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Womenergy (Womanergy)

The day before my grandma died, my dad came over and said he’d coined a new word and that I could have it: Womenergy. He said he’d googled it and didn’t come up with anything. I googled it later though and there are a couple of people who have used it before, so I think my dad actually said Womanergy instead, which is still available. So, womanergy has been coined now too! :) I dozed off during Alaina’s nap today and when I woke up the word was in my head and so were a bunch of other words. I channeled a bit of my inner Alice Walker and wrote:

Womenergy (Womanergy):

Feeling fierce at 37 weeks last year.

Feeling fierce at 37 weeks in 2011.

Often felt when giving birth. Also felt at blessingways and circling with women in ceremony and rituals. Involved in the fabric of creation and breath of life. Drawn upon when nursing babies and toting toddlers. Known also as womanpower, closely related to womanspirit and the hearing of one’s “sacred roar.” That which is wild, fierce. Embedded and embodied, it may also be that which has been denied and suppressed and yet waits below her surface, its hot, holy breath igniting her. Experienced as the “invisible nets of love” that surround us, womanergy makes meals for postpartum women, hugs you when you cry, smiles in solidarity at melting down toddlers. It is the force that rises in the night to take care of sick children, that which holds hands with the dying, and stretches out arms to the grieving. It sits with laboring women, nurses the sick, heals the wounded, and nurtures the young. It dances in the moonlight. Womenergy is that which holds the space, that which bears witness, that which hears and sees one another into speech, into being, into personal power. Called upon when digging deep, trying again, and rising up. That which cannot be silenced. The heart and soul of connection. The small voice within that says, “maybe I can, I think I can, I know I can. I AM doing it. Look what I did!” Creates art, weaves words, births babies, gathers people. Thinks in circles, webs, and patterns rather than in lines and angles. Felt as action, resistance, creation, struggle, power, and inherent wisdom.

Womenergy moved humanity across continents, birthed civilization, invented agriculture, conceived of art and writing, pottery, sculpture, and drumming, painted cave walls, raised sacred stones and built Goddess temples. It rises anew during ritual, sacred song, and drumming together. It says She Is Here. I Am Here. You Are Here and We Can Do This. It speaks through women’s hands, bodies, and heartsongs. Felt in hope, in tears, in blood, and in triumph.

Womenergy is the chain of the generations, the “red thread” that binds us womb to womb across time and space to the women who have come before and those who will come after. Spinning stories, memories, and bodies, it is that force which unfolds the body of humanity from single cells, to spiraled souls, and pushes them forth into the waiting world.

Used in a sentence:

“I’m headed to the women’s circle tonight. I could really use the womenergy.” February 2013 196

“I felt like I couldn’t keep going, but then my womanergy rose up and I did it anyway.”

“Feel the womenergy in this room!”

“She said she didn’t think she could give birth after all, but then she tapped into her womanergy and kept going.”

“I hope my friends have a blessingway for me, I need to be reminded of the womenergy that surrounds me as I get ready to have this baby.”

Feel it…

Listen to it…

Know it…

In the air, in her touch, in your soul.

Rising
Potent
Embodied
Yours…

“For months I just looked at you
I wondered about all the mothers before me
if they looked at their babies the way I looked at you.
In an instant I knew what moved humankind
from continent to continent
Against all odds.”

–Michelle Singer (in We’Moon 2011 datebook)

“I believe that these circles of women around us weave invisible nets of love that carry us when we’re weak and sing with us when we’re strong.” –SARK, Succulent Wild Woman

There is a wild tiger in every woman’s heart. Its hot and holy breath quietly, relentlessly feeding her.” – Chameli Ardagh

Circles of women (and art)...

Motherhood and Embodiment

“Loving, knowing, and respecting our bodies is a powerful and invincible act of rebellion in this society.” –Inga Muscio

As I’ve written before, pregnancy, birth, and breastfeeding are incredibly embodied experiences—motherhood in general feels very much a molly37weeks 016physical commitment. Our relationship with our children begins in the body, it is through the maternal body that a baby learns to interpret and engage with the world, and to the maternal body a breastfeeding toddler returns for connection, sustenance, and renewal.

