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Tuesday Tidbits: Precious and Fragile

Via Birthing Beautiful Ideas, wisdom from BBI sponsor, The Mindful Way through Pregnancy from Shambhala Publications:

A better photo of our matching mother-daughter necklaces made by Mark :)

A better photo of our matching mother-daughter necklaces made by Mark 🙂

“Ultimately, what makes pregnancy a spiritual practice is not what kind of pregnancy we have. It’s who we open to it, moment by moment, breath by breath. Pregnancy is not about escaping or transcending physical existence. It’s about embracing it, in all its grit and mess and blood and uncertainty and pain. Pregnancy pulls us straight to the heart of what it means to be alive. It reminds us we are part of a universe that is infinitely creative and breathtakingly beautiful but where, ultimately, most of what really matters is out of our personal control. It teaches us that life is both precious and fragile–and that our hearts are both bigger and more vulnerable than we could have imagined.” –Anne Cushman

And, in considering life’s precious fragility, we need also consider the preciousness of midwifery:

“Bickering with each other will lead to our demise. We need to move away from a culture of blame and shift our focus to working collaboratively in order to identify a range of care options. This is a vastly different model than one group of midwives exclaiming, ‘VBACs are safe, all midwives should do them!’ or ‘VBACs are unsafe, no midwives should do them!’ (This is the same rigidity that accounts for high c-section rates in hospital settings.) Could it be possible that midwives who feel safe doing VBACs should be doing them and those who do not, should not? What if we each excelled at particular things and referred women to other midwives when we felt unable to provide care for them? We all need to take responsibility for the overall heath of our industry by honoring the journey that others have made to get where they are and the roles they play in service to mothers and babies.” –Jodilyn Owen (in Midwifery Today, Spring 2012, p. 28)

Shared via ScoopIt:

Some articles about birth:

Writer looks for healthiest, happiest approach to childbirth – California Watch

Study finds widespread ‘criminalisation of pregnancy’ in US institutions

Ky. Voices: Doctors often push for risky births | Op-Ed | Kentucky.com

And, some articles about parenting:

In not very enjoyable parenting articles, I found myself annoyed by this piece…

The Attached Family » What To Do When You Crave a “Mommy Time-Out”

The basic message is, you don’t need a timeout! Just hunker down, spend MORE time and love ’em harder! You are bad for ever wanting a break! Breaks need not ever occur to you. Bad, bad! Attach MORE, more, MORE! The sanctimonious and holistic-er-than-thou tone is exactly why I eventually discontinued my API membership. I am a very crunchy, AP-type parent, but I find that there are certain voices of the “movement” that make me want to run away screaming and saying, no wonder some people HATE US!

In enjoyable parenting articles I very much liked these companion pieces from Dreaming Aloud:

Dreaming aloud: The Sacred Role of a Parent

Dreaming aloud: Finding Our Centres – Tried and Tested Techniques for Family Sanity

And, I also found some things to identify with in this article:

Please Don’t Help My Kids

I’m more likely to be irritated by what I call Maternal Failure Alert alarm-raisers, in which someone “helpfully” points out something your child did or is doing or is asking or is needing or is located, when you already know it very well and in some cases are choosing to ignore/not respond/let them do it/or wait a minute.

Over the weekend I updated my Handouts page also.

Tuesday Tidbits: Pain, Power, and Lasting Memory

Inspired by the Wednesday Wisdom series of posts at Pagan Families and because I’m teaching on Tuesdays this session and thus not able to type substantive posts, I’m planning to start doing a new short weekly post with a few quotes and birthy news items that have caught my eye. I’ve thought several times that I should do themed posts or posts on specific days about specific areas, but somehow I don’t really work like that and instead spend hours on long missives that are perhaps never read through to the end. I don’t really have a posting schedule or weekly plan for posting, it just…happens. I notice from my archives that I seem to regularly post about 16 posts a month. Maybe I do have a largely unconscious schedule that I follow…

So, here’s my tidbits for this week:

“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

I should perhaps pin this to my head. I feel as if I’m constantly being offered wonderful opportunities (what a problem, eh?!) and must ever be mindful of, “choosing the best and leaving the rest.”

See also: Balanced Living and Saying ‘No’ and The Ongoing Crisis of Abundance.

Switching gears into birth and pain:

“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

(Prior musings on pain and birth.)

And into the power of place:

“If we believe that birth is a powerful, sacred event that has personal significance and meaning for the mother, baby and family, then we need to recognize that where it takes place is a sacred and holy site.” –Jenny Hall, “The Sacred Place of Birth” (via Pagan Families)

In other news, the first digital-only issue of the Friends of Missouri Midwives newsletter is finally available online! Yay! I’m so excited. The theme is Birth Art.

On Scoop.it, I shared links to a couple of interesting articles:

Childbirth classes if you AREN’T interested in natural birth

Sex After (a Traumatic) Childbirth – Onislam.net

And, finally, I fell in love with this awesome quote:

“Birth sticks with a woman, remaining in her bones and her flesh as an embodied memory long after the baby has left her womb.”

– Pamela E. Klassen, in Blessed Events (via Pagan Families)

And, I used some of my new art (more about this soon) to make a little graphic with it too…

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Plucking out the heart of mystery

“Birth is a great mystery. Yet, we live in a rational, scientific world that doesn’t allow for mystery. ‘In this day and age, there must be a better way to have a baby,’ implies that if you are informed enough, strong enough, you can control it. Any woman who has given birth, who can be honest, will tell you otherwise. There are no guarantees. It is an uncontrollable experience. Taking care of yourself and being informed and empowered are crucial, but so is surrender. Forget about trying to birth perfectly. Forget about trying to please anyone, least of all your doctor or midwife
” –Jennifer Louden (The Pregnant Woman’s Comfort Book)

Twelve Steps to a Compassionate Life Amazon affiliate link included in text/image.

