Posts filed under visions

Imagine Our World if We Taught It How to Eat

News from the

theheart.org on Medscape > Heartfelt with Dr Melissa Walton-Shirley

COMMENTARY

Imagine Our World if We Taught It How to Eat

Melissa Walton-Shirley

I attended a session yesterday at the European Society of Cardiology (ESC) 2015 Congress entitled, "What should you eat to live a heart-healthy life?" By all accounts, accolades, and high-fives following the presentation, it was life-changing. Dr Neil Thomas (University of Birmingham, UK), Dr Steen Stender (University of Copenhagen, Hellerup, Denmark), Dr Simon Poole (Cambridge, UK), and Prof T Meinert Larsen (University of Copenhagen, Frederiksberg, Denmark)—all nutrition gurus and scientists—spent 67 minutes teaching us how to save the world. It was probably the most important series of the entire ESC 2015 meeting because they advocated for nutrients whose side effects are nil (for most) and are readily available for mass consumption (in most places). They demonstrated how a population of unsuspecting individuals could be sickened when a government allows a food supply to become tainted by commerce and ignored by politicians. They proselytized with proof and enthusiasm that we need to educate and legislate on the topic of nutrition to save millions upon millions of lives and dollars.

You may say I'm a dreamer

Dr Steen Stender dreams of a world without trans fat. He knows why it has been favored by the food industry: it's cheap, can hold its shape as a semisolid at room temp, has an ultralong shelf life, and stands up to repeated heating. Dr Stender also understands why the 2006 Nurses' Health Study published in the New England Journal of Medicine demonstrated a 33% increase in the incidence of coronary heart disease when 5 g or more of trans fat per day is consumed. Its ability to increase LDL and decrease HDL levels is a negative double-whammy in the lipid arena.

Because Dr Stender stood up to big commerce, he is now a superhero in the world of trans-fat legislation. As chair of the Danish Nutrition Council's subgroup dealing with trans fats and health, he convinced the country of Denmark to approve a ban there effective January 1, 2004. It is now illegal for any food to contain more than 2% trans fats, and offenders face hefty fines and even incarceration. Proof of the downside of taking a hard stand on trans fat is the fact that he was sued after he outed the content of a favorite snack wafer. He likened the public's risk of consuming it to that of smoking 10 cigarettes per day. Sales plummeted, and the company sued him for $1 million. Then, in a stunning turnaround, in 3 months, it dropped the suit and removed 100% of the trans fat in its product.

The number of Danes who died from cardiovascular disease fell by 70% between 1985 and 2009. No EU member state has recorded a greater decline in mortality. Could the ban on trans fats in 2003 be the cause? Indeed, it seems that Dr Stender's dream for Denmark may have already come true.

But I'm not the only one

In my office, I have a copy of the Mediterranean diet pyramid at checkout for every new patient. Many established patients who suffer from metabolic syndrome, coronary artery disease, or obesity receive a second or even a third copy. I spend hours teaching the simple mechanics of nutrition. I stress that it's more impactful on longevity than any metal scaffold electively deployed into a coronary artery. I found a kindred spirit in Dr Simon Poole. His salient points came rapid fire, finding their mark and leaving quite an impression.

"If patients with coronary artery disease came out of the office of a practicing physician or cardiologist not on a statin, you could argue that's a negligent practice, but I'd argue that most have no advice on diet. I lay down the gauntlet. We as physicians need to emphasize diet," he began. He then lauded Dr Stender by saying, "Steen has done remarkably well with his government. Our secretary of state wanted to make an impact. We were shuffled into a room to discuss how to decrease mortality in 2.5 years. We emphasized "brave legislation" (hinting at labeling, reduction in trans-fat content, and education). The reply was a terse, "Well, we don't do social engineering." Someone in the group argued, "If you look at eye-level in a market at the packaging of chocolates for children . . . if that isn't social engineering, I don't know what is."

He made the salient points that simple things like irrigation of olives decreases the antioxidant content of olive oil, which can ruin even good foods. When UV light replaces natural sunlight, it can be impactful. Furthermore, he consumes up to 50 cc of olive oil per day and recommends frying fish in it and pouring it on pasta. He doesn't count calories.

I quickly asked the expert if anything about my usual dietary recommendations could be improved. I told him that I advocate for cutting in half the consumption of bread, sweets, potatoes, pasta, and rice and to eat five servings of fruits and vegetables per day. I recommend a maximum of four eggs per week and no more than one serving of red meat per month.

Dr Poole replied, "I don't discourage consuming pasta if they drizzle olive oil on it because it lowers the glycemic load. I'd die without having red meat once per week but the portion is very, very small," he said, pointing to a small portion of the palm of his hand. "It's always grass fed," he added and quipped, "I always know what my food ate." Further critiquing my recommendations, he added, "I would go for more than five portions of fruit and vegetables per day. Butternut squash, for instance, and cucumbers are fruits of sorts. As for eggs, they are back on the menu."

His friend Dr Aseem Malhotra (Frimley Health NHS Foundation Trust, Camberley, UK), who was standing nearby, added, "Following an MI, for mortality lowering, a high-fat Mediterranean diet is more effective than aspirin, statins, and coronary stents." It was a statement thrown like a fastball toward home plate, its implication staggering and dead on target.

Dr Poole concluded his presentation today by stating, "We need broader professional leadership and access to resources. Education is key. We need to take responsibility."

I hope someday you'll join us

Dr Neil Thomas emphasized the importance of respecting the many randomized controlled trials assessing the effectiveness of the Mediterranean and DASH diets to reduce all cause mortality. The impact of uneven recommendations and the impact of the media's influence cannot be underestimated. He cautions against supplements, stating that, "The media regularly reports on omega-3 fatty acids for prevention and treatment of CV disease, but there are no interventional studies that demonstrate a reduction in mortality. The US Preventive Services Task Force found no evidence of a positive effect of any nutritional supplement. Although there was a 7% reduction in all-cause mortality in one study that included vitamin D, those studies included simultaneous calcium supplementation. Those with vitamin D alone are all negative," he said, then added, "There are two larger trials upcoming that will be definitive regarding whether it's beneficial." He concluded by saying, "With regard to beta carotene, as soon as you start giving it in interventional trials it actually increased the risk of death."

Dr Thomas Larsen is studying multiple dietary combinations like high- or low-glycemic-index diets combined with higher or lower fatty- and protein-content diets. According to the DIOGENES trial, he noted, patients who followed a low-protein and high-glycemic index diet were more likely to gain weight. He then added, "High-protein diets, not low-glycemic-index diets, are the most promising for regulation of fat mass and abdominal height." He concluded that based on the Diogenes diet and others, "a high-protein, low-glycemic-index diet may have additive effects to improve body-weight regulation, is more successfully maintained, and may be more likely to lower CVD risk factors if followed long term."

