As an African American Lamaze Certified Childbirth Educator, I have observed over my 18 years of teaching that childbirth education class participants are less likely to be women of color. My desire for more women of color to attend childbirth education classes is rooted deeper than just their presence in a classroom – it is rooted in my desire for more women of color to understand the disparities that exist in maternal and birth outcomes.
In a recent Science and Sensibility blog post by Christine Morton on maternal health disparities, she reviewed the work of several well-known public health researchers – Dr. Eugene Declercq, Dr. Mary Barger and Dr. Judith Weiss. Their findings point to the fact that African American women have higher rates of cesarean births at nearly every age group and across every level of education.
In addition, the U.S. Department of Health and Human Services reports that one of every five non-Hispanic,black births are pre-term, African American mothers experience an infant mortality rate twice that of non-Hispanic, white mothers, and breastfeeding rates among African American mothers are 16 percent lower than white mothers.
Given the disparities that exist in maternal and birth outcomes for women of color, I think April as Minority Health Awareness Month is a great opportunity to talk about a few other factors that minority moms or mothers-to-be can control or influence. It’s a hard reality that mothers face real challenges in getting the childbirth care they want and deserve. Even though medical evidence may tell us certain practices are good for mothers and babies, the “system” is not always geared to deliver that care. Health care providers are rushed, spread thin, or incentivized for practices that are not most beneficial to the mother.
Let’s go back to the fact that African American women have higher rates of cesarean births than non-Hispanic,white women. Is it because African American women are sicker and need to have a cesarean birth? Researchers report that this is untrue. They conclude that higher rates of cesarean births among African American women are a result of a shift in obstetric practices to focus more heavily on use of childbirth interventions. And, when we bring in an induction to the equation, there is a correlation between the increased rates of induction to the increased rates of cesarean births!
Research shows that babies pay a steep price for these early births caused by inductions or a failed induction, which led to a cesarean. Babies have greater difficulties breathing, breastfeeding, and maintaining their temperature, which usually means being separated from moms and spending time in the Intensive Care Unit. While an increasing number of hospitals and health care professionals are shying away from unnecessary cesarean birth and induction, it’s one of many care practices that just aren’t supported by good medical evidence.
So how can women of color push for better care?
Become an active partner with your care provider. While doctors or midwives have professional knowledge and skills, they may not know everything about your personal background and preferences. Finding a provider who will also act as your partner can help you push for the care that’s best for you and your baby.
Ask questions – lots of them! Labor and birth in particular can be unpredictable. That’s why it’s a smart idea to prepare a list of rolling questions throughout your pregnancy to help you determine if the right care is being recommended during labor, birth and after birth.
Do your research. Understand your available care options before, during and after labor at the hospital or birth center. If you know that during labor you’d like the ability to walk around, eat and drink – choose a birth facility that will be more aligned with your birth preferences or wishes.
Participate in a childbirth education class. Taking a Lamaze class will help you understand maternity care best practices and be better prepared to navigate your labor and birth. A childbirth educator will help you identify the right questions to ask when making decisions about your care.
I encourage all women – particularly African American women – to learn more about getting the right care in pregnancy and childbirth by attending a childbirth education class. Skipping out on childbirth education is a lost opportunity to stack the deck in your favor and become a well-informed consumer of evidence-based practices! As a consumer, it is your right to be a partner in your health care decisions.
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Tara Owens Shuler, MEd, LCCE, FACCE is the president of Lamaze International. She has practiced as a childbirth educator since 1995. In 2005, she became the Director of the Duke AHEC Lamaze Childbirth Educator Program. In addition to training individuals to become childbirth educators and preparing expectant women and their partners for a safe and healthy birth experience, Tara provides labor support services. Along with coordinating the Lamaze program in the Duke AHEC office, Tara works with her statewide AHEC partners in developing continuing education programs and/or resources for healthcare providers in North Carolina and assists with the Duke AHEC PATHWAYS Health Careers program for K-12 students. When not working, Tara and her husband enjoy playing with their dog, Gramps, and traveling.
Visit Lamaze International for great resources to help mothers and mothers-to-be learn their options.
I’ve been making my own body care products for quite a few years and I enjoy sharing recipes and ideas with other women. I used to teach classes in making “salves and scrubs” and “lotions and potions” and I find it pretty empowering to take charge of your own personal care products, using only ingredients you can find readily at grocery stores and that you could actually safely eat! So, when I received a guest post submission from Michelle Pino from the spa Skana, I was happy to share it with my readers. Sugar scrubs make a nice simple handmade gift for Mother Blessings ceremonies in particular. If you attach the recipe to the jar, it makes it easy for her to refill it as needed! I also like making sea salt scrubs, for which you would just replace the sugar in this recipe with sea salt (the finer the grain the better).
Scrub Away Winter Skin Just in Time for Spring
by Michelle Pino
I love seeing the grass turn green, watching the flowers begin to blossom and the feeling the sun shining through the clouds. Here in central NY, sunshine is rare during the winter months, but there’s plenty to look forward to in spring in summer. However, one of the things most people don’t look forward to in the spring is revealing their dull, dry skin that his been covered up all winter.
Working at a spa in central NY, dry skin is often the focus of many of our treatments this time of year. We use a blend of natural ingredients including fresh herbs and organic products at the spa. Luckily some of the same products we use at the spa can be found right in your own home–or a quick trip to your grocery store!
This simple DIY body scrub is the perfect way to prep for spring, tank tops, shorts, sundresses, and flip-flops! It could also be a perfect gift for a girl friend, aunt, sister, mom or co-worker this Mother’s Day.
