Book Review: The Father’s Home Birth Handbook

Nov2

I came to my attention today that I have never posted this book review! (also, as I prepared to “tag” this post, I realized that I don’t have a tag set up for “homebirth.” Can this really be true??!!)

The Father’s Home Birth Handbook

By Leah Hazard
Victoria Park Press, 2008
Softcover, 208 pages
ISBN: 978-0-9560711-0-1
www.homebirthbook.com

Reviewed by Molly Remer, MSW, ICCE

The Father’s Home Birth Handbook is a succinct and easy to read little guide for fathers and adds to the growing library of birth resources specifically geared towards fathers-to-be. The book is written by a woman, but contains ample quotes from fathers which lend a male perspective. It also includes a number of good birth stories interspersed throughout, which were all written by men.

The target audience for the handbook is easily summed up in the prologue: “…I’ve met far more men who have responded to their partners’ home birth wishes with a mixture of shock, cynicism, and fear…Far from being domineering ogres who just want to see wifey tucked ‘safely’ away a hospital, these loving fathers have simply had very little access to accurate, impartial information about the safety and logistics of home births versus hospital births.”

The first chapter addresses “Risk & Responsibility,” because that is one of the very first issues of concern for most people new to the idea of homebirth. It moves on to a chapter called “Think Positive,” followed by “Choosing the Guest List” and then one titled “Pleasure and Pain” This chapter covers comfort measures and what to do while the woman you love is giving birth: “…away from the intravenous drip and ticking clocks, you can support your partner in experiencing labour in all of its awesome, challenging power.”

Chapter five—“Birth: Normal and Extraordinary” covers Labor 101 topics, including what to do with the placenta. This is followed by “Challenges & Complications” which covers some common issues of concern such as premature labor, being overdue, prolonged labor, distressed baby, cord around the neck, tearing, and blood loss. Each of these is followed by a “what can I do to help?” section.

The final chapter—“Now What?”—concludes with a nice segment called “how can I carry the lessons I’ve learned from my homebirth with me into the rest of my life as a father?”

Published in Scotland, the handbook has a UK perspective—it assumes participation in the NHS and a “booked” midwife and homebirth. There is no “how to choose a midwife” type of section (because there is no choice of midwives). For US readers, this leaves a set of issues unaddressed—such as varying legal statuses, etc. UK specific issues also arise based on the possibility of caregivers who are not thrilled about homebirth, but who have to come to the birth since it is a government supported option. It comes across that in Scotland homebirth may seem readily okay on paper, but in reality is more difficult to pull off.

The book does briefly discuss the birth climate in the US and soundly critiques ACOG’s position on homebirth.

The book has an index and a resources section.

The Father’s Home Birth Handbook is a friendly, practical, matter-of-fact, helpful little guide that neatly addresses common questions and concerns many fathers-to-be have about planning a homebirth.

——————

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

Associated amusing anecdote: my then three year old noticed me reading this book, looked at the cover and said, “The dad is trying to grab him, but that little baby is floating away!

Centering for Birth

Oct28

I have a strong commitment to active birth—the use of movements, position changes, and most of all laboring out of bed. As a result, in my classes I tend to emphasize movement-based coping strategies for labor. However, I have also come to realize that coping measures employing relaxation and breath awareness are extremely valuable. These tools cannot be stripped away from the birthing woman. Whatever happens during birth, whatever unforeseen circumstances that arise, or if her need for activity runs smack into the hospital’s need for passivity, the breath—and breath based tools—cannot be taken from her. I do not teach patterned breathing techniques in my classes, but I do teach various breath awareness skills.

Centering is a breath awareness strategy that I’ve adapted for use in birth classes based on the ten second centering process described in the short book Ten Zen Seconds. Using the breath as a “container” for a thought or affirmation is the basis of centering. A meditative technique, the purpose is to “center” and to become mindful of the present moment. The container is a 10 second long breath—a five second in-breath and a five second out-breath—that holds a thought. You think the first half of the phrase on the in breath and the second half on the out breath (Maisel, 2007). Use this technique once or twice to “greet” the contraction and then continue breathing with awareness throughout the remainder of the contraction.