Why might birth be considered an ecofeminist issue though? Because mother’s body is our first habitat. We all entered the world through the body of a woman and that initial habitat has profound and long-lasting effects on us, whether we recognize them or not. Midwife Arisika Razak explains, “the maternal womb is their first environment. The cultural paradigm of birthing is the first institution that receives our children…Each of these elements—womb, birth culture, and family—has a profound effect upon the new human bring. Each deserves our best thinking and analysis. What would it be like if we envisioned a society in which positive, lifelong nurturing support—from old to young, and young to old—were the dominant theme of human interaction?” (p. 167).

What would it be like if we treated birthing women and their babies like they mattered?

Our first and deepest impulse is connection. Before Descartes could articulate his thoughts on philosophy, he reached out his hand for his mother. I have learned a lot about the fundamental truth of relatedness through my own experiences as a mother. Relationship is our first and deepest urge and is vital to survival. The infant’s first instinct is to connect with others. Before an infant can verbalize or mobilize, she reaches out to her mother. Mothering is a profoundly physical experience. The mother’s body is the baby’s “habitat” in pregnancy and for many months following birth. Through the mother’s body, the baby learns to interpret and to relate to the rest of the world and it is to the mother’s body that she returns for safety, nurturance, and peace. Birth and breastfeeding exist on a continuum, with mother’s chest becoming baby’s new “home” after having lived in her body for nine months. These thoroughly embodied experiences of the act of giving life and in creating someone else’s life and relationship to the world are profoundly meaningful experiences and the transition from internal connection to external connection, must be vigorously protected and deeply respected.

via Talk to Your Baby | Talk Birth and Breastfeeding as a Spiritual Practice

I have a particular interest in embodiment and my dissertation topic is related to a thealogy of embodiment (basically the Goddess and the body) and so my attention was caught by some great sections about birth, bodies, and family in the book The Art of Family:

AS WE MOVE THROUGH BODILY stages together, there are some special stages that are worth thinking of in advance. Pregnancy is one, of course, and babies. Nothing is more inescapably BODY than birth. For the mother, both through her pregnancy and the labor and delivery of the baby. In birth, the body gets to drive the soul for a change and one’s soul is on for the wild ride, whatever happens. What does she deliver, after all, but a body, this little lamblike creature packaged in a now wholly-other body? What does she deliver but a body—and what do she and Daddy count but a body’s toes, a body’s fingers? In these small ways we acknowledge our wholeness, our physical sacredness.

Gina Bria (2011-11-28). The Art of Family : Rituals, Imagination, and Everyday Spirituality (Kindle Locations 1693-1700). iUniverse. Kindle Edition.

(Amazon affiliate link included)

And, I appreciate that Bria then moves into a consideration of how men experience pregnancy and birth…

YES, BIRTH IS THE BODY, and for women it is manifestly given. But one should note that the world over, there is a complementary effort by men to try to counterbalance the impressive power of women who have even the potential of birth, whether it is actualized or not. Men, too, have moments of making special use of their bodies. Men make quests, and perform feats of extraordinary effort, to put their bodies on the line in some attempt to match birth.

