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Megan Stark

The Homebirth of Benjamin David

Submitted by Benjamin’s mother, Selena

The Homebirth of Benjamin David, 15th March 2012

IBFW

After the beautiful natural birth of my first baby, and then an awesome planned vaginal breech for my second, having a homebirth for my third was a no-brainer. I trust my body and knew that I needed to be in a comfortable, private, sacred space where my hormones could do their job undisturbed, so what better place than at home? I announced my plans to homebirth and even ‘pre- booked’ my midwife (Lisa Richards) before I was pregnant, I just couldn’t wait! I love giving birth, and as it was going to be my last baby I wanted it to be nothing short of perfect.

The pregnancy was easy and enjoyable. It was such a treat to stay home for all my antenatal appointments, which felt more like social catch-ups with a good friend. I organised for two other friends to attend the birth: Jane to take photos and Kate to be with my girls, aged 5 & 2, who we hoped would have the amazing experience of seeing their little brother or sister being born. The fact that both women also happen to be midwives was reassuring, even though I had total confidence in Lisa.

Because both my girls arrived at 39 weeks, I assumed that this Bub would follow suit, and I predicted (and announced to anyone who asked) that s/he would probably be born on the auspicious date of Feb 29. My EDD was March 7. From 38 weeks I started telling Lisa at each weekly visit that we didn’t need to make another appointment because I was so sure I’d be giving birth before then. And then the week would pass without event and I would greet her at our next appointment feeling a little deflated. I couldn’t understand why it wasn’t happening when I was so ready and so excited! I’d had a blessingway and a pregnancy photo-shoot, road-tested the birth pool, chosen music & aromatherapy oils, designed a mud-map of my birth space, painted a trust mandala onto canvas… even my stainless steel mixing bowl with plastic bag liner was ready and waiting on our loungeroom floor to catch a placenta. The bassinet was set up in our bedroom… but something was wrong. For some reason and try as I might, I couldn’t visualise a baby in it. I couldn’t even visualise myself in labour… it all felt so far off, despite the fact that I was ‘due’ and wanted it so badly. So what was I doing wrong? Why didn’t my baby want to be born?

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It wasn’t a good headspace to be in, and knowing how powerful the mind is, I realised I had to let go of certain anxieties that I suspected were holding things up. I was finding it difficult to accept that some things weren’t happening according to plan. My Mum had come to stay, but she was supposed to arrive after the baby was born, not before, because even though I love her lots, I preferred not to have her in my birth space. And now that she was here I had to face that probability, and also tell Kate that I didn’t need her anymore, which was disappointing. I wasn’t used to being ‘overdue’, and because of my Feb 29 prediction everyone thought I was a week further along than I actually was, so I was feeling pressured and increasingly annoyed by all the comments I was receiving… “You still here?!”, “Hasn’t the baby arrived yet??!!”, “Is it safe to homebirth when you’re overdue?”, “When are you going to get induced?” etc. I’d lost my sense of excitement to a certain degree as Braxton Hicks kept amounting to nothing & the comments kept coming, and I started to wonder if Bubby was ever going to arrive. I’d also wanted to have lots of R&R time to meditate and connect with the baby in the lead up to the birth, but aside from one yoga class per week this wasn’t happening either. My husband David was working lots so I was still as busy as ever doing everything for the girls and the running of our household… needless to say I was feeling very frazzled!!!

So I made a momentous decision at my 41 week appointment on March 14. “Face of Birth” was screening locally that night, which I hadn’t been planning to attend (I’d already bought tickets to the next screening instead), but I decided that it was probably just the thing I needed… so I told Lisa I’d join her there. We joked that I would probably give birth in the theatre amongst my ‘village’ of like- minded women, and I felt my excitement returning as I gave myself a little stretch & sweep in the shower before heading out.

So many moments in the film really hit home for me and confirmed everything that I know to be true about birth. When the Aboriginal woman declared that “we are holy women when we give birth”, I had tears streaming down my face as I recalled telling David, my Mum & Lisa that my birth space was sacred – quiet, respectful & candlelit, where anyone present would behave as though in church or in the company of a higher presence. The film undoubtedly reconnected me with my birthing ‘mojo’ and inspired me to let go of everything that was weighing me down, and just let this birth unfold however it was meant to. I was back in tune with my baby and my instincts, and when I said goodbye to Lisa I knew I’d be seeing her again very soon…

I got home at 10:30pm and was in bed by 11pm listening to my Calmbirth CD, visualising the birth with lots more clarity now, when at 11:30pm Bubby kicked so hard that I felt an odd pop, realising soon after that I was very wet. I lay there quietly for several minutes in surreal disbelief, wondering what it was… urine, blood, semen, amniotic fluid?? Could it be??!!! I began to feel some regular tightenings so I tottered off to the bathroom, where I discovered that my membranes had indeed ruptured, and by midnight contractions were established and 10 mins apart. I let Lisa & Jane know and went back to bed full of delicious anticipation (like it was the night before Christmas!) whilst David quietly got to work setting up my birth space in the loungeroom. When I made my way out there an hour or so later I was blown away – it was bathed in candlelight with music & aromatherapy oils softly spilling into the room, the ‘purple pool’ full & inviting… such a warm, comfortable, sacred space, exactly as I had imagined! Mum and the girls slept soundly nearby in their beds – it couldn’t be more perfect.

