Posted May 21, 2009 @ 4:02pm by pinky
Re: The Deal with Delayed Cord Cutting or “Hey! Doctor! Leave that Cord Alone!”
Curious? What is your education level? The reason I ask is that you have named every woomeister in the universe. I am surprised you have not mentioned Ghadi, Ina May and Santa Clause.
Tina Cassidy is a writer. She is not a authority on birth. I liked her book but I would get myself down to the medical library if you want to print up pros and cons of delayed cord clamping. You may start with the BMJ (British Medical Journal), they have done a few decent studies.
I am being very honest when I say that I am a bit frustrated with your question “Curious? What is your education level?” because you have asked me this question before and I was happy to answer it then (see below). I thought when you asked that question the first time you were merely being inquisitive but now I feel like there is more behind it and you are trying to discredit my post without presenting evidence to the contrary YOURSELF.
Here is the comment you wrote in April:
Henci Goer? I have to wash my eyes out now! You lost me on that one. I did however, like Tina Cassidy’s book. I thought it was fair and accurate. Many books have an agenda, which pisses me off to no end. How long have you been in L&D?
Here is my response:
nursingbirth Says: April 24, 2009 at 10:06 AM
Pinky, I’ve been a nurse for three years, in L&D for 2 years. I am curious to why you would ask that question because I have never tried to pretend I am somebody I am not and I feel that whenever someone writes a dissenting comment on my blog, they often ask “how long I have been a nurse for” as if that should somehow discredit all of my experiences and opinions. The fact of the matter is that while experience is an incredibly invaluable resource to have as a nurse and educator, it is NOT all that is important. Education, open-mindedness, drive, passion, commitment, compassion, intelligence, and desire to always keep learning as well as MANY other things play a BIG role too. I value all those who have come before me especially those who have been in the business for many many years, including other nurses, doctors, midwives, doulas, childbirth educators, etc. I also value each mother I work with knowing that they have just as much to teach me as I have to teach them. I also value anyone in my life that has a different opinion than I do, in any area, because I believe we can learn just as much about the world and ourselves from our friends as well as our dissenters. But I have to be honest, valuing only experience over all the other qualities that make up a great nurse is part of the reason why we have a nursing shortage….Nurses eat their young!
You are not alone as an RN who does not like Henci Goer as I have seen many other people in healthcare scoff at her book. But in my opinion she backs up everything she writes about with research, gives pros & cons for each intervention, and from the very beginning of her book she is very honest about the fact that she has an opinion and is not afraid to say it. It’s HER book after all. You may feel her book is pushing her own agenda but there are many OBGYNs, nurses, and midwives who do the same to patients every day in this country, without the evidenced based research to support it!
On page 10 of “Thinking Woman’s Guide” she writes, “The things you are about to read may well worry or distress you or even make you angry. I have not tried to be needlessly alarming, but I haven’t pulled any punches either. This book was written on the same principle as sex education: namely, I would prefer you to be uncomfortable rather than ignorant. My goal is for you never to have cause to say “‘I didn’t know that was an option’ or ‘I never would have agreed if I had known that could happen.’ You can, of course, also leave all or most of your decisions up to your caregiver. That is a perfectly valid choice. The important thing is that it be a conscious choice, not one you felt constrained to make.”
All in all I appreciate everyone’s opinion who comments on my blog and I am humbled that anyone is even reading my words. I am grateful for all that I learn from all of my readers and I hope you will continue reading.
Pinky, I find it quite amusing that you thought Tina Cassidy’s book was, and I quote, “fair and accurate” in April but now she is just a “woomeister” (whatever that is supposed to mean…) And for the record I personally admire both Gandhi and the wise Ina May Gaskin and I feel sorry that you do not! (Maybe it is because I believed in Santa Claus as a small child, a flaw in your opinion!)
The fact of the matter is that I do not have nor have I ever had any problem telling people my credentials when they ask. Perhaps my original response to you about my credentials was not complete enough. Part of me does not feel like I should have to repeat myself or go into any more detail. But apparently you insist I go more in depth. If that is the case then here it goes….
I graduated Summa Cum Laude with departmental honors from a large research university in the United States with a Bachelor’s Degree in Nursing. I spent 5 years in college because for the first year, I was a microbiology major on the pre-med track. It was a hugely positive change in my life when I switched into the nursing major since I truly feel like nursing is a calling for me. During nursing school I worked as a nursing assistant/nurse extern on an orthopedic/cardiac floor in a small community hospital for two years. I was published as an undergraduate my senior year of college in the journal entitled Issues in mental health nursing. For the honors program I wrote a 50+ page honors thesis and because of it I graduated with departmental honors.
