http://www.birthlove.com A letter from Leilah McCracken Dear doctors, On my lower belly is a cesarean scar. It formed there 10 years ago after a needless cesarean. To this day, touching it makes me shudder. Hair doesn't grow on it; it is without sensation- a white, bumpy, ugly dead strip. The child who came from it is the only one of my seven children who has ever sucked his thumb, or needed a security blanket. On my back are little pinprick scars from epidural catheters. They are little bland bumps. I am one of the women who have lifelong back pain from epidural anesthesia; and one of the few women for whom epidural anesthesia doesn't even work. (I had spinal anesthetic though my epidural catheter for the c-section. My husband's idea in the OR, by the way... one of the few times in our five hospital births where he was listened to, and not treated like a fourth class citizen.) My daughter was hurried through my vagina with a Pitocin drip. She has some behavioral difficulties that many children who were born through Pitocin tend to have- almost autistic in nature. Autism is now linked with Pitocin use (see end). My fourth child was induced at 40 weeks, my shortest pregnancy ever. I am supposed to have ten month pregnancies, as my last two births, sixth and seventh, have shown me. My fourth child is my only violent child; he causes so much heartbreak in my family. Every day he has hurt his younger brother. I wonder if he would have been a bit more gentle in his life if his birth had been more gentle- if he had been allowed to gestate as long as my body requires. (Incidentally the younger brother he beats up was born through a Prostin smearing on my cervix. He was lucky my VBAC uterus didn't rupture. So am I.) I always thought there was no other way for me to give birth- that I was a birthing failure; incapable of birthing without an induction jumpstart or a surgical incision. For five childbirths I always "needed" my doctors to create my birth experiences for me, and to save me from my own birthing inefficiency and hopelessness. (I was actually addicted to their "helping" me, and was always effusive in my gratitude for their efforts.) But then with my sixth, I just couldn't do it again- I couldn't go back to another hospital to give birth... I was just too hurt and broken inside. I found a lay midwife, and had the beautiful, easy birth that I am intended to have. I finally gave birth as a full, luscious woman- all my own hormones, in my own safe place- with no fingers in me, or straps on my belly. (Or knives in my belly.) I simply pushed my baby out and went to bed. This birth healed me... it fulfilled me, enraged me, and propelled me to begin writing and to help heal birth for other women- help them see that the childbirth theories of men in white lab coats are wrong. I created my website (birthlove.com), and soon discovered that millions of women feel just as I did- hopeless; inept; incapable; less-than fully female; not deserving of gentleness or birthing bliss: and that there is no other way to give birth. Millions of women bear terrible scars of the body, soul and psyche from processed, assembly-line birth... millions of women are heartbroken from the loss of what could possibly have been the most beautiful moment of their lives. What seems to you like a routine day of work impacts entire lives- decades are affected by what happens in the few hours of giving birth. Later drug addiction comes with one's own drugged childbirth; an increased risk of later violent suicide comes with one's own violent, painful childbirth. (See references to Bertil Jacobson's work below.) Terrible infirmities come to women who have had cut, manipulated childbirths... I know women who can't control their bowel movements because of episiotomy cuts. I know women for whom hemorrhoids cause lifelong pain and severe loss of freedom because of their vacuum extractors and forceps deliveries. I know women who are suicidal in their awful depths of self-hatred and worthlessness: they have a despair that ricochets through their souls from being strapped down like meat to be palpated and probed by anyone who wants to touch their bodies in childbirth. I know women who never realize their full potential as women- as artistic, sentient, feeling women- because they have not given birth powerfully and joyfully. I know of women who are not even living anymore because of their hazardous hospital births... I know of the doctors who are not held accountable for their deaths. I also know of doctors not held accountable for babies' deaths.. and I know of thousands of women who have been lied to by doctors, and told that their difficult births were somehow their own fault- that they were too disproportionate, incompetent, or failures at progressing for birth at all without medical assistance (the same meddling, intimidating assistance that stunted their spontaneous birthing in the first place). How can I tell you to stop hurting families? How can I tell you that giving birth matters? How can I tell you that your procedures cause more harm than good? Why would you believe me? Who am I to you- some "nut" on the Internet who will impact as deeply