Archives

Tuesday Tidbits: Speaking Birth

Someone came to my site recently by searching for: “how to speak birth.” What do you think? How do you “speak birth” in a way that reaches women?

I asked this question on my Facebook page last week and got several responses:

  • With our stories.
  • Every woman is different. You listen to her. Then you respond
  • Speak it forward. Speak everything forward.
  • I speak birth from an awareness stand point, in a non biased stance and of course judgment free and I do A LOT of listening first.

This question also made me think of some of my own past writing about the language of birth and why it is that how we speak birth matters:

Birth Talk

Health Care or Medical Care?

Maternal-Fetal Conflict?

Pain with a Purpose?

Perceptions of Pain

Words for Pain

Consumer Blame

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

I also re-read one of my own articles as I worked on a lesson for one of my classes:

“…I also think, though I could be wrong, that it is possible to plan and facilitate women’s rituals that speak to the “womanspirit” in all of us and do not require a specifically shared spiritual framework or belief system in order to gain something special from the connection with other women…”

After sharing the link on Facebook, I got a lovely comment from a midwife sharing that she shares my handouts with her clients in Trinidad and Tobega and I was humbled at how my “talking birth” in this form reaches out across the ocean and around the world. This is why I keep writing, even when I get discouraged and feel like it is an “indulgence” of some kind to write and blog.

While not about birth, but still related to the  overall theme—perhaps how we speak sisterhood—one of my Facebook friends validated my stressed and overwhelmed experiences/feelings of the past month with an “of course” response and I really appreciated it!

“Through the act of controlling birth, we disassociate ourselves with its raw power. Disassociation makes it easier to identify with our ‘civilized’ nature, deny our ‘savage’ roots and connection with indigenous cultures. Birth simultaneously encompasses the three events that civilized societies fear–birth, death, and sexuality.” –Holly Richards

via The Of COURSE response… | Talk Birth.

talkbirth

Happy Mother’s Day!

“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

In Uganda there is a special word that means “mother of a newborn”–nakawere. According to the book Mothering the New Mother, “this word and the special treatment that goes with it apply to a woman following every birth, not only the first one. The massages, the foods, the care, ‘they have to take care of you in a special way for about a month.'”

There is a special word in Korea as well. Referring to the “mother of a newborn child,” san mo describes “a woman every time she has had a baby. Extended family and neighbors who act as family care for older children and for the new mother. ‘This lasts about twenty-one days…they take special care of you.'”

These concepts–and the lack of a similar one in American culture–remind me of a quote from Sheila Kitzinger that I use when talking about postpartum: “In any society, the way a woman gives birth and the kind of care given to her and the baby points as sharply as an arrowhead to the key values of the culture.” Another quote I use is an Asian proverb paraphrased in the book Fathers at Birth: “The way a woman cares for herself postpartum determines how long she will live.

Dana Raphael, the author of Breastfeeding: The Tender Gift, who is best known for coining the word “doula” as it is presently used, also coined another valuable term: matrescense. “Nothing changes life as dramatically as having a child. And there was no word to describe that. So we invented the word–matrescence–becoming a mother.”

Happy Mother’s Day to mothers around the world!

Mother's Day

Want to find out what mothers really want? Check out the newest Listening to Mothers survey results: Listening to Mothers III: Report of the Third National U.S. Survey of Women’s Childbearing Experiences

Other Mother’s Day reads:

Womenergy (Womanergy)

Prayer for Mothers

What If…She’s Stronger than She Knows…

This is a modified repost of a previous post for Citizens for Midwifery. It is being crossposted today at CfM, Talk Birth, and Pagan Families.

Birth Stories by Two Year Olds…

With each of my kids when they are somewhere between two and three years old, I feel inspired to ask them if they remember when they were born. They always say, “yes,” and I say, “tell me about it” and they do. Lann’s story was a succinct and accurate version of what happened. He said:

Toddlers can do birth art too! Love the placenta in a bowl and the baby attached to the mama with cord (yes, I know the two are mutually exclusive, but I love it anyway!)

Toddlers can do birth art too! Lann drew this after Zander was born. Love the placenta in a bowl and the baby attached to the mama with cord (yes, I know the two are mutually exclusive, but I love it anyway!)

Swimming
Swimming down out of mama.
Crying!
Nursies.
Happy now.

