Henci Goer Quotes
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When intervening becomes routine, meaning there is no reason for it, only risks remain.
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In a branch of medicine rife with paradoxes, contradictions, inconsistencies, and illogic, episiotomy crowns them all. The major argument for episiotomy is that it protects the perineum from injury, a protection accomplished by slicing through perineal skin, connective, tissue, and muscle.
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Of course, if 40% of women need oxytocin to progress normally, then something is wrong with the definition of normal.
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You can't be said to make a choice when you only have one option.
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Reluctant doctors like to believe that they haven't much influence over their patients, but that is clearly not the case. Several studies have found that when doctors genuinely encouraged women to have VBACs, most of them did, and when they said nothing or acted neutral, most women didn't. Finally, when obstetricians discouraged VBAC in women who wanted to try it, none of them did.
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Labor will hurt. Probably a lot. But whether this is negative is another matter... A laboring woman can be in a great deal of pain, yet feel loved and supported and exhilarated by the creative forces flowing through her body and her ability to meet labor's challenges.
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A study of interactions between women and obstetricians offers an explanation. It described three levels of increasing power imbalance: In the first, you fight and lose; in the second you don't fight because you know you can't win. However, in the highest level of power differential, your preferences are so manipulated that you act against your own interests, but you are content. Elective [meaning requested for no medical reason, not to be confused with needed surgery planned in advance] repeat cesarean exemplifies that highest level.
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Excellent outcomes with much lower intervention rates are achieved at home births. This may be because the overuse of interventions in hospital births introduces risks or the home environment promotes problem-free labors.
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Related Authors
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Sheila Kitzinger Activist -
Robin Lim Midwife -
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Frederick Leboyer Author -
Marsden Wagner Epidemiologist -
Barbara Katz Rothman Author -
Sarah J. Buckley Physician -
Harvey Karp Author -
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