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Mothering Magazine Sponsored Chat with Sarah Buckley -- Sarah is a trained GP (family MD), with qualifications in GP-obstetrics and family planning, and a writer on pregnancy, birth and parenting. She is the author of the Mothering article "The Hidden Risks of Epidurals" and will be chatting about the darker side of this oft-prescribed birth pain medication.
www.mothering.com
12/14/05

15 mamas in attendance

All Mothering Sponsored chats with Sarah Buckley:

21:09:09 Webmama_Tina tonite we are so happy to have sarah buckley return for another chat with us!
21:09:10 teagreenribbons Tina, its alright
21:09:33 Webmama_Tina sarah, why don't you introduce yourself and tell us a little about your background and expertise and anything else you'd like to share
21:09:43 Webmama_Tina and when you're ready to start taking questions just let us know
21:10:18 sarahjbuckley Thanks Tina, ell, I'm tarined as a family physician (GP here in Australia) and I've taken a braek the last few years to concentrate on my family and on writing
21:10:18 Webmama_Tina and for the rest of you mamas...angie is once again our lovely queuekeeper...so go ahead and throw out a single question mark at any time to get in line to ask sarah a question...angie will let you know when its your turn to talk. :)
21:10:45 teagreenribbons K
21:11:18 sarahjbuckley I like to use my medical background to research the whole story in areas liek ultrasound, epidurals, cesareans, cord clamping and much more, I've recently collected all my best articles into a book, just out here in aus this week
21:11:48 sarahjbuckley See my website www.sarahjbuckley.com , my book is Gentle Birth, Gentle Mothering: The wisdom and science of gentle choices in pregnancy, birth, and parenting
21:12:45 teagreenribbons Guess, I will start
21:12:50 sarahjbuckley I alos have 4 children, all born at hoem, and I spent 3 graet weeks in teh US last month, my first trip, spaeking about ecstatic and undisturbed birth at conferences in San Diego and irvine, I loved meeting Peggy O'Mara!
21:12:52 Webmama_Tina that's www.sarahjbuckley.com   without the comma :)
21:12:57 Webmama_Tina teagreenribbons not yet
21:13:14 sarahjbuckley Ok, lets go Tina!
21:13:16 teagreenribbons Will u tell me when its my turn
21:13:36 Webmama_Tina yup, angie will add you to the queue and let you know. :)
21:13:55 sarahjbuckley I'm ready for questions
21:13:59 MOD_Angie upcoming chatter(s):  teagreenribbons
21:14:07 Webmama_Tina ok NOW teagreen, LOL
21:14:12 teagreenribbons Thanx
21:14:13 Webmama_Tina thanks for your patience :)
21:14:14 christymomof2 Hello everyone
21:14:15 teagreenribbons Why does mainstream medicine not like non mainstream, in all senses, so on?
21:14:28 Webmama_Tina hello christymomof2
21:14:29 christymomof2 Liability
21:14:35 christymomof2 lol
21:14:36 Webmama_Tina glad you made it...we're taking turns...
21:14:42 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."
21:15:23 sarahjbuckley Hi teagreeribbons, nice to see you here, I think that mainstream medicine, especially OB?GYN doesn't understand what the alternatives are about, partyly becauise they can't see that there are some major problems with their perspective
21:15:46 teagreenribbons K, nice to see you as well
21:15:57 teagreenribbons Same here
21:16:00 christymomof2 They are so wrapped up in what they learn in Med school, that the alternatives" are seen as not as effective/safe, etc"
21:16:25 sarahjbuckley You know, most OBs have never seen anormal birth, don't even know what it looks like, so have a hard time, I think, believing taht it exists!
21:16:40 teagreenribbons Why can't they do both of them
21:16:46 christymomof2 example, homebirthing...of which I just experienced 4 weeks ago!   :)
21:17:10 sarahjbuckley I think that thuings are changing, Drs are becoming more open minded generally, but somehow its more fixed in OB
21:17:13 Webmama_Tina christymomof2 i just PMd ya :)
21:18:05 teagreenribbons K, why can't do both in the OB as well because its really ashame on what they do to women/women trust them/and so on
21:18:09 TurboClaudia ?
