In case you haven’t yet heard/read about what’s going on with the BlogHer ’10 Conference and Nestle (Stouffer’s – one of the many, MANY brands Nestle owns) sponsorship, you might want to check out the posts below:
Due to the news about the Nestle (Stouffer’s) sponsorship – they are one of about 80 companies sponsoring the BlogHer conference this year – I haven’t yet decided what I’m going to do about it (whether or not I will attend). I’ve thought a lot about this and gone back and forth on my decision probably 30 times now. Just when I think I’ve made up my mind one way or the other, I read something or talk to someone and I change it. I wish it were a black and white decision, but the more I think about it the more I see there really are several shades of gray here. So for now I’m not saying what I’m doing (because I really just. don’t. know.), but I do want others to be aware of what’s going on so that they may make informed choices on whether or not they want to attend the conference, learn more about Nestle’s unethical business and marketing practices, join the Nestle boycott, read about the infamous #Nestlefamily Twitter-storm of 2009, etc.
Remember, knowledge is power. :)
If you’ve blogged your thoughts about BlogHer and the Nestle sponsorship, please leave a link with the URL in the comments and I will add your post to the list. Thank you!
April is Cesarean Awareness Month. You may wonder why an entire month needs to be devoted for raising awareness about c-sections. Here’s why. The c-section rate in the United States is on the rise at an alarming rate. It’s estimated that in 2008 over 1.3 million babies in the US were born by c-section, accounting for 32.3% of all births. It also marks the 12th consecutive year the Cesarean birth rate has risen, despite a number of medical organizations — including The World Health Organization (WHO) and American Congress of Obstetricians and Gynecologists (ACOG) — urging medical care providers to work on lowering the Cesarean birth rates and increase access to Vaginal Birth after Cesarean (VBAC).
My Gentle Birthing Blog discusses that while VBAC is often suggested as an option to a woman who has had a c-section, in reality, VBACs are hard to come by due to the fact that many hospitals no longer allow them.
According to the National Center for Health Statistics, the C-section rate in the United States has risen 53% since 1996. Cesarean birth is being overused, and VBAC (Vaginal Birth After Cesarean) is being grossly underused, at about 8%, because many hospitals are outlawing VBACs. Because of bans on VBACs, women have been denied access in over 40% of hospitals in the United States. The National Institutes of Health has found that VBACs are reasonably safe for women who had a previous cesarean birth and are low risk for uterine rupture.
Andrea Owen says, “Fighting for my own VBAC has changed my life. I don’t use that term very often, only when I truly mean it. It opened my eyes up to the world of American obstetrics, and how far we’ve come away from birth as a natural process. In my opinion, we’ve shoved a big, fat middle finger in Mother Nature’s face.”
And in the sometimes the truth is stranger than fiction category, the Keyboard Revolutionary wants to know how it is that “a woman can waltz in off the street, say she’s pregnant and wants a Cesarean, and everyone leaps to her command….yet a woman who IS pregnant has to jump through hoops and fight tooth and nail just to give birth vaginally?” Yep, in 2008 in Fayetteville, NC, a woman who was NOT even pregnant was given a c-section.
So how can a woman avoid a c-section in the first place? Knowledge is power. Here is a list of Five Essential Questions to ask your care provider. My Gentle Birthing Blog also has a list of the risks with cesarean birth as well as a list that might help you avoid having your first c-section.
There is one victory worth celebrating regarding Cesarean birth and women’s health in general. Thanks to the Health Care Reform, c-sections, giving birth and domestic violence can no longer be considered pre-existing conditions and used to deny insurance coverage. It’s a step in the right direction, but so much more needs to be done to lower the c-section rates and allow women access to VBACs, so that they don’t have to travel 350 miles just to have a vaginal birth. And that’s why an entire month is needed to raise awareness about cesarean sections.
