Birth Fear

Nov1

“…if you want to know where a woman’s true power lies, look to those primal experiences we’ve been taught to fear…the very same experiences the culture has taught us to distance ourselves from as much as possible, often by medicalizing them so that we are barely conscious of them anymore. Labor and birth rank right up there as experiences that put women in touch with their feminine power…” -Christiane Northrup

Since it was just Halloween, I wanted to re-post some things about fear and birth that I shared on another blog a couple of years ago. I encounter a lot of women who are very scared of birth, particularly of the pain of birth. Grantly Dick-Read’s Fear-Tension-Pain cycle has influenced the teachings of most natural birth educators and most people readily connect to the idea that fear leads to elevated tension in body which leads to increased pain (more about fear-tension-pain in a linked post below).

One of my favorite birth books, Birthing from Within, has several sections about coping with fear. The author’s idea is that by naming fears and looking them in the eye rather than denying they exist, you shift your thinking from frozen, fear-based, thoughts to more fluid, adaptable coping-mechanisms. There is a useful handout based on her ideas available at the Transition to Parenthood site.

I also think of this quote from Jennifer Block:

Why is it that the very things that cause birth related morbidity rates to rise are seen as the ‘safe’ way to go? Why aren’t women and their doctors terrified of the chemicals that are dripped into their spines and veins—the same substances that have been shown to lead to more c-sections? Why aren’t they worried about the harm these drugs might be doing to the future health of their children, as some studies are indicating might be the case? Why aren’t they afraid of picking up drug-resistant staphylococcus infections in the hospital? And why, of all things, aren’t women terrified of being cut open?

I actually was afraid of these things, which is part of why I didn’t go to a hospital to have my babies!

I hope some day all women will be able to greet birth with confidence and joy, instead of fear and anxiety. This does NOT mean denying the possibility of interventions or that cesareans can save lives. And, it also doesn’t mean just encouraging women to “trust birth.” Indeed, I read a relevant quote in the textbook Childbirth Education: Research, Practice, & Theory: “…if women trust their ability to give birth, cesarean birth is not viewed as a failure but as a sophisticated intervention in response to their bodies’ protection of the baby.”

Here are some more good quotes from Childbirth without Fear:

A well–prepared woman, not ignorant of the processes of birth, is still subject to all the common interventions of the hospital environment, much of which places her under unnecessary stress and disrupts the neuromuscular harmony of her labor.

–

It is for this reason that thousands of women across the country are staying home to give birth…Women are choosing midwives as attendants, and choosing birth centers and birthing rooms, in order to regain the peaceful freedom to ‘flow with’ their own labors without the stress of disruption and intervention. Pictures on the wall and drapes on the window do not mask the fact that a woman is less free to be completely herself in the hospital environment, even in a birthing room. The possibility of her being disturbed is still there.

–

The women in labor must have NO STRESS placed upon her. She must be free to move about, walk, rock, go to the bathroom by herself, lie on her side or back, squat or kneel, or anything she finds comfortable, without fear of being scolded or embarrassed. Nor is there any need for her to be either ‘quiet’ or ‘good.’ What is a ‘good’ patient? One who does whatever she is told—who masks all the stresses she is feeling? Why can she not cry, or laugh, or complain?

–

When a woman in labor knows that she will not be disturbed, that her questions will be answered honestly and every consideration given her, then she will be better able to relax and give birth with her body’s neuromuscular perfection intact. The presence of her loving husband and/or a supportive attendant will add to her feelings of security and peace, so she can center upon the task at hand.

Childbirth without Fear was originally written in the 1940′s. The quotes above are just as relevant and true today.

Fathers, Fear, and Birth
Fear-Tension-Pain or Excitement-Power-Progress?
Cesarean Birth in a Culture of Fear Handout
Worry is the Work of Pregnancy

The Value of Sharing Story

Oct12

“..no matter what her experience in birth was, every mother knows something other people don’t know.”—Pam England

“Stories are medicine…They have such power; they do not require that we do, be, act anything—we need only listen. The remedies for repair or reclamation of any lost psychic drive are contained in stories.” –Clarissa Pinkola Estes

Every woman who has given birth knows something about birth that other people don’t know. She has something unique and powerful to offer.

As birth professionals, we are often cautioned against sharing our personal stories. We must remember that it is her birth and her story, not ours. In doula and childbirth educator trainings, trainees are taught to keep their own stories to themselves and to present evidence-based information so that women can make their own informed choices. As a breastfeeding counselor too, I must remind myself to keep my own personal experiences out of the helping relationship. My formal education is in clinical social work and in that field as well we are indoctrinated to guard against inappropriate self-disclosure in a client-helper setting. In each environment, we are taught how to be good listeners without clouding the exchange with our own “baggage.” The messages are powerful—keep your own stories out of it. Recently, I have been wondering how this caution might impact our real-life connections with women?

Nine months after I experienced a powerful miscarriage at home at 15 weeks, a good friend found out at 13 weeks that her baby died. As I had, she decided to let nature take its course and to let her body let go of the pregnancy on its own timetable, rather than a medical timetable. When she emailed me for support, it was extremely difficult to separate our experiences. I kept sharing bits and pieces of my own loss experiences and then apologizing and feeling guilty for having violated the “no stories” rule. I kept telling her, “I know this isn’t about me, but I felt this way…” I told her about choosing to take pictures of the baby and to have a ceremony for him at home. That I wished I had gotten his footprints and handprints. The kinds of personal sharing that may have been frowned upon in my varied collection of professional trainings. After several apologies of this sort, I began to reflect and remembered that what I hungered for most in the aftermath of my own miscarriage was other women’s voices and stories. Real stories. The nitty gritty, how-much-blood-is-normal and did-you-feel-like-you-were-going-to-die, type of stories. Just as many women enjoy and benefit from reading other women’s birth stories, I craved real, deep, miscarriage-birth stories. These stories told me the most about what I needed to know and more than organization websites or “coping with loss” books ever could.

I had a similar realization the following month when considering the effectiveness of childbirth classes and trying to pin down what truly had reached me as a first time mother. The question I was trying to answer as I considered my own childbirth education practice was how do women really learn about birth? What did I, personally, retain and carry with me into my own birth journey? The answer, for me, was again, story.

On this blog, I have a narrative about my experiences during my first pregnancy with being able to feel my baby practicing breathing while in-utero. More than any other post on the site, this post receives more comments on an ongoing basis from women saying, “thank you for sharing”–that the story has validated their own current experience. In this example, rather than getting what they need from books, experts, or classes, women have found what they needed from story and, indeed, most of them reference that it was the only place they were able to find the information they were seeking.

And finally, as breastfeeding counselor, during monthly support meetings, I cannot count the number of times I’ve seen mothers’ faces fill with relief when another mother validates her story with a similar one.

So, what is special about story as a medium and what can it offer to women that traditional forms of education cannot? Stories are validating. They can communicate that you are not alone, not crazy, and not weird. Stories are instructive without being directive or prescriptive. It is very easy to take what works from stories and leave the rest because stories communicate personal experiences and lessons learned, rather than expert direction, recommendations, or advice. Stories can also provide a point of identification and clarification as a way of sharing information that is open to possibility, rather than advice-giving.