I was inducted into the Sigma Theta Tau International Honor Society of Nursing my senior year. I arranged my senior internship to be conducted at a large teaching hospital in an Labor, Delivery, Recovery, Postpartum (LDRP) ward where I worked full-time nights, 7pm-7am, three days a week on top of going to school full time, for three months. After graduation from nursing school I got a job at a large teaching hospital in the medical-surgical float pool on evenings shift, 3pm-11pm. I worked on the orthopedic/neurology, medical/dialysis, same-day surgery, inpatient surgery, oncology/gyn surgical, and cardiac floors rotating each night to the floor that was the busiest. Occasionally I also floated to the emergency room, intensive care unit, and pediatric floor. After a year in the float pool I got a job on the labor & delivery floor where I have been working for two years. Our L&D ward is the high-risk hospital for cities and towns that span a 3 hour radius around hour city. I am also a fully oriented peri-operative L&D nurse which means I can work as a circulating nurse, auxiliary nurse, and scrub nurse during cesarean sections.
Through this blog I have been very open about still being a bit green behind the ears as a nurse. I know that I have a lifetime left of learning as a nurse and learning something new about my job every single day is one of my favorite things about being a nurse! I love being a nurse because it combines all of my career passions in life including advocacy, outreach, educating, supporting, and caring. This blog is a hobby for as it is a personal blog. I am not writing this blog on behalf of any organization or business, and I am not getting paid to write, however I do support a variety of organizations that promote natural childbirth, breastfeeding promotion, the mother-friendly childbirth initiative, and the baby-friendly hospital initiative including but not limited to:
My About NursingBirth page reads:
“This blog follows all HIPPA regulations. Names, dates, events, and descriptions are altered for the privacy of all who may or may not be involved. Unless otherwise quoted, all opinions expressed in this blog are my own. Although this blog should not be used as a substitute for medical or midwifery advice, I try my best to support all facts with the appropriate research and encourage all who stumble upon this site to talk to their midwife or obstetrician about any questions that may arise while reading my posts.”
I try to support all of my posts with appropriate research and resources but unlike you, I value different types of sources as long as they are well researched themselves. I value research published in medical journals and nursing journals however I also often quote various websites, blogs, and books about birth that may or may not (*GASP*) be written by obstetricians!! I value research and writings from obstetricians, nurses, midwives, pediatricians, nurse practitioners, childbirth educators, doulas, birth advocates, mothers, fathers, and yes EVEN writers and journalists. Now, I may not think it is appropriate for a journalist who wrote a book about the history of birth (like Tina Cassidy) to be an expert witness during a trial however I think that journalists and writers (again like Tina Cassidy and Henci Goer) have just as much of an ability to do a thorough and appropriate historical review or review of the literature as any other health care professional could.
You also wrote in your comment, “I liked her book but I would get myself down to the medical library if you want to print up pros and cons of delayed cord clamping. You may start with the BMJ, they have done a few decent studies.”
However in that very post you are referring to (Super Comment! Re: The Deal with Delayed Cord Cutting) I referenced two research articles from the Cochrane Collaboration (considered the gold standard of review of the literature and often used to create hospital policy or professional guidelines) which themselves INCLUDE references to the British Medical Journal (BMJ). You are right however, I did not quote every single research article out there that supports delayed cord clamping. If I was researching this topic in order to get published, well then yes, I would have referenced every one. But jeeze, cut me some slack! This blog, after all, is my HOBBY, not my full time job!
Also in that post I referenced the following health care providers that support and have written/spoke out about their support of delayed cord clamping:
George M. Morley, MD (retired OB): http://www.cordclamp.com/
Stuart Fischbein, MD (OB, California)
Sarah J. Buckley, MD (Family Practice/OB): http://www.sarahjbuckley.com/
Elizabeth Allemann, MD (birth center director): http://www.birthcolumbia.org/
Emmett Miller, MD (mind-body medicine physician): http://www.drmiller.com/
Barbara Herrera, LM, CPM (homebirth midwife): http://www.amamamamidwifery.com/
Gladys McGarey, MD (homebirth & holistic physician): http://www.mcgareyfoundation.com/
Allison Osborn, LM (homebirth midwife): http://www.alisonthemidwife.com/
I welcome hearty debate as a part of this blog and I read and try to respond to every comment that is posted. However I will not tolerate ad hominem (i.e. “replying to an argument or factual claim by attacking or appealing to a characteristic or belief of the source making the argument or claim, rather than by addressing the substance of the argument or producing evidence against the claim”) or defamatory attacks. If you continue to post such comments I will have no choice but to delete them, something I do not want to have to do.
Of course there is always the obvious, you could just stop ready my blog, or better yet, post your problems or concerns on your own blog which I know you have.
For more information on my personal philosophy please check out: My Philosophy: Birth, Breastfeeding, and Advocacy
I have said my peace and I will no longer take up a post or any of my time to respond to any such comments.