I spent the next hour quietly breathing through the waves as I leaned over the lounge (kneeling on the floor), while David gave me a beautiful back massage. Sometime after 2am things had ramped up a gear, so despite feeling bad about waking Lisa & Jane, I texted them to let them know that they should probably come. Little did I know that ‘ramping up a gear’ was actually ‘transitioning’! Luckily Lisa lived only 10 minutes away because when she arrived I was in second stage, realising with some regret that I wasn’t going to make it into the pool – Bubby wasn’t far away! I was on my yoga mat leaning over my fitball now, rolling back and forth with each wave, feeling Bubby descend and my body open up whilst I was instinctively bearing down at the tail end of each exhalation… such an incredible sensation! I remember thinking that if Mum was awake and hearing my orgasmic “aaaaah”s, she would think David & I were makin’ whoopee in the loungeroom! It was definitely pleasure as opposed to pain.

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Lisa wasn’t there long before I asked her to take my undies off – she hadn’t realised things had progressed so far and was surprised to see a head crowning. I reached down and felt it as David got into catching position, and after a couple of pushy exhalations through a ring of friendly fire, a little head was gently born… and then our precious Benjamin David slid beautifully into his Daddy’s hands at 3:09am. A boy!!! And in only three hours! David passed him back through my legs to me, and we had a lovely group hug, marveling at our perfect little man, before I moved onto the couch to get comfy for a nice long skin-to-skin breastfeed. After an hour or so I felt the need to sit up and realised that I was also feeling a bit ‘pushy’ again… my body was doing its job beautifully, and within minutes I birthed my placenta into the bowl and lay back down again. It sat beside us for another hour or so, still connected to Benjamin, until the cord had long-stopped pulsating and David cut it.

We all sipped champagne by candlelight and marveled at the whole experience, all high on oxytocin, until daybreak when Mum and the girls woke to meet our gorgeous new family member… none of them realising that he was being born as they slept! It was so surreal and SOOOO sublime. And I felt like a goddess.

Lisa was amazing. She cleaned everything up so quickly & efficiently and stayed with us well into the morning to give me a shower and tuck me into bed – such attentive TLC that one couldn’t possibly receive in hospital. Jane took some incredible photos. I hardly knew she was there as she captured all the miraculous moments that are etched in my memory forever. And my Mum was great too, feeding us all toasted hot cross buns and opening her arms for my girls as they slowly took in the surprise of waking up to a new little brother. She took care of them so David and I could snuggle up in bed together with Benjamin, which is where we remained cocooned all day, drinking him in.

The whole experience surpassed all my expectations in the end, and it taught me some valuable lessons… that too many expectations can result in too much anxiety; and that I needed to quiet my mind and let go of these expectations, and simply let the birth unfold in its own time and find its own perfection.

Thank you Selena and family, and Jane McCrae for sharing!

Readers, please consider sharing Your Birth Story with the O Birth Pod Cast. Join us Tuesday Nov 26 (with access all week) for eClass w/ Sex Coach Kim Anami.

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Orgasmic Birth Experience Design Competition

EXTENDED!!

What is safe, sacred and succulent with wild, lasting release?

The Orgasmic Birth experience, and it needs a new design!Screen Shot 2013-09-10 at 11.37.42 AM

 

Our new slogan: Unlock Your Pleasure to the Best-Kept Secret: Orgasmic Birth, needs a new design.

Orgasmic Birth is currently holding a design competition for the new logo that will appear on the Orgasmic Birth DVD, CD, and accompanying online resources. We love rich, earthy colors and bold images and designs that express the joy and freedom of ecstatic, orgasmic birth! And we love real images of real women birthing. You must have copyright permissions for any and all images used. Designs should be high-resolution and available in different dimensions for banners and DVD/CD images.

Please submit your designs thru the “Share Your Story” page and indicate they are for “Obirth Design Competition”. You may submit as many different ideas as you want! Bring your style and savvy together with the Orgasmic Birth message.  Winner will receive a Gift Package including a Bali Birth Batik (valued at $39.95), DVD Orgasmic Birth Movie (valued at $29.99), CD Orgasmic Birth Soundtrack (valued at $14.99), Orgasmic Birth Book Guide (valued at $19.99), One-hour consultation with Doula/Birthworker/Director of Orgasmic Birth Movie, Debra Pascali-Bonaro (valued at $200.) AND publication on the Internationally acclaimed and known Orgasmic Birth Movie & Resources (Priceless!). Have fun and feel free to discuss here in the comments or on our obirth fbpage.

Please submit your designs thru the “Share Your Story” page and indicate they are for “Obirth Design Competition”. Submissions accepted thru end of year.

Need a starting point? Here are some past O Birth logos and designs….

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Quotes from O Birth Movie and Guide always provide inspiration.

 

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A painting created by the Doulas in Austria.

 

 

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O Birth Image put together by Women’s Rights News
Our original logo.
Our original logo.