I’m halfway through a year-long class based on the book Twelve Steps to a Compassionate Life. We’re examining and practicing compassion to ourselves and in personal relationships, community relationships, and to non-humans. The subject of our current month is, “making a place for others.” What does this mean? The author explains…

I began to notice how seldom we “make place for the other” in social interaction. All too often people impose their own experience and beliefs on acquaintances and events, making hurtful, inaccurate, and dismissive snap judgments, not only about individuals but about whole cultures. It often becomes clear, when questioned more closely, that their actual knowledge of the topic under discussion could comfortably be contained on a small postcard. Western society is highly opinionated. Our airwaves are clogged with talk shows, phone-ins, and debates in which people are encouraged to express their views on a wide variety of subjects. This freedom of speech is precious, of course, but do we always know what we are talking about?

Armstrong, Karen (2010-12-28). Twelve Steps to a Compassionate Life (Kindle Locations 1476-1481). Random House, Inc.. Kindle Edition.

I wonder about this sometimes in my own compulsion to blog—am I just adding to the digital cacophony out there, etc. and then that reminded me of a previously shared quote:

“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)

 Armstrong also makes this important observation:

Hindus acknowledge this when they greet each other by bowing with joined hands to honor the sacred mystery they are encountering. Yet most of us fail to express this reverence for others in our daily lives. All too often we claim omniscience about other people, other nations, other cultures, and even those we claim to love, and our views about them are frequently colored by our own needs, fears, ambitions, and desires.

Armstrong, Karen (2010-12-28). Twelve Steps to a Compassionate Life (Kindle Locations 1596-1599). Random House, Inc.. Kindle Edition.

We all do this so often. I find myself very annoyed when other people play “armchair psychologist” and yet still catch myself doing it as well. I also think about “gossip” and its role in human society. I think curiosity about the lives of others is normal and talking about other people’s behavior and experiences with them is also normal. I am most disturbed when those around me claim seemingly infallible understandings of the motives, characters, and psychology of others (in my classes, I remind students to “separate person from problem” and to “describe behavior rather than character”). It is very common for us not to even understand ourselves, so I find it interesting, frustrating, and surprising that we then seem to think we can have direct understanding of the inner workings and thought-processes of another person. “Instead of discoursing confidently on other people’s motives, intentions, and desires, we should recall the essential ‘mystery’ and realize that there is a certain sacrilege in attempting to ‘pluck out’ its heart to serve an agenda of our own.

What does this have to do with birth?

“Birth is life’s central mystery. No one can predict how a birth may manifest
Our dominant culture is anything but ‘natural’ so it is no surprise that childbirth, even with the most natural lifestyle lived by an individual family, sometimes needs intervention and medical assistance. This is not to say that any one mother’s efforts to have a natural childbirth are futile. Just that birth is bigger than one’s personal desires.” –Jeannine Parvati Baker (in The Goddess Celebrates: An Anthology of Women’s Rituals, p. 215)

When women’s choices are restricted in the birthroom or in access to compatible care providers, we’re plucking out the heart of mystery. When December 2012 073doctors or nurses “let” or “don’t let” a birthing woman do something, they’re plucking out the heart of mystery. When birth activists analyze a woman’s birth story for evidence of why things went “wrong,” we’re plucking out the heart of her rite of passage, of her story. When we fail to acknowledge the sociocultural context of breastfeeding OR when we cannot accept that a mother “couldn’t breastfeed,” we’ve plucked the heart of her mystery. When we need to have or know the “right answer,” chances are, we’re plucking the heart. And, we need to remember that…”Women’s surveillance of other women’s childbirth experiences–in this case, natural childbirth–can shape and constrain the individual choices women make in childbirth in much the same way medicalized assumptions about childbirth can.” (Christa Craven, Pushing for Midwives)

Armstrong goes on to explain…

Third, spend some time trying to define exactly what distinguishes you from everybody else. Delve beneath your everyday consciousness: Do you find your true self—what the Upanishads called the atman? Or does this self constantly elude you? Then ask yourself how you think you can possibly talk so knowingly about the self of other people. As part of your practice of mindfulness, notice how often you contradict yourself and act or speak in a manner that surprises you so that you say, “Now why did I do that?” Try to describe the essence of your personality to somebody else. Write down a list of your qualities, good and bad. And then ask yourself whether it really sums you up. Make a serious attempt to pin down precisely what it is that you love about your partner or a close friend. List that person’s qualities: Is that why you love him? Or is there something about her that you cannot describe? During your mindfulness practice, look around your immediate circle: your family, colleagues, and friends. What do you really know about each and every one of them? What are their deepest fears and hopes? What are their most intimate dreams and fantasies? And how well do you think they really know you?…How many people could say to you that you “pluck out the heart of my mystery”? In your mindfulness practice, notice how often, without thinking, you try to manipulate, control, or exploit others—sometimes in tiny and apparently unimportant ways. How often do you belittle other people in your mind to make them fit your worldview? Notice how upsetting it is when you become aware that somebody is trying to manipulate or control you, or when somebody officiously explains your thoughts and actions to you, plucking out the heart of your mystery…

Armstrong, Karen (2010-12-28). Twelve Steps to a Compassionate Life (Kindle Locations 1644-1658). Random House, Inc.. Kindle Edition.

