Women in Ireland are, finally, realising that they have – for the longest time – been sold a pup when it comes to how they are treated with regard to maternity care in this country.
For as long as I can remember, I have had an interest in mothering, maternity, babies and birth. Before I’d even turned 18, I was sure I would not give birth in a hospital. By the time I was 20 and trying to conceive a baby with my first husband, I was doing more and more research on the subject and learning more and more about ‘normal’, ‘natural’ and what they should look like.
Years later, after the birth of my second daughter, I became a doula and my outrage at the lies women were told increased to the point that I needed to watch my blood pressure.
I operate from a belief that birth and pregnancy are normal, everyday occurrences. In more than 80% of cases, there is no need for intervention and women can safely birth their babies without interference from outside forces. The problem is that birth has become medicalised.
Doctors are wonderful people. They do tough jobs in difficult circumstances. The problem with doctors being involved in birth, though, is that they are trained in the abnormal. They come to your bedside believing that there is something wrong with you – and then they set about finding that problem. If there is no problem, they need to invent one.
Hospitals are designed around the medical model. They are set up to save the health and lives of people whose health and lives need saving. They are not set up to watch and wait – which is what normal birth requires. And normal birth is what most women will experience if they and their bodies are trusted.
In order to coerce women to submit to unnecessary medical intervention, they are routinely lied to. Here is a selection of those lies:
1. Your baby is too big to be born vaginally. (Women grow babies big enough for their own pelvises. A small woman can birth a big baby no problem).
2. Your baby is breech, so you must have a C-section. (Breech is just a variation of normal – there is no reason why you can’t have a vaginal birth).
3. Your waters have broken. You must give birth within 48 hours, or you will have a dry birth and that’s more painful & dangerous for you and the baby. (Amniotic fluid, like saliva, does not just ‘dry up’).
4. We have to ‘check’ you – i.e. perform (often painful) vaginal examinations – to see how you’re progressing. (A VE is not necessary and does not indicate how dilated a woman’s cervix is. The cervix – like the anus – is a sphincter muscle. It will contract involuntarily when touched.)
5. Once you go ‘over’, we’ll have to induce you. (Babies come when they’re ready. The ‘rule’ about pregnancy lasting 40 weeks is a load of nonsense. Women have different cycles and pregnancy length is affected by a number of variables. A normal pregnancy can last anywhere from 37-44 weeks if dated from the last menstrual period).
6. Normal progression is one centimetre an hour. You have 12 hours to produce this baby, or we’ll have to induce you. (Women are different. Babies are different. Many things affect the rate at which labour progresses. This 1cm per hour rule – known as the ‘Dublin Rule’ because it was invented in Holles Street – is a load of nonsense and does more harm than good).
7. If you don’t submit to X your baby will die! (women are routinely told that their babies will die if they are ‘careless’ enough to ignore doctors’ wishes.)
8. Your last baby was born by Caesarean section. Therefore, it is too dangerous for you to have a homebirth. (A previous c-section does not automatically preclude a homebirth or vaginal birth of any sort.)
9. Push when we tell you. (This practice – known as ‘purple pushing’ – is actually bad for you and your baby. It increases the likelihood of you bursting blood vessels in various parts of your body – including your eyes. It also affects oxygen getting to your baby and works against your body.)
10. You are lucky I did a Caesarean section. The cord was around the baby’s neck and it would have died if you’d tried to have it vaginally. (About 50% of babies – my own included – are born with their cords wrapped once or twice around their necks. This is not dangerous because an umbilical cord is not like a rope, but soft and squidgy like a full garden hose).
There are many, many more lies that women are told. Please feel free to add yours in the comments section below.
Our collective outrage is being collated under the hashtag #maternityire on Twitter and you can join in the conversation.