and personally as a passing, uneventful comet? The women still come to you. They fill up your waiting rooms with their passiveness, endless patience and willingness to follow your orders. They think you know best- they think you are the expert in human childbirth. But how can I tell you that you're not? You won't believe me; your medical degree and your years of managing childbirth in hospitals may suggest to you that you deserve the position of societal expert of childbirth. But listen: the birth you know is incorrect. The birth you have studied and mastered is false; how most women give birth today- with unproven interventions and invasive, humiliating procedures being the norm- is wrong. The birth that doctors see and understand is caged birth; free birth resembles nothing of the stop-and-start, bizarre, agonizing births of the hospital LDR. Birth as it is meant to be given is as straightforward and obvious as any other act of elimination. And as are other eliminatory acts, birth is best given in absolute privacy. (Never flat on one's back with spectators and bright lights.) Birth is also the ultimate act of reproduction. It is transcendentally sexual- like a big, luscious orgasm: wild; uncontrollable once you get to the point of no return. That is... if you're able to get to that point of no return... reaching this state of wild animal release- the optimal state of mind/being for birth- can only come if no one is disturbing you, and if you feel secure and are free from harm. If there is no external schedule imposed on your own intrinsic orgasmic schedule. This is how birth is- highly sensitive to external stimuli; becoming erratic, stunted and pathological if a woman senses her environment isn't safe and accepting of her own unique way of opening up for birth (equate opening up for birth with ecstasy/release). And this is why so many hospital births "need" doctors' drugs and intervention- because of how sexually constipating the hospital birth environment is. Women are increasingly understanding the true nature of childbirth every day... due to the Internet, we are rapidly learning that the medical way of giving birth is false. Every day, thousands more women are becoming alerted to how senseless routine procedures truly are. And once a truth of this magnitude is understood, all of our paths as women are changed- we all become committed to going to the ends of the Earth to help other women heal birth for themselves, and their friends and daughters. We are taking back the roles of wise women and teachers in our communities. Doctors: there is a powerful movement happening in the women of the world; it is one of dignity, power and love of birth. It is a movement that will move women out of your waiting rooms and back into their own homes to give birth. It is massive, and unstoppable. You can either respect this movement- acknowledge it, and reassess your practices and make them more humane- or you can battle this healing force with your own cruel arsenal: even more birth interventions for women's "own good". But be warned that such ugliness will only shame you, and render your souls as vacant as your waiting rooms and ORs will be. You will have a choice in your obstetrical career. A choice about whether to be a gentle protector of birth, or to be a butcher of birth. Any time an OB performs a needless section or an episiotomy, he is performing an act of terrible violence. This is not so well understood now, but in twenty years, this will be the mainstream belief. Learn this well now, so you can have a busy, humane practice in years to come. You say you are for the rights and health of women and babies. If you are, please learn to leave us alone. Leave the umbilical cord attached to the placenta until the placenta is delivered, and allow the mother's own hormones to determine the timing of the placenta's expulsion (see the article excerpted below). Stop separating women from their newborns. Stop using so many drugs on women- what seems like a good idea now causes terrible harm throughout entire lifetimes. Stop cutting episiotomies! Learn from lay midwives abut how to best attend normal childbirth instead of attacking them. Have more water tubs in hospitals, and learn about water in lieu of drugs for pain relief. Stop thinking fingertips can assess how a birth is progressing! Learn more about prenatal nutrition, especially about how high-quality protein intake drastically reduces high blood pressure. Encourage women to take birthing positions they instinctively will go in. Read the inserts in drug packages to see if the drugs are recommended for use in pregnant women, and don't use the medications if they're not. Please stop inducing women because of "postdates". Stop performing routine amniotomies. Have medical students learn to do pelvic exams on volunteers- never on birthing women. Look at pregnant women and not fetal monitor strips! Be mindful of how it feels for women to be utterly at their doctors' mercy in childbirth; buy a copy of my book (see end) if you want to learn what it feels like to be a patient. It doesn't feel very good. There are so many ways you can make birth better for the women who