Some suggestions of centering thoughts to use during birthing include:

(I am open) (to birth)

(I am ready) (for my baby)

(I welcome) (my labor)

(I am confident) (and strong)

(Right here) (right now)

(I am equal) (to this challenge)

(I embrace) (this moment)

A pdf handout describing this technique (for use in birth classes), is now available here: Centering.

Another phrase I find useful in daily life, as well as applicable to birth is (I expect) (nothing). While this may initially appear pessimistic, it is a very useful reminder of the idea that most emotional suffering in life is a result of attachment to how something “should” be (i.e. “labor should only be taking 12 hours) (Dyer, 2002).

I frequently remind my birth class participants that coping techniques work best when they are incorporated into daily life rather than “dusted off” for use only during labor. Centering is a skill that is readily incorporated into real life. Indeed, when I first learned the technique, I quickly realized that it was a skill that I will use for the rest of my life. I let my class participants know that I regard this as a life skill, that happens to also be useful for birthing. It is essentially a tiny meditation technique that can be more readily incorporated into one’s daily life (especially a life that includes small children) than traditional, dedicated, more elaborate meditation techniques.

—–

Molly Remer, MSW, CCCE is a certified birth educator, writer, activist, and mother of two young sons. She is an LLL Leader and editor of the Friends of Missouri Midwives newsletter. She blogs about birth at http://talkbirth.me, midwifery at http://cfmidwifery.blogspot.com, and miscarriage at http://tinyfootprintsonmyheart.wordpress.com

References:

Dyer, Wayne. Ten Secrets for Success and Inner Peace, Hay House. March 2002.

Maisel, Eric. Ten Zen Seconds, Sourcebooks, Inc. March 2007.

—-

This article is modified from one that originally appeared in The International Journal of Childbirth Education, July 2009 (page 20)

Celebrate the Woman Pregnant

Oct27

Celebrate the Woman Pregnant

By Ani Tuzman

A woman pregnant,

I long to be seen

belly protruding,

life invisibly visible

churning inside

I want to be seen

honored, revered,

Exalted

not as my person,

but as the Miracle itself

of life begetting life

of human birth

Celebrate the woman

pregnant

don’t set her aside

nor cast her off as disabled,

or ever less woman;

Revel with her

feeling her firmness

knowing her softness

Carve her rare beauty

in smooth white marble

Look upon her.

Celebrate the woman pregnant

Hers is to know

the creative moment

of Life incarnating

——–

This poem came in the pregnancy newsletter I get from Mothering.com and it reminded me of the “magic” of being pregnant. I love that feeling (I’ve written about it before in the “the pregnant glow“). After this new baby is born, we do not plan to have any more children (though I have said to my husband, “what if she’s just so awesome we want to have one more?”) and I’m trying to take special time to savor and enjoy that magic feeling of being pregnant, since I will likely not experience it again personally. I told a friend recently that I feel like maybe I’m not savoring as much as I “should” be and realized that I think when I think of savoring, I think I’m picturing sitting around for hours rubbing my belly—possibly making multiple belly casts and drawing some fabulous art as well. Oh, and making some sculptures. And, then sitting and rubbing some more—preferably in the sunshine 😉 I have been making a very conscious effort to downscale my commitments to allow for more of this. I’m also taking a leave from teaching birth classes—I feel like I want to focus on my own pregnancy, rather than on other people’s. I feel a real inward-draw and not so much like being “of service” to others (I’ve been feeling this inner call since Noah was born last year, actually, but it has taken a while to actually get to the downscaling part). I also find that teaching college classes “uses up” most of my available teaching energy and I don’t have as much to give to birth classes—I am not expecting this to be a permanent leave, birthwork is too important to me for that, but I want to heed my inward call. I’ll have to stick with “virtual” birth education via this blog for a while!