 

Orgasmic Birth in the sand
Orgasmic Birth in the sand
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Ina May Inducted into Hall of Fame by Robbie Davis-Floyd

Ina May Gaskin and Robbie Davis-Floyd at the Gala Celebration of the National Women’s Hall of Fame Inductees, Oct. 12, 2013. Ina May was inducted, along with 8 other remarkable women, including Betty Ford and Nancy Pelosi. Photo by Juliana van Olphen Fehr.
Ina May Gaskin and Robbie Davis-Floyd at the Gala Celebration of the National Women’s Hall of Fame Inductees, Oct. 12, 2013. Ina May was inducted, along with 8 other remarkable women, including Betty Ford and Nancy Pelosi. Photo by Juliana van Olphen Fehr.

I had the honor and the pleasure to bear witness to Ina May’s induction into the National Women’s Hall of Fame in Seneca Falls, a charming small town in Upstate New York that has long been a hotbed for the women’s liberation movement—the first Convention for Women’s Rights was held there in 1848, followed by many subsequent events during our sister-ancestors’ long battle for equal rights. The National Women’s Hall of Fame is physically located there, right across the street from the Elizabeth Cady Stanton Park.

It was a grand event with hundreds of attendees. The festivities began with a Tea Party (a deliberate and not-so-subtle comment on our present political logjam!) that offered plenty of opportunities for meeting, greeting, and networking. The New York midwives turned out in force for Ina May—they planned their annual NYSALM (New York State Association of Licensed Midwives) meeting to take place in Seneca Falls so that they could all be there to support Ina May. MANA’s representative to the event, Vicki Hedley, current MANA Board member and Treasurer, kindly drove me through the gorgeous countryside on a bright sunny day that enabled us to fully appreciate the lovely vistas of mountains, valleys, and fall foliage that filled our senses with delight.  I came from Texas, Juliana van Olphen Fehr (Director of the Nurse-Midwifery Program at Shenandoah University) came from Virginia, as did many others to be there for Ina May, and wow did she get a lot of cheering when she stepped forward to have that huge medal hung around her neck!

It is official! Ina May is a Great Woman!
It is official! Ina May is a Great Woman!

She gave a brilliant talk. She began by noting that even though she could not legally practice in New York State as a CPM, she had actually and legally attended a birth in New York, on a Native American reservation there that is not officially part of NY. “Balance” was her theme—the balance the Six Nations achieved by having men as chiefs, with a committee of women as the voters who decided what the male leaders could and could not do, such as when they could and could not go to war. She moved on to honor Mary Breckinridge, a former inductee, describing the Frontier Nursing Service that Breckenridge created, the difficult conditions under which they practiced, fording swollen streams to attend home births, and the excellent outcomes they achieved because of their courage, skills, and commitment. They achieved a remarkable sort of balance between the needs of the population and the services the FNS midwives could provide. I managed to film most of her talk on my iPhone—Debra Pascali Bonaro will be posting it on YouTube, so watch for it!

The formal induction ceremony opened with a video of Hillary Clinton welcoming us all to Seneca Falls, honoring the early feminists, and celebrating today’s induction.  The other eight inductees included Betty Ford (1918-2011), Julie Krone (1963- ), Kate Millett (1934-  ), Mother Mary Joseph Rogers (1882-1955), Bernice Resnick Sandler (1928- ), Anna Jacobson Schwartz (1915-2012), Emma Hart Willard (1787-1870), and Nancy Pelosi (1940-  ). Betty Ford’s daughter spoke movingly of her bravery in choosing to share her diagnosis of breast cancer and her struggles with alcoholism with the world, in order to move these heretofore almost unspeakable issues into public awareness and consciousness. Julie Krone—you may not know her name, but she was one of the first female jockeys in the U.S and eventually became the leading female Thoroughbred horse racing jockey of all time. Her speech was inspirational. She described her early marginalization as a woman, being given the worst horses to ride and then learning them so well that she began to ride them to victory, over and over, against all odds, until her skills were finally fully acknowledged, at which point she began to ride back-to-back races, sometimes winning five or six races a day, and going on to become the first woman to win a Triple Crown and many other awards. Nancy Pelosi told the story of being asked to run for the House of Representatives, her concern about what that might mean for her last remaining child at home, a daughter. She told her daughter about the opportunity, said that she was willing to let that go in order to stay home and support her through her senior year of high school. Her daughter’s response: “Mom, GET A LIFE!”

The Gala Celebration after the Induction Ceremonies was a marvelous party in the Hotel Clarence in Seneca Falls—I was thrilled to be able to speak a bit with Nancy Pelosi, to shake Lilly Ledbetter’s hand and thank her for her service to women, and to observe Ina May in animated conversation with so very many people who seemed to really understand the depth and breadth of her contributions to women, midwives, and birth. I found a moment to ask Ina May, my friend of over 20 years, if she had kept a careful record on her CV of all her talks and all her publications—she said, regretfully, that she had not. I urged her to create that record so that it will not be lost! Is anybody out there up for writing the full biography that she so richly deserves?

