30/11/2001 01:34
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Ilana Shemesh, natural midwife
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מאת:
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Yael, I have seen your story all too often
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כותרת:
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Dear Yael, I admire your courage and grieve for the pain and loss of a positive birth experience that cannot be done over. Unfortunately, I have seen and heard such experiences all too many times in different variations. Perhaps I have even played such a part, as something happens to staff that work in hospitals called burn-out, or a loss of sensitivity to the feelings and needs of the patients, maybe a defense mechanism to deal with the intense tension and fear. There is no excuse for the total lack of explanations and for the fact that your baby was withheld from you. It is a known fact that epidurals can cause fetal distress in an indirect way, usually due to a drop in your blood pressure or if the medication is somehow absorbed into a blood vessel. I have seen many cases of extreme fetal distress immediately after an epidural. Usually it will subside in a few minutes with proper measures taken like oxygen, left side, medication to raise your blood pressure, but sometimes nothing helps and there is no choice but to do an emergency Cesarian , as you cannot risk the chance of brain damage. All of this should have been explained to you during the moments before the surgery, and again talked over after the operation. It is a wonderful thing that you wrote this letter, so that the staff will be made aware of just how great a damage was done to you, and you will save this from maybe happening to other women. Also it is therapeutic for your own recovery. As a midwife seeing such things happening so often just made me choose to leave the system because I couldn't bear the pain of seeing mothers and babies separated and so many other traumatic birth events. I too at one point in my career suffered from depression and through a wonderful therapist was able to vent my pent up anger and pain from being forced to witness and participate in such brutality. Luckily I was able to find a way to continue to be a caring and empathetic midwife while being true to myself and my befiefs, but only outside the system. Bravo for your courage and your contribution to the birthing women of Israel and midwifery staff.
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