"I was deep in the woo for a little while. I wanted that home birth for theoretical baby number three, right down to researching medical texts for instructions on abating post-partum hemorrhage for Pater Pueri so that he could keep me from bleeding out if I needed it. And then someone I know (on the internet,) had a tragic, tragic home birth. It opened my eyes. It made me realize that the quiet, serene home birth I envisioned for myself was just that - for myself. It was selfish, it was stupid, and above all, it was putting my child last."
Those were my words, above, after reading through the blog "Hurt by Homebirth." (http://hurtbyhomebirth.blogspot.com)
There's a lot of drama on the interwebz right now between that nutball Gina over at The Feminist Breeder, and Dr. Amy Tuteur. I won't lie - I side with Dr. Amy.
Once upon a time, I wanted to be a midwife. I wanted to be an ARNP with a midwifery bridge, working with a like-minded high-risk OB to help women who wouldn't otherwise receive the gentler care they would have had their pregnancies been low-risk. I wanted to be a medwife. I dreamed of starting that particular model of medwifery and opening up a whole new world, a new niche, a new experience.
The sociopolitical climate of the world of midwifery right now has suspended those dreams, though, forever to be tucked back into the recesses of my box of hopes and dreams, someday to be realized but not now.
I also firmly believe in vaccinations, medication, and western medicine.
This leaves the conundrum for many... how do we find the balance between our crunchy urges and the woo that is so prevalent? How do we keep from getting wrapped up in the woo and the brainwashing, mob mentality that is running roughshod over the birth and baby/child community?
The answer is not simple. It's willpower. It's research. It's taking sides and standing tall and firm, no matter how unpopular it may make you with certain friends.
I'm still a crunchy mom. I believe in extended breastfeeding, babywearing, co-sleeping, extended rear-facing car seating, and eating as locally, organically, and healthfully as possible within one's means. I'm anti-circumcision, I cloth diapered, I recycle and upcycle, I garden sustainably. But I also acknowledge the bad that comes with the good, and I acknowledge that every decision comes at a cost.
All I ask of you, whether I've gained or lost my popularity with you from this post, is that you consider the same.
Showing posts with label birth. Show all posts
Showing posts with label birth. Show all posts
Tuesday, February 5, 2013
Wednesday, October 7, 2009
A rant on standards of health care...
You know, I bitch about the standards of healthcare in the state of Florida. I bitch a LOT about maternity and pediatric care.
I had the chance to be very thankful for what we have today.
A bit of back story: Woman I used to know many years ago via IRC had her son last week at 32 weeks gestation, which is 34 weeks pregnant. He was underweight, extremely jaundiced, and had mild respiratory distress syndrome. No ventilator needed, but they kept him in an O2 tent under a bili light for a week.
The woman is a few years older than me, but very... immature. If you didn't know better, you'd think that perhaps there was some developmental deficiency, but there isn't. She's just immature.
Her son was discharged today, at 1 week old. He'd been weaned off the O2 over a course of 12 hours, and his blood oxygen level was stable. His weight? 4 lbs, 14 oz. His jaundice is still extreme. As in, I've never ever seen a newborn (or ANYONE, human or animal,) leave a hospital with that degree of yellowing to their sclera and skin.
She messaged me today, frantic and terrified.
Apparently, the neonatologist explained everything to her - in medical terms. When she asked for further explanation, she was told to write it down so that she could look it up later.
She was allowed to nurse him once, and sent home with instructions to avoid formula and bottles and nurse, but never allowed to consult with a lactation specialist.
He's still extremely jaundiced. Their recommendation was to take him outside as much as possible. In Upper Peninsula Michigan. In October.
After about 45 minutes of explaining in very simple terms how to detect respiratory distress in a newborn to her, as well as citing solutions for breastfeeding issues in preemies from my text books, I got her calmed down quite a bit. I also drilled it into her that with her preemie (and with any infant, really,) there is no such thing as an over-reaction. If she thought there was ANYTHING wrong, she needed to get him to a doctor immediately. I also told her that she needed to get ANGRY with anyone who chastised her for "over reacting" and not allow them to convince her that she shouldn't come back if she saw or felt like something was amiss.
I confess, I was frustrated at first with her level of immaturity. Instead of saying breast milk, it was "Mommy NomNom." "LOL" followed every statement of insecurity.
Once I got past my frustration, though, I realized two things. #1, she was excellent preparation for being patient with my future patients. #2, I was PISSED.
How the FUCK could they send a parent home so unprepared and a child so close to the line between okay and not okay?
She has no family, to speak of. Her husband is equally as unprepared and immature. They live in the middle of fucking nowhere, michigan.
They gave her no list of resources, no personal suggestions, no encouragement.
She knew nothing of La Leche League, prematurity.org, or even any books to read.
ONE nurse suggested kangaroo care to her. The same nurse that let her actually let the baby nurse. Once. Prior to that and after, they were forcing her to pump and bottle feed, despite telling her to nurse and avoid bottles and formula at home.
I did as much nursing trouble-shooting with her as I could - it sounds like he's latching but has a poor suck reflex. The texts I have suggest hand-expressing slowly, directly into his mouth after letting him attempt to suck. I told her to do that until she got ahold of someone in person at LLL, and to keep calling. They have consultants on-call for after-hours issues too, so just be persistent in calling until someone calls her back or answers.
