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Giveaway: Arms Wide Open: A Midwife’s Journey

Cover imageGiveaway is now closed! Jen Chendea is the winner!
I’m happy to host a holiday giveaway of Patsy Harman’s book, Arms Wide Open. To enter, just leave a comment sharing what giving birth taught you about yourself! I will draw the winner randomly on January 1.

An excerpt from my review of the book:

Harman’s writing style is lyrical and engaging as well as candid. The book is based on personal journals and reading it feels like eavesdropping on someone’s very private thoughts and feelings. The book is much more of a look at a woman’s feelings about her life, than it is a “manifesto” about birth or about the practice of midwifery. In this manner, I feel like you receive a much more complete picture of a midwife’s life and journey, rather than reading a sequence of birth stories. Patsy has a lot of life in addition to birth. While definitely not a “feel good” book, Arms Wide Open is a deeply touching and very honest exploration of one woman’s personal journey in life, love, motherhood, and midwifery.

via Book Review: Arms Wide Open: A Midwife’s Journey « Talk Birth.

Birth Quotes of the Month

As always, while these quotes are obviously not my own words, I do appreciate a link back to my site if you re-post them because I have a significant amount of legwork invested in finding and typing the quotes. Most are not recycled from other pages (I give credit if they are), but are typed up when they catch my eye in the books/magazines/journals I’m reading.

“The first few months after a baby comes can be a lot like floating in a jar of honey—very sweet and golden, but very sticky too.” –American College of Nurse-Midwives

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

“There is nobody, out the other side of that sort of strong birth, who is not better prepared to meet the absolutely remarkable challenges of parenthood. When the power and trust is transferred to the mother, when she delivers her child, rather than ‘is delivered’ when she chooses, rather than ‘is allowed’, no matter what sort of technical birth she has, she is stronger, fiercer, and better. After a trip like that, you would kill for that child, and you know you can.” —The Yarn Harlot

Why do birth work? “I do it, because nothing else… nothing else, compares to watching a woman move mountains with her own self, to watching her rise to a challenge and meet the moment with all she has, and that experience is only enhanced when she is supported by those who care for her, respect her, and want her to be empowered by the journey.” –The Yarn Harlot

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

“Birth Freedom is inevitable. The natural progression is for people to move from tyranny to liberty. The agents of the status quo, however, rarely yield power without a fight.” –Senator John Loudon (ret.) in Midwifery Today e-news

“If I didn’t define myself for myself, I would be crunched into other people’s fantasies for me and eaten alive.” – Audre Lorde

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

“Woman is a glorious possibility; the future of the world is hers.” – Matilda Gage

“In everyone’s life, at some time, our inner fire goes out. It is then burst into flame by an encounter with another human being. We should all be thankful for those people who rekindle the inner spirit.” ~Albert Schweitzer

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

“Don’t you dare, for one more second, surround yourself with people who are not aware of the greatness that you are.” (Roots of She by Amanda Oaks, via @ROAR! Empowering Women to Give Voice to Their Truth)

“We all start out knowing magic. We are born with whirlwinds, forest fires, and comets inside us. We are born able to sing to birds and read the clouds and see our destiny in grains of sand. But then we get the magic educated right out of our souls.” -Robert R. McGammon

“It’s hard to describe if you’ve never been there, but to watch a woman access her full power as a woman to give birth is awe-inspiring, and I never get tired of being witness to it. It’s an honor to watch that transformation take place.” ~ Julie Bates, CNM

“The emerging woman..will be strong-minded, strong-hearted, strong-souled, and strong-bodied…strength and beauty must go together.” ~Louisa May Alcott

“We must relearn to trust the feminine, to trust women and their bodies as authoritative regarding the children they carry and the way they must birth them.” –Elizabeth Davis, CPM

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

“The purpose of life is not to maintain personal comfort; it’s to grow the soul.” –Christina Baldwin

“Everyone who interacts with a pregnant woman is, in some way, her ‘teacher.’ Telling birth stories, sharing resources, imparting obstetrical information, giving advice or warnings—these are all direct or indirect ways of teaching about birth and parenting. Whether you currently identify yourself as a ‘childbirth teacher,’ or you are a midwife, doctor, doula, yoga teacher, nurse, therapist, breastfeeding counselor, or you are simply a woman or man who cares about the power of the childbearing year, you already hold the power of mentoring within you.” –Pam England

“The purpose of our lives is to give birth to the best which is within us.” –Marianne Williamson

“There is no single formula for motherhood and writing that suits us all. Instead, there are many paths on this literary journey, all leading to the same destination, each equally valuable.” – Elif Shafak

