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Tuesday Tidbits: Breastfeeding

May14

It is almost too late to call today Tuesday, but I’m squeaking this post in anyway! Breastfeeding articles have been catching my eye this week, MollyNov 109specifically this one about the life-saving benefits of human milk for the critically injured:

But one exciting question is still unanswered: can breast milk be used medicinally as treatment in babies –and even older children and adults– who may not have been breastfed? There is a growing body of evidence suggesting all sorts of uses for breastmilk as treatment of adult disease.   Ads may say, “Milk: Does a Body Good” but in all likelihood, human milk can do a body, any body, better.  

Baby Charlotte Rose wasn’t breastfed. Until the age of 11 months, she was a happy, healthy little girl.  All that changed radically when she suffered a traumatic brain injury…

via Miracle Milk® Helps Heal Brain Injured, Formula-Fed Baby | Best for Babes.

And, since the politics of breastfeeding are endlessly fascinating to me, I was curious to read this article by the mother who caused an unanticipated media stir last year with her breastfeeding-in-uniform pictures:

Whoever said a picture can speak a thousand words was right, even when I could speak none. A group of breastfeeding women, including myself, all took part in a photo shoot with the intentions of  letting others know breastfeeding is possible regardless of your situation. My main contribution, or so I thought, was that I happened to have twins. Boy was I wrong. Another woman and I, who both served in the Air National Guard, also took pictures in our uniform to show that even those serving could also breastfeed. We were both prior active duty so we knew the struggles of both being full-time and part-time military. Contrary to popular belief, we did get permission to take the pictures. After the pictures were taken, we were going to consult the law office on base and get permission for the photos and positive quotes to go along with them with the goal of having them put into women’s exam rooms…

via Terran McCabe: The Air Force Breastfeeding Mom Finally Speaks Out – I Am Not the Babysitter.

While some recent breastfeeding research with a very limited sample is making headlines under the misleading title that “supplementing newborns with small quantities of formula may improve long-term breastfeeding rates,” The Academy of Breastfeeding Medicine published a helpful post breaking down the research and drawing more accurate conclusions:

A small study published in Pediatrics suggests that supplementing newborns with small quantities of formula may improve long-term breastfeeding rates. The results challenge both dogma and data linking supplementation with early weaning, call into question the Joint Commission’s exclusive breastfeeding quality metric, and will no doubt inspire intimations of a formula-industry conspiracy. Before we use this study to transform clinical practice, I think it’s worth taking a careful look at what the authors actually found.

First, I think it’s very important to be clear about what the authors meant by “early limited formula.” The authors used 2 teaspoons of hypo-allergenic formula, given via a syringe, as a bridge for mothers whose infants had lost > 5% of their birthweight and mom’s milk had not yet come in. At UNC, we use donor milk in a similar way, offering supplemental breast milk via a syringe as a bridge until mom’s milk production increases.

This is very different from the way that formula supplementation is handled in many US hospitals. We know that in the US overall, 1/4 of breastfed infants are given formula by day 2 of life, and that number reaches as high as 40% in some areas. Typically, when a family member expresses interest in giving the baby some formula, a hospital staff member plunks a 6-pack of 2-oz bottles of ready-to-feed formula in the baby’s bassinet with no instruction about how much to feed. A neonate whose stomach holds one to two teaspoons gets 2 ounces (12 teaspoons) of milk poured into him. The baby then sleeps for the next four to six hours, like someone who’s just over-indulged at a Thanksgiving buffet. In this scenario. Mom doesn’t get any breast stimulation, and family members all express relief that “finally the baby is happy.” When baby finally wants to eat again, there are five more convenient, ready-to-feed, six-hour-nap-inducing bottles sitting in the bassinet. This does not tend to help mothers breastfeed successfully. I worry that the headlines from this study — such as “How Formula Could Increase Breastfeeding Rates (TIME)”  and  ”How Formula Can Complement Breastfeeding (NYT)” —  will translate into “a six pack of formula back in every bassinet!”

via Early, limited data for early, limited formula use | Breastfeeding Medicine.

Note that the benefit of this very specific type of early supplementation can also be achieved via donor milk. The research does not actually “prove” that formula is helpful for breastfeeding, but that for certain mother-baby dyads, supplementation of some kind via syringe is helpful. This is NOT the same thing at all as supplementing with a two ounce bottle of formula!

