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I believe that fear of birth and perhaps a right to choose has lead women into thinking CS is the best option into giving birth. The Obstetricians have not helped either because payment for a normal birth is very low but a CS they have more than a months'salary coupled with the daily charges to come to hospital to review the woman. 



Prof. Grace Omoni, PhD

Director, School of Nursing Sciences

University of Nairobi

President, Confederation of Africa Midwives Associations (CONAMA)

Chair, Lugina African Midwives Research Network (LAMRN)



Date: Thu, 28 Jul 2016 05:47:30 +0200
From: [log in to unmask]
Subject: Society has / is loosing the notion that SVD is the "default" setting for birth and that other settings should be an answer to some evaluated anomaly
To: [log in to unmask]

Question

In our hospital, we have recently acquired a very nice Swedish obstetrician and we had a seminar on: “How do the Nordics do it?”. 

In the Nordic countries there are very few “formal” midwife units, but still they have very low CS rates (14% in Iceland), and excellent outcomes.  

We discussed in particular the work of Mary Blomberg and co-workers.  At the end of the discussion, we came to the idea that it is more about “values” and “lifestyle” than anything else.  The little Swedish children spend their time facing the tough weather, possibly even camping in the snow.  And not challenging everything all the time.  And when pregnancy and childbirth occur, the Nordic  woman-who-has camped-in-the-snow doesn’t go through the throes of intense self-questioning, and just does it (SVD without epidural, followed by long and efficient breast feeding).

DO you believe this?

Sophie    

De : A forum for discussion on midwifery and reproductive health research. [mailto:[log in to unmask]] De la part de Soo Downe
Envoyé : mercredi 27 juillet 2016 22:15
À : [log in to unmask]
Objet : Re: Risks of vaginal birth - from 'The Conversation'

 

Excellent observation Carolyn
 
All the best
 
Soo
 
 

From: A forum for discussion on midwifery and reproductive health research. [[log in to unmask]] on behalf of Carolyn McIntosh [[log in to unmask]]
Sent: Wednesday, July 27, 2016 9:13 PM
To:
[log in to unmask]
Subject: Re: Risks of vaginal birth - from 'The Conversation'

Normal physiology and function is the default position for any aspect of health care. Where illness or disability interrupts normal function the goal of treatment is to return the body as close as possible to normal physiological function. I can think of no other aspect of health care where individuals can freely choose drastic and costly medical intervention without a clear medical rationale. The default position for birth should always be normal physiological birth. Treatment should be offered when it is medically indicated.
Carolyn McIntosh
Senior Midwifery Lecturer
Otago Polytechnic

 

On 27/07/2016 9:21 PM, "Macfarlane, Alison" <[log in to unmask]> wrote:

‘Why do we assume a “natural” vaginal birth should be the default option? Informing pregnant women about the relative risks and benefits of vaginal births and caesarean sections would empower individuals to choose what's right for them, argues Maired Black. ‘

 

Alison Macfarlane
School of Health Sciences
City University London

1, Myddelton Street

London EC1R 1UW

Phone (0) (44) 207 040 5832

Email
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http://www.city.ac.uk/people/academics/alison-macfarlane


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