Flashmob: Pregnant women breakdancing in London

"If you think this is dangerous, try giving birth in poor countries without a midwife,  hospitals or medicine. This flashmob is one of a series that is happening in Paris, Berlin..."  Oxfam

700,000 more midwives are needed globally. When a trained midwife is in attendance, a woman's chances of surviving childbirth dramatically increase.

Midwives create a clean environment for the delivery and deal with complications during birth. Midwives must be supported with decent, well-equipped hospitals nearby for emergency care.

Oxfam

Caesarean vs VBAC a dramatic difference

This is a very inspirational and moving video by Alexandra Orchard about her birth experiences.


Cesarean vs. VBAC:  A Dramatic Difference from Alexandra Orchard on Vimeo.


There are some very interesting comments on Alexandra's page. Click this link or cut and paste into your browser.

http://vimeo.com/5648654

Optimistic Expectancies and Cell-Mediated Immunity — Psychological Science

Having positive expectations is good for your immune system functioning and therefore good for your health.

"These results provide the first evidence that changes in optimistic expectancies are accompanied by changes in immunity, as well as the first evidence for a mechanism by which this effect occurs. Changes in expectancies about law school predicted changes in cellular immune function, and this relationship could be partially accounted for by positive but not negative affect. The results support the validity of psychological interventions to improve immunity and health (e.g., Andersen et al., 2007) and suggest that efforts to correct irrationally pessimistic expectancies may be warranted, particularly if these efforts also increase positive affect".

Interestingly, the authors conclude:

"Although optimistic expectancies are associated with both increased positive affect and decreased negative affect, it may be as important for immunological health for people to be happy as it is for them to lack anxiety".

That song "Don't worry, be happy" was on the mark!

Of course, childbearing women do have 'worries' and their anxieties can be alleviated by having a midwife to journey through their experience with.  Midwives can provide a sounding board and provide information and a safe space where worries and fears can be explored; strategies for self management developed and worries dissipated.  In such a supportive environment, women's cell-mediated immunity is obviously improved, which would 'fit' with the reduced numbers of women experiencing pre-eclampsia, gestational diabetes and premature labour that is associated with 1-2-1 midwifery care.


Optimistic Expectancies and Cell-Mediated Immunity — Psychological Science

Perception of effort, not muscle fatigue, limits endurance performance

"As recently as 2008, scientific research papers were citing the theory that endurance performance is limited by the capacity of the skeletal muscles, heart and lungs and that exhaustion occurs when the active muscles are unable to produce the force or power required by prolonged exercise.
Dr Sam Marcora, an exercise physiologist at Bangor University, has now disproved this for the first time and proposed an alternative - that it is your perception of effort that limits your endurance performance, not the actual capability of your muscles. He showed that the muscles were still able to achieve the power output required by endurance exercise even when the point of perceived exhaustion had been reached".

The idea that the perception of effort limits a person's endurance performance is relevant to any physical activity that requires endurance, not just the sporting arena.

For birthing women, their families and midwives, this information is very important. Perceptions around labour and birth are culturally constructed. Many women are apprehensive about giving birth because of the negativity they are subjected to on a daily basis from well meaning friends, associates and even total strangers. That apprehension that many women feel, coupled with also well meaning but negative, undermining comments when they are in labour, may lead many women to perceive that they are 'at the end of their tether' and unable to go on. Birthing physiology requires the woman to feel safe and loved to work optimally.

Many partners get frightened by the rawness and primal nature of labour and seek to make themselves feel better by sympathising/pitying and/or suggesting pain relief for the labouring woman. An example is regarding one of the couples, several years ago, who came back to an antenatal group to talk about their birth experience six weeks earlier. When they had told their story, the man said "I was so happy when she had the epidural, I couldn't stand it any longer".

Women do look to their partners and caregivers to check how they are 'doing' in labour. Women get feedback that way. Fear-filled or pitying faces trigger mirror neurons to create similar feelings in the women, disrupting their physiological functioning for birthing. Unless the woman's self talk is particularly strong and positively oriented, her mind will be filled with fearful reactive thoughts, further disrupting her birthing physiology.

On the other hand, in a similar way to what happens in sporting situations, when partners/family and midwives provide encouragement, words of praise, smiling faces and a firm belief in the woman's ability, women's self talk changes and they find the inner strength to continue, even getting a 'second wind' as the energy in the room picks up. That's where the analogy to sport ends because with birthing there is no competition. There is no one to beat. The wonder is that there is a beautiful baby and fabulous placenta to welcome into the world.

The recipe for enabling birth, as it is for any physically related endeavor requiring focus and endurance:

• believe you can 'do it'
• prepare yourself
• surround yourself with people who believe in you
• ask your partner/support people to say supportive messages and to smile at you in labour
• tell yourself that you 'can'
• do it

Perception of effort, not muscle fatigue, limits endurance performance

Stress During Pregnancy Linked to Higher Risk for Asthma in Offspring

The way that our physiology switches genes on or off in response to environmental circumstances/triggers/cues, a process now studied as 'epigenetics' or 'above the genes' is becoming increasingly understood. The way that stressors impact our lives, our genetic expression and our immune system is becoming more and more recognised and obvious as scientists seek to understand the role of the environment in disease profiles. The significance of the prenatal experience in setting the foundations for health and wellness or disease is now recognised as a reality for humans as well as other animal species.

