Non-intervention: Don’t Just Do Something; Stand There!

submitted by jwithrow.non-intervention

Journal of a Wayward Philosopher
Non-intervention: Don’t Just Do Something; Stand There!

February 26, 2015
Hot Springs, VA

The S&P opened at $2,114 today. Gold is up to $1,215 per ounce. Oil is back up to $50 per barrel. Bitcoin is up slightly at $237 per BTC, and the 10-year Treasury rate opened at 1.94% today.

Don’t just do something; stand there!

I chuckled when I heard this spin on the popular cliché in regards to the proper approach to natural childbirth. Then it occurred to me that this call for non-intervention is applicable for pretty much every other subject we take interest in here at Zenconomics: finance, economics, health care, education, government, all of them. Modern culture has taken a hyper-invasive approach in each of these areas to most everyone’s detriment.

Non-intervention in childbirth is based on the understanding that the mother is perfectly capable of delivering her child without any external ‘help’ save the support of her partner and her health care team. Non-intervention in childbirth operates on the firm belief that the mother’s body is perfectly designed for the task at hand and we have a lot of historical evidence to support this position.

We don’t know for sure how long the human race has been around. History textbooks tend to start the timeline around 10,000 B.C. and they say we were all cavemen for about 25,000 years prior to that. I have seen compelling alternative studies that suggest the caveman story is largely false and that humans existed at least 100,000 years ago with relatively the same genetic structure and cognitive ability. Regardless of the timeline, what we do know is that children have been born naturally according to the non-intervention principle for 99.9% of human history. Modern hospitals did not take shape until the turn of the 20th century and 95% of all children in the U.S. were still born at home in 1910. The number of homebirths plummeted to 3% by 1960 and looks to have bottomed at 1% in 1980. Approximately 5% of all births in the U.S. are currently homebirths outside of the hospital.

The data shows that complications do occur during natural labor about 10% of the time and the vast majority of these cases are minor but best addressed in a hospital setting. This is the primary risk when doing a homebirth but the risk can be mitigated with an emergency back-up plan. Fortunately, the possible complications are well-documented and they can be detected early simply by monitoring the baby’s heartbeat during labor which is now very easy to do thanks to the advancement of technology.

U.S. hospitals are extraordinarily good at handling emergency complications but this has led to a hyper-invasive approach. U.S. hospitals view childbirth as an emergency situation and employ all manner of invasive interventions during every birth whether or not a complication arises. This interventionist approach actually increases both the probability of a complication occurring as well as the severity of that complication because invasive interventions have unintended consequences. This is why you hear about so many birth horror stories in the U.S. Standard interventions like planned inductions, synthetic labor enhancing drugs, drugs for pain relief, and the restriction of free-movement disrupt normal physiology which can have undesirable effects on both mother and baby.

Non-intervention in childbirth is about trust. We must trust in the magnificent creative power that permeates the Universe. We must trust in the chaotic order and balance of the natural world. We must trust in the innate strength and wisdom of the mother. And we must trust in the majesty of childbirth.

The non-intervention philosophy is simple, holistic, and comprehensive. This applies to natural childbirth just as it applies to holistic wellness practices, free market economics, sound personal finance, childhood education, and the role of government which we will look at tomorrow.

Non-intervention requires a commitment to research, knowledge, and understanding which will cut through unsubstantiated fear and propaganda. It requires strength of will and a calmness of mind capable of tuning out the noise while tapping in to the inner wisdom we all possess. Perhaps most of all non-intervention requires an acceptance of personal responsibility: we are each personally responsible for every choice we make.

Non-intervention is not complicated but it does fly in the face of modern culture. We are constantly inundated with messages of insecurity, materialism, conformity, status, fear, intolerance, and hate from mainstream media sources – especially from the television “news” programming. These messages almost exclusively hold intervention as the solution to any problem and this outlook has shaped modern culture as most people buy right in to this way of thinking. But an amazing internal transformation occurs within those who tune out the noise and embrace the philosophy of non-intervention.