21:18:12 sarahjbuckley Well, I think Drs can have  a mindset that is very trusting of teh technology, it's hard to get out of that unless they experience it themselves
21:18:30 teagreenribbons K
21:19:17 sarahjbuckley I think natural birth has become an endangered specias, not often seen so thye almost think it doesn't exist!
21:19:23 sarahjbuckley Next qstn please
21:19:31 MOD_Angie upcoming chatter(s):  TurboClaudia
21:19:34 teagreenribbons Just hate what I see everytime that I volunteer in the maternity department at the local hospital by me and so on
21:19:37 TurboClaudia Have you read the recent British article about skin-to-skin cesareans?  If so, what are your thoughts?
21:20:06 sarahjbuckley I haven't seen taht Claudia, although i know  woman here who delivered her own baby by cesarean
21:20:30 christymomof2 oh my!
21:20:33 sarahjbuckley And sk2sk is absolutely the norm after birth, it benefits mother and baby
21:21:03 sarahjbuckley the mother keeps the baby warm, the contact helps her to release oxytocin and prevent bleeding
21:21:36 sarahjbuckley bbaies sk2sk are actualy warmer tahn in cribs... can you give me the ref to look it up Claudia?
21:21:57 TurboClaudia i'm looking for the link...
21:21:58 teagreenribbons What u knew a woman who delieved her own baby by cesarean
21:22:13 teagreenribbons Thats definetly so kool
21:22:31 sarahjbuckley They did this research where they let babies stay sk2sk and found that the babies were calmer for hours afterwards (when thye were taken to the nursery, unfortunately!)
21:23:33 Webmama_Tina anyone else with questions for sarah just throw out a question mark at any time and we'll let ya know when to go :)
21:23:46 sarahjbuckley The mother had an epidural and was able to reach down and be the first to touch her baby, abnd she pulled teh baby out. It took alot of work to set up, but such a great example for all of us
21:23:51 sarahjbuckley Next qstn
21:23:57 christymomof2 ?
21:24:05 MOD_Angie upcoming chatter(s):  christymomof2
21:24:08 christymomof2 Do you answer breastfeeding questions?
21:24:17 MrsRoss ?
21:24:34 christymomof2 and no, lol...that's not my actual question
21:24:56 Webmama_Tina lol
21:24:57 sarahjbuckley Well, it's not really my area of expertise, I'm not an LC but yes, I'll answer if I can
21:25:29 christymomof2 oh okay, I'm having problems with my newborn in 2 areas. 1: Gulping air while nursing. 2. Spitting up a lot
21:25:47 mayas_mommy ?
21:25:54 sarahjbuckley Is this your first baby? How was the birth?
21:26:07 Kathy christy...how old is baby
21:26:14 christymomof2 Nope, third. And third b/f. Never had this problem before. Birth was great...homebirth
21:26:18 christymomof2 she's 4 weeks old
21:26:20 TurboClaudia ?
21:26:43 christymomof2 I've tried diff. positions for the air gulping, and she still does it
21:26:49 Kathy that's about the age when allergies show up...'
21:27:06 christymomof2 and tried tweaking my diet for the spitting up, and it helps a little when I cut back on dairy, but not a whole lot
21:27:11 Kathy sorry if i'm slow ...one janded typing... :bf
21:27:19 christymomof2 LOL!
21:27:20 sarahjbuckley Ok, well I had some problems with my 4th baby because I had an 'oversupply problem'- my milk was letting down too quickly for my newborn, I found that posture feding (having her uphill to my braests) helped alot, she grew out of it at 6 weeks
21:27:24 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."
21:27:47 christymomof2 Sarah...yes, I notice that my milk seems to be too" much"
21:28:00 christymomof2 she hurries to nurse because it's coming so fast
21:28:09 Webmama_Tina At this time, please keep all side conversations to private message (PM). To PM someone, please double click their name in the user list to the right (in purple). Clicking their name in the main window will only paste their name into the chat.
