In describing how to implement these statistics, she studied in detail the methods used by her and her other midwives. Her statistics include a very low intervention rate [caesarean section, scorpion and vacuum interventions are very low compared to the national average]. Her practice intervention rate is about 3%, and the national average is much higher. Simply mentioning the cesarean section rate, New Jersey is one of the most familiar examples, with a state ratio of about 34%. Although this has been cited as a number to be reduced by various medical publications and online articles, it has not increased significantly.
In order to provide the correct national average, I cited a study conducted by the North American Midwives Alliance. The fact sheets they distributed listed the national average of each available intervention, as follows: cesarean section: 31%; scorpion or vacuum: 3.5%; perineal incision: 25%; oxytocin: induction - 24%, Increase - 16%; epidural anesthesia: 67%. This fact sheet compares the ratio of these interventions to the maternal midwife ratio. There is no doubt that the intervention rate for childbirth is much smaller [for example, cesarean section rate is 5% compared to the national average]. Interesting conclusions come from the study of this fact sheet, which is very important for those who consider the birth of a family or birth center. The study was conducted using data from the North American Midwives Alliance from 2004 to 2009 and also cited five other studies that can be found in the footnotes of the pages quoted here: mana.org/pdfs/DOR-Outcomes- Paper - fact sheet, Risk.pdf
The first part of her book shared the birth story of a woman working with her or her partner. These birth stories have always been an encouragement for many women because the letters she has received over the years are that women read these letters before giving birth or when they have more children.
One of the most important aspects of Ina May's book is her tendency to describe childbirth as a natural event with certain physiological functions that occur normally. During normal childbirth, the uterus begins to contract, the cervix expands into a large opening that the baby can easily pass through, and then the body begins to contract more strongly, pushing the baby out. In most cases, this will happen naturally when no intervention is done.
Unfortunately, this natural physiological function is not respected in a hospital setting. Women may receive epidural anesthesia to relieve pain, and in the past they have even been completely calm, and their babies are through one of various extraction methods.
Ina May's experience came from a rural community in Tennessee, and she was born in Amish and Mennonite villages in Tennessee. As most people know, Amish usually do not accept medical intervention. A recent study of the Amish people showed that they did seek antenatal care for their first child and only accepted birth techniques that were consistent with their religious beliefs. Members of the Ina May community usually have a midwife born at home, although they do not seem to have religious beliefs. In other words, women on the farm usually have a midwife unless they absolutely need to be hospitalized.
Through her experience, the practice of Ina May has the potential to develop a method that is suitable for childbirth. Ina May emphasizes in her book that the most important part of childbirth is that the body knows what it is doing. The body has evolved for thousands of years to give birth. If birth is not a natural process and it requires the intervention of a doctor, then humanity will be extinct centuries ago.
Ina May mentioned that many interventions by obstetricians are actually unnecessary, due to the lack of patience of doctors. For example, Pitocin or artificial oxytocin is usually administered at an early stage of childbirth. If patience is exercised, in many cases, the body's natural delivery process will be automated as needed to expel the baby. Since in many hospitals, the labor process and the time limit at each stage [whether the mother is the first or the second mother], this is why this chemical is used. The author points out that it is not uncommon for a mother to have one or two days of labor for the first time. This period of labor is well known, however, it is often overlooked. Ina May also pointed out some of the dangers of these drugs, including uterine rupture that may lead to contractions. These ruptures not only occur in the case of previous cesarean section, however, this risk usually does not refer to working women.
Another widely used method is the extraction of hazelnuts. The author also points out many of the dangers associated with this approach. These risks include injury to the baby [including fetal death] and the need for a perineal incision. Although vaginal tear does not always occur, it does occur frequently, which leads to widespread use of the vulvectomy or incision of the vaginal opening to prevent such tearing. However, many doctors did not mention that such surgery may have long-term consequences.
On the positive side, Inamei also detailed the natural methods of preventing these measures and speeding up labor. For example, if a woman chooses a hospital delivery, she can choose not to connect to a stationary monitor. She can choose to reject the fetal monitor attached to her belly and insist on using the fetal mirror every fifteen minutes. She can ask for no intravenous injections because she may refuse to take the medication. She may insist on being able to get up and move around [because it may be on the roller and not prevent IV] and refuse all other attachment interventions, such as catheter and epidural anesthesia. Since gravity definitely contributes to the progress of the workforce, this is a way to promote labor.
However, in most cases, she recommends that women find a birthing center with a midwife, or if they really want to stop all intervention, they can give birth at home. For most birth centers, as well as most people's families [unless they live in an unknown place], the hospital is not very far away. If the workforce is very wrong, the transport is usually fast enough to enable an emergency caesarean section, saving the mother or baby's life. The author is a supporter of the Mother Friendly Childbirth Initiative, a very valuable cause dedicated to helping women give birth more naturally.
Since many medical interventions can have unintended and long-term consequences for women with these interventions, it is often best to avoid these interventions as much as possible. Even most doctors agree that lack of surgery is the first choice. Caesarean section is a major procedure and recovery time is similar to other major procedures that cut skin and muscle. This means a long break recovery time, which is not always the case for women who have to get back to work quickly.
Since most women do not live in rural Tennessee, Ina May's guidance is directed at women who are unable to obtain a home delivery midwife, and they may prefer to go to the hospital where they believe that the child's birth will add a layer of security. . . Most of her advice is directed at these women and helps them to be confident in their ability to produce the children they desire. Therefore, it is highly recommended that every woman who is pregnant or planning to become pregnant read this book. If you can only read one book during pregnancy, I would recommend this book.
Orignal From: Ina May's Guide to Childbirth: Review of Recommendations by PreNatal Massage Therapists
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