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Topic: Forced Medicalization of US Births?  (Read 3620 times)

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Forced Medicalization of US Births?
« on: August 20, 2004, 04:49:40 PM »
Naomi Wolf's book "Misconceptions" was mentioned in another thread, and I felt strongly enough about that book to start this as a separate topic.

I've now read this book twice, and was shocked and disappointed both times by Naomi, a supposed feminist, and her seeming helplessness and lack of determination throughout her pregnancy.

She makes three excellent points in the book: One, that "What to Expect When You're Expecting" is a load of patronizing garbage; two, that public playgrounds in the US leave a huge amount to be desired (they're not even fenced in for the childrens' safety); and three, that postaprtum depression is not talked about enough.

For the rest of the bok, though, I just wanted to tell Naomi to wake up, stop whining, and do what any normal woman with half a brain would do: a little research.

Naomi goes to a doctor when she learns she is pregnant.  This doctor, apparently chosen for his prestige factor rather than because Naomi felt comfortable with him, does not instantly divulge to Naomi the practice's C-Section rate, a number that Naomi and others like her seem to think is incredibly important, when in reality it's fairly arbitrary and useless in determining your individual chances for a c-section.  Naomi seems to think there is some dark conspiracy in the fact that there's no law that says this number has to be divulged.
Although Naomi has both a college education and internet access, she has never heard of natural childbirth, nor does she bother to read any pregnancy books other than "What to Expect."  She spends no time searching for any birth alternatives for herself, despite the fact that she is somewhat uncomfortable with her care throughout her pregnancy.  She seems to think that asking about c-section rates makes her a hawk, a real sharp cookie, but does not bother to ask any relevant questions about what might lead to a c-section, who would perform it, who would make the decision to perform it, etc.  Again, Naomi is so determined that The Evil Medical Patriarchy is hiding something important from her by not telling her how many c-sections they perform (and how many epidurals women in their care require-as if that has anything to do with ANYTHING.  Most women WANT epidurals-doctors don't force them on women, so how many women at a particular practice choose pain relief means NOTHING) that she doesn't bother to find out anything relevant at all.  She then blames the medical establishment for her own ignorance.

She ends up with a c-section, and describes her terror during the procedure.  Again, because Naomi has sailed through her pregnancy, seemingly paying little thought to what she actually wants from labor, what actually happens in labor, and what she can do to help the process along, she has also not paid any attention to-not even skimmed-the sections of "What to Expect" that deal with c-section.  So Naomi's terror, while still a shame that she felt it, can really be blamed on Naomi and not on her doctor.

Now Naomi has more things to whine about in her self-absorbed little world.  The horrible unfairness of a medical industry that did not actively encourage her to leave it and deliver her baby elsewhere.  The awfulness of having a healthy baby but of not knowing for sure if that baby actually could have been safely delivered vaginally.  (Hey, the docs said she needed a section-but what do they know?  She never really explains why the section was necessary, so we have no way of judging.)  The shock of realizing that, hey, she LOVES her baby, and maybe havig children is a bigger deal than Naomi has ever claimed it to be, when they urge women to leave their babies with strangers because work is what's important in life.  And how awful, how terrible, it is to have to have the nanny help you bathe the baby.  How miserable Naomi is, with her in-home nanny care!  How hard it is for her!  The fact that most women-women feminist Naomi claims to represent-cannot afford such things does not occur to her. 
Nor does it occur to her that most women do not have indoor play areas like the one she describes, where Moms sit on a balcony and watch as employees play with and supervise their toddlers.  Naomi acts as if this dismal playground is just too, too terrible, to clinical, too draining on the Moms, never even thinking that to poor stay-home mothers, a lace where ther people will watch and play with your child so that you can read or chat with friends sounds like heaven-no matter how bright the flourescent lighting is.   

Two things really stand out for me:  One.  While pregnant, it suddenly occurs to Naomi that perhaps-perhaps-there is something slightly immoral about a man spinning his sperm to create femal embryos, then planting six embryos into his wife, then, at 20 weeks, discovering that the wife is in fact pregnant with four babies, and so selectively aborting the non-girls.  She is treated like she is insane by her friends for daring to question this.  She is similarly shocked to realize that the fetuses in crack-addicted pregnant women are in fact fetuses, whop will become babies, and maybe she should have taken this into account when protesting the way the gov't took away welfare benefits from crack-addicted mothers.  Not that she was right or wrong in protesting-but the fact that she had not even thought before about the babies growing in those crack-addict women was shocking to me.
Two.
 When Naomi becomes pregnant a second time, she again goes to the most expensive, ritziest doctor she can find.  "Exclusive," is the word she uses.  Clearly she has learned nothing from the research she began doing after her first child's birth.  It almost seems to the reader that Naomi is encuraging other women to go to midwives and have babies at home so that she herself will have an easier time getting appointments with Doctor Fashionable.  It's good enough for us plebes to have home births, but not for Naomi, thanks.  She'll lecture-sorry, "educate"-us on what we should do, but we certainly shouldn't expect her to do such a thing!  What would the ladies at the club say?  So naomi has another c-section and again blames the medical establishment and not herself for excercising her rights.

