Latest / MyMaine Birth / 159. MyMaine Birth: Pitocin Overuse, Uterine Rupture, and the Critical Need for Informed Consent with Katie Spinks
Transcript
- 0:00Angela: I'm Angela, and I'm a certified birth photographer, experienced doula, childbirth educator, and your host here on the My Main Birth Podcast.
- 0:10Angela: This is a space where we share the real life stories of families and their unique birth experiences in the beautiful state of Maine.
- 0:17Angela: From our state's biggest hospitals to birth center births and home births, every birth story deserves to be heard and celebrated.
- 0:27Angela: Whether you're a soon-to-be mom, a seasoned mother, or simply interested in the world of birth, these episodes are for you.
- 0:35Angela: Hey everyone, welcome to episode 159 of My Main Birth.
- 0:42Angela: This week I've been exploring the difference between the idea of rebirth and the ideology that can easily develop around it, especially after a previous traumatic experience.
- 0:53Angela: Before we begin, I want to offer a content warning.
- 0:58Angela: Today's episode contains a detailed discussion of a very traumatic birth.
- 1:03Angela: So if you're pregnant or not in a place to hear this kind of story right now, please skip this episode.
- 1:09Angela: Today's conversation is a powerful and very important one.
- 1:14Angela: My guest is Katie Spinks, a childbirth educator and doula who's lived through a very traumatic birth experience.
- 1:21Angela: During her daughter Jolene's birth, excessive pitocin led to a uterine rupture.
- 1:26Angela: Katie was in extreme pain while her concerns were dismissed by the medical team.
- 1:30Angela: What unfolded that day changed her life forever.
- 1:34Angela: Julian suffered a severe brain injury called HIE, which stands for hypoxic, ischemic encephalopathy, which also led to cerebral.
- 1:44Angela: Katie has been fiercely advocating for her and has started pursuing expensive experimental treatments, including stem cell therapies in Mexico, along with her ongoing intensive therapies.
- 1:56Angela: While Katie's story is particularly severe, birth trauma happens every day on so many different levels and in so many different ways.
- 2:06Angela: In this conversation, Katie bravely shares the story of Jolene's traumatic birth, the uterine rupture, and the lasting impact it has on her family.
- 2:15Angela: We talk about the bigger questions many women face after difficult hospital experiences and where the line sits between healthy autonomy after trauma and ideology that can sometimes go too far.
- 2:28Angela: Check out the show notes for all of the links to connect with Katie, especially if you feel called to donate to her journey of exploring some very interesting experimental treatments for Jolene.
- 2:39Angela: You can find Katie on Instagram at Katie underscore spinks underscore or on Facebook just as Katie Spinks.
- 2:49Angela: And again, I have all of her information linked in the show notes.
- 2:52Angela: So please go give her a follow and show her and Jolene some love.
- 2:57Angela: Alright.
- 2:59Angela: Hi Katie, welcome to my main birth.
- 3:01Angela: To get started, would you share a little bit about you and your family?
- 3:07Katie Spinks: So my name is Katie.
- 3:08Katie Spinks: I'm 37 and I live in Virginia.
- 3:11Katie Spinks: I have six children altogether.
- 3:14Katie Spinks: Two of them are deceased, and my youngest is six.
- 3:20Katie Spinks: Yeah.
- 3:20Katie Spinks: No, yeah, Jolene is six.
- 3:21Katie Spinks: I'm like, hold up.
- 3:22Katie Spinks: She was born in 2020.
- 3:23Katie Spinks: Um she was my fourth pregnancy and fourth birth.
- 3:30Katie Spinks: And then the two babies after her passed due to preterm delivery.
- 3:34Katie Spinks: They just, they were too young.
- 3:35Katie Spinks: They couldn't be resuscitated.
- 3:37Katie Spinks: So um they didn't make it.
- 3:39Katie Spinks: Um, yeah, I don't really, there's nothing a lot to say about me.
- 3:43Katie Spinks: You know, like my life is pretty much revolved around my kids, especially taking care of Jolene since she requires total care.
- 3:50Katie Spinks: Um, but yeah.
- 3:53Angela: Now, would you share a little bit about your first pregnancy in birth?
- 3:57Katie Spinks: Yeah, my first pregnancy, I was pretty young.
- 3:59Katie Spinks: I would think I was 19 or 20 years old.
- 4:02Katie Spinks: Uh, pregnancy was totally fine, uncomplicated.
- 4:06Katie Spinks: Birth was also fine and uncomplicated.
- 4:09Katie Spinks: I was 40 and a half weeks.
- 4:12Katie Spinks: I'm pretty sure if I remember correctly, it's been a long time.
- 4:14Katie Spinks: It I was 40 weeks and five days when I had her.
- 4:18Katie Spinks: I was induced.
- 4:20Katie Spinks: Um, it went literally perfectly fine.
- 4:22Katie Spinks: Like I couldn't have, if there was anything I could change, I wouldn't have changed anything.
- 4:27Katie Spinks: It went really, really well.
- 4:28Katie Spinks: There were absolutely zero issues.
- 4:30Katie Spinks: Same with like healing and postpartum and everything.
- 4:33Katie Spinks: I I had absolutely no issues at all.
- 4:36Angela: Yeah.
- 4:36Angela: So would you share a little bit more just about that experience with that first induction for you and the doctor that supported you?
- 4:45unknown: Yeah.
- 4:46Katie Spinks: So I lived in a different state when this happened.
- 4:48Katie Spinks: And, you know, that was 16 years ago too.
- 4:51Katie Spinks: Um, the induction, like everything was was was great.
- 4:55Katie Spinks: I know that when I did go in there, I was already pretty dilated because I remember them saying, like, oh wow, you know, like you're this is your first baby.
- 5:02Katie Spinks: You're so young.
- 5:03Katie Spinks: This is great.
- 5:03Katie Spinks: Like, I do remember them being excited that I was already fairly dilated.
- 5:07Katie Spinks: I want to say it was like four, four, maybe five centimeters dilated already.
- 5:10Katie Spinks: The doctor, she was really supportive.
- 5:12Katie Spinks: I remember having a nurse, sometimes two nurses in there all the time.
- 5:17Katie Spinks: You know, like they they moved me a lot.
- 5:19Katie Spinks: They were very attentive.
- 5:21Katie Spinks: They made sure I was okay.
- 5:22Katie Spinks: The doctor was in and out throughout the whole process.
- 5:26Katie Spinks: Um, she just everybody was great.
- 5:29Katie Spinks: I have absolutely nothing bad to say.
- 5:31Katie Spinks: They were so kind, they were attentive.
- 5:33Katie Spinks: Um, I never once had to feel like any pain or feel like I wasn't being heard or anything.
- 5:40Katie Spinks: It really was such like a beautiful experience.
- 5:43Katie Spinks: Like I couldn't have asked for a better experience.
- 5:46Angela: What do you remember around how they used Pitocin during that birth?
- 5:50Katie Spinks: I don't remember much of anything, but for what I know from Pitocin now and using it many more times, I don't feel like my dose was really high because I don't remember feeling excruciating pain.
- 6:04Katie Spinks: Like I waited for a little while to get the epidural because I was really afraid to get the epidural because I was so young.
- 6:11Katie Spinks: But I just don't remember being like in excruciating pain.
- 6:15Katie Spinks: I remember feeling like it was a really intense period cramp.
- 6:18Katie Spinks: So I don't feel like they had my dose very high.
- 6:22Katie Spinks: And I do remember them shutting it off before the doctor came in to help me push.
- 6:28Angela: How was your postpartum then with her?
- 6:30Katie Spinks: It was great.
- 6:31Katie Spinks: Like, obviously, postpartum is is not fun, like healing and stuff.
- 6:34Katie Spinks: I did have a tear, so I was healing more than just like birth and all that.
- 6:40Katie Spinks: I think I went back to school when she was like two weeks old.
- 6:43Katie Spinks: So it really wasn't bad.
- 6:45Katie Spinks: Like, I have I have no complaints.
- 6:47Katie Spinks: It was it was really it was nice.
- 6:49Katie Spinks: And I had a doctor, like I said, like she was great.
- 6:52Katie Spinks: Like she had me come in, I think like once a week for the first couple weeks because I did have those stitches.
- 6:58Katie Spinks: And I guess I was young, like a young mom, and I was doing it alone.
- 7:00Katie Spinks: So she just like she was very attentive.
- 7:03Katie Spinks: So it was it was really nice.
- 7:04Katie Spinks: It was, I don't want to say like it sucks having that as my first experience, because then it kind of like set me up for next experiences, but it was nice that that was my first experience, and the first one wasn't super traumatic.
- 7:18Katie Spinks: But then I, you know, held that those standards with the rest of my births because I was like, well, this was great, and everybody was great, and everybody was so kind and and so attentive, and and they all cared, everybody should be like that.
- 7:31Katie Spinks: You know, just it definitely wasn't like that.
- 7:34Angela: Now, would you share a little bit about your second pregnancy and birth?
- 7:38Katie Spinks: For my second one, my son.
- 7:40Katie Spinks: The birth I did go into preterm labor quite a few times in my third trimester.
- 7:46Katie Spinks: I think I was on bed rest from 34, 35 weeks on because I just like I kept going into preterm labor.
- 7:54Katie Spinks: But I was also like, I was working a lot, I was like really stressed out.
- 7:57Katie Spinks: I had another child to care for.
- 7:59Katie Spinks: Um, it was just it was a lot.
- 8:01Katie Spinks: So pregnancy was rough, but he was healthy, you know, like nothing ever happened to him throughout the whole pregnancy.
- 8:08Katie Spinks: It was just a lot because of everything that I had going on.
- 8:11Katie Spinks: And for his birth, he was also an induction.
- 8:15Katie Spinks: And I remember that one being like a little bit, well, a lot more traumatic than my first one because everything, like all the patos and stuff, just kept making his heart rate drop.
- 8:25Katie Spinks: So they were constantly like flipping me, putting the bed upside down, like fixing me here, do like it was just a lot of movement.
- 8:32Katie Spinks: And I remember maybe I was it was before the doctor came in to push.
- 8:36Katie Spinks: So maybe I was like eight, nine centimeters.
- 8:38Katie Spinks: Like I was just like panicking, like I was panicking a whole lot.
- 8:41Katie Spinks: They had to give me some medicine to calm me down because I was just freaking out because they were just in there, like they were attentive, which is good.
- 8:48Katie Spinks: And I'm very like thankful that they didn't just be like, oh, whatever.
- 8:51Katie Spinks: Like they just it was very scary constantly having people rush in and being like, okay, you have to stay in this position.
- 8:57Katie Spinks: Like, we have to do this, we have to do that.
- 8:59Katie Spinks: And so it was it was a little bit more, but he was real small.
- 9:02Katie Spinks: So once the doctor came in and had me push, I think I pushed for like five minutes, maybe, and he was out.
- 9:08Katie Spinks: He was real, real tiny.
- 9:10Katie Spinks: So that was that was like a little bit more traumatic, obviously, than than my first one.
- 9:15Katie Spinks: And healing with him was fine.
- 9:17Katie Spinks: Like I didn't have any stitches with him or anything.
- 9:20Katie Spinks: I was back to driving like two days after he was born.
- 9:22Katie Spinks: I felt like physically totally fine.
- 9:26Katie Spinks: It was just like in those moments when his heart rate was decreasing and everybody was panicking and it made me panic.
- 9:33Angela: Yeah.
- 9:34Angela: Yeah.
- 9:35Angela: And for that birth, did they start you on the Petocin just to start the induction?
- 9:39Katie Spinks: Yeah.
- 9:40Katie Spinks: So, you know, you arrive and you get all set up, get your room set up, they do the labs, they do everything they need to do, and then it just went right to Petocin.
- 9:47Katie Spinks: I do think with him, I was also fairly dilated as well.
- 9:51Katie Spinks: For my both of my inductions for my first two, I was in there like from start to finish for less than 12 hours.
- 9:59Katie Spinks: Yeah, I do remember him.
- 10:01Katie Spinks: Yeah, yeah, for less than 12 hours.
- 10:03Angela: Now, how about your third birth?
- 10:06Katie Spinks: The third was also an induction with her.
- 10:09Katie Spinks: Let's see, for Amelia, I was 39 weeks even with her.
- 10:14Katie Spinks: I can't remember if I was as dilated with her as I was with the other two.
- 10:20Katie Spinks: The pregnancy was totally fine.
- 10:22Katie Spinks: I worked all through my pregnancy.
- 10:24Katie Spinks: I worked up until like two days before I was induced.
- 10:28Katie Spinks: Um, never had any issues with her pregnancy.
- 10:31Katie Spinks: For the induction, I think the only reason why like it was, I guess, like not traumatic, but it was hard is because I had an epidural and it just did not work.
- 10:40Katie Spinks: And they tried to redo it two more times and it just did not work.
- 10:43Katie Spinks: And pitocin contractions are just God, I don't know if you felt them without an epidural, but they are they are so painful.
- 10:52Katie Spinks: So once I got further along, like I was able to control the pain and like handle everything until like I was transitioning and then it just got really, really rough.
- 11:01Katie Spinks: Like I was just puking violently and sweating, and it was just it was so, so, so painful.
- 11:09Katie Spinks: And because I was in so much pain, it was really exhausting.
- 11:12Katie Spinks: So when I was pushing her, she was a really big baby.
- 11:15Katie Spinks: I was struggling.
- 11:16Katie Spinks: So I do know the doctor did have to use the vacuum to pull her out.
