Can I just say--?
Trusting Birth does NOT mean that if you 'trust enough', then nothing bad will ever happen to you!
For emphasis in explaining Trust Birth, I quote TXmidwife's phrasing: "Birth belongs to the women giving birth and they have the right to choose who is there or not there. PERIOD. Women should be acknowledged, and deferred to, as their own authority and everyone else should agree to be in service to her....not to tell her what to do or give her permission to do what her body knows how to do."
And I agree w/her as well--too many of the sad outcomes that are posted to a thread like this sure seem to be the outcome of women's disenfranchisement at birth--having that natural authority mistakenly taken over by others (such as docs and mws)--NOT an outcome of their trust in birth. An outcome of caregivers who trusted themselves too much...of mothers who believed that 'trusting the caregiver' was the same as 'trusting birth'. NO FAULT HERE! Because if/when that happens, it is generally because trusting birth/trusting mothers is new to us all in this era--we don't (in general) have it sorted out very well yet, neither mws nor mothers. I've seen a lot by way of confusion about this point--perhaps only naturally, moms and mws both assume that 'trusting the mw' is essentially part of trusting birth...but this just is NOT so.
Of course, we will never stop seeing the sorrow of *some* birth losses...because that is life, and birth: death walks near and we never know, aren't always warned when death will claim a beloved. Or are warned too late to do anything about it.
So I guess it isn't just about 'trusting birth', but as spoken by TXmw, trusting MOTHERS.
For myself, I see my job as mw being primarily about facilitating women's trust in themselves, encouraging (in part by staying out their way!) their empowerment and authority in their pregnancies/births. Of course their are other important elements to my care...but to me, helping women/families to trust themselves and become active as authorities in their pregnancies and births, is the most important part.
It is, as far as I can see, the one thing that makes the most difference in birth. My knowledge, skills and intuition as a mw are simply not enough on their own to make birth as safe as it can possibly be. Oh, that knowledge/etc does 'well enough' for the average normal birth...but NOT for every birth. I take mothers' words and actions (such as a panic moment) VERY seriously indeed--because I know too well by now that a mother may 'know' something that is beyond my own, or anyone's, ability to see no matter what kind of technology is applied. Her 'knowing' may only be expressed with a panic moment, or anxiety in pregnancy that is resistant to resolution through the usual measures--through a variety of signs that caregivers do well to clearly hear and acknowledge. She doesn't 'know' something in the rational, conscious sense--but her knowing is present just the same, and trying to make itself heard.
Those of us who would trust birth MUST realize that we have to trust mothers above ourselves and our skillset, and we have to realize that sometimes, birth is 'trustworthy' by giving us signs that all is not well. Sure, often those signs can be read in a heart tone, or a b/p reading or the appearance of blood, etc...then there are those signs that arise directly from a woman's heart and mind without 'clinical evidence' to prove them 'real'. I take those very seriously indeed--no matter WHAT my doppler or visual observation is telling me--because to me, trusting birth means first and foremost trusting mothers.
It is only to everyone's peril--but most especially a baby's, as the most vulnerable one--that any caregiver fails to trust mothers, that any caregiver holds their own approach, knowledge and technologies as an authority above a mother's/father's (occasionally it is actually dad who first expresses the 'warning sign', if he is an intuitive sort and especially close with his woman).
And finally...not all of us have had to deal with losing a baby at birth. But those of us who are mothers, and especially if we also do birth work, have a very good idea of the terrible sorrow of such a loss. In discussing this kind of topic, we have to be able to mention things like Trust Birth. Of course it may be painful to hear, if you are a mother who has known the loss of a precious baby...but to speak of such things is NOT a casting of blame, and NOT insensitivity to the feelings of the bereaved.
It is simply a 'truth' that bears witnessing, because of its value to all.
I think we all need to understand this 'trust birth' truth more fully...and in this format, we try to seek understanding through talking to each other...sometimes about painful things.