Archive | 2010

Birth Quotes Update

Time for my semi-regular re-sharing of birth quotes I’ve shared on my Talk Birth Facebook page in the last several months (there are also a few grief/miscarriage quotes mixed in as well as some activism quotes too). While I realize that I don’t “own” these quotes—other people said them, not me!—I do have quite a bit of legwork invested in seeking and sharing these quotes (I mostly get them from my own reading) and if you re-post one or more of them on your own Facebook page, blog post, or book, I really appreciate acknowledgement and/or link back to this site or to my FB page, that this is where you originally got the quote!

“…in not disturbing the laboring woman you’re not handing over all control to her…it’s not a question of handing control to the laboring woman, it’s a question of *not controlling* her…while she’s in labor and giving birth physiologically, she’s going to seem well and truly out of control–totally wild!–so the issue of control seems a pretty irrelevant one really.” –Sylvie Donna (Optimal Birth)

“I see my body as an instrument, rather than an ornament.” ~Alanis Morissette, quoted in Reader’s Digest, March 2000 via Denver Doula

‎”Expectant mothers need to be mothered; their hearts need to be infused with love, confidence, and determination. I now see myself as ‘midwife’ to the gestation and birth of women as mothers.” –Pam England (Birthing from Within)

‎[re: “surrender” during labor] “…She may refer to this as the feeling of surrender; but this kind of surrender is a gift, not something she herself did with her mind. At this point the body truly takes over and the thinking mind recedes into the background. This may be how women historically and presently, are able to labor without mental suffering and without pain medication.” –Pam England (Labyrinth of Birth)

This feels true from my personal experiences–I feel like the most important thing anyone can know about birth is to welcome that surrender (to let go of control) and also about the value of *freedom* in enabling the surrender to happen (freedom in the physical space–i.e. no one “letting” you drink or not drink or labor in bed or out of bed).

“[re: ecstatic birth] This exquisite hormonal orchestration unfolds optimally when birth is undisturbed, enhancing safety for both mother and baby. Science is also increasingly discovering what we realise as mothers – that our way of birth affects us life-long, both mother and baby, and that an ecstatic birth —
a birth that takes us beyond our self — is the gift of a life-time.” –Sarah Buckley

“When you don’t follow your nature there is a hole in the universe where you were supposed to be.” –Dane Rudhyar (via Marian Thompson, LLL Founder)

‎”Birth is what women do. Women are privileged to stand in such power! Birth stretches a woman’s limits in every sense. To allow such stretching of one’s limits is the challenge of pregnancy, birth, and parenting. The challenge is to be fully present and to allow the process because of inner trust. How can women find their power, claim it, and stand firm in it throughout?” –Elizabeth Noble

(Her answer: “vertical birth”–thus, to quite literally STAND in one’s birth power!)

‎”…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

‎”A woman’s path to power is more like engaging life’s energies in a swirling movement filling us up, out, into wholeness.” –Lois Stovall

“The body has its own way of knowing, a knowing that has little to do with logic, and much to do with truth, little to do with control, and much to do with acceptance…” –Marilyn Sewell (via Mothering Magazine‘s pregnancy e-newsletters)

“…much of what passes for childbirth education and preparation today actually increases women’s fears by giving them too much concrete information to hang their anxiety on, and too many names for all the bad things they already fear will happen. In the course of trying to calm the higher brain by giving it lots of data, we can end up defeating our purpose by feeding our fears.” –Suzanne Arms (Immaculate Deception II)

“We take for granted in the United States that childbirth is a multi-million dollar industry. It’s as simple as that–women’s bodies and the act of creation are intertwined with the economy. What if our relationship with body and womb and birth was in every sense of the word FREE? What if we didn’t need managed care? Literally or figuratively?” –Baraka Bethany Elihu (Birthing Ourselves into Being)

Reader responded with a question about, “how do we teach our children about birth?” and this was my short answer:

I think by talking about is as something that is a “normal” as can be–i.e. not scary and dangerous–and by not “hiding” birth from them like it is a secret. My kids have seen all kinds of natural birth videos, pictures in books, etc. When …my older son was only 3 1/2 he drew me a picture with the baby attached to the mom with an umbilical cord (both with big smiles on their faces) and the placenta in bowl next to them (which of course couldn’t actually be there unless the baby was not still attached to the mom with the cord). 🙂

“I am starting to see that a woman’s strength in birth is also in the letting go and allowing herself to tumble fearlessly with the current, never losing sight of the belief that, when the energy of the tide is through, she will find herself upright again on the shore.” –Maria (at the blog A Mom is Born)

“Because parents are transients in the maternity care system, there is little cumulative birth experience over successive generations of mothers. Women giving birth don’t make the same mistakes as their mothers or grandmothers–they make new ones.” –Elizabeth Noble (Childbirth with Insight)

‎”Those who push themselves to climb the last hill, cross the finish line, or conquer a challenging dance routine often report feelings of euphoria and increased self-esteem…women who experience natural birth often describe similar feelings of exaltation and increased self-esteem. These feelings of accomplishment, confidence, and strength have the potential to transform women’s lives…In many cultures, the runner who completes the long race is admired, but it is not acknowledged that the laboring woman may experience the same life-altering feelings…” -Giving Birth with Confidence (Lamaze International)

“Fathers’ sharing in the birth experience can be a stimulus for men’s freedom to nurture, and a sign of changing relationships between men and women. In the same way, women’s freedom to give birth at home is a political decision, an assertion of determination to reclaim the experience of birth. Birth at home is about changing society.” –Sheila Kitzinger

(Emphasis mine.) Posted in honor of Independence Day!

I’ve noted that many women (including myself) cite “freedom” as one of the main reasons they choose out-of-hospital birth…

‎”Labor is not a time to judge ourselves but a period for reflecting on our movement through life at a given moment. It is not possible to control labor, it is only possible to follow the process and to meet whatever it may offer.” –Gayle Peterson (An Easier Childbirth)

“There is an urgent need for childbirth education for doctors and nurses so that, instead of superimposing a medical perception of birth, professional helpers listen to, learn from, and respect women’s experiences. Only in this way shall we be able to humanize the culture of birth.” –Sheila Kitzinger (forward in An …Easier Childbirth by Gayle Peterson)

The book was written in 1993 and I think we still haven’t figured that out yet…:(

‎”The absolute miracle of a birth and the emergence of a new human being into the world catapults both mother and father into the realm of awe and wonder. They are flooded with non-ordinary feelings and energies that support a deep connection not only with the newborn and each other, but also with the mystery and power of life itself.” –John & Cher Franklin

‎”A strong woman knows she has strength enough for the journey, but a woman of strength knows it is in the journey where she will become strong.”

“A strong woman isn’t afraid of anything, but a woman of strength shows courage in the midst of her fear.” (from the same “Woman of Strength” poem as above quote, author unknown, many internet versions floating around)

“When I dare to be powerful–to use my strength in the service of my vision–then it becomes less and less important whether I am afraid.” –Audre Lorde

“Despite hundreds of years of negative programming, labor and birth can be a soul-stirring experience!” —Christiane Northrup, MD

“The labor and birth experience itself is a microcosmic slice of what fathering asks of a man.” –John Franklin (FatherBirth)

‎”…an experience of the phenomenal capacity of our birthing body can give us an enduring sense of our own power as women. Birth is the beginning of life; the beginning of mothering, and of fathering. We all deserve a good beginning.” –Sarah J. Buckley

“Birth privacy is important because it fosters FREEDOM and that sense of freedom is fundamental to birthing unhindered and with joy.” –Molly Remer (my contribution to the book/DVD giveaway on Orgasmic Birth: The Best Kept Secret (fan page))

“Cautious, careful people, always casting about to preserve their reputation and social standing, never can bring about a reform.” Susan B. Anthony

“When I say painless, please understand, I don’t mean you will not feel anything. What you will feel is a lot of pressure; you will feel the might of creation move through you. Pain, however, is associated with something gone wrong. Childbirth is a lot of hard work, and the sensations that accompany it are very strong, but there is nothing wrong with labor.” –Giuditta Tornetta

Love this –the “might of creation.” How true!

