alerted by the pains to expel the clot because then the uterus could work even better at compacting itself with that large mass expelled.

It's similar to the role that feces has in our intestines. It's necessary to have the feces in the intestines to keep the tubing open and performing peristalsis but then there comes a point where the job is done and the cramping begins and then we know it's time to eliminate. By following the instinctive need to eliminate, we relieve the cramping and feel better afterward. If we trust the process within our intestines, we can probably trust it in the uterus as well."


Who to invite to your birth

"Mostly, my experience is that kids are asleep when mom's doing most of her dilating. Then, someone wakes them up as the head appears. I think the people in your household who help you and love you every day in growing the baby are the right ones to be there when you're birthing the baby. It's those older, worried, birth-shocked female family members that I wouldn't want staring at my bottom as I'm pushing a baby out.

Five years ago I attended a birth for a young woman who had a lot of female family and friends invited for various reasons (one to take the video, one to make food, one to care for her 6 y.o. daughter, etc). A couple of them were fine but mostly they were just a big fat suck of the energy and there for 'entertainment'. They limply attempted to get the video handled and would not listen to my pleas for someone to just go to bed so we would have someone rested once the baby was out. Consequently, I was up all night and practically in a walking coma the next day trying to look after Mom and babe while all these spectators snored in bed after the 5:00 a.m. miracle show they watched. I'll bet money they don't come back to help out in the next few days either.

I think it's hard to find people who are truly 'in service' at births. Most people (medical types included) are so caught up in their own needs, they can't understand that this is THE most important event this woman and baby will ever have. I really caution all mothers to be to THINK, THINK, THINK when inviting guests to their birth. One of the sweet things at this birth was the 6 year-old. daughter who said to me the next morning.'Thank you for taking such good care of my mommy, Gloria, because if you hadn't been here I would have had a lot of work to do'. It's a bit sad, really, that she would realize that the support was not there from anyone else."


Women of the Earth, Take Back Your Birth

"There are two examples that I know of aboriginal peoples taking birth back from the white man's governments. The aboriginal women of Australia told the government there that they would STOP shipping their young women out of the bush to give birth and that they would take full responsibility for any adverse outcomes. This inspired the Inuit women in Northern Canada to do the same. The government was outraged- "You will have baby and maternal deaths if you don't fly the women to hospitals in the south!" The Inuit communities said "We are willing to include that because sending birth out of our villages is killing our society. We need to birth with our people in order to survive as a culture and we will take responsibility for any losses."

Now there are birth centres with midwives in Rankin Inlet and other communities in Northern Canada and the old grandmothers teach the nurses and young midwives the ways of their people from generations back. These women stopped asking, pleading and reasoning. They TOLD the government how it was going to be and their tribal councils backed them up.

Here is one story: An American nurse midwife was working in a birth centre at Rankin Inlet on the Hudson Bay. Her job was to teach the Inuit midwives and empower them to take birth back into their own communities. A pregnant Inuit woman came into the centre and gave birth beautifully to her first baby with her old grandmother beside her through it all.

After the birth, the placenta did not come out and the midwives waited for more than an hour. The nurse/midwife explained to the mother and the aboriginal midwife that they would need to give her a shot of oxytocin to help get the placenta out. The two attendants left the room to go to the infirmary to get the medication and the old grandmother asked her granddaughter in Inuit what was going on... she spoke no English.

When the granddaughter explained that her placenta was retained and needed to come out, the old grandmother stood up and shoved two fingers into the back of her granddaughter's throat. The young woman gagged and the placenta plopped out before the others returned to the room."


Gloria's post to an ob/gyns' list about VBACs and informed choice

July l999

"Here's some views of surgical birth from across the pond:

    "Dr. Dermot W. McDonald of the National Maternity Hospital in Dublin Ireland suggested that the medicolegal pressure to perform a cesarean may abate only when mothers begin suing physicians for assault, alleging that they were not given fully informed consent...

