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Debra Pascali-Bonaro

Awaken Your Inner Wisdom

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Awaken Your Inner Wisdom

Circle of Doulas: Love is the only thing that lasts

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Austrian doulas and I singing “Who are The Witches?”

Singing, Dancing, Listening, Learning, Connection, Women, Oxytocin, and Pleasure are all words that come to mind when I reminisce about our doula workshop this past week in Furstenfeld, Austria. Angelika and I have been friends since we met at the 2002 International Confederation of Midwives conference in Vienna. That year there were 3000 midwives and 3 doulas attending, we quickly found each other. Each year I return to Austria be a part of her red tent for women, birthworkers, doulas, and midwives. My weekend is one-part in her doula training and yet it reminds me that all women can benefit from a woman’s retreat, or red tent in their community.

I think of the days long ago when our daily lives would bring us together at the river to do laundry together, sharing our stories, our challenges, secrets of our heart and our joys. The circle of women was in tact. I think that is why I love the book the Red Tent so much. It takes you back to these days and every woman who reads this can feel this calling in her soul for this connection with our sisters. In all our advances, technology connections have replaced the intimate circle of women in our lives. We are learning that this is essential for us. Think of how when you live with women our cycles come in sync. We are only beginning to understand the way we effect each other’s physiology and thus beginning to understand why women’s continuous presence in childbirth effects the physiology of birth creating a safer, shorter, easier birth.

The new female stress response “Tend and Befriend” identified by Taylor and Klein in the groundbreaking research in 2000 shows how women’s response to stress is different than the male “ flight or flight” response. We need to be with women to lower our stress and raise the hormone of calm, connection and love, oxytocin. Yet, with all this emerging knowledge, are you making time in your life each week for a woman’s tea, circle, singing, dancing, sharing? If not, why not? Next time you gather with a group of women to sing, dance, share and listen, pay attention to how you feel after. What words would you use to describe the effect of a few hours with our girlfriends on your body and mind? Preparing to welcome new life into the world is the ideal time to find your circle, your female friends that can offer you safe place to share your fears, release them and identify your strengths. To nurture you in good birth stories,  in celebration of women’s bodies and to encourage you to share your hearts desires and dreams.

I hope you will add your thoughts and your stories here so we can encourage women of the world to reconnect the circle of support of women in our lives. It is amazing how singing around a fire under the full moon as we did, rekindles a connection both to nature and women that burns on in our souls and awakens an inner wisdom and knowing that is waiting to be re-discovered.

And in honor of All Hallow’s Eve, here is Who are The Witches?

Who Are The Witches?
Midwives reclaiming their heritage: A social movement song
Who are the witches?
Where do they come from?
Maybe your great-great grandmother was one
Witches were wise, wise women they say
And there’s a little witch in every woman today
Women had babies and witches were there
To help and to hold them, and give them sweet care
 
And witches knew stories of how life began
Don’t you wish you could be one?
Well, maybe you can…….
Who are the witches?
Where do they come from?
Maybe your great-great grandmother was one
 
Some people thought that the witches were bad
Some people were scared of the power they had
The power to heal and to give and to care
It’s not something to fear, it’s a treasure to share!
Witches are wise, wise women, they say
And there’s a little witch in every woman today.
Who are the witches?
Where do they come from?
Maybe your great-great grandmother was one
Witches were wise, wise women they say
And there’s a little witch in every woman today

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Finding Pleasurable Birth in VBAC

"The moment her eyes find mine, she quiets, recognizing me though we have never seen each other. We are even more connected than when we were still one body."
“I cradle her to my left side, to my heart, to where the first sound she hears is the steady and familiar beat of home. She is slippery like a dolphin and oh so soft.The bright cord, still pulsing food and oxygen, entwines us.”

Roanna Rosewood’s Cut, Stapled, & Mended: When One Woman Reclaimed Her Body and Gave Birth on Her Own Terms After Cesarean is an incredibly honest, exquisitely written book for mothers, women recovering from traumatic birth, doctors, midwives, nurses, all birthworkers, expectant parents, pregnant women, and fathers.

