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	<title>Comments for Birthcycle</title>
	<link>http://blog.birthcycle.com</link>
	<description>a feminist look at pregnancy, birth, fertility, contraception, plus assorted other topics</description>
	<pubDate>Fri, 19 Mar 2010 03:21:41 +0000</pubDate>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 5 by Kenzie</title>
		<link>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33954</link>
		<dc:creator>Kenzie</dc:creator>
		<pubDate>Fri, 26 Feb 2010 09:08:56 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33954</guid>
		<description>Hi Katherine,

The most recent study that I know of can be found here: http://www.cmaj.ca/cgi/content/short/cmaj.081869v1 You can click to get the full text in the top right of the page.

If you read through it you'll note that they were careful to match homebirthing women to two other groups, first a matched group who planned hospital births with the same group of midwives and second with a matched group who planned hospital births with a physician/OB. By definition, in order for the women to be "allowed" to plan a homebirth with Registered Midwives in BC they would have had to meet the criteria for "low risk" and therefore the matched groups would have had to also. The groups were matched for age, parity, general income levels, etc. Looking at matched groups in this way would seem to be the only way to actually tease out the risks of both birth places. 

The results of this study were that home birth was safer than hospital birth, although as usual it was reported in the media as "home birth is as safe as hospital birth". That's the media for you. 

The rate of neonatal death was .35% in planned homebirths with midwives and .65% in planned hospital births with doctors. This is a difference of three babies per thousand births, and I'm not sure how statistically significant it is. But you can bet yer boots that if the difference had been the exact opposite, with the higher death rate in the homebirth category it would have been reported that giving birth at home would NEARLY DOUBLE the risk of your baby DYING! OMGeleventy!

The risk of c-section was also significantly higher in the hospital birth group, so comparing two groups where one has a higher rate of major abdominal surgery than the other and declaring that they are both "as safe" is sort of like saying that walking on the sidewalk is as safe as walking on the road, with the hidden bias that getting hit by cars occasionally is no big deal as long as you don't die.

Keep in mind that "High Risk" and "Low Risk" are moving targets in the obstetric world, and may not even be meaningful categories.</description>
		<content:encoded><![CDATA[<p>Hi Katherine,</p>
<p>The most recent study that I know of can be found here: <a href="http://www.cmaj.ca/cgi/content/short/cmaj.081869v1" rel="nofollow">http://www.cmaj.ca/cgi/content/short/cmaj.081869v1</a> You can click to get the full text in the top right of the page.</p>
<p>If you read through it you&#8217;ll note that they were careful to match homebirthing women to two other groups, first a matched group who planned hospital births with the same group of midwives and second with a matched group who planned hospital births with a physician/OB. By definition, in order for the women to be &#8220;allowed&#8221; to plan a homebirth with Registered Midwives in BC they would have had to meet the criteria for &#8220;low risk&#8221; and therefore the matched groups would have had to also. The groups were matched for age, parity, general income levels, etc. Looking at matched groups in this way would seem to be the only way to actually tease out the risks of both birth places. </p>
<p>The results of this study were that home birth was safer than hospital birth, although as usual it was reported in the media as &#8220;home birth is as safe as hospital birth&#8221;. That&#8217;s the media for you. </p>
<p>The rate of neonatal death was .35% in planned homebirths with midwives and .65% in planned hospital births with doctors. This is a difference of three babies per thousand births, and I&#8217;m not sure how statistically significant it is. But you can bet yer boots that if the difference had been the exact opposite, with the higher death rate in the homebirth category it would have been reported that giving birth at home would NEARLY DOUBLE the risk of your baby DYING! OMGeleventy!</p>
<p>The risk of c-section was also significantly higher in the hospital birth group, so comparing two groups where one has a higher rate of major abdominal surgery than the other and declaring that they are both &#8220;as safe&#8221; is sort of like saying that walking on the sidewalk is as safe as walking on the road, with the hidden bias that getting hit by cars occasionally is no big deal as long as you don&#8217;t die.</p>
<p>Keep in mind that &#8220;High Risk&#8221; and &#8220;Low Risk&#8221; are moving targets in the obstetric world, and may not even be meaningful categories.</p>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 5 by Katherine</title>
		<link>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33940</link>
		<dc:creator>Katherine</dc:creator>
		<pubDate>Thu, 25 Feb 2010 21:50:53 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33940</guid>
		<description>When you say "Research has shown repeatedly that hospital birth is not as safe as home birth." - has this research accounted for the possibility that hospital birth appears more dangerous than home birth because high-risk births and (actual) problematic births are highly encouraged to occur at the hospital?