I was glad to see Dr. Newman chiming in on the comments with his no-nonsense opinion: “I also love it how they say their results may not be applicable elsewhere because they live in a community where women are eager to breastfeed and 98% initiate breastfeeding. So surely they must find ways to give these babies formula…”

Speaking of Dr. Newman, the conference registration form and website are finally available for the upcoming LLL of Missouri conference in June. I learn so much at LLL conferences and I’m very much looking forward to this one as well. Dr. Newman is the special speaker. I heard him speak at the CAPPA conference last year and he is not to be missed! I’m also speaking twice at this conference, but Dr. Newman is much more exciting than me! ;)

Wordweaving

Apr13

“Giving birth to a new life is about so much more than just the moment itself. The power of finding your strength as a woman through birth resonates for the rest of your life. It shapes you as a person, and as a parent.” ~ Gina Sewell

“Childbirth is a time when a woman’s power and strength emerge full force, but it is also a vulnerable time, and a time of many changes presenting opportunities for personal growth.” ~ Annemarie Van Oploo

So, this is kind of weird little post, but I had some fun things to share. I’ve been playing around with Tagxedo and made a Talk Birth image!
talkbirthAnd, I learned that this year is the 70th anniversary of the classic Myers-Briggs Type Inventory. I have my online students take this test every session and we compare our results and the overall class dynamic. In celebration of the MBTI birthday, they have cool little wordcloud heads available with your type. Here’s mine!

infj-head

I like that “intense” is up there at the top of the head. Feels fitting ;) And, here’s my husband’s!
intj-headI also used Tagxedo to make a “strong elephant” for my elephant-collecting mom to take with her on her visit to my grandma!

strongelephant

Bringing it around back to birth though, I also read an article about the potent impact of the language of birth.

So maternity care workers. Words do matter. To you and to all in earshot of you.

via Childbirth and the language we use: does it really matter?

I’ve had an interest for a long time in what I call the “lexicon” of birth. As I’ve referenced before, that is what puts the “Talk” in my Talk Birth name! Language is powerful. Language shapes our lives and experiences. Much of the language surrounding birth and women’s bodies is negative or degrading. Think, “trial of labor,” “inadequate pelvis,” “failure to progress,” “incompetent cervix,” “irritable uterus,” “habitual aborter” (yes, that is the name for women who experience multiple miscarriages).

On the flip side, I’ve also read other writer’s critiques of an overly positive language of birth, labeling and mocking words like “primal” as “euphemisms” for hours of “excruciating” pain. But, that makes me think about the locus of control in the average birth room. It seems like it might more difficult to start an IV in a “triumphant” woman, so lets call her stubborn or even “insisting on being a martyr”? Could you tell someone making “primal” noises to be quiet? Probably not, but you can tell someone who is “screaming” to “stop scaring” others. Asserting that a painful and degrading language of labor and birth is “real” English and that the language of homebirth advocates are “euphemisms” is a way to deny women power and to keep the locus of control with medicine. This language is often that which dehumanizes and denies the personhood of the birthing women. And, not only is the language disempowering and also incomplete—I honestly never felt “agonized” or “screamed” during any of my births, so why would I use inadequate words like that in place of my more accurate “euphemisms”?

Some other past posts about language and birth:

Birth Talk

Health Care or Medical Care?

Maternal-Fetal Conflict?

Pain with a Purpose?

Perceptions of Pain

Words for Pain

Consumer Blame

Cut here?? What not to say to pregnant or laboring women…

Healing Presence

Apr11

My extended family is in the middle of a stressful medical situation with my grandmother that is absorbing a lot of collective family energy lately. Such experiences always lend “perspective” to a variety of areas and I’ve felt a little blocked in the writing of blog posts because they feel frivolous or unnecessary or like they’re distracting me from where I could be spending my attention. I bought a short book for my Kindle yesterday called The Art of Being a Healing Presence, and finished reading it last night. I bought it specifically to help my mom who is going to visit my grandma and also hopefully to help me be there better for her (both my mom and grandma). It dovetails nicely with my current lesson at OSC, which is about speech and how we talk to others. So, for today’s post, I picked out some quotes from a book that I feel like fit well into any type of relationship requiring compassionate listening and attention, not solely end-of-life care, because these ideas could relate to listening to women talk about birth and motherhood as well.

Healing presence is everything life itself is: messy and mysterious, exasperating and exhilarating, wearying and wonderful. That’s what makes it so sacred.

(Kindle Locations 793-794)…

Yep. Sounds like giving birth and like birth listening too.