Cesarean Scar – “a safe space in which to allow your scar to share its story”
Let Them Eat Cake – a guide to post Cesarean celebrating – From 2008 through 2010 Jennifer McNichols created and photographed a series of handmade and hand-decorated cakes and accompanying installation pieces exploring the feelings experienced by many women who suffer for the convenience of others through unnecessary and unplanned surgical childbirth. In so doing she hopes to give form to the emotional landscape inhabited by many such women in solitude and silence while those around them celebrate, and to help those who have difficulty relating to post-Cesarean mothers explore the emotions felt by women they know and love.
Last night the kids, Jody and I enjoyed a show put on by Mother Nature. A rain storm complete with lightning streaking across the sky and rattling thunder was our pre-bedtime entertainment. Thunderstorms are somewhat of a rarity here (or at least it feels like it lately), and I love sitting in the upstairs window seats watching them with the kids. Lightning is nature’s perfect fireworks.
Seeing my kids get excited about the storm – “Oooh, that was a big one!” – made me enjoy the experience all the more. I love it when they appreciate nature, and after being cooped up inside all winter, I’m so glad that spring is here and more nature discovery is on its way.
Earlier this week I read on Mama Milkers Facebook page that her daughter’s class took an impromptu field trip to see the dead gray whale on a beach in West Seattle. What a great opportunity for those children to see a whale up close like that, but also so sad that it died.
While the cause of death of the 37-foot near-adult male whale is still unknown, it turns out that he had quite a bit of trash in his stomach, including a pair of sweat pants, a golf ball, 20 plastic bags, small towels, plastic pieces, surgical gloves and duct tape.
How are these two things – the storm and the whale – related? Well, they aren’t directly, but they are both part of nature, part of this planet Earth that we are celebrating today with Earth Day. There’s so much beauty in nature, but there is also so much pollution that is, literally, trashing and killing it. The whale’s death may have had nothing to do with the garbage in his stomach, but many animals’ deaths *are* a direct result of the trash they ingest.
Today on Earth Day, let’s set our differences aside. Regardless of how you feel about climate change, politics or President Obama, perhaps we can all come together to do something positive that makes us feel good about ourselves. We humans have a lot of power. Let’s use it for good.
“We do not inherit the earth from our ancestors, we borrow it from our children.” – Native American Proverb
I challenge you to give some thought to your daily habits and routines and find one positive change you will make (no matter how small). Do it not to save the Earth – because the Earth is going to be just fine regardless of what we do – but to save ourselves, our children, our grandchildren and all of the animals that have no control over the way humans treat their environment.
“The greatness of a nation and its moral progress can be judged by the way its animals are treated… I hold that, the more helpless a creature, the more entitled it is to protection by man from the cruelty of human kind.” – Gandhi
I recently watched a preview from Jamie Oliver’s new show Food Revolution where first grade children were unable to identify fruits and vegetables like tomatoes, potatoes, cauliflower, eggplant, etc. While I didn’t find it shocking, I thought it was quite sad. It drives the point home that as a society we are, as Oliver points out in his TED talk (which is absolutely worth 20 minutes of your time), very disconnected from our food and where it comes from. Sure, kids eat french fries and ketchup, but do they know they come from potatoes and tomatoes? He also points out that the current generation of children may be the first in two centuries to have a shorter life expectancy than their parents. Of course after that I had to quiz my five-year-old Ava (to make sure I wasn’t being overly critical) and she knew what everything was except the beet (which we don’t eat because I think they taste like dirt).
Ava’s kindergarten class is currently doing a section about food. My daughter already knows a fair bit about what she eats since she’s been gardening with me since before she could walk. We also have friends who have chickens and we frequently visit the farmers’ market. I don’t know what specifically her class is being taught about food, but I imagine it’s pretty light and upbeat (i.e. no information about factory farming, genetically modified organisms, etc.). That’s OK with me though. I feel like you can only give five-year-olds so much information. They have plenty of time to learn more about the current farming practices in the United States when they get older. I have been impressed that they made butter in school by shaking a jar full of cream and will be making applesauce as well, and are even hatching baby chickens in an incubator in the classroom. They also took a field trip to a supermarket. A trip to a community garden would have been nicer, but there’s not much to see at a garden in Colorado in early March. Regardless, I’m glad that her school is teaching young children about food and hope that others around the country are as well.