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

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

“Midwives often forget that our beliefs in [mom’s] abilities can alter her accomplishments. It is important to check our hearts and push through any lack of belief that may inhibit her strengths. This may sound silly or ethereal, but I guarantee it can make a difference for a laboring mom and family.” ~ Carol Gautschi (Midwifery Today)

“Hormones have a kind of crazy rhythm that you can trust. Behind them is internal intelligence; try listening instead of controlling. When hormones are ‘raging,’ they exaggerate what’s already going on internally as a signal for us to pay attention and learn from it.” –Camille Maurine (Meditation Secrets for Women)

“Since the release of adrenaline is highly contagious, the main preoccupation of an authentic midwife, after the paradigm shift, will be to maintain her own level of adrenaline as low as possible when she is close to a labouring woman. Midwives of the future will also need to train themselves to remain silent, since language is the most powerful stimulant of the neocortex. The silent knitting session will be a necessary step towards an understanding of what authentic midwifery is. We present it as the symbol of a vital new phase in the history of childbirth and midwifery.” –Michel Odent (in Midwifery Today)

“Sons branch out, but one woman leads to another.” –Margaret Atwood (quoted in Sacred Circles)

“We can no longer sit back and debate whether maternity care is evidence-based. We have seen that over and over again, in most cases, it is not…” –Connie Livingston

“If the first woman God ever made was strong enough to turn the world upside down all alone, together women ought to be able to turn it rightside up again.” –Sojourner Truth

“The intrinsic intelligence of women’s bodies can be sabotaged when they’re put into clinical settings, surrounded by strangers, and attached to machines that limit their freedom to move. They then risk falling victim to the powerful forces of fear, loneliness, doubt , and distrust, all of which increase pain. Their hopes for a normal birth disappear as quickly as the fluid in an IV bottle.” ~Peggy Vincent

“The problem is not that obstetricians are surgeons. They are. The problem is that society has invested surgeons with control over normal childbirth.” –Michael Klein, MD (in The Journal of Perinatal Education)

“Perhaps the greatest gift that women can give their daughters is to take precious care of their own lives—to develop their natural talents and to honor the opportunities that come their way. By so doing, they become vital models for their children as well as full women in their own right.” ~ Evelyn Bassoff

“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.” –Carol Christ

“Befriend fear, embrace struggle, trust nature, the process, and a baby’s wisdom.” –WYSH (Wear Your Spirit for Humanity see also https://talkbirth.wordpress.com/2011/05/25/birth-altar-wisdom/)

“Thousands of women today have had their babies born under modern humanitarian conditions–they are the first to disclaim any knowledge of the beauties of childbirth…” –Grantly Dick Read, Childbirth without Fear

“I am not free while any woman is unfree, even when her shackles are very different from my own.” –Audre Lorde

“Not only do I trust my body, I am in awe of all it can do. I don’t know if I will ever be able to accomplish anything as marvelous as birthing and nursing two babies. That is more amazing to me than running a marathon or climbing a mountain. I have created and nurtured life; nothing tops that. ” ~ Corbin Lewars (via Midwifery Today)

“Humanizing birth means understanding that the woman giving birth is a human being, not a machine and not just a container for making babies. Showing women—half of all people—that they are inferior and inadequate by taking away their power to give birth is a tragedy for all society.” –Marsden Wagner

“I am sure that if the mothers of various nations could meet, there would be no more wars.” – E. M. Forster

“The strength that is displayed in labor and birth is something that no one can EVER take from you in your life. Elixir of courage.” –Desirre Andrews

Full Moon Calendar Mandala

I drew this full moon calendar mandala as part of an assignment for one of the classes I’m taking (we are working on our “wheel of the year” and holidays, etc.). While it was not specifically part of the assignment to do so, I found that drawing this mandala image helped me to explore and express my ideas. It contains the dates of all the full moons in 2012, as well as representations of the waxing and waning moons for the entire year. I initially set this to post as private, so it wouldn’t be visible to my blog readers and would only be available to my class, but then I reconsidered and thought other people might be interested in seeing it as well:

Full Moon Calendar Mandala

Guest Post: More Business of Being Born Mini-Review

In conjunction with the More Business of Being Born giveaway I’m currently hosting, I’m also pleased to share this mini-review of the first installment (Down on the Farm) guest posted by my friend and colleague, doula Summer:

More Business of Being Born

Down on the Farm: Conversations with Legendary Midwife Ina May

Reviewed by Summer Thorp-Lancaster

http://peacefulbeginnings.wordpress.com
http://summerdoula.wordpress.com

The first installation of More Business of Being Born, Down on the Farm: Conversations with Legendary Midwife Ina May, is infused with loving scenes of midwifery care, loads of vital information and even a few jokes (such as a gift referencing Ina May’s infamous “sphincter law”).  We are given an up close view of the well-known Farm in Tennessee, whose Midwives boast an exemplary track record of Midwife attended, out-of-hospital births. This record includes a less than 2% cesarean section rate in over 2500 births. Throughout the interviews, Ina May’s (and the other Midwives featured) reverence and respect for the Midwifery Model of Care is ever-present. Her passion for the safety and overall well-being of the motherbaby is palpable and stirring.