I totally agree with the rest of your message about how hospital births have more intervention than is necessary, which has real effects on the mothers that have them, and that the lack of consent (screw informed consent, doesn't even look like they get uninformed consent) is both worrying and wrong.</description>
		<content:encoded><![CDATA[<p>When you say &#8220;Research has shown repeatedly that hospital birth is not as safe as home birth.&#8221; - has this research accounted for the possibility that hospital birth appears more dangerous than home birth because high-risk births and (actual) problematic births are highly encouraged to occur at the hospital?</p>
<p>I totally agree with the rest of your message about how hospital births have more intervention than is necessary, which has real effects on the mothers that have them, and that the lack of consent (screw informed consent, doesn&#8217;t even look like they get uninformed consent) is both worrying and wrong.</p>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 5 by Catina Adams</title>
		<link>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33916</link>
		<dc:creator>Catina Adams</dc:creator>
		<pubDate>Thu, 25 Feb 2010 00:15:56 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33916</guid>
		<description>A truly excellent decription of the situation that we also face in Australia. I would also add my suggestion - Act local, Think global. Do not underestimate the impact of caring human contact on an individual basis.
kind regards, Catina</description>
		<content:encoded><![CDATA[<p>A truly excellent decription of the situation that we also face in Australia. I would also add my suggestion - Act local, Think global. Do not underestimate the impact of caring human contact on an individual basis.<br />
kind regards, Catina</p>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 5 by Carolyn Hastie</title>
		<link>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33898</link>
		<dc:creator>Carolyn Hastie</dc:creator>
		<pubDate>Wed, 24 Feb 2010 10:43:59 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33898</guid>
		<description>Yes. Agreed. Thanks for your posting, warmly, Carolyn</description>
		<content:encoded><![CDATA[<p>Yes. Agreed. Thanks for your posting, warmly, Carolyn</p>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 5 by JudyC</title>
		<link>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33897</link>
		<dc:creator>JudyC</dc:creator>
		<pubDate>Wed, 24 Feb 2010 09:47:54 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/23/the-system-is-broken-if-it-doesnt-leave-people-whole-part-5/#comment-33897</guid>
		<description>An excellent series of articles. Australia is slightly less interventive but we still have the 30% CS rate. Our system also needs fixing.</description>
		<content:encoded><![CDATA[<p>An excellent series of articles. Australia is slightly less interventive but we still have the 30% CS rate. Our system also needs fixing.</p>
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		<title>Comment on Babies and the Cultural Performance of Femininity by Metal Prophet</title>
		<link>http://blog.birthcycle.com/2009/06/26/babies-and-the-cultural-performance-of-femininity/#comment-33730</link>
		<dc:creator>Metal Prophet</dc:creator>
		<pubDate>Thu, 18 Feb 2010 04:24:42 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/06/26/babies-and-the-cultural-performance-of-femininity/#comment-33730</guid>
		<description>Any baby of mine, regardless of sex, will be dressed in green, to confuse people. No blue and no pink.</description>
		<content:encoded><![CDATA[<p>Any baby of mine, regardless of sex, will be dressed in green, to confuse people. No blue and no pink.</p>
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		<title>Comment on The system is broken if it doesn&#8217;t leave people whole - Part 1 by Janet Fraser</title>
		<link>http://blog.birthcycle.com/2010/01/22/the-system-is-broken-if-it-doesnt-leave-people-whole-part-1/#comment-33713</link>
		<dc:creator>Janet Fraser</dc:creator>
		<pubDate>Wed, 17 Feb 2010 07:03:15 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2010/01/22/the-system-is-broken-if-it-doesnt-leave-people-whole-part-1/#comment-33713</guid>