Cautions in sharing stories while also listening to another’s experience include:

Are you so busy in your own story that you can’t see the person in front of you?
Does the story contain bad, inaccurate, or misleading information?
Is the story so long and involved that it is distracting from the other person’s point?
Does the story communicate that you are the only right person and that everyone else should do things exactly like you?
Is the story really advice or a “to do” disguised as a story?
Does the story redirect attention to you and away from the person in need of help/listening?
Does the story keep the focus in the past and not in the here and now present moment?
Is there a subtext of, “you should…”?

Several of these self-awareness questions are much bigger concerns during a person-to-person direct dialogue rather than in written form such as blog. In reading stories, the reader has the power to engage or disengage with the story, while in person there is a possibility of becoming stuck in an unwelcome story. Some things to keep in mind while sharing stories in person are:

Sensitivity to whether your story is welcome, helpful, or contributing to the other person’s process.
Being mindful of personal motives—are you telling a story to bolster your own self-image, as a means of pointing out others’ flaws and failings, or to secretly give advice?
Asking yourself whether the story is one that will move us forward (returning to the here and now question above).

While my training and professional background might suggest otherwise, my personal lived experience is that stories have had more power in my own childbearing life than most other single influences. The sharing of story in an appropriate way is, indeed, intimately intertwined with good listening and warm connection. As the authors of the book, Sacred Circles, remind us “…in listening you become an opening for that other person…Indeed, nothing comes close to an evening spent spellbound by the stories of women’s inner lives.”

Molly Remer, MSW, ICCE, CCCE is a certified birth educator, writer, and activist who lives in central Missouri with her husband and children. She is an LLL Leader, a professor of Human Services, and the editor of the Friends of Missouri Midwives newsletter. She blogs about birth, women, and motherhood at https://talkbirth.wordpress.com.

This is a preprint of The Value of Sharing Story, an article by Molly Remer, MSW, ICCE, published in Midwifery Today, Issue 99, Autumn 2011. Copyright © 2011 Midwifery Today. Midwifery Today’s website is located at: http://www.midwiferytoday.com/

New Quotes About Birth, Motherhood, Activism, and Women

Sep10

I have a LOT of new quotes to add to my collection! I’ve got to start updating more frequently. As I’ve mentioned before that while these quotes are obviously not my own words, I do appreciate a linkback to my site if you re-post them because I have a significant amount of legwork invested in finding and typing the quotes. Most are not recycled from other pages (I give credit if they are), but are typed up when they catch my eye in the books/magazines/journals I’m reading.

‎”Women experience pain differently; some feel strong overwhelming pain, some may feel a deep discomfort during birth, and still others may feel no pain at all. The experience of pain during childbirth facilitates an unfolding of inner power and resources we never imagined we possessed, similar to enduring the pain of completing a marathon at the finish line.” –Barbara Nicholson and Lysa Parker, API founders

(I do wish the analogy was flipped culturally–ie running a marathon is like giving birth, rather than vice versa. We’ll get there!)

“For months I just looked at you. I wondered about all the mothers before me–if they looked at their babies the way I looked at you. In an instant I knew what moved humankind from continent to continent, Against all odds.” –Michelle Singer (in We’Moon 2011 datebook)

“I use the word midwife to refer to all birth practitioners. Whether you are a mother, doula, educator, or understanding doctor or nurse you are doing midwifery when you care for motherbaby.” –Midwifery Today editorial by Jan Tritten

“Change, when it comes, cracks everything open.” ~Dorothy Allison

“I invite people to examine their lives, knowing that it’s scary, but that not doing it is even scarier.” – Barbara De Angelis

‎”There isn’t a lot you actually *need* to do to birth, but there is a lot you can do to get in the *way* of birth…” –Elizabeth McKeown

‎”Mother love is the fuel that enables a normal human being to do the impossible.” –Marion C. Garretty

‎”In western society, the baby gets attention while the mother is given lectures. Pregnancy is considered an illness; once the ‘illness’ is over, interest in her wanes. Mothers in ‘civilized’ countries often have no or very little help with a new baby. Women tend to be home alone to fend for themselves and the children. They are typically isolated socially & expected to complete their usual chores…while being the sole person to care for the infant…” –Milk, Money, & Madness

“I have discovered nothing more stunning, nothing more emotionally stirring, nothing more intriguing than a woman as she creates life.” –Patrick Stull

‎”My first delivery was a traumatic experience, physically and psychologically almost destroying me. My second, with a midwife, allowed me to regain my womanhood and experience my biological imperative. And yet, I would do them both over again to have what I created.” –mother quoted in the book Evolve, by Patrick Stull

‎”Too often in modern busy obstetric practice, we doctors forget this meaningfulness of childbirth. In our anxiety and impatience, or in our sincere, but misguided efforts to relieve suffering (and childbirth is not without it), we relieve a woman not only of this suffering, but also of her ‘birth right.'” ~John Miller, MD, Childbirth via Citizens for Midwifery

“A woman’s confidence and ability to give birth and to care for her baby are enhanced or diminished by every person who gives her care, and by the environment in which she gives birth…Every women should have the opportunity to give birth as she wishes in an environment in which she feels nurtured and secure, and her emotional well-being, privacy, and personal preferences are respected.” –Coalition for Improving Maternity Services (CIMS)

‎”Aside from new babies, new mothers must be the most beautiful creatures on earth.” ~Terri Guillemets

‎”It’s a good day not to judge anything – not myself, not others, not the world. Let us just be.” ~ Sonia Choquette

‎”We’re volcanoes. When we women offer our experience as our truth, as human truth, all the maps change. New mountains form” – Ursula Le Guin

‎”Be wild; that is how to clear the river.” –Clarissa Pinkola Estes

‎”I believe global transformation hangs on the empowerment of women.” –Vajra Ma

‎”Grace reveals to you a great mothering love that you can step into, that’s been here before you and will be here after you. Grace will be with you as you open your arms, as you release your children and send them out into the world. If you listen carefully, you can hear grace whispering its thanks to you for being a mother to these souls.” –Denise Roy (Momfulness)

‎”No one has yet realized the wealth of sympathy, the kindness and generosity hidden in the soul of a child. The effort of every true education should be to unlock that treasure.” – Emma Goldman

‎”A person who believes too earnestly in [her] own convictions can be dangerous to others, for absence of humor signals a failure in basic humanity.” –Thomas Moore (Original Self)

“There is a sacredness in tears. They are messengers of overwhelming grief…and unspeakable love.” –Washington Irving

‎”It is easier to build strong children than to repair broken men.” – Frederick Douglass

‎”No mammal on this planet separates the newborn from its mother at birth except the human animal. No mammal on this planet denies the breast of the newborn except the human.” –James Prescott (neuropsychologist quoted in The Art of Conscious Parenting)

‎”Every society practices the birthing ceremonies that best mirror its values, norms, and philosophy.” –Gregory Bateson (quoted in The Art of Conscious Parenting)

‎”The world can only value mothering to the extent that women everywhere stand and declare that it must be so.” –Oprah

‎”Motherhood focused my early political consciousness. It helped me understand how the choices I make in my personal life are linked to those I make on a larger scale.” –Wendy Priesnitz

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

“The state of the world today demands that women become less modest and dream/plan/act/risk on a larger scale.” – Charlotte Bunch