It would be impossible to cover the many aspects of birth, or even just Midwife attended out-of-hospital birth, in a full length film, let alone an episode, but this piece successfully touches on many topics and will (hopefully) lead to further discussion amongst viewers. As an activist, I found myself left with a renewed sense of action or purpose, a desire to do more and help more so that all mamas and babies have the opportunity to experience birth as the positive, loving and intimate experience it was meant to be as well as a deeper understanding of the crisis surrounding our medical model of birth. I would recommend this film to everyone, as the state of maternity care affects us all.

Spirit Doll

Traditional Akuaba figures

In the summer we started working on spirit dolls at our women’s retreat. I have always wanted to make one in the style of an Akuaba—an African fertility goddess-type figure—however, I felt like it would be quicker to make a different style and so that was the one I began working on in the summer. After letting her languish for months without finishing her, I realized after our fall retreat that I really wanted to make one according to my original vision. So, in two days, I worked feverishly and made this little beauty:

I love her! She’s just what I wanted to make. My boys say she looks like a gingerbread voodoo doll and she kind of does. That’s okay. I know what she really is!

Moon Salutation Yoga Series for Blessingway or Women’s Gathering

At my blessingway with my second son, my mom led us through a moon salutation together outside and then we all entered the blessingway space via a “birth arch” made with the women’s arms (think London Bridge only all in a row making a channel of arms to pass through). This weekend, we had a women’s retreat with the theme of the sacred body and I found this moon salutation from the book She Who Changes for us to do together—seemed fitting that with a theme of the body, we should actually use our bodies! (In addition to the moon salutation below, I also have a handout with a birthing room yoga series available.)

Moon Salutation
I stand tall, heart open to the world, body full and present in all of its beauty.

(c) Karen Orozco, Portraits & Paws (Molly at 37 weeks)

(standing with arms in prayer position)

I open my arms wide to bring all of life into my being.

(opening arms and tracing the circle of the moon)

My arms form a temple above me, sheltering and protecting me.

I know that I am on holy ground.

(arms completing the circle extended with palms touching above the head)

Yielding now, softening, my body takes the shape of the crescent moon.

I see visions of women, young and old, helping and loving each other.

(bending to the side with arms still above the head and palms touching)

Rising up and bending to the other side, I know that my softness is my strength. I am tested, but not broken.

(bending to the other side)

Up again, I feel the sweet stillness, always present within me.

(arms above head, palms still touching)

I step wide now into a squat. Mother Earth’s ferocious powers rise up through my strong legs, hips and back. As woman, I give birth to all that is, caring for and protecting life.

(arms bent in priestess pose, legs bent and open in birth pose)

Straightening arms and legs, I am a star. I am the universe. Planets and galaxies whirl within me. I radiate in all directions.

(legs straight and spread widely apart, arms straight out to the sides)

Supple and yielding, I stretch to the side. I open my arms and look up, opening to love and compassion.

I reach, yearning and striving, and yet rest, accepting fully.

(triangle pose)

Turning to pyramid pose, I become quiet. Head to knee, I sense the inner workings of my own being.

(typical runners’ stretch)

Lunging, I stretch long and feel the glorious length of my body.

As I look up, the moon shines on my path.

(lunge pose)

Turning now, I touch the earth, hands on the blessed Mother, strong and steady.

Gratefully and tenderly, I bow my head.

(turning and bending to touch the earth)

Coming into a squat, I am connected with all animal and plant life. My body open and close to the earth, I know my body’s ability to give birth, to love, to work, to pray. I resolve to hold all of these activities as sacred.