…For modern men, pregnancy means two things, not one integral, unfolding experience, as for women. First, they must cope with a partner undergoing tremendous physical change. In essence, they are no longer dealing with the same body. It’s a stressful experience, and many men fear they will never see their old partner again, quite literally. They listen to their wives agonize about weight gain and swollen ankles, and secretly grieve the loss, all the while maintaining a show of faith, for their wives, for themselves, that it will come to a happy ending. And on top of that, they must then forge a new relationship with the party responsible for this, someone they can neither see, nor touch, indeed, can hardly believe exists! Women at least get touched by their in-utero babies, even if it’s a swift kick from the inside. “Hey, it’s Daddy,’’ my husband said rather sheepishly into my belly one night. This seemed to me quite amusing, as if the baby needed an introduction to one half of his own genetic material. Then suddenly it struck me that I had never considered introducing myself to the baby, announcer like over an intercom—“This is your mother speaking’’—because I felt the bodily connection so inexorably. I knew I was well known to the baby, but my husband had no such advantage. He had to make connections in other physical ways, in this case using his voice. Making a family where men touch, speak, and care for children is a vital way to connect them to their own progeny; one way that many cultures, including our own, can often deny men. Perhaps you have been stopped in your tracks, as I have, over the recent spate of advertisements of bare-chested men holding tiny babies. Do advertisers, more than Freud, know what women want? Yes! We want to see our handsome men holding babies, snoozing with them, schmoozing with them in chest-to-chest communion. As Jane Austen asks, “What attaches us to life?’’ Anyone who lays on hands gets attached to life.

These thoughts really struck me in a profound way. During each of my own pregnancies, I remember marveling and feeling impressed, as well as a little sad, that my husband had to somehow forge this bond with a newcomer without the same benefit of the embodied, constant experience of pregnancy—pregnancy from the inside is different than pregnancy from the outside. I shared the author’s amusement in picturing how it would have been to “announce” my own presence to my babies. I’ve tried, but cannot fully imagine the process and psychological task involved with the paternal experience, of in a sense, “suddenly” having a baby to hold and care for and “instantly” love, though I’m sure I have the capacity within me somewhere (and, yes, I know that not all mothers feel an instant love either and may have the same sense of suddenness in their own lives—it was certainly true for me that the inner experience of a womb-dwelling baby was pretty different from the external experience of having a physically visible baby to tote around). As a pregnant woman though, the baby is basically inescapably present and part of me in an interconnected, interwoven, symbiosis of being. There is the transition at birth to an “outer” relationship, but that intense embodied interconnection continues immediately with the breastfeeding relationship. It is somewhat impressive or staggering to me almost, that men have to form their own connection born out of different “stuff” that the biology of gestation and lactation that weaves the motherbaby together.

Bria also addresses the loving of a baby’s body that isn’t going to survive:

WE ARE NEVER MORE CRUSHED than when there is trouble at birth. No sadness holds for us the power of an incomplete body, a broken body. We grieve and turn heart stricken at this time like no other. In moments like these we can only comfort ourselves, with love, that love would allow us to care for this child when many would not be able to do so. We hope to find ourselves the kind of people who could, in such circumstances, make a life for a whole person, with an incomplete body. When our son was born with a leaking heart, an old-fashioned “blue baby,’’ and destined to die without surgical repair, we learned quickly that all we could give him, all he could receive as a newborn, was the small, inconsequential daily care of the body, gentle changing, warm nursings, our breath upon his face. Perhaps, we thought, it would be all he would ever get. In that season of attention, we really learned the significance of loving a body. A body, however small, records every trace of touch; it is never unconscious; unlike the mind, a body is never without sensing, even in sleep. A body will always remember.

I liked the description of a body always remembering. We do carry deep, physical memories of our pregnancies, births, and babies. I find the physicality actually comes back most clearly in dreams for me, when I can again feel with a sharp potency the sensation of a baby’s body slipping swiftly from my own body. I also like reading research that indicates that mother’s body carries fetal cells within her forever. I like thinking that physical evidence of the embodied, relational experience of pregnancy remains written into my very cellular structure (well, and on my bones and skin too, I suppose!). I found this a comfort after my little Noah’s birth, thinking that in a very real way, I would truly always remain a “little bit pregnant” with him and that perhaps some of his unique genetic material lives on in my body.

After birth, we continue to relate to our babies on a very physical, body-oriented level. There is nothing like a baby to bring things back to the body, to use your body and their own in a complete, intensive, totalness.

