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We call on Artemis to return strength and power to the
midwives of the world so that they may serve women and their families
in the way they know best.
"I have always chosen to have midwifery care as
they are the ones who have allowed me to discover what it is I need
to bring to the birth - physically, emotionally and spiritually.
They understand that I need the time and space to birth my baby
my way but at the same time I need support, and encouragement along
the way. I have had three perfect births all of them under the care
of a midwife." Pip
"Having twins in a hospital setting, I was acutely aware
of the need for me to maintain focus. My midwife knew me well, she
gave me clues to look within, and she was my sub-conscious. She held
the space around me, protected me and enabled me to look within, not
to be distracted by superfluous 'stuff' happening in the
room. She also enabled me to release my worry about my partner not
coping. She played a valuable role and it was an amazing birth."
Kylie
Women and their families need midwives. Midwives are
the professionals trained in normal birth and they help keep it
normal. The crisis we see the world over in the 'birth
industry' is directly related to the denigration, subjugation and
replacement of the midwife by the medical profession.
Midwifery is the oldest profession. Midwife means 'with
woman'. Women have always helped each other with their births.
Often a mother and grandmother would help their daughter and the one
who had the most experience would be called to other births. As
communities grew, people specialised with their skills, and midwifery
as a specific role grew. Midwives were the wise women. They were the
primary healers in their communities, the medicine women; they
assisted families and women throughout their lives. Midwives were the
nutritionists, herbalists, doctors, and ministers, counselors all
rolled into one 'profession'. Many feel they were the first
holistic practitioners. Midwives were always available to help all
women. i
From 12th until the 17th century across Europe, the time of the
Inquisition, the Roman Catholic Church burnt midwives at the stake as
witches. Medieval Christianity detested midwives for their roots and
connection with the pagan matriarchal cultures and Goddess worship
and for the knowledge that they passed onto women about their
fertility. Midwives helped women control their fertility, they taught
birth control and procured abortions and the Church was against this.
Midwives and women believed that knowledge of such matters was
women's own business and not subject to male authority. The
Churchmen viewed midwives as enemies of the Catholic faith. They said
that Midwives offered the babies to the service of the devil. The
church forbade midwives to assist women in preventing conception,
relieving them of unwanted pregnancies or easing their birth pains.
In 1591, Eufame Macalyne, a Scottish Noblewoman, was burned
alive for asking a midwife for herbs to ease her labour pains. ii
The disappearance of the Midwives, created an in road for the
non- professional, non-medical male practitioners called the
"Barber Surgeons". They lead the way in England, to the new
technically superior surgical birth with their innovative obstetric
forceps. This changed the neighbourly midwifery service into a
lucrative business and was taken over by the physicians in the 18th
century.
Midwives re-emerged by necessity in poor communities however
the educated, the wealthy and the noble preferred the care of male
doctors whose care was thought to be superior.
"At the end of the 18th century, most people assumed that
midwives had no formal training, even though some did, and common
existing beliefs held that women were emotionally and intellectually
incapable of learning and applying the new obstetric methods.
Well-to-do families soon came to believe that physicians could
provide better care than female midwives could and thus offered the
best hope for a successful birth." iii
Midwifery schools reappeared in the 19th century, it was
difficult for women to attend these schools, although some did and
the training was designed and overseen by doctors.
Birth practices in the 19th and 20th centuries became more and
more medically managed and surgical.
"Prejudice against the intelligence and capability
of women was used to defame midwifery." iv
In undeveloped countries midwives remained the primary
carers for women and their families, and they still are.
The history of midwifery in the 19th and 20th centuries
reflects the history of the Women's Movement. As the attitudes in
the culture shifted to recognize women as equal to men, so did all
the services that cared for women shift. Women were once again able
to have a voice and make choices about the things that affected them
and their families. However, long-standing beliefs are the hardest to
change and many people still today believe that doctors, actually
specialist obstetricians are the best people to care for pregnancy
and birth. Specialist Obstetricians are trained in abnormal pregnancy
and birth and serve perfectly in that role, helping the women who do
not fit into the 85% who are capable of having a normal birth.
Midwives are trained in normal pregnancy and birth and
their care is associated with higher rates of normal birth, less drug
use in labour, less intervention and higher levels of maternal
satisfaction.