Healing presence is a spiritual practice or discipline as well…

(Amazon affiliate link included)

…Healing presence is essentially a spiritual discipline in itself. As you begin, you may think of healing presence primarily as something you do for someone else. Eventually, however, you’ll realize that healing presence has become an integral and significant part of your own spiritual development. As you choose to keep opening yourself to this discipline, even when it’s difficult, even when you feel yourself rebelling, you necessarily mature spiritually. As you repeatedly ask yourself, “How can I be a healing presence in this particular situation?”, you expand your horizons and you make new and fruitful connections with all dimensions of life, especially life’s sacred foundation. The more you are a healing presence in the midst of everyday events, the more you come to appreciate that the common ground on which you stand with another is pulsing with all that is divine. You realize that holiness is at work as you consciously and compassionately accompany others. Then sometimes when you least expect it, a sense of awe overwhelms you—awe, perhaps strong assurance, or waves of gratitude, or an immense sense of peace. You cannot make any of this happen. You can only welcome it as it unfolds, revealing itself and making its presence known. It is The Sacred. (Kindle Locations 821-830)

Also, from the very beginning of the book, I saved this little quote:

“In every person there is royalty. Address the royalty and royalty will respond.” –Scandinavian Proverb

The relates to the idea of seeing one another that I explored in a prior post:

I often remind students in my human services classes that all people have a basic need to be both seen and heard. This doesn’t mean agreeing with everything someone else says and does, it means being present and witnessing them as they follow their own paths.

In a newsletter recently, I read an article called “I See You” by Sue Scott, a communication skills instructor. She explains that in South Africa, native peoples greet each other with an expression that literally means, “I see you.” The response is then, “I am here.” She observes, “what a powerful and beautiful gift it is to recognize another individuals in this way: ‘I see you.’ Acknowledgement, recognition, and respect all require focus on the other person…the word respect comes from the Latin word ‘respecere’ meaning ‘to look at again and again…’I see you’…seems to me to be the ultimate in respect.” Sue goes on to explain that when we truly SEE another mother—”when we truly hear her concerns—then we affirm her ability to mother her baby in her own best way.”

A little more than two years ago, I received the precious gift of being seen when a mother that I had previously helped with many breastfeeding questions called to ask me another question. We had become friends over the course of time since she’d had her first baby and I was in the process of my second miscarriage when she called with a question about her own pregnancy. I told her about the miscarriage, but said I felt like I could still talk with her about her question. We ended up then talking for a time about miscarriage and about cesarean birth, because we discover numerous surprising connections between the feelings and experiences of an unexpected outcome to our dreams for our pregnancies. She then said, “You know in that movie Avatar how they say, ‘I see you’?” I said yes, and she said, “I just wanted to let you know that I see you, Molly.” These words were such a gift to me. It was beautiful to hear them and I cried. I felt so seen. It was just what I needed and I hadn’t even known it. I will never forget that simple and yet extremely potent gift of acknowledgement from another woman.

via I See You

In my classes, I always try to explain that not only do you see someone, but they see you seeing them, and if what you see is valuable and worthy, that is what they rise to. So, that is why I liked this “royalty” proverb from the book.

And, later in the book, this concept is addressed as well:

As people experience healing presence, they change. This shift may be subtle or dramatic. They’re likely to open more—to themselves, to others, to the world, to the amazing mystery of life itself. Sensing another’s belief in them, and seeing that belief reflect-ed in life around them, they can begin to develop in completely unexpected ways, and to move in directions they have not gone before. Or perhaps they will return to their original path, but with new spirit, new vision, new hope. As they encounter the inevitable pains and diminishments that life will present, they can begin to understand that such adversities can be experienced as more than adversities—they can be known as opportunities for growth, as avenues for moving toward wholeness. Your authenticity and the compassion in your presence will fan out generously around you, always returning to envelop you again and again. As you become less driven by your own concerns and less given to your own needs, and as you forsake your need to help, you’ll become a more mature and helpful companion. (Kindle Locations 841-849).

April 2013 036

Book Review: The Doula Guide to Birth

Apr6

Book Review: The Doula Guide to Birth

The Doula Guide to Birth: Secrets Every Pregnant Woman Should Know
By Ananda Lowe & Rachel Zimmerman
Bantam Books, 2009
Softcover, 270 pages
ISBN: 978-0-553-38526-7
www.thedoulaguide.com

Reviewed by Talk Birth

The Doula Guide to Birth is written for pregnant women, though the title may suggest that it is for doulas. It also has a chapter and sections specific to birth partners. However, doulas will also find the book to be a friendly, enjoyable read and may pick up some fresh perspectives for their work with birthing women.