I’ve had a post pending for a while that I guess will never get posted, about life balance and feeling like I’ve not been living up to a good guiding quote—“the things that matter most should never be at the mercy of the things that matter least.” Instead, the things that had been getting cut from my schedule were things like hanging out with my friends, sitting in the sunshine, writing in my journal, rubbing my belly, snuggling with my husband, reading books to my kids, chatting with my mom—HELLO! Not a good idea. So, I’ve done some cutting, some saying no, and also just some mental readjusting about how I think about things (like my to-do list). I’ve also been doing a “conditions of enoughness” thing that I learned from Jen Louden, wherein you set some conditions of enoughness for the day—not, just keep burning until the day is used up, not, “I can probably do this one more thing” and likewise not a “bare minimum” approach, but what is enough on a given day. Usually, this does not mean accomplishing everything on one’s to-do list, and it leaves some time leftover in the day for self-care—which is the piece I’ve been missing too. While everything is not perfect, obviously, I feel better about my life balance in recent weeks. My main reason for this downshifting is actually in preparation to enjoy my new baby when she gets here—I want to be all “cleared out” to enjoy a nice babymoon as well as to be free to take good care of myself as well as my baby.

The picture above was taken by my friend Karen at the park last week. She has launched a new photography business recently and if you click the picture, it will take you to her Facebook fan page. She is going to do both pregnancy photography and birth photography and I hope to have some more pictures in another month or so 🙂

And, I actually have been doing a lot of drawing during this pregnancy. Here is one I did when I was starting to re-incorporate the pregnant identity into my life again, as well as to feel some of the joy of pregnancy rather than just anxiety:

I’ve done others as well and then after finding out she is a girl, I drew this one:

Birth Blessing

Oct23

I have two friends who are right at full term (one slightly over) and eagerly awaiting their new little ones. I feel like I should be able to come up with beautiful birth blessings/wishes off the top of my head, but I had trouble coming up with anything profound, so I went looking online and found this lovely poem. I especially like the last eight lines. I wish you beautiful birthings, ladies!

Birth Blessing

by Natalie Evans

Close your eyes and breathe deep

Breathe in peace, breathe out pain

Imagine your feet

Toes curling into dirt

Think of yourself as rooted

Think of your place in the earth

How did you come to be here?

Through generations of women named

A maternal lineage

That brought you to this place

Think of their birth stories

What you know, what you believe to be true

Realize that their births carry deep wisdom

Some may carry the memory of joy and transcendence

Each birth is a powerful experience

Each birth traces down to you.

Just as you pass this knowledge on to your baby

Understand that your birth is your own

It will be different from all others

Like the swirls in your thumb

Your birth will have a unique pattern

Unfolding with each contraction

Rising and falling like a newborn’s chest

This birth belongs to you

This birth is an opening

This birth is the end and a beginning

May this blessing of birth come to you without fear

May this blessing of birth come to you with great understanding

My this blessing of birth make your heart soar

May this blessing of birth bring shouts of delight to your lips

Blessings to you and your birth.

—

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Pain with a Purpose?

Oct22

“The desire to help is so great, even from well-meaning, beautiful midwives, that they use intervention. We want to help. But what’s missing in our culture is that there is pain with a purpose, and that helping is sometimes interfering.” –Augustine Colebrook, CPM (quoted in “Do-it-Yourself Birth” article in Mothering mag)

When I shared this quote on the CfM Facebook page, a reader added: “Dr. Bradley wrote about ‘pain with a purpose’…Problem is, in our society, we don’t value the process of childbirth. Therefore, whatever it is you have to do to get thru it… Hence epidurals & nubain, and on and on. Please know I’m not dismissing your experiences if you went that route. But that phrase alone resonated with me when I was giving birth and helped me. I wish it would do so with more women.”

I’ve written a lot about birth having inherent value in its own right. Process AND “product” (i.e. healthy mom, healthy baby) are both important. A de-emphasis on the birth process and its significance in a woman’s life only serves to disempower, silence, invalidate, and violate women.

That said, I do also value the work of organizations like Hypnobabies that questions the very notion of pain as being an inherent part of birth.

So, what about pain?

