Archive for the tag 'maternity care'

My new project: Broken Birth

NS February 20th, 2011

You’ll have likely noticed that I’ve not been around very much lately. I’ve alluded to a new project in the works and promised that I would let you know what it is when it was finished. So, without further ado, my new website, Broken Birth.

This is the content of the About page, to give you a better idea of the site’s aim.

Serious flaws in maternity care are having widespread and detrimental effects on how women experience birth. It is breaking not only our bodies, but our spirits. Diagnoses of Postnatal Depression and Post-Traumatic Stress Disorder as a result of traumatic births are more commonplace than ever.

Contrary to popular myth — that birth is only one day in a woman’s life and that a healthy baby is all that matters — how we give birth has a knock-on effect on nearly everything else as we begin our journeys into motherhood: recovery time, breastfeeding success rates, emotional state, confidence in our abilities, incidences of depression, our reproductive and sexual health, interpersonal relationships, (dis)trust in our care providers and the maternity services as a whole, and whether and how we give birth to future children.

The Royal College of MidwivesAIMSDoula UKNCT and various other organisations with a vested interest in pregnant women’s rights and well-being are increasingly concerned with the startling lack of continuity of care, lack of choices in where and how women give birth, lack of evidence-based and woman-centred care and failure to gain informed consent or refusal when it comes to interventions. Severe staff shortages, restrictive policies and procedures and a growing culture of defensive medicine tie the hands of those working within the birth profession, making it nearly impossible for them to provide the service they know women deserve.

In a perfect world, my job would be eradicated. Families wouldn’t need doulas to help guide them through and protect them from the maternity services as they give birth on the conveyor belt of care one often receives on the NHS. But the system is broken. And now many of us believe that birth itself is broken, that our bodies are incapable of carrying out a process for which they were designed.

We can’t just slap a coat of glossy paint over the maternity services and hope the shine distracts everyone from the deep flaws within. Instead, we must repair it completely by uncovering all the cracks and then working at filling them in. Midwives and mothers, doctors and doulas, politicians and fathers…all of us must contribute. And as with any DIY project, it will require time, patience, the right materials, a sense of purpose and, of course, funds.

I want to restore birth to what it should be. I want to fill in those cracks so that no more women fall through them. If you do too, come on in. You’re in the right place.

Here’s what I’ve written about so far:

The danger of getting caught up in ‘the numbers’

Who’s talking about maternity services

The midwife shortage

Birth trauma

If you are at all interested in advocating for change so that women have better, safer births, please subscribe and spread the word to any like-minded friends and family.  You can follow Broken Birth on Facebook and Twitter too. I’d really appreciate help getting the word out to mums and midwives, doulas and doctors, fathers and feminists, and anyone else concerned with the state of the maternity services in the UK and around the world.

If I get a nice little following I can return to writing this blog more regularly so if you’d like to see more Noble Savage, show some love over at Broken Birth too. Thank you!

The call

NS January 2nd, 2011

Soon after I became a doula, I considered shutting down this blog.

I’ve grumbled before about the possibility of having nothing left to say or being tempted to throw in the towel but I can never quite bring myself to do it. This blog has been a major part of my life and, dare I say it, my identity for the past (coming up to) 6 years.

So I’m not going to shut it down. I may post more infrequently, or in manic bursts between silences, but I’m not ready to let go of the part of myself that still believes I am/will be a writer.

That said, I think I have a new calling.

When I became a doula, I wanted to help women have better births. After writing about, reading about and now even witnessing firsthand the terror and trauma that so many women go through (often unnecessarily) to give birth, I am even more devoted to not only helping individual women receive better care and become empowered enough to make their own choices, but to actively fighting to change the appalling state of maternal health in the UK and around the world.

Here are a few facts to chew on†:

  • If you are a north-western European woman, your risk of dying in childbirth is 1 in 30,000; if you live in Afghanistan or Sierra Leone, your risk is 1 in 6
  • Every year over half a million women die from complications related to pregnancy or childbirth; 99 percent of them are from the poorest nations
  • Preventing unwanted pregnancies would reduce the maternal mortality rate by a quarter. At the moment, more than 68,000 women die from unsafe abortions every year
  • There are not enough midwives. One in four women in the world give birth without a skilled attendant present. Even in industrialised, wealthy nations, women are frequently left unattended or unsupported as they give birth, resulting in both physical and emotional trauma
  • Women in poor countries lack access to needed caesarean surgery; women in rich countries are subjected to too many. Both have dangerous implications for maternal health
  • The child of a woman who dies in childbirth is much more likely to die before the age of two

In the UK, David Cameron is revoking his campaign promise to provide at least 3,000 more midwives within the NHS, the minimum number needed to bring the service to a safe and acceptable level. Once again, as they do the world over, politicians’ lips do a lot of moving but their commitment to actually providing the funding and resources is non-existent.

Do we really matter so little?

NHS midwives are stretched so thin that at the Royal College of Midwives’ recent annual conference, RCM General Secretary Cathy Warwick painted a bleak picture of maternity services and warned that they are at the breaking point. In today’s Observer, on the front page, Warwick warns once again that if the maternity services don’t improve quickly, it is only a matter of time before it begins to break down completely, further endangering women’s lives and those of their babies.

If we can’t get maternal health right in even the most prosperous, wealthiest nations in the world, what hope do we have of bettering conditions in developing nations where conditions are much worse?

Even Dr. Tony Falconer, president of the Royal College of Obstetricians and Gynaecologists, today issued a warning that women who give birth at night are at greater risk for inadequate care due to staff shortages and inexperience because senior staff tend to work during ‘normal’ business hours. This, despite the fact that many women go into labour and arrive at hospital in the middle of the night or the early hours of the morning. I’ve personally heard countless stories of women in full-on labour being turned away because there just aren’t enough midwives to cope and being sent to another hospital, A&E or being forced to give birth unattended in a waiting room, corridor or car park. It does paint a rather worrying picture, doesn’t it?

That’s why I’m working on a new project, one that will hopefully combine my passions for birth advocacy, feminism and writing into one big ball of justice-seeking, anger-tinged-yet-hopeful blogginess. I’m hoping that all will be revealed in the next few weeks so watch this space. I do believe that 2011 is going to be a busy, busy year.

Bring it.

†All stats taken from ‘The Politics of Breastfeeding: When Breasts Are Bad For Business’ by Gabrielle Palmer

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