		<description>I love your blog! Thank you for such great writing and thoughtful insights.</description>
		<content:encoded><![CDATA[<p>I love your blog! Thank you for such great writing and thoughtful insights.</p>
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		<title>Comment on Utopian Promise of Porn by MLF</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33362</link>
		<dc:creator>MLF</dc:creator>
		<pubDate>Mon, 01 Feb 2010 19:31:40 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33362</guid>
		<description>I know this is old but I can't believe that someone suggested Adam and Eve porn as "utopian" porn - not even close. For one - it has A LOT of anal sex in it (nothing to do with female pleasure except for women who only gain their pleasure through a mans).  None of the positions looked stimulating for the women. There were even scenes devoted to "blowjobs" (complete with throat F**cking) but NONE devoted to going down on women. There were a bunch of threesomes - where the two women were pleasuring the man but when it was two men - it was about the one woman pleasuring them both. And all of the women are white, with implants and fake tans. 
Ugh - why can't people SEE that? 
The only reason I watched one was because my ex had hidden it from me and I found it when he was at work. I was curious about what he was getting off on. I'm SURE that he didn't see the degrading things I saw in it. 
I think one of the problems is that the people who come on-line and defend porn have NEVER stopped and actually broken down the porn they watch (they've never critiqued it like "does that position stimulate the clit? or Does she really look like she's enjoying anal sex?). You won't see the sexism or the cruelty unless you are looking for it. 
Anyway - good points you mentioned. I found this through the anti-porn blog</description>
		<content:encoded><![CDATA[<p>I know this is old but I can&#8217;t believe that someone suggested Adam and Eve porn as &#8220;utopian&#8221; porn - not even close. For one - it has A LOT of anal sex in it (nothing to do with female pleasure except for women who only gain their pleasure through a mans).  None of the positions looked stimulating for the women. There were even scenes devoted to &#8220;blowjobs&#8221; (complete with throat F**cking) but NONE devoted to going down on women. There were a bunch of threesomes - where the two women were pleasuring the man but when it was two men - it was about the one woman pleasuring them both. And all of the women are white, with implants and fake tans.<br />
Ugh - why can&#8217;t people SEE that?<br />
The only reason I watched one was because my ex had hidden it from me and I found it when he was at work. I was curious about what he was getting off on. I&#8217;m SURE that he didn&#8217;t see the degrading things I saw in it.<br />
I think one of the problems is that the people who come on-line and defend porn have NEVER stopped and actually broken down the porn they watch (they&#8217;ve never critiqued it like &#8220;does that position stimulate the clit? or Does she really look like she&#8217;s enjoying anal sex?). You won&#8217;t see the sexism or the cruelty unless you are looking for it.<br />
Anyway - good points you mentioned. I found this through the anti-porn blog</p>
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		<title>Comment on Utopian Promise of Porn by bri</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33192</link>
		<dc:creator>bri</dc:creator>
		<pubDate>Tue, 26 Jan 2010 00:21:03 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33192</guid>
		<description>thankyou. i am going to use some of your for an english essay, i hope you dont mind. i promise to cite! thanks =]</description>
		<content:encoded><![CDATA[<p>thankyou. i am going to use some of your for an english essay, i hope you dont mind. i promise to cite! thanks =]</p>
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		<title>Comment on Utopian Promise of Porn by Erin</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33142</link>
		<dc:creator>Erin</dc:creator>
		<pubDate>Fri, 22 Jan 2010 23:03:21 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33142</guid>
		<description>Tea, 

