Birth snapshot: Two weeks ago today…

Two weeks ago today I was utterly hopeless.  By 1pm I had lost my midwife and pissed off the only medpro that was ‘in charge’ of me.

Two weeks ago today and at this time I should have been getting prepped for a repeat cesarean.  Instead, we called the hospital that morning and called the OB’s office to cancel that surgery.  We felt the surgery was at best premature but more than likely completely unnecessary and scheduled out of medico-legal fear.  The only reason I allowed the scheduling of that surgery was because I didn’t think I’d still be pregnant at 41 weeks and 4 days and didn’t plan on needing an obstetrician anyway!

Two weeks ago today and by this time of day, my husband had called my midwife.  He thought her suggestion to just show up at the hospital on that day (with relatively no labor signs) just to appease the doctor was quite strange.  Little did we know that she no longer felt comfortable helping us at home.  Thank God my husband was able to pull that out of her.  So . . . by this time of day I was that patient who goes against medical advice (AMA) and cancels a scheduled surgery and doesn’t check back in with the OB and doesn’t show up at the hospital during business hours.  And my midwife abandoned me when I needed her and expected her the most.

Two weeks ago today and an hour from now, I took a 2.5oz dose of castor oil that did nothing but make me feel sick to my stomach.  We started getting ready to go to the hospital.  I had no idea what you put in a hospital bag . . . couldn’t remember.  I tried to rest but was restless; tried to sleep but was too wired.  Sleep was way to passive for me at the time – I had walked a big blister onto the bottom of my foot; I had bounced on the ball; I had squatted.  I researched ways to help get my baby better positioned if and when contractions resumed.  I researched post-41-week birth outcomes.  I looked and looked for any justification for a pre-42-week cesarean.  I looked and looked for evidence that stillbirth rates doubled at this point in a healthy pregnancy.

Two weeks ago today . . . by 1:02pm, I had no faith in myself.  I had no faith in my birth community.  I had no faith in my care providers.  And yet I had so much . . . an amazingly supportive husband, my in-laws who dropped their plans and raced up her from Denver to take care of us, my 3 sweet girls, and my cozy happy healthy baby in utero.  Why did it have to be such a hopeless day?

Danger Will Robinson

I read this over at Birth Matters:

the American Medical Association formed a group called the Scope of Practice Partnership (SOPP), whose mission is to launch investigations of unlicensed “midlevel providers” and to support initiatives to fight legislation expanding the current scope of practice for licensed “midlevel providers”.

Doesn’t the AMA have anything better to do?  Like schedule unnecessary procedures and fight law suits?

 Watch out for AWHONN.  Here’s another group of medical folks looks like mostly duped L&D nurses) that just must not be busy enough.  This group is trying to stir up trouble for direct entry midwives, stating that they aren’t educated enough to perform their services.  Here’s an excerpt from their Fall newsletter:

AWHONN strongly supports the practice of midwifery by a Certified
Nurse Midwife (CNM), who is a registered nurse with an advanced
degree and broad range of training in areas including pharmacology,
and formal collaborates with other health care professionals as an
expectation of their licensure to provide safe, holistic care.

Certified Professional (Lay) Midwives (CPMs), in contrast, have a
far more limited apprenticeship and are not required to have
relevant college degree, pharmacology training, or collaborative
practice agreement with an obstetrician or hospital in case of
complications.

Far more limited apprenticeship?  Could you be more specific please?  What I know about midwifery apprenticeship is that they have to observe and then participate in (as an apprentice) a large number of births before they are allowed to practice alone.  This is regulated state by state.

Relevant college degree?  And what is that?  In this day and age a bachelor’s degree is only a vehicle to get you somewhere else.  A bachelor degree is not something to measure proficiency in ANYTHING by.  I have a BS in Psychology and certainly wasn’t qualified to practice or conduct scholarly research at the end of my program.  And I don’t have a bachelor’s degree in music though that is my field of specialization.  I happen to be a damned good singer and teacher in spite of my lack of a degree that is not considered terminal in my field.

Collaborative practice agreements?  What a joke.  I had a PA tell me recently that her OBs were no longer able to provide back-up service for homebirth.  I’m sure it boils down to liability/malpractice.  So, this group is fudging that part of the argument.

I am surprised that AWHONN is turning its back on homebirth.  They were evidently founders in the Coalition for Improving Maternity Services (CIMS).  According to the CIMS website:

In its first five years, the work of the coalition has focused on the creation and implementation of the evidence-based Mother-Friendly Childbirth Initiative (MFCI), which provides guidelines for identifying and designating “mother-friendly” birth sites including hospitals, birth centers and home-birth services.

So what’s different now in 2007?  Anyone else smell something stinky?

TRAITORS!