Earlier this week I finally sat down to watch Food, Inc. for the very first time. My kids, ages three and five, who were not yet in bed sat down too, ready to watch along side me. I had a conversation with myself in my head for a minute. Should I let them watch it? I haven’t yet seen it so I have no idea what to expect. But it’s about food and where food comes from, and that’s educational, right? I decided to turn it on and keep the remote in my hand in case anything looked like it might get too gory or inappropriate for them.
Ava watched it quite intently and asked me several questions. Julian, my 3-year-old, watched bits and pieces while he wasn’t busy playing. Actually, one of the things he started playing (after watching a scene where a factory chicken farmer collects dead chickens was “throw the dead chickens (stuffed animals) into a bucket.” It was rather fascinating to see him reenact that scene.
At one point, I stopped the movie to gauge Ava’s reaction and ask her how watching it made her feel. She replied, “Sad and happy. Sad because people have to eat the chickens. Happy because I’m learning.” That reinforced my decision to let her watch it. I was very happy to hear that learning made her happy.
We ended up watching only half of the movie together before it was time for the kids to go to bed and they missed some of the more gruesome scenes like the lame cows, pig slaughterhouse and the scene of the traditional farmer and his workers killing and processing chickens (which really wasn’t that bad). After seeing it all now though, I think they would have been OK with watching it.
Food, Inc. is rated PG “for some thematic material and disturbing images” and that seems very fair. I wouldn’t let children watch it on their own, but I think if they watch with a parent it’s a great learning opportunity for all parties involved.
This spring we will start getting chickens (to eat) from a local farmer and I think a field trip of sorts to visit the farm and the chickens is in order. We’re also hoping to get chickens or maybe ducks of our own for eggs once we move and have more land. The more I can expose my children to where their food comes from, the better. We’re not perfect. We go out to eat and even eat *gasp* fast food and junk food from time to time, but my kids know what a tomato is, they see me cooking and gardening and help me with those things. All of that, I believe, will help establish healthy patterns that will last a lifetime and will hopefully keep them from becoming a statistic.
After watching the live cesarean birth on the TODAY show last week and then the commercial for Jennifer Lopez’s new movie The Back-Up Plan during the Superbowl*, I’ve been thinking a lot about the way childbirth is portrayed in popular culture – on TV and in the movies – and how that influences us. In a perfect world I’d like to believe that women (and men) would learn about childbirth from reading books and websites and talking to their care provider (doctor or midwife), to a doula, to their mother, aunts and friends, but the truth is that unless ya live under a rock, women (and men) also learn about childbirth every time they are bombarded with images on TV and in the movies that depict childbirth as something scary, painful and out of control. Whether we want to believe it or not, our perceptions of birth are bound to be influenced – for better or for worse – by what we view and hear in popular culture.
On Rixa’s blog Stand and Deliver she lists 61 film clips she compiled for a conference presentation about depictions of childbirth in cinema. That’s just movie clips. Think about all of the episodes of A Baby Story, or ER and many other TV shows where women are giving birth. Each one further reinforces popular culture’s birthing stereotypes.
it’s pretty foolish to dismiss the effects that popular culture has on a woman’s beliefs and decisions about pregnancy and childbirth. In fact, I would venture to say that these effects are pretty widespread. Of course, I’m not saying many of us literally turn to pop culture when we’re deciding whether or not to consent to an episiotomy or to request pain medication in labor or to choose one care provider over another. That would be stupid, right? But that doesn’t mean that what we see on television or read in a (non-birth-related) book or watch in a movie has no effect at all on our thoughts about pregnancy and childbirth. Quite the contrary, in fact.
