Carla's Corner
A place to read thoughts, rants and musings from the founder of The Trust Birth Initiative.
Click on a Title below to read.
Trust Birth Rumors
Trust Birth Rumors Pt. 2 aka the "Facebook Firestorm"
Can We Make A Difference in the World?
Advice for NEW Moms, From a USED One
Don't Lose Heart Truth Tellers!!
The Real Story About Crop Circles
No Induction Is Normal
More About My Decision to Tell the Truth at Any Cost
Anyone Can Tell the Truth Once They Know It
Ambivalent Communication
Power, Strength, Service and Vision
Carla Hartley Said WHAT???
The Truth About Telling The Truth For Truth Tellers
Midwives who Oppose UC: I don't get it!
Trust Birth Rumors
"There appears to be some confusion with regard to the "Trust Birth" movement in that there is a supposition that the movement supports unsafe birth practices (ie. anyone calling him/ her self a midwife with no real experience or education). There is also the fear that this movement/ group undermines the role of the medical community in keeping birth safe when their expertise is called for."
Actual quote on a yahoo group. This isn't the entire statement but it gives you an idea of the ignorance that prevails about the Trust Birth Initiative. Everywhere I turn there are major misconceptions about Trust Birth. It is one thing to not know, but there is a pretty good explanation on www.trustbirth.com. We aren't a secret society. If you read something like this, please ask one of us if it is true before passing it on....even with supposition in the sentence.....it is damaging.
Just for the record, if I were determining the definition of midwife, it would be MAM --- mother appointed midwife. I think women have the right to have anyone they want at their birth, whether she calls herself a midwife or not. HOWEVER, If I were to determine the level of knowledge or education that a woman should aspire to, before calling herself midwife, then it would be the level of the intensive 42 month education that I have been providing for 30 years. I think a midwife is far more qualified to be a hands off midwife (one who does not introduce added risk) the more she knows. I do not think midwives should be medical in any way or try to be quasi doctors.... but I hope that any midwife would know when to seek medical attention. There is no "undermining of the role of the medical community" going on in TBI. I believe that my philosophy is one of keeping birth safe, not undermining safety. But then again, I believe that birth is safe and interference is risky. Actually, I don't think midwives Keep birth safe as much as I believe that birth IS safe.
Another person told me in the last few days: "I wanted to become a Trust Birth facilitator but I didn't have a UC. I had a midwife at my birth." Please know that I am not anti-midwife and UC is not a prerequisite for membership in the Trust Birth Initiative. Our "requirement" is that our facilitators believe that birth is safe and that a woman has a right to have anyone or no one attend her birth.
Please check us out for yourself,
~Carla
Trust Birth Rumors Pt 2 aka the "Facebook Firestorm"
Boy oh boy.....when we asked people to change their profile pic for the weekend to the Trust Birth button if they trusted birth it started a firestorm. We were accused of being an angry mob, a cult and more..... I am speechless... well as speechless as Carla Hartley can be.
Today my inbox was full of mail on both sides of the issue. Now, to be perfectly honest, I am not sure what THE issue is at the moment, but I will address just a few of the things written to me, or about Trust Birth or me.
First, using the Trust Birth button over the weekend does not mean you love me personally. Evidently that would be offensive to some. However, it is true that I started the Trust Birth "movement" in 2005, so as an organization it was founded on my beliefs. Therefore, those beliefs and I are the subject of a lot of conjecture and ridicule. You might be putting yourself in the line of fire by using it. There has been some bullying to try to get people to change theirs back. Sad, really. But not new. I know women who have lost friends and even apprenticeships for having any relationship with me or Trust Birth.
Everyone who says they are a TB midwife, may or may not be a part of our organization, or even be familiar with what we stand for. They may just like the term Trust Birth midwife. Please do not get upset with me or with Trust Birth if you don't like someone who says she is a TB midwife. Chances are, you would not like her regardless of what she calls herself. I have no ability to change that or to regulate who says they are a Trust Birth midwife.
