Showing posts with label childbirth. Show all posts
Showing posts with label childbirth. Show all posts

Thursday, March 10, 2011

3188 Pain Redux

Thursday, March 10, 2011

Explanations are interpreted at the level and understanding of the listener, not the speaker.

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The above quote is, as usual, random, but this is one case where it applies to the post it heads.

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I confessed to Daughter yesterday that I had raised a bit of a stink in the Grandparents' class Monday evening, over the nurse's overuse of the word "pain". Daughter smirked. That particular nurse teaches the Lamaze classes, AND the Cesarean classes.

Daughter says she pretty much agrees with me that setting up for expectation of pain can cause pain, for a variety of reasons, but that it goes further than that. She said that she and I are a bit different from the average American in that we are more European and Asian in our views of the relationship of mind and body, and the relative roles of internal and external intervention, and therefore we won't necessarily understand the average American's response, and they won't understand ours.

Like when she or I have a headache, our first response is to figure out why we have the headache, and then remove or fix that stimulus. Most Americans' first or only response is to take aspirin.

She and I think a fever is a good thing, it's the body's way of making itself inhospitable to an invader, and she and I let it do its work (unless and until it gets too high). The average American immediately tries to reduce the fever, as if the fever itself is a bad thing, then relies on antibiotics to do the fever's work (which then upsets the natural good-bug/bad-bug balance in the gut, necessitating further intervention).

She and I look inwardly for balance and healing. Most Americans look outwardly, they don't trust their bodies, as if their bodies don't know what to do and the cure has to come from outside.

Yes, there are always times when outward intervention is absolutely necessary, especially when the damage has originated from the outside, or when the body's natural defenses are damaged or not sufficient, or the body doesn't recognize the threat, or either doesn't react or overreacts. The problem is that the average American has been conditioned to believe that outward intervention is always the best and only way.

A tiny example: Does a little cut on your hand always require the application of an antibiotic cream?** If so, you are probably an average American.

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**(That was one thing that Jay and I didn't agree on. He always put antibiotic cream on every cut, even tiny paper cuts. And yet it was Jay the chemist who explained to me that those creams, and alcohol, and most other things people use on cuts, kill the living body cells at the edges and inside the cut in addition to any bacteria in the area.)
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Tuesday, March 08, 2011

3185 Two classes

Tuesday, March 8, 2011

Computers have raised writing to a new low.

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I went to the grandparents' education class at the maternity hospital last night. The 4 hours did cover a lot more than just "put the kid on its back". They went over the labor and delivery procedures and policies and a whole bunch of stuff, and ended with a tour of the labor/delivery rooms (very homey, and you deliver in the same room as labor) and the nursery and so on. They do have rooming-in if the mommy wants it. It all sounded pretty good.

I did have two spots of annoying concern.
  • Five people had signed up: me, two women who were apparently the future maternal and paternal grandmas of the same baby, and a grandma/grandpa couple. The couple didn't show up, so it was just three of us. And yet, the nurse conducting the class, fully expecting five people, had brought only two informational packets. Um, disorganized much?
  • The nurse said she teaches the Lamaze classes, and she repeatedly referred to "pain". Pain, pain, pain. It was always, over and over, pain.

It's my opinion that it's NOT pain. It is extremely intense, yes, but it's like when someone else removes a splinter from your finger, it hurts, but when you remove the splinter yourself, even though you are doing the exact same thing, it's not pain. If everything goes as it's designed to, if you fully understand what is going on during birth, if you understand that your uterus knows exactly what it's doing and is doing it right, if you are able to relax the rest of your body so that all the energy goes to the uterus, and if you are allowed to feel that you retain control of what's happening to you, knowing that you are delivering the baby, not the doctor, then it's not painful**. It's hard hard work, and very intense, but not painful.

If, however, someone in a position of authority tells you over and over that it will be painful, then I guarantee it will be. It sets you up with the expectation, which causes tension, which CAUSES PAIN! and even when there's no tension, if you expect pain, then you will interpret the expected intense contractions not as the natural wonder of the uterus doing its job in spectacular fashion (wow! look how strong it is!), but you will interpret it as pain, because that's what you'd been told it is.

Bullshit!

I've had two babies completely absolutely totally naturally, no meds whatsoever, one baby's head was out before I got to the hospital, and it was very hard work and very tiring, but THERE WAS NO PAIN! Because I knew what was going on, and I knew about relaxing the lower muscles and pushing only with the upper muscles, exactly the opposite of the "like a bowel movement" crap they tell you, which is completely counter-productive and will cause the vagina and vulva to resist, which causes the muscles there to separate rather than to stretch, which causes PAIN! and tearing. Or that "little snip", which should be totally unnecessary. Plus if those muscles separate rather than stretch, they don't go back and you end up loose.

I do know whereof I speak.

Anyone who wants to argue that they have more experience in these matters and they know I'm wrong, simply has the wrong experience, dealing with frightened tense women who have been taught to push wrong and to expect pain and who feel no control.

So there!

**Note that women who deliver "by surprise" in their kitchens, or in a taxi, with no meds, nobody taking over, never say anything about pain.

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Daughter took an interesting anatomy class last year. The class got (relatively) fresh cadavers, and, in groups of three, over the course of the class, they took their cadavers completely apart.

Daughter was fascinated by all of it, of course, but one thing was surprising to her. In anatomy books and everywhere else, when there's a diagram of what's inside, they all show the liver "here", the spleen "here", the kidneys "there", the pancreas "over there", the intestines "just so", and so on. The diagrams always look pretty much the same.

'Tain't so. When the students visited each other's cadavers, they discovered that the organs were all over the place. Some higher than expected, some lower, some more toward the center, some flat-out reversed or backward, some much larger or smaller than expected. It seems it isn't really all that easy to predict where you'll find something. Or even that it will actually be there.

Cool. Makes laparoscopic surgery a treasure hunt.

(I'm remembering the surprise when we discovered that Jay had only one HUGE kidney. Now I'm wondering why the doctors freaked out over that.)
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