Obstetrics Quotes

“If the cardiologist thinks the heart is a wonderful organ, the cardiologist never have heard of the uterus.”
― Elmar P. Sakala

“We all knew where the goop originated and could have defended ourselves, but the origin of the fusillade doubled as the center of the action. Once the baby’s scalp protruded, we all hunkered down and braced ourselves.”
― David Z. Hirsch, Didn't Get Frazzled: humorous medical fiction

“There's a big difference between an intervention that's introduced or suggested due to a true medical need - or even by your request - and one that's due to impatience; a difference between someone saying "We're noticing this, let's discuss your options as well as our recommendations and reasons" and "We're noticing this, and you have to do this." In the first case, a care provider gives information and wants to talk options; in the second, the care provider uses fear and shaming to coerce the decision they want. Having a working, respectful, and good relationship with your care provider can make all the difference here, but so can your clarity about this one thing: you deserve respect, options, and support. If you are feeling pressured into an intervention, if you are feeling guilted into an intervention, if you are feeling ignored, disrespected, or embarrassed in any way, as if you need to make a certain choice to please other people in the room, this is not good care and you need a second opinion - or a new care provider.”
― January Harshe, Birth Without Fear: The Judgment-Free Guide to Taking Charge of Your Pregnancy, Birth, and Postpartum

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― Drelsa

“The impact of obstetric drugs on the human race cannot be overemphasised. Globally, 500,000 deaths result from illegal drug use, and over 70 percent of these deaths are opioid-related. In 2018, some 58 million people around the world were known to use illegal opioids; the unknown number would be significantly higher. Between 2010 and 2018, the number of fatal opioid overdoses in America increased by 120 percent. Fentanyl and other drugs used in an obstetric context were involved in two-thirds of these deaths; in 2018, there were over 31,335 deaths involving fentanyl and other synthetic narcotics alone.”
― Antonella Gambotto-Burke, Apple: Sex, Drugs, Motherhood and the Recovery of the Feminine

“The relationship between obstetric drugs and sometimes ultimately fatal intoxication in adulthood is not accidental. Through amniotic fluid, the foetus develops a taste for the foods his mother prefers; this transmission is thought to assist the transition to nursing and, after weaning, to solids. The same transmission of preference applies to substances, meaning that a pregnant woman who drinks or uses drugs passes the preference to her foetus.

Logically, this principle applies to the placental transference of obstetric drugs.”
― Antonella Gambotto-Burke, Apple: Sex, Drugs, Motherhood and the Recovery of the Feminine

“What this suggests is that ‘widely used’ obstetric and infant drugs such as phenobarbital dysregulate the infant’s dopaminergic (dopamine-activating) system, permanently reducing his potential for pleasure and creating an imbalance he later seeks to redress through dopaminergic compulsions – substance-use disorders involving drugs such as cannabis, heroin, or LSD, say. Or sexual addiction. And, while the nature of pornography is determined by the culturally sanctioned birth abuses of mothers and babies, the impact of pornography is determined by the susceptibility created by drugs given to mothers and children.”
― Antonella Gambotto-Burke, Apple: Sex, Drugs, Motherhood and the Recovery of the Feminine

“Given that observable neurobehavioural characteristics in adulthood are determined in part by GABA-A receptors in early life, and the impact of GABA-acting drugs during pregnancy – in particular, on the construction of the brain – have been said to lead to ‘a cascade of pathogenic consequences’, it’s clear that the long-term effects of phenobarbital regularly administered during infancy would be severe.”
― Antonella Gambotto-Burke, Apple: Sex, Drugs, Motherhood and the Recovery of the Feminine

“Mother: a humanoid thing blinded by bandages, nurturing breasts hidden, limbs restrained, tongue lolling from its slack mouth, and with no recognisable sweat signature.”
― Antonella Gambotto-Burke, Apple: Sex, Drugs, Motherhood and the Recovery of the Feminine