Cut, Stapled, & Mended is like a beautifully detailed birth story arching over Roanna’s first two cesarean births and third birth- a healing, pleasurable, bubbly VBAC, complete with her insights to birth and a broken maternity system. The book is about childbirth and about “the exquisite and raw birth of a woman” and we get to witness this via delightful treks into her life of running a restaurant, traveling to Hawaii, and mothering her two boys and husband who have creative ideas of play: “When the dish soap goes missing, I find it and the three of them on the trampoline.They have added water from the garden hose and are jumping—Dad and Avram fully clothed, Jonah buck-naked—in mountains of suds.”

“No.”Again, she allows me to interrupt her.“I don’t need to sleep, I’ll take Pitocin. I’m fine. Really. Give me Pitocin, or Cytotec even. I can do this.”
Desperate to avoid cesarean, mom says: “I don’t need to sleep, I’ll take Pitocin. I’m fine. Really. Give me Pitocin, or Cytotec even. I can do this.”

Sadly the most challenging part of Roanna’s story is common to so many- as consumers we trust our doctors and facilities only to find this approach didn’t work. Roanna admits: “As an articulate person, I had assumed I would be able to rationalize through labor, to troubleshoot, to concentrate and verbalize and make decisions. I was wrong.” After we are taken thru the heartbreak of this very traumatic first birth, we head towards her second birth with more optimism and although, it too results in cesarean surgery, the experience is better and mom is able to employ different pleasurable birth techniques: “Our Hypnobirthing routine works well. I don’t experience “pain,” the surges continue to be manageable.” And after the surgery they receive MotherBaby Friendly care: “I am grateful for the gift of this profound time, to be the first person my baby sees, to allow the familiar beat of my heart to comfort him, and to have the dignity, privacy and warmth of my little cave…””

Roanna and her Merbaby
“The moment her eyes find mine, she quiets, recognizing me though we have never seen each other. We are even more connected than when we were still one body.”

For birth number three, mom goes into full training mode even having found acceptance: “If we have to go through a cesarean, it will be okay. Birth is not everything.We have an entire lifetime to share.” But instead she finds herself in a place where she can say: “Where before there was pain, now there is only exquisite pleasure.” And to her a “merbaby” is born!

This is such an important and beautifully written book for anyone preparing for pleasurable birth, recovering from traumatic birth, as well as all birthworkers- doctors, doulas, nurses, and midwives alike. Enjoy your read of Cut, Stapled, & Mended – you won’t want it to end!


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Roanna with 2 of her 3 children and her wonderful midwife, Laura.
Roanna with 2 of her 3 children and her wonderful midwife, Laura, at book launch party.

Roanna is an the author of  Cut Stapled and Mended: When One Woman Reclaimed Her Body and Gave Birth on Her Own Terms After Cesarean, an award-winning international speaker, co-founder and host of Birth Plan Radio, and the executive action chair of Human Rights in Childbirth and most importantly, a mother. In her not-so-humble opinion, the latter makes her a true birth expert.

Hear more from Roanna in the en*theos Orgasmic Birth Virtual Conference as she discusses Finding the Courage to Birth and how we cannot numb ourselves to fear, pain, and death, without also numbing ourselves to courage, pleasure, and life. Labor doesn’t come from nowhere, when contractions begin. It’s the physical manifestation of our experiences throughout life and pregnancy. Fear of labor isn’t bad thing. It illuminates the specific work you can do to prepare for labor.

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Childbirth: A Memory of a Lifetime or Not?


(Including Penny Simkin’s new video)

Have you thought about what you want to take with you from your birth into the rest of your life? What birth story do you want to tell your children and grandchildren? Have you wondered how you can create Pleasurable Birth Memories? How to find and hold your power?

I was recently reflecting on my life and of course that includes my births- being born, giving birth and the many births I have been blessed and honored to attend. Having a birthday and celebrating another year provides a wonderful opportunity to be grateful for all of life’s experience, connections and lessons as well as time to ponder what elements create lasting positive, pleasurable memories, especially when it comes to childbirth – my life’s passion.

naomi2I first learned about the importance of a woman’s  birth memory from a special mentor to me and co-founder of DONA International, Penny Simkin. I encourage all birth workers to reach Penny’s classic article, “Just another day in a woman’s life? Women’s long-term perceptions of their first birth experience” a study which analyzed the long-term impact of the birth experience on a group of 20 women. “Women reported that their memories were vivid and deeply felt. Those with highest long-term satisfaction ratings thought that they accomplished something important, that they were in control, and that the birth experience contributed to their self-confidence and self-esteem. They had positive memories of their caregivers words and actions. These positive associations were not reported among women with lower satisfaction ratings.”

