Guest Post: The Midwife as a Storyteller and Teacher by Patricia Harman

Oct18

The use of old-fashioned narrative to influence, and inform patients about health practices

As an author of memoirs, historical fiction and children’s literature, I am a storyteller, but I’m also a nurse-midwife, and I use storytelling as one of my primary teaching tools.

Storytelling is uniquely human. Anthropologists have argued that storytelling is pre-verbal, that pictographs on the inside of caves are in fact stories. Form the earliest days humankind has used narrative to record history, to entertain, to convey experience and to transfer information.

To convey information in narrative form is something no other species can do. It’s an evolutionary advantage and allows each individual to harbor more information than personal experience would allow.

Using stories to teach patients is not unique to midwives. All good providers use stories to illustrate how individuals can make better health choices.

We all know that many patients are non-traditional learners and even those in higher education love a good story. Research and statistics are boring for most people and easy to forget . Many patients, even if given a handout drop it in the trash as they leave our office. They don’t have time to read it or are non-readers.

On the other hand, if I tell a tale, in an amusing way, about a young woman who refused to take her birth control pills because she was worried they would make her fat…and now she’s pregnant…that’s a cautionary tale and brings a smile and a knowing nod from the fifteen-year-old here to discuss birth control: That’s not going to happen to her!

Using self-disclosure about your own life can humanize a professional relationship and help patients be more honest with you about their lives. For example, I might say with a smile, that I’ve gone to Weight Watchers for so long I could teach the class, even though I’ve never reached goal weight. The patient and I share a good laugh and now she feels comfortable telling me she can’t stand to look in the mirror, has tried four different TV diets and is terribly discouraged. A door for real communication has opened. She no longer feels alone and she knows she has me as a non-judgmental advocate.

Stories can accomplish what no other form of communication can do; they can get through to hearts with a message. I might tell a very stressed-out college student, sitting on the end of the exam table, about a patient of mine who had two jobs and was studying nursing full time. Last year she started getting a series of illnesses. Next thing she knew, she flunked two courses, lost her boyfriend and had a motor vehicle accident. The moral is clear: don’t take on more than is humanly possible. And the tale is more likely to induce lifestyle change than a lecture.

All health care providers, surgeons, nurses, physical therapists, family doctors or midwives must be teachers. If you missed that part in school, it’s not too late. With humor and love we can become part of the human story that will bring health and hope to our patients.

For the past twenty years, Patricia Harman has been a nurse-midwife on the faculty of The Ohio State University, Case Western Reserve University and most recently West Virginia University. In 1998 she went into private practice with her husband, Tom, an OB/Gyn, in Morgantown, West Virginia. Here they devoted their lives to caring for women and bringing babies into the world in a gentle way. Patricia Harman still lives with her husband, Thomas Harman, in Morgantown, West Virginia. She recently retired from her thirty-five years of midwifery so she could write more books for people like you!

My past reviews of Patsy’s books:

Past blog posts on the subject of story power:

Save

Thursday Tidbits: Birthing Courage

May19

There is a certain fire to books written about women’s health, empowerment, and feminism in the May 2016 004 1970’s and 1980’s. I’ve been extremely fond of birth (activism) books written during that time period because they seem much less apologetic than books written today as well as much less concerned with appearing “biased” towards unmedicated birth (or various other topics). I also love women’s spirituality books of that era and while I’ve read a small handful of maternal activism books written in that time period, I haven’t read many about feminism itself. So, I recently finished reading a passionate, short collection of essays called Our Blood: Prophecies and Discourses on Sexual Politics, by Andrea Dworkin (1976). In it, of course, this section on birth and courage caught my eye:

“If we were not invisible to ourselves, we would see that since the beginning of time, we have been the exemplars of physical courage. Squatting in fields, isolated in bedrooms, in slums, in shacks, or in hospitals, women endure the ordeal of giving birth. This physical act of giving birth requires courage of the highest order. It is the prototypical act of authentic physical courage. One’s life is each time on the line. One faces death each time. One endures, withstands, or is consumed by pain. Survival demands stamina, strength, concentration, and will power. No phallic hero, no matter what he does to himself or to another to prove his courage, ever matches the solitary, existential courage of the woman who gives birth.

We need not continue to have children in order to claim the dignity of realizing our own physical capacity for physical courage. This capacity is ours; it belongs to us, and it has belonged to us since the beginning of time. What we must do now is reclaim this capacity–take it out of the service of men; make it visible to ourselves; and determine how to use in the service of feminist revolution.

If we were not invisible to ourselves, we would also see that we have always had a resolute commitment to and faith in human life which have made us heroic in our nurturance and sustenance of lives other than our own. Under all circumstances–in war, sickness, famine, drought, poverty, in times of incalculable misery and despair–women have done the work required for the survival of the species. We have not pushed a button, or organized a military unit, to do the work of emotionally and physically sustaining life. We have done it one by one, and one to one.” (p. 63-64)

Speaking of fire, I’m very much looking forward to Lucy Pearce’s new book, Burning Woman. My copy should be arriving soon! I’m honored and humbled to have contributed in a small way to the book:

This incendiary text was written for women who burn with passion, have been burned with shame, and who at another time, in another place, would have been burned at the stake. With contributions from leading burning women of our era: Isabel Abbott, ALisa Starkweather, Shiloh Sophia McCloud, Molly Remer, Julie Daley, Bethany Webster…

I also read two good articles this week, one about mothering the mother:

And then there’s birth. Whether she delivers by an unmedicated vaginal birth, a medicated vaginal birth, or a C-section, the effort will be herculean, unlike any physical or emotional challenge she has faced to date – unless she’s already had a baby, that is. Giving birth requires a mother to push herself light years past her own limitations. She will be skyrocketed out of her comfort zone into a foreign land that demands strength, stamina, resilience and a shocking amount of trust – that her body really is designed to do this, that her tiny, yet-to-be-born baby is tough enough to handle all that pushing, gripping, and squeezing, and that this is an event that will eventually be over (those 35-hour labourers know exactly what I’m talking about). Along the way she’ll discover a crystal clear truth that she’ll lean on during the other heart-wrenching, body-challenging experiences that will inevitably come her way during the course of her life: the only way out is through…

via Mothering the Mother: New Mothers Need a Focused Period of Rest and Recovery

And, the second about four things to avoid if you want to have the birth you want:

So, best case scenario: You aren’t afraid and sneak off to your birth cave. Turn off your human mind and think very, very carefully (beforehand!!) about who you invite into this space.

via Avoiding These 4 Things May Help You Have the Birth You Want

In my personal and business life, we’ve been making tons of beautiful Story Goddesses and shipping them to fascinating locations like Costa Rica and Puerto Rico and Kuwait, as well as delighting in seeing photos of them that customers send of the goddesses enjoying travels on beaches in Cornwall and in pear trees in the UK.

I’m wrapping up a really fulfilling Practical Priestessing course. I’m also getting ready for a new online workshop about creating mother-daughter circles: Pink Tent Rising. I survived another session of grading papers as well as balancing everything else (even though I felt like I couldn’t do it, somehow I could. The only way out is through, just like birth! 😉 ). Tanner says adorable words like “kiwi” and my brother, sister-in-law, and fabulous nephew moved right next door to begin building May 2016 010 their own house. My parents are getting ready to have an epic celebration party of their fortieth year of homesteading here in Missouri. We celebrated the 21st anniversary of our first date, I turned 37, and enjoyed Mother’s Day this month. Zander’s tenth birthday is right around the corner and both of my parents’ birthdays too. Mark had a vasectomy last month, so our childbearing years have fully closed and I feel really great about that decision. I still haven’t heard anything back about my dissertation (4 months now!). We also took a mini vacation to Big Cedar Lodge on Table Rock Lake and took the kids to the Dinosaur Museum in Branson.

May 2016 101 May 2016 083

</stream of consciousness mini-update post>

Tuesday Tidbits: Waterbirth & Healthy Babies

Jan26

“It takes force, mighty force, to restrain an instinctual animal in the moment of performing a bodily function, especially birth. Have we successfully used intellectual fear to overpower the instinctual fear of a birthing human, so she will now submit to actions that otherwise would make her bite and kick and run for the hills?”

–Sister Morningstar (in Midwifery Today)

via Tuesday Tidbits: Human Rights and Birth | Talk Birth

Tanner, our last baby, was my first waterbirth. I didn’t really consider water for my first baby. I did for the second and had a birth pool and supplies on hand, but he was born so quickly we had no time to use it. Alaina was born in the deep winter, so water didn’t appeal to me at all and I never considered having a waterbirth with her. With Tanner’s pregnancy, I was interested in trying things I’d never done before. I’d also read that water helps reduce or prevent tears and I really, really, really wanted to avoid tearing again and I thought it would be my last chance to try water and see if helped. He was born in the water and I did tear. I have no regrets about having opted for water with him, other than wishing I would have been able to get out of the pool a little earlier since he got pretty chilled from it. (In case you missed it: his birth story and birth video.)

So, I was interested to read this article about the safety of waterbirth. The conclusion was that water birth is safe, but that women actually had a higher, not lower, chance of tearing…

The findings revealed babies born in water, as well as their mothers, were no more likely to require a transfer or admission to a hospital. Moreover, the babies born in water did not receive a low Apgar score. This quick test is performed on a baby one minute after birth in order to determine how well the baby tolerated the birth, and five minutes after birth to tell doctors how well the baby is doing outside the womb.

Despite the positive, the researchers did find an 11 percent increase in perineal tearing, or vaginal tears among mothers who gave birth in water…

Source: Pregnancy And Water Birth: Giving Birth In Water Tub Poses No Risk To Mom Or Baby, Says Study

A commonly asked question about waterbirth is whether or not water slows down water (the consensus is that it often can if the woman gets in the birth pool “too soon”):

A woman should be encouraged to use the labor pool whenever she wants. However, if a mother chooses to get into the water in early labor, before her contractions are strong and close together, the water may relax her enough to slow or stop labor altogether. That is why some practitioners limit the use of the pool until labor patterns are established and the cervix is dilated to at least 5 centimeters.

Source: Does Water Slow Down Labor? | Talk Birth

I was 35 when Tanner was born, technically of “advanced maternal age.” Luckily, new research also indicated that us “advanced” types have a higher chance of living to “extreme old age” (maybe that should be “advanced, old age”?)

A Boston University School of Medicine study found that women who can still give birth naturally after age 33 have a higher chance of living to extreme old age than those who had their last child before age 30. But the report, published in the online version of the journal Menopause in April 2014 doesn’t imply that putting off pregnancy will add years to your life. “If you physically delay having children, that’s not going to help with longevity, Paola Sebastiani, a Boston University biostatistics professor and study co-author, told OZY. A woman with a natural ability to have children later in life suggests that her body – including her reproductive system – just happens to age at a slow pace. Some women’s biological clocks simply tick more slowly than most.

Source: Late Kids, Long Life? | Acumen | OZY

And, switching gears slightly, I enjoyed this post about that “a healthy baby is all that matters” refrain, that, while seemingly sensible on the surface, is actually an insidious phrase used to shut down women’s voices and deny their completely legitimate right to humane care in pregnancy and birth:

When a woman gives birth, a healthy baby is absolutely completely and utterly the most important thing. Got that? OK – do not adjust your wig, there’s more… It is not ALL that matters. Two things – just to repeat: a healthy baby is the most important thing, AND it is not all that matters. Women matter too. When we tell women that a healthy baby is all that matters we often silence them. We say, or at least we very strongly imply, that their feelings do not matter, and that even though the birth may have left them feeling hurt, shocked or even violated, they should not complain because their baby is healthy and this is the only important thing.