I never tell anyone to go "friend" anyone. I don't have spies. I don't care nearly as much as people think that I do about what goes on in those camps where I am the topic of conversation or Trust Birth is the topic of conversation. I have learned that in those circles the truth is not valued highly, for if it was, people would ask, rather than presume. I think of the old saying, "Why bother with the truth when lies serve better?"
I don't post anonymously anywhere. Why would I?
I know that things can go wrong in birth. Life is not perfect, as I oh so well know, having lost my husband just a few months ago. But, I believe that most of what does go wrong in a birth is likely precipitated by some kind of interference. Could be something that is said or done to the mother. Could be just an attitude. I believe that birth where women have access to decent nutrition and safe living conditions is probably far safer than we know. We don't know just how safe birth can be because it is so seldom left alone anywhere.
I love midwifery. Obviously, helping women become midwives is what I have been doing since 1981. Furthermore, I believe that midwifery education should be really, really, really hard. Actually I think women should invest a lot more time in becoming a midwife than it takes to get a CPM. I think midwives need a comprehensive, applicable education. Midwives who start fiddling with birth without fully understanding what harm they could be doing are dangerous. www.ancientartmidwifery.com
I don't actually know when the term medwife was coined. I know it has been in the vernacular for at least 34 years. Some people used to call CNMs medwives. But, as I use it, it means someone who MEDDLES with birth. It has nothing to do whether or not a midwife carries meds, or uses meds. It is about meddling with the natural process and that is done in a million ways that do not necessarily involve drugs. However, if you are using drugs to induce or augment labor, you most definitely would be a medwife both ways of looking at that definition.
I am not out to "get" or to vilify anyone. Why would I?
The Trust Birth "idea" has been accused of tearing apart the natural birth movement. How is it that the idea of trusting birth is damaging to anyone but those who have a vested interested in keeping women fearful of birth? The midwives I know, who I consider Trust Birth midwives, are not at all interested in destroying or tearing apart the natural birth movement, they just want to have a say in defining it. Shouldn't helping women trust birth be included in the conversation without us being accused of attacking?
Confession: Guilty as charged on one accusation: We are NOT about uniting midwives. We are NOT about midwives. We won't idolize midwifery. We are about mothers and babies. We are not going to stand with anyone who doesn't believe that mothers have the right to choose anyone or no one. The assumption that all midwives are good midwives or authentic, "with woman" midwives is flawed. We won't take sides with a midwife who abuses women just because she is a midwife. If that is seen as not playing nice, sorry. To reiterate: Uniting midwives is not our goal. Dividing midwives was not our intent, but if that is the result, then so be it. Those who believe that midwifery is about doing something TO mothers and babies on one side of the room, and those who desire to do something FOR mothers and babies on the other.
Trust Birth is not out to attack any individual midwife or blogger. We are only interested in what people do to mothers and babies that jeopardizes the safety of, or negatively impacts the experience of, birth. We believe that unhindered birth is safer than birth that is fiddled with, so we are not happy about fiddling, regardless of who does it. If there is some midwife practicing public peer review or slamming other midwives publicly, they are NOT getting encouragement to do that from us.
We believe that women are smart enough to give birth with anyone they choose or with no one. A lot of midwives came on board with Trust Birth initially, and then backed out when they realized that I was saying that mothers own their births and not midwives. And some truly do not believe that a woman's body is capable of giving birth without a midwife or surgeon there. Those who believe that probably should not be a part of what we do, anyway.