The following day, Sunday, Vicki and I attended a lovely brunch held in Ina May’s honor by NYSALM. Invited to the mike, Ina May began with a question: “If I were younger and wanted to come and practice in New York State, what would I have to do to do so legally and how much would it cost?” She is a CPM and has a Master’s in English—the Master’s degree is now a requirement for any midwife who wants to become licensed in New York. So the answer, given most clearly by Kate Finn CPM, CM, was two years at either program for CMs—the one at SUNY downstate in NY or the one in Philly, at a cost of $50,00 to $60,000. A young aspiring midwife, already a CPM, stood up to speak of the hoops she had jumped through to become eligible for the CM SUNY downstate program, taking all the necessary prerequisite courses, only to find her application rejected. And she asked, “Why is it so hard to become a Licensed Midwife in New York, when I am already a midwife?” A fascinating discussion ensued that indicated clearly that the members of NYSALM are very open to considering alternate routes, including looking at ways to legitimate CPMs in NY. It came up in the discussion that the ICM (International Confederation of Midwives) global standards for midwifery education might be used—yet CNMs and CMs in New York operate far beyond those standards because they are trained not only in maternity care but also in lifetime well-woman care. And, as some of them said, they simply love not having to say goodbye to their clients after birth because they can offer them ongoing, lifetime care. Yet no one there seemed to want “tiered midwifery”—meaning that there would be various hierarchical classifications of midwives (as there are for nurses)—so the dilemma of how to incorporate the CPM in New York remains. They are going to work on that!

After the brunch, Vicki and I found time to visit the National Women’s Hall of Fame. It was incredibly inspiring to find so many of my personal culture heroes honored there. Too many to mention here, but I will just say that in a glass display case, there was a scarf that had belonged to Amelia Earhart (a posthumous inductee). Sally Ride, another inductee, had taken that scarf into outer space as a tribute to her personal culture hero Amelia, and then had returned it to the museum. Women honoring women. I was moved beyond words to hear that story, to see Sally’s uniform also displayed there, and to move around the museum gasping at the stories on the plaques of the women honored there, with tears flowing as I honored their individual and collective achievements. And walking into that Hall of Fame, the first thing I saw was Ina May’s plaque complete with photo right next to Betty Ford’s, on the display panels in the middle of the room of the new inductees.

We have a lot further to go, but we have come a very, very long way in our collective efforts to guarantee equal rights for women, and now for the next cause—human rights in childbirth—a cause that our marvelous Ina May has long championed. She has been a spearhead for that movement in many countries around the world. Let’s pause a moment to celebrate her recognition as a champion of normal birth and women’s rights, then take a deep breath and go on to do the work of making physiologic birth and respectful treatment of laboring mothers the global norm! So many brave women have paved the way—let us follow in their footsteps and make new paths of our own.

 

Screen Shot 2013-10-16 at 10.13.39 AMRobbie E. Davis-Floyd, Ph.D. is an International Speaker, Accomplished Author, Medical/Cultural Anthropologist, Expert on Childbirth and Midwifery, Editor and Reviewer, and Consultant and Senior Research Fellow, Dept. of Anthropology, University of Texas Austin.

 

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How has Ina May shone the spotlight for you?

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Supporting Newborn Golden Hour

By Aszani Stoddard, CNM, IBCLC
HPIM0169.JPGImagine being a newborn. You have been cradled in a warm, dark, watery environment. You have heard your mother’s heartbeat, the voices of family members and the sounds of your mother’s environment.  Bathed in her hormones, you have instinctively pushed with your legs as she pushed you out. You have emotions, but no words for them.  You have lots of instincts to guide you. And now you are here.

Imagine that your first experience of the world is being greeted with fear. You are handled roughly and dried aggressively with a baby blanket.  A bulb syringe is plunged into your throat. Your known oxygen supply, the umbilical cord, is quickly clamped and cut and you are whisked off of your mother for another round of suctioning under the warmer. You might be weighed, measured and dosed with Vitamin K and erythromycin eye ointment before your mom ever takes a good look at you. You are presented to her wrapped tightly in blankets. Often, at this point, you are overwhelmed and your eyes are closed.  Even if you opened them, you would not be able to see her, the source of your life, through the Erythromycin ointment.

At some point, if your mother has planned on nursing you, you will be arranged across her body, and be woken up. If you show signs of interest, a well-intentioned person will assist your mother in latching you. This might include pushing you onto the nipple or putting a little formula on your mother’s nipple to entice you to nurse.

Let’s stop for a moment and consider the messages we have given to the Mother-Baby dyad so far:

1-The world is a scary place

2-The transition from the intrauterine to the extrauterine environment cannot happen without intervention

3-Medical intervention supercedes instinctual behavior

4-The convenience of medical people is more important than the needs of the mother-baby dyad

5-Breastfeeding is difficult, perhaps even impossible, and babies cannot stay healthy without our intervention.

Breastfeeding Is a Public Health Issue

Is it any wonder that many babies do not nurse well at first? That 75% of women in the United States initiate breastfeeding and only 15% are exclusively nursing at 6 months? (1)

It is estimated that about $13 billion would be saved if breastfeeding were increased from current levels to 90% of women breastfeeding exclusively for six months.

