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The Awakened Midwife Welcome to The Awakened Ex Midwife

Absolutely relatable.
04/07/2024

Absolutely relatable.

If you have followed me for long enough, you’ll notice I don’t post things which criticise PEOPLE - I almost always talk about SYSTEMS OF POWER.

I don’t screenshot professionals or academics I don’t agree with, and give them aggro. I don’t name people I disagree with. I don’t mock celebrities I don’t agree with. I don’t tag people I don’t agree with or don’t like. I don’t put pressure on individual people to change their views or to ‘be better’. I don’t comment on posts giving people aggro. I don’t engage in months of subtweets and personal digs at someone. I don’t write articles about people I disagree with.

What I do a LOT of, is talk about systems of power, control, influence and society. I do talk about the way we are groomed into belief systems. I do talk about profit-making corporations keeping us all sick and poor. I do talk about history. I do talk about lies and myths in psychology and psychiatry, used for social control. I do talk about power dynamics, racism, classism, misogyny and homophobia in psychology, psychiatry and academia. I do talk about billion dollar publishing industries keeping evidence behind a paywall away from working class people. I do talk about psychiatric treatments being a sham, or based on decades of oppression and abuse. I do talk about lack of informed consent in our practice. I do talk about professional industries exploiting their power over traumatised people to silence them. I do talk about our criminal justice system deliberately discrediting and attacking victims.

And yet, I somehow still manage to personally offend many people per day - especially professionals and academics. At first, I just couldn’t get my head around their rage - but then I realised that they were so wedded to their beliefs and the systems of power that served them, inflated them, and protected them, that of course my criticisms would impact them personally. They are part of these systems. They uphold them. They support them.

Me on the other hand, I’m not wedded to anything. I can see the harm that my own discipline has done to people. I will not shy away from it. We must speak on these things. I am a psychologist but I’m not going to spend my career defending what my discipline has done. I work in trauma and mental health, but I’m not going to sit here and pretend we haven’t oppressed, abused, tortured, sterilised, harmed, injured and killed people with our terrible practice, meds and theories. Some people will understand that we need systemic reform and criticism, and some people will still read everything in this post and STILL say, ‘not all psychologists/psychiatrists are like that though, I’m a good one!’

YAWN.

That’s why I love this quote, and sharing it with you today 🧠

So absolutely fabulous that we are learning more about what causes hyperemesis Gravidarum- which is debilitating vomitin...
15/12/2023

So absolutely fabulous that we are learning more about what causes hyperemesis Gravidarum- which is debilitating vomiting and nausea in pregnancy

❗️BREAKING NEWS❗️

A new study published in Nature reveals abnormally high levels of the hormone, GDF15, and increased sensitivity to it, are the major factors contributing to HG.

Dr. Marlena Fejzo, Hyperemesis Education and Research (HER) Foundation Research Advisor and Board Member, and her team previously identified three independent genetic variants in GDF15, all of which strongly increase the risk of developing HG. GDF15 is known to cause nausea, vomiting, and appetite and taste changes.
The new study, first-authored by HER Foundation’s Dr. Fejzo and co-authored by HER’s Executive Director Kimber MacGibbon, was led by Dr. Stephen O’Rahilly at the University of Cambridge and includes an international team of researchers.

The work suggests that, in the future, HG may be prevented by raising GDF15 levels prior to pregnancy using a priming strategy. The study also provides the first suggestive evidence that an interaction between maternal and fetal genes plays a role in recurrence risk. However, larger studies are needed to confirm this.

Dr. Marlena Fejzo lost her baby due to the pregnancy complication, hyperemesis gravidarum, in 1999 and has been researching the cause ever since. “While I have worked, people have continued to contact the HER Foundation with heartbreaking stories like my own, begging for answers. I think we finally have the solution.”

Read more: hyperemesis.org/news/nature2023

DOI: 10.1038/s41586-023-06921-9

Support our HG Research: hyperemesis.org/donate

01/12/2023

“One thing to remember is that, if a care provider really was that worried about your baby, they wouldn’t be offering induction, which often takes three days to get going.

If they were that worried, or if the risk was really high, they would and should be offering an immediate caesarean section.”

This is a paragraph from my most popular book, “In Your Own Time: How western medicine controls the start of labour and why this needs to stop.”

I wrote it because of a particularly unkind and unprofessional form of communication that is sometimes used in maternity care.

“Sadly, I hear from many women and families who have been told that they have “a high chance of stillbirth,” or that their baby, “…will almost certainly die if you don’t come in for induction right away,” when this is absolutely not true.” (Wickham 2021).

“Sheila Kitzinger described this as ‘emotional blackmail,’ and many people refer to it as ‘playing the dead baby card.’” (Wickham 2021).

It’s not OK.

REALLY not OK.

It’s vitally important that we name and discuss it, and ensure that more people get informed about the facts.