I think you are right in that contemporary images of romance are damaging but I don't think we need to form a hierarchy competing with porn for which is the most damaging. 
Porn is damaging to people's lives. Whether romance genre is or not does not detract from how problematic porn is.</description>
		<content:encoded><![CDATA[<p>Tea, </p>
<p>I think you are right in that contemporary images of romance are damaging but I don&#8217;t think we need to form a hierarchy competing with porn for which is the most damaging.<br />
Porn is damaging to people&#8217;s lives. Whether romance genre is or not does not detract from how problematic porn is.</p>
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		<title>Comment on Utopian Promise of Porn by antiplondon</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33052</link>
		<dc:creator>antiplondon</dc:creator>
		<pubDate>Sun, 17 Jan 2010 17:22:58 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-33052</guid>
		<description>Hello,

I’d still really like to quote and link to this post at the Anti-Porn Feminists blog, but I need a clearly stated 'yes' from you so I know you're ok with that!

Thanks!</description>
		<content:encoded><![CDATA[<p>Hello,</p>
<p>I’d still really like to quote and link to this post at the Anti-Porn Feminists blog, but I need a clearly stated &#8216;yes&#8217; from you so I know you&#8217;re ok with that!</p>
<p>Thanks!</p>
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		<title>Comment on In which I avoid my NaNoWriMo commitments by blogging by diana</title>
		<link>http://blog.birthcycle.com/2009/11/18/in-which-i-avoid-my-nanowrimo-commitments-by-blogging/#comment-32883</link>
		<dc:creator>diana</dc:creator>
		<pubDate>Tue, 12 Jan 2010 07:37:13 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/11/18/in-which-i-avoid-my-nanowrimo-commitments-by-blogging/#comment-32883</guid>
		<description>Dweeb I be; cannot figure out how to e-mail you so I'm doing this instead.  Not meant as a post.  Just a thank you.  Wandered across your blog because of the utopian/porn post, linked elsewhere -- excellent points you made!  And then I found the fat stuff.  Decades-long fat activist here, and I really appreciated your honesty with your friend, plus the fact you can tolerate the good on the Alas blog.  Anyway, love your blog(s), your son is adorable, and I thank you for your wisdoms and insights, and, especially, your excellent questions.</description>
		<content:encoded><![CDATA[<p>Dweeb I be; cannot figure out how to e-mail you so I&#8217;m doing this instead.  Not meant as a post.  Just a thank you.  Wandered across your blog because of the utopian/porn post, linked elsewhere &#8212; excellent points you made!  And then I found the fat stuff.  Decades-long fat activist here, and I really appreciated your honesty with your friend, plus the fact you can tolerate the good on the Alas blog.  Anyway, love your blog(s), your son is adorable, and I thank you for your wisdoms and insights, and, especially, your excellent questions.</p>
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		<title>Comment on Utopian Promise of Porn by Kenzie</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-31416</link>
		<dc:creator>Kenzie</dc:creator>
		<pubDate>Sat, 14 Nov 2009 21:34:04 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-31416</guid>
		<description>Hi tea,

I know very little about romance novels, having never really read any (at least not of the harlequin type), but I'd be interested in your take.</description>
		<content:encoded><![CDATA[<p>Hi tea,</p>
<p>I know very little about romance novels, having never really read any (at least not of the harlequin type), but I&#8217;d be interested in your take.</p>
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		<title>Comment on 2 out of ~350 by Kenzie</title>
		<link>http://blog.birthcycle.com/2009/10/21/2-out-of-350/#comment-31409</link>
		<dc:creator>Kenzie</dc:creator>
		<pubDate>Sat, 14 Nov 2009 09:46:35 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/10/21/2-out-of-350/#comment-31409</guid>
		<description>I can remember nothing, I'm afraid, although now I'm tempted to do a little digging and see what I can find. This was over 15 years ago though, so it's hard to say if what they did then would be something they would still do now.</description>
		<content:encoded><![CDATA[<p>I can remember nothing, I&#8217;m afraid, although now I&#8217;m tempted to do a little digging and see what I can find. This was over 15 years ago though, so it&#8217;s hard to say if what they did then would be something they would still do now.</p>
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		<title>Comment on Utopian Promise of Porn by tea</title>
		<link>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-31276</link>
		<dc:creator>tea</dc:creator>
		<pubDate>Mon, 09 Nov 2009 16:30:43 +0000</pubDate>
		<guid>http://blog.birthcycle.com/2009/07/14/utopian-promise-of-porn/#comment-31276</guid>
		<description>If we are critiquing porn this way, can we please do the same to the whole romantic comedy genre? i watch and enjoy porn (i'm queer, i watch queer porn, pink and white productions if anyone is interested) but find the whole romance genre WAY more damaging to what we think about how love and relationships work.</description>
		<content:encoded><![CDATA[<p>If we are critiquing porn this way, can we please do the same to the whole romantic comedy genre? i watch and enjoy porn (i&#8217;m queer, i watch queer porn, pink and white productions if anyone is interested) but find the whole romance genre WAY more damaging to what we think about how love and relationships work.</p>
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