(full squat)

 

The Moon Salutation continues with the poses repeated in reverse order to form a complete circle and cycle of the moon with the whole body. The combination of words and yoga movement creates connections between the body and the mind, enabling the meaning of the words to come into the body. The full meaning of the Moon Salutation can be appreciated only in the doing. It celebrates the female body and the earth body, affirming that the female body is sacred, an image of the body of Goddess. It names the connection between women and the moon, positively affirming cycles of change, in contrast to classical theological traditions. In the Moon Salutation, women’s changing bodies and the process of giving birth become images of the divine creativity of the Goddess. The Moon Salutation celebrates strength as supple and yielding, yet ferocious in the protection of life. These are images of strength as power with, not power over. In the Moon Salutation, the female body is not perceived negatively as it is in traditions associating femininity with the “weaker” light of the moon. Still, it might be asked: Does the Moon Salutation limit women to the body or the traditional roles associated with it? I do not find this to be so. In the Moon Salutation the female body is an image of all the creative powers in the universe. It can expand to include planets and galaxies. The female body is celebrated not only for its capacity to give birth, but also for its ability to love, to work, and to pray.

From: Carol P. Christ. She Who Changes: Re-imagining the Divine in the World, Kindle Edition.

Have you met Pachamama?

I have a friend who was taking a mythology class in college this session. She sent me an email titled, “have you met Pachamama?” and included this great little picture:

I just love her! Love her serene little face and the yin-yang type of background.

“Pachamama is a goddess revered by the indigenous people of the Andes. Pachamama is usually translated as Mother Earth, but a more literal translation would be “Mother world” (in Aymara and Quechua mama = mother / pacha = world or land; and later widened in a modern meaning as the cosmos or the universe).[1] Pachamama and Inti are the most benevolent deities; they are worshiped in parts of the Andean mountain ranges, also known as Tawantinsuyu (the former Inca Empire) (stretching from present day Ecuador to Chile and northern Argentina being present day Peru the center of the empire with its capital city in Cuzco).”

http://en.wikipedia.org/wiki/Pachamama

Affordable Fetal Model

Two things to know about me:

1. I love dolls.

2. I love bargains.

For quite a while, I’ve wanted a realistic baby model to use in my birth classes. My ideal model could be used both for demonstrations of fetal positioning in the pelvis and also for demo’ing newborn care and possibly breastfeeding. Most fetal models sold by CBE supply companies range from $60-150. I usually use a Bitty Baby doll to demo newborn care and breastfeeding (a third thing to know about me is that my love of bargains makes an exception when it comes to American Girl dolls. I have an embarrassing number of AG dolls and vast quantities of accessories. I’ve had this Bitty Baby for over 10 years, I didn’t buy her to use in class). In my knitted uterus, resides a cute little baby doll I bought at Target for $5. Neither of these dolls works at all for fetal positioning or with my demonstration pelvis.

Look at this cute baby!

So, imagine my delight when I found a nearly perfect model newborn at Kmart yesterday while my son was picking out his birthday presents. I named her Sasha AND, get this, she was $20. In a bonus twist, unlike 99.9% of the dolls in the store, she did not come with a bottle! (There is a bottle pictured with a different doll on the back of the box.) She did come with a little cloth diaper, a onesie, a band to cover her cord stump (yes, she seems to have one, but it could just be a dramatic “outie”!), a little outfit, a hat, and socks. Called La Newborn (nursery doll), she is made by Berenguer.

Legs and arms straightened out a little

The only drawback is she is not very flexible and so would be hard to use comfortably for things like practicing putting on diapers. Her fairly flexed permanent body position does make her absolutely ideal for use for fetal positioning and even for swaddling or babywearing practice. I originally planned to take her arms and legs off to fill with plastic pellets to add weight, but I’d don’t think I’m going to bother. While nothing near the weight of a real baby, she is made from good quality vinyl.

After looking these dolls up various places online, I’m now thinking I should have bought the remaining one or two that they had at K-Mart. They don’t seem to be widely available for the $20 price.

This morning, my older son helped me take all kinds of pictures of my new toy—I mean, teaching aid!—today (yet another of the many benefits of having an 8 year old in the house!). So, this is a photo-heavy post!

See what I mean about well flexed for fetal positioning information?!

And now my Christmas pelvis gets in on the demo…

If the demo pelvis had a coccyx joint, the baby would fit perfect through. As it is, her head does get stuck on it (good teaching moment about the importance of active positions for birthing!)

Bitty Baby Noelle and Target Baby are less than impressed with this interloper…

Alaina helps take care of baby Sasha…

For sizing purposes—while I think she appears to be the perfect, realistic size when held up to my belly as a fetal model for positioning, when held in arms, she is more the size of a preemie baby (maybe a 31 weeker or so). She is about 15 inches.

Lann wanted me to take this one—“make them guess who’s the real baby!!!”—conveniently, Alaina closed her eyes for this picture, making identification of the real baby even trickier…



Edited to add, Baby Sasha later experienced an unfortunate accident and had to be replaced. See Fetal Model Update post for pictures.