Ingredients:
1 c. White Granulated Sugar
½ c. Almond Oil
4-6 drops Lemon Essential Oil
Combine the sugar and oil by slowly adding the oil to the sugar. You may not use all of the oil, or you may need more. You don’t want your sugar scrub to be too ‘soupy’ though!
That’s that! Apply the scrub to your skin in the shower to warm, clean skin. I don’t recommend using it on your face; however, as it may be too coarse.
A sugar scrub is easy to make and can be used any time of year! Try using different essential oils to get the perfect scent for anyone!
This inexpensive treat can be stored in a mason jar or other airtight container. Try adding some ribbon or a printable sticker if you are using the body scrub for a gift. The lucky recipient is sure to enjoy!
Michelle Pino is the Spa Manager at Skana Spa in Verona NY. Michelle is an enthusiastic person that is passionate about her job as well as leading as healthy of a lifestyle as possible. Outside of work, you will find Michelle baking, reading or possibly crafting!
“Women around the world and throughout time have known how to take care of each other in birth. They’ve shown each other the best positions for comfort in labor, they’ve used nurturing touch and repeated soothing words, and they’ve literally held each other up when it’s needed the most…”
–The Doula Guide to Birth
New experiment with a business card holder!
A lot of things caught my eye to share this week. A Faceboook friend is conducting research about birth professionals for her master’s thesis for Sociology:
Ahmie Yeung is working on her Master’s thesis in Sociology at Cleveland State University, under the guidance of Dr. Linda Francis. Ms. Yeung’s thesis research is looking at the attitudes of professionals in the United States who provide care for women and infants during pregnancy, birth, and the newborn period – also known as “perinatal care providers.” This can be anyone who is normally paid for the services they are providing during that time period. Examples of kinds of professionals we want to hear from are: doulas, midwives, OB/Gyns, Family Practicioners, and Pediatricians. This research will hopefully provide some insight into differences between types of providers that may be of use to future families seeking maternity and newborn care. Please ask those who are or have provided care for you to take the brief survey at http://tinyurl.com/perinatalcaresurvey and forward this request on to any other expecting/new parents or perinatal care professionals you may know.
And via Citizens for Midwifery:
Researchers are developing a new tool to educate pregnant mothers about their birth options. They need your help to learn what matters most to pregnant mothers. Pregnant or planning another birth? Please share!
The Spring issue of the Friends of Missouri Midwives newsletter is finished and available online! The theme of this issue was Siblings and we’ve got a variety of articles about including siblings at births 🙂
I got a little crazy with my ScoopIt page and went through over 100 articles of possible things to “curate.” And, I found some good stuff!
“To paraphrase Simon, everybody loves mothers, as long as they restrict their fertility to the outlines demarked by the social and moral norms of the age they find themselves in, and don’t have the audacity to give birth too young, or too old, or too regularly, or at too great a cost to the state, or to a child that they share with another parent of the wrong race or gender…”
And, an interesting article debunking the idea that women “forget” the feelings of childbirth. Memories are affected by the “halo effect” of the euphoria following birth, but the feelings are not actually forgotten:
“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…”
“All cultures believe that women become better and more generous through the process of giving birth. That is why some cultures use words such as ‘sacrifice,’ ‘suffering’ and ‘labour.’ These terms can seem overwhelming and to be avoided’ however, seen from a different viewpoint, childbirth helps us to become strong, resourceful and determined…”
“Giving birth is not an isolated event in a person’s life. A woman births with both her mind and her body and participates in the attitudes toward childbearing of her culture and her family…”
“…the most important thing is to never bring fear into the room of a laboring woman. ‘A woman must be completely open to birth a child,’ she says, ‘and so she is unable to defend herself from the thoughts of those around her…’”
And, a funny story from a couple of weeks ago:
“Visiting kid working on costume: “why do you have all this red fabric?” Me: “I think I planned to make placentas out of it.” Later, same kid: “this is an interesting color of yarn.” Me: “I got that to knit uteruses.” Kid: “maybe I should dress up like a scary doula.” 😉
“With a new awareness, both painful and humorous, I begin to understand why the saints were rarely married women. I am convinced it has nothing inherently to do, as I once supposed, with chastity or children. It has to do primarily with distractions. The bearing, rearing, feeding and educating of children; the running of a house with its thousand details; human relationships with their myriad pulls–woman’s normal occupations in general run counter to creative life, or contemplative life, or saintly life. The problem is not merely one of Woman and Career, Woman and the Home, Woman and Independence. It is more basically: how to remain whole in the midst of the distractions of life; how to remain balanced, no matter what centrifugal forces tend to pull one off center; how to remain strong, no matter what shocks come in at the periphery and tend to crack the hub of the wheel.”
― Anne Morrow Lindbergh, Gift from the Sea
Lindbergh’s notion of mother as the axis of the household wheel really resonated with me, as did her descriptions of being pulled off center and distracted by a million aspects of the “wheel” of life. Her comment that saints were rarely married women made me smile, because it makes me think of Wayne’s Dyer’s comments that gurus rarely have eight kids, because there is nothing like the experience of parenting to shake your sense of yourself as someone who has it all together, spiritually or otherwise. And, it makes me think about how after some reading about Zen philosophy, I decided that Buddhism and Zen were not for me, because attachment is at the core of a mothering life. I got super irritated with old Buddha and his remarks about being “non-attached” and I thought, “easy for you to say, Mr. Go Sit Under a Tree and Wait for Enlightenment while your wife stays home and takes care of your kid—I guess she was too unenlightened and ‘attached’ to let go.” Being a mother has taught me a lot about relationship as the ground of being and relatedness, not non-attachment, as the core of a rich human experience. As I described in a prior post:
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. The infant’s first instinct is to connect with others. Before an infant can verbalize or mobilize, she reaches out a hand to her mother. I have seen this with my own babies. 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 mother’s body that she returns for safety, nurturance, and peace. Birth and breastfeeding exist on a continuum as well, with mother’s chest becoming baby’s new “home” after having lived in her womb 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.