And the world will be as one

I challenge you take this information into your exam rooms tomorrow. Bring along a copy of the Mediterranean diet pyramid. Talk to patients about how adding extra virgin olive oil blunts the glycemic index of whole-wheat pasta. Advocate against unfounded claims for dietary supplements. Strike up a conversation with your local congressional representatives. Imagine how we as clinicians and practitioners can change the world one conversation at a time, one politician at a time, and one act of legislation at a time. If you can see the future, you can make it happen. Imagine how the world would eat and live if we all did that tomorrow. Just imagine.

~~~~~~~~~~~~

Yes, imagine a world where wellness is revered and respected again!

Thank you, Melissa Walton-Shirley, for one of the most exciting and inspiring reviews I have read in some time!!

Photo by yaruta/iStock / Getty Images
Photo by yaruta/iStock / Getty Images
Posted on September 9, 2015 and filed under discussions, information, Research studies, resources, visions.

Break Your Sugar Addiction in 10 Days (Infographic)

Do you have a sweet tooth? Most of us will overindulge at times. But the more sugar we consume, the more we want, says Mark Hyman, MD. However, the good news is that people can break the sugar addiction in 10 days. Here's how.

Source: Break Your Sugar Addiction in 10 Days (Infographic) | Health Essentials from Cleveland Clinic

Break Your Sugar Addiction in 10 Days (Infographic)

May 21, 2015 / By Family Health Team

How to break your #sugar addiction in 10 days. #infographic
How to break your #sugar addiction in 10 days. #infographic

Do you have a sweet tooth? Most of us will overindulge at times. But the more sugar we consume, the more we want, says Mark Hyman, MD. However, the good news is that people canbreak the sugar addiction in 10 days. Here’s how.

How to break your #sugar addiction in 10 days. #infographic
How to break your #sugar addiction in 10 days. #infographic

What Eating 40 Teaspoons of Sugar a Day Can Do to You

“That Sugar Film” takes a look at what happens when you give up fresh foods for sugar-laden processed foods.

Source: What Eating 40 Teaspoons of Sugar a Day Can Do to You - The New York Times

Please open the above links to see That Sugar Film's website chock full of information vital to rebalancing your health! and to read the full article from the New York Times. Also check out LMS Welcome page link to Dr Hyman's plan to break your sugar addiction in 10 days.

"THIS is what I'm talking about...." ~janet

~~~~~~~~~~~~~~~~~~~~

photo-1-Version-5-203x300
photo-1-Version-5-203x300

brought to Lifestyle Modification Support by janet's Eye On the Media 

Posted on August 18, 2015 and filed under discussions, information, mission statements, resources, visions.

Longevity Only for the Wealthy? Why?

"The biggest healthspan concern is Alzheimer's, which strikes at a 47% rate among the over 85 population.

"If we just keep living longer, but we don't knock out this horrible disease, it will be the sinkhole of the century," Dychtwald says. "It will take us down - every country. It will be a horror beyond horrors. And how much do we spend for research on this disease? Hardly anything.""

Learning first hand what a tough & invisible disease this is. . . and, to my perspective, seems very preventable. I hope you do not have to go through this with one of your loved ones, but chances are very strong (47% see quote above) that you or your loved one will! So WHERE exactly are our funding dollars going? Jus' sayin'....

Hipster LucyBear
Hipster LucyBear
Posted on May 31, 2015 and filed under discussions, janet's writing, visions.

The Interagency Pain Research Coordinating Committee (IPRCC)

The Interagency Pain Research Coordinating Committee (IPRCC). Please take a few minutes to share your thoughts, concepts, ideas, and/or needs with the Department of Health and Human Services on the drafting of the first National Pain Strategy. list

The purpose of the National Pain Strategy is to address treatment and management and, most especially, prevention of! chronic pain across all causes. If you feel that the NHHS is not addressing that, then please speak up. This is a long overdue step. Many of us have been decrying the lack of any cohesive or comprehensive strategy to begin a new day on a now HUGE problem... chronic pain.

Follow the link to get started. And thank you, whatever your reasons for participating, we need a discussion to begin.

Posted on May 13, 2015 and filed under discussions, resources, visions.

- One Billion Rising Revolution

- One Billion Rising Revolution.

Guess what I am talking about again?One Billion Rising!

Get Up! Stand Up for Ending Violence Against Women! Dance and Sing and Celebrate our right to joy and self-empowerment... to speak of our right and to use the fullness of our power in speaking. Please check out the site and watch the top video and any/all the videos on the site. The music and the beautiful faces telling their story is inspiring and promising...joyful truly.

http://youtu.be/6guRQb9Plkk

www.onebillionrising.org

One Billion Rising was the biggest mass action to end violence against women in human history.

The campaign began as a call to action based on the staggering statistic that 1 in 3 women on the planet will be beaten or raped during her lifetime.

With the world population at 7 billion, this adds up to more than one billion women and girls.

~One Billion Rising for justice. Join the world in rising up.

Posted on November 9, 2014 and filed under discussions, information, janet's writing, mission statements, resources, visions.

Six Simple Numbers

 