So that brings me to the big question. I am wondering, why those who are so riled up about Trust Birth take such an interest in slamming what we do and what we believe. How are we hurting you? Or more to the point, how will it hurt you if women take their births back and start trusting that they know how to do this? If they make the rules? If they un-invite you? -Insert big sigh here-
I personally wish that there was no need for a Trust Birth movement. I wish I could just help women become authentic "with woman" midwives. But wherever there are lies, there is the need for truth. The idea that birth is a medical event, or even one fraught with danger, is a lie. It doesn't matter who is telling it. Yes, midwives in any setting are usually better than OBs. Home birth is safer than hospital birth. But the truth has not quite been told if you stop at home birth and midwives. To tell women part of the truth and not all of the truth borders on criminal, in my opinion. Tell the whole truth: Birth is MORE safe than not. Interference is MORE risky than not. Birth belongs to the women giving birth and they have the right to choose who is there or not there. PERIOD. Women should be acknowledged, and deferred to, as their own authority and everyone else should agree to be in service to her....not to tell her what to do or give her permission to do what her body knows how to do.
Now, to you women reading this who are not midwives. Everything the Trust Birth Initiative does is for you and your babies. Even though the bulk of the criticism of the Trust Birth movement comes from midwives with a little slice or two from Dr. Amy, midwifery is peripheral to what we are about. Trust Birth is about helping you. No payment required. No need for titles or officialness. If you want someone to believe in you and help you research and prepare for birth..... or walk with you at any stage of your pregnancy, labor and birth, Trust Birth is here for you. We will help you find the facts and find your power. We want you to fully embrace your ownership of birth. We want to tell you the whole truth, not just the part that serves birth attendants. You were made to do this. That is truth.
"The truth is incontrovertible,
malice may attack it, ignorance may deride it,
but in the end; there it is."
- Winston Churchill
~Carla
Can we make a difference in the world?
There once was a bunch of tiny frogs, who arranged a competition. The goal was to reach the top of a very high tower. A big crowd had gathered around the tower to see the race and cheer on the contestants. The race began. Honestly, no one in the crowd really believed that the tiny frogs would reach the top of the tower.
You heard statements, mumble... mumble: "Oh, WAY too difficult!!!" "They will NEVER make it to the top!!!" or: "Not a chance that they will succeed. The tower is too high!!!"
The tiny frogs began collapsing. One by one... Except for those, who in a fresh tempo, were climbing higher and higher. The crowd continued to yell, "It is too difficult!!! No one will make it!!!" More tiny frogs got tired and gave up... but ONE continued higher and higher and higher. This one wouldn't give up!!!
At the end everyone else had given up climbing the tower except for the one tiny frog who, after a big effort, was the only one who reached the top! THEN all of the other tiny frogs naturally wanted to know how this one frog managed to do it? A contestant asked the tiny frog how he had found the strength to succeed and reach the goal? It turned out... That the winner was DEAF!!!
The wisdom of this story is: NEVER listen to other people's tendencies to be negative or pessimistic... taking your most wonderful dreams and wishes away from you. Always remember the power words have. Because everything you hear and read can effect your actions!!!
Be DEAF when people tell YOU that you can not fulfill your dreams!!!
~Carla
Advice for NEW moms from a USED one...
I had an experience where a group of parents with kids who were "in trouble" asked me why my kids were so different than theirs. I gave them a spiel about being an intentional parent and an authentic parent. Later I sat down to write what I thought that meant and came up with these random thoughts. I have had this list in a notebook in a drawer for years. I just found it and thought that some of this might be useful to some of my young friends here. Don't think that I did everything as well as I should have, many of these quips are wisdom in retrospect....ahhhh...if I could start over again, I would be a MUCH better parent. Wouldn't we all?
#1 Throw out your pre-conceived ideas about parenting. Every child you have will be different. Don't expect a girl version and a boy version of the same perfect child. And on that topic, keep in mind that the only child you raise is the first one. The additional major influence from their older siblings will be unique for each one.
#2 Don't pray or wish ONLY for success for your children. Failure grows character. "Nothing breeds success like success" only applies to those who have learned that failure is an intricate part of success and that all success takes effort.
#3 Don't let your "inner child" raise your children. Don't be the parent you wanted. Be the parent your children need, and that really means being the parent EACH child needs.
