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Birth Choices

March 17, 2006

I didn't expect much when I was pregnant the first time.  
My mother doesn't remember her 1960's births. She was 
whacked out on druges, feet in stirrups and numb from the 
waist down. She doesn't remember a thing and she's proud 
of it. She spent the next ten days flat on her back, 
though, woozy with a spinal headache. She was only allowed 
to see her new baby (me) every four hours or so, for a 
quick bottle feed. She remembers that part, but she doesn't 
feel bad about it. It's just how things were. She didn't 
expect anything different. She was puzzled that the 
quality of my birth experience would even be an issue.  
"Just lay back and let the professionals do their job!", 
she admonished me. 
 
When I was pregnant the first time, my friends pretty 
unanimously recommended the "Cadillac of pain relief": The 
Epidural. I wasn't opposed to an epidural, but I found it 
unsettling. How could such a huge event in my life be 
confronted in such a cold, medical manner? What if it 
didn't work? What if I couldn't get one in time? What if 
I didn't want one?? 
Epidurals were introduced in the 1960's and are now the 
most common form of pain relief for childbirth in North 
America. Physicians prescribe epidurals at twice the rate 
of Midwives. About 85% of women giving birth in hospitals 
receive an epidural in the United States. About 90% of 
those women will receive good pain control.  
Epidurals carry risks and side effects. The medication 
used can effect the baby. Epidurals will have an impact on 
the birth experience in myriad ways, not all of them 
positive. 
I decided to explore the phenomenon of the epidural at 
Small Talk. We will look at the risks and benefits and 
examine how the epidural impacts the birth experience in 
all facets. I hope this session will be interesting to 
those who intend to request an epidural as well as those 
who haven't considered one.  
 
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Recipe 
 
Balinese Coffee Scrub 
(Don't eat this one! From "Whole Living" Magazine, March 
2006.) 
 
1 C. raw turbinado sugar 
1/2 C. used coffee grounds from fresh brewed pot 
1/4 C. light olive oil 
1 tsp. pure vanilla extract 
15 drops peppermint essential oil 
 
Combine all ingredients in a medium sized bowl with a fork. 
Pour into a wide-mouthed jar and store in a cool place 
until ready to use. Scrub will keep for one to two weeks, 
longer if refridgerated. 
 
While showering apply a handful to wet skin and rub in 
circular motion. After scrubbing, cleanse skin with mild 
soap or body wash. 
 
 
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Wisdom 
 
Banana peel can be used as a natural first aid for 
splinters. Enzymes in the banana peel help draw the 
splinter to the skin's surface, making removal with 
tweezers easier. Apply a small piece, pulp side down and 
affix with a bandage overnight. 
 
-from Whole Living Magazine, March, 2006. 
 
 
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Best Birthing Cities 
 
Fit Pregnancy Magazine (Feb/March, 2006), ranked the 50 
largest cities in the U.S. according to how "childbirth 
friendly" they are. The top five: Portland, Ore, Boston, 
Minneapolis, San Francisco, Denver. The bottom five: 
Dallas, Houston, Detroit, Memphis, and Las Vegas. 
Some of the criteria used to rank cities were: access to 
birthing centers, access to midwives and doulas, 
breastfeeding rights, stroller friendly areas, 
affordability, and infant day care options. 
 
 
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Research Update: 
 
Huang, Wang, and Chen, 2004, found that women who chose 
breastfeeding had a more positive pre-pregnancy body image 
than women who chose bottle feeding. This indicates that 
women who view their body more positively are more 
comfortable with the decision to breastfeed. 
 
 
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Wise Words 
 
"For the Amish, time is full and generous.  
The women move through the day unhurried. 
There is no rushing to finish, to get on to the 
important things. All work is important." 
 
- Sue Bender, Plain and Simple Wisdom, Harper Collins, 
1995. 
 
 
 
 
 
 
 
 
 
 
 
 
 
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