Book Review: Evolve…a woman’s journey

Book Review: Evolve…a woman’s journey
by Patrick Stull
Stull Visual Arts, 2011
Hardcover, 164 pages, $44.95
Also available as an iPad app and as an iBook in Itunes for $9.99.
http://www.patrickstull.com/books/

Reviewed by Molly Remer

A combination of stirring photography celebrating the creative journey of pregnancy and lyrical ode to women, Evolve is a unique book presented by artist Patrick Stull. The author-photographer’s love, respect, and honor for women shines through on every page. The photographs are arresting and dramatic and the prose is poetic and beautiful. The book is part of a multimedia exhibit taking place in 2012. I would love to see the full exhibit, which involves full body casts as well as images and voice recordings.

Why would a man prepare a project such as this? According to his introduction, due to “this insatiable desire to be part of something that excludes me…I have found something within me that one might call love, though I think it is more a sense of attachment to something that makes me whole. I have fallen in love with this creature and she has left her imprint on my being, casting me out to share the love—the humanity I have found.” Later he also shares that: “I have discovered nothing more stunning, nothing more emotionally stirring, nothing more intriguing than a woman as she creates life.” He also has an activist purpose behind his work, asserting that one mission of the Evolve project is to help people recognize the strength and value that all women possess. Stull states, “I also want people to consider the daily injustices to women and children all over the world, and how often they suffer the greatest costs of conflict. Why are women treated so cruelly?”

The early photographs shared are the faces of the women we follow throughout the rest of the book. A short snippet of information about the woman’s life accompanies each portrait. One woman is a midwife and several mothers had homebirths and/or hired doulas or midwives for their births. Evolve is a high quality hardback book that would be a great addition to a birth center waiting room or midwife’s office. If the price for the hardback book is out of your budget, luckily there is an affordable iBook version available.

The overwhelming message received through Evolve is of pregnancy as an active process. The pictures are very active and dynamic in feel, celebrating form and motion. Evolve is not a book of “belly pictures,” it is a book about women and their lives in the act of creation.

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

Benefits of Prenatal Massage

In the U.S. there are more the six million pregnancies each year, and a growing number of women are opting to use massage to deal with the aches, pains and stress that come along with pregnancy. Studies have shown that prenatal massage can reduce anxiety, joint pain and swelling caused by poor circulation, according to the American Pregnancy Association. Massage therapists who are trained in prenatal massage must take extra precautions when giving an expectant mother a massage, including avoiding specific pressure points and ensuring the client is in a position that will not cause added stress to their body.

I recently had the opportunity to interview Colleen Bryan of Hand & Stone Massage and Facial Spa. about the benefits of prenatal massage:

Q: How can the benefits of massage transfer into the delivery/birthing room?
A. Regular massage can assist the labor process by enabling each woman to begin labor with less tension in the back, pelvis and legs. It also provides flexibility, prepares muscles and reduces stress levels which can improve the outcome of labor. It has been noted that labor is shorter with fewer complications for women who receive regular massage.

Q:  Are there any special tricks and tips that can be used through massage to help a birthing woman?
A: It takes a lot of hard physical work to get a baby into the world but steps can be taken to make that process easier. Regular massage throughout the second and third trimester will allow the muscles to be more relaxed and flexible through the delivery process. Not only does massage help throughout pregnancy and delivery but once baby and Mom are home that’s when disrupted sleep patterns need rejuvenation. A one hour massage is equivalent to three hours of deep sleep….often needed not only for Moms but Dads as well.

Q: When are the best times to receive a massage for pregnant women?
A: Pregnancy is a wonderful experience, but it often comes with physical challenges from a changing body. The second trimester is the safest time to start receiving regular massage, once or twice a month. Weight gain in the front of the body can change the center of gravity placing more stress on joints, the spine and muscles. Massage can offer relief from muscle pain and joint stiffness on into the third trimester as the baby grows and changes the body even more. At this time it would be beneficial to receive a massage every week.
Receiving massage during pregnancy is an excellent way to care for both Mom & baby. It should be part of every pregnant woman’s self-care plan.

Q: What are some of the cautions about receiving massage during pregnancy?
A: Prenatal massage is effective and safe for women with uncomplicated, low risk pregnancies. High risk pregnancies with certain medical conditions should get consent from their doctor before receiving massage. Massage should be avoided during the first trimester and there are regions of the body and specific therapeutic techniques that are contraindicated for prenatal massage. A professional massage therapist trained in prenatal massage will know what precautions need to be taken.