Source: A healthy baby is not ALL that matters – The Positive Birth Movement

This reminds me of the “birth and apples…” example I’ve used in teaching and activism for a long time:

It is not helpful because the expectation was not to not have a healthy baby–the expectation was to have a vaginal birth. It is comparing apples to oranges since there were two separate individual hopes: one the joy of a baby, the other her experience of bringing that baby into the world. The apple being the healthy baby we all want and usually bear, the orange being what we hope for in our trials and tribulations on the way there…

Source: Birth & Apples | Talk Birth

And, it also makes me remember that your baby’s birth is the beginning of a fresh new, lifelong relationship, one worthy of being treated with dignity and respect and honored as an important rite of passage. I explored a relational analogy in one of my most popular past posts…

You ask when the ceremony can begin and the clerk tells you not until your fiancé’s heart rate has been monitored for twenty minutes—“We need a baseline strip on him, hon. After all, you do want a healthy husband out of all this, don’t you?!” she says. You are asked to change out of your wedding gown and into a blue robe. When you express your dismay, you are reminded that your dress could get messy during the wedding and also, “Why does it really matter what you’re wearing? In the end you’ll have your husband and you’ll be married and that’s really what counts.”

Source: All That Matters is a Healthy Husband (or: why giving birth matters) | Talk Birth

In totally separate news, I have an upcoming free Womanspirit Wisdom mini class. Feel free to join!

Tuesday Tidbits: Postpartum Planning

Dec15

My post from last week about recovering from childbirth sent me on a blog-excavation mission for all the posts I’ve written about postpartum care. This is just a sampling (I’ve written a lot on the subject):

“I needed a maternal figure, a dedicated and present midwife, dear and loving friends. I was blessed with one out of three. It could have been worse. The only people I know who did just fine in the postpartum period are those who score the triumvirate: well cared for in birth, surrounded by supportive peers, helpful elders to stay with them for a time. The others, wild-eyed at the supermarket, prone to tears, unable to nurse or sleep or breathe, a little too eager to make friends at baby groups – I can spot them at 20 paces. We form a vast and sorry club…”

via My friend breastfed my baby | Life and style | The Guardian.

Source: Weekly Tidbits: Birth, Postpartum, the Triumvirate, and Anthropology | Talk Birth

Other, experienced women can be our most powerful source of support:

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

Source: Tuesday Tidbits: Postpartum Recovery | Talk Birth

I’ve spent a lot of time talking and writing about the culture that surrounds us and the resultant impact on our birth, breastfeeding, and early parenting experiences:

The United States are not known for their postpartum care practices. Many women are left caught completely off guard by the postpartum recovery experience and dogged by the nagging self-expectation to do and be it all and that to be a “good mother” means bouncing back, not needing help, and loving every minute of it.

Source: Tuesday Tidbits: Postpartum Mamas | Talk Birth

It isn’t just me writing about the impact of culture on maternal mental health, this post calls it like it is:

Let’s stop torturing mothers. Let’s stop ignoring the problem of expecting new mums to get back to normal. They are not normal, they are super important, and we need to value them and treat them with the greatest respect, if we don’t want them to break into a million pieces, shattering the lives of all those around them.

Source: Torturing new mothers and then wondering why they get mentally ill. | Mia’s Blog

This insightful article full of helpful tips for supporting postpartum women by my friend Summer got a lot of attention when I re-shared it on Facebook last week:

An unfortunate by-product of our society’s refusal to see birth as a monumental event is the lack of a babymoon or restful, supported postpartum period. Most of the time, moms and dads are expected to pick up with their everyday lives almost immediately.

The Incredible Importance of Postpartum Support | Midwives, Doulas, Home Birth, OH MY!

I offer some survival tips here: Postpartum Survival Tips | Talk Birth

And, one of my favorite guest posts that I’ve ever hosted on this site is this one about postpartum planning: Guest Post: Mothers Matter–Creating a Postpartum Plan | Talk Birth

When considering postpartum planning as well as talking about it to others, I find that visualizing the placental site that is healing can be a helpful jolt reminding us how important good postpartum care is:

“Remind them that a true six-week postpartum window allows for the placenta site to fully heal and supports minimized bleeding and stronger recovery.” An excellent tip for educators and doulas from Barbeau is to illustrate size of placental site healing area with hands like small dinner plate—if this was outside the body, how would you care for yourself…

Source: Timeless Days: More Postpartum Planning | Talk Birth

And, some final reminders about good postpartum care for women themselves and for those who love them:

I recently finished a series of classes with some truly beautiful, anticipatory, and excited pregnant women and their partners. I cover postpartum planning during the final class and I always feel a tension between accurately addressing the emotional upheavals of welcoming a baby into your life and marriage and “protecting,” in a sense, their innocent, hopeful, eager, and joyful awaiting of their newborns.

This time, I started with a new quote that I think is beautifully true as well as appropriately cautionary: “The first few months after a baby comes can be a lot like floating in a jar of honey—very sweet and golden, but very sticky too.” –American College of Nurse-Midwives

Source: Some reminders for postpartum mamas & those who love them | Talk Birth

Thursday Tidbits: Recovering from Birth

Dec10

“Before I had children I always wondered whether their births would be, for me, like the ultimate in gym class failures. And I discovered instead…that I’d finally found my sport.”