This number includes only savings for children’s health.  This number does not factor in the protective health benefits for the mother, or the psychological benefits for the Mother-Baby dyad.

What the Data Tells Us:

  • Undisturbed skin-to-skin contact (also known as Kangaroo Care) immediately after birth promotes:
    • Breastfeeding success in the short-and long-term
    • Mother and infant bonding
    • Regulation of normal temperature, breathing and heart rates, blood pressure and blood sugar for the newborn
    • Decreased stress for babies and mothers
    • Improved immunity for infants
    • Improved infant survival and decreased hospital stays for sick and premature newborns, even in settings with overcrowding and poor resources (3 & 4)

What My Experience Tells Me:

With over a decade of helping women in home and birth center settings and over twenty years in hospital settings, I have seen instinctual behavior happen in all settings. But it only happens if we (the care providers) get out of the way.

Yes, I’m saying that less is better. That we cause harm by intervening too much.

How Can We Do Better?

  1. First, place the baby immediately onto the mother’s abdomen after the birth.
  2. GENTLY dry the baby, remove the wet blankets and cover the baby and mother with warm blankets right away. THERE IS NO NEED TO SUCTION A HEALTHY BABY.  Gently wipe the face as you do the body. Talk to the baby and welcome it to the world.
  3. Avoid anything that could potentially cause harm to the breastfeeding process, including use of the bulb syringe and deep suctioning.  DO NOT suction the stomach because “the baby is spitting up”. No special measures are needed for babies born with meconium-stained fluid unless there is a need for ventilations. (5).
  4. Learn how normal newborns transition from amniotic-fluid breathing to air-breathing creatures. Know how to spot the difference between normal and abnormal transition.  Educate and talk with parents to point out what you are seeing and looking for after the birth.
  5. In every setting, institute a “Sacred Hour” after the birth. This includes minimal contact from anyone but the mother and partner. Vital signs should be taken minimally, and always with the baby skin-to-skin with the mother and covered with blankets. Visitors should be limited during this time.
  6. Infants should be given at least an hour to self-attach at the breast. Educate families and staff about normal infant behavior during this time. Refrain from forcing a newborn onto the nipple.
  7. Learn about instinctual infant behavior and how to optimize infant positioning for successful breastfeeding
  8. Keep the baby “in the habitat” (skin-to-skin with the mother), even during assessments like blood sugar testing.  If blood sugar is low, nurse first. If the baby isn’t nursing, supplement at the breast with the baby in the habitat., preferably with donor human milk.
  9. ALWAYS include the parents in decision-making. Avoid paternalistic behavior. Use the midwifery model (which can be used by anyone doing maternity care), which emphasizes shared decision-making (6).
  10. Always think about how to best adapt care to be “Mother-Baby Centered”. Be innovative and fearless in protecting the habitat for newborns.

Postscript:

Although many researchers have studied this issue, a few people deserve special recognition:

Over the last 35 years, Drs. John H. Kennell (a pediatrician) and Marshall H. Klaus (a neonatologist) have helped us to understand physiologic and behavioral processes of mothers and babies around the time of birth.  In turn, they have helped modify obstetric and newborn care to enhance the remarkable inborn capacity of mother and infant to promote their mutual welfare.

Dr Nils Bergman, working in South Africa, has also extensively studied this area, and coined the term “the habitat” for keeping the newborn skin-to-skin with its mother.

Resources:

An excellent and quick look at why skin-to-skin care is so important, from one of our renowned world experts, Dr. Nils Bergman:

http://www.skintoskincontact.com/what-is-ssc.aspx

Dr. Nils Bergman’s sister website on Kangaroo Care:

http://www.kangaroomothercare.com/

Excellent videos for staff in hospitals and parents about how to recognize the normal stages of infant self-attachment at breast:

http://www.healthychildren.cc/skin2skin.htm

Evidence-based resources for maternity health care, including the “Listening to Women” Survey:

http://www.childbirthconnection.org/

For an outline of the 10 Steps for Baby-Friendly Care:

http://www.babyfriendlyusa.org/

For an outline of Mother-Friendly Care:

http://www.motherfriendly.org/MFCI

A summary of the work by Drs. Kennell and Klaus:

http://www.childbirthconnection.org/pop.asp?ck=10469

References:

1- http://www.cdc.gov/breastfeeding/data/NIS_data/index.htm

http://www.usbreastfeeding.org/LegislationPolicy/FederalPoliciesInitiatives/HealthyPeople2020BreastfeedingObjectives/tabid/120/Default.aspx

2-http://www.ncbi.nlm.nih.gov/pubmed/20368314

•Bartick M, Reinhold A, The burden of suboptimal breastfeeding in the United States: a pediatric cost analysis. Pediatrics. 2010 May;125(5):e1048-56.