I find that couples who come to my classes often have pain and managing pain (or witnessing pain) as their top issue of concern. For this reason, I spend time addressing the subject straight out and yes, I have been known to use the dreaded “pain with a purpose” phrase. Some would say that the word “pain” has no place in birth classes—that it sets women up for just that experience—however, as I noted, my clients come with “pain” on their minds and I find I need to use the p-word and sort of clear the air/get past that hurdle, before we do the rest of our work together. Also, as one of my clients once noted, “it wasn’t you who planted that seed [of pain being possible]. It was planted deeply a long time ago!”

And, what would be the purpose of pain in labor?

It is actually part of a beautiful hormonal symphony of labor—the sensations of labor signal our brains to release more endorphins, more endorphins leads to more oxytocin, and more oxytocin leads to increased intensity, which leads to more endorphins, etc., etc. When the pain to brain feedback loop is interrupted with medications, so too, are the oxytocin and endorphin messages that we need to get our babies born—and more interventions to “augment” labor are then likely to follow. As Preparing For Birth notes: “It is true that naturally occurring labor can feel larger and greater than the woman birthing. This is not so as she creates from within the very hormones that increase the strength, power, and frequency of her work of labor. That is the good news, it is from her, for her, by her.”

But, all these things said, I simply think the word “pain” is woefully inadequate to describe the feelings of labor. I like this description from Stephanie Soderblom better:

“VITA MUTARI – the literal translation from Latin to English is ‘Life Transformation.’ That is the closest thing I could think of the feeling of labor/birth…what you are feeling isn’t pain, it’s life transformation. Is it dramatic? You bet! I think it should be!”

I also love the description from Painless Childbirth:

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

Now that’s what I’m talking about, might of creation moving through you. The word “pain” is way too puny to hold that!

I always explain to my clients that the sensations of labor are more similar to the exertion of intense physical effort more than the pain associated with accident, illness, or injury—both the effort AND the exhilaration are similar to doing good, hard, challenging, limit-testing, but doable work (though even bigger and more important). We need a bigger and broader vocabulary for completely describing the breadth, range, intensity, and beauty of birth experiences! What if we had more choices other than “painful” and “painless” to describe the experiences of birthing our babies? Though I wouldn’t say my births were “painless,” when I describe my own birth experiences, “pain” is simply not the word that rises to the top as the most appropriate descriptor.

“So the question remains. Is childbirth painful? Yes. It can be, along with a thousand amazing sensations for which we have yet to find adequate language. Every Birth is different, and every woman’s experience and telling of her story will be unique.” –Marcie Macari

We end up limited when we use only “pain” based language that fails to embrace the broadness and complexity and enormity of the experience.

Newborn Alaina, January 2011

Call for contributions: personal birth stories for new booklet on birthing positions

Oct18

I received an email this weekend from a woman who is writing a booklet about birthing positions (non-profit and free for distributing when finished!). She is seeking contributions of birth stories to use in the book. Below is her message:

———————-

My name is Megan Layton. I have a strong interest in Women’s Health, current issues in obstetrics, as well as the cultural perceptions towards childbirth in general.

As well as being a Missouri native, a supporter of midwives and a woman’s right to an active role in childbirth, I am also a graduate student at the School of the Art Institute of Chicago. Currently I am working on a small, illustrated publication that focuses on birthing positions. The small book will be informative, fun, attractive, and free for distribution and copying. It is my intent to emphasize a woman’s choice during labor and childbirth, and not advocate for any particular position, provider, or setting, but merely convey the options available as well as the potential for birth to be a profound, empowering experience.

Part of the booklet will be first hand accounts of birth—oral histories from women who have had many different birthing experiences.

This is the reason I write to you: to ask that you share this with women who would be willing to share their personal stories, as well as any advice they could give to a woman who is about to experience childbirth for the first time.

Long or short, joyous or rational, funny or sad–any and all stories are welcome, and will be greatly appreciated. At the end of reviewing the narratives, I will ask those women whose stories best suit the publication for permission to use them. As well, I will send copies to all those who graciously allow me to reproduce their words.

All stories, narratives, and questions can be emailed via this link.

—————————

It sounds like a wonderful project to me!

It also reminded me of my previous postings about how to use a hospital bed without lying down. I tell all my clients if they remember only ONE thing from my classes, it is see the hospital bed as a “platform” and a tool in their toolbox—NOT as a place to lie down!