In medical speak, midwifery care results in lower
maternal and neonatal morbidity and mortality than obstetric care. v
There have been many studies assessing and comparing midwifery
with obstetrics, and the results are well known.
Actually, midwives attend over 70% of births in the world. In
the Netherlands, midwives deliver a majority of the babies. Other
countries do not utilize midwives to their fullest potential. Each
country worldwide has a slightly different view of midwifery, and of
how midwives work within their communities. vi The developed countries,
in which midwives do play a bigger role, have the lowest surgical
birth rates and the lowest maternal and baby mortality rates.
Like so many things at this time in the modern world, midwifery
has polarized. There are midwives the world over who practise
independently, either registered by a governing body or not,
attending women who choose to birth in their own homes, and there are
midwives who work within institutions.
Those who work within a hospital must practise according to
strict hospital policies and doctor's orders and tend to
specialise in a particular area. Those who choose to work
independently usually practise holistically and according to the
midwifery model.
The Midwifery Model is an attitude about women and how
pregnancy and birth occur, that views pregnancy and birth as normal
events in a woman's life. It is an attitude of giving and sharing
information, of empowerment, and of respecting the right of a woman
and her family to determine their own care. vii
The medical model, which describes institutionalized
maternity care, is an attitude that there is potential pathology in
any given situation, and that medicine can assist to improve the
situation. Medicine is also about teaching, informing, and
prevention, but the power seems to be more with the provider rather
than with the woman. viii
In order to keep her job the midwife who works in a hospital
has become a 'med-wife' to use Jeannine Parvati Baker's
term. The sad thing is however that the hospital midwives so often
end up believing and promoting the medical model. How this happens
always confuses me. I can only understand it by seeing it as
behaviour of the oppressed. Or that birth has become so
institutionalised that now even the women believe the medical model.
And because childbirth is a rite of passage whatever happens during
the birth sets a pattern in place and the pattern continues. I have
written a lot about childbirth as a rite of passage in my book
"Ten Moons - The Spiritual Journey of Pregnancy, Preparation for
Natural Birth" and will go into it further in the chapter about
Changing Woman.
Artemis the Goddess of Midwifery reminds us of our
Herstory and rekindles in us the knowing of the need for women and
midwives to unite and support each other.
Having an Independent Midwife was far beyond any
expectation I ever had. With the guidance and support of my midwife
I was able to trust my body and the birth process and go with the
flow. Her very "hands off" approach, unless truly needed,
enabled me to fully engage with myself and birth from within,
without relying on any outside influence. Having a midwife come
into your home each visit for a few hours was very nourishing, I
felt heard and understood and was always excited when a visit was
coming. Throughout my pregnancy I spoke of all the feelings that
came up with my midwife. She always asked the right questions to
help me work it out for myself, I would then go away and journal
anything else that I needed an answer on. Kath
Being a Midwife...
Being a midwife I see my role as a gatekeeper at the gateway
of birth.
My role is to trust in the birth process, to trust
that the woman's body will work and the baby will
'know' how to be born. I am a women's rights advocate,
a protector of a woman's private space and the sacredness of
birth. I do everything I can to ensure that every baby has a gentle
birth. As Jeannine says "Heal the Earth, one birth at a
time". Jane Hardwicke Collings, Midwife.
Being a midwife has taught me that women are strong,
birth is very political.
The first year or two of a baby's life depends on
a healthy attachment to another person. I've learned that how a
woman is treated throughout her journey through pregnancy, birth
and beyond can and does impact on this vital attachment to her
newborn. I know that what midwives do is valuable and important and
that families need our love and respect, because western culture on
the whole does not value the role of parents and their offspring.
Sheryl Sidery, Midwife.
Being a midwife is a privilege, it is real, it is
life, and sometimes it is death.
It is meaningful, beautiful work. Each person is
different and each birth is different. There is a lot to be derived
from birth, not by comparing it to an ideal but by women meeting
the challenges of their own birth. No matter what way a baby comes
out of a woman it is always amazing. The birth itself is
significant but the most important aspect is that a new person is
being born and that is the miracle. I still get teary eyed at the
intensity and the magic of birth. The essence of midwifery is that
sense of being connected to what the mother is feeling and
responding to what she needs at the time. I have learned a lot
about myself and about human nature and relationships, few have
gained so much from their profession. I am blessed. Shea Caplice,
Midwife.