- 11:20Katie Spinks: But like I had my husband and his family, like everybody was super encouraging, and like everybody, even the nurses, they were so sweet.
- 11:28Katie Spinks: Like, I remember this one nurse was like by me and just like let me cling onto her as I was like freaking out because I do know that they were saying, like, okay, it looks like the baby's starting to struggle a little bit right before they hooked up the vacuum.
- 11:41Katie Spinks: So everybody was like, You, you know, you have to get her out now, or things could go south.
- 11:46Katie Spinks: So I did that with one like push and with the vacuum, they were able to guide her out.
- 11:51Katie Spinks: But I did get like a fourth degree tear, which was really painful.
- 11:55Katie Spinks: It took me a long time to heal from her birth.
- 11:57Katie Spinks: I think, oh my God, it took me like eight, nine weeks to heal from her birth.
- 12:01Katie Spinks: It was, it was rough.
- 12:03Katie Spinks: But still, over in all, I would take that experience over what happened with Jolene any day, you know.
- 12:07Katie Spinks: Like I look back and I think, like, oh my God, like the births with my second and third, like they were traumatic.
- 12:12Katie Spinks: Like, you know, my son's heart rate was decreasing, and then with my daughter, the epidural didn't work and I was in excruciating pain.
- 12:18Katie Spinks: But still, like I would take that any day over what happened with Jolene any day.
- 12:25Angela: So at this point after your third birth, was there anything, maybe even stories from other friends that you were hearing at this point that were maybe making you think that the level of pain that you were experiencing with the contractions during the birth when you had the pitocin, that was maybe more than like it should have been.
- 12:43Katie Spinks: At this point, no, I still was completely clueless.
- 12:46Katie Spinks: Like, I wasn't on social media at this point.
- 12:48Katie Spinks: Like, I just like had a Facebook for like just friends and all that.
- 12:52Katie Spinks: We didn't really talk about stuff like that or anything.
- 12:54Katie Spinks: So I still wasn't able to connect the dots.
- 12:58Katie Spinks: I just thought this is just how it's supposed to go, you know.
- 13:01Katie Spinks: Like I trusted what all the doctors said and in everything that they did and said, so I never questioned anything.
- 13:06Katie Spinks: I was like, it I guess this is just just how it is, and it is what it is.
- 13:11Katie Spinks: It wasn't until Jolene was like a year old, maybe maybe a year and a half, closer to two years, that I like really joined on social media and I started, you know, looking around and digging and reading and figured out like, oh, so this this was not normal.
- 13:25Katie Spinks: This was not how things were supposed to be.
- 13:27Katie Spinks: None of this should have happened in the first place.
- 13:30Katie Spinks: Things could have gone way different had I known all these things then that I know now.
- 13:37Angela: Yeah, which is why we're here talking about it.
- 13:40Katie Spinks: Yeah, yeah.
- 13:40Katie Spinks: I agree.
- 13:43Angela: So now would you tell me about how you found out you were pregnant with Jolene and like what your thoughts were on choosing your care?
- 13:49Katie Spinks: So, like I said, at this point with her, when I was still pregnant with her, I just just trusted the doctors, you know, like I didn't question anything.
- 13:56Katie Spinks: I did choose a doctor that was based in the hospital where I gave birth to my second and my third child.
- 14:02Katie Spinks: So the doctor I'd had, I think was a different hospital.
- 14:05Katie Spinks: And I didn't know much about the hospital, and I was like, I just want to stay at the hospital that I've been at.
- 14:08Katie Spinks: So I chose a different doctor because of where the hospital location was.
- 14:11Katie Spinks: That was it.
- 14:12Katie Spinks: But no, like Jolene's pregnancy was literally beautiful.
- 14:16Katie Spinks: I'm like, if every woman could experience a pregnancy like I did with Jolene, this world would be so overpopulated.
- 14:21Katie Spinks: Like it was just such a beautiful pregnancy.
- 14:23Katie Spinks: I loved it.
- 14:24Katie Spinks: Like I worked out up until the day before I delivered.
- 14:27Katie Spinks: Like I just felt amazing.
- 14:29Katie Spinks: Like her pregnancy, I couldn't have asked for a better pregnancy, honestly.
- 14:32Katie Spinks: It was great.
- 14:33Katie Spinks: It was so wonderful.
- 14:36Angela: Now, would you tell me about some of your like appointments towards the end of your pregnancy leading up to your induction with her?
- 14:43Katie Spinks: Yeah, they were just like your typical come in, you know, vitals, weight, checking for dilation.
- 14:50Katie Spinks: And I think that we scheduled an induction at like 37, 37-week appointment for a 39-week induction.
- 15:00Katie Spinks: You know, they're just your typical go in, check, like in and out in five minutes type of thing.
- 15:06Katie Spinks: I don't think I ever spent more than like five minutes in there.
- 15:09Angela: So, what did that conversation look like?
- 15:10Angela: Do you remember?
- 15:11Angela: Obviously, very short.
- 15:13Katie Spinks: Yeah, I don't remember a lot.
- 15:14Katie Spinks: It was very short.
- 15:15Katie Spinks: It was just like, you know, he's like, okay, like if you want to be induced, like these are the dates that we have open.
- 15:20Katie Spinks: You're allowed to pick from here to here, you know, you're gonna be going the schedule, they're gonna call you the night before, tell you when to come in, you're gonna go in, be induced, and then you're gonna leave.
- 15:31Katie Spinks: Like it was very cutthroat straightforward, and and that was it.
- 15:34Katie Spinks: Like, there were no, do you have any questions?
- 15:37Katie Spinks: Do you want to do nothing?
- 15:38Katie Spinks: It was just here's your date, they're gonna call you.
- 15:41Katie Spinks: Don't eat or drink after midnight.
- 15:44Katie Spinks: See you then.
- 15:45Katie Spinks: Like that that was it.
- 15:48Angela: Yeah.
- 15:48Angela: So did you think about any of that?
- 15:52Angela: Or you just kind of in the mindset where you're just like, oh, that's what they say to do.
- 15:55Angela: So that's that's what I'm gonna do.
- 15:57Katie Spinks: Yeah, like I just thought that this was how it's supposed to be.
- 16:00Katie Spinks: You know, like I had had other kids, so I was like, oh great, I'll just schedule it that way.
- 16:04Katie Spinks: I can get a babysitter for for my other kids, and I know like when we're gonna be there.
- 16:08Katie Spinks: Everybody can take off work for that day.
- 16:09Katie Spinks: I thought I was going to go in, have her, and then leave like 24 hours later, and that was gonna be it.
- 16:17Katie Spinks: Like I had no clue.
- 16:18Katie Spinks: I should have asked questions, I should have done anything.
- 16:21Katie Spinks: I just he was just like, you know, we do these every day, all day.
- 16:25Katie Spinks: Everybody gets induced.
- 16:27Katie Spinks: So we'll see you later.
- 16:29Angela: So, how are you feeling emotionally leading up to that birth?
- 16:33Katie Spinks: I was feeling really good for a while, and then I don't know, just out of nowhere, I want to say probably more towards my last few weeks, maybe like 32 plus weeks.
- 16:44Katie Spinks: I just like got really anxious and nervous.
- 16:47Katie Spinks: Like it was very weird.
- 16:48Katie Spinks: It's so hard to explain.
- 16:49Katie Spinks: It's kind of like like an impending doom feeling.
- 16:52Katie Spinks: Like I just kept feeling like something bad was gonna happen.
- 16:54Katie Spinks: Like it was just so strange on Thanksgiving before I had her.
- 16:58Katie Spinks: I had her January 1st.
- 17:00Katie Spinks: So that Thanksgiving before I had her, I was like writing out a will in my friend's kitchen, and it was just so weird.
- 17:06Katie Spinks: I was like, I don't know why.
- 17:07Katie Spinks: I just feel like I just need to have this stuff on paper because if something ever happens to me, like I just I need people to know like these specific things.
- 17:13Katie Spinks: Um, it was just weird.
- 17:15Katie Spinks: I kept feeling like like something bad was gonna happen.
- 17:18Katie Spinks: I didn't know what, obviously.
- 17:19Katie Spinks: But it was just so strange.
- 17:21Katie Spinks: Like I just can't explain it.
- 17:22Katie Spinks: It was just like very dark feelings, like lots of anxiety.
- 17:27Katie Spinks: And everybody just kept saying, Oh, it's because you're gonna have four kids.
- 17:30Katie Spinks: You know, like that's a lot of kids to handle.
- 17:32Katie Spinks: Four kids is a lot, and you've still got two little ones, so you're just you're just anxious and nervous.
- 17:36Katie Spinks: And I was like, Yeah, you know, I just I don't know, that's just not how I feel.
- 17:39Katie Spinks: I don't feel nervous.
- 17:40Katie Spinks: I feel like I've got a lot of support.
- 17:44Katie Spinks: I just don't feel nervous.
- 17:45Katie Spinks: I just I just don't feel right.
- 17:47Katie Spinks: It was so hard to explain.
- 17:49Katie Spinks: This went on for weeks, like literally until the day we had her, and even the day we had her, like we woke up late.
- 17:56Katie Spinks: I was like, I don't even feel like getting ready.
- 17:58Katie Spinks: Whereas before I would have gotten up, done makeup, and like taking pictures with all my kids and everything.
- 18:02Katie Spinks: This time I was like, I just I don't know, it just doesn't feel like like a day that I should have a baby.
- 18:06Katie Spinks: It was just it's very hard to explain, but it just didn't feel right.
- 18:11Angela: And how is your husband feeling?
- 18:13Katie Spinks: Oh, he felt the same way.
- 18:14Katie Spinks: He'd we were both talking about it in the car, and before it went silent, he was like, it just something just doesn't feel right.
- 18:21Katie Spinks: Feels like something bad's gonna happen.
- 18:23Katie Spinks: But of course, we're not thinking like, oh, this is our intuition telling us that we need to just turn around and go home.
- 18:28Katie Spinks: It was just everybody kept saying, You're nervous for having four kids, you're nervous for having four kids.
- 18:33Katie Spinks: And I'm just like, um, yeah, I don't know.
- 18:36Katie Spinks: But it was, it was definitely tall tale signs.
- 18:38Katie Spinks: Like we definitely should have listened to those those signs.
- 18:42Angela: So you were induced on New Year's Day, is that right?
- 18:45Angela: Would you walk me through that morning?
- 18:49Katie Spinks: Yeah, we got there early.
- 18:51Katie Spinks: There wasn't a whole lot like going on in there, you know, like it was New Year's Day.
- 18:54Katie Spinks: Uh, it was it was dark out because I think that it had snowed a little bit prior.
- 18:59Katie Spinks: Well I got like the labs done.
- 19:01Katie Spinks: They had me take a urine test.
- 19:03Katie Spinks: Like we did all the walk-ups before you actually like start the induction.
- 19:08Katie Spinks: We did all that.
- 19:09Katie Spinks: I do remember like giving the nurse my birth plan.
- 19:11Katie Spinks: It was the same one that I used for my second and my third child.
- 19:15Katie Spinks: It wasn't like anything crazy.
- 19:16Katie Spinks: I was just like a couple of things on there.
- 19:18Katie Spinks: I wanted to keep my placenta.
- 19:19Katie Spinks: I didn't want the baby to be vaccinated.
- 19:21Katie Spinks: I wanted the cord to be, I wanted delayed cord clamping for at least 90 seconds.
- 19:27Katie Spinks: Um, I didn't want the baby to leave the room, obviously, unless emergencies happened.
- 19:31Katie Spinks: And I said that I didn't want to be offered a C-section for prolonged labor unless a C-section were medically necessary or, you know, things went downhill fast.
- 19:40Katie Spinks: Then obviously, you know, it's like you guys can do whatever you need.
- 19:43Katie Spinks: Um, but it was just like little simple things like that, that a lot of women can choose what they do and don't want to do.
- 19:50Katie Spinks: And the nurse was just like, she was very weird about it.
- 19:53Katie Spinks: She was like, You used this birth plan last time.
- 19:55Katie Spinks: I remember her being like kind of catty about it.
- 19:58Katie Spinks: And I was like, Yeah, yeah, that nobody questioned me last time.
- 20:01Katie Spinks: Like they were totally cool with it.
- 20:03Katie Spinks: You know, like I remember the nurse at my my third birth, like she loved the placenta thing.
- 20:07Katie Spinks: She like held it up for my other kids and she was like, and this is where your baby sister was, like, and your mom's gonna take it home.
- 20:13Katie Spinks: She's gonna, you know, she's gonna do what she's gonna do with it, and it's gonna help her.
- 20:15Katie Spinks: And like she was like super, they were all super cool about it.
- 20:17Katie Spinks: And this time they were just like, Oh, that's just so weird.
- 20:20Katie Spinks: We've never heard of that.
- 20:21Katie Spinks: I have to ask if if I can if we can do that.
- 20:24Katie Spinks: And I'm just like, okay, whatever.
- 20:26Katie Spinks: Um, so yeah, and then they did hook up the plu the Pitocin.
- 20:31Katie Spinks: Um, I do remember with Jolene, I was not very dilated at all.
- 20:35Katie Spinks: I think that I was about a centimeter dilated with her.
- 20:38Katie Spinks: So my body was was not ready.
- 20:40Katie Spinks: Um, and they did just go straight to Pitocin.
- 20:43Katie Spinks: And I had a different nurse to start with.
- 20:47Katie Spinks: And I started early.