‎”Prenatal care of the future will be guided by a [this rule]: “Eat sardines, be happy…and sing!” –Michel Odent

‎”If you are going to generalize about women, you’ll find yourself up to here in exceptions.” – Dolores Hitchens

‎”If we can mobilize the mothering instinct in all of us, we could save the planet. It is inappropriate to be dispassionate right now.” –Helen Caldicott (1981) in Momfulness

‎”There’s something contagious about demanding freedom.” – Robin Morgan

‎”Remember our heritage is our power; we can know ourselves and our capacities by seeing that other women have been strong.” – Judy Chicago

‎”I use the word midwife to refer to all birth practitioners. Whether you are a mother, doula, educator, or understanding doctor or nurse you are doing midwifery when you care for motherbaby.” –Midwifery Today editorial by Jan Tritten

“Change, when it comes, cracks everything open.” – Dorothy Allison

“I invite people to examine their lives, knowing that it’s scary, but that not doing it is even scarier.” – Barbara De Angelis”There isn’t a lot you actually *need* to do to birth, but there is a lot you can do to get in the *way* of birth…” –Elizabeth McKeown

‎”Mother love is the fuel that enables a normal human being to do the impossible.” –Marion C. Garretty

‎”As a woman, you are powerful. Birth is of course only one of many amazing pieces of being female, but it is unique in some very key ways…it is a time in a woman’s life that requires physical, spiritual, and emotional strength. It tests the foundation of who we believe we are as women, and challenges our beliefs about our own power.” –Marcie Macari (She Births)

‎”And I say the sacred hoop of my people was one of the many hoops that made one circle, wide as daylight and as starlight, and in the center grew one mighty flowering tree to shelter all the children of one mother and one father.” – Black Elk (via Literary Mama)

‎”We must act to keep the knowledge and the powers of women alive.” – Lynn Andrews

‎”Doctors ‘know’ they are giving women ‘the best care’…Birth activists…know that this ‘best care’ is too often a travesty of what birth can be. And yet on that existential brink, I tremble at the birth activist’s coding of women as ‘not knowing.’ So, here’s to women…to women knowing what is best for themselves and their babies, and to women rising above everything else.” -Robbie Davis-Floyd

“The natural process of birth sets the stage for parenting. Birth and parenting mirror each other. While it takes courage and strength to cope with labor and birth, it also takes courage and strength to parent a child.” –Marcy White

“For each of us as women, there is a deep place within, where hidden and growing our true spirit rises…Within these deep places, each one holds an incredible reserve of creativity and power, of unexamined and unrecorded emotion and feeling. The woman’s place of power within each of us…it is dark, it is ancient, and it is deep.” –Audre Lorde

‎”Time stands still best in moments that look suspiciously like ordinary life.” –Brian Andreas (quoted in Momfulness)

‎”Your children love you. Be the trampoline for their rocketing and the cupped palms for their returning.” –Shae Savoy (in We’Moon 2011 datebook)

‎”Birth should not be a celebration of separation, but rather a reuniting of mother and baby, who joins her for an external connection.” –Barbara Latterner, in New Lives

‎”When you bring consciousness to anything, things begin to shift.”–Eve Ensler

‎”Birth is a time we need to believe in – and need those around us to trust and encourage – our bodies, our power.” –Choices in Childbirth blog

‎”Scientific medicine has never been shy to dismiss if not denigrate any perceived threat to its values or power.” –from the book Breakthrough: How the 10 Greatest Discoveries in Medicine Saved Millions and Saved the World

‎”Fatherhood challenges us, but it also enlarges us and reshapes our perception of what is important in the world around us. As we take stock of this new world, we find that doing our job as a dad is inherently honorable and respectful, and brings to us the dignity that goes with the territory. Far from being emasculating, being a dad makes us men in the finest sense of the term.” –Dads Adventure

‎”Where you give birth is not nearly as important as who is there. The *human environment*–the people who surround you and your relationships with them–is what sets the tone for the birth, directly affecting its safety and success, as well as your own satisfaction.” –Jan Mallak/Teresa Bailey, Doula’s Guide to Birthing Your Way

‎”Drugs, machinery, and medical personnel are not match for a woman’s own intellect and intuition. Birth is sexual and spiritual, magical and miraculous–but not when it is managed, controlled, and manipulated by the medical establishment, or hindered by the mother’s own mind.” –Laura Shanley quoted in book Home/Birth: A Poemic

I am compelled by some deep hunger of the soul, driven by a desire that will not leave me alone, to live life to the fullest. And I know this does not mean working endlessly, accomplishing the most, or consuming the greatest amount & variety of things and experiences. It means tasting each mouthful, feeling each breath, listening to each song, being awake & aware of each moment as it unfolds. ~ Oriah Mountain Dreamer

‎”The expectant mother is an image of strength, power, and creativity. She is able to carry twenty to thirty or more extra pounds and still continue her daily activities. And more wonderful, she is able to bring forth a new life.” – Carl Jones

‎”Make the most of yourself by fanning the tiny, inner sparks of possibility into flames of achievement.” -Golda Meir

‎”Every birth is holy. I think a midwife must be religious because the energy she’s dealing with is holy. She needs to know that other people’s energy is sacred…By religious, I mean that compassion must be a way of life for her. Her religion has to come forth in her practice…it cannot be just theory. Truly caring for people cannot be a part-time job.” Ina May Gaskin, from The Spiritual Midwife, Mothering #8, 1978

‎”We have barely tapped the power that is ours. We are more than we know.” –Charlene Spretnak

‎”Birth always alters you. It’s a learning experience…no matter how many classes you go to, how much you practice relaxation, how many books you read, or how many prayers you put out into the universe, childbirth is beyond your control, a force of nature, like a tornado, a blizzard, or an earthquake.” –Patrician Harman (Arms Wide Open: A Midwife’s Memoir)

“Becoming a mother makes you the mother of all children. From now on each wounded, abandoned, frightened child is yours. You live in the suffering mothers of every race and creed and weep with them. You long to comfort all who are desolate.” — Charlotte Gray (via Giving Birth with Confidence)

‎”It is not female biology that has betrayed the female…it is the stories and myths we have come to believe about ourselves.” –Glenys Livingstone

“Women experience pain differently; some feel strong overwhelming pain, some may feel a deep discomfort during birth, and still others may feel no pain at all. The experience of pain during childbirth facilitates an unfolding of inner power and resources we never imagined we possessed, similar to enduring the pain of completing a marathon at the finish line.” –Barbara Nicholson and Lysa Parker, API founders

“Nourish beginnings, let us nourish beginnings. Not all things are blest, but the seeds of all things are blest.The blessing is in the seed.” –Muriel Rukeyser

“One of the most important things I have learned about birthing babies is that the process is more of an unfolding marvel than a routine progression of events.” –Tori Kropp

“There is no telling how many miles you will have to run while chasing a dream.” ~Author Unknown

“Aside from new babies, new mothers must be the most beautiful creatures on earth.” ~Terri Guillemets (via Brio Birth)

‎”There’s nothing that can help you understand your beliefs more than trying to explain them to an inquisitive child.” – Frank A. Clark

“Grace reveals to you a great mothering love that you can step into, that’s been here before you and will be here after you. Grace will be with you as you open your arms, as you release your children and send them out into the world. If you listen carefully, you can hear grace whispering its thanks to you for being a mother to these souls.” –Denise Roy (Momfulness)

“I believe global transformation hangs on the empowerment of women.” –Vajra Ma

“Learning too soon our limitations, we never learn our powers. We will learn them now.” – Mignon McLaughlin

“A person who believes too earnestly in [her] own convictions can be dangerous to others, for absence of humor signals a failure in basic humanity.” –Thomas Moore (Original Self)

“No mammal on this planet separates the newborn from its mother at birth except the human animal. No mammal on this planet denies the breast of the newborn except the human.” –James Prescott (neuropsychologist quoted in The Art of Conscious Parenting)

(While I like this quote, the snarky part of me wants to say, no other mammal wears clothes, sleeps in a bed, drives a car, etc., etc.)