BABIES’ BODIES AND CHILDREN’S BODIES   LIKE PLAY, LOOKING AT THE body of an infant returns us to childhood. Babies’ bodies are a special form of being human, and they elicit in us essential, elemental emotions. They infect us with longing for the integration, the wholeness, they have. As new parents, we experience again all the helpless and exuberant feelings of children, the unfeigned marveling over everything manifested by a baby, a physical miracle. We cannot contain our awe, expressing it to everyone within earshot. New parents on the street can always be identified by their aura of vulnerability; they’ve shed the social cloth that keeps us all appropriately attired to go about our work. Instead, just like the baby, they are naked to everything good. They blink and look around, bemused, tired, and delighted. You will notice they always smile at you at the crosswalk—it is a secret, initiated smile. They assume you either know what they are smiling about or wish that you did. What is it they know? Their babies made them once again aware of the pleasures of physical delight. To care for an infant is a test of our humanness, a trial by fire and love.

What is good about caring for infants is that they never let us forget how essential the body is. They snuffle, bawl, and demand attendance. “Feed me, change me, hold me,’’ for an eternity of right-nows. And when they sleep, it’s as if they have cast themselves on a thin but safe shelf of floating wholeness, complete integration. They show us what we once were, without guile, delightedly in love with our own body. When infants turn into toddlers, the body is still in front, still demanding, but in a bigger world. Now protection from bodily harm becomes a concern of everyday physical life together. We aren’t as impressed by the bodily transmogrification that takes place in front of us, because we’ve learned to live with it happening every day, day to day. It’s impossible for the same miracle to impress us the same way over and over again. Thus begins the very fading away of the lesson we most need from our children—that there is intense pleasure in the active human body. Right under our noses they play. They play and play and we watch and nod as if this itself isn’t a further miracle. What do infants do when they get control of themselves, but move, explore, experience exhilarated delight in their bodies and what they can do. Their essence is to enjoy themselves as bodies, all over…Through physical life with our children, through care of them and play with them, the hands-on of it, we again acquire our innocent selves, a delight in each other and the world around us. We discover all over the potentialities of the senses. This is the heart of being with young children.

Gina Bria (2011-11-28). The Art of Family : Rituals, Imagination, and Everyday Spirituality (Kindle Locations 1729-1760). iUniverse. Kindle Edition.

As they age, this physical, body-based relationality and experiences may wane, and yet still holds important value:

As our children age we must struggle to keep this alive for ourselves, for them, in one form or another, as the world begins its intrusion into our family lives. This may be as simple as pointing out that a flower is beautiful, that rain smells divine, that a hand held feels warm and comfortingly sweet, that nothing satisfies like cool water. Once children hit the walking stage and beyond, we spend more time explaining compared with the time we spent holding. Yet there are still many miniature ways of communicating with one’s body. Its active use—a nod, a wink, a hug—are all fleeting acts of committing one’s body, however momentarily, to another. Looks, touches, squeezes, physical smiles, a physical vocabulary—aren’t they what children long for? Indeed, isn’t that exactly what we thrill to in a romance—those little signals that you belong to each other—and isn’t that what we end up complaining of missing when our marriages seem stale? It isn’t just for romance that these things work, though it is there that we most seem to notice them. All of family life can capitalize on a richer life with each other’s bodies.

And, bringing it back to birth and the care of birthing bodies, I really liked this image via Facebook:

treatment

Happy Earth Day!

20130422-140554.jpgWhy this phrase? Two reasons:

Womb ecology reflects world ecology. World ecology reflects womb ecology.

And this (already used in several past posts):

When women are faced each day with enforced cesarean deliveries, birth control that maims and kills them, and doctors who think them dirty, when we encounter rape, violence in the streets, job discrimination, sexual slavery around the world, pollution and nuclear madness, we realize that reclaiming the integrative ways of our ancestors must involve our healing powers on all fronts—from the medical to the social to the environmental to the political to the psychological to the spiritual. Healing the divisions that were imposed during the patriarchal era is the survival issue of our time and our planet. A world that systematically sickens its women cannot survive. [emphasis mine]

Chellis Glendinning in Politics of Women’s Spirituality

20130422-140545.jpg

Tuesday Tidbits: Cesarean Awareness Month Round-Up

motherbaby

April is Cesarean Awareness Month and a lot of great resources have been catching my eye! First, there is a free webinar about the “Natural Cesarean” coming up on April 11th.