The book also includes (short) sections for often-ignored or marginalized segments of the birthing population such as same-sex partners, parents using a surrogate mother, and women planning for adoption.

The first five chapters of The Doula Guide to Birth cover benefits of doulas, the role of fathers/partners and the complementary nature of the doula role to other support people, general overview of labor, childbirth education options and medications, and finding a doula.

The later seven chapters delve deeper into less typical subjects such as doulas and medical providers, when should you really go to the hospital, labor techniques, unexpected interventions, birth plans/birth essays, and what really happens postpartum.

Though not a criticism per se, I did feel like the first half of the book reads very much like an extended “commercial” for doulas. The second half of the book really shines. My favorite chapter was “labor is not about dilation”: “Although there is currently a heavy emphasis on dilation, vaginal exams, and timelines for giving birth, labor is not about dilation. Your body knows how to give birth whether or not you ever have a pelvic exam during labor. Birthing women need encouragement to trust their bodies, and to be the stars of their own labors. Doulas help provide this encouragement. And the confidence a woman discovers in labor can help carry her through the demands of parenting and future challenges in life.” (emphasis mine).

The Doula Guide to Birth is supportive of the midwifery model in philosophy, but only includes very brief mentions of midwives, the assumption being that most births will be in the hospital.

The book has extensive endnotes and an appendix with a birth evaluation form.

–

Disclaimer: I received a complimentary copy of this book for review purposes.

Review previously published on Citizens for Midwifery

Birth Matters!

Apr4

“A well taken care of and rested mama almost always translates into a well taken care of and rested baby. Respecting mothers is an act of social change.” –Mother Health International

“The way a society views a pregnant and birthing woman, reflects how that society views women as a whole. If women are considered weak in their most powerful moments, what does that mean?” –Marcie Macari (She Births)

“…it is not easy for women to lay claim to our life-giving power. How are we to reclaim that which has been declared fearful, polluting and yet unimportant? How are women to name as sacred the actual physical birth, which comes with no sacred ritual…?” –Elizabeth Dodson Gray

Birth matters. It truly does. The impact is often ignored or minimized, but giving birth remains one of life’s most profound, pivotal, liminal, and initiatory events. Bizarrely, this is overlooked by much of modern culture. We spent many thousands of dollars on weddings each year as well as months of planning and preparation for “just one day,” and yet in pregnancy and birth are willing to let insurance companies dictate access to care providers and let care providers dictate access to evidence-based care. Some time ago I expanded the wedding analogy into a satirical look at why birth matters:

You stop sharing your feelings, but you can’t shake the memories. What you expected to be a beautiful day filled with love and celebration was not and you feel a real sense of grief at the loss of your dreams. You know you shouldn’t feel this way. You know that what really matters is your healthy, happy husband, but you keep wondering if your wedding really had to be that way. Yes, you love your husband and you are so happy that he is healthy, but you also wonder if that really is all that matters. Don’t you matter too? Doesn’t your relationship matter? What about respect, dignity, love, and self-worth? Don’t those matter too? Wasn’t this a special life transition for your family? Wasn’t it the beginning of a special relationship together and couldn’t that relationship have been celebrated, honored, and treated as worthy of care and respect?

via All That Matters is a Healthy Husband (or: why giving birth matters)

And, in a different post I made a list of why I care about birth, concluding with the following:

Because I know in my heart that birth matters for women, for babies, for families, for culture, for society, and for the world.

via Why Do I Care About Birth?

So, I particularly loved this quote from Ani DiFranco and I had to turn it into a picture! :)

902248_10152670748305442_735801331_o

Women of Color Can Push for Better Outcomes: What Every Mother-to-Be Should Know About Birth

Mar31

Guest post by Tara Owens-ShulerImage

As an African American Lamaze Certified Childbirth Educator, I have observed over my 18 years of teaching that childbirth education class participants are less likely to be women of color. My desire for more women of color to attend childbirth education classes is rooted deeper than just their presence in a classroom – it is rooted in my desire for more women of color to understand the disparities that exist in maternal and birth outcomes.

In a recent Science and Sensibility blog post by Christine Morton on maternal health disparities, she reviewed the work of several well-known public health researchers – Dr. Eugene Declercq, Dr. Mary Barger and Dr. Judith Weiss. Their findings point to the fact that African American women have higher rates of cesarean births at nearly every age group and across every level of education.