As I’ve written before, he did start crying loudly with only his head sticking out. Almost immediately after he was born, I put him to my breast offering him what I spontaneously called “nursies” and he was, in fact, then happy.

I asked Zander on his third birthday and his version of his birth was as follows:

First you saw a little head poking out.
Then a little arm.
Then another little arm.
And another and another.
And me was little alien.

He was, in fact, born slowly like this with head emerging and then arms and then upper body and then the rest of him. I asked him what happened to his extra arms and he said:

They actually melted.

He was nursing at the time and paused, popped off and said:

and, my extra eye melted too…

That’s my little Zander for you!

I love how the baby looks like it is "floating" in this one.

I love how the baby looks like it is “floating” in this one.

Yesterday morning, I spontaneously asked Alaina if she remembered being born and like the others she said yes. I asked her what happened and she said:

My baby! My baby!

I asked, “did you hear mama saying that?”

She said yes and then said,

Now, nonnies.  Then she just gazed off into the distance like she was remembering.

I asked her if she remembered anything else and she repeated the above. Shortest of the children’s birth stories, but also distilled to its essence 😉

I’m curious to know if other people ask their children this question and what kind of responses to you get? I love each of my children’s birth stories as told by them!

Both boys made me a birth art sculpture for my birthday this year and each is about a baby being born:

May 2013 021

Zander’s sculpture: The Goddess of Birth

May 2013 022

Lann’s sculpture.

 

Womenergy (Womanergy)

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

Womenergy (Womanergy):

Feeling fierce at 37 weeks last year.

Feeling fierce at 37 weeks in 2011.

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

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

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

Used in a sentence:

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

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

“Feel the womenergy in this room!”

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

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

Feel it…

Listen to it…

Know it…

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

Rising
Potent
Embodied
Yours…

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

–Michelle Singer (in We’Moon 2011 datebook)

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

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

Circles of women (and art)...

Motherhood and Embodiment

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

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

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

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

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

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

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

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

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

(Amazon affiliate link included)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

treatment

Cesarean Birth Art Sculptures

While it is still Cesarean Awareness Month, I wanted to make sure to write a quick blog post about a special series of custom sculptures I made recently for a special VBAC-hopeful mama. Earlier this year I was contacted via Facebook by a mother who shared a little bit of her story with me and who has given me permission to share it here as well. She experienced a traumatic cesarean following a birth-center-labor turned emergency transfer. Her baby almost died and she is still struggling to reconcile her feelings and her grief about his birth. She was very appreciative of the care from her birth center midwives and asked me if I would make a set of custom sculptures for them as a gift. While I previously only made sculptures for myself or for my friends, her story touched me and I agreed to make the figures. The picture I took of them ended up becoming the “famous” cake-pan lid photo that launched me into selling a whole lot of birth art sculptures over the last two months and opening up my little etsy shop. After receiving the sculptures, she requested I make another special set of sculptures, this time for her. Her request was to have a figure that was “wearing her scar proudly” and that would help her heal from the trauma and disempowerment of her emergency cesarean as well as prepare for a hopeful future VBAC. I was intimidated by the idea of making something to help someone else heal. I mean, wow! What a privilege and responsibility. There felt like a real risk in interpreting another woman’s experience artistically and I worried about disappointing her or not getting it. Around the same time as this request, I talked to a real-life friend about her experience with ovarian surgery during pregnancy and her feelings about her scar. After talking to her, I kept thinking, “her courage is written on her body” and I knew I wanted to include words as part of the scar. For my friend, the result was this figure:

March 2013 032

For the VBAC mama, I wanted to create a figure that showed her joy in the birth of her healthy baby, the link between scar and baby, and the fact that her body has been marked by this experience in a profound way. You can’t really see in the picture, but written in the middle of the scar is the word, “love,” because she acted with great love.March 2013 042For the next figure, the one representing her future, planned pregnancy, I included the word “hope” written into the scar, as well as her now-toddler by her side:

March 2013 066And, finally, I wanted to create a powerful VBAC mama sculpture, courageously pushing out her baby in triumphant joy and relief:

March 2013 047In her scar is the word, “courage.” For these figures, I am pleased with how the scar feels like an integrated part of them. They hold that experience, they wear it, their courage, love, and hope has been permanently written upon their bodies. It is there, loud and clear, and yet new experiences are too. To me, these figures felt unifying and whole. I hope the recipient also felt that message 🙂