And, here are links to my own birth stories (each which involved freedom of movement during labor as an integral piece!)

First son’s birth (at freestanding birth center): https://talkbirth.wordpress.com/2009/02/25/my-first-birth/

Second son’s birth (at home): https://talkbirth.wordpress.com/2009/02/25/my-second-birth/

Third son’s birth (miscarriage at home at 15 weeks): https://talkbirth.wordpress.com/2010/05/03/noahs-birth-story-warning-miscarriagebaby-loss/

Arkansas Traveler Baby

Oct14

This past weekend we took a family trip to go quartz mining in Arkansas. On our way, we stopped at Ultrasona of the Ozarks and had one final ultrasound (not going to get into my cognitive dissonance about over-using ultrasound during this pregnancy in this post, but hope to write about it someday). We found out that baby is definitely a girl! It was very obvious—we both could tell before the tech said anything.

Baby's face

Here is the picture of her little face. I know u/s pictures all look the same, but I think she is cute! And, we saw her yawn 🙂

Here are two cute pix of her little feet. The blob nearby is her HEAD, because she is all squished up with her feet by her head.

I’ve been going for “alive” as my primary goal during this whole pregnancy, but having a girl baby is a fun bonus 🙂 It is really important to me to be able to name her and bond with her as fully as possibly while pregnant (which I know is fully possible without ultrasounds, but for me, it has been “humanizing” to see her and think of her as a real baby and not just think, “don’t die” thoughts and “IF I have a baby” thoughts).

We stopped and took some pix overlooking the Buffalo River Gorge (Arkansas Grand Canyon):

We then went on to Mount Ida, AR and to a gem and crystal show/event that was being held (coincidentally) that weekend. The following day, we went to Wegner Crystal Mine. We packed into the back of a pickup and were bounced and jounced up to the top of a mountain where we then dug for quartz. Quartz is mined above ground. These mines are all on National Forest land and while it looks like a somewhat horrible scar/blight on the landscape, they are heavily monitored/restricted, so the actual mine can only cover so much ground, etc. We had a fabulous time and left with two buckets of quartz.

Youngest crystal miner ever 🙂

On Sunday, we took a day trip to Crater of Diamonds State Park in Murfreesboro, AR. I burned out there very quickly and do not recommend diamond mining to anyone who is pregnant! Partially it was the futility—I knew we weren’t going to find any diamonds!—and it was really hot and there was no shade so sun was just blasting down on my head and I felt ill/off. My husband did take home two buckets of jasper and agate, which was his main reason for visiting this park, more than possibly finding any diamonds.

Showing off ALL the diamonds we found...

When I woke up on Monday morning, I had some totally unexpected and unexplained mystery spotting that almost sent us home without going to the final mine. I’ve written on my other blog about my tenuous sense of security and trust during this pregnancy and how I feel like there is no “safe” point anymore. It is really sad to me how very, very quickly my equilibrium can be thrown off and how quickly I sink into negative/depressing thoughts. As soon as I saw the blood, I thought that I was probably going to go into premature labor at a quartz mine and have to be rushed to some Arkansas hospital with a tiny baby struggling for life in an NICU. While I do still have trust in my body’s inherent wisdom, etc., etc. I do not have the same strong sense of my body as an ally anymore—I used to trust it implicitly to take care of and protect my babies. Now, I don’t know if it really knows how to do that, or not. Most of the time, I think it probably does and that it was also body wisdom (not failure) that caused my losses, but then the tiniest thing can happen and then I see that something else is lurking very close under the surface—a lack of confidence that I do know what I’m doing and that my body will look out for and protect my baby girl with its inherent wisdom and comptent design. 😦 Wah. It was a bummer. I cried and was all upset and then realized I’d probably just physiologically taxed myself at the #%&*% diamond mine the day before and this was just a little, “hey! Take care of yourself!” reminder signal, not an indicator of immediate doom. Nothing else happened the rest of the day (or since), just that confidence-shaking morning incident (I’ve NEVER had bleeding/spotting this late in a pregnancy before and have had none at all during this pregnancy).

