So we just cross our legs?

Two days on and I’m still feeling cross about it!

Yes, it’s the Daily Mail again with the outrageous headline that babies born just one week early risk serious health problems.
On how many levels can a story be hurtful?

It’s carefully presented as being a warning about the dangers of elective caesareans which tend to take place at 39 weeks (and in so doing again perpetuates the attitude that having a caesarean is about being too posh to push). 
But look at the statistic it presents… when it comes to caesareans, up to 7% are elective, apparently – so that means that about 93% of caesareans are emergency or planned? 
That’s hardly an overwhelming level of too-poshness
There is a question though over why we have such a high level of caesareans over all – double the World Health Organisation’s recommended level (but why is there a recommended level?  Surely this was about demedicalising birth in e.g. the former Soviet Union? Could this be a formula babymilk style issue where something recommended for a good reason and has unintended consequences for some mothers?). 

But hold on, it gets worse… “the full 40 weeks”? 
My son arrived at 38 weeks and I was assured that he was full term. 
A day or two earlier of course he would have been premature, but I needn’t worry as 38-42 weeks is full term and perfectly normal. 
That of course assumes that my due date was correctly calculated in the first place (I didn’t know, when first pregnant, that the length of your menstrual cycle plays a part in those first calculations – why would I know that?) 
I didn’t expect my waters to break at 38 weeks and my son to arrive less than 12 hours later. 
I’d have preferred him to hang on in there.  I wasn’t completely ready, the house was not tidied and I hadn’t even got my overnight bag packed!
But I turned out to have pre-eclampsia, and he had IUGR, plus some placenta problem so his hormones triggered labour so he could survive.
How was I supposed to keep him in there longer, exactly?
And, given the risks we were both facing, surely it would be ludicrous for me to worry about anything more than ensuring we could both live and thrive?

The thing is, there’s no real consideration in the article about why a baby might be arriving early.
It is entirely possible that babies arriving earlier than 40 weeks are doing so – like my son who was a natural birth and my niece who was an emergency caesarean – because they are experiencing difficulty in the womb.

But how much does that extra week really matter?
If children born 24-27 weeks tend to have a greater propensity to special educational needs (and if the article is right that the level is nearly 7 times more than those born at 40 weeks, then roughly 300 in every 1000 born that early), then it seems reasonable to say that prematurity brings risks. 
But there’s a huge difference between saying that,  and stressing about the following statistic:  for every thousand children born at 39 weeks, 47 will have SEN. For those born at 40 weeks it’s 44 children.  By the way, overall in the school population, in 2008, 2.9% of children had SEN.
I just wonder – given all the other factors that can affect SEN, whether this is actually sufficiently clinically significant to change from planned caesareans taking place at 39 weeks to planned caesareans at 40 weeks?
In any case, the article itself makes clear at the end that respected medical opinion is divided on whether caesareans at 40 weeks would actually be any safer anyway!

But the thing we tend to forget in the developed world is that birth is not a safe thing. 
The truth is that birth is a process over which we have less control than we like to think. It’s raw and bloody and painful and a reminder that what we are doing has significance.
And we still have very little idea about how children develop their mental faculties at such an early stage.
But I’m pretty clear that stress is a Bad Thing – overall, and in pregnancy in particular.
So please Daily Mail, don’t run this sort of scare story.
It upsets parents on something over which a phenomenally high number of them have absolutely no choice or control at all.
It’s not as if we can all just cross our legs and keep the babies in a little bit longer.
Babies come when they want to.  And if they don’t – that’s why the caesarean help is available.

The modern world is bad for children

Ok that’s it.  What, exactly, are we meant to do, to be doing the right thing?

         

As you can tell by my ever so slightly fed up tone, today there’s yet another report that say that something that parents do all the time is Bad For The Children. Today it’s television that’s in the firing line.

The article I’ve hyperlinked is fairly self-explanatory.  Children getting fat, eating junk food, have worse IQs in the longer run, etc. etc.  All of these things are apparently the long term impacts of toddler-age television viewing.
The professor in charge of the research says:

“Common sense would suggest that television exposure replaces time that could be spent engaging in other developmentally enriching activities and tasks that foster cognitive, behavioural and motor development.”

Ok.  No normal parent wants their child to miss out on important cognitive, behavioural and motor development skills.  So toddler TV’s got to be eliminated, right?  There must be something wrong with it – it’s illegal in France after all.
 
