Let’s look together so we understand Birthing Better compared to having a Better Birth
- Birth is a no-brainer
- It’s just one of those natural, normal, physiological things that just happens and it’s basically manageable, good outcome, doesn’t need medical care, and gives women a highlight experience when she can plan the birth she wants.
- True or ideal?
- True or inaccurate?
- True or a misinterpretation of those 3 words
- What if those words means something else such as: natural, normal, and physiological means: anything that might happen, could happen and therefore birth is unknown until it’s over aand while few tragedies, more problems, more risks and should pay attention
- Medical AMPs
- Traditional Do/Don’t
- This seems subtle but it’s not
- What is the reality?
- Second one … because all traditional cultures consider pregnancy, birth, newborn to be a very, very vulnerable time.
- Accept you don’t know
- But that doesn’t mean you trust it.
- You do everything you can to safeguard it
- Midwifery model
- 4 years of school to safeguard it
- But require nothing of the pregnant women and men
- They want to safeguard it but don’t think it’s necessary for women to do anything
- In some ways midwifery training is based on anything that might happen, could happen but they want women to approach birth from: it’s ok, don’t worry, all will be fine, don’t fear it, trust it.
- Women can safeguard in a different manner than midwives
- Midwives can do the AMPs … seeing birth from the outside
- Their role/job/task … to observe and check
- Women can prepare body, learn and use skills to do the activity.
- Do the activity
- Men help prepare, learn skills, help her work through activity feeling more in control
- Live mother and baby very different from suffering
- Midwives can do the AMPs … seeing birth from the outside
- Care provider focus skills on observe and monitoring
- Birthing women focus skills on doing and their experience of the doing
- Fathers focus skills on helping women feel in control while doing
- Surprising because NZ midwifery is based on women’s experience yet they don’t believe that experience should be filled with skills because (goes back to interpretation and #1 Conctp … natural, normal, physiological and you don’t know what your birth will be like so just plan the birth you want)
- Bringing #1, 2, 3 Concepts together resolves all conflicts.
- Midwives: There’s more to birth than just live mother/baby
- True? No
- However if mother and baby are alive then what?
- Midwives want women to have a highlight experience
- How do you get one?
- What if you don’t have them or they change?
- Skills… if you have them you use them. May help have the choices and will help when no choices or they change because ‘doing’ is not connected to anything other than ‘doing’ the activity with everything happening to or around the woman.
- While women want themselves and baby to be alive, their greatest concern has always been ‘I don’t want to suffer’.
- Suffering we can do something about for all births
- Don’t know if there will be suffering but skills work when there isn’t suffering because it’s still an activity you’re oding moment by moment
- Must always remember it’s an activity unfolding moment by moment and not just something that is happening to you.
- Happening to you is connected to #1’s 2nd sentence … therefore, there’s nothing you can do to prepare for it.
- That’s a profoundly inaccurate sentence.
- Traditional people did think you could prepare for it … Do/don’t
- Modern thinks you can: AMPs
- NBM doesn’t think you need anything because of #1 + 2nd sentence … just choose where it will happen and with whom.
- Complicated sub-text but leads societal message
- To change societal message, the ideas and words, actions must be different
- Because the present idea, words, actions are producing exhausted midwives, high rate of c-sect and a sense that childbirth is not well cared for.
- It is well cared for
- The 2 other partners aren’t doing enough
- No one is telling them
- This is convoluted because ideas are complex and have a profound impact on our societies
- A self-learning skilled birthing population acknowledges #1,2 and #3 when available but also when not available or changeable.
- A choice-based birthing population accepts #1 and believes the only balance is choice.
- Reason skills were rejected because 3 NBM were not in alignment with 3 Global Goals
- Left out too many
- And not enough women experienced those 3 NB goals
- Didn’t think of changing or evaluating … just assumed they were right and built a system around that assumption.
- Ask women: do you want to suffer and have a home birth or not suffer and have a hospital one
- Can’t assume women at home don’t suffer
- Can’t assume women in hospital do suffer due to AMPs. They suffer when we imply those are imposed and unnecessary. “They did that to me”.
- When you understand the LOGO (words expressing an idea/viewpoint/philosophy/ideology then you understand the actions that led to systems/policies that believed in the goals/results.
- They weren’t met … GIGO
- The fault is not in the women, midwives, medical profession
- Fault is in the interpretation of the LOGO
- What if NZ midwives used: anything that could happen, might happen’
- Can they see how strengthening their partnership by requiring families to become skilled can create a change in birth?
- What’s the change?
- More women feeling in control
- Is that good enough or is a home birth outside of medical care the more important?
- The present MDW model is based on N/N/P to mean easy. Coupled with goals of homebirth, choice, no medical interventions.
- Both the idea and goals can only be achieved by a few
- What do we want as a society?
- 100% will give birth
- We can have an empowered birthing population by filling the one major gap
- What families can do for themselves
- And we have to shift N/N/P to anything and accept that
- We know few women hae choices
- We know many choices change
- We know most women lack choices
- We know that the birth of each baby is important to each family
- We can buld on this by societal message … it’s an activity you have to do … become skilled
- The worst we’ll have is more empowered women and men as shown by HA Brant and Lamze era
- The best fewer women will need a c-sect for ‘long labor
- The best … more women will recover better because they prepared their body for birth and baby opened up, came down, through and out with less trauma (Andrea’s statistics)
- The best … more fathers/others will truly help the woman throughout the activity to stay in control
- The best … even with every bit of intervention, if a woman is awake then she can use skills. Hate it but manage well.
- We know few women hae choices
- We can have an empowered birthing population by filling the one major gap
- Ask women: do you want to suffer and have a home birth or not suffer and have a hospital one
- Because the present idea, words, actions are producing exhausted midwives, high rate of c-sect and a sense that childbirth is not well cared for.
- That’s a profoundly inaccurate sentence.
- What if those words means something else such as: natural, normal, and physiological means: anything that might happen, could happen and therefore birth is unknown until it’s over aand while few tragedies, more problems, more risks and should pay attention