Arquivo da tag: birth

The Secret

“The secret to cure is not about finding the best questions, neither the precise answers. Indeed it lies in the delicate psychological and emotional relationship between the ones who suffer and the ones who care. There’s no real Medicine without connection.”

Aristófanes de Éfeso, “Χρονικά της Θεσσαλονίκης”, (Tessaloniki Chronicles), Ed. Kafarnaum, pag 135

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Cócoras

Há exatos 35 anos iniciei a atender partos em posição vertical no hospital onde fiz residência. A reação dos colegas variava entre o escárnio debochado e a aversão explícita. As explicações que davam na época são usadas até hoje: “civilizadas são diferentes”, “só índias podem/aguentam”, “o períneo enfraqueceu pela vida moderna”, “mulher de cidade não fica acocorada e não sobe em coqueiro”, etc. Nenhuma dessas afirmações se baseia em evidências, mas ainda assim o parto continua sendo tratado da mesma maneira.

Trinta e cinco anos se passaram e o parto padrão em nossas maternidades – públicas e privadas – continua sendo nas posições que favorecem médicos e instituições, mas são profundamente inadequadas para mães e bebês.

O poder é (ainda) mais importante do que as evidências.

“A história é geralmente dura com os covardes, mesmo quando poderosos, e via de regra generosa com os corajosos e ousados, mesmo quando vítimas daqueles a quem denunciaram”

Sergei Kalikowski, “Piratas do Gulag”, Ed Printemps, pag 135

Veja aqui o resumo mais recente sobre posições verticais no parto:

Texto de Gail Hart:

BIRTH TOPIC: WOW!

So… here’s a nice study of birth position. 100 women were randomly assigned to birth in lithotomy position – supine (on their backs) and 100 were delivered in the squatting position.

Look at the results:

1. Second and third degree perineal tears occurred in 9% of the lithotomy group, but none in the squatting group.

2. Forceps for delivery was twice as high in the lithotomy (24%) as the squatting group (11%)

3. There were two cases of shoulder dystocia in the lithotomy group, but none in the squatting group.

4. There were no cases of retained placenta in the squatting group, but 4% of the women supine had retained placenta and 1% had postpartum hemorrhage of more than 500cc due to uterine atony.

“”There was no significant difference in the apgar scores, foetal heart rate patterns or requirement of neonatal resuscitation.””

So, wow, that’s a heck of a lot of maternal benefit simply by changing to a more physiological delivery position. It is time to assign the Lithotomy Position to the Dustbin of History! Indeed, it is long past time!

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Arquivado em Ativismo, Citações, Parto

Women caring for women

To all women who care for birth…

The hands, not hers, clasped in the lap, while teardrops roll down the pale face. The pain she feels in a body not her own, the words she speaks that shine in the darkness of doubts, opening a glimmer of hope in this night of the flesh. The fatigue that feels like hers, the same questions she once made for herself. The need to scream—an imperative in her own opened mouth, and the lament that groans in the looks she gets. Time that passes slowly, like a little ship on the horizon approaching the harbor with the slowness of centuries. The sneaky time hiding behind the clock, sly and pretending to be paralyzed. And the sound of herself, that silences in her throat yet is audible in every pain, every wave and every move.

She looks, watches, weeps, nurtures, and enjoys a joy that is not hers, a pain that she builds for herself, draining it from the sister by her side, who moves, transmutes, leaves the cocoon and emerges.

Yes, she thinks. If anything I can give, may it be my silence. May my presence be diaphanous for you. If I have something to offer, may it be with my hope and my love. If I can ask for something, may I ask for the privilege of remaining with you now while, through your pains, you build the miracle of everyday life being made.

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