–Joyce Maynard

People often use running a marathon as a metaphor for birth. Turns out that science has discovered that birth is actually more difficult…

“The researchers used MRI equipment typically used to diagnose sports injuries to explore the full scope of trauma that a woman’s body experiences during childbirth. The MRI images revealed that almost 25 percent of women had fluid in the pubic bone marrow or fractures that are similar to stress fractures that athletes often suffer. And 41 percent of women had pelvic muscle tears.

Also revealed by the study is the startling statistic that 15 percent of women never fully recover from the birth-related pelvic injuries.”

Science Says Childbirth Is Harder Than Running a Marathon – In The Loop Tips & Advice | mom.me

The same research was covered in this post as well:

Childbirth, as anyone who’s been through it knows, can feel very much like an extreme sport. And, it turns out, some childbirth-related injuries are surprisingly like sports injuries, including the very long time they need to heal.

The bottom line, Miller says, is: “if women don’t feel that their body is back to what they expected after six weeks, it’s not in their heads. Women do some self blame or feel like they’re not as robust as their sister or friend. But they may have one of these injuries not visible on clinical exam.”

Source: Childbirth As An Extreme Sport — And Why Its Injuries Can Take So Long To Heal | CommonHealth

I do have to admit that I perhaps would have re-titled the articles: “Science Reports Something Most Women Have Known Since the Beginning of Time,” but, oh well. Picky me.

I’ve written about birth and marathons in several past posts. Giving birth is the original “extreme sport.” One that tests your reserves, your endurance, your courage, and your stamina like nothing else. Truly, we have the comparison wrong. Running a marathon is kind of like giving birth, rather than vice versa! The first older blog post of mine isn’t related to childbirth/sports injury, but instead the emotional satisfaction of finishing your “marathon”:

She goes on to share: “I want that feeling of going beyond what you think is possible for laboring women. If you let go of control and allow the process to unfold, you are so proud of yourself. Then pride morphs into self-confidence and trust. What a perfect combination for parenting. When it comes down to it, you have to do this by yourself, be it labor or running. You might hear other laboring women around you or have the support of crowds in a race, but it’s still up to you. there’s a start and a finish and only you can see it through. Fortitude brings a new self-awareness and strength that feels overwhelming…I know one of my greatest challenges in the vocation of perinatal education is getting women to trust the process and her own capabilities before labor. My practice runs helped prepare me for the marathon, but there is no practice run for labor. Women must rely on their confidence and the legacy of the many women who have birthed before them…”

Source: Births & Marathons | Talk Birth

Women giving birth often experience a sort of post-race euphoria:

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 (by Lamaze International)

Source: Birth Feelings | Talk Birth

And, they can draw on those feelings for strength again and again:

“Whether it be the thick memory of enduring a non-medicated labor and finally pushing our third child into the world, despite feeling as though I hadn’t an ounce of energy left, or the meager sprint I managed as I neared the finish line of the marathon…, I hold tight to these images as proof that I can and will be able to rise to the occasion–again and again, if and when I need to-–because the ability to do so is in my very bones. Because I am a woman.”

Source: Woman Rising | Talk Birth

Mothering can also feel like a marathon:

“My body? I was ashamed to admit that, after two powerful homebirth experiences, I no longer felt intimately connected to my body. Pregnancy and giving birth were all about every little feeling in my body; mothering felt like a marathon of meeting everyone else’s needs and rarely my own…Most days, the question I asked was, ‘How are their bodies?’ My body was in the back seat, unattended, without a seatbelt.”

Source: Tuesday Tidbits: Birthing Bodies | Talk Birth

This article about recovering from a Cesarean Birth After Cesarean (CBAC) is packed with helpful information:

As we have discussed, everyone celebrates a VBAC but many CBAC mothers feel alone and unsupported, both in their physical and emotional recovery. This needs to change.

Source: The Well-Rounded Mama: Physical Recovery After CBAC

And, this article has some ideas to share about lowering back and pelvic pain during pregnancy: The Birthing Site – 5 Things you can do to Help Lower Back and Pelvic Pain in Pregnancy

All of these posts and topics remind me of the importance of planning wisely for postpartum:

My son’s birth was a joyous, empowering, triumphant experience, but postpartum was one of the most challenging and painful times in my life. I had not given myself permission to rest, heal, and discover. Instead, I felt intense internal pressure to “perform.” I wondered where my old life had gone and I no longer felt like a “real person.” A painful postpartum infection and a difficult healing process with a tear in an unusual location, left me feeling like an invalid—I had imagined caring for my new baby with my normal (high) energy level, not feeling wounded, weak, and depleted.

Source: Planning for Postpartum | Talk Birth

Happy Birth-Day: Tanner’s Home Water Birth Video

Oct30

Today, my sweet, energetic, fiery, powerhouse of a baby boy turned one! In honor of his birthday, Mark finished putting together Tanner’s birth video. This is the first time I’ve ever had any video of any of my children’s births and it feels tender to share (which is why it took a year to put it out there). Birth is a very private, inner experience for me. I like to give birth virtually alone. So, having video feels like having another observer there, and birth for me is about not being observed. The music that plays in the video is the song Standing at the Edge from Sacred Pregnancy that I listened to throughout my pregnancy and then hummed to myself during labor. When I shared about my sealing ceremony after his birth, I mentioned how meaningful it was to me that this song started to play both as I was entering my ceremonial bath and again as I was getting back out. Well, guess what happened when I went to take a shower this morning on his birthday? This song was also the first to begin as I stepped into the shower!

The written version of his birth story is here: Welcoming Tanner Matthias! | Talk Birth

I’ll do a separate Happy Birthday blog post in a couple of days. I just wanted to make sure to get this video up today! I spent some time at Tanner’s naptime today going through the cards from my mother blessing ceremony and enjoying that energy and affirmation, rather than rushing to my to-do list.