If you’re a first-time parent, make sure to check out 10 Tips for Avoiding a First-Time Cesarean from Giving Birth with Confidence. This blog also has a response to the question of Are “Big Babies” Cause for Cesarean? 

And, of course, also check out ICAN’s blog for an ongoing collection of Cesarean Awareness Month related posts as well as helpful cesarean awareness information on a year-round basis.

Science & Sensibility offers a great round-up of resources for clients and classes with regard to cesarean births, cesarean rates, and cesarean prevention: April is Cesarean Awareness Month! Resources for You and Your Classes

One a related note, Science and Sensibility also has a two-part series of posts analyzing the role of doulas in reducing cesareans for mothers using Medicaid:

Medicaid Coverage for Doula Care: Re-Examining the Arguments through a Reproductive Justice Lens, Part One

More fundamentally, however, we argue that doula benefits cannot be captured solely through an economic model.  Neither should doulas be promoted as a primary means to reduce cesarean rates.  Both strategies (economic benefits and cesarean reduction) for promoting doulas have significant barrier.

Medicaid Coverage for Doula Care: Re-Examining the Arguments through a Reproductive Justice Lens, Part Two

However, greater attention needs to be paid to issues of privilege and oppression within the doula community at large.  Advocates need to consider how the prioritization of the cesarean rate as a primary research or policy issue reflects a certain level of unexamined privilege. For those facing spotty access to health care, cultural and linguistic incompetence in care settings, the detrimental effects of the prison industrial complex and the child welfare system on families, and the effects of poverty, racism, and/or homophobia in general, there are other, perhaps equally pressing concerns surrounding childbirth than over-medicalization. Certainly, unnecessary cesareans and over-medicalization are detrimental to everyone, but we need to understand how the effects of these problems play out differently for differently situated people and not limit advocacy to these issues.

When I consider coercion into unneeded cesareans, I think of my own post addressing the flawed notion of Maternal-Fetal Conflict and from these earlier thoughts, I created the little graphic for Citizens for Midwifery seen above.

I think it is fitting to remember that mother and baby dyads are NOT independent of each other. With a mamatoto—or, motherbaby—mother and baby are a single psychobiological organism whose needs are in harmony (what’s good for one is good for the other).

As Willa concluded in her CfM News article, “…we must reject the language that portrays a mother as hostile to her baby, just because she disagrees with her doctor.”

via Maternal-Fetal Conflict? | Talk Birth.

I was honored recently to make a series of sculptures for mom recovering from a traumatic cesarean and hoping for a VBAC in the future. I hope to make a more detailed post in the future describing these figures and what they’re trying to communicate!

March 2013 070

I dug into the archives and found some older posts either about cesareans or relating to cesarean prevention:

Book Review: Understanding the Dangers of Cesarean Birth

Cesarean Awareness Month

Cesarean Trivia

Cesarean Birth in a Culture of Fear Handout

Guest Post: Abuse of pregnant women in the medical setting

Becoming an Informed Birth Consumer (updated edition)

The Illusion of Choice

ICAN Conference Thoughts

Helping a Woman Give Birth?

Community Organizing

Alone, you can fight,
you can refuse, you can
take what revenge you can
but they roll over you.molly37weeks 071

But two people fighting
back to back can cut through
a mob, a snake-dancing file
can break a cordon, an army
can meet an army.

Two people can keep each other
sane, can give support, conviction,
love, massage, hope, sex.
Three people are a delegation,
a committee, a wedge. With four
you can play bridge and start
an organization. With six
you can rent a whole house,
eat pie for dinner with no
seconds, and hold a fund raising party.