“I think because of what I experienced in the delivery room I felt powerless. I felt what I said really didn’t make an impact and didn’t make a difference.” – Mother quoted in Penny Simkin report

My grand-elder may not remember what she had for breakfast the day before but she will likely remember the words that were spoken to her and how she felt about her birth experience. This is no wonder since birth is a time when we are open, raw, exposed and vulnerable – open to possibilities. We are open to ecstatic moments between surges and also vulnerable to an edgy presence in our birthspace or the ice-cold touch of a hand on our belly. It can work both ways!

For too long we have felt birth was a day to get thru, we didn’t care how the baby came out. It’s one day in a woman’s life but as Penny Simkin, and others have shown us, our birth memory is impacted by how we were treated- if we were respected, if we received love and support, and at what level, if we had continuous companionship, if we were honored and consulted with choices and decision-making (informed consent and informed refusal). Together these factors create either a positive memory that will empower a mother, give her strength and power in all her life, or sadly, and too often today, when many of these elements are missing our maternity care system, disempowers women, leaving new mothers with an emotional scar. The emotional scar will provide a map to the deepest parts of the mother who knows that something was not right, that a day that should have been joyful, blissful and, yes, orgasmic, has turned sad, stressful and, for a growing number of women, traumatic. This is unacceptable!

“The birth probably increased my self-confidence, although it’s not something I perceived at the time. It was definitely something major that I had done. In some ways it was probably a watershed, because it was one of the big things in life, and it happened to me in a very positive manner, in a manner that made me condiment that I could do it again, that I could do it- period.” – Mother quoted in Penny Simkin report

Birth is a day that can and should be transformative, powerful and blissful- creating an orgasmic feeling full of emotion and joy. Your birth memory will last a lifetime and plays a role in how you feel about being a mother, about your relationships and we now know can alter your self esteem to bring you more power and strength in all your life, or to take away and leave you feeling less than capable at mothering and future challenges.

 

So what creates a lasting positive powerful birth memory? Read my Key Essentials for Creating a Powerful Birth Memory for some ideas to get you started. You deserve to give birth with love, dignity and pleasure, creating a powerful memory that you will savor all your life!


Additional Sources: Mannava P1, Durrant K2, Fisher J3, Chersich M4,5, Luchters S, Global Health. 2015 Aug 15;11(1):36. doi: 10.1186/s2992-015-0117-9., Attitudes and behaviours of maternal health care providers in interactions with clients: a systematic review.

Srivastava et al. BMC Pregnancy and Childbirth (2015) 15:97 DOI 10.1186/s12884- Determinants of women’s satisfaction with maternal health care: a review of literature from developing countries.

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B-School: Make Money. Change the World.

Do you have a dream or vision you want to bring out into the world?

A new product, program or class?

If you are like me I knew I could be doing more and better, yet I didn’t have the time or money to do anything different. I was working as hard and fast as I could with no time for anything more and lacking funds to do more too. Until one of my friends told me to check out Marie Forleo’s B-School. I took a quick peak and thought it was interesting but I had too many projects to finish to look more. A few weeks later another friend said to me, you have a great message, but you are not reaching all who need to hear it. Check out Marie Forleo’s B-School. I love the universe, helping me to see that as I loved being part of a community of support and learning around childbirth, I needed this for my business too. To have creative, innovative and life affirming techniques and guidance to create a model of marketing and learning that would not only transform me, but my website and business model and spread a message of power, pleasure and possibilities to women and men around the world, my passion to transform childbirth.