…to be a woman is to have interests and duties raying out in all directions from the central mother-core, like spokes from the hub of a wheel. The pattern of our lives is essential circular. We must be open to all points of the compass; husband, children, friends, home, community; stretched out, exposed, sensitive like a spider’s web to each breeze that blows, to each call that comes…
How difficult for us, then, to achieve a balance in the midst of these contradictory tensions, and yet how necessary for the proper functioning of our lives. How much we need and how arduous of attainment is that steadiness preached in all rules for holy living…
She also acknowledges the essential, and yet often difficult to find, need for solitude to find stillness as the axis of the revolving wheel of life:
…Women need solitude in order to find again the true essence of themselves; that firm strand which will be the indispensible center of the whole web of human relationships. She must find that inner stillness which Charles Morgan describes as ‘the stilling of the soul within the activities of the mind and body so that it might be still as the axis of a revolving wheel is still…
This beautiful image is to my mind the one that women could hold before their eyes. This is an end toward which we could strive–to be the still axis within the revolving wheel of relationships, obligations and activities…
… she must consciously encourage those pursuits which oppose the centrifugal forces of today. Quiet time alone, contemplation, prayer, music, a centering line of thought or reading, of study or work. It can be physical or intellectual or artistic, any creative life proceeding from oneself…
…It need not be an enormous project or great work. But it should be something of one’s own. Arranging a bowl of flowers in the morning can give a sense of quiet in a crowded day—like writing a poem, or saying a prayer. What matters most is that one be for a time inwardly attentive…
I recall feeling this way about my own mother—that she was the center of our family, the anchoring space, the core to return to.
Other thoughts from Lindbergh that I related to after finding them online when reading reviews of her book and stories about her life include:
“I cannot see what I have gone through until I write it down. I am blind without a pencil…I am convinced that you must write as if no one were ever going to see it. Write it all, as personally and specifically as you can, as deeply and honestly as you can. … In fact, I think it is the only true way to reach the universal, through the knot-hole of the personal. So do, do go ahead and write it as it boils up: the hot lava from the unconscious. Don’t stop to observe, criticize, or be ‘ironic.’ Just write it, like a letter, without rereading. Later, one can decide what to do.”
And that made me think about story and being a story woman and I also saved this quote (not from Lindbergh):
We constantly weave life events into narrative and interpret everything that happens through the veil of story. From our smallest, most personal challenges to global issues that affect nations and generations, we make the world fit into the story we are already carrying. This unceasing interplay between experience and narrative is a uniquely human attribute. We are the storytellers, the ones who put life into words. – Christina Baldwin, Storycatcher (via The Circle)
How funny that we had to wait for spring before being able to actually make a snowman this year! (*note bat posed for imminent destruction too!)
Last week, Lann had his first test (yellow stripe) in taekwondo. He did a good job!
Future plans involve moving on from cardboard armor, to real movie stuff…
In the car on the way home from a different class, Lann was planning his birthday party (Sept). He wants to learn how to make silicone movie masks. He said: “I’ll do the sculpting and art part, you do the reading and talking about it part, Dad can do the sitting around with his mouth open part, Zander can do the running around and squealing part, and Alaina can do the napping.” I said: “does Dad really only sit around with his mouth open?!” And Lann said, “Mom, in AWE!” He also said they’re going to go to the Drury Inn and dress up in Lord the Rings costumes, “and, we’ll have to hang up a sign that says Nerdfest.”
That same week we were briefly discussing the massive scale of the universe and the fact that the Earth is hanging around out there in space, spinning, and Lann said, “sometimes my brain hurts when thinking about a selection of topics.” 😉 And, that reminded me of a long ago Lann story when he was about four. We were doing the whole, “I love you as big as the sky” type of thing, and I said, “I love you as much as the universe–and guess what, the universe has no end, it keeps getting bigger, and goes on forever!” And Lann said, “oh mom, that’s so beautiful I don’t know what to say.”
The week before, Lann hitched a ride to taekwondo with Baba and since I was on break from class, I was home with Zander and Alaina (usually they go grocery shopping with Mark while I’m in class). Zander came running in to get my iphone so he could take a movie of something and I heard him their room taking a movie and narrating to Lann as he does so, so that he can give him the movies when he gets home and catch him up on what Z’s been up to while they’re separated! Good buddies!
Heartbreak of tooth decay sculpture from fall of last year–mama covers head, not wanting to know and yet holding both baby and the extracted teeth. At her heart is a jewel, because she acts with deep love.