Because every time a woman reads that she “won’t be able to make it without an epidural”…
…every time she sees natural childbirth portrayed as something only for hippies and freaks…
…every time she sees a movie in which birth is a crisis or a catastrophe or a comedy of errors in which the mom is a crazed, expletive-hurling woman who is seriously out of control…
…those images and words start to affect the way she thinks about birth in general, and they may even have an effect on her specific beliefs about birth.
She goes on to give a real-life example (a positive example) of how a TV show changed her beliefs about birth. She describes an episode of Sex and the City where Miranda gives birth. Miranda asks Carrie to be there for the birth and tells her that when it’s time to push, she doesn’t want everybody getting all “cheerleader-y” on her and shouting “PUSH! PUSH! and shit like that.” She said that when she saw that scene, “it signaled a major change in the way I thought about how I was going to give birth some day.” Her birth paradigm shifted and she believes she has the ladies of Sex and the City to thank for that. She’s currently a doula and future lactation educator who’s working on a PhD in philosophy.
Not all examples of how popular culture influences women are as positive though.
Heather from A Mama’s Blog told me that watching TLC’s A Baby Story – which she described as “high drama” and ending more often than not in a c-section – “seriously warped” her view of childbirth.
When I first found myself pregnant, I was just like the vast majority of pregnant American women who never get truly informed about the birth process, and instead spend their pregnancies watching “A Baby Story” and reading Jenny McCarthy books. I got my hands on “The Girlfriend’s Guide to Pregnancy” by Vicki Iovine, which told me that Lamaze was useless, as were all other birthing classes, and what I really needed to focus on was how quickly I could get the epidural.
Yeah — I got the epidural. The epidural that only went down half my body, that caused me uncontrollable shaking, that shut down my labor, that necessitated more pitocin, which put my baby in distress, which then necessitated a nice, traumatic cesarean surgery. Yep. That epidural.
Honey B., in her post Childbirth: Hollywood’s Take, wrote that after year of watching A Baby Story, 18 Kids and Counting, Knocked Up, Four Christmases, etc., she realized how much of what she thought she knew about childbirth was based on TV. She then shares sarcastically all that Hollywood taught her about birth. (The descriptions are longer on her blog.)
Natural Birth: The choice of masochists, women who don’t shave their armpits and have children named Moon Flower, and optimistic first-time mothers who don’t know any better. (My note: Case in point, The Back-Up Plan‘s home birth scene)
Birth with Epidural: This is the smart woman’s choice. This is what she does for the second birth, after going through the above ‘Natural Birth’.
C-Section (Emergent): These are completely normal, and happen all. the. time. And the doctor always knows best.
C-Section (Planned): This is the choice of the truly enlightened woman, the Real Housewives of Orange County type who view pregnancy as an invasion of their body. (My note: Perhaps this is why, according to the most recent data available (from 2006), the United States’ c-section rate was 31.1%, ranging from 21.5% in Utah all the way up to 37.4% in New Jersey. The World Health Organization actually recommends that the cesarean section rate should not be higher than 10% to 15%. When the rate is higher than 15% there is some research which shows it results in more harm than good. But who wants to talk about that in movies?)
Mallory who blogs at Pop Culture believes, “Childbirth in Hollywood movies is from a male perspective; rarely does childbirth show angles from the female viewpoint during the actual birthing.
We show killings, bombings, shootings, rapes and torture in movies, so why not show a woman giving birth accurately? Is it really that obscene and disgusting?”
Don’t watch A Baby Story! Instead (if you are interested in watching birth videos), watch movies like The Business of Being Born, Orgasmic Birth, Pregnant in America, Water Birth, Special Women, and normal birth videos on YouTube which represent birth as it usually is. TV specials on birth are designed and promoted to offer drama and attract viewers, not to support women preparing for birth.
Teba told me that her sister was there when she had a home birth two months ago. “She said after seeing birth in movies she never imagined it could be so peaceful.”
That’s just it. Birth can be peaceful. It doesn’t have to be a hysterical emergency, but as a result of popular culture, most women are never exposed to anything that suggests a peaceful birth is even a possibility.