In addition, the U.S. Department of Health and Human Services reports that one of every five non-Hispanic,black births are pre-term, African American mothers experience an infant mortality rate twice that of non-Hispanic, white mothers, and breastfeeding rates among African American mothers are 16 percent lower than white mothers.

Given the disparities that exist in maternal and birth outcomes for women of color, I think April as Minority Health Awareness Month is a great opportunity to talk about a few other factors that minority moms or mothers-to-be can control or influence. It’s a hard reality that mothers face real challenges in getting the childbirth care they want and deserve. Even though medical evidence may tell us certain practices are good for mothers and babies, the “system” is not always geared to deliver that care. Health care providers are rushed, spread thin, or incentivized for practices that are not most beneficial to the mother.

Let’s go back to the fact that African American women have higher rates of cesarean births than non-Hispanic,white women. Is it because African American women are sicker and need to have a cesarean birth? Researchers report that this is untrue. They conclude that higher rates of cesarean births among African American women are a result of a shift in obstetric practices to focus more heavily on use of childbirth interventions. And, when we bring in an induction to the equation, there is a correlation between the increased rates of induction to the increased rates of cesarean births!

Research shows that babies pay a steep price for these early births caused by inductions or a failed induction, which led to a cesarean. Babies have greater difficulties breathing, breastfeeding, and maintaining their temperature, which usually means being separated from moms and spending time in the Intensive Care Unit. While an increasing number of hospitals and health care professionals are shying away from unnecessary cesarean birth and induction, it’s one of many care practices that just aren’t supported by good medical evidence.

So how can women of color push for better care?

  • Become an active partner with your care provider. While doctors or midwives have professional knowledge and skills, they may not know everything about your personal background and preferences. Finding a provider who will also act as your partner can help you push for the care that’s best for you and your baby.
  • Ask questions – lots of them! Labor and birth in particular can be unpredictable. That’s why it’s a smart idea to prepare a list of rolling questions throughout your pregnancy to help you determine if the right care is being recommended during labor, birth and after birth.
  • Do your research. Understand your available care options before, during and after labor at the hospital or birth center. If you know that during labor you’d like the ability to walk around, eat and drink – choose a birth facility that will be more aligned with your birth preferences or wishes.
  • Participate in a childbirth education class. Taking a Lamaze class will help you understand maternity care best practices and be better prepared to navigate your labor and birth. A childbirth educator will help you identify the right questions to ask when making decisions about your care.

I encourage all women – particularly African American women – to learn more about getting the right care in pregnancy and childbirth by attending a childbirth education class. Skipping out on childbirth education is a lost opportunity to stack the deck in your favor and become a well-informed consumer of evidence-based practices! As a consumer, it is your right to be a partner in your health care decisions.

–

Tara Owens Shuler, MEd, LCCE, FACCE is the president of Lamaze International. She has practiced as a childbirth educator since 1995. In 2005, she became the Director of the Duke AHEC Lamaze Childbirth Educator Program. In addition to training individuals to become childbirth educators and preparing expectant women and their partners for a safe and healthy birth experience, Tara provides labor support services. Along with coordinating the Lamaze program in the Duke AHEC office, Tara works with her statewide AHEC partners in developing continuing education programs and/or resources for healthcare providers in North Carolina and assists with the Duke AHEC PATHWAYS Health Careers program for K-12 students. When not working, Tara and her husband enjoy playing with their dog, Gramps, and traveling.

Visit Lamaze International for great resources to help mothers and mothers-to-be learn their options.

Tuesday Tidbits: Birth Research

Mar26

“Women around the world and throughout time have known how to take care of each other in birth. They’ve shown each other the best positions for comfort in labor, they’ve used nurturing touch and repeated soothing words, and they’ve literally held each other up when it’s needed the most…”

–The Doula Guide to Birth

New experiment with a business card holder!

New experiment with a business card holder!

A lot of things caught my eye to share this week. A Faceboook friend is conducting research about birth professionals for her master’s thesis for Sociology:

Ahmie Yeung is working on her Master’s thesis in Sociology at Cleveland State University, under the guidance of Dr. Linda Francis. Ms. Yeung’s thesis research is looking at the attitudes of professionals in the United States who provide care for women and infants during pregnancy, birth, and the newborn period – also known as “perinatal care providers.” This can be anyone who is normally paid for the services they are providing during that time period. Examples of kinds of professionals we want to hear from are: doulas, midwives, OB/Gyns, Family Practicioners, and Pediatricians. This research will hopefully provide some insight into differences between types of providers that may be of use to future families seeking maternity and newborn care. Please ask those who are or have provided care for you to take the brief survey at http://tinyurl.com/perinatalcaresurvey and forward this request on to any other expecting/new parents or perinatal care professionals you may know.

