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Strong advocates of the formation of midwifery as a self regulating, autonomous pro-
fession, Jeanette Harris, of Blyth and Lois Marjin, of Teeswater are members of a
midwifery support group which is in the process of writing a brief for the Ontario Task
Force travelling the province this fall for public input about midwifery. Both women
BY SUSAN HUNDERTMARK
Tears of joy stream down Jeanette Har-
ris's cheeks when she recalls the home
birth of her second child five years ago.
During a family birthday party at her
home just north of Blyth that December,
she started to labor. After calling her mid-
wife in Kitchener, she prepared for the
birth as she'd been taught at monthly
classes by her midwife.
As the labor . progressed, it started to
storm outside so she gathered her birthing
book, her husband and the birthing equip-
ment and retreated to the bedroom. After
a short labor, their baby was born.
"She was just beautiful; she was all
covered in vernix. I grabbed her and put
her to my breast immediately and she
sucked. Then, the midwives arrived and
told me what a wonderful job I had done,"
she says.
During the birth, her mother and sister
had continued to prepare the turkey dinner
planned for the party andtso afterwards,
the whole family sat down to dinner.
"It truly was a birth day dinner. It was
just great," says Jeanette. „
Because she believes all women should
have the option to experience similar
natural births, Jeanette is a strong ad-
vocate of midwifery. She and a group of 30
other Huron and Bruce County women are
preparing a brief to present to the mid-
wifery task force on Oct. 16 in support of
midwifery as an 'autonomous, self-
regulating profession.
Her home birth experience contrasted
' greatly with the birth of her first child a
year before in hospital.
Because she wanted a natural birth, she
did extensive research about birth and of
local doctors and their attitudes about
birth. When she explained the birthing ex-
perience she wanted to one doctor, he leapt
to his feet asking her if she was crazy.
When she finally found a doctor in a city
hospital who would agree with her desire
for a natural birth, she was disappointed
by the few times she saw him at monthly
check-ups. Though she received con-
tinuous care, she saw so many different
health care professionals that she did not
develop a relationship with any of them
and therefore had less confidence going in-
to. the birth.
Hospital stay -
Fearing unnecessary medical interven-
tion, she stayed away from.the hospital un-
til she was almost ready to have the baby
and during the birth she received an
episiotomy which she believes was
unnecessary.
She also battled with hospital staff over
several points of hospital policy including
policy which said mothers must stay in
hospital for 12 hours after the birth.
After much negotiating with her doctor,
he agreed to let her go right home with the
baby if nothing went wrong but failed to
pass the message on to the rest of the staff.
Immediately' after the birth, the baby
was taken to the nursery. When Jeanette
followed them to the nursery, the nurses
told her she couldn't have her baby. After
a lot of demanding and bargaining, she col-
lected her baby and went home determin-
ed to have a home birth the next time.
"I have nothing against doctors and
hospitals. They're doing what they think is
best but what they're doing is not what's
best for . me and my normal births.
Childbirth is not a disease. I respect nature
very much and I think nature should be
allowed to run its course," she says.
By hiring a midwife, Jeanette says she
was able to learn much more about the
normal birthing experience and non-
have hired midwives to support them through home births. Jeanette ispictured with
herchildren Teague, 3, Capucine, 5 and Zoellyne, 6 and Lois with her sons Darryl, 5
and Glen, 3. (photo by Susan Hundertmark)
interventionist techniques of coping with
labor pains as well as gain confidence in
her own strength and ability to give birth.
"Most pre -natal classes teach you how to
behave for the doctor and the hospital.
They don't teach you how to birth your
baby. Midwives give you that knowledge
along with continuous care that is so im-
portant for you to be able to trust her and
yourself and be able to relax," she says.
"Midwives form a relationship with you
and your whole family. They get to know
you as a person and what's important to
you."
Special relationship
When Jeanette became pregnant for a
third time, she continued to see the same
midwife because of the special relation-
ship she felt between them.
She phoned her midwife and told her to •
hurry as soon as she began her labor and
because Of the confidence she'd built up
from the first two births, she decided she
would give birth to her third child standing
or squatting.
The labor progressed very quickly this
time and very soon, her husband could see
the baby's head crowning. When he notic-
ed the cord around the baby's neck, he
panicked
"I told him to relax and to put his finger
gently under the cord and wait for the baby
to come and everythipg turned out fine. I
put him to my breast right away and the
dog started to bark. Thep.mfdwife arrived
'and we joked that I'd beat her again," says
Jeanette.