3-A bibliography from a talk given by Barbara Morrison, PhD, FNP, CNM, in 2006 at the International Network of Kangaroo Mother Care Biennial Workshop

http://kangaroo.javeriana.edu.co/encuentros/6encuentro/abstract2.pdf

4-A comprehensive overview of the literature from Case Western Reserve University:

http://fpb.cwru.edu/kangaroocare/KCBIB%20abstracts.pdf

Review of the current NRP Guidelines:

5- http://www.aafp.org/afp/2011/0415/p911.html

The definition of the Midwife Model of Care:

6- http://cfmidwifery.org/mmoc/define.aspx

 

AS HeadshotAszani Stoddard  is a nurse-midwife and International Board Certified Lactation Consultant (IBCLC) who has worked in home, birth center and hospital settings for the last thirty years. Aszani is the founder of the Madison Birth Center (www.madisonbirthcenter.com), Wisconsin’s first Nationally Accredited and Baby-Friendly free-standing birth center. She now works in a woman-centered hospital practice in Minneapolis. She remains an active part of the birth center community by serving on committees and serving as a bridge between home, birth center and hospital cultures.

The Thoughtful Midwife: Fearlessly combining research and traditional midwifery wisdom to guide maternal and infant health care.

 

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Marcy’s Tips for Healing Birth Trauma

Submitted by Marcy Stevens Sauter IBCLC, PCD (DONA)

“Working with women on a daily basis, I have found that my story is not uncommon. Birthing women are very vulnerable, period. Most cultures are not sensitive to the needs of birthing women, especially here in North America where I reside.”

______________________________________

imageOn a recent trip to Bali, I attended a birth doula training that was taught by DONA trainer Debra Pascali-Bonaro. My intentions were not primarily geared to becoming certified, they were more to discover and attain birth healing for myself. After carrying a load of birth trauma for decades, my focus was to find peace for my heart and soul once and for all. The simplicity of being in the community of other women was very healing. Their non-judgmental company and listening ears made a huge impact on me. I needed the community of women to advance me on my journey.

Without going into the gory details of the traumas I experienced as a birthing woman, I have found that I am not alone in my quest for healing. Working with women on a daily basis, I have found that my story is not uncommon. Birthing women are very vulnerable, period. Most cultures are not sensitive to the needs of birthing women, especially here in North America where I reside.

Perhaps I was naive to think that I would be a hostess of the perfect birthing woman. My plan was to have my babies without any intervention. I imagined myself as a warrior woman whose body sustained life for 9 months to the growing baby and would continue to sustain him/her with my warm milk that my body produced. Far from it! With all four of my pregnancies, I think I had every intervention known to medical science. Despite successful breastfeeding, I still felt like a failure!

The good news here is this: there are women who experience great birthing outcomes. I’ve met them, I’ve worked with them! It gives me hope for future generations that birth will be esteemed, and it lights a fire under my feet to continue the work that I do as a postpartum doula, and IBCLC.

So what next? What will you do if you find yourself in a position like I have been in? A place where you find yourself with disappointment or depression due to unattained goals as a birthing woman.

Here’s my advice:

1. Find that community of women that will nurture you. Seek out the women in your community that are doulas, midwives, massage therapists, moms, grandmas, aunts, sisters, childbirth educators, lactation consultants, librarians, cashiers, WOMEN! There is so much we women can offer each other that is not tapped in to. Encompass yourself with the wisdom of other women, it can be healing.

2. Don’t wait for years on end to find healing! I waited for years, and the trauma manifested itself into depression and anxiety. Seek out mental health professionals that specialize in Post Trauma Stress Disorders. This step may help you avoid carrying around extra baggage of disappointment. It might be necessary, even with the community of women, to seek professional help. There are mental health issues that might need to be addressed that a specialized healthcare provider can treat.

3. Don’t blame your baby! If I was really honest with myself, at the time I gave birth, I would have to say that on a sub-conscience level, I put partial blame on my children as if they had something to do with the outcome. What a terrible load to put on an innocent baby! If you find yourself having difficulties in connecting with your infant, try wearing your baby and continue breastfeeding, which are instrumental  for both baby and mama to heal the possible disconnect that the dyad may feel after having a difficult or disappointing birth.

4. If you are pregnant, educate yourself about childbirth interventions, beforehand. I have observed that many women I’ve worked with, that have had positive birth outcomes are ones that opened themselves up to learn about the pros and cons of possible medical interventions.

In the event that you are hoping to have a non/low intervention birth, I recommend reading one or more of the following books:

Spiritual Midwifery by Ina May Gaskin
Gentle Birth Choices by Barbara Harper, Suzanne Arms
The Complete Book of Pregnancy and Childbirth (Revised) by Sheila Kitzinger
Ina May’s Guide to Childbirth by Ina May Gaskin
Misconceptions by Naomi Wolf
Orgasmic Birth Guide  by Debra Pascali-Bonaro and Elizabeth Davis

And viewing the following videos/dvd’s:

Orgasmic Birth: The Best-Kept Secret
Business of Being Born
Birth Story: Ina May Gaskin and The Farm Midwives

In closing, it took me decades to finally leave a good portion of emotional turmoil, sustained by birth trauma, that I carried around for way too long.

I was privileged to attend two births of local Balinese women at Bumi Sehat, a birth Center in Ubud, where Robin Lim practices. These laboring moms were surrounded by the circle of women, which empowered them through their labor. I’ve decided to attend births as a birth doula a few times per year, here in the USA. In the meantime, I will use my skills and personal experience to help heal the hearts of women that have experienced birth trauma/disappointment.