#4 No broken "thing" is worth broken relationships. Accidents happen; keep a dustpan and a mop handy....and I am not just talking about this in a literal sense. Your teens will sometimes disappoint and hurt your feelings. Forgive everything as quickly as you can, and don't hold any grudges against your children...ever.
#5 Your goal as a parent is to work yourself out of a job. Teach your children to make choices and to accept the reality that there are consequences for all choices.
#6 My goal as a parent was to help my children keep their list of regrets short. Regret holds way too much power and will often defeat our attempt to "do better" ...see #5
#7 Be sure that as you introduce the world to your child that you introduce your child to the world. My young children knew that they were part of every aspect of my life and that even my acquaintances knew them by name. The world knew they were mine and I was theirs. Kids want to belong.
#8 Children should NOT get their way about everything. They need some rules and restrictions. Children do not want to be the most powerful person in their world. If you can't stand up TO them, how confident will they be that you can stand up FOR them. It is a big world out there to little kids and they need someone ELSE to be in charge.
#9 The best thing to PAY children is attention; the best thing to SPEND on children is time.
Don't fill your days with so many OTHER things that your children feel like they are in competition with anything or anyone for your attention.
#10 Parent with intention and authenticity. Children won't hear what you say as clearly as they see what you do. You don't just live with your children; you live in front of them. Do that carefully.
Post Script...Now that I am a Baba:
#11 If you are not enjoying parenting to a degree that you can't even begin to put into words how much fun you are having, tweak something. The only thing that comes anywhere close is being Baba.
~Carla
Don't Lose Heart Truth Tellers!
Remember that people don't want to know what they don't want to know. That is a hard lesson for us to learn because once WE know the truth we want to share. Remember that to consider any new idea means to CHANGE...Change involves Risk.
If we really look at what we have let others decide FOR us when we did not educate ourselves, well, it can be humiliating and we all dislike humiliation.
I have been on this mission for more than 30 years and I still have trouble believing how people would rather remain uninformed than take a chance on being WRONG..... or having been wrong.
Keep telling your friends the truth even if they don't want to hear it....Tell the truth because you love them enough to tell them the truth.
All we can do is hope that we find some package for the truth they will look at...(cause they can't take it raw and naked)...Hang in there. I am proud of you
~ Carla
Birth is SAFE....but interFEARance is really really RISKY!
The REAL Story About Crop Circles
Don't you agree that It is illogical to DOUBT that the body that can oversee the complexities of conception, grow a baby 24/7 without your direction, can also eject that baby when it is time? This is one of the tenants of the Trust Birth Initiative: the body was born knowing what to do but fear and misinformation has covered up that birth truth and the ensuing birth trust.
When I talk to groups about the Trust Birth philosophy or train the Trust Birth Facilitators, I often illustrate my point this way.....
Here is a picture for you... let's say that you take a woman in labor and lower her gently down in the middle of a corn field with NO one around... yeah, at first she might run around and make a few crop circles... but THEN her body will get her attention...."Hey, Chick... I KNOW how to do this... are you going to cooperate, or what? TRUST ME!" And the body will do what it instinctively knows how to do... what it was BORN knowing how to do.
The baby will be born, the placenta will come out. No one will mess with the cord or cut the cord (nothing to cut with because as sharp as corn stalk leaves are... naaah... still a bad idea!) The baby will nurse and then a little while later the TRUST BIRTH helicopter will come back and pick them up...
The Crop Circling mamma will be forever changed AND that baby will not have had any assaults from drugs or sound waves or sharp pointy things...
~And there is the REAL story about Crop Circles as told by herstorian, social observer and Birth Truth Teller, Carla Hartley
No Induction is Normal
There are many conversations going on everywhere I look about due dates, postdates, induction, "natural" induction. There is only one safe way that labor should start and that is for the baby to do it.