21:28:11 sarahjbuckley Yes, and it ceratinly worth looking at your diet, especially dairy, soy, wheat,
21:28:21 christymomof2 and how do you posture feed?
21:29:09 sarahjbuckley Ok, I found that feeding her sitting yup- her body was vertical as was I , was really helpful, some find that expresing the first really fast milk helps too, others have actually lay down with the baby on top and fed them against gravity
21:29:50 sarahjbuckley What you are doing is slowing the milk flow by making it against gravity, ie flow horizintally or up, not dwon, if that makes sense
21:30:03 christymomof2 ohhhh, okay. Yes, that makes sense
21:30:18 christymomof2 She doesn't gulp air as my breast empties...so that makes sense
21:30:41 christymomof2 Thank you! I will try that
21:30:48 sarahjbuckley The strange thing for me was that she didn't have this problem with nigh feeds, I think it may have been more relaxed.
21:30:51 Kathy do you think the air is causing the spit up?
21:30:57 sarahjbuckley also carrying upright may help
21:30:58 christymomof2 She does that too Sarah!!!
21:31:09 christymomof2 Kathy, yes I think it might contribute...she doesn't spit up at night
21:31:47 sarahjbuckley You could tyr to see if the Austarlian Breastfeeding assoc booklets are ion line, there is agreat one about coping with oversupply, or just search taht tem on teh web.
21:31:49 Kathy sounds like the fast letdown is probably the issue then...
21:31:58 christymomof2 she gets hiccups a lot of times after eating, and it all comes back up
21:32:00 Webmama_Tina ok who's up next angie?
21:32:02 sarahjbuckley Blessings to you and your baby!
21:32:07 sarahjbuckley next qstn
21:32:12 christymomof2 TY!
21:32:23 MOD_Angie seriously, I just got booted AGAIN!  and I lost my list :-(
21:32:36 sarahjbuckley I mean, search 'breastfeeding' and 'oversupply' on the web
21:32:38 mayas_mommy ?
21:33:00 MrsRoss ?
21:33:21 TurboClaudia Angie,  the next chatters are Mrs ROss, then Mayas Mommy , then TUrboClaudia
21:33:27 christymomof2 TY Sarah
21:33:34 MrsRoss I just read your article in Mothering and found it incredibly helpful in dealing with my birth experience. I had an epi early in labour, wound up with all the complications mentioned in your article and an eventual c-section.
21:33:44 MOD_Angie upcoming chatter(s):   MrsRoss  mayas_mommy  TurboClaudia
21:33:49 MOD_Angie tyvm Turbo!!
21:33:55 Webmama_Tina thankyou claudia...angie's having computer issues and i'm having child issues, lol!
21:33:56 christymomof2 :(
21:34:02 TurboClaudia no worries, angie. :D
21:34:03 Webmama_Tina ah the life of a mom in our modern world!
21:34:17 sarahjbuckley I love it that we are all doing women's business here!
21:35:46 Webmama_Tina :)
21:36:07 MOD_Angie MrsRoss did u have a ?
21:36:10 Webmama_Tina did you have a question mrs ross? LOL
21:36:14 Webmama_Tina jinx!
21:36:15 MrsRoss is it my turn?
21:36:17 Webmama_Tina lol
21:36:18 MOD_Angie upcoming chatter(s): MrsRoss mayas_mommy TurboClaudia
21:36:19 Webmama_Tina yup
21:36:22 MrsRoss I just read your article in Mothering and found it incredibly helpful in dealing with my birth experience. I had an epi early in labour, wound up with all the complications mentioned in your article and an eventual c-section.
21:36:58 MrsRoss I wanted to thank you so much for the article b/c it really helped me deal with my experience.  I do have a question concerning pp fertility.
21:37:18 sarahjbuckley OK
21:37:43 MrsRoss I have yet to start menses after my 12/04 delivery and would like to ttc #2.  Is there anything that I can do to help regain fertility?
21:38:03 sarahjbuckley Are you breastfeeding?
21:38:09 MrsRoss Yes.
21:39:15 sarahjbuckley Well, everyone is different re return of fertility, some women can ntake 18 montsh or so when breastfeeding, but I woudl encourage you to let your littel one continue, it;s such a good investment in their health and wellbeing long-term
21:40:05 MrsRoss yes, I have no intention of weaning.  Thanks!