—

Sign up for the Brigid’s Grove Newsletter for resources, monthly freebies, + art and workshop announcements.

Tuesday Tidbits: This Time Last Year…

Oct13

As I mentioned in my 11 month update, the first year of life with a new baby feels like a journey through a labyrinth. The moments I experienced last year while pregnant take on a particularly poignancy as I round the curves of The Return, this time with baby in arms.

I love the moments of continuity…last year with my pregnant belly, this year at the pumpkin patch with a toddler selecting his own pumpkin.

October 2014 113

Last year getting my pregnancy photos taken and having a mother blessing, this year having some breastfeeding photos taken (note: carefully selected goddess sarong for photographic continuity!).

Mollyblessingway 116

Interestingly, this time last year I was taking online instructor trainings for Sacred Pregnancy and Sacred Postpartum. This year, quite by accident (in terms of exact timing), I ended up starting the Sacred Pregnancy Birth Journey instructor course online. I won this course in a Red Tent fundraising auction via Moon Times in the winter, but I didn’t actually take it until this month.

For today’s tidbits post, I’m taking a walk down memory lane and looking at posts from around this same time last year…

Stretching time, wondering about twins, and making a belly cast:

I felt on the edge of tears from the time I woke up almost until the time we did the belly cast—feeling stressed, rushed, and WHY. However, we had a great time doing the cast (even though we had to stop to rescue a hummingbird from the actual jaws of a cat, save Alaina from being clawed by another cat, and answer computer questions from the boys. Sometimes I have to pause and realize that the overwhelm I feel lately is probably just a feature of the realities of having three kids with various needs already, a job, a business, a dissertation to write, books waiting to be born, and several serious life passions and be preparing to add another human to the family. Perhaps it would be weird if I didn’t feel overwhelmed and a little panicky, rather than it feeling like it is a personal failing that this is how I’ve spent a lot of time feeling lately.)

Source: Stretching Time | Talk Birth

Then, painting and re-painting that belly cast into a fall leaves theme that I still love: September 2014 122

I am 100% pleased with the re-do. Sometimes a revision is exactly the right choice! I feel like the comparison of my first attempt and my second looks like one of those side-by-side Pinterest comparisons, only both of these were from me!

Source: Belly Cast! | Talk Birth

And, from there, making another belly cast with the intention of creating a pottery belly bowl:

During this pregnancy, one of my personal philosophies has been to do stuff that I haven’t done before. This is my last chance to be pregnant (really!) and I want to make sure I leave no stones uncovered or cool stuff undone!

Source: Belly Bowl! (and new altar bowl) | Talk Birth

And, it worked!

Completed Pottery Clay Belly Bowl! | Talk Birth

I mused over whether I was ready or not:

The inexorable march towards Birth-Day is such an interesting, liminal place to be in. It both feels “mysterious” and inevitable. The closer I get to my official due date, the more wide open the possibilities seem as to when he will be born…when, in reality, the options narrow each day! I still have a certain sense of unreality about the whole thing—like, am I really going to do this? Am I really going to have a BABY????!!!!!

Source: Ready or Not! | Talk Birth

But, my Sacred Postpartum training really helped me prepare, as I took a ceremonial bath:

And, that is when I had my “breakthrough” moment. My eyes were prickling with tears and I said: “I associate taking baths with being weak and wounded.” I associate baths with cleaning blood away from myself and gingerly poking around for tears in my most vulnerable tissues.

Source: Sacred Postpartum, Week 2: Ceremonial Bathing | Talk Birth

And learned how to make Happy Tea:

I’ve been interested to note that I’ve dreamed with increasing realism about the baby for the last three nights in a row. Last night, I was getting him latched on for the first time. The night before, my mom and Mark had brought him to campus for me to nurse on my breaks from class. The night before that was a water birth dream (two actually, both about twins). To me this indicates that whatever lingering “not readiness” I might be experiencing in my waking life, my subconscious is getting it. At some level, my brain is getting down with the idea of really, truly having another baby and it is incorporating him into my dreamscape/life accordingly.

Source: Sacred Postpartum: Happy Tea + 40 Week Update | Talk Birth

My Mother Blessing ceremony also helped me recognize my own strength and courage:

I discovered in this post-ritual reflection that it is just part of my personal process to be able to say, and be vulnerable enough to have people hear, see, or read, that I think maybe I can’t do something or that I’ve said yes to too much. The answer for me is not, “then don’t” or “stop” or “quit” or “take it easy,” it is to move forward and to see, again, that I was actually enough for what scared me or felt too big or too exhausting.

Source: Mother Blessings and the Power of Ritual | Talk Birth

In the power of ritual, I learned (again) that life is like birth, and we give birth as we live.

Talk Books: A Passion for Birth

Aug7

“We are only now beginning to discover the long term destructive effects on human beings and families of treated women as if they were containers to be opened and relieved of their contents.”

–Sheila Kitzinger

Sheila Kitzinger’s new autobiography, A Passion for Birth, is an absolute treasure. One of the most long-term and pivotal influences in the world of birth activism, I have quoted her work more times than I can count. In fact, I judge the quality of a book by the number of pages I dog-ear to return to. I turned down the corners of so many pages in A Passion for Birth, that it will take me a year’s worth of blog posts to share all the provocative quotes that caught my attention! While Sheila always included a personal flavor in her other books, this book is truly about her, her life, her passions, her family, her activism, her work. Interwoven throughout is the social justice oriented thread of her absolutely devoted dedication to women, feminism, and childbirth activism. Her book is very real, relatable, and readable as well as often charming. She doesn’t hold back from treading into controversial waters, however, and she is straightforward and unapologetic even when writing about topics that can be divisive in the birth world.

