The system is broken if it doesn’t leave people whole – Part 4

Previously: Part 1: I maunder on about my experiences as a doula
Part 2: Statistics
Part 3: Illustrative Non-Fiction

I didn’t stop being interested. I hung around with a lot of unassisted birthers online. I didn’t stop reading or following research. The evidence for less interventions or for only appropriate usage of interventions keeps piling up, they reversed the prohibition on “allowing” women to go past 41 weeks without inducing them, a vancouver doctor did a massive study on episiotomy and proved once and for all how useless and dangerous it was and the rate actually dropped, there are positive changes.

At the same time, the rate of positive change is very very slow, and it often seems like for every one step forward there’s half a step back and one step off in a complete other non-helpful direction. I’ve been witness to two births in the last couple of months, one a homebirth and one a very interventive hospital birth. It was night and day between the two.

The homebirth was a VBAC and resulted in a home waterbirth to a beautiful baby. This was after the mother was told she couldn’t possibly have a homebirth after a previous cesarean. She then asked her care providers whether she could at least labour in a tub of water in the hospital and was told that of course she couldn’t. Irrirtated at being undermined at every turn in her very reasonable and safe wishes for her birth, she sought out a traditional birth attendant who had no problem facilitating her (safe) homebirth.

The hospital birth was of a young woman having her first baby with registered midwives as her caregivers. It was truly shocking to me. It was as though someone had brought to life my old story of the cascade of interventions. The fact that the birth ended in a c-section was all so unnecessary, every step along the way so unsupported by the available research.

It’s sometimes mind-boggling that as a birthing community, in which I include doctors, midwives, doulas, OBs, pregnant women and partners and all the rest, we can know the right things to do or not do. We can have the research in front of us, from well-executed and documented studies and trials and we can have it for years with every new study backing it up, and yet the reality of the abuses that occur in mainstream birthing all in opposition to what we know continue. Does spontaneous uninterfered with birth just not have a great marketing department? I don’ t know, and I sometimes feel very discouraged.

Next: Part 5: The system is broken. What next?

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