“If we can mobilize the mothering instinct in all of us, we could save the planet. It is inappropriate to be dispassionate right now.” –Helen Caldicott (1981) in Momfulness

“Parenting is a mirror in which we get to see the best of ourselves, and the worst; the richest moments of living, and the most frightening.” –Myla & Jon Kabat-Zinn quoted in Momfulness

“Remember our heritage is our power; we can know ourselves and our capacities by seeing that other women have been strong.” – Judy Chicago

‎”I hear the singing of the lives of women. The clear mystery, the offering, and the pride.” – Muriel Rukeyser

“She’s turning her life into something sacred: Each breath a new birth. Each moment, a new chance. She bows her head, gathers her dreams from a pure, deep stream and stretches her arms toward the sky.” –from the journal offered for giveaway on Mamahhh

“Birthing is the most profound initiation to Spirituality a woman can have.” –Robin Lim (in She Births)

“As a woman, you are powerful. Birth is of course only one of many amazing pieces of being female, but it is unique in some very key ways…it is a time in a woman’s life that requires physical, spiritual, and emotional strength. It tests the foundation of who we believe we are as women, and challenges our beliefs about our own power.” –Marcie Macari (She Births)

“There is something wonderfully bold and liberating about saying yes to our entire imperfect and messy life.” –Tara Brach (in Momfulness)

“We cannot withhold facts for fear of offending because the importance of the information outweighs people’s right to not be challenged in their beliefs.” ~Maddy Reid

“Courage is what it takes to stand up and speak; Courage is also what it takes to sit down and listen.” –Winston Churchill

“A ‘no’ uttered from the deepest conviction is better and greater than a ‘yes’ merely uttered to please, or what is worse, to avoid trouble.” ~ Mahatma Gandhi

“Let’s declare a permanent truce with our bodies for the sake of our daughters. Imagine with me being at home, at ease, and at peace with our bodies.” –Patricia Lynn Reilly

“I believe that natural childbirth is a right and a privilege…Our country needs to step up to the plate in educating women about the benefits of natural birth, and we need to help women actually do it – not just hear about it.” –Mayim Bialik

“I dream of giving birth to a child who will ask, ‘Mother, what was war?'” – Eve Merriam

“…undisturbed (not neglected or abandoned) birth is a powerful initiation into motherhood, not only in a physical and physiological sense, but also in an emotional and spiritual sense.” –Christina Hurst-Prager (in (ICEA) International Childbirth Education Association’s journal)

Active Birth in the Hospital

Aug31

One of the inspiring images in ICAN of Atlanta's "Laboring on the Monitors" slideshow.

The vast majority of my birth class clients are women desiring a natural birth in a hospital setting. My classes are based on active birth and include a lot of resources for using your body during labor and working with gravity to help birth your baby. Sometimes I feel like active birth and hospital birth are incompatible—i.e. the woman’s need for activity runs smack dab into the hospital’s need for passivity (i.e. “lie still and be monitored”). So, I was delighted to discover this awesome series of photos from ICAN of Atlanta of VBAC mothers laboring on the monitors. It IS possible to remain active and upright, even while experiencing continuous fetal monitoring.

In my own classes, we talk about how to use a hospital bed without lying down—the idea that a hospital bed can become a tool you can use while actively birthing your baby. Here is a pdf handout on the subject:How to Use a Hospital Bed without Lying Down. In this handout, I offer these tips for using the bed as an active assistant, rather than a place to be “tied down”:

While being monitored and/or receiving IV fluids that limit mobility, try:

Sitting on a birth ball and leaning on bed
Sitting on bed
Sitting on bed and lean over ball (also on bed)
Kneeling on bed
Hands and knees on bed
Standing up and leaning on bed
Leaning back of bed up and resting against it on your knees
Bringing a beanbag chair, putting it on the bed and draping over it (can also make “nest” with pillows)
Partner sitting on bed and woman leaning on him/supported squats with him
Partner sitting behind woman on bed (with back leaned up as far as it will go)

While giving birth, try:

Hands and knees on bed
Kneeling with one leg up (on bed like a platform or “stage”)
Holding onto raised back of bed and squatting or kneeling
Squatting using squat bar

While most of the above tips can be used during monitoring, additional ideas for coping with a simultaneous need for monitoring AND activity include:

Kneel on bed and rotate hips
Sit on edge of bed and rock or rotate hips
Sit on ball or chair right next to bed (partner can hold monitor in place if need be)

If something truly requires being motionless, it can be helpful to have some breath awareness techniques available in your “bag of tricks.” One of my favorites is: Centering for Birth

Some time ago, a blog reader posed the question, can I really expect to have a great birth in a hospital setting? I definitely think it is possible! I also think there is a lot you can do in preparation for that great hospital birth! When planning a natural birth in the hospital, it is important to consider becoming an informed birth consumer. I always tell my clients that an excellent foundation for a simple, effective, evidence-based birth plan is to base it on Lamaze’s Six Healthy Birth Practices. My own pdf handout summarizing the practices is also available: Six Healthy Birth Practices. Don’t forget there is also a great video series of the birth practices in action! You might also want to get a copy of the book Homebirth in the Hospital. And, check out this post from Giving Birth with Confidence: Six Tips for Gentle but Effective Hospital Negotiations.

Before you go in to the hospital to birth your baby, make sure you have some ideas about this very popular question, how do I know if I’m really in labor?

And, finally, be prepared for the hospital routines you may encounter by reading my post: What to Expect When You Go to the Hospital for a Natural Childbirth.

For some other general ideas about active birth, read my post about Moving During Labor (written for a blog carnival in 2009).

Best wishes for a beautiful, healthy, active hospital birth! You can do it!

Book Review: In Search of the Perfect Birth

Jul28

Book Review: In Search of the Perfect Birth
By Elizabeth McKeown, 2011
186 pages, paperback.
ISBN-13: 978-0615481708
http://www.theperfectbirth.com/

Reviewed by Molly Remer

Written by a mother of three, In Search of the Perfect Birth is an unassisted childbirth manifesto. It chronicles the author’s journey through the births of her children—the first born in the hospital, the second a planned homebirth ending in hospital transport, and the third an unassisted birth. Elizabeth is strongly convicted that unassisted birth is the right choice for most women, though I feel she is also fairly respectful that other women’s experiences may or may not lead them to the same conclusion. This book is not a do-it-yourself guide to UC, but is an exploration of one woman’s experiences in healing from birth trauma and taking full responsibility for the birth of her next child. I was fascinated by her conclusions that her own birth trauma wasn’t healed through unassisted birth itself, but through the decision to take charge of her own birth care.