http://www.bbc.co.uk/news/world-africa-29658778 photo-1-Version-5As Obama implores, we need to stop Ebola at its source in order to truly end this dangerous threat.

~~~~~~~~~~~~~~~~~~

I will share a video story at the bottom of this post to illustrate the difference between Nigeria and Liberia as far as potential to eradicate the deadly Ebola virus.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

This very brief article, Six Surprising Numbers, states plainly some very simple needs that would not even take that many of us to help fulfill the desperate situation in Liberia... for, my friends, they have almost nothing with which to fight this disease!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Six numbers....six things to give to keep not just strangers in a strange land safe....to keep your loved ones safe too.

http://www.bbc.co.uk/news/world-africa-29658778  

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Please also open this additional link [ http://www.bbc.co.uk/news/world-africa-29769782 ] to scroll down for the video of BBC's Gabriel Gatehouse traveling with a Liberian ambulance crew picking up Ebola victims. The article is titled Ebola Outbreak: Cases pass 10,000 WHO reports. But the video...scroll down to the fourth picture you see and click the arrow to open the video....is a live-wire experience riding with the ambulance crew and visiting the only Ebola doctor in Liberia. Nothing can more plainly describe the desperate situation than the actual images of what is happening right now.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

If you cannot bear to watch...please listen to it. Then you will understand why I am sharing the very simple list above of just six things we can contribute to help Liberia stop the rapid onslaught of Ebola within their borders.

~j

Posted on October 25, 2014 and filed under information, janet's writing, mission statements, resources, visions.

Dr Susan Pacheco - Another Voice

beautiful beach ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Dr Susan Pacheco, a Pediatrician who has committed herself to working an even longer stretch of "the road" for her children by speaking up about an often forgotten piece of the climate change concern.... that of the health challenges documented, researched and validated as the result of  increasing environmental toxicity, and unaddressed by most "debaters" in this crisis. This is a touchy issue because who wants to say they support the profit of oil and other carbon-based products over the health and well being of innocent children? Yet to even write that bit about the debate over this crisis brings up yet another matter that Dr Susan Pacheco's lovely, intelligent and kind video touches quietly without words: that the argument is for argument's sake. Is it not? Else why argue the point, literally the gunpoint, staring one in the face? Things are a'changing here on this precious planet with seven million and counting humans pushing out the other species and spilling over our refuse into the environment in so many ways. What is there to argue with common sense that the fruitflies in the gel medium test tube are crowding one another so much that they have reached the height of their lifespan and population bell curve. Now the down swing of the bell curve begins. The weakest die off first. The question is: because we are sentient beings, could we make moves to alter the course? Could we create a self-sustainable environment? The question is not do we know how to create this however. The question really is: will we?

Please enjoy this link to Dr Susan Pacheco's brief but elegantly spoken and evocatively imaged video.

https://vimeo.com/78547832#at=0 

Posted on January 29, 2014 and filed under discussions, information, janet's writing, mission statements, visions.

Will You Dance This Year?

Will you dance with us this year?

One Billion Rising

Last year on February 14, 2013, one billion people danced in 207 countries.... Yes, in 207 different countries, a wave of strength and courage empowered by universal love and the willingness to act to know, to do what is right and before one, to speak, laugh, cry, sing and to dance...a wave rose, swelled and swept across the globe in our hearts, minds, soul. This attached video (the One Billion Rising underlined above this paragraph) premiered at Sundance Film Festival January 19. The video is only nine minutes short chock full of rich action when we all danced around the world as One last year.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

What is One Billion Rising? In the words of our organization, One Billion Rising is women and their friends, family, lovers and children stopping whatever they are doing and rising to dance in the name of ending violence everywhere NOW.  Vday or February 14 is our day of joy and Love. This is a rising up for justice in the form of calling out the act of violence going on behind doors and in broad daylight around the world daily. By dancing, we speak the unspoken yet loudly heard cry of pain of one billion abused and raped, unanswered by our seven billion in number family of humans. And we dance because this is our expression of freedom to speak and to live life without oppression by violence. Please follow the link to the One Billion Rising page and find out more about what is being done this year in your communities and around the world... and I sincerely invite you to join us in this beautiful full and inspired dance of freedom!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

From http://www.onebillionrising.org/ please read some of the details about the strike, rise and dance for V-day this year.

ONE IN THREE WOMEN ON THE PLANET WILL BE RAPED OR BEATEN IN HER LIFETIME.

THAT IS ONE BILLION WOMEN.

IN 2013, ONE BILLION WOMEN AND MEN SHOOK THE EARTH THROUGH DANCE TO END VIOLENCE AGAINST WOMEN AND GIRLS.

THIS YEAR, ON 14 FEBRUARY 2014 WE ARE CALLING ON WOMEN AND MEN EVERYWHERE TO HARNESS THEIR POWER AND IMAGINATION TO RISE FOR JUSTICE.

IMAGINE, ONE BILLION WOMEN RELEASING THEIR STORIES, DANCING AND SPEAKING OUT AT THE PLACES WHERE THEY NEED JUSTICE, WHERE THEY NEED AN END TO VIOLENCE AGAINST WOMEN AND GIRLS.

JOIN US!

RISE. RELEASE. DANCE!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Go to the website to learn how to participate in One Billion Rising this year on February 14. Lets end violence against women and girls Now, forever. Lets be the co-creators of a Golden Age where all are free to dance without fear or intimidation.

Wherever you are, it begins now.

Strike

Rise

Dance

Posted on January 21, 2014 and filed under discussions, information, janet's writing, mission statements, visions.

Laughter's Healing Power

 The Language of Laughter.....

"The power of laughter is a power for good. It raises the spirits, purifies the soul, testifies to tolerance, kills resentment, routs enmity, disrupts distrust, promotes understanding, makes all skins kin, puts Man “one up” on the beasts of the field and only one down on the gods of Olympus. It is the best peace propaganda known to civilisation, being more easily understood than Esperanto or “desperanto.” It says more with less expenditure of air than any other form of human expression."

[Author unknown, (1935). Laughter is the language of the world. In The New Zealand Railways Magazine 10 (6). Retrieved from: http://nzetc.victoria.ac.nz/tm/scholarly/tei-Gov10_06Rail-t1-body-d24-d2.html .]

............................................................................................

attacked by a fishy!Laughter truly Is the language of the world. Imagine peace, imagine joy, imagine love. I hope you will join all of us that support and participate in the cause of laughter, the universal language. Discover the healing power of laughter.... slowly, if you must. Practice a tentative smile at passersby. Worry not about their reaction. The smile will stay with them and silently return upon their own face each time they ponder its meaning. Just imagining the act of a smile can awaken a surprising sense of joy within. Grin and tease your perceived opponents . . . . witness a slice of tension dissolve. Perhaps the dismissed tension is only in you, so be it! Is this not a great relief? Laughter adds objectivity, a moment of stepping back and reassessing the situation from a grander scale. And yet, laughter demands no such grandiose outcomes or motivation. Laughter simply provides pause; a grace barely mentioned in the intellectual debates, but a gift worthy of gold for its refreshing breeze of equanimity. If the world's denizens share this wordless understanding, then is this not evidence of laughter's transcendence beyond mental contentions? I, and many others, laughing in the stands, say this is more than evidence, this is just cause for further embellishment and abandoned release to laughter's healing power.
So much life! Love and laughter to you and yours, janet and family

.........................................................................

Enjoy this delightful video of laughter lifting spirits at children's hospitals:

Laughter Is the Language of the World

[Click on the Laughter Is the Language of the World link.]

..........................................................................

Resources for more groups that promote laughter and laughter's healing wisdom. May you live long and laugh forever!

www.rednosealliance.org

theup.org.za

patchadams.org

www.caringclownsinternational.org/

 

Posted on November 16, 2013 and filed under discussions, mission statements, Quotes, visions.

One Billion Rising Short Film - YouTube

Keep this discussion going....

http://www.onebillionrising.org

via One Billion Rising Short Film - YouTube. http://www.youtube.com/watch?v=gl2AO-7Vlzk&feature=colike

This film may be hard to watch in the beginning, but it has a joyful finale` ...won't you please join us in making this finale` A REALITY...NOW?

 