But let’s just think this through for a minute.
I’ve never seen my child watch TV for longer than about 10 minutes at any one time. 
Much as he loves Cbeebies, the TV’s just not that entertaining for that long when there’s building to be done, beds to bounce on, toy cars to drive up walls making vroom noises rather than just the lovely plastic garage, wax crayons and paper and all the card from the recycling bin to build with… and of course mummy to cuddle, to jump on, to play with, to help sort washing, to help find all the red buttons, to chase the frog across the lawn…

As you can gather, it’s not that my toddler lacks interest in the world around him.  That’s just a small sample of what he gets up to when we spend time at home (as opposed to the time in town, time at playgroup etc. etc.)
Nor does he lack the ability to concentrate, in fact he loves reading and often wants to look through books uninterrupted by me,  telling himself stories about the pictures, for a long time.
But even on what are laughably called my non-working days (unpaid work days more like, unless you count the non-means tested child allowance as payment?), I cannot spend 100% of my time as his playmate.  Nor should I – he also needs to play with other children his own age (hence playgroup to make friends), and to learn to entertain himself.
And sometimes, when I really, really need it, TV can be an electronic babysitter (not for long – my toddler has a kitchen stall designed to help him reach the worksurface safely so he tends to try to join in). 
But mostly we watch it together.
Timmy Time and the Tweenies are great for showing hm that it’s not just him that goes to nursery while his parents work, and the Tweenies teaches stories, nursery rhymes and social interaction, while 3rd and Bird stresses the value of a strong community.  Alphablocks and Numberjacks are so good that primary school teachers often use them in their literacy and numeracy lessons. I’ve never been a fan of In the Night Garden, and Waybuloo is a bit hippy trippy for me, but I like the sign language and normalised treatment of children with special educational needs and physical disabilities in Something Special.  Given the reaction of some parents to Ceri‘s employment, this sort of show is very much needed. 
And we don’t just sit and watch TV -we talk about what’s happening, when something similar happened to us…
 
But this is yet another report that tells us that we’re doing long term damage to our kids.
And while frankly I’d vote for the party that can actually bring the recommendations of “Toxic Childhood” into policy (NB it would involve cost, social change, standing up to the Daily Mail and the older feminists for whom equality is about the workplace), the central theme of that book is implying that parents are not up to the job.

There’s a terrible irony that we are so child centred these days, but that it is in a sort of “quality time“, taxi driving to activities way.  Being with the children takes time - for example, when I ask other parents how they handle the change to available nursery hours when their child turns three, they say I don’t know, I had a second one so I’m at home and able to do the school run, or that they are lucky to have grandparents near by etc.  otherwise they couldn’t work. 

But the child-centred approach that parents have is being squeezed. 
For example, some people I know have had their ability to work and raise their family affected by local authorities that can’t allocate the school places in a way that avoids someone having to drive miles between a school drop off and a nursery drop off. 
For others, it’s been that in order to “get on” – i.e. to be in the running for promotion etc., work has to be full-time – and that means 4 or 5 full days a week at nusery for the bambino, something we’re also told by the childhood experts is not good for children (note how short the school day looks to a parent and you’ll see that has been accepted fact for some time).
 
Long parental working hours are not good for anyone – tired workers are less productive, tired parents that don’t see each other suffer strained relationships not least because being a parent is really very hard work, parents working hours don’t get to see their kids and are not on good form when they do.  The right to request flexible working is genuinely a good thing (supported by all 3 main political parties in the UK) and being allowed to work from home sometimes cuts travel time and therefore means that more time can be spent with a child before and after childcare, and reduced hours means sometimes actually being able to do one leg of a school run rather than trying to get one of the rare paid childminders willing to do both before and after school and who ends up seeing more of the child than the parents do.
But many parents seem to fear that flexble working will impact negatively on their careers, so one parent doesn’t do it and the whole set up just gets even more complicated. 
Some compensate by treating the children as princes and princesses – in other words little monsters that are so used to being indulged that they don’t know what no means, and have been treated that way not necessarily becausse parents mistakenly think that this is what being child centred is, but because they are so damn tired all the time! 

France might think it has it right by banning toddler TV, but few women breastfeed there for fear of ruining their figure and if you are a career woman, your contemporaries expect you to return to work after 12 weeks otherwise you are letting down the sisterhood.
But even in the UK where we value choice, we don’t really value mothers that choose to stay at home to raise the kids in the way the childhood experts recommend for the first two years. 
Or if we do, we make it a choice only available to the middle classes who can just about afford to exist on one income, and the very poor who don’t work at all.
And those that work part-time are at risk of everything crashing if they are not circus-quality jugglers.
And those that work full-time are effectively letting someone else bring up their child.
And the tired, stressed out parents probably let the kids watch TV so that they can relax a bit.
Oh. 

So basically, with an economic set up that expects both parents to work, and a soul-selling attitude to work that – no matter what the lovely words in the HR guidance say – sends a mesage that flexible and part-time models are for slackers that don’t want to get on in their careers, and every moment that the child is with the parent needs to be a learning activity but that learning activities include pairing socks as well as structured play… argh! 
Basically the modern world is bad for children. 
I just don’t know what to do, except hope that trying to bring my son up to be happy, secure, friendly, outgoing etc. etc. in the best way I can is enough.  And try not to add yet another thing to the list of things to be tired over and stressed about…

And this?  My toddler took an unexpected nap and I was quick typing it…