Anyway, we finished our trip by going to Arrowhead Crystal Mine—this one we drove to ourselves and the road was hideous, but we made it to the top!

And, we found lots of good stuff:

And on the way home, I crocheted a little hat :):

Think it will fit?

I’m starting to spend a little more time thinking about the actual birth and what I’d like and what I’d like to make sure I do to savor and enjoy and celebrate this pregnancy and this baby before she is born. I also have been doing a LOT of thinking of what I will change/let go of after she is born and what I would like for a babymoon as well as making arrangments to take some breaks from some of my commitments so that I can fully enjoy the newborn stage and make sure I am taking really good care of myself. I was offered a class for the January session at the college where I teach—by pure coincidence I hadn’t been on the Jan. schedule at either local campus and I was glad not to have to turn them down (because I really want to do this and by “rejecting” a class offering, I don’t want that to be perceived as a lack of interest from me)—but, then I got offered one after all and then I did have to say, “no.” It is a class I’ve taught before and that I LOVE teaching—it is my favorite one—and saying no to it was hard, but duh, I couldn’t say yes (and, btw, they said that was fine and I could teach it in March instead. So, was that so hard?!). I think I will be teaching an online class during the Jan. session, but that I can handle—I will just make sure to do NOTHING else in addition to that and taking care of the new baby.

Still can’t really believe there’s a baby girl in there. I was just telling a friend about how it is difficult to field comments from others about, “hoping for a girl this time” or, “you finally got your girl” kinds of things—it makes me not want to act too excited about having a girl, because I don’t want anyone to think that I feel that way. I love my boys and wouldn’t have my family any other way—and, I would have been perfectly happy to have another boy (I thought I was going to for sure!). So, acting happy about a girl, makes me feel like I’m saying that I’m not happy with my boys. But, I’m happy about both! I’ve never, ever wished Z was a girl instead—I love having a pair of boys. It’s great. If Noah was here with us as the third member of our band of brothers I would have been pleased as pleased can be. (see my fair warning post on my other blog.) I think it’s too bad we feel like we have to clarify/specify that! And, I hope I remember forever to not ever say those kinds of things to anyone either! So, anyway. A GIRL! I’m excited 🙂

Book Review: Survivor Moms

Sep24

Book Review: Survivor Moms: Women’s Stories of Birthing, Mothering and Healing after Sexual Abuse

By Mickey Sperlich & Julia Seng
Motherbaby Press, 2008
ISBN 978-1-89-044641-3
245 pages, softcover
http://www.midwiferytoday.com

Reviewed by Molly Remer, MSW, CCCE

Past sexual abuse is an unfortunately common experience for women. Anyone who works with women of childbearing age should be mindful and informed of the effects of an abuse history on the woman’s experience of pregnancy, birthing, and mothering. Indeed, I consider this awareness to be a fundamental professional responsibility. Enter Survivor Moms, published by Motherbaby Press. This book is an incredibly in-depth look at the experiences and need of survivors of sexual abuse during the childbearing year.

One of the best and most unique features of the book is the “tab” format used for much of the clinical, research-based, or fact-based content in the book. Rather than lengthy chapters reviewing research and analyzing the phenomenon, textboxes containing quick facts and reference material are printed in the margins of many of the pages. The bulk of the narrative information in the main body of the text is then in the voices of mothers themselves, interspersed with commentary by the authors linking concepts, explaining ideas, and clarifying essentials. This is a powerful format that makes information readily and quickly available for reference as well as making the overall book very readable and approachable.

As someone with no personal abuse history who is currently pregnant, I did find the book to be a very emotionally difficult, intense, and almost overwhelming read at times. This is not a criticism in any way—sexual abuse is not a light or cheerful topic and it can be one that many people prefer to avoid. This is all the more reason for birth professionals to make a specific effort to be educated and informed.

Written both for mothers themselves and for the professionals who work with them, Survivor Moms is an essential part of any birth professional’s library. As noted in the book’s introduction, “We need to understand the impact of childhood abuse on birthing and mothering deeply, from hearing women’s stories. We also need to understand it broadly—from looking at the impact on samples and populations, on the body and on the culture.” Survivor Moms offers an accessible way of hearing those critically important stories and developing the necessary understanding to care compassionately for birthing women.