How has popular culture affected your beliefs and decisions surrounding childbirth?
* I didn’t actually watch the Superbowl, but have Lynn to thank for telling me about The Back-Up Plan commercial.
If you are visiting from the TODAY show blog, welcome and thank you for visiting. :) If you haven’t yet read my guest post on the TODAY show, you can read it here: Viewer: Learn more about cesarean births. I’d love it if you would like to contribute to the discussion and leave a comment over there.
Because there was only so much information I could include in my guest post, I’ve put together some additional resources here for those of you who are interested in learning more about c-sections, VBAC, giving birth vaginally to larger babies, and more. I believe in informed consent. Knowledge is power.
Information about Cesarean Sections and VBAC:
International Cesarean Awareness Network – “The International Cesarean Awareness Network is a non-profit advocacy and support group whose mission is to improve maternal and child health by preventing unnecessary cesareans through education, provide support for cesarean recovery, and promote vaginal birth after cesarean (VBAC).”
The Reality of C-Sections by A Mama’s Blog – Heather writes about the many things about c-sections that she didn’t know and wished she had been told before she had her own c-section, as well as includes pictures of actual c-sections (something we didn’t get to see on the TODAY show).
VBAC Facts – Jennifer, teacher of The Truth about VBAC classes, deeply believes that women, after educating themselves on the risks and benefits, should be the ultimate decision makers on their medical care – not OBs or insurance companies.
The Unnecesarean – The Unnecesarean provides information about preventing an unnecessary cesarean and resources for making fully-informed decisions about childbirth while offering an irreverent take on the maternity care crisis in the United States and beyond.
Giving Birth Vaginally to Large (Macrosomic) Babies – Information & Birth Stories:
Although your doctor may suspect that you might have a larger baby, that does not mean you should automatically schedule an induction or a c-section. Ultrasound exams are notoriously inaccurate for predicting the weight of a baby and can be off by a pound or more in either direction. There’s no way to know how much a baby will actually weigh until it is born and weighed. If you are told you are going to have a large baby, weigh the risks and benefits of any intervention and make the choice that is right for you and your baby.
Baby “Boychick” – Arwyn‘s son was 10 lbs., 6 oz. and born at home
Baby Julian and Baby Emma – Annie‘s two kiddos (not twins) were 9 lbs. and 9 lbs. 8 oz.
Baby “Junior” – Candace’s son was 10 lbs., 4 oz. and sunny side up
Baby “M” – Jennifer’s son was 9 lbs., 10 oz. – a home birth after cesarean (HBAC)
Additional Childbirth Resources:
Business Of Being Born – A documentary that “interlaces intimate birth stories with surprising historical, political and scientific insights and shocking statistics about the current maternity care system.”
Pushed Birth a book by Jennifer Block – “The painful truth about childbirth and modern maternity care”
Ina May Gaskin – Author of Ina May’s Guide to Childbirth. “Discover the proven wisdom that has guided thousands of women through childbirth with more confidence, less pain, and little or no medical intervention.”
Doulas of North America – A doula is “a trained and experienced professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth; or who provides emotional and practical support during the postpartum period. Studies have shown that when doulas attend birth, labors are shorter with fewer complications, babies are healthier and they breastfeed more easily.”
Considering an induction? Use the Bishop’s Score for Labor Success – “This tool measures certain components with regard to the mother’s cervix and baby’s position to evaluate her readiness for an induction and ultimately increase the chance of having a vaginal birth. This scoring system can also be used to determine the likelihood of spontaneous labor.”
Post-Partum Crotch Care 101 – A humorous, but very practical list. This is one of those things that nobody ever talks about, but is good information to have.
Are there any childbirth resources YOU think should be on this list? Leave a comment and let me know. Thank you. :)
Disclaimer: The information included on this blog is not medical advice and should be used for educational purposes only. It should not be used as a substitute for the advice of a medical professional (doctor or midwife).