Our midwife made a profound statement to wife Rachel and I during our initial informational interview and the wisdom of her words still echoes in my head:

”A good midwife knows when to sit on her hands.”

I am convinced that this ability to sit patiently on one’s hands with a calm mind while the crowd screams for action is the peak of self-discipline.

Until the morrow,

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Joe Withrow
Wayward Philosopher

For more of Joe’s thoughts on the “Great Reset” and the paradigm shift underway please read “The Individual is Rising” which is available at http://www.theindividualisrising.com/. The book is also available on Amazon in both paperback and Kindle editions.

The Homebirth Advantage

by Ronnie Falcão, LM, MS– ICPA.org:homebirth

When it comes to what’s best for you and your baby, you can consider a midwife-assisted home birth as safe an option as birthing in a hospital or free-standing birth center. At a home birth, your privacy will be respected and you can enjoy birthing in an intimate, family atmosphere. By birthing at home, you’ll be treated like a woman going through a natural process. Too often in hospitals, birthing women are made to feel more like patients with a dangerous condition.

Homebirth midwives carry the same equipment and medications found in a birth center. These includes hand held Dopplers and state-of-the-art machines for continuous monitoring of the baby’s heart rate, if necessary. Midwives also bring suctioning equipment and an oxygen tank to every birth, in the rare event they are needed. Anti-hemorrhagic medications will be on hand to prevent postpartum hemorrhaging, as will suturing equipment in case you tear.

In fact, midwives practicing in homes or independent birth centers can do everything that a midwife in a hospital could do. A 2009 Canadian study compared safety rates for planned home births and planned hospital births attended by the same cohort of midwives. They also evaluated the safety of planned physician-attended hospital births for a matched population of low-risk women who could have opted for home birth or hospital-birth midwives. Of the three groups, the home birth group had the highest safety statistics, including the lowest rate of interventions, serious perineal tearing and hemorrhaging. Babies born at home required resuscitation less often than those born in the hospital, and were less likely to experience meconium aspiration. Thus, the study indicated that home births were not only safer for low-risk mothers than any other birthing environment, but that they also called for less medical intervention.

One key difference is that professional midwives, in whichever setting they practice, work to recognize problems that could potentially interfere with a safe birth, and seek to correct them before they become major problems. They are also trained to handle life-threatening emergencies that can occur suddenly during a birthing, such as shoulder dystocia, postpartum hemorrhage or placental problems. Interestingly, each one of these emergencies occurs beyond the point when a cesarean section is still an option.

During the hours leading up to a birth, if a cesarean becomes necessary, there is a safety margin of 30 to 75 minutes in which to assemble a surgical team. For this reason, many midwives recommend that women labor within 30 minutes of a hospital as their emergency backup plan. This provides the same safety margin as women birthing in hospitals.

A landmark study on home birth safety was published in the British Medical Journal in June 2005. Like the 2009 study, this study showed that home births and hospital births had similar overall safety rates, but that there were fewer interventions and fewer complications for the home births. This prospective study with a rigorous research design is was most comprehensive North American study regarding birthing location options. A suite of home birth safety studies from the United Kingdom in 1996 also showed home to be as safe as or safer than a hospital for low- and moderate-risk women. In a 1999 review of all the literature on the relative safety of different birthing locations, childbirth researchers Luke Zander and Geoffrey Chamberlain concluded, “No evidence exists to support the claim that a hospital is the safest place for women to have normal births.”

Safety Begins at Home

There are several reasons why midwife-attended home births are safer than hospital births for most women. The first is that birth is a natural bodily process that works best without interference. A home birth with a midwife attending assures you that risky medical intervention will be kept to a minimum. (For example, Pitocin and epidural anesthesia, routinely administered in hospitals, introduce significant risks to both mother and baby.) Most problems that arise at home can be corrected with position changes or by providing the mother with food or better hydration— safe and helpful tools which are, ironically, often forbidden in many hospitals.