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

Birth Waves

Sep18

‎”Uterine contractions are felt by many women to sweep towards them, rise in crescendo and then fade away like waves of the sea, so that wave imagery is very useful when describing the sensations they produce. This wave imagery is closely associated with the idea of rhythm, which is all important in harmonious psychosomatic adaptation to labor.”

–Sheila Kitzinger (Education and Counseling for Childbirth)

Sheila Kitzinger is one of my all-time favorite birth writers and I quote her frequently. She has such a beautifully lyrical writing style.

I’ve noted before that even though I’m not much of a “water” person, wave/water imagery and analogies always strike me as very right/true for my own birth experiences. I shared the quote above on the CfM Facebook page and one person made a comment that quotes like the one above “hide” the truth about how birth is painful and that perhaps we should stop talking in flowery images and instead address how it really is. What was interesting to me is that I do not associate “wave” images with lack of pain or lack of intense sensation. Indeed, somewhat of the opposite! This is one of my personal experiences that leads me to identify with quotes about waves, water, and birth:

With my second baby, I described the contractions as having a “sharp edge” to them. My mental imagery of water and birth was not so much of peaceful, lapping waves, but of intense waves CRASHING into/around a rock. They would then part and flow around the rock (i.e. me), so it wouldn’t get knocked down by them but would be there waiting for the next wave to crash into it…I actually have this same image come to mind during the tough moments of parenting young children!

Additionally, the way contractions build to a peak of intensity much the way waves crest and break, as well as the unstoppable rhythm and flow of them also held power and relevance for me. The ocean is BIG and waves are powerful and so is birth!

Humor and Labor

Sep16

“Don’t forget to bring your sense of humor to your labor.” ~ Ina May Gaskin

I chose this quote to share on the Citizens for Midwifery Facebook page this week because it made me think about my own labor experiences.

I made jokes during the end of all of my labors and then laughed at my own wit—in a stroke of coincidence, one of the jokes was actually about Spiritual Midwifery ;-D I had just been told I was fully dilated with my first baby and I couldn’t believe it and said I was, “feeling all trippy like in Spiritual Midwifery.” With my second baby, I had inadvertently started saying “ouchie, ouchie” at the peaks of contractions and then joked, “ouchie, ouchie is a dorky thing to be saying!” With my third labor, which was an early second trimester miscarriage, I even managed to find some humor, joking to myself that I really should, “get into extreme sports” rather than keep having babies.

On a somewhat related note, one of my fears going into my first birth was about “being mean” to my husband and mother during labor. I think this idea came from all the media representations of women being “out of control” and yelling mean things at their husbands and/or grabbing the collars of their shirts and saying, “you did this to me!” and other such things. My actual experience was that I was nicer during labor than I am during my everyday life! I told my husband I loved him several times (perhaps because the normal hormonal symphony of labor was undisturbed) and we hugged and kissed and I felt very connected to him in the process of bringing our baby into the world. I think feeling safe and undisturbed is critical to birth for a variety of reasons, but one of them is to prevent fight-or-flight stress reactions from being activated. I had no reason to “turn mean” and snarl at my support people, because I was in my own protected environment with only a few carefully chosen people around me. When I think about those women snapping at their husbands during labor in media representations (i.e. being used as comic relief, rather than bringing their own sense of humor to labor!), I see a trapped, mistreated animal snarling and snapping and anyone who comes close 😦

I cannot remember being distressed or annoyed or upset with anything my husband or mom said during my labors. They knew well in advance that having quiet people in attendance is of paramount importance to me—aside from the obvious things, the top element of any birth plan for me is “NO extraneous noise or chatter.” Extra noise causes women to leave their “birth brain” mode (right brain) and switch into the logical, analytical part of their brain (left brain) which is not helpful to a physiological labor. The only person who was allowed to talk (or make jokes!) during my labors was ME! And, I could trust that the people around me would respect that.