"Let the doors open ... .."
Michel Odent introduced the concepts of births in birth pools and rooms "at home" when he was head of surgery department and maternity Pithiviers Public Hospital (1962-1985) . After his hospital career, I think in London the "Primal Health Research Center (Center Primal Health Research) whose aim is to study the long-term consequences of early experiences (from conception to first birthday) .
You made a report on labor Delivery to the World Health Organization, could you say more?
was a short report in 1991 calling home programmed Births in Western countries. This title was chosen to rule all unprepared home births and births in the Third World.
The conclusion I drew from my studies and observations on home birth is that one should not oppose birth birth at home and in hospitals. Should be sought, however, that combine the intimacy of the house can offer, which may also provide the hospital facilities. It is better to leave these options open. In fact today, the population is highly urbanized, so relatively close to the hospital facilities. On the other hand, set out in the media this very effective, in the era of mobile telephony, almost does not take much time to a team move to the house to prepare for the hospital where the team usually takes 20 minutes be ready. This makes the home birth safe not be forgotten in any way that a birth takes place more easily at home .
How do you explain that?
In a family environment, the delivery is easier because the environment generates less stress for women at work . In addition, it is more intimate, in principle there is only one midwife. but it is also possible that a midwife or a couple to disturb the work of the mother. For example, when I went to the home deliveries, at the time when it has prompted many parents to participate in childbirth, I sometimes advised women to go to hospital, where parent involvement was invasive. Today, when I displacement for a home birth in England, I always go with a doula, I'm actually going mainly to make it legal birth as a doula is not entitled to accompany one delivery (*), but in general I do not do anything but talk to the father in the kitchen! And I am constantly surprised by the ease with which modern women give birth when no one disturbs them and when accompanied by a silent woman.
"The role of" companion "is very important to you?
course! This since the winter of 1952, 1953 as an intern and when not thinking at all bearings to motherhood in the Hospital of Boucicaut in Paris. The vision of midwives women at the time marked me deeply: were women who did nothing to spend their time knitting in a corner of the room, akin to minimize disruption to the mother. At present, I see similarities between midwives and doulas today.
also in Holland, where 82% of midwives are independent and are the central persons of pregnancy and childbirth, I find that the link between home birth and birth in structure is more consistent, as it is the midwife who is the delivery day, comes home to see how things are and to assess where it is preferable that women give birth. One is not obliged to know in advance where you will bear!. If all is well, would be rather dangerous for a change of scenery. On the contrary if they are not good things, you better change. That is why I find it very interesting that the midwife can move to the home the day of delivery to assess the situation. Indeed, this is how things happen in England, where in the field of health service system was created "Domino" by this system, the woman will give birth the midwife called Community Call, who comes to see the home to see how the situation. Currently
opposes home birth and hospital birth and this completely undermines the debate. And to be at home or in hospital, what is important today is to take into account the needs of women giving birth.
Interview by Carine Phung
(*). indeed a "doula" has no legal right to exercise (either being present as a doula) in the absence of medical personnel (midwife or doctor), On the contrary, women have the right to give birth without part or gynecologist and in the presence of friends, family, etc.
( Source: Magazine Grandir Autrement, Hors série, N 2, October 2008 Pag10-11., Translation: MPS )
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