The book is pretty rough around the edges and could use some more editing and polishing. There is a stream-of-consciousness feel to the writing style that can be a little confusing and disjointed.

The author makes some excellent points with regard to the restrictions that can be placed on women’s birth freedoms by midwives also, noting wryly that if you choose the “middle ground” you may well end up with all the downsides of being told what to do with your own body, but “without the opiates that make it bearable!” Elizabeth’s homebirth turned hospital transport experience was pretty horrific and it was difficult to read about. She also writes with candor about the degree and intensity of pain she experienced during all of her births (including the UC).

In Search of the Perfect Birth will be of particular interest to women who already support unassisted birth and to women who have experienced birth trauma and are seeking resolution in future natural childbirths. It is an honest and heartfelt story.

—

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

Happy Father’s Day!

Jun17

My man and his kids!

“No one can describe to a man what having his own child will mean to him. Words simply cannot do justice; each man needs to discover it for himself.”

“Fatherhood challenges us, but it also enlarges us and reshapes our perception of what is important in the world around us. As we take stock of this new world, we find that doing our job as a dad is inherently honorable and respectful, and brings to us the dignity that goes with the territory. Far from being emasculating, being a dad makes us men in the finest sense of the term.” —Dads Adventure

Both of the above quotes come from a wonderful article from Dads Adventure about The Dignity of Being a Dad. Make sure to check out the associated Father’s Day Flashmob in Denver and keep watching until the 3.5 minute point—loved this part especially and it made me cry! I really appreciate this new “brotherhood of dads” movement and hope it becomes widely known! I have used materials from Dads Adventure in my birth classes for quite some time. More often than not, the wife comments to me privately about how her husband appreciated receiving materials that were specifically for him.

Here are some links to past posts I’ve made about fatherhood:

And, from Mother’s Advocate, here is a great article with some specifics for new(ish) fathers:

Sex After Baby: A How-To Guide for Partners (an associated post called Sex, Lies, & the Postpartum Year is also very good)

Alaina’s Complete Birth Story

Jun1

It has taken me a long time to finish typing up Alaina’s birth story. I wrote it in my journal at 3 days postpartum and the following is almost verbatim. I’ve gone back and forth about what to include and decided to just include everything, as originally written. I feel critical of the story somehow, like it is “choppy.” I used interestingly short, jumpy sentences and while part of me want to smooth it out, another part of me feels like it is more authentic in this format. I also feel like I “should” be posting it on a more significant date—i.e. her six month birthday, or something. But, it is finished now, so I feel like sharing now! Additionally, I thought about taking the self-analysis section about the use of a hypnosis for birth program out of the story, but, indeed, this was the FIRST thing I wrote in my journal, so it seems like it “deserves” to be included as well. It obviously was one of the most important details for me to write about. However, for the purposes of clarity, I moved it to the end of the story in this version. Likewise, I thought about making the section about my newborn- love into a separate post, but because those feelings are so intimately entwined with her birth and because, in my journal, that is exactly the chronology I used—first hypnosis criticism, second birth chronology, third baby love–it feels like it all belongs together in one story. It is funny how that first story has such value to me and that it feels almost wrong to edit, change, or add anything to it. It feels most honest this way.

The Birth of Alaina Diana Remer
January 19, 2011
11:15 a.m.
7lbs, 8oz; 20 inches.
Short version of her story is here and labor pictures are here.

I had a restless, up and down night, getting up at 3:00 a.m. and even checked in with my online class. Mark got up with me and we talked and speculated. Waves were four minutes apart and then kind of dissipated unenthusiastically away. He went back to bed at 4:00 and I listened to Hypnobabies. At 6:00, I was feeling trapped lying down and got up. Mark got up then too and worked in the kitchen on the dishes and things like that, while I walked around and leaned on the half wall during contractions (a lot. It was the perfect height). Sitting down in a chair caused horribleness, leaning forward on the ½ wall was good. Called Mom and told her to be on standby and to notify my blessingway crew. Also, called Summer (doula/friend) to be on alert. Felt serious, but not totally. Also was having back involvement which each wave. I felt like I would have a real contraction and then a closely following, but milder, back-only contraction (no tightness in uterus really during these, but definitely a wave-like progression and then ease of sensation).

I was very quiet during most waves until the end. I think because I was doing the Hypnobabies and was concentrating on that. Then, I would talk and analyze and be very normal in between. This pattern seemed to lead to a decreased perception of seriousness from others of my need for attention—Mark washed dishes, went outside to take care of chickens, work on fire, feed cats and so forth. The boys woke up at 7:00 a.m. and as soon as they came out and started talking to me (Mark was outside), I knew they needed to go elsewhere. We called my mom at 7:30ish and she came to get them. I did not want to feel watched or observed at all, so asked her to wait to come back.

I kept waiting for the “action” to increase and feeling distressed that it was taking such a “long” time. I suggested to the baby that she come out by 10:00. I continued to stand in the kitchen and lean on the ½ wall, sometimes the table or the bathroom counter. Dismayed to see no blood/mucous, nothing indicating any “progress.” Significant feelings of pressure and pain in lower back continued and at the time felt normal to me, but looking back seems like an extra dose of back involvement. In another intensity-increasing experience, the baby moved during contractions for the entire labor until the contraction before I pushed her out. She moved, wiggled and pushed out with her bottom and body during each contraction, which really added a new layer of intensity that was difficult. I was, however, glad she was moving because then I knew she was okay, without doing any heart checks.

I went into the living room, very tired from bad sleep during the night. We set up the birth ball in the living room so I could sit on it and drape over pillows piled onto the couch. I spent a long time like this. Mark sat close and would lightly and perfectly stroke my back. Continued to use Hypnobabies—finger-drop, peace and release, with most waves.

Mark fixed me chlorophyll to drink and I barfed it up immediately and horribly. Called Mom to come back and 9:00 or so, at which point I finally had a little blood in my underwear. Kept up my ball by the couch routine and moved into humming with each wave. Also did some contractions on the floor leaning over the ball. Also good.

On the ball, I began to feel some rectal pressure with each wave. However, I felt like the waves were erratic still, with some very long and intense and then smaller ones. Hums began to become oooohs and aaaaahs and I began to feel like there was a bit of an umph at the end of the oooooh. Went back to the bathroom and there was quite a bit more blood (plus mucous string) and I started to fret about placental abruptions and so forth. Left the bathroom analyzing how much blood is too much blood and began to critique myself for being too “in my head” and analytical and not letting my “monkey do it.” Said I still didn’t feel like I was in “birth brain” and wondered if that meant I still had a long time to go. Started to feel concerned that I was still early on. This is a common feature of all of my births and is how the self-doubt signpost manifests for me. Rather than thinking I can’t do it, I start thinking I’m two centimeters dilated.