How I wish that everyone would wait for their baby to start labor when he/she is ready and not before. What makes us think that we can begin to comprehend all the intracacies of that incredible mother-baby dance. I am convinced that we are messing with things "way above our pay grade" when we try to start something that is not ready to be started....or something that has already started in exactly the manner and at exactly the pace it is supposed to be going and then we screw up the timing....get things off track and it may have a harder time getting back on track
I am very concerned about the number of women I talk to who do not realize that their birth became a medical event the minute that someone decided that the baby was not doing her job and SOMEBODY needed to tell her that it was time to get out! Don't let anyone give your baby an eviction notice and don't think you need to either.
I can't prove it, but with every fiber of my being, I believe that those last few days and hours when the baby and mother are essentially "ONE" are more precious than we could possibly know and that conversations are taking place that are as important as any that will take place after they have separated physically and the baby has an official birthday.
P.S. As Sheila Kitzinger says... babies cannot tell time, and they do not know anything about calendars... One of my kids disagreed... He told me when he was about three that he did know that he was getting out early and it was his decision. (Sam was born almost a month before his "EDD") Sam explained that he decided to get out early because he was bored. As serious as a three year old could be, expressing great annoyance and disappointment with me as his mom, he asked why I didn't swallow a truck or something for him to play with, for if I had only done that one thing, he would have stayed in longer. Who am I to question that kind of logic?
~Carla
More About My Decision to Tell the Truth at Any Cost
In the last few years I have become far more vocal about birth truth for a number of reasons. One is that I see that going along with political correctness or trying to fit in with the medical community or version of birth has not benefited women and babies. As long as we have more and more pregnancies ending in surgical extraction we have to acknowledge that something is terribly wrong with the system... so why the heck would we want to fit into that flawed system? It is time to take birth back to the NORMAL side of life rather than buy into the fallacy that it is medical. Yes, it can become medical but we should try to AVOID that wherever we can... and for me I want to make it clear AGAIN, that the fact that I want to tell the truth and tell the truth and tell the truth does not mean that I think I OWN any woman's birth. That being said, I will not just patronize anyone any longer by acting like any birth that results in a baby is good enough. I want women to know that the decisions that are made by anyone during that period of her life, affect her AND the baby, forever.
We are part of the problem until we become part of the solution and I refuse to be part of the problem any longer. I will tell the truth, at the risk of offending some, because the experience and safety of both baby and mother are at risk if we just keep looking the other way. If that makes it seem like I am forcing my opinion on others than so be it... but if you are really concerned about choice for women you have to be honest here. Women have very few actual opportunities to make choices during birth in any setting other than their own home. So I will not give " choice " lip-service at the risk of knowing that women and babies are at risk for lack of truth. The truth is and always will be: Birth is SAFE; Interference is RISKY.
~Carla
Anyone can tell the truth once they know it...
All truths are easy to understand once they are discovered; the point is to
discover them. ~Galileo Galilei, 1564-1642, Italian Physicist and Astronomer
If you have discovered the truth about birth....what can you do to help others discover it?
#1 Solidify your position. Keep a journal of your thoughts and responses to what you read. Where do you stand? Eventually write position papers of sorts about each issue and publish [as a note on Facebook, etc].
#2 Educate people on HOME BIRTH and its proud history of safety.
#3 Make midwifery and whatever birth work you do secondary or even inconsequential.
#4 PUSH parents' rights as the topic of conversation whenever you can. (Memorize some clever passages from your journal and pepper your conversation with them.) Concentrate on HOME BIRTH and PARENTS' RIGHTS....not midwives' rights.
#5 Urge your colleagues to go back to square one and put the needs of babies and parents at the beginning, middle and end of this conversation.
If you do that, telling the truth about birth will be pretty easy...you won't be defending an idea, or a group of professionals or your own work.....you will just be telling the truth.....birth is safe; interference is risky.....and birth belongs to the mammas and no one else.
