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BIRTH CRISIS CONTENTS ACKNOWLEDGEMENTS 1. BIRTH SHOCK How is birth turned into an ordeal? 2. BIRTH CONTRASTS What does it mean to be in control of birth? Making an Informed Choice 3. INSTITUTIONAL POWER IN A HIGH TECH BIRTH CULTURE: HOW AN ANTHROPOLOGIST SEES BIRTH Birth plans Fragmented care The language of obstetrics Becoming a patient Conformity and passivity Joking behaviour Reality is in the case notes Harpooned to a fetal monitor Ceremonial dress The cut Cleaning up 4. MANAGING THE REPRODUCTIVE MACHINE Clock-watched birth A race to the finishing post Induction Suggestions to avoid unnecessary induction Amniotomy Episiotomy How to avoid an episiotomy How a midwife can help The Partner Doula Why mess about? The ?no indicated risk? Caesarean Side effects of Caesarean section Action a pregnant woman can take 5. SEXUAL ABUSE AND BIRTH Preparing for birth after sexual abuse Pregnant again Ways of preparing for birth Some listening skills Non-helpful responses Helpful responses The childbirth educator The partner The doula How a midwife can help a woman who has been sexually abused Error! Bookmark not defined. In pregnancy In childbirth 6. NIGHTMARES, FLASHBACKS AND PANIC ATTACKS Error! Bookmark not defined. The symptoms of PTSD: 7. PAIN Killing pain with drugs A good birth Entonox and opiates The Epidural 8. OTHER WAYS OF HANDLING PAIN A birth companion Cutaneous injection of sterile water Transcutaneous Electronic Nerve Stimulation (TENS) Acupuncture, acupressure, shiatsu and reflexology Hypnotherapy Touch relaxation and massage Ways a woman can handle pain herself Relaxation Breathing Visualisation Vocalisation Position change Movement Water Warmth 9. ?IF ONLY I HADN'T? How to listen 10. THE BABY 11. THE PARTNER Sex Reclaiming your genitals Sexual Difficulties Sex after a traumatic birth 12. MOVING FORWARD Put your birth story into words Get hold of your records How to crack the code A self-help group Demanding twilight sleep: control or subservience? Face up to fear Tell the story The listening experience On the phone 13. PREGNANT AGAIN A planned Caesarean V.B.A.C. (Vaginal Birth After Caesarean) A Doula Birth at home Labour at home as long as you can A Birth Centre Using a birth pool Continuity of care What about a private obstetrician? An independent midwife? Labour and give birth in any position you choose Research a birth plan and explore it with your midwife USEFUL ADDRESSES
Library of Congress Subject Headings for this publication:
Childbirth -- Psychological aspects.
Labor (Obstetrics) -- Psychological aspects.
Delivery (Obstetrics) -- Psychological aspects.
Post-traumatic stress disorder.
Mothers -- Mental health.
Parturition -- psychology.
Delivery, Obstetric -- adverse effects.
Delivery, Obstetric -- ethics.
Pregnancy Complications -- psychology.
Stress Disorders, Post-Traumatic -- etiology.