March 2013 064 March 2013 065 March 2013 068 March 2013 070

After writing this post and scheduling it, I read a deeply touching story by a mother who had cesarean births: Being a C-Section Mama In the Birth Goddess Club

But, there was a moment after my section with Louise where I got out of bed for the first time and walked to the shower. Everything was quiet. My baby girl was sleeping. My husband, Kurt, was holding my hands and trying to help me. It hurt so bad that I was nauseated and started dry heaving. The straining of my torn and abused stomach muscles put me over the edge into a universe of suffering and pain. I thought I couldn’t, it was too far, but I made it across the room and into the shower. I stood there, gray-faced and trembling and sobbed and sobbed while the water ran over my defeated, mutilated body. I couldn’t bend down to wash myself. My head was spinning. I focused all of my concentration on fending off the nausea. My husband got onto his hands and knees and crawled onto the floor of the shower. He knelt at my feet, fully clothed and getting soaked by the warm water. He washed my feet and my legs and my incision, also my deflated and sagging stomach. He looked up at me and he was crying. He wrapped his arms around my thighs and held on to me tight. He cried and said, “Thank you.”

I will never know what it’s like to triumph in birthing a baby, but I feel like I became a warrior and a goddess in my own, lopsided way.

–Amanda King

I almost forgot to include it, but the first cesarean birth art piece I created was actually not about VBAC at all, but was about the birth of triplets. The mother wanted a set of sculptures acknowledging her triplet birth journey, which included a cesarean birth and also not being able to breastfeed the babies. I felt anxious about making the “right” kind of cesarean piece and went with something that I felt conveyed the sense of the mother’s body “flowering” open to release her babies. I also set a jewel at her heart to indicate the love with which she opened her body to let her babies enter the world.

February 2013 099

February 2013 096

The Childbearing Year Sculpture Series: Pregnant Woman, Laboring Woman, Cesarean Birth Goddess, Mother (of Triplets)

  February 2013 170 February 2013 148

“I became a mama goddess, too. I became a wonder of fertility, of softness, of late nights and warm beds; a body capable of unimaginable things. I labored and tore open, too.”

–Amanda King (in Being a C-Section Mama In the Birth Goddess Club)

Wordweaving

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

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

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

infj-head

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

strongelephant

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

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

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

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

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

Some other past posts about language and birth:

Birth Talk

Health Care or Medical Care?

Maternal-Fetal Conflict?

Pain with a Purpose?

Perceptions of Pain

Words for Pain

Consumer Blame

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

Book Review: The Doula Guide to Birth

Book Review: The Doula Guide to Birth

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

Reviewed by Talk Birth

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

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

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

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

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

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

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

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

Review previously published on Citizens for Midwifery

Tuesday Tidbits: Parenting, Help, and Early Motherhood

From The Doula Guide to Pregnancy and Birth’s website (book previously reviewed here), I learned about an upcoming free childbirth and parenting virtual conference. I keep signing up for things like this and not really “finding time” to actually participate in them, but this one looks like it has a pretty amazing line up! Making time to READ something is almost always possible for me (though I have a backlog there too), but making time to listen to or watch something just never seems to actually happen. I wonder if I’ll ever stop signing up for them though–so alluring, so intriguing, so free…and yet, then I get daily emails about the call/talk for that day and feel a nagging sense of “guilt” (or something) for not participating and also like I’m “missing out.” An exception is the Life Balance calls Renée Trudeau used to do from her book The Mother’s Guide to Self-Renewal. I did make time for those and never regretted it! 🙂 (I should get that book back out again.)

Thinking about parenting and self-care and help brings me to several other posts that I’ve enjoyed recently:

To parents of small children: Let me be the one who says it out loud

There are people who say this to me:

“You should enjoy every moment now! They grow up so fast!”

I usually smile and give some sort of guffaw, but inside, I secretly want to hold them under water. Just for a minute or so. Just until they panic a little.

If you have friends with small children — especially if your children are now teenagers or if they’re grown – please vow to me right now that you will never say this to them. Not because it’s not true, but because it really, really doesn’t help.