Learn more about Gentle Birth Practices in Debra’s Pain to Power online childbirth experience.

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Marcy Stevens Sauter is an IBCLC and PCD (DONA) with her company Rest Assured Postpartum Doula Care serving greater Orange County, CA and Los Angeles County, CA.
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Secret Pleasures of the Uterus

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by Dr. Eve Agee

The uterus…it’s our first home, a place of safety and security.  Yet did you know that this vital female organ can also be a key source of sensuality and ecstasy for women?  Even though in the West we don’t frequently associate the uterus with sexual satisfaction, many ancient cultures celebrate the sensual gifts of the uterus and recognize it as one of the main pleasure centers of our female bodies.

For many women, it may take a shift in the way we relate to the uterus to open up to the sexual rewards it can give us.  From a physiological standpoint, during vaginal stimulation or sex (with yourself or a partner), the uterus enlarges and elevates with every phase of sexual response. This can generate wonderful satisfying sensations for women and full-on uterine orgasms in some.  Even researchers describe uterine orgasms as “earth shattering” and profoundly emotional.

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These mind-blowing surges of pure bliss often occur when there is a strong emotional connection such as a intense intimate bond with a partner or during the birth of a child.  At least thirty percent of all women in scientific studies have blended or g-spot orgasms, which are a combination of clitoral and uterine orgasms.  At home away from the sterile laboratory settings the numbers are probably much, much higher.

For women wanting to find new ways to relate to the uterus for vibrant pregnancy, childbirth or lifelong sexual health, it can be helpful to get in touch with the energy of the uterus to expand ecstasy and awareness.  To do so (or to help clients do this) it’s important to create the freedom to explore what feels good to our bodies in a safe comfortable setting.  This may not involve a partner at first but rather taking time with yourself to play around with what it’s like to experience pleasurable sensations in the uterine area.

You can start to get in touch with your uterine energy to expand ecstasy your pleasure by making a few minutes everyday to connect with your womb space.  Wear loose comfortable clothing and find a quiet place you can recline or lie down where you will not be disturbed.   Close your eyes and begin to breathe deeply into the pelvic core and imagine or intend that you can connect with your uterus.  Silently or out loud, say hello to your uterus, like you might greet a beloved friend. Breathe deep long breaths in and out through your nose as you focus your awareness on your uterus. Place one hand on the lower abdomen and caress, stroke, or move your hand in slow circles around the lower part of your belly over the uterine area.

Begin to imagine a rich orange or golden light flowing to the uterus, filling it with love and tenderness.  You may also want to envision or sense the uterus pulsating in ways that bring you pleasure while breathing deeply into your womb.   With every breath, feel your uterus starting to fill with satisfying sensations and delight.  Continue this exploration for as long as you would like, acknowledging that regularly taking time to imagine your uterus flowing with waves of pleasure will help you heighten sexual ecstasy.  When you complete your practice, thank your uterus and your body for all the blessings they give you.

Remember that you can connect with your uterus anytime throughout your day by placing your hand over it, receiving a deep breath and feeling gratitude for all that does for you.  Just like any relationship, the more positive attention and love you give to your uterus (and all of your body), the more delight you receive in return.   Approach this process with a light heart and have fun with it. Taking the time to explore the secret pleasures of our uterine energy can bring many gifts to enjoy–for a lifetime.   Please post any insights or questions that came to you while reading this post below–we would love to hear from you.

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Image 18_2_2Dr. Eve Agee is an international bestselling author, medical anthropologist, women’s health expert, and Founder of the Transform Coaching Academy.   Her best-selling book, The Uterine Health Companion: A Holistic Guide to Lifelong Wellness (Random House), is the winner of the International Book Awards.

Eve has served as a White House expert, taught at the University of Virginia, and researched women’s healing throughout the world. She is the co-founder of the Hot Flash Mob and her work has been featured on NBC, Fox, BBC, iTV, Fox and NPR.  You can learn more about Dr. Eve’s programs at www.eveagee.com.

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Pleasurable Breastfeeding Peer Support Resources

This year the theme of World Alliance for Breastfeeding Action WABA World Breastfeeding Week WBW is Peer Support!

Have you ever had a friend or family-member say, “I’m so glad you were there, you really helped me with breastfeeding.” ? This is peer support- WBW is all about highlighting that peer support and bringing it out into the community even more.

“Depending on the target group, the methods employed may include peer support groups at a community venue; drop-in sessions in a community or health facility for mothers with problems; home visits; phone, email, surface mail, mobile phone text or internet chat help; antenatal and parenting classes; or services linked to hospitals, health centres and community health services. Coordinating peer support with professional health care, between which mothers can be referred if necessary, is particularly valuable, because it builds a continuum of care from maternity hospital to the community”

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Hale eLearning for Peer Counselors

What kind of BF support do you have in your community?

There are many ways you can bring peer support to your community including hosting a support group or letting organizations know you are available to help. Here are some wonderful resources to get you started:

Linkages Training of Trainers for Mother-to-Mother Support Groups: http://www.linkagesproject.org/media/publications/Training%20Modules/MTMSG.pdf

Hale Publishing E-Learning “L-CERPs or R-CERPS are available for each eLearning class. Hale Publishing is a long-term provider with the International Board of Lactation Consultant Examiners for Continuing Education Recognition Points (CERPs). IBLCE Approval Number CLT108-25.”