And via Citizens for Midwifery:

Researchers are developing a new tool to educate pregnant mothers about their birth options. They need your help to learn what matters most to pregnant mothers. Pregnant or planning another birth? Please share!

Childbirth Preferences Study

The Spring issue of the Friends of Missouri Midwives newsletter is finished and available online! The theme of this issue was Siblings and we’ve got a variety of articles about including siblings at births :)

I got a little crazy with my ScoopIt page and went through over 100 articles of possible things to “curate.” And, I found some good stuff!

Which included this gem:

“To paraphrase Simon, everybody loves mothers, as long as they restrict their fertility to the outlines demarked by the social and moral norms of the age they find themselves in, and don’t have the audacity to give birth too young, or too old, or too regularly, or at too great a cost to the state, or to a child that they share with another parent of the wrong race or gender…”

And, an interesting article debunking the idea that women “forget” the feelings of childbirth. Memories are affected by the “halo effect” of the euphoria following birth, but the feelings are not actually forgotten:

I also thought of a couple of older posts of my own:

Talk to Your Baby

“Babies are primed to hear their mothers’ voices after birth. They expect to be snuggled into the maternal nest. Mammal babies expect to receive a warm breast and to hear comforting words in their own language…”

Birth as a Rite of Passage & ‘Digging Deeper’

“All cultures believe that women become better and more generous through the process of giving birth. That is why some cultures use words such as ‘sacrifice,’ ‘suffering’ and ‘labour.’ These terms can seem overwhelming and to be avoided’ however, seen from a different viewpoint, childbirth helps us to become strong, resourceful and determined…”

Birth & Culture & Pregnant Feelings

“Giving birth is not an isolated event in a person’s life. A woman births with both her mind and her body and participates in the attitudes toward childbearing of her culture and her family…”

Where are the women who know?

“…the most important thing is to never bring fear into the room of a laboring woman. ‘A woman must be completely open to birth a child,’ she says, ‘and so she is unable to defend herself from the thoughts of those around her…’”

And, a funny story from a couple of weeks ago:

“Visiting kid working on costume: “why do you have all this red fabric?” Me: “I think I planned to make placentas out of it.” Later, same kid: “this is an interesting color of yarn.” Me: “I got that to knit uteruses.” Kid: “maybe I should dress up like a scary doula.” ;)

Women’s (Birth) History Month

Mar18

…we  need to grasp an honest understanding of birthing history – one that tells HERstory not HIStory.  Because birth is about Women.  It is a woman’s story. And we need to also understand why and how this herstory compels women to make the choices they make surrounding birth in the present day.

People become the product of the culture that feeds them.

It takes an immense amount of work to deconstruct cultural lies. Especially ones as insidious as the ones that we, as birthing women, have been fed for more than a century. We need to stop blaming women for their place in this System. Women are victims and by-products (not accomplices) of medicalized birth.

via That Joke Never Gets Old. Or Good

March 2013 039In honor of Women’s History Month, I’ve been considering the women in (recent) history who have changed the climate surrounding pregnancy and birth. While I’m sure Ina May Gaskin’s name would probably spring to the lips of most birth activists considering the theme, I felt like taking a quick look at the many other classic authors who have had a profound influence on my own ideas about birth. This thought, coupled with the fact that for some time I’ve wanted to write a post about “older birth books” that are still excellent reads today, has brought me to the present moment: a list of my favorite “old” birth books and the lovely women who wrote them. When I first started out in birthwork, I wanted to read “new” stuff—stuff that was “up to date” and “current.” After I read almost all of the “new” books, I started to cast my eye around for more and guess what I discovered? No surprise to many of you, but many of those “out of date” books with the retro-looking covers are still just as good and just as relevant as they were 20-30 years ago. Since medical information and science/evidence changes fairly rapidly and a pregnancy and childbirth 101 type book from 30 years IS more often than not completely inappropriate today, I had made the mistake of thinking ALL “old” birth books would be similarly irrelevant. Instead, many have a power and passion that is not easy to come by in any decade and that rouses the activism spirit, or stirs the heart, or challenges the psyche just as effectively today. Here are some of my recommendations (and of course, Spiritual Midwifery remains a good choice too, I just want to add some less usual recommendations!):