The irony of the fact that I’ve just filled up a bunch of digital air space with my own opinions, instead of practicing this principle, isn’t lost on me. As I move through this month, in all contexts not just in birthwork, I would like to open more to this “heart of mystery” and to not knowing as well as to avoid the tendency to analyze and “understand” other people. I also wish to be mindful of plucking the heart out of anyone’s mystery—may I be a witness to their mystery and may they feel both seen and heard by me…

“Birth is always the same, yet it is always different. Like a sunset, the mystery is also the appeal to those who get up in the middle of the night to attend laboring women. While the sequence of birth is simple, the nature of the experience is complex and unique to each individual. No matter how much any of us may know about birth, we know nothing about a particular labor and birth until it occurs.” (emphasis mine) –Elizabeth Noble in Childbirth with Insight (previously shared here)

Blog Circle: New Beginnings and Most Significant Events

The January Blog Circle at The Amethyst Network has the theme of New Beginnings. This is perfect for me, since my pregnancy-after-loss “rainbow baby” was born in January. The Amethyst Network was named for the infant sister of one of the founders. Her name was Amethyst. We use “Amethyst babies” as a way to identify and label loss stories on the TAN blog and we are using “Garnet babies” to refer to babies born following loss. Garnet is the January birthstone and several of the founders have January rainbow babies. Several of us also have February miscarriages (amethyst is the birthstone for February). While this obviously isn’t a universal experience, this is how we personally make the connection between our choice to use gemstone names and our own experiences. Here’s the info about this month’s blog circle:

The loss of a baby is the end of something but it is also the beginning of something new. It takes time to find that new, to navigate and find your way in this new world you have been thrust into and to navigate and find your way into this new normal.

The New Year is also an opportunity for New beginnings. Many people set Goals and New Years resolutions to focus on for the year. It may be a time of letting go of the old and focusing on the new.

We have chosen the theme “New Beginnings” for our January Blog circle. The decision was based both on the New Year as well as the new beginning for the Amethyst Network. We have been redoing our website, redefining our mission and creating a space of hope and healing and a place of information for those who in the miscarriage/babyloss community.

We would love to have you participate in our January Blog Circle. The theme is New Beginnings. Was your loss a new beginning for you? Your next baby? How do you feel about the New Year? Are you in a place of letting go? Or embracing?

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A lot of hopes and dreams rested on this little body!

My first loss was, in fact, a new beginning for me in many ways. That miscarriage-birth changed my life forever. It changed my worldview, it changed how I work with women, it changed my understanding of the world, it prompted a spiritual awakening, it changed the trajectory of my work and my focus, and it broadened and deepened the scope of what I’d like to offer in service to others. It was BIG. It was important. It was hard, it was scary, it was emotionally and physically painful, and it lasted a long, long time. It took the birth of my pregnancy-after-loss baby in January of 2011 to really feel “healed” from the scars of loss and so in this way, she was definitely a new beginning as well. I remember thinking during my pregnancy that there was so much riding on her—a lot for a little baby to shoulder—all of our hope, our fears, our very future of a family felt like it rested in her. And, I remember telling her, shortly before her first birthday—you, you healed me. In our conversations among The Amethyst Network board members, I’ve also shared that I didn’t feel completely healed until she reached her first birthday—until we taken one whole turn of the wheel together with her in my arms. And, in that way, I’m also not sure that we ever completely heal from loss—I know that one of the factors behind our decision not to have more children is a still, small, lurking fear of what if it started all over again? That would suggest that a scar on our lives remains (that isn’t necessarily a bad thing. Our scars are part of the landscape of being–of loving, living, risking, losing, learning, and changing).

Considering this topic also brought me an old question, previously posed in response to a midwife’s blog post, in which I ask the following:  What is the most significant event that shaped your life as a woman? As a mother? Are your answers to the two questions different?

My own answers have in fact been different. And, they have changed. Pre-loss, I described my postpartum journey following my first birth as the most significant event shaping my life as a mother. After the miscarriage-birth of my tiny son, the texture of my response and my definition of my life experiences shifted:

When originally writing this post, I was pregnant with my third son. That pregnancy ended very unexpectedly in November, rather than May, when my baby was born after almost 15 weeks of pregnancy. Interestingly, my experience of miscarriage has supplanted the birth of my other two sons as essentially the most powerful/significant and transformative event of my life. (My sense that his birth has “replaced” the birth of my other children as most significant makes sense to me, because though it is classed as miscarriage, it is still my most recent birth experience—all of their births stand out as special, important, and meaningful days and I will remember each with clarity for the rest of my life, but his birth is the freshest and most recent and came with the additional transformative journey of grief. And thus, when I think of giving birth or when I think back to birth memories or birth feelings, his birth is the first one that comes to mind.) Though I still “vote” for postpartum as the most significant event in my life as a mother, I now “vote” for my birth-miscarriage experience as the most significant event in my life as a woman.

Interestingly, my answer has evolved again since writing the post above and I would now include the entire pregnancy-after-loss journey as the most significant event in my life as a mother. It was hard, people. It was day in and day out and never-ending and so, so delicate. So tinged with hope and fear and so laden with meaning. As a woman, though, I’m not sure that my answer has changed. I need to think about it more deeply, but I think that miscarriage-birth is still it. Just as life divides cleaning between before kids and after kids, there is a dramatic, pivotal before miscarriage and after miscarriage that has shaped my female identity and understanding of myself.

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Preventing Culturally Induced Lactation Failure

281How often does it happen that women truly are physically unable to breastfeed?