The second reason that home birth is safer is that the infection rate at home births is less than half that of hospital births. There are several reasons for this. First, the baby is born with the mother’s antibodies, passed through the placenta. These include immunity to the family’s household germs. Hospitals are notoriously germ-infested, and a mother isn’t able to offer herself or her baby the same degree of immunity from that environment. Second, homebirth midwives know not to wash off the protective, antibacterial vernix covering the baby’s skin. Third, because mothers and babies are never separated, the baby’s immature immune system is able to function optimally, without the stress and disruption of the baby being taken from its mother. Furthermore, the continuous mother-baby interaction fosters successful breastfeeding, which is the baby’s best protection against infection from the moment of birth. Midwives provide continuity of care and comprehensive mother/baby care at a level impossible in the assembly-line nature of hospitals.

Many women wonder whether they’ll be able to give birth at home without drugs; in fact, most women do just fine. Many women who have had babies both at home and in the hospital assert that birthing is much less painful at home, in familiar surroundings, with birth attendants who could cater to every need.

Childbirth classes teach about the fear-tension-pain cycle, whereby fear increases tension, causing the cervix to constrict rather than dilate, which in turn increases pain. It’s a process that’s counterproductive to birthing. When fear is absent from the birthing environment, the opposite cycle can play out: confidence-relaxation-comfort. That is, the more confident you are, the better able you are to relax, and the more comfortable you’ll be. This allows your body to secrete endorphins, which are the natural pain relief intended by nature for the mother’s body during natural childbirth.

As a laboring woman’s body produces more oxytocin to increase the effectiveness of her contractions, she also produces an equivalent level of endorphins for pain relief. (These endorphins aren’t produced if the mother is under stress or feeling afraid.) It is not uncommon for women to become increasingly relaxed as labor progresses, due to their endorphin levels climbing as the intensity increases. It’s easy to imagine how being in your own home can increase your confidence and ability to relax. A birthing tub provides even greater comfort, immersing the mother in the warm weightlessness of water.

Water birthing offers the woman the option of laboring and birthing in a tub. When a baby is born in water, the baby continues to receive all of its oxygen through the placenta until it is above water and using its lungs successfully. Thus, there is no risk of drowning, even if the baby crowns slowly over several contractions. The buoyancy provided by the water seems to help the mother and baby find the optimal position for birthing. In addition, the warm water increases blood flow to the uterus, which not only provides the necessary oxygen to the baby, but facilitates cervical dilation and reduces pain. Babies born in water are usually in excellent condition, and they are easily comforted by the familiarity of warm water.

The experience of birth for the baby at home is usually very gentle. We know that babies recognize voices during late pregnancy, so it is believed that the baby recognizes the midwife’s voice as someone nonthreatening and familiar. Homebirth midwives don’t use any devices that go inside the uterus or might be uncomfortable for the baby, and women are encouraged to birth in a position they choose. Positions chosen by the mother, such as an upright position, or on her hands and knees, tend to minimize stress on the baby and facilitate an easier birth.

Many homebirth couples choose to catch their own baby, and the assessment of baby’s well-being right at birth can be easily done with the baby still in the mother’s arms. Some midwives don’t ever hold the baby until the mother feels ready to have the baby weighed. Most parts of the newborn exam can be performed with the baby in the arms of the mom or dad. And because there is no rush to cut the cord, the baby receives all of its nutrient-rich cord blood, as nature intends.

Families who already have a little one at home appreciate how much easier it is for the older sibling to adjust to a new baby when their mom doesn’t mysteriously disappear for a few days. It may be wise to have a special family friend or a professional child doula there to care for the older child during the birth, but many siblings happily participate during the birth or sleep right through the excitement.

Easier Than You Think

The logistics of planning a home birth are often not as complex as couples assume. Babies born at home get a birth certificate and social security number, just like hospital born babies. (Your midwife can provide the necessary paperwork.) Birth kits with disposable supplies can be easily purchased online. Even larger items, such as birthing tubs, can be affordably purchased or rented.