  • Transformation through Birth by Claudia Panuthos (also known for writing another great resource: Ended Beginnings: Healing Childbearing Losses). Written in 1984, this book “goes beyond” the scope of traditional birth books and really gets into some deep topics and insightful ideas. Previously written about here.
  • Special Delivery by Rahima Baldwin (another good, less well-known one from her is Pregnant Feelings, explored in depth in this post). Revised in 1986, this book is one of my favorite homebirth resource books. Though some segments are in fact, “outdated,” I still find this to be one of the very best (“old” or new!) resource books for women planning to give birth at home.
  • Open Season by Nancy Wainer (Cohen) in 1991 (how can 1991 be called “old”? Well, it is over 20 years ago and considering that many women giving birth today were born after that date, it IS old!). Nancy has a lot of FIRE and I love it. Some people have been known to call her “angry” or “bitter.” I call her…amazing. Her writing lights you up and calls you to action. She has incredible passion, fire, brightness, drive, and enthusiasm. One of her articles in Midwifery Today that is available online is also well worth the read: VBAC and Choice. And, I use some of her quotes in this post.
  • Birth Book by Raven Lang. This is the original counterculture birth book written in 1972 at the launch of what would become the modern movement to return birth to the hands of women.
  • Childbirth with Insight written in 1983 by Elizabeth Noble, is another one of the birth books that I say “goes beyond.” As a childbirth education, I especially benefited from her exploration of some of the failings of traditional approaches to childbirth education.
  • Lots of older books from Sheila Kitzinger are very good also. I particularly enjoy The Experience of Childbirth and Giving Birth: How it Really Feels.
  • My last recommendation for the moment is Mothering the New Mother by Sally Placksin (revised in 2000, which again sounds reasonably recent, but in reality is thirteen years ago–how is that possible?). It is classic must-read for doulas as well as any other birth companions. It is wonderful and I wish I would have read it before my own first child was born.

There are many more excellent books out there, both modern and “herstorical,” but I’ll leave you with these treasures for now. I’m grateful for each of these birth activists whose words and spirits helped deepen and refine my own passion for birth.

“I long to speak out the intense inspiration that comes to me from the lives of strong women.” –Ruth Benedict

—
(Adapted from a post originally made at CfM several years ago.)

Book list: Preparing Children for Homebirth

Mar16

MR_024I’m on a book list kick apparently! The theme of our spring issue of the Friends of Missouri Midwives newsletter was Siblings. Happily, I got a lot of great content for this issue without having to write everything myself (sometimes I prepare issues that should be called “The Molly Issue”). Other than the letter from the editor, the only piece I contributed this time around was a short list of homebirth resources for children. If you have other good resources to add, I’ll gladly accept your contributions and update the list accordingly.

Here’s my list:

(Amazon affiliate link included)

  • Runa’s Birth by Uwe Spillmann and Inga Kamieth– my all-time favorite children’s homebirth book. The illustrations in this book are amazing; I love the tiny details like little shells/rocks on the windowsill and phone messages on the bulletin board.
  • Welcome with Love by Jenni Overend and Julie Vivas (also published as Hello Baby). It has nice, softly drawn pictures that glow with excitement and I really enjoy reading it to my kids.
  • Birth Day DVD by Naoli Vinaver—this one is great because the whole family is involved and older brothers join mom in the birth pool.
  • We’re Having a Homebirth by Kelly Mochel. This book is inexpensive, cute, and informative.
  • Being Born: The Doula’s Role by Jewel Hernandez and R. Michael Mithuna–really nice, detailed illustrations. Focus is on doulas and their job and the wide range of settings in which mothers give birth.
  • Mama Midwife: A Birth Adventure by Christa Tyner— this new children’s book about homebirth and midwifery is available to read for free online. It is cute, though kind of trippy. (I would have preferred it to be just people though, rather than a somewhat incongruous collection of animals.) LOVE the “birth song” at the end.
  • My Mommy’s Midwife by Trish Payne CNM—this one has children’s drawings as the illustrations. It isn’t about homebirth, but instead explains the role of the midwife and that she might come to a birth center, a hospital, or a home birth.