    "'If one went to the extreme of giving the patient the full details of mortality and morbidity related to cesarean section, most of them would get up and go out and have their baby under a tree,' [Dr. McDonald] said." [Neel J. Medicolegal pressure, MDs' lack of patience cited in cesarean 'epidemic.' Ob.Gyn. News Vol 22 No 10]

    Irish physician McDonald's remarks accord with the 1990 findings of British research statistician Marjorie Tew who concluded that the British maternity system is run by obstetricians who "withhold and pervert knowledge in order to maintain public ignorance and delusion." [Tew M. Safer childbirth? A critical history of maternity care. London: Chapman and Hall, 1990.]

"I wonder if anyone knows if the Canadian Society of OB/GYNs are considering the 'immediate' guide line? There was a Consensus Conference on Cesarean Birth in Canada at Niagara on the Lake, I believe, in l983 or 84. At that meeting the obstetricians were discussing the safety of 'allowing' VBACs in small town hospitals and the general thinking was to forbid it and tell women from small towns that they would have to be in a tertiary care centre for their births if they wanted VBAC.

Near the end of the conference, a VBAC advocate from Vancouver showed up at the Conference and asked if she could speak to the docs and show some slides. She proceeded to show slides of a woman giving birth to a 12 lb boy at a home birth. The woman had had two previous cesareans for l0 and l0.5 lb babies. When she started leaking amniotic fluid, she boarded an Air Canada flight and flew from Calgary, Alberta to Vancouver, BC. She had been unable to find a physician or a midwife in Alberta to help her with her birth. When she called me she said 'If you won't help me to have a VBAC, I will stay home and have the baby myself. I know if I have another surgery, I will die.' I took her on.

She gave birth in my bed after a completely painless labour to this big kid and returned home on the plane 3 days later. When the Canadian obstetricians heard the story, the tone of the conference completely changed. The recommendations were to make VBAC available where women lived. The press releases after quoted the Drs. saying 'If we don't expand our policies, these women will go to dangerous lengths to get their births'. I think if I was an American OB/GYN I would be rallying my fellow obs to get rid of that guideline [not allowing most VBACs] instead of acquiescing to it. If it's not practical, why keep it? It will only make homebirth midwives busier."


Violent, bloody membrane stripping

Membrane stripping is when the midwife or OB "sweeps" the bag of waters away from the cervix; this is very painful for the mother and is done to cause birth to happen prematurely. It is often done without the mothers' consent.

"I have attended more than 800 women in the last 23 years and have never done this to another human being and never will.

I often think that, if doctors or others were wrenching around on the inside of a healthy, young man's foreskin in a way that left the gloves bloodied, there would be a national outcry and assault charges would be laid. Why it's OK to do the same thing to healthy women is beyond me."


Question: "HOW can the OBs tell what type of pelvis you have?!"

"How could your OB tell what kind of pelvis you have? Welllllllllll, you got on a table and let him into a secret, dark place with his two fingers and then he began hallucinating about what he thought he was feeling and, since he'd just as soon you didn't have a vaginal birth after a cesaran, or a birth he doesn't have time to attend, he came out with a type of pelvis that isn't the 'best' for a vaginal birth.

Now, you have two questions to ask that doctor:

1. If I have such a bad shape of pelvis, how come the women in my family have been giving birth vaginally to babies generation after generation after generation back to the very beginning of time with the exception of the past 30 years when you doctors fancied up the antibiotics and oxytocin administration methods?

2. What shape dick do you have, Doc? Does it veer to the right, left, point down, up? Exactly how small is it?

Language in birth is a passionate subject for me. Everything arises out of language. In the vocabulary of the medical profession there are only two types of female pelvis: adequate and contracted.

In the vocabulary of the midwife there are also only two types of female pelvis: ample and 'you could get a pony through there!'

Pelvises are all in the eye of the beholder."

-Also see by Gloria Pelvises I have Known and Loved.