“Day by day, month by month, year by year we are confronted with all that we do not know, that we do not understand, that we do not grasp. Sometimes we are humbled by this knowledge and say: God, it is too wonderful for me to comprehend but I know this universe is more grand and more beautiful than I ever could have imagined and I give thanks for the blessing of being here and seeing, hearing, experiencing, and sensing all that is so wonderful around and in me…” –Susan L. Suchocki

“Life is full and overflowing with the new. But it is necessary to empty out the old to make room for the new to enter.” —Eileen Caddy

“Once the baby is born, your life will change forever. It will change in so many ways, and until you get there you simply can’t be told. The joys, the sorrows, the excitement, the fear, the frustrations–in fact, I think all the adjectives in the world couldn’t describe what is in store for you.” –Giuditta Tornetta

‎”I love to think that the day you’re born, you’re given to the world as a birthday present.” –Leo Buscaglia (shared on my second son’s fourth birthday)

“Wherever women gather together failure is impossible.” –Susan B. Anthony

“I believe with all my heart that women’s birth noises are often the seat of their power. It’s like a primal birth song, meeting the pain with sound, singing their babies forth. I’ve had my eardrums roared out on
occasions, but I love it. Every time. Never let anyone tell you not to make noise in labor. Roar your babies out, Mamas. Roar.” –Louisa Wales

“…The motherhood mosaic has pieces that are dark and dull, but it’s a work that shines.” –Carol Weston

“Women’s bodies have near-perfect knowledge of childbirth; it’s when their brains get involved that things can go wrong.” –Peggy Vincent (via Sweet Miracles

“A child strips away our illusions that we are perfect, that we have it all figured out, that we are all grown up. In fact, we grow up with our children if we are willing to remain open to their innate goodness as well as our own.” –Peggy O’Mara

“The suckling relationship is one of the sources of real sweetness that we have in human existence…The suckling baby can teach adults about the expression of sweet love and gratitude in a way no words can.”
–Ina May Gaskin

“Unfortunately, birthing woman has not only lost touch with her body and with her ancient female lineage. She has also lost her voice to speak up, to question intervention, to ask for support, to demand respect for the work of giving birth and caring for her infant. When she finds that voice, she will regain a vital part of her creativity and power as a woman.” –Suzanne Arms (Immaculate Deception II)

“Pregnancy is a time of being in touch with the power of creation itself.” –Rahima Baldwin & Terra Richardson

“We ourselves feel that what we are doing is just a drop in the ocean. But the ocean would be less because of that missing drop.” –Mother Teresa

‎”Childbirth calls into question our very existence, requiring an expectant couple to confront not only new life but death, pain, fear, and, most of all, change.” –Elizabeth Noble (quoting a new mother)

“Hope is the thing with feathers, That perches in the soul, And sings the tune without the words, And never stops at all…” –Emily Dickinson

‎”We may tell ourselves that birth is a natural and safe process and recall our childbirth teacher’s emphasis that a woman’s body is designed for giving birth, but our own bodies may hold a different truth. It is essential to honor body memory, as it wields far more influence than the intellect during labor.” –Gayle Peterson (in An Easier Childbirth re: working through birth memories in preparation for future births)

“If a community values its children, it must cherish its mothers.” -John Bowlby

“Just as a tree grows best when anchored firmly in the earth, so can a pregnant mother feel strong and capable when supported by a sisterhood of nurturing friends.” -April Lussier

“Planning for birth is like getting ready for an athletic event…You can’t predict exactly what is going to happen; the events of the game will unfold according to their own particular logic, and not necessarily
according to your plan.” –Adrienne Lieberman

“If we don’t take care of mothers, they can’t take care of their babies.” –Jeanne Driscoll

“And I also know how important it is in life not necessarily to be strong but to feel strong, to measure yourself at least once, to find yourself at least once in the most ancient of human conditions, facing blind, deaf stone alone, with nothing to help you but your own hands and your own head…” –Christopher McCandless

‎”When you are drawing up your list of life’s miracles, you might place near the top the first moment your baby smiles at you.” –Bob Greene

I have crystal clear memories of my second baby’s first smile (the day of birth–looking into my eyes) and of my first baby’s first laugh. Less clear memories of the FIRST smile for my firstborn and first laugh for my second. I guess it is good that they each get one of the special, miracle moments!