...reading The New Midwifery (Page & McCandlish 2006) and how the "technocratic" system furthers the oppression of women, a subtle violence against women by silencing their voice, their right to have a say in their life. In so many aspects of life, we have choice but are unsupported to take it.

 

There is a One Billion Rising event happening near you February 14.... or you can start up your own. Please join us in dancing our truth that violence against women is not okay.

 

LEARN MORE ABOUT THIS EVENT.  Ask me or go to the webpage: http://www.onebillionrising.org/

http://www.youtube.com/watch?v=gl2AO-7Vlzk&feature=colike

Posted on October 12, 2012 and filed under discussions, information, mission statements, resources, visions.

Organic vs Biotech

Pay careful attention to the details on the current controversy regarding claims made by a former "Big Tobacco" pseudo-science propagandist who is employed at Stanford? The good thing about this controversy is people are talking.... and what the corporate "persons" have not considered is: now real science can be brought into a public discussion....because the commercial interests [read: greed] stepped up and threw mud where there is a battle...the battle for truth regarding how biotech in agriculture has little to do with what is best for all of us and more to do with commercial profit. Want attention? okay, let's start talking science. And while we are at it, let's talk logic; and let's talk freedom of choice; and let us broach the difficult expectation of truthful advertising. More to come...

===================================

[Today September 14, 2012] Ben Paynter of http://www.benpaynter.net/ who blogs/writes in many venues shared a particularly enlightening bit about the health of his intestines...or as he stated it, his "POOP BUGS". You can find the short piece as number 14 of Living by Numbers: The Wired Guide to Health in Wired's October 2012 issue (p 126). The article is apparently unavailable on wired.com, so I contemplated copying it in its entirety here because, honestly, in such a brief, and comical, description of his stool analysis, he provides a great deal of tips about why gastro-intestinal health is so crucial to overall health. [I strongly encourage you to get this issue and read his quipped essay.]

But the BIG reason I bring the article up here is the last sentence. In four short columns, Ben quickly shared the telling results of his Metametrix test....his "Adiposity Index," his "Predominant Bacteria Analysis," his "Yeast/Fungi" count, and last but so definitely NOT least, his "Drug Resistance" panel. What? drug resistance? in a stool sample? you remark avidly curious as to how drug resistance could be revealed in a stool sample. Never fear, I will not bore you with the details of how the DNA of the bacteria shows this....at least, not now.... suffice it to say, that the DNA in Ben's gut bacteria were the source of all this fascinating information! By now, as highly intelligent as you have demonstrated yourself to be by your choice of reading materials, you have no doubt sleuthed the connection between Ben's discovered drug resistance and the title of this blog "Organic vs Biotech"... I will let Ben's words say it so simply, "I can't turn my superbugs back into Clark Kent bugs, but I can eat organics to avoid future exposure to antibiotics." !!!! and thus, prevent further antibiotic resistant bacteria from getting a toe-hold in his body, thereby preventing the antibiotic's effectiveness in future should he need it. Remarkably, Ben thought it significant to mention that he likely acquired his particular superbugs via eating a food that had been exposed to said antibiotic, since apparently Ben has never taken the antibiotics for which he has discovered that he has a thriving resistance.

Yes, one more reason to eat organic.... a reason which can be measured....should anyone be interested in actually doing so rather than taking candy from the drug pushers, so to speak; meaning accepting without question a poorly structured "Study" by researchers of questionable motivations.

===================================

Additional articles commenting on the organic vs biotech question:

http://www.motherjones.com/tom-philpott/2012/09/five-ways-stanford-study-underestimates-organic-food

http://blogs.kqed.org/newsfix/2012/09/04/michael-pollan-organic-study/?

http://geneticroulettemovie.com/

http://www.naturalnews.com/037108_Stanford_Ingram_Olkin_Big_Tobacco.html

More will be added to this blog.......

 

 

 

Posted on September 10, 2012 and filed under discussions, information, janet's writing, Research studies, resources, visions.

Keep Talking! what about violence against women?

http://www.midwife.org/Statement-on-Rape-and-Pregnancy

The American College of Nurse Midwives made this (see website link) brief, plain, and straightforward statement regarding a US Representative's recent incorrect remark about rape and pregnancy. The most uncomfortable aspect of this political faux pas is its reflection of ignorance. My first reaction upon reading the remark so widely broadcasted was, "but people know better...don't they?" followed by the disturbing realization that if this person gets away with saying this, the dark ages descend. Thus, I am hoping to keep the conversation rolling.... there are so many potential avenues regarding education. Please help me keep this vital issue rolling. Wherever you chat, blog, converse....ask others what they know about resources for education on health.

Posted on August 30, 2012 and filed under discussions, janet's writing, Quotes, resources, visions.

Women Give Birth and Pizzas Are Delivered: Language and Western Childbirth Paradigms

ScienceDirect.com - Journal of Midwifery & Womens Health - Women Give Birth and Pizzas Are Delivered: Language and Western Childbirth Paradigms. ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

For all of you interested in conscious use of language, this article makes a clear and succinct commentary on just how powerful words are.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Personal reflection

Women Give Birth and Pizzas Are Delivered: Language and Western Childbirth Paradigms

Lauren P. Hunter, CNM, PhD [Author Vitae]

  • Available online 28 February 2006.

This article examines two differing health paradigms, their language, and their effect on the culture of Western childbirth practices. Specifically, the differences in perspectives and language between the dominant paradigm/culture (the biomedical model of curing) and the alternative paradigm/culture (a holistic model of caring) are explored. Examples of language from the medical, midwifery, and nursing literature that affect childbirth culture and the care of childbearing women and their families are examined. The use of language as a tool of power and its known and postulated effects on the childbirth experience, nursing care, midwifery practice, and holistic care are explored. The author argues for the use of a woman-centered paradigm for childbirth experiences.


Introduction

Language is a powerful tool of communication. The spoken or written word is the way human beings communicate their societal and cultural norms and values. [1], [2], [3], [4] and [5] The dominant culture has the advantage of using language to shape social policy and culture. Words can be used in social interactions to influence others.3

Kitzinger,6 an advocate of women’s right to control their own birth process, states that language socially controls women’s lives because it is man-made and expresses men’s views and perspectives. She believes women’s experiences are unspoken because there is no language in which the experience can be expressed. One reason gynocentric science (women’s knowledge) has been invisible is because the androcentric (male-centered) model has placed a premium on the written word and written results as documentation of scientific procedure.7 Kahn2 reviewed hundreds of years of Western writing that portrays the patriarchal influence on childbirth and childbirth language from a sociologic perspective. She concludes that this patriarchal influence is responsible for the lack of woman-centered language and the neglect of the use of women’s experiences in childbirth as legitimate knowledge.

Midwives, nurses, and women, however, often transmitted their wisdom and knowledge through personalized contact and encounters. The professions of midwifery and nursing have a historical and cultural tradition of imparting knowledge in an oral manner, which has further contributed to lack of recognition in the current medical paradigm. This article describes the language of two different health paradigms and the effect language has on the culture of Western childbirth practices.

The paradigm of the science of caring: a holistic model of care

The science of caring is the paradigm from which the philosophical and theoretical bases of midwifery and nursing originate. To define caring and its many meanings would be impossible because of the volume of literature and differences in opinion about the concept “care.” [8], [9], [10] and [11] The fact that care has more than one definition should not be disconcerting. Instead, it is congruent with a midwifery/nursing science that emphasizes the uniqueness of each nurse-client encounter. Meleis10 states that caring is a human behavior that encompasses the holistic being: physical, emotional, social, spiritual, and moral. The crux of caring is centered on the relationship between the caregiver and the client. Each experience is a unique encounter and contextual in nature. Dahlberg,8 Hagell,9 and Sterk et al.11 describe the caring relationship as an “intersubjective experience.”

Caring encounters concentrate on the relationship with and the supporting of the client instead of focusing on illness and pathology. This is supported by the Cochrane review by Hodnett12 of the positive outcomes of continuous social support during labor and the integrated review by Hunter13 of the importance of a provider being with women during childbirth to provide advice and information, comfort, and presence within a reciprocal relationship. Midwifery models of care emphasize the empowerment of women as partners in care and the provider-client relationship as central components. [14], [15], [16] and [17]