- 20:49Katie Spinks: Maybe it was like closer to eight or nine in the morning.
- 20:53Katie Spinks: And things were like things were totally fine, you know, like there I really had no issues.
- 20:59Katie Spinks: I used the peanut ball early on because I liked how it helped last time.
- 21:03Katie Spinks: Like it helped, like, you know, take kind of like takes the pressure off.
- 21:06Katie Spinks: So I used that pretty early on.
- 21:08Katie Spinks: I was using IV narcotics like every four hours.
- 21:12Katie Spinks: I think I had like two doses before everything went south.
- 21:15Katie Spinks: Because I was like, well, if the epidural is not didn't work last time and it only worked with my son, it only worked on half my body.
- 21:21Katie Spinks: I was like, I'm not gonna take the risk this time and go through the pain.
- 21:24Katie Spinks: I'm getting one for it to just not work.
- 21:26Katie Spinks: So yeah, I was like perfectly fine.
- 21:28Katie Spinks: Like I was able to handle the pain and I wasn't breathing through it.
- 21:31Katie Spinks: We were watching TV and all that.
- 21:33Katie Spinks: And then the nurse's change shift.
- 21:34Katie Spinks: I think it was around 6:30 when the new nurse came in.
- 21:37Katie Spinks: And it was like very shortly after that, is when everything started going downhill.
- 21:43Katie Spinks: So when my rupture happened, it was really like small and localized, but but I could feel it.
- 21:48Katie Spinks: Like it felt like an explosion in my admin.
- 21:52Katie Spinks: That's like the only way to describe it.
- 21:54Katie Spinks: It literally feels like like a firecracker going off in you.
- 21:57Katie Spinks: And my new nurse was like just not as attached.
- 21:59Katie Spinks: As my other nurse.
- 22:01Katie Spinks: She was very, I don't know.
- 22:03Katie Spinks: It just didn't seem like she was all the way there.
- 22:05Katie Spinks: Maybe she was new, maybe she didn't want to be there.
- 22:07Katie Spinks: I don't know, but she was just like, you know, you, you should just give nepidural.
- 22:10Katie Spinks: You need more pain medicine.
- 22:12Katie Spinks: You're fine.
- 22:12Katie Spinks: Like your body's probably picking up.
- 22:14Katie Spinks: Let's check you.
- 22:15Katie Spinks: And so, of course, I was like, okay, you know, like at first it was really painful, but I was still able to like, you know, handle it.
- 22:23Katie Spinks: I have a pretty high pain tolerance.
- 22:24Katie Spinks: So I was okay.
- 22:26Katie Spinks: Not okay, but I wasn't like screaming at this point.
- 22:30Katie Spinks: So she did check me.
- 22:31Katie Spinks: And I do remember I was like getting pretty far along.
- 22:33Katie Spinks: It was like almost to the transition stage.
- 22:36Katie Spinks: And she just kept saying, like, we'll get you another, we'll get you an epidural, we'll get you more pain meds.
- 22:42Katie Spinks: And I was like, I don't really don't want all that.
- 22:44Katie Spinks: Like something, I don't know, something, something's really, really hurting.
- 22:47Katie Spinks: So she did give me more pain meds and then she walked out and she was like, you know, let's just see if this works.
- 22:52Katie Spinks: Let's just see what happens in like 15 minutes.
- 22:54Katie Spinks: Well, you know, 15 minutes goes by, nothing is getting better.
- 22:58Katie Spinks: It's still super painful, but because Jolene was able to hold a steady heart rate, they were like, this is just contraction pain.
- 23:06Katie Spinks: Like, like we don't know what you want us to do.
- 23:08Katie Spinks: Like, she was very, how do you even describe it?
- 23:12Katie Spinks: Like, she was very standoffish, like she was very ignorant.
- 23:16Katie Spinks: She kept saying that like I was being dramatic.
- 23:19Katie Spinks: She kept saying that I should be used to the pain because I had three kids prior.
- 23:23Katie Spinks: She kept saying, Well, if you would just get the epidural and relax, you'd be fine.
- 23:27Katie Spinks: Like, she wasn't doing anything to really assess and like try and figure out what was going on.
- 23:35Katie Spinks: Cause I I was handling the contractions while like, you know, obviously I was, you know, it was hurts, but it wasn't that insane, like agonizing pain.
- 23:44Katie Spinks: And as time progresses, like that, it's getting worse and worse.
- 23:47Katie Spinks: And at some point, like I start screaming and I'm like, I can't handle this anymore.
- 23:51Katie Spinks: Like, this is unbearable.
- 23:53Katie Spinks: Like, I'm telling you, like I'm pleading with her.
- 23:56Katie Spinks: I'm like, I need a C-section.
- 23:57Katie Spinks: I am telling you something is going wrong.
- 23:59Katie Spinks: There is something isn't right.
- 24:00Katie Spinks: This is not right.
- 24:01Katie Spinks: Like, I don't feel right.
- 24:03Katie Spinks: This is not contraction pain.
- 24:04Katie Spinks: And she just would not listen.
- 24:06Katie Spinks: Like, she just wouldn't listen.
- 24:09Katie Spinks: And I, it was right as transitioning was happening.
- 24:12Katie Spinks: I remember her like crouching in a corner and she started like bawling her eyes out.
- 24:17Katie Spinks: She's like, I don't know what to do.
- 24:18Katie Spinks: There's no doctor here.
- 24:19Katie Spinks: Because the doctor was in another emergency C-section.
- 24:22Katie Spinks: So yeah, they I so I didn't even have anybody.
- 24:25Katie Spinks: So she's like, crying, I don't know how to deliver a baby.
- 24:28Katie Spinks: I've never delivered a baby before.
- 24:29Katie Spinks: And my husband's like sitting there screaming at her.
- 24:31Katie Spinks: He's like, Well, if you don't know how to deliver a baby, then why are you in here?
- 24:34Katie Spinks: Like, go get somebody else who knows what they're doing.
- 24:36Katie Spinks: Like, this is not right.
- 24:38Katie Spinks: This has never happened before.
- 24:39Katie Spinks: Like, that this is not right.
- 24:41Katie Spinks: So I guess at some point she walks out and she does eventually call the on-call doctor.
- 24:45Katie Spinks: And about like 25, 30 minutes later, the on-call doctor comes in.
- 24:49Katie Spinks: And this bitch, the only thing she cares about, she too, is holding the birth plan.
- 24:53Katie Spinks: And the first thing she says when she walks in is, oh, not hi, I'm so and so a doctor you've never met.
- 24:58Katie Spinks: What's going on?
- 24:59Katie Spinks: It's I see you want to take your placenta home.
- 25:02Katie Spinks: That's disgusting, illegal, and I won't let you do it.
- 25:04Katie Spinks: You will get an infection and kill your baby.
- 25:06Katie Spinks: Like she was adamant that I'd not take the placenta home.
- 25:09Katie Spinks: And I remember like just saying to her, I don't give a fuck about the placenta right now.
- 25:13Katie Spinks: Like something is wrong.
- 25:15Katie Spinks: Like, you guys need to help me.
- 25:16Katie Spinks: Like, I need a C-section.
- 25:17Katie Spinks: Like, I am begging you to give me a C-section.
- 25:19Katie Spinks: Like, I do not care what that birth plan says.
- 25:21Katie Spinks: And she's just like, you just need to push.
- 25:24Katie Spinks: You just need to push your baby out and you'll feel better.
- 25:25Katie Spinks: And obviously at this point, like I still have no clue what's going on.
- 25:29Katie Spinks: I didn't even know this could be a thing.
- 25:31Katie Spinks: I didn't even know a uterus could rupture.
- 25:33Katie Spinks: I didn't know any of these things could go wrong.
- 25:35Katie Spinks: So I'm in my head just thinking, maybe this really is just birth pain.
- 25:41Katie Spinks: But something in me felt like this is not birth pain.
- 25:45Katie Spinks: And it took like the first push, and I felt it go from like a small spot to like all the way across.
- 25:50Katie Spinks: And at that point, I was like, I am literally dying.
- 25:54Katie Spinks: Like I'm telling you guys right now, if you do not take me for a C-section, I'm telling you, I'm going to die.
- 25:59Katie Spinks: And they they like they just didn't care.
- 26:01Katie Spinks: So after that first push, and it when it ripped all the way, obviously like she got cut from oxygen like at that point.
- 26:07Katie Spinks: So her heart rate started to decline a little bit.
- 26:10Katie Spinks: And so they hooked up the vacuum.
- 26:12Katie Spinks: And each time I would push and they would pull, it would pop off her head, and then I would pass out because I started losing so much blood.
- 26:20Katie Spinks: And so they did that about three times.
- 26:23Katie Spinks: And on the third time, when it popped off and I passed out, her heart rate was like 40 at this point.
- 26:28Katie Spinks: But I and I didn't wake back up.
- 26:29Katie Spinks: They were putting the smelling salts in my nose and like doing the chest rubs and oxygen and all this stuff.
- 26:34Katie Spinks: But like I've lost so much blood at this point.
- 26:37Katie Spinks: I just would not wake back up.
- 26:38Katie Spinks: So at that point, then they finally decided to do the c-section.
- 26:41Katie Spinks: But my husband said they had like no urgency, they weren't like throwing things on the bed and running, that they were just like walking back there.
- 26:49Katie Spinks: They had him put on the bunny suit.
- 26:51Katie Spinks: Like they were prepping like this was a normal C-section.
- 26:53Katie Spinks: Meanwhile, I'm passed out, not even awake.
- 26:56Katie Spinks: And they're just treating this like such an inconvenience.
- 27:00Katie Spinks: I guess it wasn't until that they realized that my vitals were like really tanking, and she was at like 20 at this point, that this was not going to be a normal C-section anymore.
- 27:12Katie Spinks: He said that he was walking in and two nurses came from like each side of him and took him right back out.
- 27:17Katie Spinks: And then they like blocked off the doors because that I guess they knew at that point they really fucked up and things were not about to go normal.
- 27:24Katie Spinks: I don't remember any of that though.
- 27:26Katie Spinks: Like when it popped off the third time, like that was the last thing I remember.
- 27:29Katie Spinks: It was, it was just, it was like a nightmare, like a literal nightmare.
- 27:33Katie Spinks: He said that the whole time he was sitting out there, like try like waiting to come in.
- 27:39Katie Spinks: They wouldn't tell him anything.
- 27:40Katie Spinks: They were just like, oh, the anesthesiologist needs more time.
- 27:43Katie Spinks: Like they're trying to set up, you know, like all that.
- 27:46Katie Spinks: And he was like, I knew they were bullshitting me.
- 27:48Katie Spinks: I knew the whole time they were bullshitting me.
- 27:50Katie Spinks: He said it was like an hour later a nurse came back out and said, um, God, what did he say?
- 27:56Katie Spinks: They said something, but it was like, I can't remember what it was.
- 28:02Katie Spinks: But he said that it like he knew at that point something was wrong.
- 28:06Katie Spinks: They came out and said, like, there's doctors working on both of them.
- 28:09Katie Spinks: Like, do you want us to call somebody to come sit with you?
- 28:11Katie Spinks: And he said that at that point, like, like he just knew that he he just walked out, walked away.
- 28:15Katie Spinks: He was like, I couldn't sit there and look at them and their faces anymore.
- 28:19Katie Spinks: Cause when they came out and said that they're working on both of them, he said, I knew that they fucked up and I just couldn't be there anymore.
- 28:25Katie Spinks: Like, I don't blame you.
- 28:26Katie Spinks: You know, I couldn't, I couldn't either.
- 28:28Katie Spinks: Oh yeah, that's the story with Jolene.
- 28:32Angela: Wow, Katie, I'm so sorry.
- 28:35Angela: What was the next remember?
- 28:38Katie Spinks: So I guess at this point it took them longer to work on me than it did to work on Jolene because by the time they were waking me up, they were wheeling me back into the room.
- 28:47Katie Spinks: They already had her in the transport cart, like the team was already there, like waiting to take her.
- 28:52Katie Spinks: So they were just like waking me up like vigorously, rubbing me there, like you, you know, your baby has to go to another hospital.
- 29:00Katie Spinks: Like you have to wake up so you can just say goodbye.
- 29:03Katie Spinks: You know, now I'm just sitting there like, I don't know what the fuck is happening.
- 29:06Katie Spinks: You wake up from an almost four-hour surgery, you're groggy, you're in so much pain, you don't know what's going on.
- 29:10Katie Spinks: I just wake up and see like a hundred people in my room, and I see like this whole team of like transport nurses, and I see Jelene in a cart.
- 29:19Katie Spinks: Sorry, that's hard.
- 29:20Katie Spinks: Um it was just it was a lot.
- 29:24Katie Spinks: It was a lot.
- 29:25Katie Spinks: I just remember like being in a lot of pain and I didn't know what was going on.
- 29:32Katie Spinks: So I think like I saw her, I touched her foot, and then like I was in so much pain, I just like started like screaming.
- 29:43Katie Spinks: I was like, I can't I can't do this.
- 29:45Katie Spinks: Like I am in agonizing pain.
- 29:47Katie Spinks: And they like put something in my IB and then I passed back out until like the next night.
- 29:52Katie Spinks: Um, I guess they had me on a lot of like fentanyl and morphine, a lot of like narcotics, because it was just it was so painful.
- 30:00Katie Spinks: It was I was in a lot of pain.
- 30:01Katie Spinks: And so they transported her.
- 30:03Katie Spinks: And I so I was in the one hospital and she was in another.