know of no other way to give birth than with you in attendance... learn these ways now, before the women stop coming to you altogether. Understand that birth matters. It is the most important moment of a woman's whole life- one that she recalls every day of her life spent loving her child; one that makes her the women she is intended to become. And a child born gently loves in gentle ways throughout his whole lifetime, too. No, I'm not one of "those" women who want pleasant and flowery but hazardous homebirths. I trusted doctors with five of my births, and they, in every single one of them, put me and my babies at needless risk through interventions. I had no idea that their own fear of litigation and kowtowing to peers' expectations made it impossible for them to allow me to birth in any way other than that of the accepted standard of care in my area. And while I accept full responsibility for the outcomes of all birth choices, it will always be heartbreaking to me that my doctors' own fears were more important for them to address than the sanctity of my skin, bladder, uterus, fallopian tubes, ovaries and postpartum experience. I'm so sorry that my children have had to suffer for my own ignorant birth choices... and I'll do all I can for the rest of my life to prevent such uninformed births from happening to others. I don't know what else to say to you. There is just too much, and I don't know if you care... but know this: birth is as easy as women allow it to be. Birth is trustworthy and safe; birth knows how to create the best outcomes for women and babies. Your carefully-taught ways of obstetrics interferes with birth's own instinctive, ingenious ways of creating excellent outcomes. The birth you understand is wrong... birth is as easy as a heartbeat; as obvious as a large, smooth bowel movement. It truly is. Simple, yes- but also sacred. Birth is sacred. "Sacred" as in inviolable, and capable of generating fantastic emotion and spirituality. Healing; animal; exponential in its capacity for either harm or ecstasy; female. Birth can be trusted. Birth should be revered. Birth must be left alone. Birth is as safe as life gets. Autism linked with Pitocin use An excerpt from a Newsweek cover story. "Dr. Eric Hollander of New York's Mount Sinai School of Medicine noticed several years ago that 60 percent of the autistic patients in his clinic had been exposed in the womb to pitocin, the synthetic version of a brain chemical (oxytocin) that helps induce labor. That could be significant, since only 20 percent of all births are assisted by pitocin. Or it could be a meaningless coincidence. In the hope of finding out, Hollander is now tracking 58,000 kids whose mothers' treatments were monitored during pregnancy." Read it here. Autism- an Overview, by Lewis Mehl-Madrona, M.D., Ph.D. This article has many good references. And see "Interview with Professor Jaak Panksepp" Bertil Jacobson's work Jacobson, B; Bygdeman, M. Obstetric care and proneness of offspring to suicide as adults: case-control study BMJ 1998;317:1346-1349 View the study here. Jacobson, B. et al. Opiate addiction in adult offspring through possible imprinting after obstetric treatment. BMJ 1990;310:1067-1070. Delaying cutting the umbilical cord The following paragraph is excerpted from "Cord Closure: Can Hasty Clamping Injure the Newborn?" by George M. Morley, MB., CH. B. (July 1998, OBG Management) "Normal blood volume is not produced by a cord clamp. The newborn and placenta reach physiologic, hemodynamic equilibrium without interference, The placental transfusion is massive, silent, and invisible, but as normal and physiologic as is crying at birth. An adequate blood volume is needed to perfuse the lungs, gut, kidneys, and skin that replace the placenta's respiratory, alimentary, excretory, and thermal functions. During the third stage of labor, a large portion of placental blood is shifted to these organs, While the normal, term child tolerates immediate clamping, lack of placental transfusion increases morbidity in "at risk" births. Many neonatal morbidities such as the hyperviscosity syndrome, infant respiratory distress syndrome, anemia, and hypovolemia correlate with early clamping. To avoid injury in all deliveries, especially those of neonates at risk, the cord should not be clamped until placental transfusion is complete." For the full document, go here. Apprenticeships Doctors can contact the online midwifery community for help in finding local midwives who may help them become better equipped to attend births. Go to Midwifery Today's website. Midwives- contact me if you are interested in setting up apprenticeships- doctors can learn a lot from you. This could be a valuable, effective means of humanizing and normalizing childbirth worldwide. One excellent reference for learning what birth is supposed to mean for women (and their men) is my book, "Resexualizing Childbirth". Learn about it and order it online here. Return to top of page Copyright 1998~2005 BirthLove-Leilah McCracken. All of the material in this website is copyrighted. If you wish to republish any of the materials contained on the site please contact us for permission.