The paradigm of the biomedical model

The dominant paradigm in Western childbirth care, the biomedical model of science, has several traditional tenets. The model emphasizes pathology that is diagnosed and treated on the basis of three Cartesian principles. [9] and [18] First, the mind is considered separate from the body. From the Cartesian viewpoint, neither can influence the other. Second, physical nature is viewed mechanistically. The body is a machine that, if broken, can be fixed by medical intervention. Finally, Cartesian science is based on a written language of logic and rationalism. Emotive language and contextual information is not considered valid scientific data.

Increased use of technology has contributed to the continuation of these objective constructs as the dominant force in obstetric practice. Technologic interventions and medical terminology become symbols of power in the hospital setting and reinforce the control of the provider at the expense of the woman. [1] and [19] Sandelowski20 observes that technology most often consists of inanimate objects, and as such, increases the view of the “human body” as an artifact of or orifice for technology.

In feminist work on gender and science, Keller21 discusses the perceived differences in human nature and language between the dominant masculine paradigm, which are objective, reasoning, mechanistic, and rational, versus the alternative feminine paradigm of language, which is subjective, emotional, intuitive, artistic, and in tune with nature. Androcentric language affects current descriptions of disease states, research, general health matters, and to some extent, the paradigm of other health care professions.

From a research perspective, the dominant biomedical paradigm emphasizes “hard” data, which produces operational and tangible outcomes. The gold standard for research is the randomized controlled trial that seeks the one truth for each hypothesis. As the professions of midwifery and nursing have struggled to gain legitimacy, they too have emphasized this scientific standard, requiring quantifiable, objective research as the benchmark of true science. This view has contributed to the lack of women’s voices and perspectives in women’s health research that may be more amenable to (contextual) qualitative data collection.

From the perspective of the medical model, childbirth is considered a pathologic condition that is inherently risky and should take place in a hospital to ensure safety. By emphasizing risk, Sterk et al.11 and Wagner22 argue that even more power is created for the provider who is the only person who can reduce or control the chance of risk.

An example of the power of the biomedical model is provided in an ethnographic study conducted in England. The research performed by Machin and Scamell19 used two study groups: 20 women who took prenatal classes and made informed choice about childbirth options (medical care versus alternative care) and 20 women who did not take classes, and who relied on their providers to “take care of things as they saw fit.” The women in the informed choice group described themselves as wanting control and empowerment over the birth process. The women in the second group did not want to challenge the medical model and did not see the need for control over decision-making activities. The researchers found that the women in the group who resisted the medical model of care during pregnancy ultimately succumbed to the model during childbirth. From the interviews and observation data, the authors concluded that because the women were vulnerable during labor, they gave in to the prevailing symbolic messages, language, power, and control of the dominant medical culture. Both the providers and the environment in the study conveyed the message that science (i.e., technology and medicalized childbirth) was the safest route for their birth.

Role of language

Hewison’s23 grounded theory study of nursing power via language in client interactions was based on the premises that 1) language is an integral part of social interactions, 2) the way language is used reveals the power structure of the social encounter, and 3) nurses function with minimal power in encounters with other health professionals. Although power through verbal social interaction can be shared, she discovered that the most common form of nurse-patient interaction was “controlling the agenda.” Verbal communication was used to ensure that the patient was aware of her submissive role in the hospital and in compliance with hospital routines and procedures instead of for caring encounters.

Nichols and Humenick24 discuss the need for positive expression surrounding birth based on neurolinguistic science, which suggests that language affects the brain and nervous system. In a feminist discourse on women and resilience, Stewart25 agrees that feelings of inadequacy and deficiency can occur if humiliating language is used to describe childbirth, because the language used gives form to the experience. Indeed, this could be one reason for the newly evolved psychiatric terminology, “tokophobia,” used to describe the fear and anxiety some women experience surrounding childbirth.26

Fenwick et al.27 surveyed 59 women in Australia and North America about their perceptions of their birth experience after having a cesarean birth. All participants were members of an organization that supports consumer information about cesarean birth. Survey participants who had negative experiences identified health professional’s language, attitudes, and care practices as dismissive. Although the study findings are limited by selection bias, the content analysis highlighted the fact that communication difficulties were found between obstetric providers who used mechanistic language and women who spoke experientially about birth. Participants stated that their wishes and feelings were not acknowledged, and that the language used by providers was abusive, aggressive, and/or misleading, especially when routine practices were questioned.

Miles28 provides an excellent example depicting the different perspectives present between parents and the obstetricians with respect to childbirth. At an open forum to discuss the possibility of an alternative birth center, each group’s comments used to describe the childbirth process were recorded. Obstetricians chose objective words that indicated the need for control, such as death, risk, control, protection, costs, proof, management, standards, and efficacy, whereas parents chose words that were subjective, care oriented, and relational, such as, family, love, bonding, feelings, anxiety, unhurried, quiet, meaningful, and life ritual, as descriptors of childbirth.

Disempowering and pejorative words that emphasize the poor quality of the uterine “machine,” women’s inability to give birth, and the ability of obstetric providers to resolve these issues are rampant in obstetric language. For example, the process of the fetus traveling through the birth canal is referred to as “the mechanism of labor.” A woman’s labor that does not progress on a specific timetable is referred to as “arrested.” If “active management” is unable to speed the progression of labor, the process is referred to as a failure, as in, “failure to progress.” Contractions of the uterus can be labeled “inadequate” or “false,” and the cervix can be considered “unfavorable” or “incompetent.” A woman’s gestational term is called a “confinement,” and babies are “delivered” by the provider, not “borne” by the mother. A vaginal birth after previous caesarean birth is called a “trial of labor” and, if unsuccessful, is yet one more failure for the woman as her body betrays her and is referred to as a “failed attempt” at vaginal birth. First-time mothers have “untried pelvises.” Ultimately, mother and baby become the mechanistic “maternal-fetal unit.”

Obstetric jargon has been described as judgment and value ridden, in addition to mechanistic.18 Examples include lazy uterus, boggy fundus, and floppy cervix. Value-laden language can also lead to the stereotyping of women and to generalizations about how childbirth services should be provided. In turn, stereotyping can become a substitute for communicating with the laboring woman.29 Bastian30 postulates that the language itself is instrumental in forcing the mother/woman to maintain a passive and invisible role during childbirth.

Walton4 provides further examples of inappropriate words used during childbirth and discusses the power of words as socially owned symbols that reflect our culture. She argues that words only remain in use if they are useful to a culture and symbolically valid. One interesting childbirth metaphor she discusses is the provider’s use of the term “check a woman,” in reference to a vaginal examination. She further states that this terminology represents a power imbalance between the mother and the provider, because “to check” means either to “restrain or stop” or to “tick off a list.” If the provider is “ticking off a list” when “checking,” the mother is reduced to a product that must be assessed and a passive participant in the relationship, rather than a “partner in care.” She argues that the use of the word “patient” as a label for laboring women conjures up the thought of illness, submissiveness, and compliancy. Alternatively, the label “client” encourages the woman to become a consumer of an institutional product or procedure instead of attending to her own needs.