No one actually has a solid answer to this question. The common estimate is a very hazy, “less than 1%.” I’ve said it, very hazily, plenty of times myself. But, what does that really mean? I’ve certainly talked with a lot of struggling mothers over the years—many of whom go on to continue to breastfeed successfully, but who might very well not have done so without encouragement, reinforcement, and practical suggestions. If they never reached out for help, might they have ended up as part of that semi-mythical 1%? How about those mothers that absolutely stagger me with their ability to keep going and keep trying when I would understand completely if they decided to quit and in fact question that I, personally, would have been able to continue if faced with the same obstacles—where do they fit in? Maybe just in the category box labeled amazing.

Yesterday, I read an article on the Breastfeeding Medicine blog that really shook my personal framework up a bit:

…I would argue that there’s a very fine line between “sensationalizing” and “truth in advertising.” Reproductive biology is imperfect — some couples can’t conceive, and some pregnancies end in miscarriage or stillbirth. The silence around these losses and the isolation that women have historically experienced has probably worsened the suffering for many women. On the other hand, emphasizing these risks and creating a culture of fear harms the majority of mothers who will have successful pregnancies and births.

Lactation is probably a few decades behind infertility and pregnancy loss in coming “out into the open” as a generally robust, but not invincible, part of reproductive biology.

via Establishing the Fourth Trimester « Breastfeeding Medicine.

Wow! Brain boggled in reading this. Heart clenched at thinking that I may have treated someone as casually in breastfeeding loss as other mothers have been treated over and over again in pregnancy loss. The author goes on to explain that women used to be blamed for having miscarriages and we just might be doing the same thing to women who physically can’t breastfeed. I have never in my wildest dreams considered adding “lactation failure” to my understandings of the things that can truly go wrong during the childbearing year. I usually consider, “some mothers are physically unable to breastfeed” to essentially be in the same territory as dragons and unicorns. I’ve remained firmly convinced for, like, ever, that it is culture that fails mothers and babies and not women’s bodies that fail. And, I truly wonder if it is ever possible (except for in cases of insufficient glandular tissue, metabolic disorders, breast surgery/removal, and clear physical malformations) to really tease apart whether a mother is actually experiencing lactation failure or sociocultural failure. I remain fairly convinced that in many cases it is impossible to know—but, that a mother (or physician) may certainly experience it as “lactation failure” and thus add that data point to the 1%. I have long maintained that a lot of people forget that breastfeeding occurs in a context and that context doesn’t necessarily support breastfeeding. However, I do also know from years of experience that motherbaby physiology can lead to problems too and we often overlook that in assertions about breastfeeding.

How do we get breastfeeding off to a good start?

At our 2011 Big Latch On event.

At our 2011 Big Latch On event.

How do we make sure that mothers do not experience sociocultural breastfeeding failure? It begins with the birth. Birth and breastfeeding are not discreet events—they exist on a biological continuum. When I attended the La Leche League International conference in 2007, there was an exciting emphasis on “the motherbaby” as a single psychobiological organism. The womb is the baby’s first habitat and following birth the baby’s “habitat” becomes the mother’s chest—otherwise referred to as “the maternal nest.” In short, a normal, healthy, undisturbed birth leads naturally into a normal, healthy, undisturbed breastfeeding relationship. Disturbed birth contributes to disrupted breastfeeding. In a previous article on this topic I wrote:

New mothers, and those who help them, are often left wondering, “Where did breastfeeding go wrong?” All too often the answer is, “during labor and birth.” Interventions during the birthing process are an often overlooked answer to the mystery of how breastfeeding becomes derailed. An example is a mother who has an epidural, which leads to excess fluid retention in her breasts (a common side effect of the IV “bolus” of fluid administered in preparation for an epidural). After birth, the baby can’t latch well to the flattened nipple of the overfull breast, leading to frustration for both mother and baby. This frustration can quickly cascade into formula supplementation and before she knows it, the mother is left saying, “something was wrong with my nipples and the baby just couldn’t breastfeed. I tried really hard, but it just didn’t work out.” Nothing is truly wrong with her nipples or with her baby,

I know that my birth experiences significantly impacted my breastfeeding experiences in that my babies were never separated from me after my peaceful, undisturbed births (one birth center, two homebirth). They went directly from being born to my breast, keeping the physicality and continuity of our relationship unbroken and undisturbed. That is not to say that we never experienced any challenges, I struggled with oversupply with all of them—which reminds me of attending another LLL conference presentation by Diana West in which she stated that she is seeing much fewer “normal course of breastfeeding” issues in her practice and instead of noticing an “epidemic of both low milk supply and oversupply.” She asked the room if we were noticing the same thing and many of us raised our hands. One possible theory is the amount of endocrine disruptors in our food supply. Again, is that actual lactation failure or is that ecological failure?!

Some time ago I wrote an article for the Friends of Missouri Midwives newsletter in which I asked for submissions regarding the topic of how birth experiences impact breastfeeding. A doula wrote to share her experiences:

My births definitely affected my breastfeeding experiences. I prepared extensively for my first child’s birth. I felt fully educated about birth and also breastfeeding. I planned and had a natural birth. Being empowered by that helped me know I could handle and be successful at breastfeeding too. My two unassisted births were “all me”. There was no one telling me what to do. I was confident in that and that also helped build my confidence one again in breastfeeding. I will also go on to say that not only did my natural hospital birth and subsequent home births help in breastfeeding, but also generally as a mother. They empowered me to know that I was capable of a lot more than I could ever imagine! (Which is great on a day with three little ones screaming around the house!)

