Epidural Epidemic
Drugs in Labor: Are They Really Necessary. . . or Even Safe?
The use of epidurals is so common today that many perinatal professionals are calling the 1990s the age of the epidural epidemic. Believed by many in the medical profession to be safe and effective, the epidural seems now to be regarded as a veritable panacea for dealing with the pain of childbirth. It is true that most women experience pain during the course of labor. This pain can be intense and very real, even for those who have prepared for it. But pain is only one of many possible sensations and experiences that characterize the experience of giving birth. Barbara Katz Rothman, a sociologist who studies birth in America, writes that in the medical management of childbirth, the experience of the mother is viewed by physicians as pain: pain experienced and pain to be avoided.1 Having experienced childbirth ourselves, we have great compassion for women in painful labors. However, we also feel a responsibility to mothers and their babies to explore issues concerning the use of epidural anesthesia in labor issues that are seldom discussed prenatally.
Several factors make the use of epidurals potentially hazardous. The Physician’s Desk Reference cautions that local anesthetics – the type used in epidurals – rapidly cross the placenta. When used for epidural blocks, anesthesia can cause varying degrees of maternal, fetal, and neonatal toxicity which can result in the following side effects: hypotension, urinary retention, fecal and urinary incontinence, paralysis of lower extremities, loss of feeling in the limbs, headache, backache, septic meningitis, slowing of labor, increased need for forceps and vacuum deliveries, cranial nerve palsies, allergic reactions, respiratory depression, nausea, vomiting, and seizures.2 In addition, a piece of the catheter that delivers the drug into the duraregion of the back may break off and be left in the woman, a dangerous risk that necessitates surgical removal. One of the most well-known side effects of spinal anesthesia is a spinal headache. Depending on the amount of anesthetic used and how the catheter was placed, the headache can be mild or severe, lasting between one and ten days after the birth. This is not how any of us wants to feel in our first days and hours with our newborn.
Epidurals also have been linked to an overall increase in operative deliveries: cesareans, forceps deliveries, and vacuum extractions. A meta-analysis of the effects of epidural anesthesia on the rate of cesarean deliveries was undertaken by a group of physicians who examined, categorized, and analyzed all available literature.
When pregnant, many expecting mothers are faced with a very tough decision, the decision to have an epidural during labor or to have a natural birth. Both methods have negative and positive aspects. This topic has such conflicting views that about 50% of women decide to get an epidural when going into labor and the other 50% of women choose the alternative: natural childbirth. It is important for an expecting mother to look into both options thoroughly to ensure they make the best choice for both themselves and for their child. With all of the speculations circulating about both options, it is hard for mothers to see the truth about both epidurals and natural childbirth.
In doing this project the literature drawn from is largely non-scholarly for the reason that I am prevailing upon the reader to think outside the box about birth. Most of the “scholarly” research that is available was written by doctors or nurses/nurse midwives who were trained in the medical model of birth. Since part of my premise is that the high rate of Cesarean sections is caused in part by viewing birth as a medical and therefore pathological event, and in part for its emergence as a capitalistic industry, it was then necessary to find literature written by people who have expertise in birthing though not from the traditional obstetrical/medical school approach.
Reflection Paper 1 Timothy Jenkins CEP 215 New Mexico State University Upon viewing “More Business of Being Born” (Epstein, 2011), I learned a lot about the different pros and cons of Vaginal Birth After Cesarean (VBAC). Women are often deprived of the choice of the method of delivery of their children after they’ve previously had a cesarean birth. The cause of this is that there exists medical fright about a rupture of the uterus which often leads to the death of mother and baby (Epstein, 2011). In the mid twentieth century, it became common saying that “once a cesarean, always a cesarean” came about. This saying perpetrated the fear and understanding that women have to go about having another cesarean, depriving them of choice (Epstein, 2011).
"Madison Anesthesiology Consultants : Child Birth Anesthesia, Advantages and Disadvantages of Epidural Anesthesia." Madison Anesthesiology Consultants : Child Birth Anesthesia, Advantages and Disadvantages of Epidural Anesthesia. N.p., n.d. Web. 25 Nov. 2013. .
Currently, there are many children whom suffer from emotional, physical, and sexual abuse in their family. Emotional abuse is the lack of interest or affection parents have towards their children. As a result of emotional abuse, children are left feeling worthless and unloved. Physical abuse refers to attacking children resulting visible bodily injuries from either being burned, pushed, punched, slapped, or whipped. Sometimes physical abuse can be extremely severe that children have broken bones, fractures, or hemorrhaging. Sexual abuse occurs when a person forces, tricks, or threatens children to have sexual contact. These acts of child abuse could prevent children from living a normal adulthood. In order to deal with such a traumatic childhood, adults abused as children should rid themselves of such burdensome, painful memories.