•'If I could have the same sort of ex-
perience at a hospital or birthing centre, I
would go. Being able to give birth at home
is important but what's more important is
having the care of a midwife." .
'The bonding that goes on between a
family is incredible with a natural birth.
' You can't explain it unless you've done it.
It's incredible to be able to reach down -and
take that baby right out froth inside you,"
she says.
Lois,-Marjin, of Teeswater is another
woman who hired a midwife after an un-
satisfactory birth at a hospital.
"The place I gave birth was immaterial;
I just wanted to do it naturally. But, once I
had a home birth, I didn't want to do it
anywhi re else," she says.
During her first pregnancy five years
ago, Lois's doctor left the country at her
eighth month so she had to rehash all her
feelings about having a natural birth with
her new doctor whom she felt was less than
receptive to the idea.
"She told me, 'Let's not get silly. Don't
ask me hot to do an episiotomy!"' says
Lois.
Because she was nervous about chang-
ing doctors, Lois says her blood pressure
kept going up. Her new doctor put her in
the hospital for a week but she was out
again in two days because , the blood
pressure had returned to normal. But,
after that, Lois feels she was labelled as
"high risk."
The doctor was scheduled to go oh
holidays on Lois's due date and told Lois
that she felt the baby was very large and
would have to be induced four days before
the due date.
"She gave me the ultimatum so I hoped
and prayed the baby would come by itself
early. And, he was a week early," she
says.
Lois says she felt the process of being
shaved, given an enema and an in-
travenous tube in preparation for birth
very dehumanizing. '
Frustrations
She was also frustrated by being told to
change beds from the labor room to the
delivery room when she felt ready to give
birth. And, once she was flat on her back
on the delivery table she lost the urge to
push.
., "The doctor and the nurses were en-
couraging me to push and I felt like I was
bursting capilliaries in my eyeballs I was
pushing so hard butthe urge had gone
away. And, I was afraid to push because I
thought the baby would fall off the end of
the delivery table," she says.
When the baby came, the doctor did a
fourth degree episiotomy before the baby's
head had crowned.
"The blood was incredible. I was shak-
ing withpain while she was stitching me
up and I couldn't sit down fora week. The
episiotomy looked like a terrible gaping
wound," she says.
With her son born, Lois put the child to
her breast only to have him whisked away
to the nursery.
•-I specifically. got a private room so I
could have the. baby with me but I still
'didn't get him. I got bitter about the ex-
perience after I learned what birth could
be like," she says.
Two years later, Lois discovered mid-
wives and decided to have a home birth.
She received care from a doctor as well
who thought she might have to go to the
hospital because he thought she was hav-
ing a breech birth.
The.midwife agreed but was able to turn
the baby by pressing lightly on the outside
of Lois's abdomen so the birth proceeded
at home.
During labor, Lois appreciated the en-
couragement of the midwife who was able
to kelp her through difficult times by sug-
gesting different positions for Lois to rest
in. Lois finally found comfort during her
transition by kneeling at the side of her bed
with her elbows resting on the bed.,
Just like that , -
"When the baby came, he came out like
that!"- she =says, snapping. her fingers. "It
didn't bother me at all." •
Though she tore a bit, she says the tear
healed much more quickly and painlessly`
than her previous episiotomy.
"I don't want to hurt the feelings of doc-
tors and nurses because they're doing
their best. I just want a different option.
My demands were so basic and so natural
but they didn't seem to be able to hear me.
With their intervention, they deny you a
basic life experience," she says.
Both Lois and Jeanette are the first to
admit there is a need for' technology and
the expertise of obstetricians when there is
an abnormal birth. But, aside from the two
to three per cent of high risk mothers,
birth. should be allowed to progress nor-
mally without technological intervention,
they say.
"In emergency manuals for police of-
ficers, firemen and taxi drivers, it says
that 99 per cent of all births will progress
normally if you leave the mother alone.
Why don't they tell the mothers that?"
asks Lois.
She also says that midwives give the
ownership of the birth experience back to
the mothers.
"Midwives do not deliver the baby. In
fact, no one delivers the baby but the
mother. The midwife is only there to catch
the baby," she says.
Another advocate of midwifery, Carol
(who wished her last name not be used)
had an opposite experience to that of Lois
and' Jeanette. After the beautiful and
natural birth of her first child by midwives
in Tennessee, she was unprepared for the
different experience she had in a hospital.
With her second child, labor was induced
and she had a Caesarian section before she
could understand what was happening and
why.