 And, a local physician also had input about the question:

Gosh, my own experience–how can I know how my birthing influenced my breastfeeding?  Since the nursing part was so easy, and I birthed at home (thank heavens), well, how would I know if it would have been different if we had done it differently?  But I know this:  it is SO much easier being a breastfeeding supportive physician to home born babies than it was trying to support breastfeeding when the birth was distorted.  In my experience, the only other thing that makes that much difference is La Leche League attendance.  I think mothers and babies are designed to experience labor and birth and then breastfeed.  When things go differently–like when labor is started early for some reason, or when mothers don’t get to experience their labors and births because of epidurals or other drugs or cesarean  sections, then the breastfeeding is more likely to be challenged.

Babies are programmed to learn to nurse in that first hour after birth.  They need to be in contact with their mothers for that time to do that.  It doesn’t take much intervention to undermine that.  Our babies are working so hard, learning to live on the outside of the womb–changing everything, including their breathing, their circulation, their digestion, elimination, integrating new and overwhelming sensations–and also learning the complex skill of finding the nipple, grasping the nipple, holding the nipple, milking the nipple (and don’t forget to swallow and breathe!).  We should leave them alone and not ask them to do one more thing–like meet Grandma, or deal with the nurse, or warm back up from a bath.

So here’s my advice:  If you want to breastfeed and do it effortlessly:

1.  Get great prenatal care from the best midwife you can find

2.   Plan and achieve a home birth

3. Go to La Leche League regularly during pregnancy and nursing.

This doctor then wrote back to me again with some additional comments about breastfeeding and La Leche League:

La Leche League makes a BIG difference.  In my experience, mothers who are members have far fewer reasons to call me for advice (of any kind, really).  And when they do, they tend to be focused, easy-to-answer questions or requests.  So, instead of “my nipples hurt,” it is, “I’ve been reading/talking to/consulting with various sources and I think that I have nipple thrush.  The things I have tried haven’t worked and I am not ready to try Nystatin.  Can you prescribe this for me?”  LLL ladies ROCK!

I am convinced that a thousand little adjustments get made in the wise nursing circles–a comment made, a slight modification of a nursing  position, an encouraging word, a question asked, a behavior modeled.  With these gentle, under-the-radar moves, nursing just gets easier or stays easy.  The woman and her circle never consider that a “nursing problem” existed.  No big intervention needs to happen.

Without these “interventions” nursing problems DO develop, and then the rescue team gets called in–people have big feelings, do big or little interventions, they help or they don’t and people feel like heroes or failures and “breastfeeding problems” get into the story-telling.  But what gets lost is how easily these things are “prevented”.

Midwifery is like this.  Parenting is like this.  Life is like this.

I really appreciate her closing observations here about wise nursing circles. I believe it can be in these circles that we find the women who know and we can certainly give each woman who we come into contact with the best chance at preventing or overcoming culturally induced lactation failure.

Taking it to the Body, Part 4: Women’s Bodies and Self-Authority

This is a somewhat shortened version of a prior post. I revised it to be a part of my taking it to the bodyDecember 2012 001 series.

I believe a potent source of female power lies in the female body and that body wisdom has been suppressed and denied over the course of many years as a means of oppression and control. One of the root issues of patriarchy is who “owns” women’s bodies—is it men, is it the government, is the medical system, or is it the woman herself? (you know my pick!).

Body wisdom and sources of power

Considering power, sources of power, and body wisdom, I appreciated reading Barbara Starrett’s essay The Metaphors of Power in the book The Politics of Women’s Spirituality. While she uses a different example, I have modified and paraphrased her thoughts to make the idea about birth. Starrett originally states, “We can create power centers both within and outside ourselves
Power is where power is perceived. Power resides in the mind. We can give or withhold power through our beliefs, our felt thoughts.” Medical professionals can make decisions about a woman’s body and birth choices effectively only as long as women believe that the professionals have the right to do this. When women reclaim the power to decide for themselves about birth, the doctors proclaim in a vacuum. Their power depends on the transference of our power, through our belief that this is right
Power is where power is perceived. This also means that in any given in-the-world situation, we can intentionally set up our own power centers. If we believe that power resides in those centers, it will. We will act successfully on this belief. Women’s organizations, unions, birth coalitions, etc., will never work unless we regard them, “as the legitimate centers of power
We must grant our own power to ourselves” (p. 191).

While this comes a little too close for comfort to me with the idea that “we create our own reality” (which I cannot fully embrace due to the logical extension into blaming the victim that it creates), I connect deeply with the idea that we must treat women’s organizations and work as legitimate power sources. I think of books/movements like Our Bodies, Ourselves, for example. To me, this is a definitive women’s health resource—by women, for women and separated from the medical establishment that often dehumanizes women. If we continue to believe our “alternative” structures are just that, “alternative,” then the dominant model is still the norm and still accepted, even by us, as “normal.”

Starrett continues her essay by sharing that “It is necessary for some women to risk total reclamation, to risk the direct and intentional use of power, in bold, even outrageous ways. It takes only a minority of women to alter present reality, to create new reality, because our efforts are more completely focused, more total.” (p. 193) This is the risk that the creators of Our Bodies, Ourselves took. It is the risk birth activists and women’s health activists continue to take.

Consult your health care provider?