Home birth provides an opportunity for a safe and satisfying birth experience, putting the needs of the baby first. She’s the most important person during the event: Shouldn’t she be treated like it?

Article originally posted at ICPA.org.

A New Healthcare Model?

submitted by jwithrow.caduceus-30591_640

Journal of a Wayward Philosopher
A New Healthcare Model?

November 5, 2014
Hot Springs, VA

The S&P opened higher at $2,019 this morning, gold has been hammered down to $1,143, oil is hanging around $77, bitcoin is up to $341, and the 10-year Treasury rate is coming in at 2.36% today.

Gold continues its decline despite this philosopher’s staunch support. Nothing has changed with gold’s fundamental role within the financial system; gold’s price decline is directly due to the U.S. dollar temporarily rising in strength. In fact, thinking of gold in terms of its dollar price tends to be misleading – the dollar fluctuates up and down depending on which way the breeze is blowing while the yellow metal continues to plug steadily along much like the fabled tortoise against the hare. Slow and steady wins the race.

Last week I shared with you wife Rachel and my childbirth experience. The focus of my previous entry was on the actual birth experience itself and I described the fantastic healthcare service we received from our midwife and doula.

What I failed to emphasize was that our healthcare team provided so much more value than simply helping us through the birth process. They provided sound counseling, education, support, and wellness monitoring throughout the entire nine month period leading up to the birth. They offer these same comprehensive services for an entire six week period post-birth as well. Additionally, our midwife has been a reliable resource for us at all hours of the day – wife Rachel has sent her many questions via text message both before and after birth to which she received a prompt answer. Further, our midwife has offered to answer any questions we may have at any time going forward, even beyond the six weeks of post-partum services we paid for.

And speaking of payment – we paid for these services in cash without having to deal with any insurance companies. The entire experience harkens me back to a by-gone era of relative freedom in which small-town family doctors made house calls and actually cared more about their patients than their pharmaceutical sales rep.

What seems to be forgotten is that health insurance was designed to mitigate major catastrophes; it was not designed to pay for every dime of medical care and every new drug that rolls off the production line. Of course the entire health insurance industry has been corrupted, twisted, convoluted, and mangled into some form of a socio-fascist system that seeks to govern and dictate all manners of health care to individuals. Oh, and in exchange for such a tyrannical system individuals get to pay skyrocketing prices for their insurance policies. I read that employer open-enrollment periods were pushed back this year until after the midterm elections – presumably so voters wouldn’t know how high their premiums were planning to jump prior to the election.

The only possible result of the cartelization of the healthcare industry by the big-government/big-insurance/big-pharma alliance is a drastic reduction in the quality of care available and a drastic increase in the price of this care. I don’t know what the solution is for the poor Baby Boomer generation that will see their healthcare costs skyrocket at the exact point in time they need care most. I suppose they can continue trying to vote the system away and I wish them the best of luck in that endeavor. But I don’t think there are political solutions to political problems.

There may be a little more hope for the younger generations: they may be able to “opt” out of the system as it gets worse by avoiding insurance and paying cash for medical care. I suspect we will see certain doctors offer contractual services similar to how our midwife runs her practice. Instead of going through the insurance company, people could pay monthly installments to their doctor in exchange for personalized service. This service could include an open line for phone calls and text messages, house visits as needed, or maybe even after-hour office visits with no waiting room to sit in.

To my knowledge (and I am certainly no expert) there is nothing illegal about such a model at the current time – the Obamacare mandates apply specifically to insurance-related care. Of course this model would become obsolete if the gun-toting health enforcers start kicking in doors and hauling people off to jail for taking charge of their own healthcare. Until then, why not regain individual sovereignty and opt out of the system to the greatest extent possible?

More to come,

Signature

 

 

 

 

 

Joe Withrow
Wayward Philosopher

For more of Joe’s thoughts on the “Great Reset” and regaining individual sovereignty please read “The Individual is Rising” which is available at http://www.theindividualisrising.com/. The book is also available on Amazon in both paperback and Kindle editions.