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Mothering Magazine Sponsored Chat with Judith Lothian and Charlotte DeVries

Judith and Charlotte are the authors of The Official Lamaze Guide: Giving Birth with Confidence and maintain a blog about normal birth at birthwithconfidence.blogs.lamaze.org. The topic of their chat is "Building Confidence and Erasing Fear in Childbirth".

Judith Lothian is a nurse and childbirth educator with more than 30 years of experience. She is an associate professor at Seton Hall University College of Nursing and is a member of Lamaze International’s Board of Directors. Dr. Lothian is a nationally recognized speaker on birth and breastfeeding, a columnist for The Journal of Perinatal Education, a mother of five and grandmother of six.

Charlotte DeVries is a journalist, past president of Lamaze International's Board of Directors, and a current Board Advisor. She works alongside her husband, a sociologist, on childbirth and midwifery research and education. She also writes a newspaper column on life as a working mother of three.

www.mothering.com
2/1/06

27 mothers in attendance

 

21:04:03 Webmama_Tina tonite we are very pleased to have judith and charlotte as our speakers...
21:04:20 Webmama_Tina why don't you 2 introduce yourselves and tell us your background and expertise?
21:04:35 Webmama_Tina and when you're done please let me know that you are ready to start answering questions...
21:05:02 Webmama_Tina and mama chatters...y'all can start posting a single question mark (?) if you would like to get in line to ask charlotte and judith a question :)
21:05:23 charlottedevries Hi, I'm Charlotte, in Ann Arbor, MI. My three kids are grown, and I'm still in love with issues of pregnancy and birth.
21:05:28 charlottedevries I'm ready!
21:05:58 Webmama_Tina don't forget to share books and links :)
21:06:10 Webmama_Tina if you type with the www in the front then it will be clickable
21:06:11 lothian Hi. We're delighted to be with you tonight. I'm a nurse and a passionate childbirth educator. I also teach nursing, do some research, and a lot of writing. I have five children....four grown and a bonus baby who is in her senior year of high school. And I have six granddaughters!
21:06:30 charlottedevries www.birthwithconfidence.org
21:06:51 lothian And we also have a blog. birthwithconfidence.blogs
21:07:10 lothian Ready for questions
21:07:18 Rosie ?
21:07:24 Webmama_Tina ok rosie, you're up first!
21:07:46 Webmama_Tina and don't mind me, mamas, as i keep the peace and post welcomes as we get latecomers ;(
21:07:50 Webmama_Tina woops ;)
21:08:01 Rosie I was looking at your blog (which is great!)  It didn't really fit with my understanding of Lamaze.  It was much more home birth friendly, etc.
21:08:11 earthmamato4Deb ?
21:08:13 Rosie I guess my question is - is Lamaze pro-home birth these days?
21:08:19 Webmama_Tina upcoming chatters:  earthmamato4Deb
21:09:04 lothian Lamaze is quite different than it was in the 60's when we were just beginning to reclaim birth. Lamaze is all about normal birth, and homebirth fits right in.
21:09:14 charlottedevries Lamaze is opening its arms to women's choices, and lots of women are making the choice for home birth, as I did, in making the choice for home birth for two out of my three babies.
21:09:47 lothian And my daughter has had 2 homebirths....and all my grandbabies were caught by midwives!
21:10:13 momofmany That's a great statistic!
21:10:25 fterry13 ?
21:10:27 mhedlund ?
21:10:28 charlottedevries In the Netherlands, where a lot of my husband's research was done regarding midwives, about 32% of the births there happen at home.
21:10:36 lothian In our book there is a wonderful chapter on choosing a place of birth. It is very pro out of hospital birth
21:10:37 Webmama_Tina upcoming chatters:  earthmamato4Deb   fterry13    mhedlund
21:10:49 Rosie what's the rule on follow-up questions?
21:11:01 marywho ?
21:11:27 Webmama_Tina well since we already have people in line for questions, i'll ask that you get back in line...just to be fair for those waiting
21:11:34 Webmama_Tina i'll add you after marywho :)
21:11:35 Rosie no problem.!
21:11:49 Webmama_Tina earthmamato4Deb you're up!
21:11:51 wendylynne ?
21:11:59 earthmamato4Deb I am a LCCE too and actually the coordinator at a small local hospital
21:12:05 Webmama_Tina judith and charlotte...when you're done answering a question just say something like next question""
21:12:23 charlottedevries Thanks, Webmama. Duly noted.
21:12:25 lothian Will do.
21:12:28 earthmamato4Deb It is kind of weird and ironic as a huge homebirth advocate, but am hoping to make change
21:12:39 fterry13 hpw do you teach in an area where the c-section rate has gone from 17% to39% and epidural rates are about 50%? the doctors are interventive and couples are more willing to follow their recommendations over CBE's.
21:12:50 Webmama_Tina upcoming chatters:  fterry13, mhedlund,  marywho,  Rosie,  wendylynne
21:13:17 earthmamato4Deb I have been able to start a natural birthing class and really want to get some hard stats to show that it can help
21:13:23 Webmama_Tina fterry13,  earthmamato4Deb is currently up....you're next! :)
21:13:37 Webmama_Tina currently up:  earthmamato4Deb....upcoming chatters:  fterry13, mhedlund,  marywho,  Rosie,  wendylynne
21:13:55 earthmamato4Deb What are some of your best ways to help new parents with fears regarding birthing, esp in the hospital
21:14:00 charlottedevries We're hoping that our book can be a beginning in a change in the landscape--that women will gain enough confidence to bring about change in the way birth is dones.
21:14:03 charlottedevries done.
21:14:28 lothian I applaud your persistence in helping to create change...it's a really hard job. And it is discouraging for many of us. But many educators are having success doing natural" classes."
21:14:32 Webmama_Tina upcoming chatters:  fterry13, mhedlund,  marywho,  Rosie,  wendylynne
21:14:52 lothian do you want to add more
