Peru's ploy to end homebirth

Peru embraces vertical birth to save lives

Some choice quotes:

"Condori said she did not want to take any chances and that hiking through the mountains was a safer bet than having her baby at home."

"The hope of the program is to cut high rates of maternal mortality by encouraging poor, mostly indigenous Peruvian women to place themselves under the care of professionals."

There were some good things in the article, even if the overall tone is to emphasize that these women are dieing because they are home. Like I was happy to see this:

"Peru's health ministry has said vertical birthing positions can be healthier for women by reducing pressure on the uterus and large blood vessels that can affect the amount of oxygen going to the baby. Standing or sitting during childbirth also tends to reduce labor and delivery time, according to the health ministry, and allows the mother to watch the birth better than if she were lying down."

"The practice of women giving birth on their backs is done for the convenience of doctors, not women, say supporters of Andean birthing methods."

Peru has a recent history of trying to rid itself of traditional rural parteras. I have corresponded with a German homebirth midwife who lives in Cusco, and it is rather hostile there for midwives according to her.

This article makes me feel so frustrated. Yes, Peru's maternal mortality rate is devastatingly too high: 185 women die per 100,000 births. But, is the move to hospital or clinic births the answer?

In my opinion: NO.

Why not start a national program to educate existing midwives in how to treat and handle shock and allow them to carry lifesaving anti-hemorrhagic medications? Why not start a national program to CREATE more midwives who will serve these women in their homes, and ensure they are adequately nourished prenatally? I have read many times that many rural Andean Peruvian women give birth with just their family present, and if there is a problem, they then send their husband out to fetch the midwife.

It has been shown again and again that it isn't the fact of being HOME that increases the maternal mortality rate. It is the undernourishment and poverty of women, and the lack of access to skilled attendants when they are need of them.

Does it really make sense to have a woman hiking 5 hours in labor to reach a clinic to birth? I will be shocked if this support of vertical birth is going to start bringing women in droves to birth in the clinics. Women in many cases can't leave their homes, especially if they have other young children.

My family is planning a vacation to Peru in a few months, and I am hoping to meet the German midwife and talk about this topic more with her.

Unassisted footling breech birth

Here is a photo series of a beautiful surprise footling breech unassisted birth. How beautiful!