- 30:07Katie Spinks: And once I was like stabilized, my husband left me because I told him, you know, like like I'm I'm fine at this point.
- 30:14Katie Spinks: I'm just in a lot of pain.
- 30:15Katie Spinks: Like, I'm gonna live.
- 30:16Katie Spinks: So you need to just like go be with her.
- 30:18Katie Spinks: And so he got up there.
- 30:20Katie Spinks: I want to say it was probably about 24 hours after she was born.
- 30:26Katie Spinks: Um, and they had started cooling her.
- 30:28Katie Spinks: Like they had already started cooling her before we left they left the hospital, but they like did it more in a professional way at the other hospital and and doing all that.
- 30:38Katie Spinks: And so the first time I saw her, really like saw her was over FaceTime.
- 30:44Katie Spinks: Uh, and the doctors were like, we don't know much about her or anything that's going on.
- 30:49Katie Spinks: Like, we we don't know a lot.
- 30:50Katie Spinks: We just do know that she has what's called HIE, and that's a brain injury.
- 30:55Katie Spinks: That was the first time I'd ever heard of that.
- 30:56Katie Spinks: Like, I was like, I don't even know what that is, to be quite honest.
- 30:59Katie Spinks: Um, so it was just like it was just it was just a lot to take in, you know, like after you go through something like that, and then you're learning this diagnosis and learning that your baby might not even live.
- 31:09Katie Spinks: Meanwhile, you're in a hospital, you can't you can't leave because if you leave, you won't make it either.
- 31:14Katie Spinks: It was just, it was a lot.
- 31:16Katie Spinks: Like, I would never wish that, even on my worst enemy.
- 31:19Katie Spinks: Uh, I did leave, I think she was like five, five days old.
- 31:23Katie Spinks: I was able to like finally get up and go to the bathroom.
- 31:26Katie Spinks: They took McCatheter out and all that.
- 31:28Katie Spinks: So I was like, I feel like at this point, if I can get up and somebody can help me get to the bathroom, like I just want to leave.
- 31:33Katie Spinks: So I just I just left.
- 31:35Katie Spinks: I told them, you can just give me the AMA papers, but I just I can't be here anymore.
- 31:38Katie Spinks: I gotta I gotta get out of here.
- 31:40Katie Spinks: So I did.
- 31:40Katie Spinks: I left um and just went and just stayed with her.
- 31:44Katie Spinks: I've never seen a baby like that in my life.
- 31:47Katie Spinks: That was really rough.
- 31:48Angela: Would you walk me through like kind of what happened with Jolene in those first moments and and what the doctor at that first hospital did before like her transport?
- 31:58Katie Spinks: So I just know what was in the papers and what he told us.
- 32:01Katie Spinks: So I guess when she was born, obviously she was she had no effort to breathe, she had no pulse, she had nothing.
- 32:06Katie Spinks: So he had to resuscitate her, I think five, five different times, maybe.
- 32:12Katie Spinks: Five or six, five, like five or six different times he resuscitated her, you know, and gave her like happy.
- 32:16Katie Spinks: He did umbilical lines.
- 32:18Katie Spinks: Once he got a pulse on her, he just, you know, he said he knew we needed to cool her.
- 32:24Katie Spinks: He's like, the only way this this kid is gonna live is if we cool her and and shut her body down so it doesn't keep spreading.
- 32:33Katie Spinks: So in like what he did, like literally saved her life.
- 32:36Katie Spinks: If he had never started cooling her, she would not be here because it was just it was so bad.
- 32:41Katie Spinks: So he he did, he definitely took extra measures.
- 32:43Katie Spinks: He put like ice underneath blankets, like he just took things that he could find that were there because this was not a hospital with a NICU.
- 32:51Katie Spinks: It was there was no nursery, even.
- 32:53Katie Spinks: It was just like the lowest of the low hospital.
- 32:57Katie Spinks: So he did, he just like took blankets and ice and ice packs and fans and just started cooling her that way.
- 33:05Katie Spinks: Um, I don't know if they brought something with the transport cart.
- 33:08Katie Spinks: I don't know how that worked in transport, but I do know that he was very adamant that they keep her cold while she was being transported.
- 33:18Katie Spinks: And the doctors at the hospital with the NICU, they said that like everything he did was like above and beyond that most hospitals would have never done that because it's not in their protocols.
- 33:29Katie Spinks: It's not, it's just not what they do.
- 33:31Katie Spinks: So they said that because of what he did, he he literally saved her.
- 33:35Katie Spinks: Obviously, like they did more stuff to save her, but he was like, Because of him, you know, we were able to help her further.
- 33:42Katie Spinks: Without that, she wouldn't have made it because the cutoff time is six.
- 33:45Katie Spinks: So I think it's like six hours for cooling from time of injury to cooling.
- 33:49Katie Spinks: You have that window where if you go past that window, it's just you're looking at like a real rocky road.
- 33:55Katie Spinks: So she was like right at that, right at that mark.
- 33:57Katie Spinks: So we're just I'm very, very thankful for him.
- 34:01Katie Spinks: Because if it weren't for him, she would not be here.
- 34:04Angela: Yeah, and he was on one of the only ones that came and talked to you afterwards about like what kind of actually happened to you, right?
- 34:12Angela: Because from what I understand from listening to your podcast, you had thought that some of the things were your fault, like the way they had spun it when you left that first hospital.
- 34:22Angela: Would you share a little more about like how they made you feel and then how you came to understand like what was actually going on?
- 34:29Katie Spinks: Yeah, so he didn't tell me too much.
- 34:31Katie Spinks: He wasn't there.
- 34:32Katie Spinks: So, you know, he was like, I can only speak on like what I know and what I saw.
- 34:36Katie Spinks: He said that she definitely went a significant amount of time without oxygen.
- 34:39Katie Spinks: There's no way she had just lost it.
- 34:43Katie Spinks: He's like, she she had been, she had been without a pulse for quite some time by the time he got to her.
- 34:49Katie Spinks: But so the doctor and the nurse that were with me came back in the day after I woke up.
- 34:54Katie Spinks: And the nurse like sat on my bed and she was like giggly.
- 34:57Katie Spinks: She was like, Oh, you know, these things just happen.
- 34:59Katie Spinks: It just happens.
- 35:00Katie Spinks: Some women's bodies just aren't made for birth.
- 35:02Katie Spinks: I do, I do think it's I do this this part pissed me off.
- 35:05Katie Spinks: So when she sat on my bed, she was like, I should have recognized that you had a rupture because I teach about ruptures at the local college.
- 35:12Katie Spinks: And I'm thinking in my head, like, if you teach nurses about this, our county is in trouble because you couldn't recognize what you teach about.
- 35:21Katie Spinks: Like, that is a problem.
- 35:23Katie Spinks: That is a huge problem.
- 35:24Katie Spinks: And she was like giggly about it.
- 35:25Katie Spinks: And I was just like, none of this is funny to me.
- 35:28Katie Spinks: You you completely ignored and dismissed my concerns.
- 35:32Katie Spinks: And it led to essentially two people dying on your watch because you didn't know what you were doing.
- 35:38Katie Spinks: Like, I don't think it's funny.
- 35:39Katie Spinks: I had nothing else to say to her.
- 35:40Katie Spinks: And then when the doctor came in, she was like the same thing.
- 35:43Katie Spinks: She was like, Oh, you know, these things just happen, just like what nurse Amy said.
- 35:48Katie Spinks: Some women's bodies, they're just not meant for to carry babies.
- 35:51Katie Spinks: Maybe it's because you had so many pregnancies before.
- 35:53Katie Spinks: We don't, we don't know.
- 35:54Katie Spinks: And I'm thinking in my head, like, you guys couldn't be any colder if you tried.
- 35:59Katie Spinks: You could not be any colder.
- 36:01Katie Spinks: And they did, so they like spun it on me because they had that birth plan that said, don't offer me a c-section for pro-long labor.
- 36:07Katie Spinks: Like they used it, they used it against me.
- 36:09Katie Spinks: Oh, the mom had a signed birth plan saying that she didn't want a c-section.
- 36:13Katie Spinks: Meanwhile, I literally was like verbalizing to them, like, I don't give a fuck about this birth plan.
- 36:18Katie Spinks: Like, do what you have to do.
- 36:20Katie Spinks: If you have to cut me right here on this bed while I am alive and awake, like, do what you have to do.
- 36:24Katie Spinks: They just they did not care.
- 36:26Katie Spinks: They used everything they could against me.
- 36:28Katie Spinks: The fact, oh, look, the mom wants a more natural birth plan.
- 36:31Katie Spinks: The mom doesn't want vaccines on her baby, the mom doesn't want her cord to be cut, like she didn't want any of this.
- 36:37Katie Spinks: She didn't even want an epidural.
- 36:39Katie Spinks: And I'm just like, you got that.
- 36:40Katie Spinks: That's just that's so wrong.
- 36:42Katie Spinks: That's just just wrong.
- 36:45Angela: Yeah, I heard you share that in another podcast, and I've been thinking about it.
- 36:49Angela: And I wanted to ask you, what are your thoughts on birth plans?
- 36:53Angela: Well, now, as you're Adula and childbirth educator, like, what are your thoughts on birth plans being used against women?
- 37:00Angela: Like, your birth plan said you didn't want to be offered a C-section for exhaustion, and then in your records, it said they had to do the cesarean because you passed out due to exhaustion.
- 37:07Angela: Yeah.
- 37:08Angela: Essentially saying they didn't offer you one sooner because they're honoring your birth plan.
- 37:13Angela: Like, I've seen this often where moms I've worked with with have had things go askew in their births, and doctors just bring it back to, but your birth plan said this and that, essentially using it against them.
- 37:22Angela: And falsifying medical records is not rare, unfortunately.
- 37:27Angela: It happens to a lot of people.
- 37:29Angela: And I'm starting to think birth plans give doctors and nurses like an out when things go wrong.
- 37:35Katie Spinks: I, and you know, that's exactly how I feel at this point.
- 37:38Katie Spinks: Like, on one hand, I love birth plans.
- 37:40Katie Spinks: Like, I love that somebody can vocalize what they want and be able to make choices for themselves.
- 37:45Katie Spinks: And then on the other hand, I'm like, if you actually give a copy to the doctor and a nurse and something goes wrong, they're gonna use this against you.
- 37:51Katie Spinks: And then they're gonna use that as their out and they're gonna pin the blame on you.
- 37:55Katie Spinks: So it's like, I like what my thing is now, like I like birth plans.
- 37:59Katie Spinks: If I'm going to a birth with somebody and I'm like, give me the plan because uh no, I I'm your I'm just your advocate.
- 38:07Katie Spinks: Like I'm here to just make sure you get what you want and get what you need.
- 38:10Katie Spinks: Like you verbalize to them what you want, but you give to me in writing what you want.
- 38:14Katie Spinks: Because if they're if something goes south and they're doing something to you and you don't want, I'm gonna tell your partner, your husband, your wife, your whatever, hey, she put this in her birth plane and she said that she doesn't want this, or she said that she does want this.
- 38:26Katie Spinks: Like, but you need to speak up for her.
- 38:28Katie Spinks: Like, obviously, I will too, but like it's just a way so that way they can't use it against them.
- 38:34Katie Spinks: Because if the doctor puts in the notes, oh, well, Mrs.
- 38:36Katie Spinks: Smith told me she wanted, whereas it's compared to, oh, well, I have a letter from Mrs.
- 38:41Katie Spinks: Smith.
- 38:41Katie Spinks: It's it's a little bit different.
- 38:43Katie Spinks: So I'm like, it sucks because obviously it's so nice for them to have that birth plan, but at this point, you're just gonna have to verbalize it with them.
- 38:51Katie Spinks: Well, I'll do it with you, you know, but do not give them a written birth plan because they're gonna use it against you.
- 38:58Katie Spinks: It's hard, it shouldn't be that way.
- 39:00Katie Spinks: Mom shouldn't be terrified to go into the hospital and be like, Am I gonna leave alive?
- 39:04Katie Spinks: Are we both gonna leave alive?
- 39:06Katie Spinks: If I say something, are they gonna use it against me?
- 39:08Katie Spinks: It's like, you know, no wonder they don't want anybody recording anything in the birthroom because that's evidence in itself.
- 39:15Katie Spinks: It's just it all like it all clicks, it all makes sense now why so many things are the way they are.
- 39:21Katie Spinks: And it's it's wrong.
- 39:22Katie Spinks: It only protects them, but hurts women and babies.
- 39:27Angela: Yeah, it is so wrong.
- 39:29Angela: And I completely agree with you everything you just said in the last few births that I've been to that have been at the hospitals.
- 39:34Angela: I've told the moms like the same thing, like, don't give them a written birth plan.
- 39:38Angela: Like, yeah.
- 39:39Katie Spinks: Yeah, they're just gonna use it against you.
- 39:41Katie Spinks: Why why bother?
- 39:42Katie Spinks: It's it's hard enough going through something traumatic, but then turning around and feeling like it's your fault when you're already grieving and you're already like depressed and dealing with all those emotions to then sit there and feel like, man, I caused this, like I'm the reason this happened is just that's terrible.
- 40:00Katie Spinks: No woman should ever feel that way, even though like logically you're like, Well, I didn't I screamed and pleaded for my life.
- 40:07Katie Spinks: Like, you know, it's it's hard.
- 40:08Katie Spinks: Like your mind fights with reality and trying to not accept what you're told.
- 40:13Katie Spinks: If a doctor tells you it's your fault, well, like what else are you supposed to think?