“Midwives do NOT empower women. Only women can empower themselves. If you’ve been empowered through birth, thank your midwife for holding the space – but know that it was surely YOU that created and walked the journey” -Pamela Hines (via Barbara Herrera)

“Though we have lost a petal, we are still flowers, lush and full together in a garden of hope.” -Angie M. Yingst

‎”Once her endorphins have kicked in, a woman may actually enjoy labor or may even find it an ecstatic experience. I have many times told the story of one of my clients who was crying and desperate in early labor, only to be smiling and dancing around the room at nine centimeters’ dilation.”–Elizabeth Davis

“Life shrinks or expands in proportion to one’s courage.” –Anais Nin

“Giving birth requires an honest surrendering of your body and soul. You need to be in a relaxed state of love. Love has a way of overpowering fear. The more energy-draining feelings you can unload, the more room you will have for bliss and simplicity. Birth can be an unfolding and emergence like something you’ve never experienced before.” –Lynn Griesemer

“Labor is like mothering: you prepare and do the best you can, but finally, most of it is out of your hands. Birth is a great mystery. Yet we live in a rational, scientific world that doesn’t allow for mystery…” –Jennifer Louden

‎”Although the popularly desired outcome is ‘Healthy mother, healthy baby,’ I think there is room in that equation for ‘Happy, non-traumatized, empowered and elated mother and baby.’” –Ashley Booth Youn

[in reference to before she had her baby] “…I thought the only thing that was important…was to have a healthy baby. Now I recognize that while this is the primary goal, it is not the only goal. Birth is such an emotional experience; it can give or take away so much more than I ever realized…it will change you in such a wonderful and powerful way. It gave me more strength than I ever imagined. Since then, whenever I become overwhelmed, all I have do to is say, ‘I had a baby in my home!’ I am instantly empowered.”–Jody Niekamp (in Journey into Motherhood)

‎”10% of births needfully culminate in intervention. Self-esteem depends on salvaging the most important truth from your experience: Birth cannot be controlled. It is a mystery.” –Karen Fisk

“As doulas, midwives, nurses, and doctors, it’s important to never underestimate how deeply entrusted we are with someone’s most vulnerable, raw, authentic self. We witness their heroic journeys, see them emerge with their babies, hearts wide open…” –Lesley Everest (MotherWit Doula)

“Not every woman experiences unaided, natural childbirth, yet many women hope for it. To strive for birth as a peak experience—to withstand this ‘trial by fire’–a woman must learn what labor pain is and be prepared to accept and work with it. And she must also prepare for the unexpected.” –Karen Fisk

‎”It is so easy to close down to risk, to protect ourselves against change and growth. But no baby bird emerges without first destroying the perfect egg sheltering it. We must risk being raw and fresh and awkward. For without such openness, life will not penetrate us anew. Unless we are open, we will not be filled.” –Patricia Monaghan

“A Life may last for just a moment…. but a memory can make that moment last forever…” (Unknown)

“Birth is an experience that demonstrates that life is not merely function and utility, but form and beauty.” –Christopher Largen

“Birth matters. It brings us into being, on many levels.” –Ananda Lowe

‎”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

“Shrouding information about birth in silence hides the fact that labor and birthing pain is a positive key to transformation. Preparation for and expectation of that pain leads to self-awareness. Thus, birth becomes not only a passage for your child, but a passage for you into instinctual and effective parenting.” –Karen Fisk

Of Dolls and Breasts

Since it is still World Breastfeeding Week, I have another breast-related post for today! I just returned from an annual craft workshop that I attend with my family. One of the workshop teachers and her daughter made this doll—named Pandora—for the “director’s challenge” (make a project using these random items from a bag). I loved her and tried very hard to win her in the silent auction, but her creator outbid me on her at the very last minute! The exposed breast with nipple was apparently very disturbing to some other workshop attendees, because someone anonymously kept pulling the gauze over to cover up the other breast. And, then someone else would uncover it (sometimes this someone was me). Finally, someone actually wrapped a paper towel all across her upper body, so no breasts were visible!