In my own life, I am frustrated by the ubiquitous phrase, “Consult your health care provider.” No, thanks. I prefer consulting myself, my books, google, my own research, and my friends. Last time I checked, my doctor did not own my body nor did she have divine revelation as to what I need in my life. I am a breastfeeding counselor providing phone and email support to women who have breastfeeding questions. Women frequently receive very poor breastfeeding “advice” from their doctors—to the extent that I honestly think they’d receive better information by polling random strangers at Wal-Mart with their questions (and, yes, I will actually tell women this). One caller once used the phrase, “but, I don’t want to disobey my doctor” and I found this extraordinarily telling as well as depressing. I recognize that doctors have special training and can be life-saving, however, what does that say about mothering in our culture that a woman would not act on behalf of her own baby and herself because of fear of being disobedient to a professional that she has hired? She is a consumer of a service, not the subject of a ruler!

This brings me to a thought by Dr. Michelle Harrison, author of the book A Woman in Residence:

I used to have fantasies
about women in a state of revolution. I saw them getting up out of their beds and refusing the knife, refusing to be tied down, refusing to submit
Women’s health care will not improve until women reject the present system and begin instead to develop less destructive means of creating and maintaining a state of wellness.”

Indeed! And, in an essay by Sally Gearhart’s about womanpower, she notes: “
there’s no forcing any other woman into a full trot or a gallop; she will move at her own pace, but at her own pace we can be sure she will move. At this point I always remind myself that the patriarchal use of crash programs is antithetical to organic movement; in a crash program the theory goes that if you can get nine women pregnant you can have a baby in one month; it takes women, I suppose, to understand that it doesn’t work that way.” (p. 202-203)

Reclaiming power

So, how do women reclaim power? I think story holds a key to power reclamation in this context. As I’ve referenced before, Carol Christ describes it thusly, “When one woman puts her experiences into words, another woman who has kept silent, afraid of what others will think, can find validation. And when the second woman says aloud, ‘yes, that was my experience too,’ the first woman loses some of her fear.” As I touch on above, for me it is to see myself and my body as a source of wisdom and to refuse to participate in structures that do not honor my power and personal agency. It involves more often turning to my peers, to other women, for advice and comfort and support, rather than to experts.

I’ve written many times before that I am a systems thinker. Women’s choices about their bodies and about birth are not made in personal isolation, but in a complexly interwoven network of social, political, medical, religious, and cultural systems. As Gearhart notes, “There may be no ‘enemy’ except a system. How do we deal with ‘the enemy’? As seldom as possible but when necessary by opening the way for [their] transformation into not-the-enemy. What weapons do we use? Our healing, our self-protection, our health, our fantasies, our collective care
” (p. 203).

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Birth Activism Opportunities!

Recently I got an email letting me know that I’ve been nominated for the Health Activist Hero Award in this year’s WEGO Health Activist Awards! Nominations are open through December 31st, 2012, after which judging will begin. You can “endorse” my nomination by clicking on the badge. You can also follow the happenings on WEGO’s Pinterest board. You can also nominate someone!  There are 16 award categories and there’s no limit to the number of people you can nominate with this quick form.

Second, Freedom for Birth just released a free 15 minute version of their documentary online. Check it out!

Celebrating Pregnancy & Birth Through Art

This article is adapted from my notes for past birth art workshop presentations. It is part of a story for the Winter 2013 edition of the Friends of Missouri Midwives newsletter.

Celebrating Pregnancy & Birth Through Art

by Molly Remer, MSW, ICCE, CCCE

http://talkbirth.me

See other posts and pictures about birth art here.

Birth art is one of my favorite birthy subtopics and I used art during my pregnancies, postpartum, and continuing in life today. I love exploring birth art with women and I’ve presented on the subject at multiple conferences, as well as hosted a “birth art booth” at our local MamaFest event this past fall. Art can play an important role in self-discovery and preparation for birth and parenting. Art used during pregnancy and following birth can be powerful tool of validation, celebration, exploration, and insight.

Why is art during pregnancy is useful?

Art during pregnancy is primarily as a tool to tap into “right brain” consciousness and express unexplored gifts, primal wisdom, or release hidden fears. Creating birth art can help both women and men explore your feelings, memories, beliefs, and perceptions surrounding birth outside of the confines of the spoken or written word. The purpose of birth art is to explore what you find within as you create your art and not the final product—as Pam England describes, birth art is as raw, honest, spontaneous, and personal as birth itself.

Art during pregnancy can be used for:

    • Birth preparation.
    • Exploration of fears.
    • Celebration of feelings & experiences.
    • Fun!
    • Visualization.
    • Focal point.
    • Exploration of the unknown.
    • Self-discovery & insight.
    • Healing.
    • Revealing unconscious patterns/ideas.
    • Celebration of the power of the female form.
    • Celebration of new life.
    • Representing hopes/dreams.
    • Communicating hard to verbalize ideas/feelings.
    • Exploring “right brain” methods of understanding the birth journey.
    • Explaining concepts in new ways.
    • Symbolic/spiritual insights.
    • Revealing hidden birth wisdom.
    • Expressing creative gifts.
    • Mementos

Types of art exploration in pregnancy:

    • Sculpture—variety of mediums (fiber, clay, pottery
)
    • Painting
    • Drawing
    • Photos
    • Jewelry
    • Belly casting
    • Body art (such as henna)
    • Collage
    • Mandalas
    • Decorating objects—prayer box, wreath
    • Quilting

Birth Art Examples:


Two Suggested Exercises for Birth Professionals or Parents:

Based on Pam England’s LabOrinth article, I enjoy showing parents how to draw a birth labyrinth (several examples can be seen in the gallery above). Drawing a labyrinth with an explanation of how this type of image can be used to explain/explore the progress of labor as opposed to medical models such as cervical dilation charts or labor progress “bell curves,” can be a very eye-opening exercise for parents. The resulting image is a powerful visual of “normal birth,” instead of “clock watching” birth. I’ve made two posters than I use when I teach birth classes. The first shows a rough Friedman’s curve and a cervical dilation chart—these images are part of a deeply ingrained cultural view of birth and it is hard to shake these associations. This linear birth structure may be how we view labor from the outside, but it is not how we experience it from the inside, the labyrinth is a more appropriate birthing image as it feels from within and this is why…