Who delivers babies?

Gloria responds to a comment about a baby she "delivered" at home:

"I wasn't doing any delivering. The mother and father were having a baby, she gave birth, he caught and the baby got his little self born. If I had arrived 15 minutes later, they would have done just fine because they grew a healthy baby and they didn't have any drugs. I go to birth after birth and people seem to like me to stand there and then they pay me a lot of money but I know they could have done it themselves. I don't deliver anyone."


A cervix isn't made "ripe" by induction drugs or Foley catheters

"I recommend using caution with language and question the use of the word 'ripening' to describe the process of irritating the mother's body by inserting a foreign object. This should properly and descriptively be called 'Foley catheter invasion and irritation'. Prostaglandin gels applied to the cervix should be more honestly described as 'chemically altering the consistency of the cervix'. THERE IS NO RIPENING HAPPENING WITH EITHER OF THESE METHODS.

Midwives have used the term ripening to describe a NATURAL process of the cervical changes of late pregnancy. We take a word from the plant kingdom because it is similar to the slow, harmonious process that happens to a plum as it turns from green and hard to darker and darker purple, soft, mushy and sweet. If one puts a whole bunch of plums in a box when they are green and hard and sprays them with chemicals, it is possible that in a few days they will look like dark purple ripe fruit. However, one taste will tell you that Nature had nothing to do with the end product.

Let's not fool ourselves in birth either. This whole hospital induction thing has got to stop. Whatever area we work in we can call these invasions by their proper names- irritation and chemical altering. Lying about what's going on perpetuates the practice."

***Note- for studies about induction dangers, go here. The studies show that labor induction leads to c-sections, shoulder dystocia, and instrumental deliveries.


The beauty of a newborn's head

"Part of human bonding is for the mother to bury her nose in her infant's head which should smell like her innermost bodily fluids, kiss it, pat it, stroke it and drink in that fuzz, curls, scent and beauty through her lips, heart, eyes and nose. It shouldn't smell like hospital soap! Soaping up a newborn's head is just another way of telling people that birth can only be conducted in the church of modern medicine with the high priest doctor there to annoint and baptize."


For pregnant women about castor oil inductions and impatient midwives

"Inducing with castor oil isn't safe. Once swallowed the castor oil is hydrolized by intestinal lipases to recinoleic acid which stimulates intestinal secretion, decreases glucose absorption and increases intestinal motility. Castor oil is used in lipsticks, too. Many women who can tolerate the oil quite well on their lips get a reaction on their mouths if the oil converts to recinoleic acid. My question to a midwife who says castor oil is not absorbed is 'Would you please provide me with references for that statement'.

It's not so long ago that birthing women were given soap suds enemas (high, hot and a helluva lot) because someone started a rumor that soap was not absorbed through the colon. We know this is not true and that this black page in Obstetric history is best forgotten. Too many women have turned from saying 'My doctor says' to saying 'My midwife says'. Take responsibility for your and your family's health. It's fine to respect professionals but ask for references on everything you're not l00 % sure of and use your internet to scope things out. There is so much crap that passes for science without anyone questioning it.

On the subject of all the women in a hurry to get their babies born: I was 3 weeks 'overdue' with my oldest daughter. What really helped me was that I had lunch with a friend at about 8 months pregnancy. Her son had been born 6 months before. When she saw me walk in the restaurant all hugely pregnant she said 'Oh, Gloria, when I see you I miss my pregnancy so much'. I knew that one day I'd be saying that, too, so I made up my mind to enjoy it as long as possible and I'm so glad I did. Six months from now you'll be wondering what the rush was. I worry about women taking castor oil because you also give your baby castor oil when you take it through the gut. This means the baby will get diarrhea and pass meconium, too. then you're into all the transports for meconium.

