The word "doula" is Greek, and it's a birth assistant, present to keep her and her family comfortable during labor and the post-partum period, and may also perform household chores. FTR, both of the births I knew of at my old hospital where a doula was present ended in a c-section. They are not allowed to perform any medical duties; that's the territory of the midwife, and a CNM is going to be a nurse with a master's degree in midwifery. S/he (yes, there are male midwives) usually works in a hospital or an attached birthing center, although they do occasionally do home births.
Mirna, about the man who masturbated 5 times a day: We're having a discussion on another site about the ICE facility where a doctor has been accused of performing unnecessary hysterectomies, and I mentioned chemical castration, which I have seen orders for for people like this man, or more commonly men who have had traumatic brain injuries or early-onset dementia, who cannot appropriately channel their sex drive and use it to put other people or themselves in danger. This man sounded like he might have been a candidate.
What, you may ask, was used? Depo-Provera, a 400mg injection once a month. The birth control dose is 150mg every 3 months.
ETA: Are you sure that 6-foot man has DS? I've never seen a tall person with DS. They're always much shorter than average.
Chronic and inappropriate masturbation was an issue with lots of the adult males. Females had issues acting out sexually too. They were given drugs, mostly anti-psychotics to help reign in the behavior but it had wide ranging effects and didn’t usually decrease the public masturbation habits of our more dedicated men.
As far as I recall (this was years ago) there were ethical issues with giving drugs specifically to reduce sex drive. You could give drugs and hope that was a side effect, but there was no way you could legally chemically castrate a male unless he had committed a sex crime and even then it took a lot of BS to get approved. There was a convicted pedo in one of our homes but even he didn’t get that treatment. Even specifically prescribing just to reduce sex drive was not permitted, they might try to instead say it was for general “aggressive behavior”
Even putting women on BC was a nightmare of paperwork and permissions. While these women were not capable of caring for themselves, or even consenting to sex really, any whiff of birth control got too close to the line of eugenics. With the permission of the parents we could put the women on BC, but this usually was an issue because that implied sex could be occurring in the first place, not something parents/guardians wanted to hear about. (If the state was the guardian then it was more difficult due to the eugenics, state controlling reproductive issues quagmire.) Where we controlled daily meds we could sometimes say BC pills were to help alleviate menstural cramps and get them that way without too much fuss.
Why? Because forced BC or sterilization of retarded or impaired people is the real deal eugenics bogeyman. (Unlike selective abortions decided by normal IQ parents, which is not eugenics. eugenics is all about taking away the ability of those deemed “undesirables” by the state to reproduce) The original USA eugenics programs weren’t racially motivated, but were about sterilizing the low IQ, the mentally ill and those with congenital defects.
The 6’0 guy was not a DS guy, just a very large retarded guy. The program was probably 50% DS patients. At least with the DS men we didn’t have to fret as much if they were in contact with women clients because DS men are usually sterile. Unfortunately DS women are not.
Remember Sarah, the fundie with the inside out baby she demanded a C-section for who then almost died of uterine rupture? She's trying to insist the idea that pregnancy can be dangerous is just a myth those dang dirty pro-choicers are pushing so they can abort fetuses whenever they want.
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Sometimes I wonder if deep down the reason people like her think all women should be forced to have FUBAR inside out babies and shit is because they think everyone should have to suffer like they did.
I guess the millions of women who died in childbirth before Roe v Wade were all just part of a propaganda campaign started at the dawn of humanity to make people think birth was dangerous just by dying during it.
For thousands of years cognitively impaired people were brutally weeded out of the population via congenital defects, neglect, accidents, starvation, murder, etc.. The ones that survived were “Lenny” like individuals, while they may not have been very smart they managed to stay alive and had physical strength or developed a useful skill that enabled them to survive and earn their keep in some way. (But we know how things ended for Lenny all the same.)
Thanks to medical and social advances lots of severely cognitively disabled people are now surviving in large numbers to adulthood but humanity hasn’t yet figured out how to integrate them into wider society because they can’t care for themselves and many are a danger to themselves and others. Medical science figures out how to save lives in the short term, but not what to do with them after they survive in the long term. Right now the ideal seems to be letting them live in group homes where an army of people of normal intelligence supervise them 24/7, take them on outings, make their meals, keep them clean, etc... but that isn’t a sustainable model if the numbers keep increasing.