I almost immediately returned to the bathroom feeling like I needed to poop. Serious contractions on toilet produced more pressure with associated umphs at the end. At some point in the bathroom, I said, “I think this is pushing.” I was feeling desperate for my water to break. It felt like it was in the way and holding things up. I reached my hand down and thought I felt squooshy sac-ish feeling, but Mom and Mark looked and could not see anything. And, it still didn’t break. Mom mentioned that I should probably go to my birth nest in order to avoid having the baby on the toilet. My birth nest was a futon stack near the bathroom door. I got down on hands and knees after feeling like I might not make it all the way to the futons. Felt like I wanted to kneel on hard floor before reaching the nest.

Suddenly became obsessed with checking her heartbeat. I knew you’re supposed to do so during pushing and I had stopped feeling her moving painfully with each contraction. I couldn’t find her heartbeat and started to feel a little panicky about that as well as really uncomfortable and then threw the Doppler to the side saying, “forget it!” because big pushing was coming. I was down on hands and knees and then moved partially up on one hand in order to put my other hand down to feel what was happening. Could feel squishiness and water finally broke (not much, just a small trickle before her head). I could feel her head with my fingers and began to feel familiar sensation of front-burning. I said, “stretchy, stretchy, stretchy, stretchy,” the phone rang, her head pushed and pushed itself down as I continued to support myself with my hand and I moved up onto my knees, with them spread apart so I was almost sitting on my heels and her whole body and a whole bunch of fluid blooshed out into my hands. She was pink and warm and slippery and crying instantly—quite a lot of crying, actually. I said, “you’re alive, you’re alive! I did it! There’s nothing wrong with me!” and I kissed her and cried and laughed and was amazed. I felt an intense feeling of relief. Of survival. I didn’t realize until some moments later than both Mark and Mom missed the actual moment of her birth. Mark because he was coming around from behind me to the front of me when I moved up to kneeling. My mom because she went to stop the phone from ringing. I had felt like the pushing went on for a “long” time, but Mark said that from hands and knees to kneeling with baby in my hands was about 12 seconds. I don’t know. Inner experience is different than outer observation. What I do know is that the moment of catching my own daughter in my hands and bringing her warm, fresh body up into my arms was the most powerful and potent moment of my life.

I was covered in blood again. Caked in my fingernails and toenails and on the bottoms of my feet again. And, I did tear again, same places.

I feel the moment of her birth was an authentic “fetal ejection reflex” including the forward movement of my hips. The immediate postpartum went exactly as I had planned. Summer arrived approximately 20 minutes after Alaina was born. She brought me snacks, wiped blood off of me, and served me a tiny bit of placenta (which I swallowed with no problem!). My midwife arrived approximately 40 minutes post-birth and assessed blood loss and helped with placenta. She said I lost about 3 cups of blood, but I think all of the fluid that came out with the baby, plus the blood from the tears, may have bumped the estimate up too high. I did not feel weak or tired like I’d lost too much blood, I felt energetic and really good, actually. I didn’t get faint in the bathroom either and my color stayed good throughout. “Don’t look down” (while using the bathroom) is an excellent plan for me!

My post-birth feelings were different this time. I feel more baby-centered in my feelings about it rather than self-empowerment centered. I also feel more critical in my own self assessment this time—like I didn’t “perform” well or handle myself well. I hypothesize that this may be related to using a hypnosis for birth program, because I didn’t feel “calm and comfortable” on the inside. On the outside I think I looked it, but my internal experience involved more “should” than I like. The hypnosis philosophy wasn’t really a match with my own lived experience of birth. Birth isn’t calm, quiet, and comfortable and I don’t actually think it should be or that I want it to be. However, I was trying to make it so and thus not using some of my own internal resources. I felt more mind/body disconnect than I have before also, perhaps because I was trying to use a mind (“control”) based method on such an embodied process. Anyway, it was good for relaxing during pregnancy, personally not so good for behaving instinctually in labor. I did use it though and technically I guess it “worked” because Mom and Mark couldn’t read where I was in birthing and though I was very calm. It didn’t feel calm inside though, it felt HARD. I also was very stuck—almost in a competitive-feeling way—on thinking it was going to be fast and feeling stressed/concerned that it wasn’t.

I also want to include this segment from my journal, written when she was three days old:

She is so wonderful and amazing and beautiful and perfect and I just want to etch these days into my mind forever and never forget a single, precious, beautiful, irreplaceable moment. I want to write everything down to try to preserve each second of these first few days with baby Alaina—my treasure, my BABY! The one I hoped for and feared for and worked SO HARD to bring to this world (in pregnancy more so than in birth). I can’t really though—I am here, now. Living this, feeling this, knowing this. The newborn haze is my reality in these moments, but it will pass away and the best thing to do is to fully live it. To feel it and to be here—without struggling to preserve it all. It is here in my heart and soul and preserved in the eddies and ripples of time. The unfolding, continuous ribbon of life and experiences. I have a weird, petrified feeling of forgetting—i.e. when I’m 89 will I still remember how this FELT?!

What do I want to remember?

Alaina newborn photo (c) Sincerely Yours Photography

The scrunchy feel of a newborn’s body.
The little mewing squeaks and sighs
How she is comforted by my voice and turns to me with a smacky, nursie face…
The soft, soft skin
The soft, soft hair
The fuzzy ears and arms
The little legs that pull up into reflexive, fetal position.
The utter, utter, MARVEL that I grew her and that she’s here. That she came from me. That sense of magic and wonder and disbelief when I look over and see her lying next to me—how did YOU get here?!
The miraculous transition from belly to baby. From pregnant woman to motherbaby unit? How does it happen? It is indescribably awesome.

The sleeping profile
The scrunchy face
The “wheeling” half coordinated movements of arms and legs—sort of “swimming” in air.
The peace of snuggling her against my chest and neck.
The tiny, skinny feet.
Putting my hand on her back and feeling her breathe, just like in utero

I was still scared she was going to die until the moment I held her.

Molly & Alaina newborn photo (c) Sincerely Yours Photography

Updating My Birth Quotes!

May13

Baby Alaina, 3.5 months, taken at the park by my friend Karen 🙂

“Blessed be all the mothers of mothers.
Blessed be all the daughters of daughters.
Blessed be all the daughters of mothers.
Blessed be all the mothers of daughters.
Now and forever, wherever we are.” –Diann L. Neu

“I have almost given up on the government and the country but I have not given up on birth. I believe rabidly. It is not enough to hold the space for one woman at a time. Peace on earth begins with birth.” –Arielle Greenberg/Rachel Zucker (in Home/Birth: A Poemic)

“In giving birth my attention was pulled inside forcibly by something naturally wild, hot, raw and primitive—something so powerful that my only choice was to surrender.” –Kristin Luce

“Now I see the secret of making the best person: it is to grow in the open air and to eat and sleep with the earth.” ~ Walt Whitman

“A new baby is like the beginning of all things–wonder, hope, a dream of possibilities.” ~ Eda J. Le Shan

“Birth isn’t something we suffer, but something we actively do and exult in.” –Sheila Kitzinger (from promo for new One World Birth film)

“Many women have described their experiences of childbirth as being associated with a spiritual uplifting, the power of which they have never previously been aware … To such a woman childbirth is a monument of joy within her memory. She turns to it in thought to seek again an ecstasy which passed too soon.” ~ Grantly Dick-Read (Childbirth Without Fear)