There are thousands of OB/GYNs in the US, each of whom has a different philosophy or way of doing things.  It's your responsibility to research them and speak up for what you want-not theirs.


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Re: Forced Medicalization of US Births?
« Reply #1 on: August 20, 2004, 05:03:25 PM »
Have you read Naomi Wolf's Misconceptions? It is ALL about the US system being over medical about the whole process - basically exactly what you're saying. I read it and was thankful that I was giving birth in England. Really - it is a fantastic book and I'd recommend it to every pregnant woman - but only when they aren't feeling too emotional!


Oh yeah.
*blinks*
I just pulled the book off my shelf. Several of the pages are ripped. Several of them have stab marks in them, made by a pen. And now that I'm really thinking about it - I recommended that book to people in real life because I'm glad I read it - it's the kind of reading I think you need to do when your pregnant: basically, doing research. It did make me happy I was giving birth in England, because she did make America sounds like a big scary place to have babies. Having had my experience in the UK, now that I'm actually THINKING about her book, I'd love to go back to that system she complains so much about.

I'm sorry I so hastily plugged her book - I'm honestly sitting here feeling quite stupid. Perhaps it is because it is only 1 of 3 books I bought that I didn't literally burn or rip into shreds while crying. It must be on my shelf for a reason! :) The reason was : it made me think. I read it when I was 2 months pregnant, and then honestly didn't give it 2 thoughts until earlier today when the other thread reminded me of it - and I remembered that I was telling people to read it.... because it will make you think about giving birth in more than a 'what color booties will I buy' kind of way.

I agree with you SAF, totally, but I'm still glad I read it...
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Re: Forced Medicalization of US Births?
« Reply #2 on: August 20, 2004, 05:04:13 PM »
Also, when I was pregnant I thought "she's right! intervention is horrible! natural is always best!" - until I actually GAVE BIRTH, and well... that changed everything.  ::)
I'm done moving. Unrepatriated back to the UK, here for good!

Angels are made out of Coffee Beans, Noodles, and Carbon.

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Re: Forced Medicalization of US Births?
« Reply #3 on: August 20, 2004, 05:07:36 PM »
Oh gosh!!  PLEASE don't feel bad for plugging the book!  I'm so sorry-I didn't want you to feel stupid!  I just thought the book was misleading!

Oh no...{{{{hugs}}}}...it IS a good book for women to read, because I think it illustrates better than anything esle how important it is to educate yourself and do your research.

Oh gosh Sara...I'm sorry...I just thouht it might be an interesting discussion.


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Re: Forced Medicalization of US Births?
« Reply #4 on: August 20, 2004, 05:09:49 PM »
:D I just feel stupid because I forgot about the contents of the book and how I disagreed with them! Like I said, in the beginning I thought she was right on target, but after I went through my own experience, I thought she was talking crap. But I seemed to have forgotten that, until you wrote what you did about it - and then I was like "oh YEAH" I forgot!" :) So I just feel stupid my brain isn't working love - nothing to do with you. ;)
I'm done moving. Unrepatriated back to the UK, here for good!

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Re: Forced Medicalization of US Births?
« Reply #5 on: August 20, 2004, 05:13:44 PM »
It should be a great discussion SAF. I'm not a parent yet, but I have to say I'm looking forward to the chance to read some of these books. Gonna have to wait until after the wedding though!
When I was 5 years old, my mother always told me that happiness was the key to life. When I went to school, they asked me what I wanted to be when I grew up. I wrote down ‘happy’. They told me I didn’t understand the assignment, and I told them they didn’t understand life. ~ John Lennon


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Re: Forced Medicalization of US Births?
« Reply #6 on: August 21, 2004, 01:51:52 AM »
Hello Saf:

You can read my post on this on the original "smoking" thread.  Thanks for starting discussion on this topic!

Rebekah

Humans are not so much rational beings, as they are rationalizing.


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Re: Forced Medicalization of US Births?
« Reply #7 on: August 21, 2004, 03:21:27 AM »
Oh yeah--here is one of several articles I have on the subject of medicalisation of birth in the U.S.   It is a very well-written, and researched article, and cites its sources.

 http://www.mothering.com/11-0-0/html/11-4-0/vbac-lash.shtml

While focused mainly on the debate of VBAC versus repeat c-section, it goes to the very crux of the problem--current philosophies and trends in the U.S. obstetrical system. 

Rebekah
Humans are not so much rational beings, as they are rationalizing.