~Carla
Ambivalent Communication
We are constantly trying to influence someone about something. When we are attempting to influence, we need to be careful about the words we choose. Our listeners are only going to give us a short amount of time for us to make our point, so each word, each phrase, needs to bring our listener closer to our point of view. Make a list of the words you normally use when you talk about birth . Are you choosing the BEST words out of those to make your point with the fewest words in the shortest amount of time?
Be sure your message is clear and easily understood. Some words give conflicting messages. The two I am thinking of now are "but" and "however." They cause the listener to do a mental double take. We immediately start to feel defensive and can't help but stop listening long enough to wonder what's next? "But" and "however" immediately negate whatever preceded them. "I love you but..." "You did a good job but..." "You probably did the best you could, however..."
I am immediately apprehensive when I hear a "but" or a "however." Those words cause a negative gut reaction and set the emotional stage for defense. They also fail to accomplish the goal. Feedback, correction, or suggestions are better dealt with after an "and" than a "but" or "however." You know it is true with your children; it is equally true for adult conversation.
To be effective communicators we need to ask ourselves, what does the first part have to do with the second? While we correct our children because we love them, that should be a given. There is no reason to remind the child we love them before we address behavior that needs changed. We should never give our children the idea that our love for them is conditional.
When critiquing a student's academic effort or an employee's performance, there is no need to add a personal component to the issue. Address the feedback as the separate issue that it is, and in a way that needs no attempt at or need for buffering.
Try to eliminate "but" and "however" from your conversation altogether for just one day. It is harder than you might think. I have had to erase both of those words two or three times from this little post.
~Carla
When I dare to be
Powerful
to use my Strength
in the Service of my Vision
then it becomes less and less important
whether I am Afraid. ~Audre Lorde
Something that I have observed in the last few weeks, and have certainly learned from personal experience, is that fear is a death knoll to dreams.
I wonder how many dreams I have let slide through my hands because of fear. There is no shame in changing your dreams and goals but dont let fear steal them from you.
~Carla
Carla Hartley said WHAT???
My views about birth and midwifery and midwifery education have always been controversial but I really started invoking rancor in 2005. That is when I had the audacity to challenge the idea that birth was inherently dangerous and said that it is inherently SAFE . I started The Trust Birth Initiative. I created the "Birth is Safe; Interference is Risky" slogan for Trust Birth. I came out in support of unassisted birth.
Things escalated in 2006 when I started promoting the Trust Birth Conference. That brought us to the attention of a few midwifery bloggers and the terminally uninformed and furious internet doctor. I have to admit that my feelings were often bruised, as they sometimes are now, by WHO lobs the criticism, but I am undaunted by the criticism itself. I don't usually get defensive because I believe I stand on truth and truth needs little to no defense. Sometimes there is a good question in the criticism and I actually welcome the chance to address it and articulate why I believe what I do....
Some are sad and some are just so ridiculous they are funny. My family and friends have had many laughs over some of the things that are said about me or the principles I espouse. I will start with a few examples of actual quotes sent to me.... and add more as I have time.
"Carla Hartley wants midwifery to be illegal because she doesn't support licensure of midwives." -- I want midwifery care to be legal by virtue of it being legal for parents to choose anyone or no one to attend their births. I do not support or promote licensure of midwives; that is true. I DID AT ONE TIME. I thought optional licensure was a good thing but now that I have studied more midwifery history, and put more than 30 years of thought into the subject, scared of even optional licensure....I liken ANY labeling to a Trojan Horse and it scares me. I do not support regulation of midwives. I don't think midwives need to be regulated. That doesn't mean I think all midwives are authentic or safe, but I have not seen licensure eliminate the bad ones....and I support the free enterprise system where parents can freely pick their own birth attendant ...."any one or no one" is my mantra....Birth belongs to the mammas and not to any brand of midwifery. Let the mammas choose their own MAM (Mother Appointed Midwife) Mammas are so much smarter than they have been credit for being.
"Carla Hartley has vowed to stomp out midwifery in [insert State here]!" -- WHAAAAT? I have one thing to say to that one: AAMI. Why would I want to eliminate midwifery anywhere? My meager living depends on women wanting to become midwives.