Books that I’ve not read, but would like to check out include:

  • Our Water Baby by Amy Maclean and Jan Nesbitt (water birth specific)
  • Mama, Talk About When Max Was Born by Toni Olson (home waterbirth)
  • Mama, Talk About Our New Baby by Toni Olson (companion book to the above about integrating new baby into the home)

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Tuesday Tidbits: Hemorrhage & Postpartum Care

Mar12

March 2013 068“A bright red ribbon of blood weaves women together. We are blood sisters. We bleed and bleed, and we do not die. Usually.” –Susun Weed

These Tuesday Tidbits all come from the current issue of Midwifery Today. It is an excellent issue with tons of great information. As I referenced before, however, it is literally making my uterus ache and contract to read it since the theme is Hemorrhage. I’ve had to read it in small doses—5-10 pages at a time—and then come back to it later because the contractions/crampiness in my uterus and lower back get too intense for me to continue. I’ve always known that I have an intense response to blood, but this is the first time that I’ve really tuned in to the body memory my pelvic bowl still holds with regard to excessive postpartum blood loss. That blood loss is one of the things I don’t blog about, but today I’m writing about hemorrhage anyway (even though my back/uterus is starting up again as I type this). I guess you could call it “psychosomatic,” but I call it uterine memory.

Robin Lim’s article about postpartum hemorrhage in Bali includes a nice list of preventing and managing hemorrhage, one of the most significant being to minimize prenatal “scare” as much as possible. She writes about good prenatal nutrition and nurturing prenatal care and she also recommends this essential:

Build layers of support and trust for the mother in pregnancy and labor to help her cope with any social, psychological or spiritual challenges that she might be carrying…

Lim also says that laboring women use “qi” while laboring and birthing, which is our life force, our energy. She says that if women run out of “qi,” they have to dip into their “jin,” which is, “one’s God-given lifespan”:

“If a mother uses all of her qi to bring her baby out, then she has none left to bring her baby out and to close her uterus properly…As birth-keepers it is our job to maintain the qi of pregnant, laboring, birthing and breastfeeding mothers. The mother who maintains her qi and does not use up her jin can still be glowing and full of energy after having five children…the mother who has dipped too deeply into her jin, due to having depleted her qi, can be dangerously run down after having just one baby…”

While one might interpret this as being a little too esoteric for the practical mind and perhaps a tad too close to the victim-blaming “you create your own reality” thought processes that grate on my nerves, I really appreciated the idea of the responsibility of birth-keepers to guard mothers’ life-force energy and to act to preserve mother’s natural resources and reserves of strength.

On a midwifery education note, I love the writing of Sister MorningStar and I loved reading her thoughts on midwifery education, especially her observation that

…I’m dreaming of a way and time when women are as healthy as deer and mothers birth in the night before professionals arrive. Don’t misunderstand, I want and am willing to talk at any roundtable about midwifery education. We need everyone who cares about birth at such a table, including mothers. We need a global table with a global voice, passion and wisdom. I am not saying that birth and midwives are not made better with midwifery education, but I am saying that I have many questions about modern midwifery education and its effect on the experience of birth.

And, moving on to postpartum care, loved this quote from Darla Burns in an article by Allie Chee:

As Americans, we are under the impression that new moms are ‘Superwomen’ & can return to life as it was before baby. We must remember to celebrate this new mother and emulate the other cultures that honor new mothers by caring for them, supporting them, & placing value on the magnificent transformation she is going through. This is the greatest gift we can give to new mothers & newborns…

I appreciated that Chee included information about postpartum recovery from miscarriage and stillbirth as well, rather than assuming that postpartum care is a need only following a live birth. Consistent with my own experiences and observations she notes that, “in the case of miscarriage and stillbirth, a woman is usually sent home with no postpartum care instructions other than perhaps a list of negative signs to watch for that may indicate further complications with her health. In these instances, many friends and family members, often not knowing how to respond, leave the mother to grieve alone and to recover physically by herself.” Other interesting notes with regard to postpartum recovery after miscarriage or stillbirth include these two:

  • The depression and anxiety experienced by many women after a miscarriage can continue for years, even after the birth of a healthy child….
  • [with regard to postpartum recovery/"lying in" time in other cultures]…Amy Wong, an internationally acclaimed author and expert on postpartum writes, “Natural delivery requires at least 30 days of rest, while cesarean delivery, miscarriage and abortion require at least 40 days…”

Of course, this made me reflect on my own experiences. I feel fortunate that I was cared for with a lot of love and tenderness in my own miscarriage postpartum, with my mom bringing us food and providing child care and support, and my doula organizing and delivering meals from friends as well as offering a loving and supportive listening ear. That said, I was back in front of the classroom two weeks postpartum and felt like perhaps I was taking “too long” to get back to “normal.”

Definitely make sure to check out the complete issue! Midwifery Today is my favorite birth publication and is a treasure trove of information as well as personal experiences and reflection.

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