"Every woman is her own midwife"
is another of Jeannine Parvati Baker's wonderful
quotes. When I contemplate this quote, my thoughts go like this: No
one can really affect your birth. Your birth is the birth you will
have. You will have arranged the players in your play and your birth
will be all it will be. So you are your own midwife in that sense.
Your own psychic midwife, standing there with yourself. Let us not
for a moment think that we can only give birth if we have a
'good' midwife, for it is the midwife within that enables
us, that gives us the tools. It is the midwife within that holds
the keys of trust, it is she and only she who remembers that birth
is safe and simple. Without her no one can really help us give
birth. Someone outside our selves may help by cajoling us, or
dragging us to the gateway where we scream 'get it out',
but truly it is the midwife within that will guide us to recognise
that what we feel as we labour to the gateway is what we can and
what we must if we are to once again know the power of birth, and
the power of the Goddess within.
I had the most awesome, magical, powerful midwife.
Not because she "saved" me, but because she empowered me
to find my own inner midwife. Every woman has one but she is hidden
behind a veil of fear that is all too easy to surrender to in
today's society. The gifts I have received from stepping
through that fear cleared the path back to my purist state of being
and purpose and I now draw on that knowing for the strength and
wisdom to live each day as my unique self. I now know that I have
the power, trust and insight to mould my own experiences to lead an
amazing life. The fear has been passed down but so has the wisdom.
I give great thanks that I can now shine the light for all women to
choose wisdom. Melissa
My midwife enabled me to re-member and re-connect with
something I knew about myself but often questioned and often
ignored or at least waited until I had my 'inner knowing'
validated by an external source. This aspect of myself; my own
inner being, my authentic self, my soul, that which I have come to
recognise travels with me at all times, I know never abandons me
and is always ready to share when I have questions. Through my
experiences with my midwife, I came to trust that part of myself
more and more and felt a connection to something large. I connected
to that place 'of oneness' in my ecstatic birth with Noah,
my second birth, and I know this was enabled by the preparation and
the journey that I had in working with my midwife throughout my
pregnancy. What she continues to remind me and what I now know for
sure, is that life is a process of birth (and in that death) and
that my job is to midwife myself through my destiny and in that
teach my children that they too are the midwives of their own
experience. We are all that we ever need. Kristan.
Blessed Be
 i http://www.efn.org/~djz/birth/midwifefaq/intro.html
 ii "Herstory" self published by Author
 iii http://www.midwiferytoday.com/articles/timeline.asp
 iv ibid
 v Australian College of Midwives Philosophy Statement for Midwifery
Midwife means 'with woman'. This meaning shapes midwifery's philosophy, work and
relationships.
Midwifery is founded on respect for women and on a strong belief in the value of
women's work of bearing and rearing each generation.
Midwifery considers women in pregnancy, during childbirth and early parenting to be
undertaking healthy processes that are profound and precious events in each woman's
life. These events are also seen as inherently important to society as a whole.
Midwifery is emancipators because it protects and enhances the health and social
status of women, which in turn protects and enhances the health and wellbeing of
society.
Midwifery is a woman centered, political, primary health care discipline founded on
the relationships between women and their midwives.
- Midwifery:
- Focuses on a woman's health needs, her expectations
and aspirations
- Encompasses the needs of the woman's baby, and
includes the woman's family, her other
important relationships and community, as identified
and negotiated by the woman herself
- Is holistic in its approach and recognizes each
woman's social, emotional, physical,
spiritual and cultural needs, expectations and context
as defined by the woman herself
- Recognizes every woman's right to
self-determination in attaining choice, control
and continuity of care from one or more known
caregivers
- Recognizes every woman's responsibility to make
informed decisions for herself, her
baby and her family with assistance, when requested,
from health professionals
- Is informed by scientific evidence, by collective and
individual experience and by
intuition
- Aims to follow each woman across the interface between
institutions and the community,
through pregnancy, labour and birth and the postnatal
period so all women remain
connected to their social support systems; the focus is
on the woman, not on the
institutions or the professionals involved
- Includes collaboration and consultation between health
professionals.
(vi )http://www.efn.org/~djz/birth/midwifefaq/intro.html
(vii )http://www.efn.org/~djz/birth/midwifefaq/intro.html
(viii)ibid
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