- 40:17Katie Spinks: You know, even though your logical mind is like, no, that's not my fault.
- 40:20Katie Spinks: I I was trying to get you to listen.
- 40:23Katie Spinks: It's it's so hard.
- 40:24Katie Spinks: So it just it is it sucks, but things they shouldn't be that way.
- 40:28Katie Spinks: It shouldn't.
- 40:28Katie Spinks: It's scary.
- 40:30Angela: How did you come to finding out like what was really going on, like your truth in that whole situation as Jolene's NICU journey went on?
- 40:42Katie Spinks: Honestly, I didn't find out really a lot of the truth until she was like, like I said, like two years old.
- 40:47Katie Spinks: And and I enjoyed the internet world and I had talked to more professionals, midwives, OBs, doctors, NICI doctors, nurses, you know, talking to the nurses at the hospital that took care of her, the doctors who took care of her.
- 41:01Katie Spinks: It was like everybody, what everything was saying, everything I read, like it all just it all aligned.
- 41:08Katie Spinks: Like I did leave the Nikki when she was discharged, knowing that it wasn't my fault because the even the doctors and the nurses, they were like, This was not your fault.
- 41:18Katie Spinks: You did not delay your care.
- 41:20Katie Spinks: They delayed your care.
- 41:22Katie Spinks: They're like, this was not some accident.
- 41:26Katie Spinks: You didn't just get in a car accident and this happened.
- 41:28Katie Spinks: They were like, This, this kid went a significant amount of time without oxygen.
- 41:33Katie Spinks: Like there were tall tail signs.
- 41:35Katie Spinks: You were hooked up to the monitor, they were charting, like you were hooked up and they should have known.
- 41:41Katie Spinks: They should have, they should have moved faster and they didn't.
- 41:43Katie Spinks: They're like, that this is not your fault.
- 41:45Katie Spinks: So, like when they put that in my head, and they're the ones who told us, like, go talk to a lawyer, just go talk to one, see what you can find out.
- 41:52Katie Spinks: Um, that I started, like, you know, slowly piecing all the puzzle pieces together.
- 41:57Katie Spinks: Um, but when I find out, found out that my medical records were falsified, that just gave me like more of a push to want to find out even more.
- 42:05Katie Spinks: So she was probably like two years old, and I found out like, this is this is scary.
- 42:10Katie Spinks: This is and this is not rare.
- 42:12Katie Spinks: I am not like the doctor and the nurse were like, this is so rare.
- 42:15Katie Spinks: You're never gonna find anybody like you.
- 42:16Katie Spinks: Like, oh yeah, I definitely, definitely did.
- 42:18Katie Spinks: I found a lot more people like me.
- 42:20Katie Spinks: It's not rare.
- 42:22Katie Spinks: And it's 99.99% of the time because doctors and nurses just don't listen.
- 42:28Katie Spinks: We're always just pushed off.
- 42:30Katie Spinks: You know, it's like what they say in women's health care.
- 42:32Katie Spinks: They make everything seem like we're just anxious, like when really like women don't get hurt until they're literally dying.
- 42:38Katie Spinks: And even then, women will die and they'll be like, Oh, you should have gotten care sooner.
- 42:42Katie Spinks: And it's like, should I?
- 42:44Katie Spinks: Like, try, try to, nobody would listen.
- 42:49Angela: Yeah, so after Jolene's birth, did you what it did you think you could get pregnant again?
- 42:56Katie Spinks: No, they told me that there was no way I could get pregnant again.
- 43:00Katie Spinks: They said that there was just so much scar tissue, so much damage.
- 43:03Katie Spinks: They're like, there's just no way you could get pregnant again.
- 43:06Katie Spinks: I don't even know why I trust them, trusted them at this point.
- 43:09Katie Spinks: I think maybe I was still like delusional, like disassociated, and like thinking at this point I could still fully trust them because I shouldn't have trusted them.
- 43:17Katie Spinks: I shouldn't have listened to them at all.
- 43:20Katie Spinks: But I did.
- 43:20Katie Spinks: I did get pregnant like the very first time.
- 43:23Katie Spinks: We weren't even trying, but I was like, okay, like I just had a baby, I'm still pumping.
- 43:27Katie Spinks: Um, because before, like when I had my other kids, I was able to use like pumping and all that as a way to keep from getting pregnant.
- 43:34Katie Spinks: Uh this time, uh, I felt like I was far more fertile this time, which is crazy.
- 43:39Katie Spinks: And I did get pregnant, and I lost that baby about halfway into the pregnancy.
- 43:44Katie Spinks: And, you know, the I had a different doctor at this point.
- 43:47Katie Spinks: And he was like, I know, I don't know.
- 43:49Katie Spinks: I can't explain it.
- 43:50Katie Spinks: Your pathology, everything looks totally normal.
- 43:53Katie Spinks: We're just gonna we we don't know.
- 43:55Katie Spinks: We don't have an explanation for you.
- 43:57Katie Spinks: He was like, you know, but clearly you can get pregnant.
- 43:59Katie Spinks: So you do with that information what you want to do.
- 44:02Katie Spinks: But at this point, um, you know, like we really wanted another baby.
- 44:06Katie Spinks: We wanted like a lot of kids.
- 44:08Katie Spinks: And so we I got pregnant again after I healed from that loss.
- 44:14Katie Spinks: And the same exact thing happened again.
- 44:15Katie Spinks: Like I lost her halfway in.
- 44:17Katie Spinks: The doctor was finally like, all right, you, if you keep getting pregnant, this is clearly just gonna keep happening.
- 44:23Katie Spinks: He's like, I can't tell you 100%.
- 44:25Katie Spinks: He's like, but I I feel like there's just a lot of scar tissue that maybe we can't see on an ultrasound.
- 44:32Katie Spinks: Like, there's obviously something going on with your uterus.
- 44:35Katie Spinks: Your body just can't handle being pregnant anymore.
- 44:39Katie Spinks: Because when I got to that halfway point, you know, like your body starts stretching more.
- 44:42Katie Spinks: He was like, So if your body is expelling pregnancies, when you're getting to that point, then obviously you just, you should not have any more, any more kids.
- 44:51Katie Spinks: He's like, if I were you or you were my wife, I would just tell you to to just get sterilized.
- 44:57Katie Spinks: Because if you have another baby or you get pregnant again, you could risk not only you dying, but the baby dying as well.
- 45:04Katie Spinks: He's like, this is just, this is too dangerous.
- 45:06Katie Spinks: So like I did listen to him.
- 45:08Katie Spinks: I was like, I'm not, I don't want to play with with fire like that.
- 45:11Katie Spinks: I think like after I healed from that loss, I did go and have a partial hysterectomy.
- 45:17Katie Spinks: Um, and that doctor who did the hysterectomy, he said, I just do not understand why they didn't take your uterus out when you had the C-section.
- 45:25Katie Spinks: He was like, Your uterus was probably the most trashiest uterus I've ever seen in my career.
- 45:31Katie Spinks: He was like, it looked like shredded cheese stitched back together.
- 45:35Katie Spinks: He's like, I don't, I don't know why they did that to you.
- 45:37Katie Spinks: He's like, something could have happened down the road in when you were having your period or get into a car, something could have happened to you and you could have like bled out and died because they kept they put that uterus back in you.
- 45:50Katie Spinks: He's like, they should have just taken it out.
- 45:52Katie Spinks: I was like, Well, I guess that's nice to know.
- 45:54Katie Spinks: I mean, I'm not surprised they they fucked everything else up, you know.
- 45:58Katie Spinks: Why not mess that up too?
- 46:00Katie Spinks: Um, so yeah, I think I had that done in like 2021.
- 46:04Katie Spinks: Yeah, 2021.
- 46:07Katie Spinks: But it's like the issues from all this just never went away.
- 46:11Katie Spinks: Like I had the most horrific like scar pain for the longest time.
- 46:16Katie Spinks: Like I had so many adhesions on my pelvis.
- 46:19Katie Spinks: It's just like people think like, oh, you're you got surgery, you got healed up, like you're fine.
- 46:23Katie Spinks: It's like, no, the issues never stopped.
- 46:25Katie Spinks: And then because of all the scar tissue from all that, I had a torsed ovary that made me go septic this past August.
- 46:33Katie Spinks: It's like it just, it just doesn't ever stop.
- 46:36Katie Spinks: Like, I feel like this is just this is a nightmare.
- 46:39Katie Spinks: And who knows?
- 46:40Katie Spinks: I'm like, I only have one ovary left because I'm trying to cling on to it because I'm only 37, you know, like I really don't want to go through menopause right now.
- 46:46Katie Spinks: Uh, but it's like they just they, you know, like it sucks because they get to move on from what they did.
- 46:52Katie Spinks: Meanwhile, here we are six years later, and we will deal with the consequences of the lack of their actions for the rest of our lives, between the the all the scar pain and stuff from my surgery, and then obviously Jolene's brain injury.
- 47:07Katie Spinks: Like it's just it never ends for us.
- 47:09Katie Spinks: Meanwhile, them they just they just get to live their lives, and there's no no like repercussions for them.
- 47:17Katie Spinks: And it's like it's like you said, it's not rare that it happens to to a lot of women.
- 47:22Katie Spinks: Like, there's a lot of families like mine out there living with the same pain that we do.
- 47:26Katie Spinks: Meanwhile, their doctors are still practicing, like still doing what they do.
- 47:29Katie Spinks: It's not fair.
- 47:32Angela: It's definitely not fair.
- 47:34Katie Spinks: Not at all.
- 47:35Katie Spinks: It's hard.
- 47:36Katie Spinks: It's hard to like see.
- 47:37Katie Spinks: Like one time her Facebook, the doctor's Facebook, popped up on my like people you may know thing.
- 47:41Katie Spinks: And I'm like, here's her and her family at Disney World with all her kids, you know, and I'm like, must be nice.
- 47:47Katie Spinks: We'll never be able to do that with our family because we have a child like Jolene.
- 47:50Katie Spinks: Meanwhile, you guys get to go do stuff like that because nobody did that stuff to you.
- 47:55Katie Spinks: You're just living your life.
- 47:56Katie Spinks: It's just like it's such a like a like a slap in the face.
- 48:00Angela: Do you care to name her?
- 48:02Katie Spinks: Oh, absolutely.
- 48:03Katie Spinks: Her name is Elizabeth Lavery.
- 48:06Angela: And this is in Virginia.
- 48:07Angela: So yeah.
- 48:09Angela: What do you wish more women understood about their legal and ethical human rights versus hospital policy?
- 48:16Katie Spinks: I wish they knew they had them.
- 48:18Katie Spinks: I feel like way too many women think that policy is law and it's not.
- 48:23Katie Spinks: If a hospital policy is there, it's to protect the workers, not to protect the patient.
- 48:29Katie Spinks: Like you do not have to follow the policy.
- 48:32Katie Spinks: If you want to do something off policy, do it.
- 48:35Katie Spinks: You do you don't have to do what they want you to do.
- 48:38Katie Spinks: And if they don't like it, request somebody else.
- 48:40Katie Spinks: Like there's somebody in that hospital that will provide you adequate care, care, no matter what you want.
- 48:46Katie Spinks: You know, to an extent, obviously you can't be there like chugging booze in labor.
- 48:51Katie Spinks: But if you want to get up and walk around or use the birthing tub or take the monitor off because you're just in there having natural contractions, like, you know, do what you want to do.
- 49:01Katie Spinks: It's it's your birth.
- 49:02Katie Spinks: If you're making an informed choice, do it.
- 49:05Angela: Yeah.
- 49:06Angela: I tell moms to like just use the hospital room as like a hotel room, just like go in, use it as like your room.
- 49:11Angela: Like it's your consumer.
- 49:13Angela: Right.
- 49:14Katie Spinks: I say the same thing.
- 49:15Katie Spinks: I'm like, if your insurance is gonna pay for it, I mean, why not?
- 49:18Katie Spinks: You don't, they don't have to do things to you and they can't kick you out.
- 49:21Katie Spinks: They can't be like, oh, we have to leave because you don't want an IV.
- 49:23Katie Spinks: Like, that's not their place to say.
- 49:25Katie Spinks: If you don't want one, if you're a low-risk mom and you're not like with a blood pressure of 250 over, you know, 180, there then there's nothing wrong with that.
- 49:33Katie Spinks: Do do what you want to do.
- 49:36Angela: Yeah, definitely.
- 49:37Angela: So, from your perspective, as a mom who's been through what you've been through and also as a doula and childbirth educator, how does a traumatic hospital birth change a woman's relationship with the medical system?
- 49:51Katie Spinks: Oh man, that's it's hard.
- 49:52Katie Spinks: It changes like everything about it.
- 49:55Katie Spinks: For the first couple years of Jolene's life, I didn't trust any doctors.
- 50:01Katie Spinks: None of them didn't trust doctors, nurses.
- 50:04Katie Spinks: If you had a letter behind your name, I did not trust you whatsoever.
- 50:07Katie Spinks: It didn't matter how nice you were.
- 50:09Katie Spinks: I questioned everything you said.
- 50:11Katie Spinks: But now that we're like six years in, obviously Jolene still, she needs a medical team.
- 50:17Katie Spinks: She needs a team full of specialists, she needs therapists, she needs to have stability, she needs medical stability, she needs people who know what her baseline looked like.
- 50:27Katie Spinks: It like forces you to like let go of that discomfort.
- 50:32Katie Spinks: And I wouldn't say that I just trust doctors, you know.