What scientists are discovering as they study the role of the prenatal environment in health and disease, is that high levels of maternal stress during the prenatal period is associated with impaired immune modulation. This study gives further credence to the Barker hypothesis that the prenatal experience is programming the infant's physiology, including the immune system to respond to the environment it will be born into. In the case of children whose mothers experience chronic and high stress levels, they have immune systems that are more vulnerable and more highly triggered by adverse environmental factors.

"In the Urban Environment and Childhood Asthma Study, the investigators evaluated associations among prenatal maternal stress and cord blood mononuclear cell (CBMC) cytokine responses among 557 families in Boston; Baltimore, Maryland; New York City; St. Louis, Missouri, and other cities. Each child had a parent with history of asthma or allergy".

Cytokines are messenger molecules with a complex range of interweaving, intersecting pro inflammatory and anti inflammatory functions.

"This is the first study in humans to show that increased stress experienced during pregnancy in these urban, largely minority women, is associated with different patterns of cord blood cytokine production to various environmental stimuli, relative to babies born to lower-stressed mothers," lead author Rosalind Wright, MD, MPH, associate physician at Brigham and Women's Hospital in Boston, Massachusetts, said in a news release.

The obvious answer is take care of pregnant women. Reduce the environmental stressors that pregnant women have to negotiate on a day to day basis. Poverty, violence, poor nutrition, unwanted pregnancies, lack of preconceptual care, lack of meaningful, supportive care during pregnancy and birth etc are all environmental risk factors with huge implications for the health and wellbeing of mothers and their babies.

Midwifery care that is provided in a one to one relationship is very beneficial for helping a woman defuse her stress levels. As a woman feels safe with her midwife and as trust builds, discusses her fears, problems and life circumstances, emotional stress is releases and solution generating can begin. Our government needs to heed these studies and provide better care for pregnant women if they truly want better and healthier societies.



Stress During Pregnancy Linked to Higher Risk for Asthma in Offspring

Government sold out to the AMA

 "The new regulatory framework includes a request for midwives to form a collaborative relationship with doctors, requiring their sign-off to access Medicare insurance and pharmaceutical benefits"

This bit of legislation has put midwifery under the control of doctors and sold out women's choice to birth at home with her own midwife

 

and is it no wonder when our prime minister, the honourable kevin rudd, at the AMA's union dinner says:

"In particular, tonight I want to acknowledge the hard work of Andrew Pesce as President of the AMA. I've appreciated Andrew's input and his engagement with
the health reform agenda in the meetings that we have had together in recent weeks.

The Government and the AMA are both committed to tackling the long-term challenge of health reform, and we are both committed on the direction we need to take to tackle this challenge - in particular, on the need for stronger clinician leadership within our health system.

In July last year, the AMA told us about the sorts of things that they would like to see in health reform....

Andrew, we heard you."

Date: 10 March 2010
News Type: Speech
Title: Speech to the 2010 AMA Parliamentary Dinner


Senate passes controversial birth bill | Herald Sun

Miracle baby elephant makes public debut

Miracle baby elephant makes public debut

"Miller said the indications were the elephant would have no permanent problems despite being stuck in a position in the womb which experts considered would result in death to both mother and calf in the wild".

Interestingly, the mother gave birth alone, once everyone left her after the pronouncement that the baby elephant was dead in utero.  The experts do that shroud waving thing around birth quite a bit. Even with elephants. Just goes to show that experts are wrong across species. Mothers always know best

British fertility clinic raffling human egg

What do you think of this?

"A British fertility clinic said Sunday it was raffling off a human egg this week to promote its "baby profiling" service, which it insists is legal under UK law".

British fertility clinic raffling human egg

Private practice midwifery

I've been quiet on my blog for a couple of weeks. I've been thinking a lot.

Over the last two weeks, I have been contacted by more and more women wanting one to one midwifery care.

The  women who have contacted me include:
1. Women who live outside the boundary set by publicly funded homebirth services
2. Women who prefer to know their midwife and have one to one care, rather than take 'pot luck' on which midwife will be there at the birth
3. A woman having twins who is apprehensive about all the negativity around having twins and being 'routinely' done to -  you know, induction, epidural... etc. She wants a midwife to go to hospital with her because she doesn't trust the 'system'.
4. A woman who has had three births via caesarean and wants to birth normally.
5. A woman who has had two births via caesarean and wants to birth normally.

To me, this signifies a problem with the 'system' of maternity care in this country. Women's rights are still being ignored. The importance of birth and freedom of choice is still being ignored.

The mountain of research which demonstrates that pregnant women's emotional as well as physical needs must be met to enable optimal health and wellbeing of the mother and her baby is being ignored.

Now is the time to write to the government, the opposition and all your local members talking about these human rights issues. Write your letter. Send it by snail mail. I've been told that a letter from any person is seen as representative of 100 members of the community.  Google the various political parties and all the politicians and their addresses are easily found. Our lives are being over regulated and under serviced. Time for a change. Please make your voice heard.