I felt completely out of control and I
had no real support through the labor. The
midwives were constantly there encourag-
ing you and making you feel things are go-
ing well. In the hospital, you become a part
of a big machine. Good nurses would- go off
shift leaving you with no personalized
care. It was all for their convenience, their
set-up," she says.
Disappointment
POSTSCRIPT
By Susan Hundertmark
After a successful vaginal first birth,
Carol was extremely disappointed about
having a Caesarian. She felt she'd been
pressured into having the operation
without being given a chance to give birth
naturally.
-They tell you you have 15 minutes to.
Turntopage3A+
Is day care
really a
priority here
I know the wheels of democracy turn
slowly. And, I fully appreciate that ade-
quate research must be done and proper
channels be followed before the town of
Goderich can act on the day care needs of
local children and their working parents.
But,,I can't help but wonder if day care
in particular and children's needs in
general are a priority at all with several
Goderich councillors. And, that disturbs
me.
It doesn't take a lot of thought to
realize that children are a vital element
of any thriving, progressivecomrnunity.
They are our future and the commitment
we mane towards their education and
well-being will be reflected in the future
community they shape and participate
in.
Whether these children are related to
us or not is immaterial. Each will some-
day participate in the leadership and
decision-making of the world. What we
teach them now will affect us when we've
retired and they're at the controls. Will
we teach them selfishness or generosity?
self-centredness or concern for the whole
community?
' There is a noticeable undercurrent of
hostility against a municipally -run day
care centre at the council table. It seems
to express the view that day care is a lux-
ury, a frill for parents who've produced
offspring and now have no interest in
assuming responsibility for their
development. Instead, they single-
; mindedly pursue the all mighty dollar
choosing consumerism over their
children.
Using that argument, day care critics
can easily wash their hands of the issue.
Childcare is a .problem of the parents
(particularly the mother), not the
municipality, they say.
I couldn't ` disagree more. I have
always deplored • the narrow, short-
sightedness of the "Up yours Jack, I'm
okay" mentality. I've always believed
there are gains to be made by having a
commitment and responsibility for all
members of a community. '
There are some groups in the com-
munity we freely support without ques-
tion and rightly so. For example, we
recognize that senior citizens have con-
tributed much to our society and deserve
some financial support in their retire-
ment years. Similarly, we give financial
support to war veterans who have
sacrificed much for our way of life.
And, it's disappointing to hear some
seniors complaining about the an-
ticipated costs of day care. If we can
agree that our tax dollars should be in-
vested in the well-being of our seniors,
;why doesn't it follow that the same com-
mitment be made for our children and
youth? '
Why aren't our children a priority?
It was interesting to watch how Cana-
dians responded to the proposed de -
indexing of social programs by the
federal government last year. When
seniors' pensions were threatened, the
hue and cry could be heard across the
country and a strong seniors' lobby
managed to stop the cuts.
The de -indexing of family allowan%es,
however, failed to provoke the same nai•
tional outrage. Because those threatened
by the de -indexing were a less organized
group --women and children—the de-
indexing went through with barely a
whimper from average citizens.
While we can easily see the value in
rewarding elderly citizens for their con-
tributions, we have a harder time mak-
ing an investment in our future
generations'.
An article entitled "Do Americans
Hate Children?" written by a U.S. author
seems to apply. Letty Cottin Pogrebin
makes the argument that through their
protests over the costs of education,
welfare and childcare, Americans are
expressing their disregard for children,
She goes on to cite the growing number
of child abuse cases, children disappear-
ing and child suicide cases. She .lists the
existence of adult -only. apartment
Buildings, the prohibition of baby
strollers in stores and museums and the
wave of horror books such as The Exor-
cist and The Firestarter in which
children personify evil as examples of
what shecalls pedophobia:
-Though most of us make exceptions
for our own offspring, we do not seem
particularly warmhearted toward other
people's children," she says.
Such a pedophobic attitude exists in
Canada too sometimes as close as our
Own back 'yards. It manifests in the
cancellation of the Katimavik program
without the creation of a replacement. It
is evident in the inability of Goderich
council to support a day care centre in
principle at least if it is premature to sup-
port it any other way right now.
It's too easy to say that 'children are
solely the responsibility of their parents
and to instruct women to stay at home
'with their children. The traditional fami-
ly unit is no longer reality for the majori-
ty of Canadians and with the death of the
extended family, parents now need the
coinmunity's support to help raise their
children.
Children and programs and facilities
that have their best interests in mind
should be everyone's priority.