Tuesday, March 29, 2011

HW 40 - Insights from Book - Part 3

"Hey Tina Cassidy thanks for writing Birth. Your idea that a natural process which women are capable of doing on their own has turned into a nightmarish industrial atrocity, persuaded me to think differently about hospital births."

Tina: 
"Really, which parts were most effective or important for you?"

"Well, in the last third of the book you focused on postpartum depression and the history of a fathers role in the birthing process, which have outstanding connections to the first 2/3rd of the book. More specifically, the historical aspect of men being aloud in the birth place. I found it interesting that since ancient times fathers did not participate in the birthing process.(p.32) These women had no option of the support of a father. So why is it that modern women find it easer to give birth with there husbands present. (p.198)
2. The placenta cocktail mentioned in page 219 most definitely caught my attention. With all due respect it made me want to barf. But then i thought about how most mammals do this. They just don't mix it with ice and V-8 juice."

Tina:
 "But what could I have done to make this a better book - that would more effectively fulfill its mission?"

"Well, let's be clear - your text sought to provide narratives, historical analysis, journalistic analysis and policy analysis from the perspective of (doctors, mothers, fathers and more) for the book-reading-public to better understand pregnancy & birth in our culture. Given that aim, and your book, the best advice I would give for a 2nd edition of the text would be, to add to your appendix. I loved having the information about maternal death but seeing more statistics may have been useful. For example, I would have liked to see statistics on infant mortality by nation, and breast feeding verses non-breast feeding infant health. But I don't want you to feel like I'm criticizing. I appreciate the immense amount of labor you dedicated to this important issue and particularly for making me think about the women whose child was devoured by a rat in the primitive days of hospital births & causing me to think about the benefits of a home birth. In fact, I'm likely to visit a birthing ward and volunteer with new born babes as a result of your book. This will not only give me good experience but i will also use this as a way of learning more about the topic."

Tina:
 "Thanks! Talking to you give me hope about our future as a society!"

Wednesday, March 16, 2011

HW 38 - Insights from pregnancy & birth book - part 1

1) The book Birth by Tina Cassidy, is organized into nine chapters and an appendix with a list of about one hundred countries their maternal mortality rates. She discusses the negative aspects of typical birth in our country. The first few chapters focus on historical and evolutionary aspects of birth. It then, in chapter three, starts talking about the modern atrocities of birth.

2) The question Tina Cassidy answered is, How can I "figure out how to give birth in a way that is--simultaneously and consistently--safe, minimally painful, joyful, and close to nature's design?"
I like how she acknowledges that some sort of pain relief as a priority of many women. The movie we are watching does not do this. I think this is important because most american women expect pain relief as a part of a humane birth experience. Even if all evidence points to the contrary, it is important for the book to be relatable for women in our country.

3) The major insight the book tries to portray is that birth, a natural experience only for women, has been horridly taken over by male doctors. Tina Cassidy demonstrates a poor immigrant women named Mary Conner, being used as a guinea pig to test the new pain reducing techniques. As she was slipping in and out of consciousness the doctors were pre occupied and failed to notice that she had given birth. She also failed to notice until she regained conciseness and said she felt that she had delivered a stillborn. The doctor came to examine her.
"She stated she thought her child was born. I immediately examined and found the child beneath the hips of the mother, in a lifeless condition, and mutilated, apparently by rats. In the position ware the child was, life could have existed but a few moments." (p.55)

4) KEY POINTS:
Evolution Effecting birth:
One of the first points brought up in Birth is that human females have a smaller hip size to baby head size ratio then our monkey like ancestors. This ratio imbalance is caused by the two characteristics that make humans remarkably distinct from apes.The first being smaller hips due to the ability to stand upright. The second being huge baby heads to accommodate larger brains which make us more intelligent. These two traits are something people tend to be proud of. Why is it that we don't imbalance labor pains associated with this?

Creation of C-section: 
Something that most celebrates and rich women chose to do over natural birth, originally spread because people the catholic church valued the fetuses life more then the mothers. This was because the fetus was unbaptized and they believed if it died the baby would remain in purgatory for eternity. So it originated out of something that was expected to kill women.

Males role in birth:
Males have had a swaying role in the birthing process. Up until recently it was considered odd for men to join their partner in the birth process. I think it would be interesting to learn why men were all the sudden allowed to witness birth. This is discussed in a chapter that I have not gotten up to yet.

Disposal of afterbirth:
In many cultures women have been instructed to labor over hay in a barn. This practice includes, women of the southern USA and all over europe. This practice has only taken place by women who were poor. They do this out of disgust of the placenta.


5) The author offers statistical evidence to support ideas that require straightforward evidence. She also incorporates her personal experience to give examples of how she felt during birth. I would say that all and all she is good at balancing logical evidence and statistical evidence appropriately. Although sometimes she incorporates her personal opinion.