Birth Crisis

by ;
Edition: 1st
Format: Hardcover
Pub. Date: 2006-07-24
Publisher(s): Routledge
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Summary

When a woman is denied all choice - feels as if she has been swallowed up by a vast machine and spat out at the other end with a baby - how can she come to terms with that ordeal? One new mother in twenty is diagnosed with traumatic stress after childbirth. In Birth Crisis Sheila Kitzinger explores the disempowerment and anxiety experienced by these women. Topics include: increasing intervention in pregnancy the shift in emphasis from relationships to technology in childbirth how family, friends and professional caregivers can reach out to traumatized mothers how women can work through stress to understand themselves more deeply and grow in emotional maturity how care and the medical system needs to be changed Birth Crisisdraws on mothers' voices and real-life experiences to explore the suffering after childbirth which has, until now, been brushed under the carpet. It is a fascinating and useful resource for student and practicingmidwives, all health professionals, and women and their families who want to learn how to overcome a traumatic birth.

Table of Contents

ACKNOWLEDGEMENTS ix
ABBREVIATIONS xi
1 BIRTH SHOCK
1(8)
How is birth turned into an ordeal?
4(5)
2 BIRTH CONTRASTS
9(8)
Birth experiences
11(1)
What does it mean to be in control of birth?
12(2)
Making an informed choice
14(3)
3 INSTITUTIONAL POWER IN A HIGH-TECH BIRTH CULTURE: HOW AN ANTHROPOLOGIST SEES BIRTH
17(16)
Birth plans
19(2)
Fragmented care
21(1)
The language of obstetrics
21(2)
Becoming a patient
23(1)
Conformity and passivity
24(1)
Joking behaviour
25(1)
Reality is in the case notes
25(1)
Harpooned to a fetal monitor
26(1)
Ceremonial dress
27(1)
The cut
27(2)
Cleaning up
29(4)
4 MANAGING THE REPRODUCTIVE MACHINE
33(20)
Clock-watched birth
34(1)
A race to the finishing post
35(1)
Induction
36(4)
Misoprostol
40(3)
Suggestions to avoid unnecessary induction
41(2)
Amniotomy
43(1)
Episiotomy
44(6)
How to avoid an episiotomy
46(1)
How a midwife can help
47(1)
The partner
48(1)
The doula
48(1)
Why mess about? The 'no indicated risk' Caesarean
49(1)
Side effects of Caesarean section
50(3)
Action a pregnant woman can take
51(2)
5 SEXUAL ABUSE AND BIRTH
53(18)
Loss of control
55(3)
Preparing for birth after sexual abuse
58(3)
Pregnant again
61(1)
Ways of preparing for birth
62(1)
Some listening skills
63(3)
Non-helpful responses
63(1)
Helpful responses
64(2)
The childbirth educator
66(5)
The partner
67(1)
The doula
67(1)
How a midwife can help a woman who has been sexually abused
68(1)
In pregnancy
68(1)
In childbirth
69(2)
6 FLASHBACKS, PANIC ATTACKS AND NIGHTMARES
71(10)
Flashbacks
72(1)
Panic attacks
73(1)
Nightmares
74(3)
The symptoms of PTSD
77(4)
7 PAIN
81(12)
Killing pain with drugs
83(1)
A good birth
84(1)
Entonox and opiates
85(2)
The epidural
87(6)
8 OTHER WAYS OF HANDLING PAIN
93(12)
A birth companion
94(1)
Cutaneous injection of sterile water
94(1)
Transcutaneous Electronic Nerve Stimulation (TENS)
95(1)
Acupuncture, acupressure, shiatsu and reflexology
95(1)
Hypnotherapy
96(1)
Touch relaxation and massage
97(3)
Practising touch relaxation
98(2)
Ways a woman can handle pain herself
100(5)
Relaxation
100(1)
Breathing
100(1)
Visualisation
101(1)
Vocalisation
101(1)
Position change
101(1)
Movement
102(1)
Water
102(1)
Warmth
102(3)
9 'IF ONLY I HADN'T'
105(16)
Choices
106(2)
Maternal-fetal conflict
108(1)
Who's to blame?
109(4)
How to listen
113(5)
Feelings of guilt
118(3)
10 THE BABY 121(8)
Trying to be a good mother
122(3)
Bonding
125(4)
11 THE PARTNER 129(14)
Sex
132(5)
Reclaiming your genitals
137(2)
Sexual difficulties
139(4)
Sex after a traumatic birth
140(3)
12 MOVING FORWARD 143(14)
Put your birth story into words
143(1)
Get hold of your records
144(1)
How to crack the code
145(1)
A self-help group
145(4)
Demanding twilight sleep: control or subservience?
148(1)
Face up to fear
149(1)
Tell the story
150(1)
The listening experience
150(8)
On the phone
151(6)
13 PREGNANT AGAIN 157(12)
A planned Caesarean
158(1)
VBAC (vaginal birth after Caesarean)
159(1)
A doula
160(1)
Birth at home
160(1)
Labour at home as long as you can
161(1)
A birth centre
162(1)
Using a birth pool
162(2)
Continuity of care
164(1)
What about a private obstetrician?
165(1)
An independent midwife?
165(1)
Labour and give birth in any position you choose
166(1)
Research a birth plan and explore it with your midwife
167(2)
USEFUL ADDRESSES 169(6)
NOTES 175(12)
INDEX 187

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