“Modern obstetrics still preaches that birth is a battle between mother and child and worries that babies grow too large to safely exit the bodies that built them. However, obstetricians cannot accurately discern a baby's size in utero toward the end of a pregnancy, according to recent studies. When ultrasounds predict big babies, they are wrong about half the time, far too frequently to be relied upon. This fact has not stopped doctors from inducing or scheduling surgery for pregnant people, essentially claiming they cannot birth their own babies, that their babies won't fit through the birth canal before they have even tried. Despite obstetric alarm sounding, what we know hardly suggests that women routinely build babies too large to birth.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“....birthing a larger-than-average baby is far less risky to a pregnant person than her doctor thinking she is carrying one. One study compared women whose doctors suspected they were carrying large babies (babies bigger than eight pounds, thirteen ounces) with women who gave birth to large babies that doctors hadn't anticipated. The group predicted to have big babies was three times more likely to be induced, more than three times as likely to have C-sections, and four times as likely to have birth complications. Far more problematic than a big baby is the need to intervene.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Squishy, stretchy babies adapted big brains but also soft, mobile heads to fit through their mothers' birth canals. Mom's hormones encourage pliability in the ligaments that hold her bones together—pelvises widen during the fertile years and, of course, during pregnancy and birth. [...] These adaptations seem to disprove the argument that birthing pelvises are the wrong size and shape to birth, that they lack compatibility with their babies. Labor is like two bodies dancing, not fighting.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Ultimately, why we birth the way we do transcends the boundaries of our bones. Physiologic labor is a complex process involving, yes, bones, but also tissues, muscles, organs, cells, hormones, an exchange of signals between two people, mechanical changes, emotions. Bones are easier to see and study, so bone shape and size are what obstetricians, historians, and anthropologists have historically prioritized.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Hands speak more intimately than words," writes author Aundre Aciman. He's discussing the deaf here, specifically his mother, but I immediately think about healthcare, about perinatal care specifically. Touch is intimate. It can excite, comfort, heal. It should also be welcome. [...] Entry to a person's body should occur by invitation only, never amid confusion, never by coercion.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Hands speak more intimately than words," writes author André Aciman. He's discussing the deaf here, specifically his mother, but I immediately think about healthcare, about perinatal care specifically. Touch is intimate. It can excite, comfort, heal. It should also be welcome. [...] Entry to a person's body should occur by invitation only, never amid confusion, never by coercion.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“As a laboring person, it's hard to know whether the resident or nurse trainee is capable and caring or is following orders to do something to your body, to rush your labor because of hospital quotas and conventions, with or without your consent.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“...when I became pregnant with my third kid, these seemingly small moments of nonconsent replayed in my mind—the obligatory pelvic exam, the needle in my arm, the bruise like rotten fruit, the lithotomy position someone put me in both times. Sure, both births were beautiful, vaginal, natural—tick, tick, tick on the boxes of imaginary birth "success." But these were the moments I couldn't shake, that wedged themselves in and made me angry, ill.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Tracey Vogel, an anesthesiologist also trained as a rape crisis counselor, told me that trauma-informed care, crucially, shifts power. "It takes us from 'I am your doctor, and this is what I'm going to be doing to you' to 'I want to know what you might need from me,'" she explained.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood

“Globally, most women have babies, and it seems that a high percentage of them are still suffering postpartum injuries long after their births. Urine leakage starts with the pelvic floor. One doctor told me that families commonly give up on caring for their aging loved ones when they lose bladder control. Kids don't want to change their parents' diapers. Urinary incontinence is a leading cause of nursing home admissions for women. This means that whether or not you can live your final days independently may come down to what's unresolved from giving birth, in a part of your body you don't really understand or might not even know is there.

The healthcare system isn't just failing postpartum women. It's failing women of all ages for their entire lives.”
― Allison Yarrow, Birth Control: The Insidious Power of Men Over Motherhood