I began to watch past episodes of Marie TV, to listen to comments by her past students and yes you guessed it, another person contacted me to say how much they though I could benefit from Marie’s B-School. Well, I realized I could not afford not to join B-School, so I took the leap and signed up and so much has changed. I have a new look, a weekly pleasurable e-news, our business has grown, I’ve launched Orgasmic Birth Pleasurable Birth Essentials, written, The Ultimate Guide to Sex After Baby, and I am now piloting our new Orgasmic Birth Practitioner Program.

So many people have commented on all the changes they have seen in my message and me. Our team is growing, and I am so grateful for their help to implement our vision. Together we have the confidence and skills to make it happen with the knowledge and tools that B-School provided. I go through B-School every year since B-School is a lifetime membership, and I learn something new every time.

I invite you to join me in B-School. Please use my affiliate link. By joining thru me, you take your first step in a new model of supporting each other and no matter what business you are in, we can find ways to support each other and be paid to do it! I look forward to seeing you in B-School and watching as you reach your dreams and spread your vision. We are changing the world and changing the way we do business. Instead of competition we are collaborating, helping each other to fly and in doing so, bringing a healthy model, a fun model of living our passion and earning the income we deserve while doing our part to create a healthy, peaceful world.

I never thought a year later I would be writing this blog to share how much B-School has benefited me and be inviting you to join B-School too.

Ask yourself if you are ready to take your dream and vision to the next level? Do you want to have a business that thrives?

Give yourself the gift that will keep on giving B-School.

We all know there’s a lot of confusing information out there, but this video breaks it down into simple, do-able steps that you can use right now to get out of overwhelm and get on the right track.  Here’s what you’ll learn:

  • The Six Step Roadmap build your online business

  • The major changes coming in the next 5 -10 years that are really important to understand and why it’s really important that you up your online game now, before these changes happen.

    • What you must know, what you must understand, and the sequence you have to follow if you want to use this incredible gift we have — the internet — to do what you love and get paid for it.

  • You don’t want to miss her Six Pillar roadmap — the first part of this amazing free video training series.

I hope to see you in our private B-School Whatsapp group soon  and hear how B-School changes your business model and your life.

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About Birth Your Dreams

Our Birth Your Dreams Community is a special group of birthworkers who have signed up to join B-School via my affiliate link. Together we work through the B-School Marketing Course learning tips for expanding our message and businesses. As Birthworkers, we have our own unique set of goals and ideas, and together we lift each other higher and support one another on our journeys.

B-School helps each of us to continue sharing our message while creating sustainable, healthy businesses. 

Interested in learning more? Join my Birth Your Dreams Mailing List for updates on B-School and more blogs from our group. 

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Awakening the Doula Spirit

It’s hard to believe I have been a doula for 30 years.  When I reflect back to how I began, there is not just one particular moment of beginning for me. Being with women in childbirth is in my heart, some would say a calling. I was fascinated with childbirth from an early age, my great grandmother, grandmother and mother’s story of power and joy prepared me to trust birth and to know I deserved more from our maternity care system. Although I had powerful, pleasurable, natural childbirths, with all I know now – I wish I’d had a doula.

It was after my own birth that I became inspired to be a childbirth educator, to help women and their partners understand the many choices they had or sadly were not being given.  Before long people were inviting me to come to their birth to take pictures, and to offer encouragement.   I was honored to attend a birth and would do anything to be present at such a sacred time.  It was one day I’ll never forget in 1987 when my issue of Mothering magazine arrived in my mailbox. I prepared a cup of tea and sat down to enjoy the articles. One of the first articles that jumped out at me was about a Doula.  I began to read and had to yell – I am a doula!  I had discovered a name for what I was doing and soon a connection to  the many other women that were having that same moment of realization.  Before email we wrote letters, and before cell phones we called and left messages, and the very first doula meeting in the world was organized – to take place in my  home state, New Jersey in 1987.  In 1992,  I was present at the very first meeting of DONA International in Boston, and became part of their very first Board of Directors for the first six years.  Working with Penny Simkin, Marshall and Phyllis Klaus, John Kennell, Annie Kennedy and other amazing birth advocates and doulas on the DONA board was an experience that has shaped many aspects of my work today. The long hours of debates knowing that the models and processes that were developed were setting the foundation for the growth of doulas globally was both challenging and exhilarating!

