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02/14/2015

Babies made-in-India - 7. The swaddle and the diaper

india,birth,water birth,pregnancy,baby,infant,newborn,delivery,midwife,swaddling,swaddle,diaper,breastfeeding,hospital,fertility,contraception,sterilizationAnother tradition going on strong is swaddling infants. The benefits are the creation of a sense of security for the baby (it reminds him the uterus), and comfort as it helps him control the reflex-movements that can bother him. For the mother, it's more convenient to carry the kid, a small quiet package. As a result, in India, infants are swaddled most of the time up to three months. On top of above mentioned advantages, it is also believed that it will enable the legs to grow straight. And the hip problems that can be created are royally ignored.

 

Since swaddling can indeed be reassuring and appeasing for some infants, you can choose an intermediate solution, like swaddling the baby only during sleep time – it is also interesting to know that this practice after being out-of-fashion in the past decades in the West is now doing its come-back (6).

 

If you decide to leave the baby legs free when he is not sleeping, then you must be ready, when you enter a hotel carrying your newborn 'monkey-style' to face the outraged looks of doormen, or even their comments: "you should not wear him like that! Poor thing! His legs!!”. Or to bear with the salesguy of Benetton who is likely to get offended and say so out loud, repeatedly, because you should not use a carrier during the first six months... 

india,birth,water birth,pregnancy,baby,infant,newborn,delivery,midwife,swaddling,swaddle,diaper,breastfeeding,hospital,fertility,contraception,sterilizationTo get back to the topic of swaddling, I imagine that this practice goes hand in hand with the use of the Indian cotton nappy. Which is like a piece of cloth with a thread that you fill with other pieces of cloth. The advantages of this diaper is that it is softer for the india,birth,water birth,pregnancy,baby,infant,newborn,delivery,midwife,swaddling,swaddle,diaper,breastfeeding,hospital,fertility,contraception,sterilizationbutt of the child, cheaper and more eco-friendly (but I am not so sure because you need to do a lot of washing), and the child gets potty-trained faster since he quickly gets tired of having his ass wet all the time. Well, I tried several times at the hospital but I can’t help it, I don’t understand how poop and pee don’t spread everywhere on the child and about everywhere else! Maybe it works better if the baby is kept tightly wrapped (hence moving less)?

Anyway, the only cheap and eco-friendly solution is to leave the baby barebutt... A solution still preferred in the countryside where kids are left very early to deal with themselves or at the signal where babies make people feel bad and more inclined to depart with a coin (hence some business of baby trafficking, cf this post)... 

(6) “Nine out of 10 infants in north America are now swaddled in the first six months of life. Sales of swaddling clothes increased in the UK by 61% between 2010 and 2011.” (Source: http://www.theguardian.com/society/2013/oct/28/swaddling-babies-blankets-hip-problems-doctors-warn)

 

(To be continued...)

02/12/2015

Babies made-in-India - 6. Medicalization of birth

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70% of Indian babies are born at home, with the help of a midwife (dai). Paradoxically, the 'modern' hospitals (which rank from very bad to at par (or even better) than Western infrastructures) do not recognize this profession! As a result, my (British) midwife was often denied access to the delivery room, or Gynec would refuse to team up with her (in any case, the Gynec would remain the boss and not consult her).

 

Indians tend to blindly trust doctors. Therefore, the practice of episiotomy (a preventive cut of the vagina), while in sharp decline in the West (5), remains widespread. Most mothers don’t even know that it is optional. Worse, most new mothers don’t even know it is going to happen to her! And they can’t be blamed: even my Gynec never mentioned episiotomy and it is thanks to my midwife that I got to know about it it...

 

Moreover, Indian women are not well aware of anesthesia during childbirth. To the point that I couldn’t find statistics, except a small survey which confirms my opinion. When I mentioned the epidural to friends and colleagues, they generally had never heard of it and were unable to understand how to deliver a baby without feeling contractions – a valid question I must say, that I could answer only after having my baby!

 

Nowadays nearly half of the deliveries in India are acts of surgery (compared to 21% in France, 25% in England)... And as much in the countryside as in the cities.