While I do understand this somewhat from a “modesty” perspective, or “there are kids here!” I think it is symptomatic of a real issue with breasts in our wider culture and the very real implications for breastfeeding. What if breasts were just normal? How would our world look? What would happen to breastfeeding rates? Not just breastfeeding initiation rates—which are high, but then fall alarmingly once women leave the hospital and have to face breastfeeding in the real world where many, many people, think a tiny little doll breast needs to be covered with paper towels [what on earth do they think of a real, human-sized breast with a baby attached to it?! Horrors!]—but breastfeeding rates at 6, 12, and 18 months?

I think breasts are cool, so I was kind of annoyed by this little back and forthing with the covering of the doll breast during the workshop. However, it also reminded me WHY (when removed from my personal little breastfeeding/woman-celebrating subculture), people get hung up on breastfeeding in public, etc. Because a large majority of people think breasts should be hidden tidily away (unless selling beer or music or any number of things—then it is okay to show quite a lot of breast—but, no nipples please!). It was then that my attention was drawn to my large collection of pregnancy/birth/breastfeeding/goddess pendants and I realized how very many of my pieces of jewelry have breasts (many with nipples). Sorry to offend, Mainstream Culture, but I still think breasts are cool and worthy of jewelry-celebration (both as fabulous baby-feeders as well as just respecting/honoring women’s wonderful bodies—not as sex-objects, but as life giving, miraculous creations! How would our whole world change if everyone viewed women this way?) and I’m sorry that so many people oversexualize them to the extent that a nifty little doll like this has to be covered up with paper towels! I still wish I would have won her, but photos will have to do!

Nighttime Breastfeeding and Depression?

Since it is World Breastfeeding Week this week, it seems fitting to have a post about breastfeeding! I just read a guest post by Kathleen Kendall-Tackett at Science and Sensibility about the (flawed) recommendation that mothers avoid breastfeeding at night as a depression-reduction strategy. The conclusion of the post referenced above was: “The results of these previous studies are remarkably consistent. Breastfeeding mothers are less tired and get more sleep than their formula- or mixed-feeding counterparts. And this lowers their risk for depression.”

I, too, have noticed the advice often in popular culture to, “let dad take a night feeding so mom can get more sleep.” It doesn’t seem to really hold up in practice (or in research).

My personal experiences as a breastfeeding mother–-even of a newborn—was that I most often felt, “surprisingly well-rested.” I experienced little to no of the classic sleep-deprived mother signs and I attributed this to breastfeeding. I marveled at the sense of perfect nighttime harmony that I experienced with my babies–-I remember saying, “during the day, he confuses me, but at night it is like we are in perfect harmony.” The symbiosis of waking seconds before baby needed to nurse amazed me. And, since they slept right next to me it was extremely easy to not completely waken. As they got older, I would often wake in the morning not able to clearly recall whether I had woken during the night at all–-and if so, how many times-–though, baby would be on a different side, so I knew I must have!

As toddlers, both my boys went through a period of extra-night nursing and being very rough while nursing at night and I remember saying–-“hey, I’m more sleep-disrupted now with a two year old than with a two month old! What’s up?!” (and this was my cue that night weaning was a good idea).

