오늘아침 05/25/2011 야후에는 신령한 조산원 Ina May Gaskin씨의 인터뷰가 나와 있어 소개드리고 싶엇습니다. 이분은 세계적으로 조산원들의 모델이 되며 조산원으로써 Gaskin method란 난산의 해결법을 만들어 산과 역사에 영원히 그의 이름이 남기게 되실 분으로 자연출산 제창에서 아주 귀한 조상이 되실 것입니다. 종종 라마즈 콘퍼런쓰에 오시어 강의와 자료를 소개하는중에 꺼꾸로된아기, 옆으로된아기, 큰아기, 작은아기 할것없이 그저 쑥쑥 출산하는 모습을 볼수 있어서 얼마나 출산 교육자들이 도전을 받는지 모릅니다.
그의 주된 주장은 출산은 Normal, Natural, Healthy 이니 반드시 쉬워야 하고 저절로 되도록 하는것으로 서잇는 자세를 모방으로 자유로이 움직이고 기대어서거나, 앞으로구푸리거나, 앉거나, 흔들흔들거리거나, 엉금엉금기거나, (이 자세로 어께 출산을 쉽도록 하는기술의 하나가 Gaskin method 로 말 할수 있겠습니다) privacy존중의 중요성으로 여자가 한다면 무엇이던 한다는 취지로 여자의 아기낳을 권리를 대단히 옹호합니다. .
이분의 이야기는 히피족들이 하나의 공동체를 이루고 살수있을 땅을 구하기 위하여 뻐쓰투어를 시작한 1970년도 10월 산프란시스코로 거슬러 올라갑니다. 이 분은 그저 출산 돕기를 좋아하고 어릴적에 보았던 동물들의 새끼 낳는모습 ( 사실은 자연출산의 시조 "husband coached childbirth"의 저자 Robert Bradely 도 자라면서 동물들의 새끼낳는모습에서 많은 영감을 받았다고 합니다.wikipedia.org/wiki/Bradley_method_of_natural_childbirth) 과 들은 이야기뿐 아무 지식이나 라이썬스 같은거 없이 뻐쓰투어 안에서 일어나는 젊은이들의 출산을 돕기시작했습니다. 물론 그 뒤에 공부를 다시하였지만 그의 지혜로 모든것을 처리하는과정에서 너무나 실수없이 잘 할 수잇었기에 Mystic Midwife, Gaskin이라고까지 불리워지게 되며 세계적으로 알리워 지게 됩니다. 그들은 드디어 테네씨 썸머타운에다가 그들의 삶을 정착시키고 ”The Farm” 이란 이름으로 온 미국까지 자연출산의 기치를 높히듭니다. 그의 책 ”Ina May’s Guide to Childbirth” 는 Shoulder dystocia와 함께 유명합니다. 그럼 인터뷰 내용을 읽어보시지요.
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..Are we Having Babies All Wrong? A Q&A With Legendary Midwife Ina May Gaskin
EmailPrint..By JENNIFER BLOCK Jennifer Block – Wed May 25, 4:00 am ET
Ina May Gaskin started delivering babies in 1970 while on a hippie cross-country trip known as ”The Caravan.” She had no medical training, just a masters degree in English a gut feeling that women deserved kinder, gentler births. When the hundreds of Caravaners settled in Tennessee on ”The Farm,” Gaskin and several other women began delivering the community’s babies at home and also opened one of the first, non-hospital birthing centers in the country. Word got around when Gaskin wrote about her successes in Spiritual Midwifery, and a movement was born.
Today, women still travel far and wide to give birth on the Farm, and Gaskin’s methods have the respect of clinicians around the world (there is even an obstetric maneuver named after her.) Now 71, she is credited with reviving what was essentially a dead profession in the U.S., inspiring scores of women to enter the field and helping found the Midwives Alliance of North America. But even while midwives attend more births in the U.S. - about 7.5 percent in 2008 - they’re finding it increasingly hard to get practice agreements with doctors and hospitals. In her latest book, Birth Matters: A Midwife’s Manifesta (Seven Stories, April 2011), Gaskin argues that America needs midwives more than ever. (Read ”American Women: Birthing Babies at Home.”)
You started attending births with no formal medical training. How did you know you could do it?
I knew how to deal with potential complications because kind doctors helped me. But basically I was behaving the way my aunt, who had a farm, would around any laboring mammal. You don’t disturb her, you don’t upset her. She deserves peace and quiet and respect. Doing that meant that no C-sections were necessary for the first 200 births on The Farm.
The C-section rate on The Farm is very low, under 2 percent for about 3,000 births, while the average in the U.S. for low-risk women is 20 percent. Can you explain?
It’s very rare to see an undisturbed birth in a modern U.S. teaching hospital, but when you see a woman who isn’t frightened, who’s giving birth without interference, you stand back in awe and realize how little needed you are except in the rare circumstance.
That doesn’t mean that you shouldn’t be around in case there is a problem. It just means that you should be able to tell when there’s a problem, and you should be able to tell how not to create problems. (See the risks of early C-Sections.)
Singer-songwriter Ani DiFranco, who wrote the forward to your new book, describes a very long and painful home birth.
Yes, she acknowledges how difficult it can be. But she also asks, Why are we so afraid of pain in childbirth? Why do women who choose unmedicated births get called masochists? (See TIME’s Special Report on Women and Health.)
Why the title ”Birth Matters”? Who are you trying to convince?
Lately, I’ve been thinking we really need to get men interested in birth. Because fathers-to-be have a very strong protective instinct, and we’re not utilizing this well. Men instantly understand what I call ”sphincter law.” You don’t try to defecate while lying flat on your back tied to various machines with somebody shouting at you! Why do we then continue to treat women as if their emotions and comfort and the postures they might want to assume while in labor are against the rules?
I almost felt like you wanted to call this book ”Midwives Matter.”
If birth matters, midwives matter. In Europe, there are hospitals where the cesarean rate is less than 10%, and you’ll find midwives in these hospitals, you’ll see a lot less re-admissions with infections and complications, and you’ll see a lot less injury to mothers.
And yet it seems like U.S. hospitals are constantly cutting off midwifery practices.
It’s getting a lot worse, in fact. There’s still a lot of hostility toward midwives.
Do you talk this frankly to obstetricians when you give grand rounds at major hospitals? Do they take offense?
A lot of OBs aren’t happy about the high cesarean rate either. Malpractice insurance companies have become the boss of obstetricians. It used to be that OBs were taught skills to deliver twins and breech babies vaginally. Now all they can really offer is surgery.
If you’re a woman who would like to have a breech birth vaginally in this country, you’ll probably have to find a midwife. When I go into hospitals, I talk about how we do things on the Farm. I love talking to OBs.
We midwives and physicians have a lot to teach each other.
Watch TIME’s video about Maternal Mortality.