 

Even more striking is the increase in scheduled C-sections (vs. medically necessary ones). The culprits? A bit everyone. For doctors it is more profitable (they charge more for surgical procedures), easier to fit in the agenda and (some claim it) less risky for the patient. A for women, it is often reimbursed by private insurances, perceived as less painful, easier to fit in the agenda (especially when they have Astral imperatives and want the baby to be born with an auspicious star configuration (I am not kidding!)) and (some believe so) less risky.

 

(5) In France, "the episiotomy rate has decreased from 71 to 45% between 1998 and 2010”.

 

Sources: http://www.midwiferytoday.com/articles/india.asp ;http://www.liberation.fr/vous/2011/10/18/70-d-accouchements-avec-peridurale_768628 ; http://www.who.int/healthsystems/topics/financing/healthreport/30C-sectioncosts.pdf ; http://www.huffingtonpost.com/2014/04/16/c-section-rates_n_5161162.html?ir=India ; http://qz.com/326402/cesarean-births-in-india-are-skyrocketing-and-there-is-reason-to-be-very-worried/; http: / / www.cesarine.org/ front/etat_des_lieux.php . http://www.hscic.gov.uk/catalogue/PUB12744/nhs-mate-eng-2012-13-summ-repo-rep.pdf; http://www.Liberation.fr/vous/2011/10/18/70-d-accouchements-avec-peridurale_768628

 

(To be continued...)

02/10/2015

Babies made-in-India - 5. Versus French ways

india,birth,water birth,pregnancy,baby,infant,newborn,delivery,midwife,swaddling,swaddle,diaper,breastfeeding,hospital,fertility,contraception,sterilizationSince there is nothing wrong in getting pampered, these customs of returning to the maternal fold, staying at home and keeping bed rest persist through the ages and social classes. Several times I have asked colleagues, newly elevated to the rank of fathers, if they were not too tired. And got the reply “no no, you know, my wife and baby are at my in-laws, they’ll come back only after three months!".

 

New French mothers don’t have this luxury of a ‘safety period’ (although apparently (according to Tracy Hogg) British ones do, for 40 days as well) and they soon have to do everything alone: cooking, cleaning, shopping, etc, in addition to taking care of the newborn. That is what I tried to explain to my Indian circle: being an independent businesswoman and daughter of an independent businesswoman, I was genetically programmed (except for medical complication) to get on my feet very fast. And on top of that, with the 'services' we avail in India, i.e. maids, home delivery from shops and restaurants, it is even more manageable than in the West…

 

As for childbirth, fathers traditionally don't attend, as it was the case till the fifties in the West, where the necessity and benefits of the man's presence are still debated (but at least the choice is open). So in India, you usually have your mother or mother-in-law in the labor room...

After the delivery, help is generally required as some hospitals don't even serve food. So, my mother-in-law kindly offered to stay with us at night in the hospital (4)... As tradition has it, it was her role to get up at night when the baby would cry; not mine, nor her son’s or the nurses’. To pass me the child for me to feed him. Well, to be precise, it was the role of my mother, who was with us but obviously not keen to sacrifice her sleep! My mother must have seemed quite irresponsible by spending more time dragging her counterpart to shopping sprees every day rather than squatting our hospital room! In fact she was doing her job as the mother of the Samurai, meaning she ensured that the three of us would get some privacy all three of us… (And ‘Privacy’, ‘Intimacy’ are definitely not Indian concepts, even though they were the key words of our birth plan!!).

 

The hospital that we had chosen was topnotch. Which means that not only did they serve food, but they also had a nutritionist and a lactation expert to help us in the transition. Also, by imposing strict visit timings they were 'pro-intimacy' (which is very innovative in India because normally, once the baby lands in the world, the whole family comes visit. Imagine the chaos!). And a plethora of nurses was there to ensure we would not lack help and that our intimacy would not be too complete...

 

(4) In India, each patient has the right to have a relative sleeping over; hospital staff even looks at you like you are some kind of alien (a lonely alien (like most of the expats)) if you don't have anyone staying in your room. And I am convinced that this type of moral support helps healing.

 

(To be continued...)