It is a novel based in a post-apocalyptic world that revolves around the lives of a father and his son who are just trying to survive. With everything around them destroyed and stripped of life, the two continue their lives hoping for better days to come. They live in a constant state of fear with everyday being spent constantly moving and scavenging for food, all while trying to remain unnoticed. Living in a world where survival is the only goal, the idea of morality has become non-existent. Cannibalism is a major fear because everyone around them is a potential predator. But in this “Barren, silent, godless” (The Road 4) world, where “the days more gray each one then what had gone before” (The Road 1), the man and his son are able to hold their own. Their sense of morality remains intact and they refuse to resort to the lifestyle that the majority of people around them have chosen. They feel as though certain actions are intrinsically wrong and therefore never justifiable. The man refers to himself and his son as the “good guys” and Erik J. Wielenberg explains that they follow a specific moral code. This code includes the rules: Don’t eat people, Don’t steal, Don’t lie, Keep your promises, Help others, and Never give up. (Wielenberg 4). According to these principles, cannibalism is never justifiable. Although the threat of starvation has caused the society to resort to cannibalism, the man and his son promise one another that regardless of the situation, they will refuse to do it. “We wouldn’t ever eat anybody, would we? ..No matter what?” The father assures his son by repeating, “No. No, matter what” (The Road
The mistreatment of children is classified by four types of actions: physical abuse, sexual abuse, psychological abuse, and neglect. Although, in recent years several steps have been taken to prevent the maltreatment of children it seems that child abuse is still prevalent in today's society. Countless children around the world suffer from some form of abuse and in many cases the same child experiences more than one. There is no exact number of victims because it difficult to measure the exact amount of children going through abuse. Child abuse almost always occurs in private, and because abuse is often hidden from view and its victims may be too young or too frightened to speak out, experts in child welfare suggest that its true prevalence
Why would you get an epidural when there are different ways to have a pain free pregnancy? This is the question that most women ask who have natural childbirths. Why get a shot in your back that may give you paralysis or cause back pains years after you have received the shot. Some doctors suggest going to Lamaze classes to reduce labor pains. You can also deliver your baby in water to ease some of the pain and to give the baby a good transition into the world. Plus epidurals can have a negative effect on the baby. They can lower the baby’s heart rate. Some other side effects for the mother are headaches, vomiting, and dystocia.
Child abuse is the physical, sexual, or emotional mistreatment, or neglect of a child. It can be detrimental to one’s daily life, affecting not only the abused child, but also those who are associated with the child. It can have lasting effects that may carry over to adulthood and cause potential issues with relationships or perhaps within their own families as well. It is important that we learn to recognize the signs of child abuse and neglect so that we can save the lives and future of our children. Child abuse is widespread, often not reported, and is responsible for many problems involving our youth today.
A description can never be as vivid as an event that has been experienced. An experience can never be as defining as an event that has left you changed. Under the intensity of childbirth, you're more likely to remember details that would otherwise go unnoticed. All the scenes come together to leave a permanent imprint on the mind's eye.
Is morality relative? Ruth Benedict and James Rachels have opposing views on this conroversial question. Benedict, "a foremost American anthropologist who taught at Columbia University" (Pojman 370) believes that morality is relative to one's culture and that one's behavior which is deemed moral or immoral is dependent upon cultural norms. Her argument is as such:
In doing this she is listing off things that the Daughter should be acting out upon. “Don 't squat down to play marbles—you are not a boy, you know” (Kincaid 68). The mother is demonstrating how the daughter should act in the presences of boys and explain she is not one. As a girl she must act proper and not play the ways boys do. Boys are aggressive and dirty as seen by society; a girl like she is supposed to be kind and proper. Then the mother explains in one section on how to do housework and chores; a woman’s job. “This is how you iron your father’s khaki shirt so it doesn’t have a crease; this is how you iron your father’s khaki pants so they don’t have a crease” (Kincaid 67). Kincaid writes that the mother is instructing the daughter on how to do her father’s clothing. This shows that the father; a man does not iron his own clothes but that it is a woman’s job. This can connect to Judy Brady’s work “I Want a Wife” which is about a woman who is listing all the things women do for their husband. Like Kincaid she brings up the same chores of housework and tending to clothing. “A wife who will pick up after me. I want a wife who will keep my clothes clean, ironed, mended,
When thinking about statistics on child abuse, it’s very helpful to know that the idea of “child abuse” is very controversial. Recently, in particular homes and cultures, child abuse has come to be seen as a major social problem and a main cause of many people’s suffering and personal problems. Some believe that we are beginning to face the true prevalence and significance of child abuse. There is more to child abuse than just the physical scars; children are affected socially, mentally, and emotionally. According to the American National Committee to Prevent Child Abuse, in 1997, neglect represented 54% of confirmed cases of child abuse, physical abuse 22%, sexual abuse 8%, emotional maltreatment 4%, and other forms of maltreatment 12%.
Over the years birthing methods have changed a great deal. When technology wasn’t so advanced there was only one method of giving birth, vaginally non-medicated. However, in today’s society there are now more than one method of giving birth. In fact, there are three methods: Non-medicated vaginal delivery, medicated vaginal delivery and cesarean delivery, also known as c-section. In the cesarean delivery there is not much to prepare for before the operation, except maybe the procedure of the operation. A few things that will be discussed are: the process of cesarean delivery, reasons for this birthing method and a few reasons for why this birthing method is used. Also a question that many women have is whether or not they can vaginally deliver after a cesarean delivery, as well as the risks and benefits if it. Delivering a child by a c-section also has a few advantages and disadvantages for both the mother and child; this will also be discussed in more depth a bit later.
Child abuse has been defined as, any intentional act that results in physical or emotional harm to a child. This could cover any behavior from assault, to neglect, to molestation. (Encarta 1) In 1995, a study was done by the National Center on Child Abuse & Neglect. They concluded that in the United States alone, approximately 3 million children are victims of some sort of maltreatment each year. This means that an unimaginable amount of our county’s adolescents are being seriously mistreated, and the numbers are rising steadily. While the specific definition of child abuse may differ from state to state, the effects unfortunately do not. Physical maltreatment, neglect and sexual abuse create immediate problems for children, as well as long term damage. Some common effects on sufferers of abuse include, a lowered sense of self worth, an inability to relate to others, short attention span and often they develop learning disorders. More detrimental cases can develop severe depression or anxiety, schizophrenia, violent behavior and an increased risk of suicide. (Encarta 3) In some cases, abused children learn how to cope with their experiences and grow to healthy adults, but most are not that lucky. Most victims of abuse are forced to deal with the results for their entire lives.