As far as I'm concerned, what she experienced was not just harried hospital staff in a rush to discharge due to policy/insurance issues. What she experienced was a basic failure of human compassion and an absolute failure on the part of the hospital staff to do. their. goddamn. job.
With "Care" like that, there's no wonder at the fucking infant mortality rate. How can parents do their best for their children if they're not being provided with an education on how to do that? It especially boggles me that someone would dismiss a parent who was actively ASKING for further education! HOW CAN YOU IGNORE SOMEONE WHO IS ASKING FOR HELP IN DISPELLING THEIR IGNORANCE???
So angry. Livid, in fact.
Anyway, yeah. Thank you, State of Florida, for at least having the initiative to provide the resources you do, and the dedication you have to the children, if not the parents. Hat tip in particular to Shands Children's Hospital, Arnold Palmer Women's and Children's hospital, Baptist Medical Center in Jax, The Sebastian Ferrero Foundation, and all the others that I'm missing.
ETA: There is apparently ONE pediatrician's office local to her qualified to deal with son. She called them before messaging me, and was told that she was going to have to wait until his appointment on Monday, that they don't offer a nurse line for questions, and they can't squeeze her in before Monday. I told her she needed to try and find the funds to make the hour drive to another office if at all possible.
I had the chance to be very thankful for what we have today.
A bit of back story: Woman I used to know many years ago via IRC had her son last week at 32 weeks gestation, which is 34 weeks pregnant. He was underweight, extremely jaundiced, and had mild respiratory distress syndrome. No ventilator needed, but they kept him in an O2 tent under a bili light for a week.
The woman is a few years older than me, but very... immature. If you didn't know better, you'd think that perhaps there was some developmental deficiency, but there isn't. She's just immature.
Her son was discharged today, at 1 week old. He'd been weaned off the O2 over a course of 12 hours, and his blood oxygen level was stable. His weight? 4 lbs, 14 oz. His jaundice is still extreme. As in, I've never ever seen a newborn (or ANYONE, human or animal,) leave a hospital with that degree of yellowing to their sclera and skin.
She messaged me today, frantic and terrified.
Apparently, the neonatologist explained everything to her - in medical terms. When she asked for further explanation, she was told to write it down so that she could look it up later.
She was allowed to nurse him once, and sent home with instructions to avoid formula and bottles and nurse, but never allowed to consult with a lactation specialist.
He's still extremely jaundiced. Their recommendation was to take him outside as much as possible. In Upper Peninsula Michigan. In October.
After about 45 minutes of explaining in very simple terms how to detect respiratory distress in a newborn to her, as well as citing solutions for breastfeeding issues in preemies from my text books, I got her calmed down quite a bit. I also drilled it into her that with her preemie (and with any infant, really,) there is no such thing as an over-reaction. If she thought there was ANYTHING wrong, she needed to get him to a doctor immediately. I also told her that she needed to get ANGRY with anyone who chastised her for "over reacting" and not allow them to convince her that she shouldn't come back if she saw or felt like something was amiss.
I confess, I was frustrated at first with her level of immaturity. Instead of saying breast milk, it was "Mommy NomNom." "LOL" followed every statement of insecurity.
Once I got past my frustration, though, I realized two things. #1, she was excellent preparation for being patient with my future patients. #2, I was PISSED.
How the FUCK could they send a parent home so unprepared and a child so close to the line between okay and not okay?
She has no family, to speak of. Her husband is equally as unprepared and immature. They live in the middle of fucking nowhere, michigan.
They gave her no list of resources, no personal suggestions, no encouragement.
She knew nothing of La Leche League, prematurity.org, or even any books to read.
ONE nurse suggested kangaroo care to her. The same nurse that let her actually let the baby nurse. Once. Prior to that and after, they were forcing her to pump and bottle feed, despite telling her to nurse and avoid bottles and formula at home.
I did as much nursing trouble-shooting with her as I could - it sounds like he's latching but has a poor suck reflex. The texts I have suggest hand-expressing slowly, directly into his mouth after letting him attempt to suck. I told her to do that until she got ahold of someone in person at LLL, and to keep calling. They have consultants on-call for after-hours issues too, so just be persistent in calling until someone calls her back or answers.
As far as I'm concerned, what she experienced was not just harried hospital staff in a rush to discharge due to policy/insurance issues. What she experienced was a basic failure of human compassion and an absolute failure on the part of the hospital staff to do. their. goddamn. job.
With "Care" like that, there's no wonder at the fucking infant mortality rate. How can parents do their best for their children if they're not being provided with an education on how to do that? It especially boggles me that someone would dismiss a parent who was actively ASKING for further education! HOW CAN YOU IGNORE SOMEONE WHO IS ASKING FOR HELP IN DISPELLING THEIR IGNORANCE???
So angry. Livid, in fact.
Anyway, yeah. Thank you, State of Florida, for at least having the initiative to provide the resources you do, and the dedication you have to the children, if not the parents. Hat tip in particular to Shands Children's Hospital, Arnold Palmer Women's and Children's hospital, Baptist Medical Center in Jax, The Sebastian Ferrero Foundation, and all the others that I'm missing.
ETA: There is apparently ONE pediatrician's office local to her qualified to deal with son. She called them before messaging me, and was told that she was going to have to wait until his appointment on Monday, that they don't offer a nurse line for questions, and they can't squeeze her in before Monday. I told her she needed to try and find the funds to make the hour drive to another office if at all possible.
Subscribe to:
Posts (Atom)