"Carla Hartley is a racist. She doesn't think babies born in El Paso are as important as babies born other places. Brown babies don't count." -- I have to admit that this one threw me for a loop. It came from someone I thought was a friend and in a public meeting. What I actually said was that in our Apprenticeship Documentation option a birth center birth, *anywhere* counted as 1/2 credit toward the total compared to one credit for a homebirth in its entirety (not just walking in at the last minute but assisting the midwife as long as she is in attendance at that birth.) Proves though when people want to think the worst about someone, they will, for no good reason.
"Carla Hartley thinks only women with insurance or money deserve midwifery care." -- Wrong again! I am not a fan of third party reimbursement in general because it messes with ownership and responsibility....except medical care....but usually birth is NOT medical. Sometimes birth ends up fitting into that scenario and you are darned tootin' I think insurance is a great idea then. But, since I do not think birth is usually medical, I believe that there is no need to license any personnel or bill a medical insurance company..... or wear scrubs, or join organizations that promote the idea that women need medicalized birth management or that they are unqualified to choose their own birth attendants. But I digress.....I think that families who really value the assistance of a midwife will come up with the money to do it (provided it is something the average family can afford...hmmm where have I heard this radical idea before?) or midwives can barter, take payments, etc. It is workable. I hold my tuition down so that my students have no huge loans to pay back so that they later, they can provide midwifery assistance at an affordable fee.
"Carla Hartley thinks midwives who dont carry pit are better midwives. " -- When did I say that? What I said was, "I think that if you cant carry pit, just knowing you dont have pit in your bag MIGHT affect, in a very positive way, what you do in terms of PREVENTING hemorrhages. If you knew you absolutely could NOT give pit for any reason you might do things a little differently... you would be more likely to avoid any action that had the potential to cause or exacerbate a heavy bleed If you knew you had no quick fixes for hemorrhaging you might avoid vaginal exams (who says it is safe to touch a cervix anyway?) there would be no coached or coerced pushing... etc, etc. no fiddling with the fundus or rushing the placenta... to be safest.... absolutely no interference with the mamma at all while she is giving birth... we don't know how our presence changes the chemistry of that mother baby birth dance.
While I am on the topic, you are absolutely correct if you are meaning that midwives should not use pit during labor for any reason, in any way. When I hear about midwives using pit or Cytotec in that way I have to punch a wall. I don't think midwives should be augmenting labor (or assisting dilation!) with chemicals or digits... period. I think the body knows how and when to do what it does and that most of the time -even herbs and some words, are a bad idea.
"Carla Hartley thinks midwives shouldn't learn to suture." -- I think it is important to learn how to help a women have a baby over an intact perineum. And honestly, I think the best way to do that is to talk about the physical sensations of pushing, what causes dilation of the cervix (no it is not pushing) how waiting for your body to do it seems to result in far fewer tears... how there is no need for the perineum to be watched or "guarded" and you are expecting no explosions... perineums were designed to let babies out, really! All of these should be conversations that happen prenatally . Then no looking at her perineum, no poking your hands in her vagina, no telling her when to push or giving her permission to do what her body already knows better, etc. Even with the BEST preparation and physiolgic pushing, sometimes tears happen...but rarely.
Ready for more heresy? I think women's perineums rarely need suturing in home births. That's right. For the record, there is way too much stitching going on, in my opinion. I know some midwives who have attended 500 births and never sutured and some who have attended 100 births and sutured 15 times. By the way, add to that record, we certainly do teach suturing at the AAMI Midwifery SkillsLabs. But, unless you practice at home on some poultry on a regular basis it will be difficult to hone or maintain this skill. I hope you don't suture so often on actual women that you would consider yourself highly skilled in this area! If you really think some expert stitching is warranted you might want to get an expert to come in or go to one... you know, someone who stitches for a living. I can see it now: "Carla Hartley thinks all women should go to the ER if they tear!" My thinking is that unless it is a tear that needs expert repair, it might be best to just leave it alone or get some seaweed.