We’re dealing with ongoing dental issues with Alaina. Despite our heroic efforts, she’s ended up with the most severe problems of any of our children. Last week I took her to the local pediatric dentist. He was really nice and informative and Alaina did really great with him. However, she needs a LOT of work, more than I thought, and it is going to be really expensive. She needs the crowns she already has replaced because they were not fitted correctly by the first dentist and there is decay around/behind them, plus she needs four other crowns and also two regular fillings. :*(
We’re definitely going to have to go through the general anesthesia route. The local pediatric dentist only does this work in the hospital and we got the estimate from the surgery center for the hospital portion only and it was $8900. Our insurance will cover part of it (we’ll still have to cover about $4500), but that doesn’t matter. What matters is that that is absurd.What a broken system. Taking your kid to the hospital for two hours to get their teeth worked on just should NOT cost $9000, no matter who pays for it, that is patently ridiculous. So, I’m going ahead with the consultation I made for her in Springfield on Wednesday. I called in advance to double-check and they do their oral surgery work in an outpatient surgery center rather than in a hospital and their estimate for the clinic part is $2000, total. That is more like it and is worth the two-hour drive (one way). I wish I hadn’t bothered taking her locally, because now we just have to do the exact same thing on Wednesday and then still go back. She has to have a physical first, before she can have anesthesia, so I also made an appointment for her first-ever visit to the doctor. What I really, really wish is that I’d just taken her to Springfield in the first place, last year, when we first started to get her teeth taken care of. I am so angry with the dentist we took her to in St. Louis. I was happy with the same office for Lann (different dentist, 8 years ago), but I have HATED everything that happened there with Alaina and I wish I’d never taken her there. I feel like they actually caused the problems she has now by not acting to treat the teeth I first brought her in about and then doing an absolutely CRAPPY job on everything they did after that. I don’t actually feel like I really have energy to really be angry though, my primary feeling is sadness and anxiety about what is to come.
In a cuter Alaina story, I made myself a little sculpture to use as a pendant, but Alaina appropriated it. When I finally put it on her, she said…”dooool.” I said, “did you just say ‘cool’!?” And she said, yes!
She also “knits” and likes tiny dogs…
We get a lot of use out of the Ergo still too!
And, I guess our kids should be in a band:
Alaina sings!
Zander drums!
Lann drums too!
We went to my sister’s house a couple of weeks ago and the kids immediately took to my brother-in-law’s drums. Neither had ever drummed before and Zander really rocked it! Alaina singing was a moment I captured last week when I was printing invoices and she was sitting behind me putting on a show.
In my own news, I finally renewed my ICEA childbirth educator certification after dawdling on it for a long time, but I let my CAPPA certification lapse. It was a hard decision, but made the most sense. I’ve been moving on from birth education for quite some time, and continuing to shell out money for something I’m not using often doesn’t make a lot of sense.
My new classes begin today! After the hectic disequilibrium that comes with the final week of a school session, the following week feels a lot like coming home from being out-of-town—excited to see your familiar life, yet also slightly panicky about needing to “catch up.” Plus, there is so much to be unpacked…and then, BOOM, two weeks off is SHORT. My online class is full and my two in-seat classes have 12 students each. There was a lot of prep to do get ready for them–I always forget that these “breaks” aren’t about having a vacation, they are about preparing for next session.
I’m not sure how good I do about being the “axis,” but my wheel is a pretty fulfilling one 🙂
While I’ve maintained a yoga practice for over ten years, practiced yoga throughout all of my pregnancies, and I’m Certified Prenatal Fitness Educator (ICEA), I have no experience with Pilates. So, when the opportunity came up to review a prenatal Pilates DVD, I was happy for the opportunity to broaden my horizons! Pilates Pregnancy Workouts is a basic workout DVD that is both easy to follow (even for those unfamiliar with Pilates) and sufficiently challenging. I was surprised by how effectively strengthening the workouts were, while appearing on the surface to be very gentle and simple! While this is a prenatal program, there is no mention of the applicability of the exercises to labor or birth and only a tiny handful of references to the baby.
In addition to the gorgeous ocean setting, a highlight of the Pilates Pregnancy Workouts DVD are the manageable, short segments—you can choose a workout that is 6-10 minutes. We can almost always find time in the day for six minutes! You can also choose to watch the entire exercise series as one continuous practice of about an hour. Also handy is the option of voiceover narration or nature sounds for once you’re familiar with the program.
Some exercises from Pilates Pregnancy Workouts are familiar from yoga practice, but the overall style and form is different and it would be great to include both in one’s prenatal exercise program! This DVD is a worthwhile addition to the prenatal exercise resources of pregnant women as well as doulas, midwives, or childbirth educators.
Couldn’t resist putting this photo with this post, since she’s holding little shells. We found them in the river gravel we had delivered for our greenhouse 🙂
The Amethyst Network Board decided to experiment with choosing a “book of the month” to discuss, comment upon, and share during the month. For March, we chose Gift from the Sea by Anne Morrow Lindbergh. I have had the book on my to-read shelf for years and a few days ago, it literally popped off the shelf and into my hands. I’d like to offer a series of short posts based on the book, sharing quotes that I enjoy as well as associated personal experiences or thoughts.
The first quote that caught my eye was this one immediately following a section about the many exhausting demands on a mother’s time and attention:
For life today in America is based on the premise of ever-widening circles of contact and communication. It involves not only family demands, but community demands, national demands, international demands on the good citizen, through social and cultural pressures, through newspapers, magazines, radio programs, political drives, charitable appeals, and so on. My mind reels in it, What a circus act we women perform every day of our lives. It puts the trapeze artist to shame. Look at us. We run a tight rope daily, balancing a pile of books on the head. Baby-carriage, parasol, kitchen chair, still under control. Steady now!