The other thing about self-inducing is that you end up with erratic labours that stop and start and are difficult to complete. I just attended a Coroner's inquest here into the death of a full term baby girl. The midwife stripped membranes and got the woman into labour but she had no urge to push. She was in second stage a long time and then her perineum wouldn't stretch. They cut an episiotomy to get the baby out. Baby had bleeding in the brain and only breathed on life support. Later, Mom's placenta had to be manually removed because it wouldn't come out. It seemed to me that this woman's body wasn't ready to give birth and that the membrane stripping caused an emergency response in her body that produced dilation but eventually wore off.

Bottom line: be patient with your little babes and yourself."


Having a good hospital birth

"I once met a woman who described her lovely birth in the hospital with her first baby. With no doula or midwife involved, she stayed home till she was 8 cms, went to the hospital, gave birth over an intact perineum. I couldn't believe it- I hardly ever hear that good a story. When I asked her how she did it she said, 'I stayed at home until I no longer wanted natural childbirth. When I couldn't stand it anymore and wanted a cesarean, I went in.' I've told a lot of women that story and it's so true. Don't go to the hospital if you are at all in a positive mood!"


How to check your own cervix

"I think it's a good and empowering thing for a woman to check her own cervix for dilation. This is not rocket science, and you hardly need a medical degree or years of training to do it. Your vagina is a lot like your nose- other people may do harm if they put fingers or instruments up there but you have a greater sensitivity and will not do yourself any harm.

Best way to do it when hugely pregnant is to sit on the toilet with one foot on the floor and one up on the seat of the toilet. Put two fingers in and go back towards your bum. The cervix in a pregnant woman feels like your lips puckered up into a kiss. On a non-pregnant woman it feels like the end of your nose. When it is dilating, one finger slips into the middle of the cervix easily (just like you could slide your finger into your mouth easily if you are puckered up for a kiss). As the dilation progresses the inside of that hole becomes more like a taught elastic band and by 5 cms dilated (5 fingerwidths) it is a perfect rubbery circle like one of those Mason jar rings that you use for canning, and about that thick.

What's in the centre of that opening space is the membranes (bag of waters) that are covering the baby's head and feel like a latex balloon filled with water. If you push on them a bit you'll feel the baby's head like a hard ball (as in baseball). If the waters have released you'll feel the babe's head directly.

It is time for women to take back ownership of their bodies."


Contemplating birth, death and what's "real"

"I am doing serious thinking about what is 'real' in attending births at home and I do spend a lot of time on this subject in my moments of creative thought. I have watched midwives, nurses and physicians building more and more walls of protocol and insurance around themselves in order to protect the public and the practitioner. I notice it isn't working. The cesarean and aggressive obstetrics rate is going through the roof and the perinatal mortality rate is not improved.

We all know women who have studied obstetrics to be prenatal educators, doulas and midwives and the more education they get the less likely they will let you touch them in birth. In fact, the more women learn the more likely they are to birth unassisted. This should tell us something. As Dr. Odent says, the focus of western obstetrics is to "know" all that is going on and attempt to control it. This is what disturbs birth and prevents the mother and baby from doing the dance of birth in a smooth way. In any other field, the science that shows that 'managed' birth is wrong would be acted on. ie. if 'managing' heart disease resulted in more heart failure, then managing would stop.

There is something perverse in those of us who work in childbirth. We just don't want to get it that we're not needed. So, if we are allowed to participate, I believe it is not our 'win' when it goes well and it's not our 'fault/blame/loss' when it doesn't go well. In a way it's very arrogant to believe that a person would attend more than 300 births and not be witness to a death. In our business, the numbers eventually just come up. Very competent doctors, nurse-midwives, registered midwives, and birth attendants encounter death. It is a good feeling to beat death but in trying to beat death we have devised a monstrous system that hurts most women and babies and results in societal breakdown that is horrendous.

We must embrace the fact that a few babies die and return birth to a normal, healthy process for the great majority of our population. This is the role of the grandmothers and wise women. Bring that message home to Mother Earth."

 

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