I was pleasantly surprised to discover the full-color series of photos in the center insert to the book, they range from Kitzinger’s childhood, a homebirth picture of the birth of one of her daughters, and ending with a poignant photo of Sheila’s casket, decorated by her family, resting easily on some chairs in the dining room of home she so loved.

An internationally recognized author and expert, Kitzinger was an anthropologist and one of the first professional people to acknowledge that women’s birth wisdom, stories, and experiences are worthy of study and attention. Spanning an impressive career of more than fifty years, Kitzinger’s anthropological and activist work was undertaken at a global level and her clear and unwavering commitment to social justice work and activism is a thread running strongly throughout her entire autobiography. The book takes us from Sheila writing and studying while sitting in a playpen in her yard (an effort to have a work area undisturbed by her five children!) to traveling with her family to Jamaica to study the birth customs and stories of the women there. Her identity as an anthropologist is clearly reflected in the cross-cultural birth experiences she surveys and describes and the autobiography includes lots of travel! It also includes homey touches like favorite recipes and descriptions of family traditions as well as stories of her own four homebirths, including that of twin daughters. I found myself wanting more content about her life with children, her life as a mother, which, while acknowledged and integrated through the text, was curiously absent from much of the narrative’s exploration. I was also curious to know more about the accident and serious brain injury experienced by her daughter Polly, which was mentioned somewhat incidentally (though it clearly had a significant impact on the family), as was the passing mention in a photo caption referencing her husband Uwe’s eye removal surgery.

Highly recommended to anyone with an interest in birth work, birth activism, feminist studies, women’s health, or anthropology, A Passion for Birth was compelling, inspirational, funny, straightforward, assertive, honest, candid, wry and dedicated.

“The way we give birth is an expression of culture. It can be spontaneous and instinctual, but it is still patterned by the society in which we live.”

–Sheila Kitzinger

Stay tuned for an ongoing series of themed posts based on additional content and thought-provoking quotes!

In a pioneering career spanning more than 50 years she campaigned for and oversaw a radical change in maternity care, placing women’s rights and choices at the very heart of childbirth. Her passion, research and knowledge of childbirth have had enormous impact on millions of women worldwide.

A Passion for Birth | Sheila Kitzinger | Pinter & Martin Publishers.

Publishing and purchasing details:

Author: Sheila Kitzinger
Published: 7 May 2015
Binding: hardback
Format: 240 x 160 mm
Pages: 384
Illustrations: colour and b/w photographs
Pinter & Martin edition available: worldwide
Translation rights: Pinter & Martin

—

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

Sign up for the Brigid’s Grove Newsletter for resources, monthly freebies, + art and workshop announcements.

Tuesday Tidbits: What Does it Feel Like to Give Birth?

Jul29

‘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.’

(The Pink Kit)

via Birthrites: Birth as a Rite of Passage

“Understand that the tremendous energy going through you during birth is the same sort of power as the force of ocean waves moving towards shore. Know that just as a bird knows how to build its nest, and when to lay its eggs, you too will build your birthing nest…”

–Janice Marsh-Prelesnik (The Roots of Natural Mothering)

via Timeless Days: More Postpartum Planning

Women preparing to give birth for the first time often wonder what it is really going to be like. What is labor like? What do contractions really feel like? Is it really like “strong menstrual cramps” or is it “agony”? When I was pregnant with my first baby, planning to give birth at a birth center, and reading everything I could about natural birth, I remember feeling like I was studying for a huge test, but a test for which there was no “right answer” and that no one else could explain to me what would be on it. I read quotes about birth being a “mystery,” and found it frustrating. What kind of “mystery”? Why can’t anyone explain it? Culturally, we get mired down in a lexicon of birth-giving that is inadequate to express it, a mainstream birth model that communicates in terms of pain, medication, and clock-watching, platitudes about healthy babies being all that matters, and dichotomies or disagreements about what defines a “good birth.”

This week, a variety of articles caught my eye that help expand our vocabulary of birth by touching on what birth feels like….

My mom told me that when you give birth naturally, you get this power that you never felt before. This is true. Oh yes it is. And no matter what kind of birth you have, we all get that feeling of crossing over and joining our grandmothers and all ancient warrior women. We have joined the ranks. We will never be the same person we were before. We become a new human. A more refined human. A softer, more patient human. An unstoppable human. A mother.

via My Birth Story, My Heart: Lindsey & Soleil | Empowered Birth Project.

Sometimes, along with feeling power, there is intense pain:

…And then the contractions got really bad. They were so strong. So long. And so close together. This was like nothing I had ever experienced before. Sure, maybe I had brief periods of this intense (that’s not really a strong enough word… hellish is more like it) labor, but it was typically brief and pushing came quickly after that.

via My Homebirth in the Hospital – Mercy’s Birth – Mother Rising.

What do I mean by “lexicon”? I mean our language, our vocabulary, for birth. What words do we have to choose from to describe our birth experiences? Is there only pain, or is there more?

…we need more words for pain, because it is ridiculous that we have only one word that is used to describe a hangnail, a broken leg, being hit by a car, and labor.

via Words for Pain | Talk Birth.

In the book Labor Pain, the author describes the results of a study about how women feel labor pain. The most frequently used description was “sharp” (62%) followed by camping, aching, stabbing hot, shooting, and heavy. Tiring was another word used (49%), exhausting (36%, intense (52%), and tight (44%). Other words and descriptions used were burning, grinding, stony, overwhelming, terrific, bruising, knifelike, invaded, baby in charge, powerful, relentless, crampy, like period pain, like thunderbolts, excruciating, frightening, and purposeful. Only 25% of first time mothers and 11% of mothers with other children described pain associated with labor as “horrible” or “excruciating” (the top of the pain-scale range).

How do women having their first babies really learn about birth? Is it only through reading or classes?