This is not the life of simplicity but the life of multiplicity that the wise men warn us of. It leads not to unification but to fragmentation. It does not bring grace, it destroys the soul. And this is not only true of my life. I am forced to conclude, it is the life of millions of women in America. I stress America, because today, the American woman more than any other has the privilege of choosing such a life.
Woman in large parts of the civilized world has been forced back by war, by poverty, by collapse, by the sheer struggle to survive, into a smaller circle of immediate time and space, immediate family life, immediate problems of existence. The American woman is still relatively free to choose the wider life…
This almost made me laugh because it was written in 1955, but I feel like she might really be talking about Facebook! 😉 It actually made me feel good to know that this feeling of fragmentation I describe sometimes and the sense of everything and everybody wanting a piece of me all the time, isn’t a new feature of being a woman and mother, and it also isn’t the “fault” of technology. Perhaps it is a feature of caringa lot.
It also reminded me of the quote I keep taped to my laptop:
To allow oneself to be carried away by a multitude of conflicting concerns, to surrender to too many demands, to commit to too many projects, to want to help everyone in everything is itself to succumb to the violence of our times. Frenzy destroys our inner capacity for peace. It destroys the fruitfulness of our work, because it kills the root of inner wisdom which makes work fruitful. –Thomas Merton
…we need to grasp an honest understanding of birthing history – one that tells HERstory not HIStory. Because birth is about Women. It is a woman’s story. And we need to also understand why and how this herstory compels women to make the choices they make surrounding birth in the present day.
People become the product of the culture that feeds them.
It takes an immense amount of work to deconstruct cultural lies. Especially ones as insidious as the ones that we, as birthing women, have been fed for more than a century. We need to stop blaming women for their place in this System. Women are victims and by-products (not accomplices) of medicalized birth.
In honor of Women’s History Month, I’ve been considering the women in (recent) history who have changed the climate surrounding pregnancy and birth. While I’m sure Ina May Gaskin’s name would probably spring to the lips of most birth activists considering the theme, I felt like taking a quick look at the many other classic authors who have had a profound influence on my own ideas about birth. This thought, coupled with the fact that for some time I’ve wanted to write a post about “older birth books” that are still excellent reads today, has brought me to the present moment: a list of my favorite “old” birth books and the lovely women who wrote them. When I first started out in birthwork, I wanted to read “new” stuff—stuff that was “up to date” and “current.” After I read almost all of the “new” books, I started to cast my eye around for more and guess what I discovered? No surprise to many of you, but many of those “out of date” books with the retro-looking covers are still just as good and just as relevant as they were 20-30 years ago. Since medical information and science/evidence changes fairly rapidly and a pregnancy and childbirth 101 type book from 30 years IS more often than not completely inappropriate today, I had made the mistake of thinking ALL “old” birth books would be similarly irrelevant. Instead, many have a power and passion that is not easy to come by in any decade and that rouses the activism spirit, or stirs the heart, or challenges the psyche just as effectively today. Here are some of my recommendations (and of course, Spiritual Midwifery remains a good choice too, I just want to add some less usual recommendations!):
Transformation through Birth by Claudia Panuthos (also known for writing another great resource: Ended Beginnings: Healing Childbearing Losses). Written in 1984, this book “goes beyond” the scope of traditional birth books and really gets into some deep topics and insightful ideas. Previously written about here.
Special Delivery by Rahima Baldwin (another good, less well-known one from her is Pregnant Feelings, explored in depth in this post). Revised in 1986, this book is one of my favorite homebirth resource books. Though some segments are in fact, “outdated,” I still find this to be one of the very best (“old” or new!) resource books for women planning to give birth at home.
Open Season by Nancy Wainer (Cohen) in 1991 (how can 1991 be called “old”? Well, it is over 20 years ago and considering that many women giving birth today were born after that date, it IS old!). Nancy has a lot of FIRE and I love it. Some people have been known to call her “angry” or “bitter.” I call her…amazing. Her writing lights you up and calls you to action. She has incredible passion, fire, brightness, drive, and enthusiasm. One of her articles in Midwifery Today that is available online is also well worth the read: VBAC and Choice. And, I use some of her quotes in this post.
Birth Book by Raven Lang. This is the original counterculture birth book written in 1972 at the launch of what would become the modern movement to return birth to the hands of women.
Childbirth with Insight written in 1983 by Elizabeth Noble, is another one of the birth books that I say “goes beyond.” As a childbirth education, I especially benefited from her exploration of some of the failings of traditional approaches to childbirth education.
Lots of older books from Sheila Kitzinger are very good also. I particularly enjoy The Experience of Childbirth and Giving Birth: How it Really Feels.
My last recommendation for the moment is Mothering the New Mother by Sally Placksin (revised in 2000, which again sounds reasonably recent, but in reality is thirteen years ago–how is that possible?). It is classic must-read for doulas as well as any other birth companions. It is wonderful and I wish I would have read it before my own first child was born.
There are many more excellent books out there, both modern and “herstorical,” but I’ll leave you with these treasures for now. I’m grateful for each of these birth activists whose words and spirits helped deepen and refine my own passion for birth.
“I long to speak out the intense inspiration that comes to me from the lives of strong women.” –Ruth Benedict
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(Adapted from a post originally made at CfM several years ago.)
The theme of our spring issue of the Friends of Missouri Midwives newsletter was Siblings. Happily, I got a lot of great content for this issue without having to write everything myself (sometimes I prepare issues that should be called “The Molly Issue”). Other than the letter from the editor, the only piece I contributed this time around was a short list of homebirth resources for children. If you have other good resources to add, I’ll gladly accept your contributions and update the list accordingly.