21:40:24 sarahjbuckley I have a couple of answers that I've written for mothering experts about enhancing fertility, abut again, please also consider the neds of your little one, teh WHo recommends at least 3 years spacing for optimal health for all teh family
21:41:42 sarahjbuckley Personally, I have also noticed that the nursing child has some control over the mother's fertility, if they feed more, she is les fertile, and I think it's good, to let them have asay in teh decision about the next baby, it's such a huge adjustment for teh oldest, especuialy
21:42:49 sarahjbuckley Also, are you ready for another baby? It may involve some emotional work for you, next pregnancy, if your last birth was difficult, it's good to have someone, a midwife ideally, to help work through this
21:43:34 sarahjbuckley I have to admit my bias here, I fould the shorter spacings in my family of orign, and with my one children, mush harder tahn the longer spacings!
21:43:49 sarahjbuckley Sorry about the typos :)
21:44:09 MrsRoss yes, I wonder if we're ready yet or not.  I suppose not.  It is helpful to think of it terms of 'natural spacing' rather than having complete control over things.  Thanks so much!
21:44:25 sarahjbuckley Blessings, gentle mother! Next qstn
21:45:01 MOD_Angie upcoming chatter(s):  mayas_mommy   TurboClaudia
21:45:27 mayas_mommy Thanks...
21:46:02 mayas_mommy A friend of mine recently had her 2nd baby... She tested Strep + and, upon entering the hospital, was 4 cm. SHe was told to get the epidural to help slow down labor...
21:46:23 mayas_mommy in order for the anitbiotics to take effect (4 hrs?). Do you think this is advisable?
21:47:40 sarahjbuckley No, I don't agree with automatic antibiotics for strep B, teh risks for a healthy full-term baby are very low, and need to be balanced against the risks of exposing so many babies to antibiotics. It seems crazy to slow labour!
21:48:14 christymomof2 TY Sarah...and goodbye everyone, I need to go. Have a good night!
21:48:22 mayas_mommy Her doc told her that if she didn't get the antibiotics, the results could be devastating"."
21:48:47 mayas_mommy menangitis, etc.
21:48:57 beccafromlalaland Hello
21:49:10 Webmama_Tina hello  beccafromlalaland  ...glad you made it! we're taking turns....
21:49:14 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."
21:49:44 sarahjbuckley I have been strep B in obe pregnnacy and didn't take anything, I really think it is another intervention taht we don't appreciate the risks of
21:50:39 sarahjbuckley yes, that is true, but the risks of getting infected are less than 1 in 500
21:52:12 sarahjbuckley It's all about informed choice for me, rather than using emotive language to persuade women. Antibiotics can interfere with teh mothers gut flora, which can affect the baby long-term
21:52:49 mayas_mommy I wasn't aware that there were major drawbacks to getting antibiotics. Thanks for the info!
21:53:03 sarahjbuckley And we really don't have the evidence about the side-effects for mother and baby and whether  this is safe, long-term
21:53:34 sarahjbuckley I think that giving the mother antibiotics in labour is a major intervention.
21:54:12 sarahjbuckley You might get more good info on www.midwiferytoday.com
21:54:14 Webmama_Tina 6min left in our chat. :)
21:54:15 sarahjbuckley Blessings!
21:54:21 sarahjbuckley Next question
21:54:24 Webmama_Tina how many more people in line angie?
21:54:40 MOD_Angie upcoming chatter(s):   TurboClaudia
21:54:49 TurboClaudia just wanted to share the news article about skin-to-skin cesarean: http://www.guardian.co.uk/family/story/0,,1656246,00.html
21:55:13 TurboClaudia it's a news article, so not much research or analysis, but interesting nonetheless.
21:55:27 sarahjbuckley Thanks Claudia!
21:55:41 TurboClaudia yvw!
21:55:50 Webmama_Tina so no more questions?
21:56:06 Webmama_Tina last chance....
21:56:20 Webmama_Tina okey dokey then, this was great!