Hugging closed eyesAs a doula trainer I have facilitated doula workshops in 30 countries and I have watched doulas grow in every region of the world. Each workshop opens my heart more to the power, passion and magic that happens when women connect with their deep intuitive wisdom and pass it on believing in, supporting, caring and nurturing women, men and families as they cross through the sacred gateway to parenthood and in the process nurturing each other.

For many years every time I told someone that I was a doula, they asked me “What is a doula?”  I was determined to keep educating them, but  I never thought in my lifetime I would see doulas spread around the world as they are, being  supported by research as one of the only “interventions” in childbirth with only benefits and no harms.

 

What is a doula?

Infographic-10

In the US two states, MN and OR have passed legislation to cover doulas under Medicaid.  The recently NY Doula Report  from Choices in Childbirth provides an overview of the medical evidence supporting the benefits of doula care, and goes on to say: ‘With the implementation of the Affordable Care Act comes an unprecedented opportunity to ensure that women receive quality, respectful maternity care throughout their pregnancy and childbirth experience. Doula Care in New York City: Advancing the Goals of the Affordable Care Act examines doula care within the “triple aim” framework to demonstrate how doula care can help to improve outcomes, reduce spending and improve the patient experience of care. The report also considers the powerful role that doulas can play in fostering greater patient engagement in health care decision-making and reducing disparities in health outcomes, additional goals outlined in the ACA.”

This fall I had the pleasure of visiting Marshall and Phyllis Klaus, two of the founders of DONA International, world renowned for their work in parent infant attachment as well as helping to re-discover the importance of female companionship during childbirth.  Their work literally changed my life! Becoming part of DONA International and actively spreading the doula spirit and research wherever opportunity presents itself is only possible because of the Klaus’, Penny Simkin, Annie Kennedy and John Kennell.  It was so special to me to have the opportunity to tell Phyllis and Marshall how much they mean to me and to thank them once again for dedicating their lives to improving the care that every MotherBaby receives and for teaching, encouraging and supporting me on my path.  They have a place in the history of childbirth, neonatology, doulas, breastfeeding and more.

How will you pass along or re-discover the doula spirit within you?

If you would like to become a doula, join me at a workshop or a doula retreat.

photo-3If you’d love to know more about working as a doula, enjoy reading Naomi’s birth story where you will  see me as a doula. Every birth is a blessing!  Being with Naomi was so special  and sacred and yet we only met via email the day before! When I entered her home during labor I could feel immediately how to join the circle of support and nurture her.  When we open ourselves fully, allow our intuition to guide us and love from the deepest part of our heart it is easy to develop a deep connection.  Women in labor are open to the core and doulas who can meet them their enjoy this divine connection that life rarely provides us in todays busy world.  Giving is receiving!  I have had opportunities to see 100’s of babies enter the world, women become mothers, men become fathers, parents become grandparents, children become siblings, we are all transformed by each new life  and I feel so honored, and blessed beyond words to be a part of the circle of support, and the circle of life.

I believe Doulas are on their way to becoming a covered benefit for all who want a doula in the U.S and that other countries will follow.  It’s no longer a question that doulas do make a difference!   As the late Dr. Kennell said, “If a doula were a drug, it would be unethical not to use it.” There are many ways  we are beginning to understand that women affect each other’s physiology as you may know, when women live together,  their menstrual cycles sync.  Women help other women lower stress levels, creating tend and befriend instead of the flight or fight response and I believe we will continue to learn how a woman’s continuous presence and support in childbirth  creates so many short and long term benefits for MotherBaby, Father, Partner and family.

May you pass along the doula spirit in all you do, nurture yourself and each other,  bring more love, peace and acceptance to birth and our lives. Look for my two additional doula videos in the coming weeks!

~Debra Pascali-Bonaro

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Overshare Show: An Orgasmic Conversation about Orgasmic Birth

Orgasmic BirthThe OverShare Show recently interviewed Debra Pascali-Bonaro about her film “The Orgasmic Birth,” and the subsequent social movement in her wake.  Debra is an advocate for women taking back their birthing process, and her documentary is a revolutionary look at birth that explores the pleasure, love, joy, and empowerment women can experience.  Birth should not be viewed through a lens of fear, and it is time to break open the cultural dependence on the medical process.  The notion of an “orgasmic” birth perhaps may be provocative, but Debra’s impassioned and well-informed view point is not only convincing, but seductively logical.