If you’d like to know more, I have lots of free resources on my website as well as two books about induction of labour.

Find out more at www.sarawickham.com/time

Yes, you can share this post as long as you keep the picture, words and credit intact. Please do not put my work/words into your branding.

The use of CTG (continuous electronic fetal monitoring) is not based on good scientific evidence that it’s beneficial, b...
17/11/2023

The use of CTG (continuous electronic fetal monitoring) is not based on good scientific evidence that it’s beneficial, but rather on the now deeply entrenched cultural practice. Relying on machines that go *ping*, and a very dangerous misguided notion that a machine can provide care whilst “freeing up” a midwife to care for other women.

Did you know that there are certain essential oils that are not safe to use while pregnant or breastfeeding? This websit...
16/11/2023

Did you know that there are certain essential oils that are not safe to use while pregnant or breastfeeding?
This website is a great resource to find up to date research based information. Always a great reminder to check any premade blends too - this ingredient is a sneaky one sometimes used.

BEWARE of Boswellia papyrifera (Frankincense), which is NOT safe for pregnancy or breastfeeding.

How amazing!!!
16/11/2023

How amazing!!!

I love to tell you about books written by other people that I think are worth reading.

And, today sees the release of one I think you're going to want to know about.

Freebirth Stories is edited by my long-term colleagues and friends, Mavis Kirkham and Nadine Edwards.

But edited is the key word here.

As long standing, respected researchers and advocates for women and families, Mavis and Nadine have used their skills and experience to craft a book which focuses on the women's voices.

Not on themselves.

Not on the midwives or doulas or anyone else who might have helped on their journey.

But on the experiences of the women themselves, sharing their stories about why they decided to give birth without professional attendance.

If you enjoy birth stories, or want to explore what matters to women, you're going to want to either grab yourself a copy or put it on your Christmas list.

Freebirth Stories is an amazingly woman-centred book which, if you're anything like me, will make you laugh, cry, and despair - but also hope.

Because these are strong, feisty women who are standing up for what's right for them and their families.

You can get all the links to the book and to Mavis and Nadine's page in the comments, in my stories, or on my blog post at www.sarawickham.com today.

I really hope you will enjoy Freebirth Stories as much as I did.

It's a book that REALLY needed to be written, and I am delighted that it's out in the world.

This includes assessment & release of oral restrictions (tongue ties) AND orofacial myofunctional therapy- rehab for the...
10/11/2023

This includes assessment & release of oral restrictions (tongue ties) AND orofacial myofunctional therapy- rehab for the mouth & airway.

09/11/2023
It’s recommended to continue breastfeeding for at least 2 years and as long as you and baby are happy to do so. In many ...
09/11/2023

It’s recommended to continue breastfeeding for at least 2 years and as long as you and baby are happy to do so. In many parts of the world natural weaning occurs between 3-7 years of age.
In Mongolia they believe the best wrestlers are those who are breastfed until 6+ years old. There’s a doco on Netflix all about it!

No reason to stop breastfeeding at age 1! In fact, your milk changes with your baby’s/toddlers needs and has just what they need in the second year. Milkitivity

08/11/2023

Are you ready for the NO-vember Challenge? 😄

06/11/2023

There is not one member of my ancestral maternal line that has been born in a hospital.

31/10/2023

Does anyone think that the problem with the health disparities using only statistics to associate certain ethnicities with, means filtering down the system, racist views prevail and instead of understanding 'risk factors' are the result of systematic racism, providers begin to associate women of color with disease and ill-health? That browness and blackness in skin is inherently associated with being 'diseased.' Not accounting for a risk factor stops being a risk to them and they act like you have it just because of your ethnic background?

I think so.

This is so beautifully written. I’ve gone through similar play scenarios with my children. Play is how they can process
31/10/2023

This is so beautifully written. I’ve gone through similar play scenarios with my children. Play is how they can process

There’s an episode of Bluey called Space. In it, three little boys are playing together at their kindergarten. They’re playing pretend space explorers. As they navigate who is going to play what role in the game, one of the little boys keeps asking the other two to pretend that they leave him behind, all alone.

The other little boys aren’t comfortable with playing leaving him behind. They want all the adventurers to stay together, so they keep refusing. Eventually, he climbs through a “black hole” in the pursuit of needing to play out this role of being abandoned. While he’s in the “black hole”, he remembers a time when he was a young toddler and went down a slide at a playground. When he came out, he was all mixed-up about where he landed, and couldn’t find his mother for a moment. He thought he had been left all alone.