21:56:26 Webmama_Tina thankyou so much sarah!
21:56:29 Webmama_Tina another great chat!
21:56:31 TurboClaudia thanks, sarah!
21:56:35 TurboClaudia and thank you tina!
21:56:49 Webmama_Tina transcripts will be up by sunday if all goes well...i'm staying at least on top of the mothering transcripts...lol
21:56:51 sarahjbuckley It's a pleasure, like having children- more relaxed and fun the more I do it!
21:56:52 Webmama_Tina behind on all the rest
21:56:57 Webmama_Tina :)
21:57:20 Webmama_Tina everyone have a look at the new mommychats directory before you go.... www.mommychats.com/directory
21:57:30 Webmama_Tina there's some great places to shop!
21:57:33 sarahjbuckley Thanks Tina and everyone, you can read more of my articles at www.sarahjbuckley.com  and look for an interview coming next week with me on-line bout my book!
21:57:34 Webmama_Tina good time of the year for it! :)
21:57:57 Webmama_Tina ok mamas, thanks for joining us!
21:58:00 Webmama_Tina and thanks again sarah!
21:58:07 kristen ack can I get a question in real quick!
21:58:12 kristen had to tend to the baby
21:58:15 Webmama_Tina woops
21:58:18 sarahjbuckley Thanks Tina
21:58:25 Webmama_Tina i need to git
21:58:28 Webmama_Tina sarah?
21:58:35 sarahjbuckley I'm Ok with a question, Tina
21:58:37 kristen :blush:
21:58:54 Webmama_Tina ok go for it...i'll go get my kiddos ready to go while you ask/answer
21:58:59 Webmama_Tina then i need to close the room up
21:59:00 Webmama_Tina :)
21:59:09 sarahjbuckley Or we can do aprivate message if you need to go, tina...
21:59:12 Webmama_Tina i'm heading out to a bday dinner...brb
21:59:22 kristen ok, have there been studies that show that skin-to-skin time is reduced when mothers have an epidural or other drugs during labor?
21:59:24 Webmama_Tina no worries, it will take me a bit to get dd to get changed anyway
21:59:25 Webmama_Tina lol
21:59:32 kristen perhaps because baby is more at risk of being taken away right away?
22:00:29 sarahjbuckley Thanks Kirsten, no direct reseach as far as I know, but an epidural makes forceps, vacuum, cesareans more liklely, the mother more likely to need stitches etc, so sk to sk is less likely
22:00:56 sarahjbuckley Yes, the baby alos has risks of fever, fetal distress, and being taken awau after a cesarean
22:01:24 kristen and I've been told that epi drugs don't pass to the baby, but they acutually do, right?
22:01:39 sarahjbuckley I think we are startying to understand how crucial continued attachmnet btw mother and baby is...there as a graet summary recently
22:02:20 sarahjbuckley i'll see if i can find the article
22:02:34 kristen I'd like to read that
22:03:21 sarahjbuckley Ok, it;s Jan Winberg, Swedish researcher, published Nov 2005, he just died, search pubmed or email me
22:03:48 sarahjbuckley Just looking on pubmed for you...
22:04:22 sarahjbuckley Can't get on there for some reason...
22:04:45 sarahjbuckley look up http://www.ncbi.nlm.nih.gov/entrez/query.fcgi  and put winberg j and it will come up
22:04:57 kristen I'll do that :)
22:05:13 sarahjbuckley yes, epi drugs go into teh mother;s bloodstream to teh baby, withion a few minutes
22:05:38 sarahjbuckley My article has more about how they can affect the baby in teh womb and after birth...
22:06:18 kristen thanks sarah!  I'm going to go back over your article
22:06:40 sarahjbuckley Ok Kirsten, I think we better let Tina go..
22:07:01 MrsRoss thank you for being here tonight!
22:07:09 kristen yes thank you again!
22:07:11 TurboClaudia thanks for chatting, sarah! and thanks, tina!
22:07:23 kristen thanks for holding it open a few extra minutes tina
22:07:28 sarahjbuckley it's a pleasure, thank you too, gentle mamas!

 

 

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