- 50:35Katie Spinks: I feel like I go into it not like with my walls up, but smarter.
- 50:41Katie Spinks: Um, like she does have a couple doctors I do trust.
- 50:44Katie Spinks: Like I love them.
- 50:44Katie Spinks: If they recommend we do something, I'm like, okay, can you give me a couple minutes while I just look this stuff up?
- 50:50Katie Spinks: And they're really good with me.
- 50:52Katie Spinks: Like I explained to them, like, you guys have to understand why I question everything you say.
- 50:56Katie Spinks: And they absolutely do.
- 50:58Katie Spinks: They don't fight me at all.
- 50:59Katie Spinks: They're great.
- 51:00Katie Spinks: Like we are very, I am very thankful to have a team like that, but I definitely question everybody, whereas I used to just distrust them.
- 51:08Katie Spinks: There was just an automatic distrust.
- 51:10Katie Spinks: Now I just, I just question it and I don't just listen.
- 51:13Katie Spinks: Where if they're like, when she was, um, we went to Mexico a couple months ago and she needed to go to the hospital, and they're like, oh, she needs these labs, she needs this, she needs that.
- 51:22Katie Spinks: And I'm like, you know, I don't feel like she does.
- 51:25Katie Spinks: If you can give me like a sound medical reason why she needs this and what you're gonna do with this and how it's gonna make your treatment better, then we'll do it.
- 51:34Katie Spinks: But if you're doing it just to do it, I don't feel comfortable doing that.
- 51:38Katie Spinks: Where like now I'm like not afraid to stand up for myself or for her, and I'm just like not afraid to be vocal rather than just being like, okay, sure, you want to do that, do it.
- 51:49Katie Spinks: Just go ahead.
- 51:50Katie Spinks: I just don't do that anymore.
- 51:52Angela: Which is essentially like developing autonomy, you know, of just like having that confidence to say, like, you know, get all the information and say like what you think about it, really.
- 52:03Angela: I just feel like that's I wish more women would would work on that too, like in preparation, right?
- 52:08Katie Spinks: Right.
- 52:09Katie Spinks: So like you just you have the information at your hand to say yes or no rather than to be like, oh, well, I told them they could, but I didn't know why.
- 52:15Katie Spinks: I didn't question it.
- 52:16Katie Spinks: For now, like I asked all the questions.
- 52:18Katie Spinks: And if it makes me look crazy, crazy, it makes me look crazy, but at least I will have the information.
- 52:24Katie Spinks: So if something does go wrong, I can be like, all right, you know what?
- 52:27Katie Spinks: I'm the one that chose this based off of this.
- 52:30Katie Spinks: So, like, you know, I will take responsibility rather than just be like, oh, well, they they said it, and then I get blamed for it anyway.
- 52:37Katie Spinks: So it's just, I would just much rather make all of the informed choices and have the information to make informed choices than to just be like, okay, do what you gotta do, or be like, no, no, don't do that, don't do that.
- 52:49Katie Spinks: Because then, you know, that can cause a whole lot of other issues.
- 52:52Katie Spinks: It's just nice to be able to still have a relationship while not being like submissive.
- 53:00Angela: Absolutely.
- 53:01Angela: Yeah, 100%.
- 53:03Angela: How do you see traumatic hospital birth experiences directly fueling the desire for some women to free birth?
- 53:12Angela: I see, I feel like I see that a lot now.
- 53:15Katie Spinks: Um, not even just free birth.
- 53:17Katie Spinks: Like some women are like, I just want to stay home, I just want a midwife at my house, like I just want somebody there for backup just in case, okay, which I get, I get you want somebody there for backup, you know, do what you want to do at your birth.
- 53:27Katie Spinks: Um I I mean, I could definitely see it.
- 53:30Katie Spinks: I would be scared shitless to go back into a hospital and have another baby.
- 53:36Katie Spinks: Like, even being in a hospital six years later, doesn't matter what hospital it is, it like triggers the PTSD and anxiety, like the smell of alcohol swabs, the look of a hospital bed, like the color of a hospital.
- 53:50Katie Spinks: It's very triggering.
- 53:52Katie Spinks: So I can definitely see where, like, you know, like birth is hard enough in itself.
- 53:56Katie Spinks: It's hard, it's it can be triggering for some women.
- 53:59Katie Spinks: It just it's it can be a really hard experience.
- 54:02Katie Spinks: So you don't want to add that trauma and anxiety and all those feelings onto it because then you know, like once you get into like you're fully anxious, you're panicking and all that, you could either just submit to whatever they want to do and things could go south again, or you could just say no when you actually need something.
- 54:19Katie Spinks: It just like it clouds your judgment when you're panicking and you don't know what to say or what to do.
- 54:26Katie Spinks: Um, and you can't make informed choices.
- 54:28Katie Spinks: So I could, I mean, I could definitely understand why so many women are like, I cannot go back into a hospital.
- 54:34Katie Spinks: I can't do it.
- 54:35Katie Spinks: I I I completely see where they're coming from.
- 54:38Katie Spinks: You just you don't understand it unless you've been through it.
- 54:42Katie Spinks: Like the PTSD and the way the little things can trigger you into a full-blown like panic that can last for days and days.
- 54:51Katie Spinks: It's it's exhausting and painful.
- 54:55Angela: Are you familiar with the Free Birth Society?
- 54:57Angela: Have you heard much about them or not that much?
- 54:59Katie Spinks: A little bit.
- 55:00Katie Spinks: I know a friend on Facebook who is a free birther and she talks like a lot about it.
- 55:04Katie Spinks: Like I've learned a lot of free birthing through her, and then she has like friends at free birth too.
- 55:09Katie Spinks: So like I just look at their conversations a lot.
- 55:11Katie Spinks: I don't like read anything from the society.
- 55:14Katie Spinks: I've heard of it, but I don't know like a whole lot about it.
- 55:17Katie Spinks: I just know, like, I guess, about what free birth is and why women choose it and and about it through through women who've done it.
- 55:25Angela: So the whole reason I'm doing this whole series is because the leaders of the free birth society were kind of feeding on all of the women who've had birth trauma and just telling them that just go on free birth.
- 55:38Angela: There's nothing ever goes wrong in a free birth.
- 55:40Angela: And then there's been a lot of women who have had obviously like birth is birth.
- 55:44Angela: Sometimes things happen, and just getting that information where there's nothing ever goes wrong was really harmful for some women.
- 55:52Angela: So I just am trying to balance out their stories with obviously there's also a lot of harm happening in the hospitals.
- 55:59Angela: Yeah.
- 55:59Angela: So that's why I'm including your story in these series that I'm doing.
- 56:03Angela: There's actually a six-part podcast from The Guardian that just did a year-long investigation on them.
- 56:08Angela: If you're curious, like I definitely point you towards their podcast, like kind of explains it all.
- 56:12Katie Spinks: So ever say that to somebody that's like telling parents, oh, don't buckle your kids in a car seat because there was a kid in 1993 who got strangled in their car seat.
- 56:23Katie Spinks: Like, things can go wrong anywhere.
- 56:25Katie Spinks: Things can go wrong eating dinner.
- 56:27Katie Spinks: Okay, like things can go wrong any time of the day, no matter what you're doing.
- 56:31Katie Spinks: The difference is, is do you have the information to make proper choices and stuff like that?
- 56:37Katie Spinks: Not just do god, that's so dangerous.
- 56:40Katie Spinks: Oh my god, did people die?
- 56:41Katie Spinks: Did women die?
- 56:42Katie Spinks: Women, babies, yeah.
- 56:43Katie Spinks: Oh my god, that's so sad.
- 56:45Katie Spinks: That is so sad, so sad.
- 56:47Katie Spinks: And I'm sure the people who were like super like into hospital births and stuff are like, see, that's why everybody needs to birth in a hospital.
- 56:54Angela: I feel like it is, like you just said, like this story, it's a story about information, is and so it's a story about just informed consent and it's about each person's relationship with safety.
- 57:05Angela: And that looks like everybody, you know, like you said, like you can die eating dinner, but do we go and eat our dinners at hospitals just in case we choke on our steak, you know?
- 57:13Katie Spinks: No, you learn how to properly do it, like driving a car.
- 57:16Katie Spinks: You can die driving in a car, but you learn how to safely do it so that way you can do it in a safe manner and get back home.
- 57:22Katie Spinks: It's like that's what I tell people about birth all the time.
- 57:24Katie Spinks: Like, you can safely do it, but there's also an unsafe way to do it.
- 57:27Katie Spinks: And going in blind, having absolutely no information and some being submissive to the hospital.
- 57:33Katie Spinks: Yeah, you're you're probably gonna end in a C-section.
- 57:35Katie Spinks: You go in there, your cervix is zero, you are completely like zero percent effaced.
- 57:40Katie Spinks: Like you're you do not need Pitocin.
- 57:42Katie Spinks: You need to go in there with information, make informed choices, like do what's best for you and your baby.
- 57:47Katie Spinks: And if you decide after getting all the information, you still want to hop in the potosin train, by all means, do it.
- 57:53Katie Spinks: Just know what to look out for.
- 57:55Katie Spinks: Like, there's like just it's crazy the way people think that birth is literally one way or the other.
- 58:00Katie Spinks: Like it can go bad for anybody.
- 58:03Katie Spinks: Like, just know what you're doing, and your chances of it going right are way higher.
- 58:07Katie Spinks: Even if you're high risk and you do need an induction, like do the induction properly and you will end in a vaginal birth.
- 58:13Katie Spinks: Do it improperly, you're gonna end in a C-section.
- 58:16Katie Spinks: Like, come on now.
- 58:17Katie Spinks: It's just the way so many women are like manipulated and coerced into thinking every woman's body needs an induction and every baby dies after like 39 weeks.
- 58:28Katie Spinks: I swear that whoever started that just needs to be like in prison because maybe someone just die after 39 weeks.
- 58:34Katie Spinks: Like, this is not how it works.
- 58:36Katie Spinks: It's crazy.
- 58:39Angela: After everything you've been through, how has your understanding of informed consent changed?
- 58:45Katie Spinks: Um, well, I now know what it is.
- 58:47Katie Spinks: I don't think I really knew what it was before.
- 58:49Katie Spinks: Like, you know, like I told you before, I really just trusted anybody that had a letter behind their name.
- 58:54Katie Spinks: I'm like, well, they went to school.
- 58:55Katie Spinks: Surely they know what they're doing.
- 58:57Katie Spinks: They wouldn't tell me to do this if it wasn't safe or if it wasn't best.
- 59:01Katie Spinks: I just didn't ask any questions.
- 59:03Katie Spinks: And now I ask all the questions.
- 59:05Katie Spinks: Like, even if I walk in with a list this long, I'm gonna ask all of them.
- 59:08Katie Spinks: I want to make sure I have all of the information and I'm agreeing to something or declining something because I've read all about it and I feel like it's the best choice.
- 59:19Katie Spinks: Whereas before I just I didn't, I just did whatever they said.
- 59:23Katie Spinks: So I just I didn't know what informed consent really was until afterwards.
- 59:28Angela: Yeah, I feel like that's the case with a lot of moms.
- 59:31Angela: I know in my first birth, I didn't know really.
- 59:33Katie Spinks: Like you don't really know it's nothing.
- 59:36Katie Spinks: Yeah, a lot of women do that, especially like when you're younger or first-time mom, you just you just do what they what they say.
- 59:41Katie Spinks: You don't really know there's a whole nother world until something goes wrong, and you're like, I can't possibly be the only one.
- 59:49Katie Spinks: And then you find you are not possibly the only one, you are one of thousands, maybe even millions, who knows?
- 59:55unknown: Yeah.
- 59:56Angela: What do you wish you'd known about Petocin before going into labor with Jolene?
- 1:00:03Katie Spinks: Everything.
- 1:00:04Angela: I wish I'd known everything.
- 1:00:06Katie Spinks: If somebody, but if we're being real, one thing, if somebody had sat down and told me the risks, like sat down, like you and I are talking and just been like, here, I want you to know that these are the risks.
- 1:00:17Katie Spinks: If you agree to have this drug, all of these things can happen to you.
- 1:00:21Katie Spinks: All of these things can happen to your baby.
- 1:00:24Katie Spinks: I want you to know that there's a such and such chance you could end in a C-section.
- 1:00:28Katie Spinks: I want you to know all of these things so that way we can make a proper plan, not just this is what you're getting.
- 1:00:35Katie Spinks: Adios, you know, like a conversation.
- 1:00:39Katie Spinks: I know that so many women are like, oh, you sign a piece of paper saying that you know, but that's not the same thing as an informed conversation.
- 1:00:47Katie Spinks: Like, and when an anesthesiologist comes in, they sit down, they don't even get your signature until they've had you look them in the eye and have a whole conversation about anesthesia and what the risks are, and all of you know, a whole informed conversation, and then you sign the piece of paper.
- 1:01:05Katie Spinks: So, like, why can't obscure doctors do like why?
- 1:01:08Katie Spinks: It makes no sense if other doctors can do it before they're giving you a risky procedure or a risky drug.
- 1:01:14Katie Spinks: Surely NOB can do it too.
- 1:01:16Katie Spinks: Like, surely, or even the nurse do it, somebody do it.
- 1:01:20Katie Spinks: So many women like me, I can't just read a piece of paper and understand something.
- 1:01:24Katie Spinks: I'm more of like, I need you to tell me verbally, like face to face about something, because I can't just read it and understand.
- 1:01:31Katie Spinks: I understand better by having a conversation.