World Health Organization Breastfeeding counseling: a training course: http://www.who.int/maternal_child_adolescent/documents/who_cdr_93_3/en/

WIC Screen Shot 2013-07-31 at 11.43.22 AMWorks Breastfeeding Training Resources (there are several resources listed within this one link): http://wicworks.nal.usda.gov/breastfeeding/breastfeeding-peer-counseling

There are many more resources on the World Breastfeeding Week website and we will be discussing peer support all week at: https://www.facebook.com/obirth so please join us!

 

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Protecting the Normal: Supporting Breastfeeding Mothers

Submitted by: Emily C. Taylor, MPC, IHI-IA, LCCE, CD(DONA)

Founder and Director of WISE (Women-Inspired Systems’ Enrichment)

Hendricks StS Skin to SkinAccording to the Oxford English Dictionary, normal means “Serving to establish a standard.  Of natural occurrence.  The usual, typical or expected state or condition.”  Rarely does this definition apply as precisely as it does to breastfeeding.  Let’s break that definition down: 1) it is, indeed, the standard by which all other methods of feeding a human infant are judged.  (Can’t you hear the formula ads proudly proclaiming, “Our closest even to breastmilk!”?)  2) Much like other natural occurrences, even the 93 chemical elements, breastfeeding is at its finest without artificial aid.  And, 3) the flow of milk from mother to child can safely be expected to transpire.

When then, if breastfeeding is so normal, do we insist on asking women “Do you plan to breastfeed?”  And, why, do so many women respond, “I’d like to try?”  As a doula, a childbirth educator, a Baby-Friendly Hospital expert, and as a woman, I’m sad to say it’s because well-intended “supporters” among us treat breastfeeding as if it is the exception.  Therefore, it is up to us to protect the normal until this paradigm shifts.  Here are three suggestions for mothers, birth workers, or anyone who wishes to don their super-heroes cape and protect the normal:

1)     Be smarter than the advertising.  Better yet, avoid it altogether… Denounce it!  In a recent study I published with my esteemed colleagues, we found that women’s confidence in their ability to breastfeed decreased remarkably after viewing a few common advertisements.  Before reviewing the ads, women decreed that mothers’ milk was best; after the ads, they wondered whether their own milk would meet their babies’ ever-changing needs.  I don’t care how beneficent these advertisements appear: They serve their purpose of getting women to use the products.

So, what can you do?  Ask your local hospitals and providers if they are compliant with the International Code of Marketing of Breastmilk Substitutes.  If so, they refrain from distributing formula company advertising.  If not, ask them to do so.   (Hospitals can register with www.banthebags.org to show their solidarity with the thousands of other hospitals who have signed on.  (Massachusetts and Rhode Island are bag-free states!)  If they won’t do it, tell everyone you know to leave those bags (or “educational materials” or coupons) behind.

2)     Go “Baby-Friendly”!  The Baby-Friendly Hospital Initiative is designed to give mothers and babies the optimal environment in which to start breastfeeding.  Staff is trained to provide evidence-based support on infant feeding, mothers are encouraged to hold their babies skin-to-skin, and to room-in continuously.  Only 6% of hospitals in the US are designated as Baby-Friendly.   But, you can make your own “Baby-Friendly” by requesting the practices for yourself and those you are serving.  Set the expectation: “The baby will be going skin-to-skin immediately after birth, and will stay there through at least the first feed.”  “The baby and mother will be rooming-in so they have an opportunity to practice baby-led feeding, and get to know each other with the support of the hospital staff.”  And, of course, stay close if you’re at home or a birth center, too!

3)     Learn about how the Affordable Care Act protects working mothers’ rights to breastfeed.  The ACA amends the Fair Labor Standards Act to require break time and a private place for hourly workers to nurse or express milk.  Employers sometimes need a bit of guidance about their role in protecting the normal.  Mothers and birth workers can (educate themselves and) point employers to the Division of Labor and the Office on Women’s Health.  A house bill called “Supporting Working Moms Act” is currently before the House of Representatives.  It seeks to expand ACA’s requirements to all employers.  Track S.934 so that you are ready to support it when its day arrives.

Above all, remind yourself that breastfeeding IS normal, and that like most things in this day and age, normal needs protecting.

Happy National Breastfeeding Month!

[Birth workers: If you would like to read more about protecting breastfeeding, check out our new book, Achieving Exclusive Breastfeeding: Translating Research into Action (Clinics in Human Lactation), by Labbok, Taylor or Parry, 2013.]

Also, see what the Surgeon General has to say on the matter by reading her Call to Action to Support Breastfeeding.

 

 headshot2Emily C. Taylor, MPC, IHI-IA, LCCE, CD(DONA), Achieving Exclusive Breastfeeding: Translating Research into Action (Clinics in Human Lactation), by Labbok, Taylor or Parry, 2013 is also Founder and Director of WISE (Women-Inspired Systems’ Enrichment).

 

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