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Midwife Musings 

The depths of our loss of Village

9/10/2023

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Did you know ... ?

"Maternal suicide remains the most common cause of direct and indirect maternal mortality in Victoria."

http://rcvmhs.archive.royalcommission.vic.gov.au/Consultative_Council_on_Obstetric_and_Paediatric_Mortality_and_Morbidity.pdf

This is something everyone needs to know. We all need to open our eyes and take this in. It is common to be aware of the physical causes of death and 'risks' associated with childbirth, it is the story of many women within the maternity system to be informed of the risk of death or injury to themself or their baby associated with birth and pregnancy choices, of procedures, of birth in general. But how often are we made aware of the greatest risk to mothers at this time? Of suicide.

This is preventable death, this is our lack of village hidden in the dark places on one like to look at. Thinking of the image of mother and child holds different meaning too each of us, but for most there is a sense of joy a sense of loving. The bond between mother and child can be considered one of the most potent connections of our lives. 
To know that this bond is severed in one of the most tragic ways imaginable more often then we like to believe is hard to accept. As a community, as a village is is one statistic we can all contribute to changing. 

To health professionals- we need to bring specific awareness, assessment skills, intuition, and compassion to our clinical practice. We are so often the contact point, the opportunity, the moment to read between the lines. 


I recently attended this workshop which i highly recommend
https://livingworks.com.au/training/livingworks-asist/#:~:text=The%20two%2Dday%20ASIST%20workshop,access%20help%20and%20find%20hope.

For women who are pregnant, make plans for support every step of the way, and new mothers who are fighting to have a reason to live  - TELL SOMEONE NOW.
You are worth it, life is worth it, there is nothing you cant come back from


https://www.lifeline.org.au/
13 11 14

https://www.beyondblue.org.au/

To anyone else who sees this, check in with new families, if you see a mother, SEE her, not just her baby. You can admire the wonder-human she has made, who she has gifted this earth with, who she is nurturing with all she has, but also ask her how she is doing and listen closely for the answer. 

The story that follows is another example of how our 'loss of Village' has profoundly effected me as a practicing midwife. 

*trigger warning- Infant death*

I once met a woman in the emergency department who was transferred to my workplace from another hospital where she had birthed just a few hours prior. She had fallen asleep during breastfeeding her newborn for the first time and had suffocated him. He required extensive resuscitation and came to my workplace for the Neonatal Intensive Care Services, and after a week or so his life support was turned off. 

In what culture is a mother, newly birthed, alone? Ours. This woman should have been surrounded by care, if not for her physical support as she rests, then for the pure celebration of her achievement. If not to care of the baby when her arms are tired, then to marvel at the feeling of being present with our world’s newest human being. Did we forget just how miraculous this is, just how intelligent her body was, how to have gratitude for our fertility and growth as a species?

It simply would not have happened in times gone by. Our culture, within the hospital has restrictions on visiting times, the number of visitors, now the vaccination status of visitors, restriction on staff, pressures of time and space. Protocols on who is allowed to be with a ‘patient’, and when. This hospital that does so well at mending and saving people, also breaks them. We did not see this WHOLE woman and we failed her.

I sat with this broken woman for hours. She told me how difficult her life had been leading up to the birth, she had had very little rest due to multiple stressors in her life, and everyone around her had been holding on to the feeling of hope this baby would bring. The pressure was high, and the support was, well, non-existent. 

This is an extreme example of where our lack of Village has failed us. It failed her. As a midwife, I carry her story, deep in my heart. I carry her grief.  I know how deeply the loss of our Village is felt inside us, even if we do not yet know it. I carry her story, along with so many other tales of the lives of those I have brushed paths with. I hold them inside me, they are my fuel for making a better world. Their energy, the force that drives me on. This loss will not be forgotten or had in vain. It will be the life that transformed into saving the life of others, to saving humanity and saving our earth.
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The Heart of Midwifery

1/3/2021

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There are too many. The number feels insurmountable. It is crumbling down all around me. The hope for our future, so deeply entwined and entangled in the way we are born, the way we are birthing. There are too many to count, too many broken stories to listen to, too many whose hurt needs to be shared, witnessed and healed, somehow as I am writing this, I am challenging it, the natural-world which holds me, is challenging it. There is hope in the capacity of humans, as an entity of nature, to hear the pain, to take in and transform the hurt, to heal the numb and to bring about a change. A change as gentle as a breeze that inspires the leaves to flutter a certain way and as strong as the branches that then start to grow in the same direction.