- 1:01:34Katie Spinks: And I know like so many other women are like that.
- 1:01:36Katie Spinks: Plus, you know, when you go in for an induction or you go in to have your baby, you're not sitting down thinking, thinking straight.
- 1:01:42Katie Spinks: You're you're already nervous, you know, you're anxious.
- 1:01:45Katie Spinks: So reading a piece of paper, you're not going to be like, oh yeah, I understand this.
- 1:01:48Katie Spinks: I understand this.
- 1:01:49Katie Spinks: So many women don't even know what a uterine rupture is.
- 1:01:53Katie Spinks: They don't know what a tacky uterus is.
- 1:01:56Katie Spinks: So reading it on a piece of paper, just that's just confusing.
- 1:01:59Katie Spinks: So just I just wish somebody would have sat down and just explained it to me, like what the risks are and like made a plan rather than just doing it all without me involved.
- 1:02:09Katie Spinks: I just wanted to be involved.
- 1:02:11Angela: Yeah, absolutely.
- 1:02:12Angela: Like that's should be expected of for everybody.
- 1:02:16Angela: Yeah.
- 1:02:16Angela: From your perspective, why do you think informed consent is so often overlooked or bypassed in hospital birth settings?
- 1:02:23Angela: Because, in my experience, it's very common for care providers to present these interventions as the only option rather than offering the true informed choice, which leads very directly to many women experiencing births that they're describing as traumatic, even when on the outside looking in, they're healthy and their baby's healthy.
- 1:02:41Angela: But really, it comes back to they didn't have informed consent and they were not in charge of making their own decisions.
- 1:02:47Angela: So, why do you think these conversations that are crucial to have so that people don't have birth trauma are not happening?
- 1:02:55Katie Spinks: I think it's because honestly, if we're being real, it's just easier for the doctor.
- 1:03:00Katie Spinks: It's just easier for the doctor to come in and be like, okay, we're starting you on pitocin.
- 1:03:06Katie Spinks: The nurse is gonna do, she's gonna check you every hour, and we'll see how you progress in five hours.
- 1:03:11Katie Spinks: Like it's just easier for them to come in, say what they're doing, and walk out rather than being like, okay, let me pull up a chair and talk to you.
- 1:03:19Katie Spinks: We're gonna go over the risks, we're gonna go over the possible outcomes, we're gonna go over a plan.
- 1:03:23Katie Spinks: We're gonna do like that.
- 1:03:24Katie Spinks: Just takes too much of their time.
- 1:03:25Katie Spinks: They don't want to waste 30, 30 minutes to an hour in a room with a woman who's already nervous, whereas that hour could be spent with them already starting the drug and already getting things moving and all that.
- 1:03:36Katie Spinks: It's just like, it's like a race.
- 1:03:38Katie Spinks: You ever see like the way sometimes hospitals run, like sometimes when I go into them and I see the birthing ward, it's like everybody is like so fast-paced, they're like, do, do, do, do, do.
- 1:03:49Katie Spinks: And I'm just like, you like settle down.
- 1:03:52Katie Spinks: This this isn't a race.
- 1:03:53Katie Spinks: If that woman is in that room for six days because that's what's safest for her and her baby, so be it.
- 1:03:59Katie Spinks: Like, if you have to have her here for monitoring for 24 hours and then send her home and then have her come back, so be it.
- 1:04:06Katie Spinks: It just everybody is in so much of a rush.
- 1:04:09Katie Spinks: And I feel like the biggest thing is if women really know the risks of these interventions and drugs, they're gonna say no.
- 1:04:15Katie Spinks: They're gonna say, you know what?
- 1:04:17Katie Spinks: I'm actually gonna go home.
- 1:04:19Katie Spinks: Um, and my baby isn't in danger and I'm not in danger, I don't, I don't want to do this anymore.
- 1:04:24Katie Spinks: And then that wastes not only their time, that also makes like their schedule.
- 1:04:29Katie Spinks: They're not gonna know what's gonna happen.
- 1:04:30Katie Spinks: Like they like the fact that they can schedule things and they know where they're gonna be at what time, rather than just being like on call, like, oh, 11:30 p.m., somebody's having a baby, and then they got to come in.
- 1:04:41Katie Spinks: Like, they don't like that.
- 1:04:42Katie Spinks: They like things to go on time, on their schedule, as they know, rather than it just being like, we don't know, we don't know.
- 1:04:50Katie Spinks: And then, you know, more women denying intervention.
- 1:04:53Katie Spinks: I'm sorry, I don't care what anybody says.
- 1:04:55Katie Spinks: The more intervention that they give, the more money they make.
- 1:04:57Katie Spinks: Because if you look at your hospital bills and your like all the itemized receipts, everything costs money.
- 1:05:03Katie Spinks: And the physician in hospital get paid a portion of that.
- 1:05:06Katie Spinks: So if you take all those interventions away, that's a whole list of like money that's not going towards them.
- 1:05:12Katie Spinks: Like that's just how I feel.
- 1:05:14Katie Spinks: Um, I don't know if you follow Dr.
- 1:05:15Katie Spinks: Bill Chan too, but he talks a lot about it, how they do make more money for more things.
- 1:05:19Katie Spinks: And it just makes sense.
- 1:05:21Katie Spinks: Like it makes sense.
- 1:05:22Katie Spinks: The more you do, the more you get.
- 1:05:25Katie Spinks: So the less you do, the less you get.
- 1:05:27Katie Spinks: And why would they want that?
- 1:05:29Katie Spinks: You know, like why would they want that?
- 1:05:30Katie Spinks: That's just it's obviously it's messed up, but that's just how it is.
- 1:05:34Katie Spinks: They they want to go fast, they don't want their schedule to not be pristine and scheduled during the day, and they need an income.
- 1:05:43Katie Spinks: So it's just they're not gonna sit down and tell one of these things.
- 1:05:46Katie Spinks: And they, I've seen it too where doctors don't like when a woman comes in informed.
- 1:05:50Katie Spinks: They they do not like it at all.
- 1:05:52Katie Spinks: Some nurses too, they get very like catty and rude and stuff.
- 1:05:56Katie Spinks: And it's like, how are you gonna be mad at somebody for choosing what to do with their body?
- 1:05:59Katie Spinks: How?
- 1:06:00Katie Spinks: I don't understand that.
- 1:06:02Katie Spinks: It's crazy.
- 1:06:04Angela: It is absolutely crazy.
- 1:06:05Angela: And I just hope that more doctors and nurses know.
- 1:06:09Angela: I know a lot of doctors and nurses do listen to this podcast.
- 1:06:12Angela: And if you're a doctor or nurse and are listening, like these are women's peak life events that you're facilitating.
- 1:06:21Angela: Just respect it as that.
- 1:06:22Angela: You know, it's a peak life event.
- 1:06:25Angela: It's so important.
- 1:06:25Angela: Like you're always going to remember like the day you gave birth, no matter how it goes.
- 1:06:29Angela: So like be kind, please.
- 1:06:31Angela: Inform your patients.
- 1:06:33Angela: Maybe even be a little bit like your Jolene's NICU doctor that broke policy and outside the box because it was the right thing to do.
- 1:06:42Katie Spinks: Absolutely.
- 1:06:43Katie Spinks: And like you said, like it's we're going to remember it forever.
- 1:06:46Katie Spinks: You when you have a baby, even if you go home and your baby goes home, it doesn't matter.
- 1:06:51Katie Spinks: You don't just have the happy baby or that healthy baby, healthy mom thing is so it's so wrong because it's just, it's not true.
- 1:06:59Katie Spinks: Like your experience still matters.
- 1:07:01Katie Spinks: And if you have trauma from having birth, that trauma follows you for the rest of your life.
- 1:07:06Katie Spinks: You don't just, it doesn't just go away.
- 1:07:08Katie Spinks: You know, it takes years to sometimes finally even sit down and be able to come to terms with it.
- 1:07:14Katie Spinks: Like it took me five years to sit down and like accept what happened.
- 1:07:18Katie Spinks: And then that's just like that, that's a lot, you know, that's a lot.
- 1:07:22Katie Spinks: And it really does interfere with a lot of other things.
- 1:07:26Katie Spinks: People don't realize that.
- 1:07:27Katie Spinks: When you go home from your birth, it doesn't stay in the hospital, it follows you for the rest of your life.
- 1:07:32Katie Spinks: And like just being a good doctor and a good nurse really can make or break an experience, even if my rupture was completely random and it just happened even with apitocin or even with pitocin.
- 1:07:44Katie Spinks: If my nurse had just shown me compassion, if she had just cared enough to check, if the doctor had just cared to check, like we would we just wouldn't be sitting here having this conversation.
- 1:07:55Katie Spinks: Like it just things happen.
- 1:07:58Katie Spinks: Obviously, things happen, but it's about how you handle it.
- 1:08:01Katie Spinks: And if you handle it crappy and cold, you're gonna you're just gonna ruin somebody's life.
- 1:08:05Katie Spinks: You're gonna ruin somebody's life.
- 1:08:07Katie Spinks: And it's gonna be really hard to come back from that.
- 1:08:10Angela: Would you tell me about some of the treatments you've been pursuing for Jolene?
- 1:08:13Angela: That I I know I've been following you on Instagram and like you've been noticing some improvements.
- 1:08:19Angela: So let's see.
- 1:08:22Katie Spinks: Last year she went for a treatment called Cytotron in Mexico.
- 1:08:27Katie Spinks: That was a 28-day treatment.
- 1:08:30Katie Spinks: It was supposed to like build new pathways in the brain.
- 1:08:33Katie Spinks: And she definitely showed a lot of improvements after that.
- 1:08:36Katie Spinks: Like before we went there, she would vomit all the time, every day, like five to ten times a day, every day.
- 1:08:41Katie Spinks: She couldn't gain weight.
- 1:08:42Katie Spinks: Like it was just, it was exhausting how much she would vomit and how much we struggled to get her to gain weight.
- 1:08:48Katie Spinks: I want to say, like a week after we were home, she's vomited maybe one, maybe two times in the last year.
- 1:08:56Katie Spinks: So she's been able to gain weight, which helps her, you know, in therapies and to progress and all that.
- 1:09:02Katie Spinks: So she had a lot of improvements from that.
- 1:09:04Katie Spinks: And then she's had umbilical cord stem cells and cord blood, which really helped with her vision and cognitive skills.
- 1:09:12Katie Spinks: Then she went for a new treatment called Muse cells.
- 1:09:16Katie Spinks: It's a type of stem cell, which she has shown like amazing improvements for that.
- 1:09:21Katie Spinks: And then she's also done a round of intensive therapy.
- 1:09:25Katie Spinks: So, like usually for physical therapy for kids like her, they go once a week for like an hour a day.
- 1:09:30Katie Spinks: And that's it.
- 1:09:31Katie Spinks: So intensive therapy, it's five days a week, anywhere from like two to four hours a day, depending on what is best for the child.
- 1:09:38Katie Spinks: For Jolene, it's two hours.
- 1:09:40Katie Spinks: So she'll go for two hours a day, every day for three weeks.
- 1:09:43Katie Spinks: And it just really helps like muscle memory with kids like her, because repetition is so important.
- 1:09:49Katie Spinks: Like it is crucial for kids like her.
- 1:09:51Katie Spinks: So when you pair those kind of therapies, like the stem cell therapy and the physical therapy, they work together.
- 1:09:57Katie Spinks: And the improvements when you like do them right are just they're amazing.
- 1:10:01Katie Spinks: So she's had a whole lot of treatment in the last year.
- 1:10:05Katie Spinks: Cause I know when kids turn like seven, like the neuroplasticity starts to settle in their brains.
- 1:10:11Katie Spinks: So obviously they can still improve, you know, like she could still continue going, still improving.
- 1:10:15Katie Spinks: It just wouldn't be as much as it is now.
- 1:10:18Katie Spinks: Like her brain is like a sponge now.
- 1:10:19Katie Spinks: You could easily manipulate it and she can heal much better now.
- 1:10:23Katie Spinks: But when she turns seven, it just kind of settles down some.
- 1:10:27Katie Spinks: So what she will have when she's like seven and further is probably what she's gonna have for the rest of her life.
- 1:10:32Katie Spinks: Obviously, she can still improve here and there, but the improvement she's made over the last year is like night and day.
- 1:10:38Katie Spinks: I don't know if you followed us like a year or two ago, but um, it was just, it was a lot.
- 1:10:43Katie Spinks: She was always seizing.
- 1:10:45Katie Spinks: She couldn't hold herself up.
- 1:10:47Katie Spinks: She had absolutely no arm strength, like her head would drop a lot.
- 1:10:51Katie Spinks: She couldn't sit up straight.
- 1:10:53Katie Spinks: She had a hard time being on her legs.
- 1:10:56Katie Spinks: It just, she was very, very, very weak.
- 1:10:58Katie Spinks: You know, she could sit up and she could roll, but she wasn't very interactive either.
- 1:11:04Katie Spinks: She wasn't using both of her hands together.
- 1:11:06Katie Spinks: Like she's just doing so much more now than she was like two years ago, even this time last year, because we didn't leave until June last year.
- 1:11:16Katie Spinks: Um, so all these treatments, they're just they're so amazing.
- 1:11:19Katie Spinks: I hate that they are not covered.
- 1:11:20Katie Spinks: And I hate that we don't know about them until we find out through like word of mouth.
- 1:11:25Katie Spinks: Because I feel like if we had done these treatments years ago, she could probably be like walking with a walker right now because she tries so hard, even crawling.