A dozen make a demonstration.
A hundred fill a hall.
A thousand have solidarity and your own newsletter;
ten thousand, power and your own paper;
a hundred thousand, your own media;
ten million, your own country.

It goes on one at a time,
it starts when you care
to act, it starts when you do
it again after they said no,
it starts when you say We
and know who you mean, and each
day you mean one more.

–Marge Piercy (in Life Prayers, p. 143)

I’m teaching community organizing again this session and the above is a poem I saved to share with my class when we talk about community organizing, creating change, and mobilizing power. I love it, because it starts small, which is where we all have to start. And, of course, it makes me think of birth change efforts as well. In a previous post about creating birth change, I used my community organizing class to explain the difference between education and action…

Additionally, with regard to education as a strategy for change, I’m brought back to a point I raise in my community organizing class: People often suggest “education” as a change strategy with the assumption that education is all that is needed. But, truly, do we want people to know more or do we want them to act differently? There is a LOT of education available to women about birth choices and healthy birth options. What we really want is not actually more education, we want them to act, or to choose, differently. Education in and of itself is not sufficient, it must be complemented by other methods that motivate people to act. As the textbook I use in class states, “a simple lack of information is rarely the major stumbling block.” You have to show them why it matters and the steps they can take to get there…

via Women and Knowing

Birth Matters!

“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! :)

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

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

“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.” ;)

Tuesday Tidbits: Hemorrhage & Postpartum Care

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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Birth Regrets?

March 2013 034I usually talk in my classes about how ‘this’ is the only chance you’re going to get to birth this baby. Sure you may go on to have other babies, but you only get *THIS* chance to birth *THIS* baby. I also share with moms that because of this fact, the significance of this birth is infinitely greater than the significance of this birth is to your nurse, OB, midwife, etc.” – Louise Delaney

As I was writing my post last week about “bragging rights” in birth, I was also considering the role of birth regret. I’ve come to realize that just as each woman has moments of triumph in birth, almost every woman, even those with the most blissful birth stories to share, have birth regrets of some kind of another. And, we may often look at subsequent births as an opportunity to “fix” whatever it was that went “wrong” with the birth that came before it. While it may seem to some that most mother swap “horror stories” more often than tales of exhilaration, I’ve noticed that those who are particularly passionate about birth, may withhold or hurry past their own birth regret moments, perhaps out of a desire not to tarnish the blissful birth image, a desire not to lose crunchy points, or a desire not to contribute to the climate of doubt already potently swirling around pregnant women. I’ve already acknowledged all of my own moments of birth regret, but never all in the same post…so, here they are…

First birth: This birth was great and very empowering, but I also learned a lot of things I’d like to do differently the next time. Maybe “regret” is too strong a word, but there were things I definitely knew I wanted to change for next time. I regretted feeling pushed into several things I wouldn’t have chosen on my own, such as giving birth in a semi-sitting position rather than on hands and knees. I wished I hadn’t had quite so many people around me at the birth and I wished I would have just stayed home, rather than driving to a birth center. I regretting not asking to squat after the placenta to help the “sequestered clots” come out and possibly avoid the manual extraction I experienced which was pretty awful (I swear my uterus actually twinges when writing/thinking about it). I regretted having a pitocin shot after the birth, because I still don’t think I actually needed it and it bothered me for a long time that I couldn’t figure out whether or not I’d really needed it. I was also pretty physically and emotionally traumatized by the labial/clitoral tearing I experienced and desperately wanted to fix that next time! Interestingly, most of these regrets were clearly connected to other people and to events in the immediate postpartum period, rather than anything to do with the labor or birth process itself.