Download it HERE or jump on over to the Overshare Show to listen!

Enjoy this and want more? 

Orgasmic Birth launches a FREE Virtual conference October 13-17, 2014.

20+ experts, including health professionals, doulas, midwives, and other birthing gurus, pull back the curtain and tell you everything you always wanted to know about birth. Learn how you can have a safe, joyful, orgasmic birth!

 What You Need to Know
When: October 13-17, 2014
Where: Online!
Cost: Sign up FREE HERE 
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10 Things I Wish All Pregnant Women Knew About Labor & Birth

10-things-pregnant-women-should-know

By: Aviva Romm, M.D.

When I was pregnant, I seemed to be a magnet for birth war stories – cords around the neck, emergency cesareans, and more. It took a lot of inner conviction to believe in birth as a natural, beautiful event that my body was capable of, rather than a “disaster waiting to happen,” as one obstetrician warned me it was.

But inner conviction I decided to have, and my four children were born at home, peacefully, and without drama or trauma. I made sure I was in awesome health throughout my pregnancies, eating an organic, plant-based diet. I did yoga daily, spent time in nature, and meditated on the type of birth I wanted to have.

And then I surrendered to the forces of nature. The power I experienced as a woman has given me confidence in so many areas of my life and I so wish this for other women.

Sadly, however, natural birth is becoming endangered! About one in three women in the US will have their babies by cesarean section. Maybe that sounds like no big deal – but actually, it’s major abdominal surgery and increases your risks of complications over natural birth.

Cesareans are grossly overdone in US hospitals. And they often make recovery and breastfeeding much more challenging. They expose your baby to an antibiotic (all moms having a cesarean are given antibiotics at the time of surgery) before she or he is even born. And most of the ones that are performed turn out to be unnecessary.

Also, many more women will have their labor induced or experience some form of obstetric intervention. The downturn in natural birth is so significant that a group of researchers wanting to study the natural course of labor couldn’t find a large enough group of women birthing naturally in any one place to study them!

But we can’t let natural birth go extinct because it’s way more than just a romantic ideal. Babies born vaginally (and without medication) have many health advantages. For example, just being exposed to mom’s flora on the way out of the birth canal decreases the lifetime likelihood of developing digestive problems, allergies, and even obesity.

While we can’t fully control what happens in our births, and of course, sometimes interventions are necessary (though often they aren’t!), you can embrace core beliefs that will increase your chances of having the birth experience that is optimally healthy for you and baby.

Here are the Top 10 philosophies that helped me have my babies naturally and that I have used to support thousands of women in their birthing experiences, and that can help you have an optimal birthing experience – maybe even the birth of your dreams!

1. Birth is a spiritual journey; it’s also primal.

Birth is, to say the least, an intensely physically and emotionally demanding experience. Approaching the challenge as a spiritual journey can help you dig deep into your core for the resources to persevere, and to learn about yourself and your innate strength and power.

Though a spiritual journey, it is not all incense and candles. It asks us to call upon our primal instincts – and sometimes even to get primal – making animal sounds, assuming poses that have us buck naked on our hands and knees, moving our hips in deep sultry belly dancing undulations.

Planning to take a deep dive into your subconscious and intuition to let your primal self emerge can allow you to open and birth your baby with a raw strength and power you might not now even realize lives within you.

2. Birth should not be taken lying down.

Lying down simply doesn’t let gravity do the work of helping baby come down and out! Walking, moving your hips like a belly dancer, and generally staying active facilitates a more physiologic process for baby than lying on your back in a hospital bed, which increases your chances of a cesarean.

3. Contractions are amazing sensations that get your baby born.

During my own births I used my imagination and awareness to dive deep into the sensation of my muscles working to help my baby get born. This focused awareness transformed by perception of the pain of birth into the power of birth.

I even used the term expansions rather than contractions to help me think about the sensation in a new way. It did not make them less intense, but it made the sensation my ally rather than my enemy. As I welcomed each new wave of labor, I knew I was closer to bringing my baby into my arms.