“Childbirth isn’t something that is done to you, or for you; it is something you do yourself. Women give birth. Doctors, hospitals and nurses don’t.” ~ Lester Dessez Hazell

“Whether she chooses to birth at home, a hospital or a birth center, it is the right–in fact, the responsibility–of every woman to plan her own baby’s birth with the information, honor and freedom to which she is entitled.” –Cynthia Overgard (in Pathways to Family Wellness Magazine)

Life, love, and laughter – what priceless gifts to give our children. — Phylis Campbell Dryden

“A mother’s joy begins when new life is stirring inside… when a tiny heartbeat is heard for the very first time, and a playful kick reminds her that she is never alone.” ~Author Unknown

“Growing, bearing, mothering, or fathering, supporting, and at last letting go…are powerful and mundane creative acts that rapturously suck up whole chunks of life.” –Louise Erdrich

“Perhaps we owe some of our most moving literature to men who didn’t understand that they wanted to be women nursing babies.” –Louise Erdrich

“Labor is about finding your threshold and learning you can go beyond it.” –Rose St. John

“…the labor with which we give birth is simply a rehearsal for something we mothers must do over and over: turn ourselves inside out, and then let go.” –Susan Piver (Joyful Birth)

“The minute my child was born, I was reborn as a feminist. It’s so incredible what women can do…Birthing naturally, as most women do around the globe, is a superhuman act. You leave behind the comforts of being human and plunge back into being an animal…” –Ani DiFranco

“The health of mothers, infants, and children is of critical importance, both as a reflection of the current health status of a large segment of the U.S. population and as a predictor of the health of the next generation.” –Healthy People, 2010

“The miraculous nature inherent in the unfolding of a flower is the very same that moves through a woman as she gives life to the world. We can neither control nor improve upon it, only trust it.” -Robin Sale

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

“A new baby’s fresh milk smell causes the mother’s heart to spill over.” -Melanie Lofland Gendron

“…childbirth is much like a marathon…marathon runners know how to breathe, to run, and to complete their race according to their own body signals. Similarly, women know how to breathe, to birth, and to complete the [birth] according to their own body signals. Marathon runners who are true champions are free to stop the fast pace, and even quit the race without loss of integrity.” –Claudia Panuthos

“Birth, like love, is an energy and a process, happening within a relationship. Both unfold with their own timing, with a uniqueness that can never be anticipated, with a power that can never be controlled, but with an exquisite mystery to be appreciated.” –Elizabeth Noble

“…all those tasks and interactions of motherhood, a day full of which might make you feel you’ve ‘gotten nothing done’ because you’ve been in the cycle of care, are the heart and soul of the best brain building possible.” –Lauren Lindsey Porter (Attachment Theory in Everyday Life, in Mothering magazine, 2009)

“The lure of the distant and the difficult is deceptive. The great opportunity is where you are. Do not despise your own place and hour. Every place is under the stars, every place is the center of the world.” –John Burroughs

“Motherhood has a very humanizing effect. Everything gets reduced to essentials.” ~ Meryl Streep (via Midwifery Today)

“It is not ‘ladylike’ to give birth. The strength and power of labor is not demure.” –Rhonda (midwife quoted in Gayle Peterson’s An Easier Childbirth Book)

“What we have once enjoyed we can never lose. All that we love deeply becomes a part of us.” —Helen Keller

“The greatest teachers we have are the women we serve.” –Jan Tritten

“…undisturbed (not neglected or abandoned) birth is a powerful initiation into motherhood, not only in a physical and physiological sense, but also in an emotional and spiritual sense.” –Christina Hurst-Prager (in (ICEA) International Childbirth Education Association‘s journal)

“Never hire a midwife who is afraid your birth will go wrong.” –Arielle Greenberg/Rachel Zucker, Home/Birth: A Poemic

“It is dangerous to be right on a subject on which the established authorities are wrong.” –Bumper sticker quoted in the book Home/Birth: A Poemic

“Women today not only possess genetic memory of birth from a thousand generations of women, but they are also assailed from every direction by information and misinformation about birth.” ~ Valerie El Halta

“I see generations of women bearing a flame. It has been hidden, buried deep within, yet they hand it down from generation to generation still burning. It is a gift of fire, transported from a remote and distant world, yet never extinguished.” –Kim Chernin

“Birth is as vast and voluminous, as unfathomable and inevitable as the rising and setting of the sun. And true to the inexorable power and rhythm of their life-giving bodies, women will continue to birth with dignity, grace and courage.” –Mandala Mom

“I pity the folks at ACOG who think they can make protocols, rules and guidelines that will cover all births in all situations. A better goal would be to have clinicians who can think for themselves, distinguish complications from normal birth, relax when things are taking a while, and marvel over the consistently fascinating process of human birth” -Gloria Lemay in Pathways to Family Wellness Magazine

“A pair of substantial mammary glands have the advantage over the two hemispheres of the most learned professor’s brain in the art of compounding a nutritive fluid for infants.” ~Chief Justice Oliver Wendell Holmes (1809-1894)

“The energy that can rise in real connection is the stuff of revolution.” –Carol Lee Flinders

“A woman meets herself in childbirth” –Cynthia Caillagh

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

“Don’t ask what the world needs. Ask what makes you come alive, and go do it. Because what the world needs is people who have come alive.” –Howard Thurman

“If ever the world sees a time when women shall come together purely and simply for the benefit of humanity it will be a power such as the world has never known.” –Matthew Arnold

“Authority without wisdom is like a heavy ax without an edge: fitter to bruise than polish.” ~ Anne Bradstreet (Feeling frustrated with anti-midwifery legislators in Missouri and then this quote came along from Midwifery Today’s e-news and I thought it was quite fitting)

“The midwife teacher’s first concern is to preserve the students fragile unborn thoughts, to see that they are born with their truths intact, that these truths do not turn into acceptable lies” — from the book Women’s Ways of Knowing (shared by a participant in the Birth Workers and Beyond group)

“…we do not have humanized birth in many places today…Why? Because fish can’t see the water they swim in. Birth attendants, be they doctors, midwives or nurses, who have experienced only hospital based…medicalised birth cannot see the profound effect their interventions are having on the birth. [They] have no idea what a birth looks like without all the interventions, a birth which is not dehumanized.” –Marsden Wagner

“Childbirth is a rite of passage so intense physically, psychologically, emotionally, spiritually, that most other events in a woman’s life pale next to it. In our modern lives, there are few remaining rituals of initiation, few events that challenge a person’s mettle down to the very core. Childbirth remains a primary initiatory rite for a woman.” –from the book MotherMysteries

“The holistic model holds that birth is a normal, woman-centered process in which mind and body are one and that, in the vast majority of cases, nature is sufficient to create a healthy pregnancy and birth. The midwife is seen as a nurturer.” –Penfield Chester (midwife)

“If there is ever a part of human anatomy that resembles the image of God it is the uterus.” –Reverend Darren Cushman-Wood

(I hesitated to share this quote because I thought it could be viewed as disrespectful [or even sacrilegious!] by some. But, it caught my eye in an article called Pharaohs and Kentuckians in a 1997 issue of Mothering magazine. Written by a pastor of a Methodist church about homebirth and spirituality 🙂