21:15:00 charlottedevries *thinking*
21:15:26 earthmamato4Deb :)
21:15:51 charlottedevries Keep reminding women that their bodies are a perfect design for giving birth without medical intervention. In fact, intervention often messes with this perfect design.
21:16:39 lothian Help new parents with fears...we could go on forever. I think the first thing is honesty. Helping them see what the issues are, that much of what they fear are not things to be feared. And lots of what they should be afraid of...like the cesarean rate...they are not.
21:16:40 charlottedevries This education has to start with our children (boys AND girls!)--as midwife Ina May Gaskin says, Our bodies are not lemons"."
21:17:18 charlottedevries With confidence, with advocacy, we can help women overcome these fears.
21:17:28 charlottedevries Next question, if Judy's ready.
21:17:30 earthmamato4Deb I absolutely agree, one of the things we discuss in class is our societal beliefs regarding birth and how those shape our expectations
21:17:35 earthmamato4Deb thanks
21:17:44 Webmama_Tina did that answer fterry13 too?
21:17:47 lothian I think that women's greatest fear is safety. And they go to the hospital thinking they will be safer there. But it's not true.
21:17:57 earthmamato4Deb ?
21:18:13 Webmama_Tina upcoming chatters:  fterry13, mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb
21:18:22 Webmama_Tina if not, then fterry13 is up next
21:18:29 fterry13 we teach what they're saying, but they still follow their doctor's recommendations.
21:18:42 fterry13 do i repeat my original question?
21:18:59 Webmama_Tina upcoming chatters:  mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb
21:19:04 Webmama_Tina yes go for it fterry13
21:19:08 Webmama_Tina up now: fterry13
21:19:31 charlottedevries This really is a cultural problem, accepting the doctor's word as the final word.
21:19:42 lothian Because we have been brought up to trust the doctor as the repository of wisdom related to health. Knowing the simple story of birth and the history of how maternity care evolved in the US can help women understand the issues.
21:19:55 fterry13 with c-section rates going from 17% to 39%  and epidural rates of abou 50%, how can we encourage patients to be better advocates for themselves?
21:20:16 charlottedevries We have to find ways to connect with what women already believe.  For example, a belief in healthy eating, exercise, the value of nature, and show them how natural birth is consistent with these beliefs.
21:20:58 lothian First women need to untangle the issues and learn to negotiate the maze of modern obstetrics...and to do that they need confidence in themselves, in their body's good design, and they need to trust birth.
21:21:05 storkbytes ?
21:21:13 charlottedevries While some women think c-sections give them more control over their birth, in fact they lose control and subject themselves to a number of complications.
21:22:11 storkbytes What are the best ways to connect with women?  Some don't come to classes.
21:22:17 Webmama_Tina upcoming chatters:  mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb,  storkbytes
21:22:23 lothian I keep going back to the fact that women don't have the basic, simple knowledge they need about birth and nature's plan to be able to make informed decisions. We think our book will help. It's simple.
21:22:27 Webmama_Tina storkbytes right now its fterry13's turn
21:22:39 Webmama_Tina your turn will be after earthmamato4Deb :)
21:22:47 charlottedevries As LCCEs, can they ask their mothers, Look, you're going through the trouble of taking care of your body during this pregnancy--careful with diet and exercise and reading--do you want to hand your body over, unquestioningly, to a medical system?"."
21:22:59 lgrubin ?
21:23:03 Webmama_Tina Friendly Reminder: Please do not post unless it is your turn to ask a question. If you have a question, please post a single ?" and you'll be added to the queue. Have your question ready when your name is called. THANKYOU! :)"
21:23:13 Webmama_Tina upcoming chatters:  mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb,  storkbytes,  lgrubin
21:23:28 KeysMama ?
21:23:47 lothian The questions we are asking really all get down to....helping women be confident that they already know how to give birth.
21:23:47 Webmama_Tina upcoming chatters:  mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb,  storkbytes,  lgrubin,  KeysMama
21:23:48 charlottedevries Next question.
21:24:01 Webmama_Tina mhedlund, you're up! :)
21:24:06 Webmama_Tina upcoming chatters:  mhedlund,  marywho,  Rosie,  wendylynne,  callanro,  earthmamato4Deb,  storkbytes,  lgrubin,  KeysMama
21:24:17 mhedlund I withdraw my question.
21:24:39 Webmama_Tina ok, marywho, you're up!
21:25:50 Webmama_Tina lets give her a sec...she might be typing
21:25:51 marywho thank you.  Comment, I had my 2nd son at home in the 80's and felt far more confident than in hospital.  Part of the problem is selling natural" birth to the medical community."
21:25:53 Webmama_Tina ah ha
21:26:10 marywho my coworkers are sceptical!
21:26:16 Webmama_Tina upcoming chatters:  Rosie,  wendylynne,  callanro,  earthmamato4Deb,  storkbytes,  lgrubin,  KeysMama
21:26:21 charlottedevries This was exactly my experience, as well.
21:26:33 lothian It's really selling it to women. The research is clear. Birth out of the hospital is safe. Women need to know this.
21:26:40 charlottedevries Remember, by training, doctors see birth as pathological.
21:27:27 marywho nurses do too
21:27:28 Webmama_Tina Welcome to this week's Mothering Sponsored chat! This is a moderated chat. Please make sure you read and fully understand the Moderated Chat Instructions before participating in this chat. Instructions can be found here: http://www.mommychats.com/modrules.htm ...A Friendly Reminder: Please do not post unless it is your turn to ask a question. If you have a question, please post a single ?" and you'll be added to the queue. Have your question ready when your name is called."
21:27:32