The episode shows beautifully (and in a relatively low-stakes way) the way that children use their play to process complex things. He wasn’t doing anything wrong by wanting to play out this feeling of “being left alone”—in fact, his brain was trying to process through what had happened to him when he briefly grappled in real life with a very scary big overwhelming feeling of having been abandoned. Even though he wasn’t really abandoned (his mother quickly calls out to him so he knows where she is), his brain still needed to process through all the feelings that it had brought up in him, because it had introduced the idea to him for the first time that he *could* be left all alone. Meanwhile, the other boys aren’t doing anything wrong, either. They’re trying to play something different and they don’t want their friend to be left out. All of the friends negotiate and figure out how they want to play together and what they want the scope of their play to look like, what needs it’s meeting for each of them. As with almost all Bluey episodes, it’s a gorgeous, poignant love letter to children’s play in all its forms.

My son, Apollo, went through a phase where he had a strange type of play that he kept wanting to return to over and over and over. I could identify many components of the play, but the sum total was unusual and new to me. He loves to squirrel things away in little containers—trinkets, beads, paper scraps, all sorts of little treasures—and carry the containers around with him everywhere he goes. This is a play schema I’m familiar with, the “enclosure” schema. Who doesn’t love to have a little treasure chest full of all their favorite things in easy access at all times?

He began specifically carrying around a bunch of small rocks and pebbles, the shiny semiprecious stones kind you find in a tourist gift shop, like tumbled quartz and such. He would wait for a time when he could specifically play with only me and nobody else involved—usually right before bed—and then he wanted to take them all out and make toy animals touch the rocks and then (as best as I could tell) die, all the while he sort of half-said to me, half-whispered to himself, “They shouldn’t touch those rocks…they touch those rocks…uh oh, they touch those rocks,” etc.

I had no idea what my role was supposed to be in this play. Sometimes he would give me a toy animal. If I made it touch the rock, he would make sure that I also pretended that it died; if I did anything else with the animal he ignored me.

I thought about writing about this at the time, but I didn’t really know where the story went after that. It’s been really interesting to watch the progression, because after about three weeks of wanting to play exclusively “they touch those rocks” with me, for the first time in his life he began to have the word “die” in his vocabulary and begin to play pirate games with swords and such with his sister and other peers. And as best as I can tell, he completely stopped playing “they touch those rocks” (and instead actually picked up a different belief about death—that you can *only* be killed by swords. We’re still working our way through that one. He asked us what the stones were in a cemetery that we routinely walk through on our way to the farmer’s market, and we said “they are to remember people who died,” and he looked over it and shook his head and said “Wow, swords do all that.”)

I don’t get a little animated backstory scene from within his head to explain to me what exactly it was he was thinking and processing through—why he was pretending the rocks were dangerous to touch, what prompted this thing that he needed to think about and work through in his play for awhile before he made sense of it enough to move on. I do know that 5 is a pretty normal age to begin thinking about death in more depth, since 5 year olds sort of start to have an understanding of time and of other larger philosophical things that all sort of tie in to beginning to think about death, and so it made sense that he was right on track with it in his own quirky way.

I also found it interesting that (again, to the best of my knowledge) he would never play this game alone—only when I was sitting in his room with him. If I said it was time for me to go and say goodnight, he would pack up his rocks and put them away. Maybe it helps, when you’re thinking about the vast incomprehensible realities of life and death, to know that someone who loves you is sitting only an arm’s length away.

[Image description: A still from the tv show Bluey, in the described episode that’s called “Space”, in which the character Mackenzie, a black and white dog, is sitting alone beside a grassy drop-off. He looks worried, deep in thought, and is by himself. End description.]

29/10/2023

You can now listen to Give Birth like a Feminist audiobook as part of your Spotify premium allowance. Here is the link! You don't have to be pregnant to listen to this book. It's for anyone interested in a feminist deepdive into women's health. Oh and it's read by yours truly! Hope you enjoy, Milli x
https://open.spotify.com/show/2EEnNZ8M2rQ3pJywk3RwUL?si=ed993271257d41fa

Excellent post by Maternity Consumer Network. The history of midwifery fascinating and horrifying. And quite telling wit...
25/10/2023

Excellent post by Maternity Consumer Network.
The history of midwifery fascinating and horrifying. And quite telling with the way midwives are perceived, treated and how they react in their practice today.

Midwifery thanks to industrial obstetrics has long been a profession demonized and not considered on equal value. Especially if said midwife works in private practice. There is a reason for this. Historically, midwives were a stand alone profession until men took control of them from the 17th century and onwards. They never hid their opinion of them either and is one of the chief reasons we never support collaborative arrangements.
Dr T J Hill 'She will sit at the feet of her Gamaliel . . . and hearken to his admonitions on things pertaining to the art of obstetrics.'

Gamaliel was a respected Jewish rabbi in the new testament who taught scriptures. The irony of 20th century obstetricians likening themselves to Biblical figures full of wisdom when evidence of the time showed they increased the maternal death by a large margin is not lost on us.

Of course this is not reflective of all obstetricians today, but culture affects still show in our statistics and the blocking of independent midwifery practice.

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