The torch illuminating the path of our future is held by each human, igniting at birth to light up the spirit of motherhood and beam hope at all those present. However, the ability for this glowing light to be truly felt is diminishing, it is over-shadowed by the darkness of trauma experienced by increasing numbers of birthing women, but also by all those present, not excluding; family, birth attendants, midwives and doctors who have invested a heart-felt connection to this moment, this birth. I am not speaking of a feeling of surface joy, that the labour is over, or the feeling of holding a newborn, although these too can be spectacular. I mean really feel with the deepest most vulnerable and powerful part of us, their existence, the; physical, metaphysical, microcosmic moment of their entrance. Feel the overwhelming tide of their permanence, their absolute spotlighted and unfettered presence in the world. Feel the depth of their belonging radiating, feel the  ripple like the landing of an inseparable droplet of our-self into the pool of our hearts, the shores of which are our inner terrain. The waves of that moment reaching every boundary and interface between our heart and our personal story as an evolving, historical landscape. There are places of deep fear, and places of deeper love, however, our terrain always has mountains of protective womanhood, where generations of women have ventured before us. The ‘I will go anywhere and do anything’ feeling of power. Not ‘I can’, but ‘I will’. ‘I am’.

I have attended in some capacity over a thousand births, and I am witness to the diminishing and the quietening of women acknowledging their essence of strength. The lack of the ‘I am’. ‘I am mother’, ‘I am birther’, ‘I am power’, ‘I am nature’, echoes lonely in my heart like a whisper in the dark. It is my greatest longing for the feminine in our culture to reclaim that voice. To hear its resounding return to our hearts when shouted over the valley of our silenced culture. For the voice to be heard, met and echoed loudly by women all over the world. 

It is nothing less than a sacred privilege to share this passage with new life. To hold, at that moment the newest person in our beautiful world, to hold their space to exist. To hold their mother and family in this monumental eclipse in time. I used to say ‘I cannot believe I get paid to do this work’. This work that came to me from afar, from way back in time, it was as though this precious bundle of passion and skills flew though time and space with purpose and direction, and landed deep in my heart. However, the defeat I feel now is heavy. It is a burden at times to be given this as my passionate duty. So heavy that I quietly took my radiant beam of light and hope out of this world, and I suppose it was a darker place because if it. I was still, and am still, a skilled and compassionate midwife, my loving presence cannot be denied, but my heart was too heavy to carry on. 

Women are missing their calling; they’re missing the opportunity to feel and embody their power. The power that is needed to stand up against the force of a weight that is far greater than any individual alone. To dissolve the destructive course our women-body’s, as a reflection of the suffering earth, are surviving rather than thriving through.

Countless babies who grow from a seed in the womb of the universe, developing every part of their being and existence through feeling (their other senses hampered by the womb in its fluid-filled darkness, magnifying their ability to feel and sense) are being born into a space in time where no one truly, wholeheartedly felt the gravity and utter beauty of that moment. There is an infinite pit of midwife grief in my heart. Infinite sounds big, it is, it is the size of our collective feminine energy burning at the heart of creation. It  mother earth silently breaking watching her beloved infant humans suffer. It is infinite for the very purpose that I have endless compassion and energy to mend this heart ache, and will therefore, always, with all my being, be the gentle breeze that sways the leaves to change the course.

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    Author

    Zoe Lock.
     *Please read these words knowing that I have written them in moments of deep feeling and reflection. They are not the whole story, they are my personal accounts and experiences and as time changes me, it also changes my reflections.

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I acknowledge the Wurrundjeri people of the Kulin nation as the traditional custodians of the land I call home. I thank them for caretaking this land for all of time before now, a caretakership that will continue for all of time to come. I pay my respect to the elders of the past, the elders of today and the elders of the future. I acknowledge that sovereignty was never ceded. 
I have gratitude for the resilience of the people who have maintained and shared the stories, songs and traditions that are deeply embedded in the story of this land from which I benefit every day. 
This always was and always will be Aboriginal and Torres Strait Islander land


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