Kitzinger6 adds that even technical terms involving childbirth are male dominated because many of the normal physical “sensations” of childbirth have been named after the man who “describes” the process rather than the woman who experiences the “sensation.” Braxton-Hicks contractions, the painless uterine tightening a woman begins to “sense” as early as 6 weeks into her pregnancy, are named after the male physician who first “discovered” them. Another example of the androcentric dominance of childbirth language can be found by scanning the titles of manuscripts in current obstetric journals. The titles lend credence to the belief that women are viewed as objects, as opposed to living beings, and that the experience of childbirth is objectified and mechanized. One such example of this type of discourse is displayed in the following title of an article published in Obstetrics and Gynecology: “Induction of Labor in the Nineties: Conquering the Unfavorable Cervix.”31

Freda,32 in a discourse on ethical debates surrounding childbirth, stated that one of the last frontiers to be changed in the 21st century would be the end of medicalized birth and pejorative terminology concerning childbirth. She thought that nursing students would look back at the language used in the 1990s as evidence of control of providers over women and the passivity of laboring women and view these as oddities. Unfortunately, at the time of this writing, her predictions have not come true.

The language of holistic care and midwifery

A burgeoning number of articles have been published in midwifery and feminist-oriented journals since the 1990s that focus on changing the language surrounding childbirth. Ferguson,33 a Welsh midwife, advocates that the simple word “birth” should replace “confinement.” She argues that women should no longer be confined to bed during childbirth and that “confinement” is simply another word for hospital routines and medical management. Unfortunately, in the United States, many women are routinely confined to a bed during their labor and birth.

Zeidenstein5 discuses how it has been easier for midwives who practice homebirths to use woman-centered language that is respectful and truthful. However, the very existence of homebirth, which is frightening to those providers who feel the need to control childbirth in the name of safety, has created its own medicalized metaphors. Women who plan homebirth but require hospitalization for complications during labor are often called “train wrecks,” and the title of this article is borrowed from the often-verbalized obstetric phrase, “the only thing that should be delivered at home is a pizza.”

For changes in language and childbirth to occur, midwives and nurses must consciously use terminology in a manner that is empowering and reflective of the holistic model of care from which the professions originate. This new language can reflect women’s voices, philosophy, and their need for interpersonal relationships and encounters within the childbirth experience. [15], [34], [35] and [36] Institutions can also contribute to the empowerment of women through the use of caring, supportive, family-centered language in maternity care. Phillips37 provides an excellent example of this when he examines the terminology surrounding hospital visitation. Visitation guidelines that empower clients to make their own decisions regarding visitors use words such as welcome, encourage, and choose, whereas those that favor institutional power and staff control use phrases such as “allowed to be present” and “limited to the following number of visitors.”

Kirkham38 states that we must create a language for midwifery and for childbearing women that expresses our intuitive and creative dimensions and experiential knowledge. Labia means lips and labial is a sound using the lips.39 Considering that two sets of lips, the labia majora and labia minora, surround the birth opening, women’s voices should be heard clearly with articulated power during birth.

A wonderful example of woman-centered language for childbirth can be found in the words that are encouraged by those belonging to the hypnobirthing movement. Wainer40 replaces the medical words “mucous plug” with “birth gel” or “baby gel.” “Gel” conjures an image of softness and ripeness, which is congruent with early labor and with the feelings that women express during this time. The words “surge” or “wave” would replace the medical terminology of “contraction” or “pains.” Wainer further argues that women in the past have responded to words that have been used to describe their labor. For instance, she believes we have a high rate of “cephalopelvic disproportion” (CPD) and “failure to progress” precisely because women have been doing what providers have requested: “contracting.” She refreshingly suggests that women’s cervixes no longer need to “dilate” but, instead, “circle” around the baby’s head. Kahn2 describes the historical and current significance of the circle as a symbol of unity, wholeness, fulfillment, and perfection within the culture of birth and adds that providers do not really deliver a newborn, but instead “usher” the child into the world.

Implications for practice and policy

To be perceived as legitimate providers in the health care arena, the professions of midwifery/nursing often conform to the dominant paradigm instead of the caring paradigm. Fahy41 found that Australian midwives and nurses who offered empowerment to laboring women by encouraging them to define childbirth from their own perspective were “disciplined by the dominant power.” Sterk et al.11 contend that because midwives/nurses are conditioned to function within the dominant paradigm, they contribute to the passivity of patients through their lack of individualized “caring.”

Condon42 argues, ironically, that the public sees “caring” as belonging in the domain of women and that this association is harmful to the caring professions. Hagell9 further discusses how the type of knowledge that an epistemologic community uses (i.e., caring) can affect the profession’s legitimacy. Many argue that “women’s work” (i.e., women’s knowledge) has always been considered invisible and unimportant by the dominant male culture. [7], [9] and [25] Ginzberg7 states that women’s knowledge, midwifery, home economics, and cooking are designated as art, and insignificant by the andocentric paradigm. She contends that if these practices were male dominated, they would have been awarded the distinction of “sciences” instead of “arts.”

Caring research has been considered less powerful. If one identified the type of research and language that would flow from a philosophy of caring, holism, and woman-centered knowledge, it would be encounter-oriented, contextual, phenomenal, and experience-based. The dominant medical paradigm refers to this as soft research or soft outcomes. Oakley43 argues that so-called “soft” outcomes for childbearing women, such as maternal satisfaction, family bonding, and postpartum depression, are essential factors to be studied along with “hard” outcomes.

Page44 describes power as the ability to put ideas into action, and Wagner22 states that those in power control information. To encourage the practice of childbirth within a woman-centered context, it is imperative for the professions of midwifery/nursing to make several powerful political changes. It is evident that the language surrounding childbirth must change if we are to honor the process of childbirth as a miraculous experience for women who can trust their bodies to be powerful and capable of a natural phenomenon. Kamphuis45 states that although words help to shape our attitudes, changes in attitudes can help to create new language. This new language needs to be fostered in educational institutions of midwifery, nursing, and medicine. [30] and [46] This task should be achievable because the half-life of knowledge, especially in high-technology fields such as health care, is less than 3 to 5 years.47

One way this change can be facilitated is by the use of appropriate, woman-centered language that emphasizes caring and respect. Page44 concludes that giving power to the mother and family during pregnancy and childbirth is an initial basic building block for future “positive personal power” to be used during a lifetime of parenting. It is our responsibility to share our power with our clients by providing a relationship, including appropriate language that is structured to meet the needs of the woman. [48] and [49] Part of this process includes empowering women and their families. Empowerment can occur through interpersonal understanding in a relationship that fosters reciprocity, mutuality, and dialogue, during which the needs of the woman and her family are discovered through the process of the communication.50

It is important that the professions of midwifery/nursing recognize that our history and cultural tradition is of imparting knowledge in an oral manner of communication. As we develop and use woman-centered language, we can create a body of written text that documents our profession’s legitimate knowledge and ways of knowing. If we are going to listen to women, we need to help them create a language that is meaningful to the speaker.

Our challenge is to honor and use our own knowledge of caring and holism. It is crucial to bring this knowledge into the main arena of childbirth as a worthy science that complements and works with other paradigms through creation of a common language and model of caring for health care providers.

Conclusion

Women want and need both a healthy baby and a satisfying childbirth experience. To achieve these goals, the “competing” paradigms must combine to create an environment that is not “hard” versus “soft,” nor men versus women, but rather, an integration of “differing” paradigms that will complement each other. Parker and Gibbs51 suggest that through midwifery’s struggle to support both traditional and scientific practice in childbearing, we have become excellent mediators for future melding between communities, professions, cultures, and paradigms. Although this will continue to be a difficult and stressful task, this author believes that midwives are the best choice because we speak and understand the multiple languages surrounding childbirth. We are the profession that will make sense of multiple truths from all paradigms in our continuing efforts to construct the most empowering setting in which women can “give birth.” Through woman-centered language and personal empowerment of birthing women, the professions of midwifery/nursing can reverse the culture of risk that prevails in the current childbirth milieu.