      • No shortcuts—have to keep going til the end.
      • Speed varies.
      • Can’t get off the path (no falling off the curve).
      • Can get through blindfolded.
      • One step at a time will get you through—one foot in front of the other (one contraction at a time).
      • Can’t get lost. If you get out of the lines, you get lost—try to take shortcuts, get lost. Have to continue on your path.
      • Can crawl if you need to (or run!).
      • Circular (nonlinear)
      • No right way to finish.
      • Contemplative
      • Meditative
      • Journey
      • Everyone gets to the same place eventually—can go own speed, some fast, some slow
      • Do not need instruction to complete (no birth plan)
      • No timeline
      • No need to study.
      • Can rest if you need to.


My other favorite group birth art project is to painting small pregnant goddess figurines (I make big batches of these in a mold using plaster). My most recent experience in doing so was at Rolla Birth Network’s MamaFest event:

This experience reaffirmed for me that birth art is about process not product. And, also that I don’t have to personally do anything to have the process be a meaningful one to participants. As an example of what I mean: at MamaFest, a very young mother came into the birth art sanctuary. I gave her my one minute spiel about the purpose of birth art and she painted her figures alone in the room for about 20 minutes. When she emerged, she showed her figures to me and explained what all the symbols and colors meant. Then, with tears in her eyes, she hugged me and said thank you and left. This was a mother I’d never met before and I’ve never seen again. And yet, we shared a special moment through birth art.

Molly Remer is the Friends of Missouri Midwives newsletter editor. She enjoys blogging about birth, motherhood, and women’s issues at http://talkbirth.me.

Talk to Your Baby

I already know that you can learn a lot from chickens about giving birth. This summer, I had another profound birth-mothering experience with one of our chickens after she hatched her first baby. During the last several days of incubation, mothers hens “talk” to their babies a lot through the eggshells and the babies respond. It is part of how they get to know each other and imprint before hatching. Then, after baby hatches, the mother hen continues to talk and cluck to the baby in a reassuring manner—she calls to the babies when separated and she calls a special call when there is something good to eat and she clucks softly and reassuringly at bedtime as she snuggles them all beneath her. There is a specific type of “soothing” noise they make to stressed or lost babies and a specific sort of excited sound they make to let the babies know something good is happening. There are also distressed sound that means, “run to me now, there might be danger!”

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The baby chick who tried desperately to get to a mama who would talk to it (this mama, interestingly, is the same one I wrote about in the Birth Lessons from a Chicken essay several years prior).

We had three broody chickens at the time, each in their own little separate nest box in the broody coop. One of the hens had hatched a baby already and was in the neighboring box. The inexperienced mama hen hatched her baby and she would not talk to it. The baby freaked out. It flailed, it freaked, it stumbled all around. It dragged its tiny little wet, not-even-able-to-walk body to the very corner of the nest box as far away from the mother as possible. It flung itself into the wall where it could hear the neighboring mother clucking to her baby. The baby peeped more frantically and loudly than I’ve ever heard a chick cry out before, it sounded like it was in grave distress and danger. We moved it back to its mother and she fluffed out her wings around it just like she was supposed to do and I thought all would be all right, but…silence. The mother did not talk. Her baby desperately struggled out from under her, still not able to walk, still wet, and flung itself back into the corner, sinking down under the straw, crying piteously. Silence from the mother.

Talk to your baby, we pleaded. Your baby needs to hear you. Please talk to your baby. Silence. The baby squished down on the wire slats, pressed into the corner of the box, screaming at the top of its chick-lungs. The mother in the next box became distressed as well, calling back to the baby more and more loudly. The chick became more frenzied and flopping. The baby in the next box picked up on the fear and began peeping loudly as well. Still, the new mother sat silently and unresponsive. Talk to your baby. We left her alone, thinking her instincts would kick in, but as time passed and we could hear the chick screaming from all the way across the yard, we went back to interfere. We tried twice more to put it back under her and again the same routine repeated. We became concerned the baby would die if its level of distress continued, particularly with forcing itself down and under the straw and into the wire, so we made the decision to remove it and put it in “foster care” with the other, responsive mother. We thought she might attack it, since it wasn’t her own hatchling and because it was several days behind her own baby, but she snuggled it right up, clucking in reassurance, and it went to sleep, the next morning it was fluffy and quiet and perfectly happy with its new mother. The red hen continued to sit, silent, and unresponsive, and of course I felt horrible for stealing her baby and giving it to someone else after she’d worked so hard to hatch it. Luckily for the mental health of all involved, she successfully hatched one more baby and did take care of it, albeit still quite silently compared to all other mama hens we’ve experienced.

What does this have to do with birth?

Babies are primed to hear their mothers’ voices after birth. They expect to be snuggled into the maternal nest. Mammal babies expect to receive a warm breast and to hear comforting words in their own language. I feel fortunate that my own birth pause was respected after all my children’s births and that each baby felt only my hands and heard my voice for their first minutes of life. I talked to all my babies, soothingly and lovingly, and then brought them to my breast. My midwife and the other people around me did not interfere with these sacred, timeless moments of introduction.