Here’s my list:
(Amazon affiliate link included)
Runa’s Birth by Uwe Spillmann and Inga Kamieth– my all-time favorite children’s homebirth book. The illustrations in this book are amazing; I love the tiny details like little shells/rocks on the windowsill and phone messages on the bulletin board.
Welcome with Love by Jenni Overend and Julie Vivas (also published as Hello Baby). It has nice, softly drawn pictures that glow with excitement and I really enjoy reading it to my kids.
Birth Day DVD by Naoli Vinaver—this one is great because the whole family is involved and older brothers join mom in the birth pool.
Being Born: The Doula’s Role by Jewel Hernandez and R. Michael Mithuna–really nice, detailed illustrations. Focus is on doulas and their job and the wide range of settings in which mothers give birth.
Mama Midwife: A Birth Adventure by Christa Tyner— this new children’s book about homebirth and midwifery is available to read for free online. It is cute, though kind of trippy. (I would have preferred it to be just people though, rather than a somewhat incongruous collection of animals.) LOVE the “birth song” at the end.
My Mommy’s Midwife by Trish Payne CNM—this one has children’s drawings as the illustrations. It isn’t about homebirth, but instead explains the role of the midwife and that she might come to a birth center, a hospital, or a home birth.
Books that I’ve not read, but would like to check out include:
Our Water Baby by Amy Maclean and Jan Nesbitt (water birth specific)
Mama, Talk About When Max Was Born by Toni Olson (home waterbirth)
Mama, Talk About Our New Baby by Toni Olson (companion book to the above about integrating new baby into the home)
Mothering can involve a complicated and multileveled emotional terrain. What often speaks most clearly and helpfully to mothers is other women’s stories and experiences, NOT “advice,” prescriptions, promises, or admonishments.
I’ve noticed two types of “attachment parenting” mothers—those who discovered AP after having their baby or child(ren) and those who chose attachment parenting in advance, sometimes way in advance. While of course a host of factors are involved, both internal and external, I’ve also noticed that those who discovered, feel more content and are less likely to be hard on themselves about their AP-“failures.” If you discover something, you have an ideal to live up to. If what you start with is the ideal, essentially the only way to go is down! I’m one of the latter bunch, having envisioned my attachment parenting perfection and bliss for at least three years prior to actually giving birth to my first baby. After my first son’s birth, I dove into more and more and more parenting books, trying to make sense of my new life. And, to me totally honest, Dr. Sears books started to drive me out of my frickin mind, even though I agreed with the guy about almost everything. I still recommend him, I met him in real life in 2007 and consider him an excellent resource, however the subtext I perceived in his books was: “do it the right way and you’ll always be happy and baby will never cry” and that was really, really hard on me as a vulnerable, sensitive new mother of a pretty cranky baby. So, I practically collapsed with relief when one of the birth center doctors suggested reading the book Misconceptions by Naomi Wolf. After this, I became obsessed with what is somewhat dismissively referred to as “the momoir”—memoirs of motherhood written by real women. Loved them. Lived by them. Learned from them. They “heard” me when I really, really needed to be heard.
Recently, a lovely friend and first-time mom on Facebook remarked that she needed to stop reading “advice” books about motherhood and try something else (though, still interested in reading about motherhood). Her comment reminded me so much of myself and I swooped in, ironically, with “advice” about other books to read. As I thought about books to suggests, the piles upon piles of books that I devoured came back to me in a rush. This morning, I went through my bookshelf and made a list of those that were influential enough to make the cut and be kept, versus being resold or passed along in the giveaway box. It is a big list! And, it is only a fraction of what I actually read. What was also really interesting for me to realize was that I haven’t read a book like this in ages, there are probably dozens more now! I still have several unread on shelf, but I no longer feel as if I need them in the same “lifeline” way in which I combed the library shelves with my first baby in his little sling.
So, here are my tips and suggestions on non-advice-based books for mothers. In general, I vote ixnay on any kind of “how to” mothering/parenting books. I vote yes on parenting memoirs, books about self-nurturing and mother-care, and sociopolitical commentary on motherhood. Disclaimer: a lot of the books on my list are written by “mainstream” authors, many of whom are pretty critical, sometimes very harshly, of attachment parenting. I find that some of these books create a lot of polarization with regard to Amazon reviews. At the risk of sounding very snobby myself, I would suggest that you are unlikely to enjoy these books if you are any of the following:
Unable or unwilling to engage intellectually with topics surrounding motherhood/parenthood.
Uninterested in the larger social, cultural, and political context surrounding individual mothers and their parenting “choices.”
Dismissive of the role that sociopolitical influences have on the lives and experiences of individual women.
Unable or unwilling to allow other women to define their own experiences and to recognize that not everyone experiences things the same way, and that that is fine, even desirable.
Fond of describing maternal honesty as “whining” and prefer “suck it up” approaches to sometimes painful explorations of complex feelings.
Before I list my books, make sure to check out Brain, Child magazine! I DO still read and devour this and feel as if it “saved me” multiple times during the first three years of parenting. And, make sure to check out my What Kind of Mother Are You Quiz, based on a memoir called Inconsolable.
These books may include links to prior posts/reviews about them. A lot of them are a blend of memoir and sociopolitical commentary—I classified them according to my perception of their primary emphasis. For all book reviews I’ve ever posted on my site, see this page.
Memoirs:
Let the Baby Drive by Lu Hanessian. This is one of my very favorites. Nourishing and enriching and relevant. May have a small tinge of “do it my way.”