Though, I feel it is also important to say that I have seen some pretty serious sleep deprivation cases as a breastfeeding counselor that have made me realize that breastfeeding on demand all night CAN, individually speaking, be a link to depression in some mothers. However, I think various practitioners take anecdotal experiences too seriously in making blanket recommendations-–either anecdotal from personal experience or from very serious client cases. On the flip-side, this can also include me! I recognize in myself that my positive night-nursing experiences and sense of nighttime harmony and symbiosis, etc. skew my own approaches to working with breastfeeding mothers on sleep issues–-I feel that in a few cases, I have failed to take seriously several mothers’ concerns about night nursing, because I had personal blinders on about my own harmonious experiences and thought they must certainly be exaggerating (and/or culturally conditioned to see a “problem,” where none really existed other than popular opinion about babies being able to “sleep through the night”).

Product Review: PumpEase Hands Free Pumping Bra

This review was written for Talk Birth by Amanda Prim of the blog Raising a Green Bean in a Material World.

They say necessity is the mother of invention and I believe that may be true.  At least it was for me when I had to pump breast milk to feed my son every two hours ‘round the clock.  For 15 minutes every two hours I was tied to the kitchen table pumping.  I couldn’t see the TV, I couldn’t have a snack, I couldn’t read, all I could seem to do was sit there holding these plastic horns to my breast.   After a few days of that I just couldn’t take anymore so I decided there had to be a better way.  I whipped out an old sports bra, cut an “X” over where my nipples where and presto! a hands free pumping bra.  I was pretty proud of my ingenious plan, until my husband came in the kitchen, took one look at me and started laughing so hard he had to sit down.  Then I just felt stupid!  I loved that I could have a snack or read a book while I pumped while wearing it, but I HATED that I had to get completely undressed from the waist up to put it on and use it. I also HATED that when I wore it I looked like Madonna in a bad 80’s music video.

I was offered the chance to review a PumpEase Hands Free pumping support.   As a full time college student I have to do a lot of pumping when school is in session so I jumped at the chance to do the review.  I was very happy to see that PumpEase accommodates moms with breast sizes from 32AA to 48H.  That was great news for me because it seems like you can seldom find nursing bra’s for anything bigger than a D cup. I wear a 42 E bra and I ordered a size large in the PumpEase.  It is loose enough to be comfortable but tight enough to hold the “horns” of the pump in place.

I ordered mine in the “Snowy Leopard” print.  When it came in I fell in love with the print and the feel of the bra.  The material is soft and almost silky feeling and has some stretch to it.  I had expected it to fit like a traditional bra with openings at the nipple for the pump.  It turned out to fit more like a tube top than a bra.  It latches in the front between the breasts and is just one piece of material.  My favorite part of the design? You can wear it OVER your regular nursing bra, so there is no need to undress from the waist up to pump!!! When my husband saw me pumping in this bra he didn’t burst into laughter.  He raised one eyebrow (his attempt at being seductive) and growled then said he sure liked that pattern.

Overall I love this bra!  I think the color/design selection is fabulous and I love that I can still feel pretty while pumping (a hard combo if you asking me!).  It is easy on and easy off so pumping is a breeze.  The sizing is wonderful because it easily accommodates us bigger girls.  I would suggest that if you are on the borderline of sizes (say between a medium and a large) that you choose the smaller size.  The bit of stretch in the material will allow it to fit snugly and you won’t have to worry about it being too loose.

Amanda Prim

http://avinsmomma.blogspot.com/

What To Do When Newly Pregnant and Wanting a Natural Birth…

Last month, a friend of my younger sister’s emailed to ask some questions about natural birth. She is newly pregnant and very interested in her birth choices (yay! How exciting!). I shared a couple of ideas with her and thought I would share them with my blog as well:

It can be hard to know where to start—there is SO much information out there. I would suggest getting a good, informative book—though I haven’t yet read it myself, Your Best Birth is a new book that is supposed to be good and very “balanced” at helping you make the choices that are right for you. I also have a suggested reading list here.  Mothering Magazine’s Having a Baby, Naturally is also quite good. Speaking of Mothering Magazine, their discussion boards are PACKED with good information and they all come from a natural/holistic perspective (a lot of other message boards have more of an “epidural soon!” culture). You can join a “due date club” there, etc. There is a whole forum just for birth stuff (and a subforum for homebirth), etc. Good resource, as is their entire website. Other good guides include Lamaze’s book Giving Birth with Confidence. One of my favorites as a really good “basic”/intro guide for pregnancy and birth is Pregnancy, Childbirth, and Newborn by Penny Simkin. A brand new edition is out, so think about checking it out!