Second birth: With this birth, I see very clearly how I deliberately made choices to “fix” the things that nagged at me from my first birth. I gave birth at home, I had very few people present, I gave birth on hands and knees. I was extremely distraught to tear again in the same unfortunate and traumatic way. I’d been totally convinced before the birth that it was all related to positioning and I could fix it, next time. I regretted getting up and showering, etc. so soon after the birth and I wished for more postpartum care (noticing a theme here…). I wished I hadn’t almost fainted several times and still recall the feeling of my head snapping back as I almost went under. That said, I felt the proudest and most exhilarated after this birth.

Third birth: Aside from the obvious of wishing my baby had been born alive, I “fixed” some things from prior births in that I stayed down after the birth to keep myself from fainting. I regretted drinking Emergen-C after the birth. I regretted not being better informed about coping physically with a miscarriage. And, I wished I’d been better able to assess blood loss. I also wished I’d had an attendant of some kind, particularly for immediate postpartum care. I still feel traumatized from the memory of what felt like extreme blood loss during this birth. This was the most physically demanding experience of my life. Not just my birth life, my whole life.

Fourth birth: My biggest regret from this birth was having tried to use a hypnosis for birth program while in labor. I feel as if there were some pre-birth benefits from using the program, but it was not a match for the way I labor and birth and I actually feel as if using it had a negative impact both on my ability to clearly remember and to focus my energy. I did still tear in the same place and in what seems like some new ways as well. I never want to tear like that again. I hate it. I’ve reached my physical and emotional limit with experiencing that type of tearing and I feel like I still have some negative lasting effects. I also think I had some nerve damage that continued until about six months ago. What I “fixed” this time was having a living baby and rediscovering that I could in fact do this and there was nothing wrong with me. I loved that I caught my own baby. (Best. Moment. Ever.) I also had the immediate postpartum care I’ve finally learned I really, really need. I consumed a small piece of placenta postpartum, I drank chlorophyll (and not vitamin C), when I went to the bathroom and did not look down, so I didn’t get all fainty and woozy from seeing the blood, and my doula encapsulated the placenta and I loved it.

It is interesting to me to look at these feelings and situations in the same place. With my last birth, I finally “fixed” the postpartum and blood loss issues that haunted me, but I created new things to fix by experimenting with hypnosis rather than the active birth, birth warrior, Birthing from Within type of experience that truly suits me. I guess I will never fix the tearing situation (I still want to write about that someday!). I also notice how impacted I was and still am by the two births that involved major blood loss. This came up for me very viscerally in reading the current Midwifery Today issue about hemorrhage. While the topic is important and the issue is really informative and useful, I actually had to put it down by page nine because my uterus was hurting/twinging so much (low back too). I really don’t think it was only my imagination either. (This is one reason my work with birth is never going to actually include becoming a midwife!)

I’m curious to know…do you have birth regrets? Or, things that you used subsequent births to fix, overcome, or cope with? Do you see any patterns to your birth experiences like I see in mine?

The other thing this exercise brought up for me is the important of preparing for the birth you want during this birth. This baby is only born once. This birth only happens once. I have clients tell me sometimes while still pregnant with their first baby, “well, next time, I’ll try XYZ…” Don’t wait for next time, do it this time!

The first birth is the pivotal birth. Every birth experience that follows builds on that one. Our choices now are choices for the NEXT birth. The first birth doesn’t have to be either perfect or awful and earth shattering to make us think. We don’t have to choose differently than the first birth; but it’s the first one that gives us a place to begin experiencing not just birth but ourselves as mothers, women, people. We may not all have ground shaking, earth thundering thoughts but we have them. The experience belongs to us. We choose what to do with it. Choosing to do nothing different is still an influenced choice ~ made on that experience…

…What will YOU do to have a first birth that leaves you with few regrets or changes for your NEXT birth? Why not have the birth of your choosing, rooted in truth and your ability to know yourself and your baby now?…

via The Home Birth Experience: The First Birth is HERstory | Real women. Real options. Real birth..

These types of triumphs and regrets produce both birth professionals dedicated to helping others and also mothers who become so hurt and disillusioned with birth that they may actively reject the “natural birth” movement.

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