Operating Instructions by Anne Lamott. This is a classic. A memoir of the author’s first year with her son. She is a single parent and so the book addresses some of the challenges involved with parenting solo. This book is incredibly funny at times.
Callie’s Tally by Betsy Howie. Very, very funny, though not particularly “AP” (so if you’re looking for that, read Let the Baby Drive instead). This book chronicles how much money the author has spent on her daughter during her first year of life.
A Better Woman by Susan Johnson this one is an often painful to read memoir of a woman’s experience with an obstetrical fistula
Fruitful by Anne Roiphe (also addressed in prior post: Motherhood, Feminism, and More). This is a good look at the tensions between feminism and motherhood and navigating new identities
Oh boy, oh boy, oh boy! A tale of mothering three sons.
The Blue Jay’s Dance by Louise Erdrich. Very lyrical, mild book. (Quoted or written about in these prior posts)
Dispatches from a Not-So Perfect Life–by a frequent contributor to Brain, Child magazine.
Inconsolable: How I Threw My Mental Health Out with the Diapers–memoir of a journey through severe postpartum depression. Darkly funny. Critical of attachment parenting, but in a manner in which I can identify.
Growing Seasons by Annie Spiegelman. This memoir is by a “sandwich generation” mother, caring for a toddler and for her own ailing mother.
Anthologies:
Mothers Who Think—collection of essays from writers for Salon.
The Bitch in the House–not all about parenting, about marriage, work, etc. Often angry.
Toddler–stories about parenting toddlers by one of the former editors of Brain, Child.
Beyond One—–collection of essays about adding a second child. I loved it. A friend I lent it to thought it was “horribly depressing.”
Real Moms—a surprising gem from MOPS. While I find many of their books too “surface” in emphasis and also very mainstream-Christian-mom directed, this one is great. One of my favorites.
The Fruits of Labor–about parenting at all stages of life. Some are tragic. This is more literary memoir than “tell all” memoir.
Sociopolitical commentary and analysis:
What Mothers Do (appears in Motherful) by Naomi Stadlen. I love this book! It takes a close look at how women mother and how skillfully they do so (so that on the outside it looks like they are doing “nothing”). This is not a “how to” book, but a book that tries to look below the surface and explore concepts that are very difficult to verbalize/articulate. She strives to put into words/give us language to describe what is it that mothers do all day–their often invisible contributions to life. Contributions that are often invisible even to ourselves. This is a very affirming and unique book. This is one of my top picks for tender new mothers. There may be some subtext about doing it “right” though.
Of Woman Born (included in this post: Motherhood, Feminism, and More). This is a classic sociological and personal exploration of the role, meaning, and cultural valuation (or devaluation) of mothers. This was my first exposure to the notion of motherhood as institution rather than simply as role/relationship.
Price of Motherhood by Ann Crittenden. Emphasis on economics, but very interesting analysis of multiple cultural, political, and social influences on mothers.
The Motherhood Manifesto—by Moms Rising. Showed me there is an actual “mother’s movement” afoot!
Paradox of Natural Mothering—academic in tone. I really enjoy this book. Lots of food for thought. It is a little uncomfortable to read too because she is so spot-on in her analysis of mothers like me. It is strange to feel “under the microscope.” The author herself is a “quasi-natural mother,” so the analysis isn’t harsh criticism, but it is a critical look at the “cult” (my word, not hers) of natural mothering and has a LOT of excellent discussion about feminism and natural mothering. She says–and I completely agree–that natural mothering represents the intersection of three ideological frameworks: voluntary simplicity, attachment parenting, and cultural feminism.
The Mask of Motherhood
Misconceptions by Naomi Wolf. As I mentioned, this was the first book that I ever read about a woman’s postpartum experience. It was suggested to me by the doctor at the birth center when I expressed some teary frustrations about adjusting to my new life and wondering if I would ever get “back to normal.” This book is on the “angry” side–it is not a nurturing and tender read and she is critical of things I value (like LLL). I did not identify with the author’s birth experiences or feelings about birth (I felt tremendous during birth and powerful, empowered, triumphant, and confident) and her conclusions seems mis-drawn, i.e. her birth was terrible, ergo, birth itself is terrible and those who tell you otherwise are lying, but her postpartum feelings closely match my own (weak, wounded, invisible, etc.)
Perfect Madness by Judith Warner. Included in this post: I just want to grind my corn! Fairly harshly critical of attachment parenting. takes potshots at LLL.
The Mother Knot by Jane Lazarre (included in: OBs and Normal)
Big Purple Mommy—about creativity and motherhood and still nurturing one’s creative self.
The Mother Trip (included in this post: Small Stone Birth Activism)–this one is written by Ariel Gore, original founder of the awesome zine, Hip Mama.
The Mother Dance by Harriet Lerner. This one focuses on the psychology of women primarily.
Mother Nurture by Rick & Jan Hanson. This book is phenomenal. Very comprehensive. It addresses mothers of children from birth to age 5, so even if you are several years past the early postpartum weeks, this book has much to offer to you! One of the focus areas is on “Depleted Mother Syndrome” and addresses coping with it via all areas (body, mind, social/relational).
Mothering the New Mother–classic postpartum doula book! Highly recommended.