I will end with this little tidbit and save the others for another time: "Carla Hartley doesn't care what anyone thinks!!!!" -- I would not be posting this if I didn't care what people think. I care if people think the wrong thing about birth and babies. I care more about telling the truth about birth than I care what anyone thinks of me. I care a lot more about what babies feel... what mammas feel... I care about their right to give birth unhindered. I care that women and their babies are being cheated out of their birthrights and being verbally and physically abused by doctors and midwives I care about that a lot more than I care what those doctors and midwives think of me. I will tell you more about that... later.
~Carla
The Truth About Telling the Truth For Truth Tellers
Remember that people don't want to know what they don't know if they can remain ignorant and unchanged. People are very resistant to new ideas because that means change.
Change isn't just scary- it involves the risk of being wrong or having been wrong. People would sometimes choose to be uninformed rather than to have been wrong. Being closed to the possibility of being wrong is our attempt at risk management.
We have all been wrong at some time in our life. It can be humiliating or humbling, depending on our acceptance of the fact. If we really look at what we have let others decide FOR us when we did not educate ourselves, it can be humiliating and we all dislike humiliation. OR we could recognize the great potential in being humbled by the truth... and changed by the truth for the better.
One of the reasons that I am so dedicated to telling the truth is WHO I am telling it for. I want to speak up for the babies, their mammas, their daddies and their future children... see what I mean? BirthTruth changes lives forever, not for just one day or one idea or conversation.
BirthTruth can be packaged in so many ways or served in small bites, but I never again want to be guilty of denying the truth. If we are not telling the truth, we are promoting the lies.
Telling the Truth about Birth is, in my opinion, the most loving thing we can do for everyone involved... and if we don't tell the truth about birth, who will?
~Carla
Midwives Who Oppose UC: I don't get it!
I have been a midwife, childbirth educator, midwifery educator and birth advocate since 1976. If you FEAR birth, you haven't seen enough BIRTHS and you don't know enough about BIRTH. You may have seen babies coming out of women's bodies, but you have not witnessed unhindered BIRTH the way it was designed to be. Birth is safe; it is interferance (you can read that as interFEARance) risky. When midwives talk to me about the dangers of birth or the fact that they think THEY hold bottom line responsibility, I know that they were not my student.
AAMI students know that BIRTH almost always goes without a hitch if left alone, if the mother is respected and IF THE MIDWIFE UNDERSTANDS THAT HER JOB IS SERVER, NOT SAVER. SHE IS THE ASSURANCE (NOT THE INSURANCE) IN THE CORNER. The other thing that prevents fear in my students is that they have to work REALLY hard to get a piece of paper from me... hundreds of times harder than what it takes to get a CPM. They learn everything so that they feel confident and competent doing nothing.
Birth is NOT an ambush, people. Our bodies were designed to GIVE BIRTH... not so much to have birth done to them which is what happens in the medical paradigm. Midwives who fear birth were trained in fear-based medical mindset. It amazes me that midwives, who should KNOW better, think that PARENTS don't have the right or the wisdom to have their baby on their own without a midwife.
Midwives, you are NOT the key player in the room. For as many times as you MAY make birth a bit safer, there are dozens of times that you made it less safe by your interference or interFEARance.
If you don't trust birth, but your trust is with birth attendants....then which? That opens up an argument that will never come to an end. However if we trust that we were meant to give BIRTH, that most women CAN give BIRTH and that BIRTH belongs to the women who are giving BIRTH, the argument is over. And for those women who choose to have a midwife, great, but she needs to instruct the midwife about what she wants and will and will not tolerate. If the birth becomes medical, then the best, most appropriate medical help should be sought. If midwives would SERVE rather than practice. If they would relinquish control and title... there would be far fewer instances of birth becoming medical.
~Carla