“I usually claim that pregnant women should not read books about pregnancy and birth. Their time is too precious. They should, rather, watch the moon and sing to their baby in the womb.” –Michel Odent

via How Do Women Really Learn About Birth? | Talk Birth.

Women may feel a real sense of fear and trepidation about giving birth and, unfortunately, that fear may end up limiting their real options:

Could it be that human fear of pain is being used to generate financial profit? (the opium-is-the-opiate-of-the-masses model). Perhaps once the notion of palliative care reached a certain level of acceptance for the dying within the medical community, it began to spill over into other human conditions (the slippery-slope model). Or, perhaps we don’t want transparency at all (the denial model)…

…I can think of many questions that fall under this topic…Why do we call the intense phenomenon of birth “painful”? How do our genetics, behavior, training and thought-processes affect our experience of pain? What about the health care culture – has it focused on relieving pain at the expense of what we gain from working with pain short of trauma or imminent death? How do we prepare women for working with sensation without automatically labeling it pain? Is the “empowerment” often attributed to giving birth what is learned by going through the center of the “there is no birth of consciousness without pain” experience? These questions are just a start…

via Tuesday Tidbits: Pain, Birth, and Fear | Talk Birth.

Birth environments may also limit women’s movements, sounds, and choices in ways that may actually increase pain:

“Why do we, then, continue to treat women as if their emotions and comfort, and the postures they might want to assume while in labor, are against the rules?“

– Ina May Gaskin (via Birth Smart)

via Spontaneous Birth Reflex | Talk Birth.

Giving birth isn’t simply a physical experience, it is an initiation. Facing fears, meeting challenges, moving through struggle, and coming out the other side, powerfully changed, are core elements of initiatory events.

Giving birth is one of a series of important initiations a woman may experience in her lifetime. Initiations are intimately with change. They bring the initiate from one state of being into a new state of being. Initiations accomplish this task by putting the initiate through a series of experiences that challenge them in a particular way and bring them into new ways of being and of understanding. The initiate must meet these challenges and overcome any obstacles in order for the initiation to succeed in bringing about these changes.

via Thesis Tidbits: Birth as an Initiation | Talk Birth.

In the end, regardless of how your birth unfolds, there is one thing I will guarantee: you will feel the might of creation move through you.

“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.”

via Book Review: Painless Childbirth: An Empowering Journey Through Pregnancy and Birth | Talk Birth.

Other tidbits:

Nané Jordan is looking for contributions to her new book about the placenta. Sounds intriguing and I plan to contribute!

Sign up for the Brigid’s Grove Newsletter for resources, monthly freebies, + art and workshop announcements. Birth Spiral printable poster/gift coming as August’s freebie!

“Birth is a time of deep transformation. We enter labor with excitement, trepidation and sometimes fear. We emerge with power, confidence and love.”

–Toni Lee Rakestraw, Organic Birth

Tuesday Tidbits: Birth Privacy

Jun16

I’ve been trying to post about this article for a couple of weeks now! It is an interesting look at the biological need for privacy at the end of pregnancy and during birth.

…This ‘time’ at the end of pregnancy was described in a lovely article (The Last Days of Pregnancy: A Place of In-Between- The Mothering website) as Zwischen, a German word for between. At the end of pregnancy the mothering hormones start to cause emotions to run high as the cervix starts to soften, efface and women generally crave the quiet and private places they need to emotionally and mentally travel inwards.

In many traditional cultures around the world, women are known to actively leave their tribes for birthing huts (Inuit Tribe a group of indigenous people residing in the Arctic regions, Kwaio a tribe who live in an Island off the Pacific and many more). The Eipos people in Papa New Guinea are documented (Schnietenhovel) to go into the Wilderness of the Bush shortly before the onset of labour. The tribes above are also protected by various women they already have a relationship with throughout their pregnancy and birth journeys. Midwives and female relatives provide the support to enable confidence in the birthing process and some of the women will go off and give birth alone.

via The biological need for privacy at the end of pregnancy | Calm Yorkshire Birth.

She also writes about how the pervasiveness of social media might impact this need for privacy:

…Don’t be fooled by the facelessness of facebook and other social media. Just because you cannot be physically seen, it doesn’t mean you have privacy. I often hear so much unnecessary stress from women who feel observed on groups within the social media communities. Smart phones leave us open to be contacted by anyone day or night at a time when we just don’t want to be in touch with anyone at all. I wonder what effect social media has on the orchestration of birthing hormones that play such a vital part in undisturbed childbirth.

via The biological need for privacy at the end of pregnancy | Calm Yorkshire Birth.

I felt a strong call to retreat and pull in during all of my pregnancies, maybe because of my introverted personality and craving for solitude, but maybe because of biology too…

Pregnancy—towards the end of pregnancy I feel an inward call. I start wanting to quit things, to be alone, to “nest,” to create art, to journal, and to sink into myself. Nothing sounds better to me in late pregnancy than sitting in the sunlight with my hands on my belly, breathing, and being alone with my baby and my thoughts.

via Introverted Mama | Talk Birth.

For me, this preference for solitude is reflected in my preferred birth environment which involves no talking/noise and as few other people present as possible.

This is not how all women feel, my own mother has expressed that she enjoyed and wanted quite a few people around her while she was giving birth—the help, support, companionship, and affirmation from other women was important to her births. The women giving birth on The Farm, of Ina May Gaskin’s Spiritual Midwifery fame, also seemed to be very social birthers. I remember looking at the pictures in the book and feel a little horrified by the huge gatherings of people present for births! Speaking of The Farm, I enjoyed reading this interview about the birth culture created by the midwives there:

“This is how I had my own babies,” she said. “I knew that if I could do it, pretty much anyone who was healthy and well could do it. So I wanted to help women. Of course, I never thought I’d be in the type of job where I was working mostly with delivering babies, but in the process of helping women, I fell in love with women. Women are brave. We’re absolutely beautiful creatures.”

via “The Farm” in Tennessee is the country’s oldest intentional community. But the real story is how they deliver babies.