This isn’t what I expected—postpartum depression recovery. After the Baby’s Birth by Robin Lim. This book is very holistic in approach and is one of my very favorite postpartum reads. It offers such gems as, “you’re postpartum for the rest of your life” (which some people have said they feel like is depressing, but I find a tremendously empowering statement!) and “when the tears flow, so does the milk” (with regard to the third day postpartum). It does have a large section on Ayurvedic cooking, which, personally, I don’t connect with, so be aware that that section is in there and depending on your belief system, might make perfect sense to you, or might seem inapplicable like it feels to me.
Mothers Guide to Self-Renewal
Novels/Others:
I Don’t Know How She Does It—fiction about an employed mother and the juggling act with which she tried to balance work and family.
Motherhood Confidential–this one is pretty weird. I almost didn’t include it and I also don’t know whether it is fiction or not. It is billed as “chicken soup for the spleen” and as an “anti-advice” book. I like the recommendation to scrape off the “dogma-doo” of parenting. It is about two best friends, one who becomes an attachment parenting homeschooling mother and the other who is a “detachment parent” and how rocky their relationship becomes.
Three Shoes, One Sock, and No Hairbrush by Rebecca Abrams. Primarily about adding a second child.
“A bright red ribbon of bloodweaves women together. We are blood sisters. We bleed and bleed, and we do not die. Usually.” –Susun Weed
These Tuesday Tidbits all come from the current issue of Midwifery Today. It is an excellent issue with tons of great information. As I referenced before, however, it is literally making my uterus ache and contract to read it since the theme is Hemorrhage. I’ve had to read it in small doses—5-10 pages at a time—and then come back to it later because the contractions/crampiness in my uterus and lower back get too intense for me to continue. I’ve always known that I have an intense response to blood, but this is the first time that I’ve really tuned in to the body memory my pelvic bowl still holds with regard to excessive postpartum blood loss. That blood loss is one of the things I don’t blog about, but today I’m writing about hemorrhage anyway (even though my back/uterus is starting up again as I type this). I guess you could call it “psychosomatic,” but I call it uterine memory.
Robin Lim’s article about postpartum hemorrhage in Bali includes a nice list of preventing and managing hemorrhage, one of the most significant being to minimize prenatal “scare” as much as possible. She writes about good prenatal nutrition and nurturing prenatal care and she also recommends this essential:
Build layers of support and trust for the mother in pregnancy and labor to help her cope with any social, psychological or spiritual challenges that she might be carrying…
Lim also says that laboring women use “qi” while laboring and birthing, which is our life force, our energy. She says that if women run out of “qi,” they have to dip into their “jin,” which is, “one’s God-given lifespan”:
“If a mother uses all of her qi to bring her baby out, then she has none left to bring her baby out and to close her uterus properly…As birth-keepers it is our job to maintain the qi of pregnant, laboring, birthing and breastfeeding mothers. The mother who maintains her qi and does not use up her jin can still be glowing and full of energy after having five children…the mother who has dipped too deeply into her jin, due to having depleted her qi, can be dangerously run down after having just one baby…”
While one might interpret this as being a little too esoteric for the practical mind and perhaps a tad too close to the victim-blaming “you create your own reality” thought processes that grate on my nerves, I really appreciated the idea of the responsibility of birth-keepers to guard mothers’ life-force energy and to act to preserve mother’s natural resources and reserves of strength.
On a midwifery education note, I love the writing of Sister MorningStar and I loved reading her thoughts on midwifery education, especially her observation that
…I’m dreaming of a way and time when women are as healthy as deer and mothers birth in the night before professionals arrive. Don’t misunderstand, I want and am willing to talk at any roundtable about midwifery education. We need everyone who cares about birth at such a table, including mothers. We need a global table with a global voice, passion and wisdom. I am not saying that birth and midwives are not made better with midwifery education, but I am saying that I have many questions about modern midwifery education and its effect on the experience of birth.
And, moving on to postpartum care, loved this quote from Darla Burns in an article by Allie Chee:
As Americans, we are under the impression that new moms are ‘Superwomen’ & can return to life as it was before baby. We must remember to celebrate this new mother and emulate the other cultures that honor new mothers by caring for them, supporting them, & placing value on the magnificent transformation she is going through. This is the greatest gift we can give to new mothers & newborns…
I appreciated that Chee included information about postpartum recovery from miscarriage and stillbirth as well, rather than assuming that postpartum care is a need only following a live birth. Consistent with my own experiences and observations she notes that, “in the case of miscarriage and stillbirth, a woman is usually sent home with no postpartum care instructions other than perhaps a list of negative signs to watch for that may indicate further complications with her health. In these instances, many friends and family members, often not knowing how to respond, leave the mother to grieve alone and to recover physically by herself.” Other interesting notes with regard to postpartum recovery after miscarriage or stillbirth include these two:
The depression and anxiety experienced by many women after a miscarriage can continue for years, even after the birth of a healthy child….
[with regard to postpartum recovery/”lying in” time in other cultures]…Amy Wong, an internationally acclaimed author and expert on postpartum writes, “Natural delivery requires at least 30 days of rest, while cesarean delivery, miscarriage and abortion require at least 40 days…”
Of course, this made me reflect on my own experiences. I feel fortunate that I was cared for with a lot of love and tenderness in my own miscarriage postpartum, with my mom bringing us food and providing child care and support, and my doula organizing and delivering meals from friends as well as offering a loving and supportive listening ear. That said, I was back in front of the classroom two weeks postpartum and felt like perhaps I was taking “too long” to get back to “normal.”
Definitely make sure to check out the complete issue! Midwifery Today is my favorite birth publication and is a treasure trove of information as well as personal experiences and reflection.
Talk Birth 