The Mule

I once read somewhere that the goal of psychotherapy is to reveal the secrets we are keeping, even from ourselves. We all do this. We all keep a few bits of reality out of sight, sometimes because they are painful, but more often, perhaps, simply because to acknowledge them would be a difficult admission of a lifetime of misguided beliefs, misdirected energy, and mistakes. We see this a lot with the birth issue. Sometimes it's as if simply talking about birth in a positive way is too much for people to tolerate. The cultural attitude that birth is dangerous and downright unpleasant has become so engrained that many people seem to no longer see it as an attitude at all - they see it as a solid FACT. To challenge this would involve accessing ways of thinking that, whilst they may exist, are completely beyond everyday awareness, like rooms in a mansion that have been put under dust sheets and long forgotten. In the media, journalists with the power and influence for positive cha...

Pregnant women are offered medical interventions so often that it's almost hard to imagine getting through an entire pregnancy and birth without having one. Whether it's injections, induction, or an intravenous drip, there are so many choices for women to make, and often they feel, quite understandably, that the best choice is to place their trust in the experts, who are, after all, offering them 'evidence based care'. But if midwives and obstetricians are offering 'evidence based care' - that is to say, they are making their recommendations based on good quality research - why then does the advice that individual clinicians offer, and the policies that individual hospitals and trusts implement, vary so greatly? A new report from the Royal College of Obstetricians and Gynaecologists (RCOG) suggests that the disparity between hospital statistics has finally come to their attention, although I'm not clear why it has taken them so long to notice informat...

UPDATE: 26th April - IMUK have received word from Dan Poulter's office that he will meet with them on 7th May. IMUK are grateful to everyone who helped them campaign for this. OK, before we start, well Dan Poulter, he's the Health Minister for Women's Health. There are several different Health Ministers, all of whom report to Jeremy Hunt, the Secretary of State for Health. You knew all that, right? Yup, me too, me too, just checking. So - Independent Midwives, who as we know,  face becoming illegal and extinct from October 2013 , have been trying to get a meeting with Dan Poulter for several months to discuss their demise and gain his help and support. Meeting with Dan Poulter is key to the IM's campaign. And yet, not only is he refusing to meet with them , he seems to be actively avoiding them . For example, IM's and their supporters have sent Christmas cards, Valentines cards, and hundreds of letters explaining their situation and the barriers they f...

On average around 20% of UK women have their labours induced, some for medical reasons, others because they are 'post dates', that is, they have gone a certain number of days past their EDD (Estimated Due Date). How many days your care providers will 'let you' go past your EDD before pressuring for induction varies from trust to trust, but often women find that conversations about induction start on or even before their EDD, with 'sweeps' being routinely offered to encourage labour to start, and difficult to navigate meetings arranged with Obstetricians in which women are talked to about 'increasing risk'. Getting to the bottom of the actual reality of the risk of going past 41 or 42 weeks is tricky, mostly because so many women don't actually get this far. Midwife Thinking has a great article here about the balance of risks a woman contemplating agreeing to induction must consider. Many women feel under enormous pressure once the conversations...

This week, the fight to save Independent Midwifery intensified, as five hundred people congregated in London in silent protest. I wasn't able to be there, but I was thrilled to play my part in the day by writing this article, Why Independent Midwives are key to the fight for birth freedom , which appeared in the Telegraph online on Monday morning. Of course, this was very exciting for me on a personal level too, as this is the first time I have had an article published at this level. It's amazing what can happen when you "Switch Off Your Television Set and Go and Do Something Less Boring Instead" - two years ago I started out writing tentative little numbers about fish fingers and my daily struggle to leave the house , and today I found myself sat at a table in a London studio, with cans on my ears and a fuzzy mike in my face, being asked to make sense of some of the issues around the current state of birth freedom in the UK. I was joined my ...

Here's something every pregnant woman might like to know: during labour, you will be given a routine vaginal exam every four hours, and this will be used to check your cervical dilation, and to chart your progress. Your midwife might mention this at your antenatal appointments, but here's what she probably won't tell you - the exams are optional , you can refuse them, and unless there seems to be a problem or you actually want to know how dilated you are, it's probably better that you do, since this invasion of your privacy can actually bring you out of your Labourland trance, making your 'mammalian self' feel threatened and slowing or halting the very progress they are trying to check. Learning about the various procedures, such as 'V.E's', that are likely to take place during your labour and birth can help you to make truly informed decisions about whether to accept or refuse them. It can allow you to think about the kind of labour you really ...

Every generation likes to think they're free, and often only the clarity of hindsight reveals just how restricted they actually were. My mother, for example, thought, like many women in the 1970's, that it was the very pinnacle of freedom to have her labour induced, to be able to choose on which day of the week her baby came, and to be in a hospital which offered 'state-of-the-art' care for her and her baby. Looking back on it now, she can see just how far from freedom she truly was: shaved, enema'd and pethidined, with no formal talk of consent, and later, ushered sternly back to bed by Matron as she wandered the hospital corridors, drug-hazy and looking for the baby they had taken from her. Nearly forty years later, that baby - me - is pregnant for the third time, and wondering - am I free? Do I have full freedom of choice to have the birth I really want and need? Can I feel assured that anything that is 'done to me' in the name of medical science will ...