The reason I liked this acknowledgement is because it is so true that they grow up so fast. It hurts my heart how fast. However, in the moments in which people choose to make this comment or when it is used against yourself or against others as a way of shaming or guilt tripping, it really, really doesn’t help. One comment on this post says, “I hear the first 40 years of parenting are the hardest.” 😉

And, speaking of things that DO help, actual help from actual people helps quite a lot. As a work-at-home mother that blogs, I particularly enjoyed this post from Girl’s Gone Child:

Girl’s Gone Child: Help is (not) a Four-Letter Word

So what’s this big secret we’re trying to keep and who do we think we’re fooling?

And what is it doing to people who read our blogs and books and pin our how-tos and think that all of these projects are being finished while children sit quietly on the sidelines with their hands in their laps.

What is it doing to you?

We write disclosure copy on posts that are sponsored, giveaways that are donated. We are contractually obligated to label and link but where is the disclosure copy stating how we work from home with small children?…

We have help, that’s how!

My help is naptime (quickly fading!), Minecraft, and grandparental cherishment (one mile away, two hours a day = good for kids, I hope good for grandparents, and great for mom!)

And, speaking of blogging, last week Talk Birth hit 400,000 hits. I celebrated by posting this on Facebook:

“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

And…they’ve gone looking for support and information on the internet too. Talk Birth hit 400,000 hits today! Woohoo! Thanks, everyone 🙂

I very much enjoyed this quote that I saw on Facebook this morning:

561196_522097027840366_343300980_n

I just finished reading the book The Art of Family and she addresses this tender transition in a way that also felt familiar to me from my own experiences:

What new parents lack most is perspective. They have no idea how fast they are to be catapulted through these early stages. How can they have a perspective of speediness when the nights are endless? It seems apparent to everyone as soon as the baby arrives that this is it—right now is what parenting looks like, and it looks pretty bad. It is a terribly tender, fragile time, akin to sex for the first time. Your first experience at parenting will haunt you in the same way.(emphasis mine)

Yes! I’ve written a lot about my postpartum experiences and I do feel “haunted” in some ways by my introduction to the parenting journey and the process of being forged into a mother. The author goes on to muse that perhaps it is more difficult to parent a boy first (as I did)…

But I had a philosophical breakthrough. Luckily I had a girl first, otherwise it might have taken me a few more years to work through to it. Forgive the tangent, but I have often wondered about the differing routes into parenthood, either having a girl first or having first a boy. Random accounts I have collected tend to confirm the easier route for moms is having a girl first. In part, I wonder if this reflects, as one mother stated, “With a girl I felt immediately in the driver’s seat. I knew all about being a girl.’’ Having a boy first, moms tend to talk about the strangeness of having a truly “other’’ little creature in their care and especially the fear of unintentionally emasculating a son.

And, she takes a look at something that, while not uplifting, was something that I also experienced very clearly in my first months of mothering…

These are, of course, just more thoughts to muse over in the rocking chair. Rocking, rocking, I kept thinking, “But if I am investing my total self in her so that she can take off and fly and reach her full potential, what happens when she becomes a mom, cut down in midflight, so to speak? It can’t be that I am pouring myself into her so that she can turn around and sacrifice herself to her children. Hey, what about my mom—what does she want for me? Was she secretly raising me just to reproduce? Is there life for me past parenting? It has to be that I’m worth more than the second I give birth and the rest of the time I’m downsized to slave.’’ Oh, yes, parenting is slave labor, but only for the opening act, and it’s a long, long play. Once I got a hold of the possibility that being a mom meant staying personally alive through all this, I got some relief from the voice, “It’s Over. My life is Over,’’ whimpering in my head…

–Gina Bria (2011-11-28). The Art of Family : Rituals, Imagination, and Everyday Spirituality (p. 159). iUniverse. Kindle Edition.

I really felt “deconstructed” by early motherhood and often found myself thinking thoughts of this type. I also used to pace around the house with my cranky son in a sling crying and singing, “who am I, I’m Lannbaby’s mama, who am I, I’m Lannbaby’s mama,” over and over again.

The “agony and the ecstasy” of parenting begins with birth. If you’re in the mood for a powerful birth story, here is a triumphant one that I enjoyed reading just tonight:

The Agony and the Ecstasy : The Birth of Santina Maria

 “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

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

Guest post by Tara Owens-ShulerImage

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

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

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

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

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

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

So how can women of color push for better care?

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

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

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

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