Ok, I understand the whole natural birth and women have been doing it for centuries etc etc but why do midwifes (not all but quite a few) shove their noses in the air when someone wants a painfree child birth?? You don't get any brownie points for delivering natural and why go through that pain if you don't have too?? Or at least why do we epidural girls get the snob elitest treatment from mid wives? I have spoken to mid wives and L&D nurses and OB's and pregnant women and the most un open minded were the mid wives! The OB and the nurses supported either way but the mid wives, whoo, talk about people getting on a soapbox...
I have two boys, both delivered in a hospital both with drugs and epis. They were great! I was able to sleep for 10 hours of my 12 hour labor, I dilated faster, I was able to actaully enjoy the delivery because I was not in agony, I was up and walking 3 hours after delivery and I went home the next morning...to all those women who say that the breathing and the water and the ball makes the pain bearable you are champs
umpiron: because with my first I tried all that and I was in tears on the floor by 5 centimeters.
I am not promoting taking away the naturalness of delivery, I believe in going into labor naturally (withing reason) and I do think that VBAC's are more than doable. I think a woman should feel free to have the choice either way and when I am in L&D and a woman wants to go natural I will be right there to support her just as much as the woman who tells me give me the drugs.
And don't get me started on the Le Leche clan. Breast feeding may be best but if a woman doesn't want to let her be! I breastfed both my boys for 2 months but it is just not for me...am I a bad mother? do I deserve to get the "ohhh, you feed you baby formula?' comment dripping with distain? Am I allowed to equally look and comment with distain "you are still feeding your 3 year old the boob?" Again I fully support breastfeeding I am not knocking it...but I am tired of all the looking down of noses because of someones crusade...
I am not trying to offend anyone, I am fully supportive of both ways to deliver a child. I just wish more midwives were. If they had been maybe they would be utilized more. I am just the other side of the coin that many midwives seem to dismiss as coping out of being a true natural woman...
Mar 29, '07
I'm so sorry you've dealt with judgmental jerks Deanna! I guess those come in every profession. I am a soon-to-be midwifery student, but one reason I chose that route rather than OB was the emphasis in midwifery education on patient advocacy, and giving the patient all the information she needs to make the best choice for her. For some women (I'm sure for me!) that will include an epidural. For others, it may not. The history of OB in this country, which many awesome OBs have been working hard to change, has been to perform interventions for the convenience of the practitioner and/or the hospital rather than for the benefit of the mom/baby. For example, episiotomies were standard operating procedure for decades, and now research shows that they are associated with a slew of negative outcomes for mom and do not improve outcomes for baby unless s/he is truly in distress during delivery. Also, there is peer-reviewed data that one intervention often leads to a cascade of others. I've read that an epidural often predicts a C-section, even when controlling for other factors that could require one. Likewise, constant electronic fetal monitoring is associated with epidurals and C Sections. And C sections do carry the risk of death, disability, infection, and complications in your next pregnancy. It really sucks that one helpful intervention can trigger a whole slew of others, and that's why CNMs are trained to be conservative on that count, at least according to the midwives I interviewed.
I've met a few people who think CNMs will only perform "natural" births, or that working with one means you can't get a C Section if you need one. However, most of the time, CNMs are medical professionals working within a hospital system that allows them access to all kinds of pain relief, including epidurals, and the surgical skills of OBs should a section be neccessary. Several midwives I've interviewed in the area (all CNMs - perhaps CPMs are different) said that although they did not have epidurals during their own labors, nearly all of their patients choose to have one.
Like any practitioner, a midwife should not judge the choices you make for your own health! I have had this experience with MDs in the past and the result has been I never return to their practice. I guess when you know a lot about health you can get to thinking you know better than the person whose body you're treating, and yours is a cautionary tale for clinicians and other health professionals (ie breast-feeding folks) to remember their place as advocate for, not overlord of, a patient.
Last edit by BAtoCNM on Mar 29, '07
Apr 6, '07
I'd just like to add that it works the other way too...it also happens that women are made to feel silly or marginalized for wanting to go natural. Not just from doctors or nurses, but family and friends. And I got many "oh, um okay" type-comments regarding my decision to breastfeed. I didn't go around preaching why "everyone" should bf, but people often think negatively of it, and also my declaration that my next birth would be med free (or at least attempted.)
So it goes does go both ways...
Last edit by Sarah LnDHopes on Apr 8, '07