Particularly if you plan to have your baby in a hospital, a doula would be a really good addition to your birth “team.” Doulas provide non-medical labor support and are there just to support YOU and what you want. It is really good to have continuous labor support. And, she does not replace your partner—he has his own “journey” to take into becoming a father and having a doula there frees him of a lot of the pressure of trying to be your “doula”—he can just be there with you, loving you, rather than trying to remember all kinds of stuff from books!

I would also suggest finding a good independent childbirth educator to take birth classes from when you get closer to your due date (one who doesn’t work in a hospital—it doesn’t matter if you plan to give birth in a hospital, an educator who works for herself instead of for somewhere else, is better able to give you complete information instead of just teaching about the “rules” of that particular location). Read more about “why independent classes” here.

Most of all, spend time celebrating your changing body and marveling at its inherent wisdom. Take time each day to “tune in,” draw inward and connect with your baby. Honor your natural rhythms—eating when you’re hungry, resting when you’re tired. Be gentle and loving with yourself. Know that you already have everything you need within you and strive to create a birth environment that encourages that inner wisdom to blossom and fully respects your right to freedom in birth.

Of Birth & Bugs

I included this story as part of a previous post about how women learn about birth, but I wanted to share it as a separate post because it gets lost as side note in the other post:

Doula in Disguise?!

A powerful pre-birth lesson in my body’s wisdom actually came from an assassin bug (of all things!). Assasin bugs have very potent, posionous bites (and in some countries carry hideous diseases). During my first pregnancy, I was bitten multiple times as I slept by one of them. I had bites on my face (lip) as well as in a row on my arm. The bites caused swelling, ongoing stabbing pain, and joint aching (as well as intense palm-of-hand and sole-of-feet itching when they first occurred).

I turned this into a practice experience for myself in coping with labor—figuring that, like labor, this was something uncomfortable and out of my control, but that would eventually pass and that my body would take care of without my needed to actively do anything about it. The stabbing pain was also intermittent (like a pulse), so I thought that was good practice too. I practicing “softening” around the sensations and “being” with the discomfort. I reminded myself that my body knew what to do and that it would heal itself. And, guess what? It did. Each day as the bites healed, I would marvel, “look how much my body knows! Look what it can do without me even knowing what or how it is doing.” Of course, it took several days of stabbing and aching pain for this process to occur, whereas my first labor involved only 5 hours of intense sensation as well as several preceding hours of totally manageable sensation and my subsequent labors only involved 2 hours each of fairly intense sensation.

This experience in watching my body take care of itself using its own inherent wisdom was a potent (and unexpected) lesson for me in approaching my first birth. I learned almost as much from it as I did from the books I read and the classes I took!

Why Do I Care About Birth?

Some time ago I wrote a post on the Citizens for Midwifery blog about medical control as acceptable, in which I pondered the question of why do we care about birth, if many birthing women themselves don’t really seem to care? Why do we make it any of our business what other women choose to do with their births? And, is it any of our business anyway?

Well, I’ve been doing some thinking and I made and shared a list of why I care on the CfM blog. However, I wanted to go ahead and share my reasons on this blog as well. This is why I care about about other women’s births:

  • Because women are suffering (birth trauma is real–see organizations like Solace for Mothers–and postpartum mood disorders are very common).
  • Because babies are suffering–late pre-term births are increasingly common due to induction, many babies experience at least some post-birth separation from their mothers (which is not their biological expectation), and many babies spend time in the NICU. Infant mortality rates, especially for minority babies, are higher than in other industrialized countries.
  • Because breastfeeding is suffering and thus public health is suffering (see my previous article on the birth-breastfeeding continuum)
  • Because the physical costs of our current birth model are high (morality and morbidity rates are higher than necessary due to high volume of cesareans and many physicians and hospitals do not practice evidence-based care–continuing to deny laboring women food and drink and continuing to use Cytotec for inductions for example).
  • Because the financial costs of our current birth model to society are high–birth is a multi-billion dollar a year industry. Some facts from CfM:
    • Over four million births in the US each year (26.4 births per 1000 women aged 15-44 years in 2004).
    • Second most common reason for hospitalization of women.
    • Care for mothers and babies combined rank 4th for hospital expenses.
    • Hospital costs for deliveries mounted to more than $30 billion in 2004. More than 30% of births by cesarean section. ranking seventh highest total on the “national bill” for procedures (over $17 billion per year).
    • Of all births, 99% take place in hospitals, 90% are attended by obstetricians.
    • Over 6 million obstetric procedures are performed – the most common category of surgical procedures.

The percentage of births paid for by Medicaid varies from state to state but can be as high as 50% or more in some states. Coverage by all insurers (Federal government, Medicaid, private, HMOs, etc.) varies; many will not reimburse for OOH births, and when midwives are covered, the reimbursement rate is only a percentage of the rate for physicians. We all pay for births, including unnecessary interventions and preventable complications and injuries, through our taxes, health insurance withholding, and individual policies.

  • Because women’s birth memories last a lifetime (see Simkin, Not just another day in a woman’s life).
  • Because women deserve better.
  • Because I know in my heart that birth matters for women, for babies, for families, for culture, for society, and for the world.

Conference Blessings

This past week, I attended my first CAPPA conference (this one was in Charlotte, NC). I’ve been a member of CAPPA since 2004 and the thing that first attracted me to membership was the FREE annual conference. Now, six years later, I finally took advantage of going to one! I think it will be an annual tradition for our family 🙂 On the closing day of the conference, the MC asked us to consider how we had each been “blessed” at the conference this year and then to turn to the person next to us and share how we had been blessed. I thought of several things right away:

  • Meeting people face-to-face that I previously only had online contact with. There is no substitute for in person contact. It was great!
  • Attending Barbara Harper’s presentation on “Leave Well Enough Alone: Natural Third Stage.” It was VERY good. I also particularly enjoyed Andrea Sharpe’s presentation about empowering teen mothers and Barbara Hotelling’s “Your Body has the Power to Give Birth.”
  • Winning a birth bracelet from the Birth Behind Bars booth. They had an interesting project going on where you could submit a tip for the upcoming book 101 Ways to Support a Woman in Childbirth and have a chance to win a bracelet (as well as to get a nice purple “For the Love of Birth” lanyard for your name tag too). I love to win stuff and the bracelet is pretty 🙂
  • The between-session contacts and conversations. In addition to learning good information from the actual sessions, there is no substitute for the conversations that arise during breaks in the day—I met several really wonderful people just accidentally this way and I had some good, in-depth conversations about teaching methods and resources that would have been impossible to have if I’d only attended the sessions and then gone straight back to my room.
  • Being in an environment with 300 other women who also believe that birth matters.

With Barbara Harper

With Barbara Harper

The Future

I enjoyed reading an article called “The Future of Midwifery” by Judith Rooks and Kitty Ernst in the December 1999 edition of the IJCE (another find from the previously referenced big binder of back issues). The conclusion of the article was as follows:

It is said that the best way to predict the future is to create it. Creative forces come from our souls, our beliefs, our values, our moral and spiritual strength, and from the scientific evidence available to us at any given time. If we are to meet the challenges ahead, each of us must weigh authoritative pronouncements and popular opinions against the available scientific evidence, temper it with our own beliefs and values, and chart a course drawing on our collective moral and spiritual strengths. Change is often shaped not only by what we do but by what we do not do. The future of midwifery and our children’s care in childbirth is in our hands today. To be silent is to speak. To do nothing is to take action. (emphasis mine)

Sometimes it seems as if I am saying the same things over and over and trying to reach people who may or may not want to be reached. I found the above quote a good reminder that continuing to pursue change in birth practices is a worthwhile endeavor.