Rediscovering Women`s Inner Wisdom in Breastfeeding
Transcription
Rediscovering Women`s Inner Wisdom in Breastfeeding
Rediscovering Women’s Inner Wisdom in Birth & Breastfeeding The Farm Community Experience Monday Night Class San Francisco, 1970 The Caravan Grinnell, Iowa November, 1970 April, 1971 Lewis County, Tennessee 300 young people settle in the woods (1000 acres). No running water No electricity One telephone (party line with 8 neighbors) One obstetrics handbook No book about breastfeeding One refrigerator Reality Show 24/7 Will the hippies survive the first year? Hippy Values Back to nature Self-sufficiency Living lightly on the planet Respect for indigenous people, multiculturalism Rejection of consumerism Appropriate use of technology Respect for women’s reproductive needs and rights Women’s Consensus Reclaim birth and breastfeeding No male bullies tolerated Sisterhood is powerful. Women can do anything. Farm Midwifery Center Cesarean Rate: 1st 400 Births 0.5% Current cesarean rate: 2% Sphincter Law: The Basics • They are shy. • They don’t obey orders. • They do respond well to praise. • They open better when owner’s mouth and jaw are relaxed and open. • They open well when owner is smiling or laughing. Brain study (1998): A high proportion of subjects who could pee in their own homes while being observed could not perform the same function while in a hospital. Brain. November 1998 Our bottom parts work better when our top part—our minds—are either grateful or amused at the antics or activities of our bottoms. • Meenan A, Gaskin I et al. A new (old) maneuver for the management of shoulder dystocia, The Journal of Family Practice 1991;32:625-629. • Bruner J, Gaskin I et al. All-fours maneuver for reducing shoulder dystocia, The Journal of Reproductive Medicine 1998;43:439-443. Nursing Nursing was mandatory for those who gave birth on the Caravan and on the Farm during its early days. No electricity meant no refrigeration. Breastfeeding Initiation Rate 99% Breastfeeding at 6 Months 98% What Made It Work Necessity Ecstatic birth No separation of mother and baby No pain-relieving medication in labor Plenty of physical and emotional support Exposure to many other young mothers Rejection of prudish cultural attitudes Problem-solving Premature babies requiring hospital care Inverted nipples Exhausted mothers Large breasts, flat nipples Latch problems Moms with outside jobs Adoptive mothers Shared Nursing, or The Secret Lives of Nursing Mothers Experienced moms teach babies Experienced babies teach inexperienced moms Women able to manage outside activities Enduring bonds are created between women and kids Women’s network of cooperation is formed. Best Preparation for Nursing Women are instilled with the idea that their reproductive abilities are similar to other primates. Contact with many new parents Exchange of stories and experiences Pregnant mothers learn how to interpret babies’ cues from contact with them. Nursing babies are visible wherever babies are. Birth & Post-birth Practices Make mother comfortable Teach mother that milk isn’t supposed to come in immediately Make sure family members follow through Keep baby in touch with mother Do not wash baby’s smell off Allow natural process to unfold Tell mom that learning to nurse is a process In cases of frustration and exhaustion, give assistance Optimizing Women’s Ability to Nurse Encourage pregnant women to make friends with mothers who aren’t judgmental or competitive Encourage moms to study animal mothers To join a church of supportive women or an online forum To volunteer to give the kind of care each would like to receive Complete and correct ascertainment of all maternal deaths is key to preventing maternal deaths. The Centers for Disease Control estimate that the U.S. maternal death rate is actually 1.3 to three times that reported in vital statistics records. MMWR, September 4, 1998, Vol. 47, No. 34 There has been no decline in the US maternal death rate since 1982. MMWR, September 4, 1998, Vol. 47, No. 34 US pregnancy-related maternal death rate, 2004: 13.1 deaths per 100,000 live births. US pregnancy-related maternal death rate, 2005: 15.1 deaths per 100,000 live births. Reporting of maternal deaths in the United States is done via an honor system. There are no statutes providing for penalties for misreporting or failing to report maternal deaths. Amniotic Fluid Embolism Incidence,1960s, 70s: 1/80,000120,000 births Incidence, early 1990s, 1 Phoenix hospital: 1/6,500 Some Names to Google Nancy Lim Julie LeMoult Tameka McFarquhar Jennifer adams + tripler medical base Jasmine Gant Galit Schiller Valerie Scythes Melissa Farah www.inamay.com www.rememberthemothers.net