- 1:11:35Katie Spinks: You could tell she her body wants to do it.
- 1:11:37Katie Spinks: It's the brain and the body that's not connecting.
- 1:11:40Katie Spinks: So she wants to, but her body's just not cooperating.
- 1:11:45Katie Spinks: So I feel like if we had started years ago, she would just be doing so much more now.
- 1:11:48Katie Spinks: But I'm just, you know, I'm thankful that we found it that we're doing it now.
- 1:11:51Katie Spinks: And hopefully, with everything I can pack into like the next six months, it'll really help her.
- 1:11:57Katie Spinks: Cause I'm like nervous.
- 1:11:58Katie Spinks: I'm like, once she hits seven, I know it's not gonna cut off obviously like that day, you know, but I'm like, how much more can she really do after that?
- 1:12:05Katie Spinks: So we'll see.
- 1:12:07Katie Spinks: We'll see.
- 1:12:08Katie Spinks: But we're gonna definitely keep keep doing stuff for her because it's it's definitely helping.
- 1:12:12Katie Spinks: It's definitely helping.
- 1:12:14Angela: So, as a final question, what do you think it will take to see some changes in maternity care?
- 1:12:20Katie Spinks: A system rebuild.
- 1:12:21Katie Spinks: Somebody is gonna have to care enough to want to put their foot down and be like, our system needs to change.
- 1:12:29Katie Spinks: Because I feel like honestly, our system is going backwards little by little by little.
- 1:12:34Katie Spinks: Women are convinced that their babies die after 39 weeks.
- 1:12:38Katie Spinks: There are women who truly think their placentas also die after 39 weeks.
- 1:12:42Katie Spinks: There are women who who say, Oh, I'm scheduled for my elective induction at 37 weeks because my baby's full term.
- 1:12:48Katie Spinks: And it's just like, who is telling you these things?
- 1:12:52Katie Spinks: Who is telling you guys these things?
- 1:12:54Katie Spinks: And it's just until the mortality rate and the C-section rate gets well over 50.
- 1:13:01Katie Spinks: I just don't think anybody's gonna care.
- 1:13:03Katie Spinks: People are looking at it like, oh, it's only at almost 40%.
- 1:13:06Katie Spinks: Like that's not that bad.
- 1:13:08Katie Spinks: And it's like, are you kidding me?
- 1:13:09Katie Spinks: We are in 2026.
- 1:13:11Katie Spinks: We're supposed to be like a developed country, and we have like the worst statistics of all the first world countries.
- 1:13:17Katie Spinks: So how I don't understand how nobody's standing up yet.
- 1:13:19Katie Spinks: I feel like it's really gonna take more deaths, more injuries.
- 1:13:24Katie Spinks: Like you're gonna need to see a lot more horrible things happen for somebody to be like, okay, maybe we do need to do something.
- 1:13:30Katie Spinks: Until then, it's just gonna keep getting worse and worse.
- 1:13:33Katie Spinks: Like, I know that I feel like in the last year, HIE has really skyrocketed.
- 1:13:38Katie Spinks: Like there are people coming out left and right.
- 1:13:42Katie Spinks: Like, I constantly get messages to my inboxes.
- 1:13:46Katie Spinks: It's it's at least weekly.
- 1:13:48Katie Spinks: At least.
- 1:13:50Katie Spinks: Um, well, I just had my baby, you know, like I was induced and my doctor didn't listen.
- 1:13:55Katie Spinks: Now my baby has HIE or my baby just died.
- 1:13:57Katie Spinks: It's just, it's just constant.
- 1:13:59Katie Spinks: It's constant.
- 1:13:59Katie Spinks: Whereas I want to say, like two years ago, or even when I first started posting, it wasn't a whole lot.
- 1:14:04Katie Spinks: Like it was women who had already been through it.
- 1:14:06Katie Spinks: So, you know, it wasn't people like it just happened, it just happened, but it's just happening more and more and more.
- 1:14:12Katie Spinks: And until things get worse and worse and worse, nobody, nobody's gonna do anything.
- 1:14:18Katie Spinks: They're gonna wait till it gets really bad.
- 1:14:20Katie Spinks: But then at that point, it's like dude, you've already done all the damage.
- 1:14:24Katie Spinks: The damage is done.
- 1:14:25Katie Spinks: You somebody needs to do something now to prevent it from happening.
- 1:14:29Katie Spinks: Um same with like I know this is probably off topic, but like I asked my daughter's teacher.
- 1:14:35Katie Spinks: She does school and home.
- 1:14:37Katie Spinks: So her teacher comes to our house.
- 1:14:38Katie Spinks: She's homebound, and she was telling me that she's like exhausted, she's overworked, you know, she's older, she wants to retire, but she can't.
- 1:14:45Katie Spinks: She's like, we don't have enough help.
- 1:14:47Katie Spinks: We have so many kids.
- 1:14:49Katie Spinks: She said that in one day, it was like two weeks ago, they had interviews for eight kids in just the morning, brand new kids coming into like aging into the school system.
- 1:15:00Katie Spinks: And I was like, I know you don't have to tell me.
- 1:15:02Katie Spinks: You don't have to tell me like anything you're not allowed to.
- 1:15:04Katie Spinks: Why are these kids disabled?
- 1:15:06Katie Spinks: Like, what happened?
- 1:15:07Katie Spinks: Are these genetic disorders?
- 1:15:09Katie Spinks: Like, what's going on?
- 1:15:09Katie Spinks: She's like birth.
- 1:15:10Katie Spinks: They're they're all from birth.
- 1:15:12Katie Spinks: Everything is from birth.
- 1:15:13Katie Spinks: I'm like, I knew it.
- 1:15:15Katie Spinks: I I knew it.
- 1:15:16Katie Spinks: Every time I talk to somebody, it's always birth related.
- 1:15:18Katie Spinks: Always.
- 1:15:19Katie Spinks: It's like, how many more kids do these people really want to see suffer until they do something?
- 1:15:25Katie Spinks: Like, how many women are struggling with just wanting to not be here?
- 1:15:28Katie Spinks: How many moms do kill themselves because the pain, not only physically but mentally, of uh living a life like this or even dealing with trauma like that?
- 1:15:37Katie Spinks: It just is too much sometimes.
- 1:15:39Katie Spinks: Like it's just too much.
- 1:15:40Katie Spinks: It's just I feel like they want things to get that bad before they actually do something, but that's what it's gonna take.
- 1:15:46Katie Spinks: It's just gonna take for things to get significantly worse before somebody does something.
- 1:15:50Katie Spinks: We need a new system.
- 1:15:52Katie Spinks: We need one badly.
- 1:15:53Katie Spinks: You know what else we need?
- 1:15:54Katie Spinks: We need doctors and nurses to stop going online and telling women that inductions don't carry risks.
- 1:16:00Katie Spinks: Like, I am so sick of seeing doctors.
- 1:16:02Katie Spinks: Oh, it's fine.
- 1:16:03Katie Spinks: We do inductions every day, they end in vaginal birth, it's perfectly fine.
- 1:16:07Katie Spinks: But does the mom leave traumatized?
- 1:16:09Katie Spinks: Is the mom traumatized?
- 1:16:11Katie Spinks: Like it ended in a vaginal birth.
- 1:16:13Katie Spinks: Is she okay?
- 1:16:14Katie Spinks: Like what happened, you know?
- 1:16:16Katie Spinks: Stop telling women that they're gonna be fine because you don't know that.
- 1:16:20Katie Spinks: You don't know that.
- 1:16:21Angela: Yeah, that part's not talked about.
- 1:16:23Angela: It's just like another Tuesday.
- 1:16:24Angela: We just do this, you know, every day.
- 1:16:26Angela: It's you know, no big deal, just another day for them.
- 1:16:28Katie Spinks: We've already done 15 this morning.
- 1:16:30Katie Spinks: What's another one?
- 1:16:30Katie Spinks: It's like you were you're pumping a mom's body full of drugs, hooking her up to monitors and having her lay on her back like dead cattle.
- 1:16:38Katie Spinks: What do you mean?
- 1:16:39Katie Spinks: Like that's not okay.
- 1:16:41Katie Spinks: Not okay.
- 1:16:42Katie Spinks: The whole system is the system is just crazy.
- 1:16:45Katie Spinks: It's just crazy.
- 1:16:47Angela: Yeah, the system is it's almost like the system is designed that way, I feel like, for a reason.
- 1:16:54Angela: And it's actually the way it was designed, it's working just fine.
- 1:16:57Angela: But unf of course, inside of that, there are plenty of good doctors and nurses, you know.
- 1:17:03Angela: Like you said, obviously we came across some that were not good.
- 1:17:05Angela: And and it's hard even for the doctors and nurses that truly do care, like to be in this system in these situations.
- 1:17:11Angela: And yeah, I really think that, you know, when women start standing up for their births, you know, as the consumers of this business model of healthcare, you know, when they stop going in and doing whatever the doctors want them to do and they start saying, I'll take this, but not that, or whatever they actually want, like from an informed place with all of the information.
- 1:17:30Angela: Like, that's just, you know, it's it's on the women, you know, the consumers to say, Hey, tell me more about this, or I'll do this and not that, you know, like not just have like a one-size-fits-all birth.
- 1:17:41Katie Spinks: I agree.
- 1:17:42Katie Spinks: They have to stand up for themselves.
- 1:17:43Katie Spinks: It just sucks because like you're either gonna get a doctor who's like cold.
- 1:17:46Katie Spinks: I'm all for that.
- 1:17:47Katie Spinks: If you're doing that because you've researched it, or a doctor that's gonna be like, your choice is gonna kill your baby.
- 1:17:52Katie Spinks: Your baby's gonna die.
- 1:17:53Katie Spinks: You're gonna die.
- 1:17:54Katie Spinks: Everybody's gonna die.
- 1:17:55Katie Spinks: It's like, well, obviously, if you're gonna tell a mom that she's gonna be, she's gonna be co-erced into changing her mind.
- 1:18:00Katie Spinks: So it's like the system, like you said, it's it's doing what it was designed to do.
- 1:18:05Katie Spinks: People need to stand up against the system, and somebody needs to also somebody bigger with like more power needs to stand up against the system, too, because the system is garbage.
- 1:18:14Katie Spinks: It's absolute garbage.
- 1:18:16Angela: Well, Katie, thank you so much for taking the time to chat with me and just for doing everything that you're doing with you know, sharing so much awareness about this topic, like online.
- 1:18:27Angela: I I know it's can't be easy to talk about, but just really appreciate you so much for just spreading so much awareness about this topic because more moms need to know about this.
- 1:18:37Katie Spinks: I agree.
- 1:18:37Katie Spinks: That's why I do it because like it's it's so important.
- 1:18:39Katie Spinks: It just takes that one person to be like, your story really changed my life before you.
- 1:18:44Katie Spinks: I was gonna go in for a 39-week induction.
- 1:18:47Katie Spinks: Instead, I waited for spontaneous labor.
- 1:18:49Katie Spinks: I had a baby, and we both left not only alive, but happy, and and I loved my birth.
- 1:18:55Katie Spinks: And it's like, that's why I share.
- 1:18:57Katie Spinks: Like, it's so important.
- 1:18:58Katie Spinks: Or for a mom to be like, Well, I saw your story, and I also was told I was alone.
- 1:19:02Katie Spinks: There was nobody else like me, and you made me feel more seen.
- 1:19:05Katie Spinks: It's like it's just it's so important that the people who've been through it have somebody who can resonate, and then the people, the women who might not have had a baby get access to information because knowledge, knowledge is just powerful.
- 1:19:18Katie Spinks: You can do a lot with it rather than going in blind.
- 1:19:27Kate Sutherland: Follow the walk of the wild ones into the woods and the darkness.
- 1:19:32Kate Sutherland: Rebirth the ways of the ancient ones whose tracks were washed away in blood.
- 1:19:38Kate Sutherland: It falls to us now to open up and taste beyond what we've been fed.
- 1:19:43Kate Sutherland: Take up the feed, expire, cleansing, change to light the path and said, Follow the walk of the wild ones, into the woods and the darkness.
- 1:19:53Kate Sutherland: Rebirth the ways of the ancient ones, whose tracks were washed away.
- 1:19:58Kate Sutherland: It falls to us now to open up and taste beyond what we pretend.
- 1:20:04Kate Sutherland: Take up the feet, expire cleansing, change to like the path to set.
- 1:20:09Kate Sutherland: Step by step through the unknown, I'll be on like a new line.
- 1:20:14Kate Sutherland: In darkness, let love like the way to feed the soil of changing times.
- 1:20:20Kate Sutherland: Step by step through the unknown, I'll be on like a new mind.
- 1:20:25Kate Sutherland: In darkness, let love like the way to feed the soil of changing times.
- 1:20:30Kate Sutherland: Follow the walk of the wild ones, into the woods and the darkness, rebirth the ways of the ancient ones, whose tracks were washed away in blood.
- 1:20:41Kate Sutherland: It was to us now to open up and chase beyond what we pretend.
- 1:20:46Kate Sutherland: Take us the feet, inspire cleansing, change to light the path.
- 1:20:51Kate Sutherland: Step by step through the unknown, I'll be online and you'll be mine.
- 1:20:57Kate Sutherland: In darkness, let love light the way to feed the soil of changing times.
- 1:21:02Kate Sutherland: Step by step through the unknown, I'll be online and you'll be mine.
- 1:21:07Kate Sutherland: In darkness, let love light the way to feed the soil of changing times.