References

1.   

    • F. Carboon
    • Language, power and change
    • Aust Coll Midwives Inc J, 12 (1999), pp. 19–22

| Cited By in Scopus (4)

2.     

    • R. Kahn
    • Bearing meaning, the language of birthUniversity of Illinois Press, Chicago (1995) 

3.      

4.    

|

Full Text via CrossRef

| Cited By in Scopus (1)

5.      

    • L. Zeidenstein
    • Birth languageA renewed consciousness
    • J Nurse-Midwifery, 43 (1998), pp. 75–76
    • View Record in Scopus

| Cited By in Scopus (1)

6.    

    • S. Kitzinger
    • Woman’s experience of sexPutnam, New York (1985) 

7.    

    • R. Ginzberg
    • Uncovering gynocentric science
    • N. Tuana (Ed.), Feminism and science, Indiana University Press, Bloomington (IN) (1989), pp. 70–84

8.     

    • K. Dahlberg
    • Qualitative methodology as caring science methodology
    • Scand J Caring Sci, 9 (1995), pp. 187–191
    • View Record in Scopus

| Cited By in Scopus (13)

9.    

    • E. Hagell
    • Nursing knowledge: Women’s knowledge. A sociological perspective
    • J Adv Nurs, 14 (1989), pp. 226–233
    • View Record in Scopus

|

Full Text via CrossRef

| Cited By in Scopus (40)

10.   

    • A. Meleis
    • Theoretical nursingDevelopment and progress (3rd ed.)Lippincott, Philadelphia (1997)

11.   

    • H. Sterk, C. Hay, A. Kehoe, K. Ratcliffe, L. VandeVusse
    • Who’s having this baby? Perspectives on birthingMichigan State University Press, East Lansing (MI) (2002)

12.  

    • E.D. Hodnett
    • Caregiver support for women during childbirth (Cochrane Review), The Cochrane Library Update Software, Oxford (2000), p. 4
    • Full Text via CrossRef

13.  

    • L.P. Hunter
    • Being with womanA guiding concept for the care of laboring women
    • J Obstet Gynecol Neonatal Nurs, 31 (2002), pp. 55–62
    • Full Text via CrossRef

14.  

    • N. Dickson
    • A theory of caring for midwifery
    • Aust Coll Midwives Inc J, 9 (1996), pp. 20–24

View Record in Scopus

| Cited By in Scopus (6)

15.   

    • H. Kennedy
    • A model of exemplary midwifery practiceResults of a Delphi study
    • J Midwifery Womens Health, 45 (2000), pp. 4–19
    • Full Text via CrossRef

16.   

    • E. Lehrman
    • A theoretical framework for nurse-midwifery practiceThe University of Arizona, Tucson (AZ) (1988) [dissertation]

17.   

    • J. Thompson, D. Oakley, M. Burke, S. Jay, M. Conklin
    • Theory building in nurse-midwiferyThe care process
    • J Nurse-Midwifery, 34 (1989), pp. 120–130

View Record in Scopus

| Cited By in Scopus (16)

18.   

    • S. Kitzinger
    • Sheila Kitzinger’s letter from EuropeObstetric metaphors and marketing
    • Birth, 26 (1999), pp. 55–57
    • View Record in Scopus

|

Full Text via CrossRef

| Cited By in Scopus (3)

19.   

    • D. Machin, M. Scamell
    • The experience of labor using ethnography to explore the irresistible nature of the biomedical metaphor during labor
    • Midwifery, 13 (1997), pp. 78–84

View Record in Scopus

| Cited By in Scopus (12)

20.   

    • M. Sandelowski
    • Devices & desires, gender, technology, and American nursingThe University of North Carolina Press, Chapel Hill (NC) (2000)

21.   

    • E. Keller
    • Reflections on gender and scienceYale University Press, New Haven (CT) (1985)

22.   

    • M. Wagner
    • Fish can’t see waterThe need to humanize birth
    • Int J Gynaecol Obstet, 75 (2001), pp. S25–S37

View Record in Scopus

| Cited By in Scopus (41)

23.   

    • A. Hewison
    • Nurses’ power in interactions with patients
    • J Adv Nurs, 21 (1995), pp. 75–82
    • View Record in Scopus

|

Full Text via CrossRef

| Cited By in Scopus (98)

24.  

    • F. Nichols, S. Humenick
    • Childbirth education, practice, research and theory (2nd ed.)W.B. Saunders, Philadelphia (2000)

25.   

    • A. Stewart
    • Toward a feminist strategy for studying women’s lives
    • C. Franz, A. Stewart (Eds.), Women creating livesIdentities, resilience, and resistance, Westview Press, Boulder (CO) (1994), pp. 11–35
    • Full Text via CrossRef

26.   

    • J. Hall
    • Fear, society and birth
    • Midwifery Today Int Midwifery, 67 (2003), pp. 11–12
    • View Record in Scopus

|

Full Text via CrossRef

27.   

    • J. Fenwick, J. Gamble, J. Mawson
    • Women’s experiences of caesarian section and vaginal birth after caesarianA Birthrites initiative
    • Int J Nurs Pract, 9 (2003), pp. 10–17
    • View Record in Scopus

|

Full Text via CrossRef

| Cited By in Scopus (28)

28.  

    • R. Miles
    • Holistic health and orthodox medicineChanging concepts of health and disease
    • K. Weiss (Ed.), Women’s health careA guide to alternatives, Reston Publishing Company, Inc, Reston (VA) (1984), pp. 125–143

29.   

    • J. Green, J. Kitzinger, V. Coupland
    • Stereotypes of childbearing womenA look at some evidence
    • Midwifery, 6 (1990), pp. 125–132

View Record in Scopus

| Cited By in Scopus (14)

30.  

    • H. Bastian
    • Confined, managed and deliveredThe language of obstetrics
    • Br J Obstet Gynaecol, 99 (1992), pp. 92–93
    • View Record in Scopus

| Cited By in Scopus (5)

31.  

    • E. Xenakis, J. Piper, D. Conway, O. Langer
    • Induction of labor in the ninetiesConquering the unfavorable cervix
    • Obstet Gynecol, 90 (1997), pp. 235–239

View Record in Scopus

| Cited By in Scopus (59)

32.  

    • M. Freda
    • Childbearing, reproductive control, aging women, and health careThe projected ethical debates
    • J Obstet Gynecol Neonatal Nurs, 23 (1994), pp. 144–152
    • View Record in Scopus

| Cited By in Scopus (5)

33.  

| Cited By in Scopus (1)

34.  

    • M. Berg, I. Lundgren, E. Hermansson, V. Wahlberg
    • Women’s experience of the encounter with the midwife during childbirth
    • Midwifery, 12 (1996), pp. 11–15

View Record in Scopus

| Cited By in Scopus (67)

35.   

    • D. Frazer
    • Women’s perceptions of midwifery careA longitudinal study to shape curriculum development
    • Birth, 26 (1999), pp. 99–107

36.   

    • T. Lavender, S. Walkinshaw, I. Walton
    • A prospective study of women’s views of factors contributing to a positive birth experience
    • Midwifery, 15 (1999), pp. 328–334

37.  

    • C. Phillips
    • Supportive language in family-centered maternity care
    • Adv Family-Centered Care, 6 (2000), pp. 16–18 

38.   

    • M. Kirkham
    • Midwives and information-giving during labour
    • S. Robinson, A. Thomson (Eds.), Midwives, research and childbirth, Chapman and Hall, London (1997)

39.   

    • Webster’s college dictionary (2nd ed.)Random House, New York (2000)

40.   

    • N. Wainer
    • HypnoBirthingA radical change on our perspective of pain in childbirth
    • Midwifery Today, 55 (2000), pp. 35–38

41.   

    • K. Fahy
    • Reflecting on practice to theorise: Empowerment for women: Using Foucault’s concepts
    • Aust Coll Midwives Inc J, 15 (2002), pp. 5–13

42.   

    • E. Condon
    • Nursing and the caring metaphorGender and politics on an ethics of care
    • Nurs Outlook, 40 (1992), pp. 14–19
    • View Record in Scopus

| Cited By in Scopus (14)

43.   

    • A. Oakley
    • Social consequences of obstetric technologyThe importance of measuring soft outcomes
    • Birth, 10 (1983), pp. 99–107 

44.   

|

Full Text via CrossRef

| Cited By in Scopus (4)

45.  

    • L. Kamphuis
    • The language of change
    • Int J Childbirth Educ, 6 (1991), pp. 34–35

46.    

    • 46
    • V. Flemming
    • Women and midwives in partnershipA problematic relationship?
    • J Adv Nurs, 27 (1998), pp. 8–14

47.   

    • M. Buss-Frank
    • Nurse versus machineSlaves or masters of technology?
    • J Obstet Gynecol Neonatal Nurs, 28 (1999), pp. 433–441

48.  

    • J. Lothiam
    • Back to the futureTrusting birth
    • J Perinat Neonatal Nurs, 15 (2001), pp. 13–22 

49.   

    • Coalition for Improving Maternity Services
    • The mother-friendly childbirth initiativeCoalition for Improving Maternity Services Coalition for Improving Maternity Services, Washington (DC) (1996)

50.   

    • G. Widdershoven
    • Care, cure and interpersonal understanding
    • J Adv Nurs, 29 (1999), pp. 1163–1169
    • View Record in Scopus

Full Text via CrossRef

| Cited By in Scopus (21)

51.  

    • J. Parker, M. Gibbs
    • Truth, virtue and beautyMidwifery and philosophy
    • Nurs Inq, 5 (1998), pp. 146–153
    • View Record in Scopus

|

Full Text via CrossRef

| Cited By in Scopus (3)

Address correspondence to Lauren P. Hunter, CNM, PhD, Nurse-Midwife Program Director and Advisor, San Diego State University, College of Health and Human Services, School of Nursing, 5500 Campanile Drive, San Diego, CA 92182-4158.

Vitae

Lauren P. Hunter, CNM, PhD, is the Director of Graduate Nurse-Midwifery Education and an Assistant Professor at San Diego State University, San Diego, California.

Posted on July 10, 2012 and filed under discussions, Quotes, Research studies, visions.

Cervix Photo Galleries | Beautiful Cervix Project

Cervix Photo Galleries | Beautiful Cervix Project. Wondering about your reproductive health and unsure whether you have a problem? or just do not know enough about your own body?

Here is a fantastic website that shows you that all parts of your woman's body are beautiful and worthy of becoming as familiar with as any comparative body.

Posted on April 13, 2012 and filed under information, resources, visions.

Love 1A

Too often we underestimate the power of touch, a smile, a kind word, a listening ear, an honest compliment, or the smallest act of caring, all of which have the potential to turn a life around. ~ Leo Buscaglia