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Re: Forced Medicalization of US Births?
« Reply #8 on: August 23, 2004, 12:38:59 AM »
Thanks for the link to that article, Rebekah. 
I'm here in the UK, 30 weeks pg and have decided to try for a VBAC, my consultant isn't happy about it.  Neither is my husband, although he has accepted my decision.  DS was also born here in the UK, so I have no US birthing experience.  It feels to me that I am being coerced into the medicalisation of my baby's birth here.  I'm sure it depends on the doctor-  I'm trying to get an appointment with another consultant, see if s/he has a different perspective on it.

Natalie


Re: Forced Medicalization of US Births?
« Reply #9 on: August 23, 2004, 02:11:03 AM »
Congratulations, Natalie, and good luck with VBAC!  My dd was born by c-section, but unlike you I'm perfectly happy to have a repeat section-VBAC doesn't interest me in the slightest.  But more power to you, if that's what you want! ;D


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Re: Forced Medicalization of US Births?
« Reply #10 on: August 23, 2004, 09:25:52 AM »
I didn't read anything for any of my pregnancies - I figured my body knew what it was doing.  :-\\\\  I guess I'm just lucky that it did...
"Beer is proof that God loves us and wants us to be happy."

- Benjamin Franklin


Re: Forced Medicalization of US Births?
« Reply #11 on: August 23, 2004, 01:45:32 PM »
I didn't read anything for any of my pregnancies - I figured my body knew what it was doing. :-\\\\ I guess I'm just lucky that it did...

But my point, peedal, is that if it hadn't, would you have blamed the medical community for "keeping information from you", or would you have said, "Gee, maybe I should have done some reading and been better prepared"?

I might be an odd case-I guess I am.  As I said above, I don't want VBAC, despite my doctor trying to talk me into it.  I honestly didn't want VB at all!  Just not interested...to be honest, rather turned off and creeped out by the whole process. 

And CSA Expatriate-I have seen the "Ican" website before, and I'll take another look at it before writing a longer response, but  don't think it will matter much.  I do know of the cancer patient case-if it's the one I'm thinking of, Angie C., I think her name was?  Susan Faludi told the whole story in Backlash.  While I think it was a horrible, horribly tragic case, I also think it was fairly isolated.  Again, I have not looked at the Ican site yet, but as far as I know, nobody can force you to induce (unless your are preeclamptic or something where there is a baby-health-in-jeopardy issue) and nobody can force you to accept pain meds.  I don't know anyone who didn't have pretty much the exact birth experience they were looking for, from my labor (though I really didn't want to do it, I did it) and c-section to a friend's completely natural hospital birth to another friend's epidural hospital birth.
Just goes back to my point about Naomi Wolf, which I was pleased to see your thoughts on.  She didn't do anything to educate herself, then blamed everyone else because nobody bent over backwards for her.  What kind of feminist is that?  The "hand me everything on a platter I shouldn't have to take responsibility for anything" kind I guess.  ::)


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Re: Forced Medicalization of US Births?
« Reply #12 on: August 23, 2004, 02:35:51 PM »
But my point, peedal, is that if it hadn't, would you have blamed the medical community for "keeping information from you", or would you have said, "Gee, maybe I should have done some reading and been better prepared"?

I think it depends on what had gone wrong.  I mean, I don't want to sound like I went into childbirth completely ignorant!  I already knew the biology of it all - and I guess if I had experienced anything that didn't *seem* right, I would have questioned it or sought out information.  I was very in tune with my body and what was going on with it.  And that's what it came down to for me, was knowing my body well enough to trust that it would tell me if something was wrong. 

I guess I was prepared for a general, no-problems birth each time, and that's what I pretty much had.  I actually knew quite a lot already about the biological/physical aspects of what was going to happen, so I didn't specifically seek out any literature to help me "deal" with it.

I don't think I'm coming across clear enough here!

Simply put - I agree with your view on Naomi Wolf, Saf!

And believe it or not, I'm getting all broody again... ::)
"Beer is proof that God loves us and wants us to be happy."

- Benjamin Franklin


Re: Forced Medicalization of US Births?
« Reply #13 on: August 23, 2004, 02:51:38 PM »
Just wanted to say thank you for such an interesting and thoughtfully presented topic/posts! I've only read Naomi Wolf's The Beauty Myth - but I'm intrigued now to read Misconceptions for myself.


As someone who will hopefully be starting a family in the next year or so, it's good to get no-nonsense information. Crucial stuff!

Also, SAF-I greatly appreciate your writing style- you are a born communicator! No B.S.! Me likey  ;D

So anyhoo, Thanks for that!

Jen


Re: Forced Medicalization of US Births?
« Reply #14 on: August 23, 2004, 04:25:13 PM »
I didn't read anything for any of my pregnancies - I figured my body knew what it was doing.  :-\\\\  I guess I'm just lucky that it did...



you know, with all the information and mis-information and everything else & in-between out there,
that was a smart way to go :)



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