It has been several years now, but I’ve worked with a couple of mothers for breastfeeding help postpartum who were unwilling or unable to talk to their babies, even with direct encouragement to do so. Baby was expecting mother’s voice and mother was unable to give it. Not surprisingly to me, these mothers experienced significant difficulty in getting baby to breast. I believe baby is expecting mother’s voice as a guide to the breast as much as it is expecting the smell of her and the sound of her heartbeat. Baby is not expecting multiple, strange voices from nurses (or even helpful breastfeeding helpers like me!). Baby is not expecting gloved hands. Baby is not expecting bright lights or loud noises. Baby is most definitely not expecting to be “helped” to the breast and “shoved” on as many mothers describe experiencing after their births. In Breastfeeding Answers Made Simple, the author emphasizes that what motherbaby pairs need most to successfully breastfeed is time alone to get to know each other. Mother and baby need to explore each other’s bodies and to listen to each other. She points out that with many people in the room, even well-meaning people, mothers have trouble getting to know their babies and getting babies to breastfeed. She says the most helpful strategy to supporting early breastfeeding is to get out of the way and let mother talk to her baby, smell her baby, touch her baby, meet her baby, and learn about her baby.

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The non-communicative mother and her second baby, who was okay without much talking.

What are we really imprinting upon many newborns at birth in our culture?

As Sister MorningStar writes in her article The Newborn Imprint in Midwifery Today issue 104, Winter 2012…

If you have had the misfortune, as nearly all of us who can read and write have had, to see a baby born, perhaps pulled out, under bright lights with glaring eyes and loud noises of all sorts, in a setting that smells like nothing human, with a mother shocked and teary and scared; if you have witnessed or performed touch that can only be described as brutal and cruel in any other setting…

Every baby born deserves uninterrupted, undisturbed contact with her mother in the environment the mother has nested by her own instinctual nature to create. Any movement we make to enter that inner and external womb must be acknowledged as disturbing and violating to what nature is protecting. We do not know the long-term effects of such disturbance. We cannot consider too seriously a decision to disturb a newborn by touch, sound, light, smell and taste that is different and beyond what the mother is naturally and instinctually providing. Even facilitating is often unnecessary if the motherbaby are given space and time to explore and relate to one another and the life-altering experience they just survived. They both have been turned inside out, one from the other, and the moment to face that seemingly impossible feat cannot be rushed without compromise. We have no right to compromise either a mother or a baby.

I am deliberately leaving out the issue of life-saving because it has become the license for full-scale abuse to every baby born… [emphasis mine]

If mother has been taken to an operating room to give birth, or if mother is for any reason overwhelmed, exhausted, scared, vulnerable, hurt, and traumatized, she may have great difficulty in talking to her baby. If the room is full of people, baby may have difficult hearing her mother’s voice and feeling her welcoming touch. If baby is greeted by a bright light and masked face instead of her mother’s voice, baby may cry loudly in distress and eventually “shut down” into sleep rather than immediately to breastfeeding.

What can we do?

Beyond the obvious answers in carefully choosing place of birth and birth attendant, we can talk to the babies. If birth has been long, scary, or otherwise difficult, talk to the baby. If baby needs immediate care after birth, try as hard as humanly possible to have that care take place on mother’s chest and in reach of mother’s voice. If baby has to be separated from mother, talk to the baby. Call out to him. If mother can’t call out to the baby, father can talk to the baby. If father is unable, doula or midwife or nurse can talk to the baby. Welcome her to the world, reassure her that she is safe and all will be well. Speak gently and soothingly and kindly, never forgetting that this is a new person’s introduction to the world and to life. 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.

“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

“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)

 “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)”

 

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Book Review: Fathers-To-Be Handbook: A Road Map for the Transition to Fatherhood


Fathers-To-Be Handbook: A Road Map for the Transition to Fatherhood
By Patrick Houser
Creative Life Systems, 2007
Softcover, 160 pages, $16.95.
ISBN: 978-0-615-23338-3
www.fatherstobe.org

Reviewed by Molly Remer
http://talkbirth.me

I am delighted to see another contribution to a growing body of birth and fatherhood literature written for men. Unlike many fathering books I’ve reviewed, the Fathers-To-Be Handbook was actually written by a man! This man-to-man, father-to-father perspective is a valuable strength of the book.

Patrick Houser is the father of two boys, both born at home with a midwife. His second son, born in 1980 in Missouri, was the first documented water birth in the U.S. The author has been based in the U.K. for a number of years now and is the co-founder of a wonderful organization called Fathers-To-Be, offering resources and education for expectant fathers as well as to the childbirth professionals who work with them.

Fathers-To-Be Handbook is a quick read and is a small-size paperback; like a “pocket guide.” It is definitely meant to accompany other reading and classes. It does not have an index, but does have a helpful resources section.

The first several chapters of the book are about the experience of fathering—about becoming a father, your personal history with your own father (“fathering school”—what was your teacher like?), the importance of fathers, and the journey through pregnancy. The final four chapters address preparing for birth, giving good support, empowered birth, and fathering the newborn. The handbook is very supportive of midwifery, homebirth, and doulas. It also encourages fathers to have a male support person nearby the birthing room (or perhaps available for support by phone).

As the author states in an article included at the end of the handbook, “Humanity cannot invent a drug that can work better than a mother’s body can manufacture or a knife that is sharper than her instinctual nature.” I deeply enjoyed an addition to birth literature that both honors the father’s experience and is rooted in a positive, healthy, celebratory approach towards birth and the inherent capabilities of a woman’s body.

Disclosures: I received a complimentary copy of the book for review purposes.

Amazon affiliate link included in image and book title.

Review first published at Citizens for Midwifery.