I was also reminded of this past post about Birth Witnesses. This remains one of my very favorite guest posts that I’ve hosted here and it gives me food for thought every time I re-read it:

The only way to understand birth is to experience it yourself. The ONLY way? That comment stayed with me, haunted me. I became a doula after my daughter’s birth because I wanted to be able to provide women with support and knowledge that could give them a different experience, a better memory than what I had. I just couldn’t believe that there wasn’t a way to understand birth at all except to experience it firsthand. Certainly there wasn’t always this fear and unknown around birth that we each face today. Not always. I began studying that idea. What about other cultures? What about our culture, historically? What about The Farm? There wasn’t always this myth and mystery about birth! I realized there was a time (and in places, there still is) when women banded together for births. Mothers, sisters, cousins, daughters, aunts, friends. They came together and comforted, guided, soothed, coached, and held the space for one another during birth. These women didn’t go in it alone – they were surrounded by women who had birthed before them. Women who knew what looked and felt right, and what didn’t. Women who could empathize with them and empower them. In addition to that, girls and women were raised in a culture of attending births. Daughters watched mothers, sisters and aunts labor their babies into this world. They saw, heard, and supported these women for the long hours of labor, so when they became mothers themselves, the experience was a new, but very familiar one for them. Birth wasn’t a secretive ritual practiced behind the cold, business-like doors of a hospital. It was a time for bonding, learning, sharing and sisterhood. Girls learned how women become mothers, and mothers helped their sisters bring forth life.

via Birth Witnesses | Talk Birth.

We can’t overemphasize the importance of who is present in the birth space and their influence on how a birth unfolds. Other people’s presence can have a powerful impact, whether positive or negative. One important area is with regard to freedom of choice and self-direction:

…Women can find themselves feeling bullied or coerced into agreeing to procedures they wish to avoid, such as induction or continuous fetal monitoring. They may be told if they don’t follow their doctor’s suggestion their baby’s life will be in danger. Consent is most often given, but it is not informed consent. Many parents in this vulnerable position either don’t know how to advocate for themselves or are under prepared to – practically, emotionally and psychologically.

via When Doctors Don’t Listen: Informed Consent and Birth | BellyBelly.

Choice-based narratives figure heavily into both “alternative” and “mainstream” dialogues about birth. I am emphatic that the companion to informed consent must be informed refusal. Very often, there is no option to refuse, and in this situation, there is no real choice involved at all…

…Women’s lives and their choices are deeply embedded in a complex, multifaceted, practically infinite web of social, political, cultural, socioeconomic, religious, historical, and environmental relationships.

And, I maintain that a choice is not a choice if it is made in a context of fear.

via The Illusion of Choice | Talk Birth.

On a related note, what about pain and birth? Do we accurately remember what birth feels like? I feel as if I do remember, though it is often said that you “forget” as soon as the baby is born. I find instead that it is more of the “halo effect” described here:

The ‘halo effect’ is the term given to describe the positive emotions experienced by the new mother when the baby is placed in her arms for the first time. In that moment, amidst a rush of oxytocin and happiness, the mother is likely to have a more positive view of the birth experience than she did ten minutes earlier. Simply put, the happiness of holding her baby for the first time overpowers any pain or negativity from the birth.

It makes sense that this effect could influence how the pain of birth was remembered. The pain of birth may be remembered as less severe simply because the benefits of having a healthy baby are felt to outweigh the discomfort caused by childbirth.

Women who experience traumatic births and who are unable to hold their babies immediately after the birth may miss out on this ‘halo effect’. Though they will still experience the rush of love and hormones upon holding their baby for the first time, the delay can reduce the impact this has on their overall feelings about and memory of labour and birth.

via Do Women Forget The Pain Of Giving Birth? | BellyBelly.

When you feel amazing about yourself and deeply in love with your baby, the memory of exact sensation fades to the background and the exhilaration and triumph and love moves to the forefront. However, there is also simply the physical component (kind of like when you have the flu, it dominates your mental landscape and you forget ever feeling healthy. Then, you get better and the flu-self becomes distant). I marvel at how women shift through these physical stages. When I am Pregnant Woman, it is totally real and becomes normal. After I give birth and become Nursing Mother again, that is what is vibrant and real and Pregnant Woman, and the thoroughly embodied experience of pregnancy, becomes fainter and more dreamlike. Interesting that I use the word dreamlike, because I also find that it is in dreams that the physical experience returns with crystal clarity. I sometimes dream about being pregnant or giving birth and in those dreams I am 100% confident that I have not forgotten at all what it feels like, my body holds a deeply invested physical memory and “imprint” of my babies and births, it is just hard to call it back as vividly while going about every day life tasks at the same time.

Anyway, once we’ve experience the power of birth, we may become evangelists for birth, at least for a time. I really enjoyed my memories of the enthusiasm and energy I felt as a new birthworker reflected in this post from ProDoula:

It’s magical. It’s moving. It’s more than you ever imagined it would be. And you love it!

You never want it to end. You want to feel the power of these women and you want to talk about birth, ALL DAY LONG! In fact, you never want to talk about anything else again!

At the end of the last day, you “friend” each of these women and you expect to stay in contact with them forever. You are sad that it’s over, but you are a new woman because it happened.

You are replenished. You are fulfilled. You are wiser and you are stronger.

And then, you go home…

via Don’t Puke Birth on the Ones You Love | ProDoula.

What I discovered with time though is that I feel the power of women and this replenishment and strength in other forms besides the birth world. I find it in my priestess work, in my women’s circle, and at the Red Tent too.