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June2006, ISBN 0415372666
Table Of Contents
BIRTH SHOCK /x-tad-smaller>/smaller>
How is birth turned into an ordeal?
What does it mean to be in control of birth?
Making an informed choice
POWER IN A HIGH-TECH BIRTH CULTURE: HOW AN ANTHROPOLOGIST SEES BIRTH
Birth plans. Fragmented care. The language of
obstetrics. Becoming a patient. Conformity and passivity. Joking behaviour. Reality is in
the case notes. Harpooned to a fetal monitor. Ceremonial dress. The cut. Cleaning up.
THE REPRODUCTIVE MACHINE
Clock-watched birth. A race to the finishing
post. Induction. Misoprostol. Suggestions to avoid unnecessary induction. Amniotomy.
Episiotomy (How to avoid an episiotomy, How a midwife can help, The partner, The doula).
Why mess about? The no indicated risk Caesarean. Side effects of Caesarean
section. /x-tad-smaller> Action a pregnant woman can take.
ABUSE AND BIRTH /smaller>/smaller>
Loss of control. Preparing for birth after
sexual abuse. Pregnant again. Ways of preparing for birth. Some listening skills.
Non-helpful responses. Helpful responses. The childbirth educator. The partner.
The doula. How a midwife can help a woman who has been sexually abused In pregnancy In
FLASHBACKS AND PANIC ATTACKS
The symptoms of PTSD.
Killing pain with drugs.
A good birth.
Entonox and opiates.
WAYS OF HANDLING PAIN
A birth companion. Cutaneous injection of
sterile water. Transcutaneous Electronic Nerve Stimulation (TENS). Acupuncture,
acupressure, shiatsu and reflexology. Hypnotherapy. Touch relaxation and massage.
Practising touch relaxation. Ways a woman can handle pain herself. Relaxation. Breathing.
Visualisation. Vocalisation. Position change. Movement. Water. Warmth.
ONLY I HADNT /smaller>/smaller>
Choices. Maternal fetal conflict. Whos to
How to listen. Feelings of guilt.
from Chapter 12
I believe that when a woman is distressed after
childbirth she benefits from both exploring the traumatic experience and also from looking
ahead. She is helped to move forward into the future, and to do this she has to find
strength within herself. Before that can happen she needs to create a narrative of the
traumatic experience and have it validated. It cannot be swept into oblivion. So ways have
to be found of enabling her to stand back and look at it carefully what happened between
individuals involved and the emotional impact on her at the time and after. Only then can
she move on. Eventually, like poetry, the narrative of the trauma that she creates is
emotion recollected in tranquillity'./x-tad-smaller>
Trying to be a good mother.
Reclaiming your genitals.
Sex after a traumatic birth.
Put your birth story into words. Get hold of
your records. How to crack the code. A self-help group. Demanding twilight
sleep: control or subservience? Face up to fear. Tell the story. The listening
experience. On the phone.
A planned Caesarean. VBAC (vaginal birth after
Caesarean). A doula. Birth at home. Labour at home as long as you can. A birth centre.
Using a birth pool. Continuity of care. What about a private obstetrician? An independent
midwife? Labour and give birth in any position you choose. Research a birth plan and
explore it with your midwife.