Leo Buscaglia taught Love 1A at USC for many years and was one of the most popular speakers on PBS for years. His genuine expression of compassion and connection among all of us infected many souls and surely spread a great many smiles.

Posted on January 31, 2012 and filed under mission statements, Quotes, visions.

Gentle Love

HO!HO!HO!

More Holiday Wisdoms and Universal Love

O my good friends, this post finds me content and surrendered. I hope that for you as well that you continue to find ways to let go and let your higher power, your unconditional Love, take care of the puzzle/details. . . while you LIVE life, Love, laughter, full and ever expanding.

~With this winter post, I want to share with you some of my lessons in reflecting on the recent cycles that have found completion in my larger life cycle. Wisely considered resolutions begin first with contemplative reflections, if the resolutions are to hold any water or staying power. Why make resolutions in the first place? except if you have a commitment to self evolution. By that intention, one may define resolutions as matrices or conceptual structures for one's efforts through which creation or manifestation is possible.

~So then, in reflection, cycles become visible to your objective mind. You perceive possible repetitive lessons reoccurring for your consideration and discernment regarding what is being taught by your life experiences. Once recognized, one may then comprehend a reason or reasons for the repeated circumstances or situations or obstacles perceived. Once comprehended, one may act to know: how may I test this concept? what actions might reveal options to the circumstance? what next? what avenues are open if I take a step back and look with this new perspective? And so on, these suggested questions attempt to describe one of many ways to direct one's personal investigations of one's path.

~Back to the original purpose of this post, reflections on my recent circles.... at this point in my life, large circles are completing! One could feel unnerved by this; am I that "old" or is this a grand personal apocalypse about to occur? Bring it on! if so, because these closing cycles reveal the potential attainment of wisdom...finally. Probably the most important wisdom I am gaining is that the truly valuable lessons in life are NOT overnight handouts. In my life, maybe in yours as well, there have been some seemingly life-long hardships... some are so simple a child could see them (but I did not because I was a child when these issues initiated); some have been completely self inflicted! and others have been seemingly unfortunate circumstances that I had to endure.. . . that I "endured" over time by finding something very strong within mySelf to hold me still and comforted, and therefore nurtured, while the outer circumstances played themselves out. The primary lesson turns out to be the attainment of solid and humble self confidence born of a sense of knowing that we are all in this to grow and evolve, that accountability is each one of us beginning with ourself as the patient to heal.

~These contemplations bring this post full circle, in fact, to Lifestyle Modification Support's ongoing matrix: to assist you in Balance and Harmony within your own life. What is your course of evolution? Are you at the helm yet? I encourage you to stop, pause, and really give yourself the gift of reflecting on the bigger picture of you and where you are going, and why, and how you might take part in the creation of this amazing gift we call "your life".

~For an example to perhaps get your imaginative juices stirred and flowing, I will share a simple lesson cycle. Separating the small cycles within the bigger cycles is challenging. I have come to experience a beautiful serendipity in my life due to the circles on circles turning into a sense of my life's BIG circle. Sharing what most come to me for, how about the example that people often share with me their desires, and frustrations with realizing their desires, as a jumping off point for this example? The desires or goals might be in many areas for the different people, such as personal health issues resolved, or changing wasteful habits into healthy habits, or teaching their children to make healthy choices independently. I, too, found myself consistently frustrated by my own illogical interferences with achieving my personal goals over my adult years. Yet all the time, I kept after said goals with something like a vengeance! In truth, that sense of vengeance, or my  personal stubbornness, to "push" for my goals rather than allowing myself to discover where my strengths are best used and where my weaknesses are best supported had a tendency to slow down or even halt my efforts at times. Do you see where I am going with this? Every time I caught myself forcing change, I failed. On top of that discovery, I poured salt in to the wound by subjectively beating myself up over this...time and time again! At some point, due to the calm and patient, gentle and unconditional Love, of my personal spiritual teacher, I began to simply practice celebrating my ability to recognize my own mistakes. Simply put, I began forgiving myself. . . immediately, upon recognition of my failure. Eventually, this practice of self forgiving led me to perceive a grander more universal Love.... and in this curious unexpected perception, I actually began focusing on "fixing the problem, not the blame"...

~Ahhh, yes! the problem! And back my attention would go to reflecting on how it was a problem and what the solution might be versus how it got started and who to blame, myself; then the energy of frustration transformed into applying the cure (the solution). In time, and yes, remember time heals all, this practice became natural, inherent. Not only did this practice resolve individual issues of personal concern but this practice became a life way.

~This example reminds me of raising my children when they were very young. I set the goal to parent consciously and not fall into doing things as I imagined they had been "done to" me. So, I went about my days applying the various theories I read on parenting. My focus was: what works? as a mother of four, I had little time to give to working out why something did not work. If it did not work, I threw out that methodology and moved on to the next. One theory I tried was around the effect of the word, "no" and the purpose of negative, punitive, or remedial discipline. I remember watching the effect that shouting, "no!" had on a child's behavior versus the effect of calmly redirecting the child's behavior to something safer or healthier. Needless to say, I found that sometimes shouting no does have its purposes, but mostly, lovingly redirecting and using the moment as the ever elusive "teachable moment" held far more effective and long lasting potency.

~Now this description calls to point that there is really no solution that is isolated. Have you ever considered how an imbalanced habit or behavior or thought process has likely been applied repeatedly because that is the nature of mind? Once one has resolved one simple perceived problem, that particular problem turns out to be a gift! What? Why do I say that? Because it is highly likely that you just solved several, if not many, "problems" by successfully changing the way you approach problems in the first place. The effect or impact of this personal solution in my life: simply and lovingly changing the way I approached my subjective dialogue and opening up to the solutions rather then remaining cramped in the self flagellation; this solution has created a gentle Love, an open universal sense of connectedness versus the stressful experience of forcing myself to change, which never worked in a lasting way. What a wholly different way to walk within life! By living from a place of willing expansion into the world, I manifested something I desired greatly: inner peace.

~Now I do not see the world as sharp edged boxes thrown at me randomly and without prediction, I experience the world as amazing in its surprises and full of possibilities for continued evolvement. More importantly, I perceive that I am a co-creator ....that with my own willingness to try something new, I open the door to learning and thereby manifest more of me to share.

~May this posting find its intention of sharing, gifting more possibilities of evolving, giving what has proven valuable to me to you. As I continue to grow and evolve, and as circles open into expansive spirals, life becomes richer and fuller. Regardless of ongoing hardships, and please understand I still have plenty of hardships to deal with! I still genuinely discover that a purity of heart and desire leads me to even greater desire of purity...and this leads me to discover that truly openness to expand is what provides the experience of enlightenment. What is life, if not a grand exploration of what is possible?

~Blessings to you and yours. Please feel free to share with me your respectful reflections on my post as well as anything else for which you could use a kind ear to bear unconditional witness.

 

Posted on January 4, 2012 and filed under discussions, janet's writing, visions.

HO! HO! HO! Another Holiday message

HO! HO! HO!

Last Leucadia Farmers(Encinitas) Market of 2011..... and we have lots of adult children showing up for the holidays! So the bounty is even bigger this week. There is a bag of an heirloom beans in front of the baby broccoli crowns; walnuts and almonds; two dozen vegetable fed fresh eggs; gorgeous dino kale! pluots, plums, asian pears, and pink lady apples; fingerlings and yukons; fuertes; osaki sweet potato and yam.... wow! The menu plan is unfolding for the week of feasts. May you and yours discover bounty in togetherness and Love this winter and all seasons! Blessings.

Click on the link below to get to our fussbook page and "like" us, please!

Lifestyle Modification Support

HAPPY HOLIDAYS TO ALL!

Posted on December 18, 2011 and filed under discussions, visions.