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2011 - Talk Birth

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and corporate world. Giving birth is just one of many things women can do. But now is the time<br />

to add childbirth to the women’s health agenda; it is because of the lack of informed decision<br />

making that birth should be added to that agenda, lack of information, misinformation, and even<br />

disinformation. The time is now.<br />

...What really matters is attitudes and beliefs, which are much more difficult to change than<br />

putting away the scissors and hanging some plants. These are systemic issues. (emphasis mine)<br />

It is all about anxiety and fear. The doctors are afraid...The women are afraid...Society is afraid<br />

and averse to risk.<br />

So how can you make a revolution when so few individuals are unhappy with current maternity<br />

care practices? The most unhappy and well-informed women select midwives, if available.<br />

The most fearful women select obstetricians. Providers are not going to initiate the revolution<br />

to make childbirth a normal rather than high-risk, industrialized activity...Women are going to<br />

have to take the lead...<br />

The problem is not that obstetricians are surgeons. They are. The problem is that society<br />

has invested surgeons with control over normal childbirth.<br />

I keep wanting to write an article called, ”is evidence-based care enough?” because we see this phrase used<br />

so often in birth advocacy work. It is kind of the companion phrase to the, ”women just need to educate<br />

themselves” line of thought, that, quite frankly, is also just not enough. And, I think the reason it isn’t<br />

enough—all of our education, all of our books, and all of our evidence—is because it isn’t information<br />

itself that really needs to change, it is women’s feelings and beliefs about birth (and the medical system’s<br />

feelings and beliefs about it too, in addition to their practices) and changing those sometimes feel like an<br />

insurmountable task. As I’ve [2]written before, much of the time it isn’t that we actually want women to<br />

know more, we want them to act differently. And, a choice made in a context of fear is not an informed<br />

choice at all.<br />

1. http://www.facebook.com/PortraitsAndPaws<br />

2. http://talkbirth.wordpress.com/<strong>2011</strong>/07/16/women-and-knowing/<br />

Full Moon Calendar Mandala (<strong>2011</strong>-11-15 16:23)<br />

I drew this full moon calendar mandala as part of an assignment for one of the classes I’m taking (we are<br />

working on our ”wheel of the year” and holidays, etc.). While it was not specifically part of the assignment<br />

to do so, I found that drawing this mandala image helped me to explore and express my ideas. It contains<br />

the dates of all the full moons in 2012, as well as representations of the waxing and waning moons for the<br />

entire year. I initially set this to post as private, so it wouldn’t be visible to my blog readers and would only<br />

be available to my class, but then I reconsidered and thought other people might be interested in seeing it<br />

as well:<br />

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