“Modern culture often teaches us to be ‘tight’…trim, taut, & terrific…We understand the need to stay ‘fit’…but we would also like to encourage you to soften yourself, in preparation for mothering & nurturing your baby. Soften your viewpoint, soften your body, surrender to this awe-inspiring event…in this way, you will be preparing yourself not only for labour, but for the days & years afterward…” -The Pink Kit Method For Birthing Better®

“Love is such a powerful force. It’s there for everyone to embrace—that kind of unconditional love for all of humankind. That is the kind of love that impels people to go into the community and try to change conditions for others, to take risks for what they believe in.” —Coretta Scott King

“Nurturing is not a genetically feminine attribute. Tears and laughter are not the province of women only. The last time I looked, men had tear ducts. They had arms for holding babies. They cared about their children. And they cried at births…let the shared experience of childbirth reclaim the human soul.” –Ariska Razak (midwife and healer)

“When my kids become wild and unruly, I use a nice, safe playpen. When they’re finished, I climb out.” ~Erma Bombeck (via Moby® Wrap)

The Spot

Apr30

“Can I ask you a personal question?” asks the woman on the phone. She is calling to inquire about my birth classes and the subject of homebirth has come up.

“Sure!”

“What about the mess?”

At first I give the standard answer. That birth isn’t so terribly messy, that you can put down towels and chux pads, that the midwife often does the cleanup. I pause a moment. This prospective client and I have an instant connection and excellent rapport. I add, “Actually, I left a huge blood spot on our living room carpet.” I add that the spot came out almost completely with peroxide, but can’t stop myself from also remarking, “I actually feel kind of proud of it—it felt like a symbol to me.” I find myself laughing a little and there is an unmistakable note of triumph in my voice.

“Of what?”

“That I did it. Gave birth in my own home, in my own living room, on my own terms, under my own power, in my own way. In the way that felt best and right and safest to me. On my own. Me. I did it.”

What I did not add—what would have been pushing it just a little too far—is that when we moved the peroxide-cleaned carpet square into our new home a large, round, rusty-red stain was revealed on the concrete floor beneath. And, that I take secret delight in its presence. I am proud that I left my mark on the floor that bore witness to my labor. I delight and actually revel in the reminder of my power that the stain represents. Is this total weirdness? Or freakishness? A type of maternal masochism or even a perversion? No, I decide. It is really not so different from keeping a football trophy from high school or an award for volunteerism in human services from college. Maybe there is a medal for natural childbirth after all—arriving in different surprising guises, one kind a blotchy reddish stain on a concrete floor.

Despite our easy camaraderie, I never hear from that prospective client again.

Those who critique the zealousness of birth activists sometimes accuse us of supporting an insidious “Cult of Natural Childbirth” and assert that we undermine women and their unique and often traumatic experiences by “insisting” that birth be an empowering and triumphant event for women.

Maybe there actually is a Cult of Natural Childbirth and I am an acolyte of Birth cackling with wild glee as I caper around my bloodstained floor….

Nursing my brand new baby boy! (2006)

———

In the original article, I included a post-birth picture from my second son’s birth that showed one completely exposed breast. I must have still been hopped up on the post-birth euphoria when I sent it, because after it was actually published I felt slightly horrified to have my boob in print and didn’t feel like I could show the article to my dad (or, really, to many other people!) If you look closely at the picture I substituted in this blog post, you can see there is blood streaked all over my chest, arms, and hands. It was a very bloody birth!

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This is a preprint of The Spot, an essay by Molly Remer, MSW, ICCE, published in Midwifery Today, Issue 86, Summer 2008. Copyright © 2008 Midwifery Today. Midwifery Today’s website is located at: http://www.midwiferytoday.com/

The “Almost Died…” Remark

Apr29

Anyone who has planned a homebirth has probably heard the, “If I’d had my baby at home, I would have died” remark more times than they can count. It seems to be almost a default response to mentions of homebirth. I used to have a pet peeve about this, because I was almost certain that most of time the people saying it had been nowhere close to death! It seemed like an overly dramatic, overreaction to a normal life process, etc., etc. And, also that we’ve been so brainwashed by the media into thinking birth is this life or death emergency that that filter then artificially colors our perceptions of events and dramatically affects our social lexicon of birth. (However, I also have the companion thought that in many countries, birth does remain a life or death experience for women and babies. Maternal and infant mortality are significant issues and are not subjects to be taken lightly. And, mothers and babies in the U.S. do, in fact, die sometimes. It isn’t just a third-world country thing!) Another statement that used to confuse me was when birth writers say things about giving birth bringing you to the, “edge between life and death.” This didn’t match my own to-that-date birth experiences, which had not ever involved feeling like dying.

So, these things said, it has been very, very difficult for me to write about my own feelings of being close to death following the miscarriage-birth of my third son in November 2009. I really, truly felt like I might be going to die after he was born. I have never felt that close before, but I reached that “edge” after him, and I had the visceral experience of the veil between life and death being very, very thin. And, the feeling did not occur in a scary way, but in a resigned, “oh, so this is how it is going to end, too bad I still had so much I want to do with my life!” kind of way. I felt okay with it actually. A type of acceptance that my time was over. Since everything turned out okay in the end, I haven’t had much reason to process that feeling, but it was very, very intense. And, actually it was also life-changing in several areas of my life, including in terms of my spirituality (I semi-joke that my miscarriage-birth was a “religious experience” for me, but truly, in a way it was). However, I can hardly manage to write about it. And, looking back, I remain amazed that it was humanly possible to bleed as much as I did, especially because at that point early in a second trimester pregnancy I didn’t have the whole 50% increase in blood volume that you have by full-term!

I think I don’t talk much about my own “almost died” experience because obviously, in hindsight, I wasn’t almost dying (since I didn’t), I just felt like I was going to. But, this is the key…the fact that I wasn’t truly dying doesn’t mean that I didn’t truly feel as if I was—and, genuinely so, not in just an irrational fear-planted-by-the-media way. This has given me new insight into the “almost died” remark that seems dished out so casually. I used to think it was primarily a risk-based/skewed/brainwashed attitude, rather than an emotional thing, but I have an understanding now that it more often probably represents how she felt (or perceived the situation) and that her feeling really matters. It was real. And, I now hear and honor that feeling (rather than secretly thinking “yeah, right!”), because the feeling was real. And, that means, to her, she really did “almost die.”

I’ve also come to realize that despite the many amazing and wonderful, profound and magical things about birth, the experience of giving birth is very likely to take some kind of toll on a woman—whether her body, mind, or emotions. There is usually some type of “price” to be paid for each and every birth and sometimes the price is very high. This is, I guess, what qualifies, birth as such an intense, initiatory rite for women. It is most definitely a transformative event and transformation does not usually come without some degree of challenge. Sometimes to be triumphed over or overcome, but something that also leaves permanent marks. Sometimes those marks are literal and sometimes they are emotional and sometimes they are truly beautiful, but we all earn some of them, somewhere along the line. And, I also think that by glossing over the marks, the figurative or literal scars birth can leave on us, and talking about only the “sunny side” we can deny or hide the full impact of our journeys.

During Pam England’s presentation about birth stories at the ICAN conference, she said that the place “where you were the most wounded—the place where the meat was chewed off your bones, becomes the seat of your most powerful medicine and the place where you can reach someone where no one else can.“