4. Fear stops labor.

Mammal mommas have powerful instincts that allow us to keep our babies safe from harm. For example, momma giraffes on the savannah will spontaneously stop labor if they sense a predator in the area, rather than dropping a helpless newborn to the ground. We too, have hormones that can stimulate labor (oxytocin) and those can stop labor if pumped out early because of fear (adrenaline).

So learning to transform fear into power and confidence is essential for a smooth birth. How is this done? Make sure you feel safe where you are birthing, that you have good support in labor, and that you have talked with your birth provider about any fears you are harboring or repressing about your health and safety, baby’s health and safety, or the birthing process. Being educated and informed can help you to dispel fears.

5. Question Authority (or Nice girls can ask questions – and say, “No”).

Obstetrics practices are not always based on the best science. The September 2011 issue of Obstetrics and Gynecology, the official publication of the American College of Obstetricians and Gynecologists (ACOG), reported that only one third of all obstetrics guidelines in the US are based on good scientific evidence, one third are based on limited or inconsistent evidence, and the remaining third are based on expert opinion, which is “subject to bias, either implicit or subconscious.”

So just because a doctor (or midwife) tells you something is required (lying down in labor, having a vaginal exam, wearing an external fetal monitor for your entire labor, having an IV drip routinely), doesn’t mean you have do it unquestioningly — or at all. As girls and young women, many of us learn not to question authority — just be a “good girl,” and don’t be the geek who asks questions. Many of the procedures done in hospitals are done “just because” they are routine but often not necessary.

So if something is recommended or expected that makes you uncomfortable or you’re not sure of the reason, ASK! And if you’re not comfortable with the explanation, you can decline. Having an advocate there who can help you sort through decisions, especially when you are otherwise occupied doing the work of labor, is especially valuable.

6. Women should eat and drink during labor.

Current scientific evidence has demonstrated that low-risk women who eat and drink in labor are not at significantly increased risk of food aspiration in the event of a cesarean, which has been the much-feared reason for keeping women on an ice-chips and fruit-pops-only regimen in labor for the past few decades.

In fact, keeping up your energy with light and nourishing fare has been found, by many midwives and mamas, to facilitate labor and reduce the likelihood of labor petering out, or needing Pitocin or a cesarean.

7. Your body is a marvelous, perfectly crafted force of nature.

Believing in yourself is powerful medicine! Yet most of us go into labor believing our bodies might be lemons – the reject in the batch that just doesn’t work properly and needs to be sent back to the factory on a recall!

The reality is, nature is amazing at creating powerful systems that work. Setting intentions and learning to have confidence in the birthing process – and your body – are among the most powerful tools you can use to go with the natural flow of labor and birth and gain some self-enlightenment in the process.

8. Obstetrics is BIG Business.

There is a whole system of medicine out there, called obstetrics, making a fortune off of your body! In fact, there is enormous financial incentive for obstetricians to do ultrasounds (in my community, a doctor’s office charges the insurance company $700 per ultrasound), offer endless tests, and big bucks when it comes to doing a cesarean rather than supporting a natural, vaginal birth.

Want to avoid unnecessary medical interventions? Then make your body your business by getting educated. Read about birth. Some good places to start: Ina May Gaskin’s Guide to Childbirth, Henci Goer’s The Thinking Woman’s Guide to a Better Birth, and my book, The Natural Pregnancy Book.

9. Birth is something you do, not something that is done to you.

Whether you dance, groan, or hypnobirth your way through labor, it ain’t called labor for nothing. It takes work, focus, and sweat to get a baby out. Powerful muscles move a 6 to 8 pound being (on average) a short distance through a relatively small space. This means EFFORT is required.

Just as with any hard task, being realistic about what’s involved, setting your mind and heart to it by getting psyched ahead of time, and then having strategies to call upon when your energy or determination wavers will get you to the other side of the finish line with power and pride.

10. Birth can be ecstatic.

While there might be some huffing and puffing, grunting and groaning, and even a holler or two if you need to vocalize the intense energy moving through you as you bring your baby out into the world, birth can be an ecstatic experience, particularly when you appreciate yourself for the accomplishment of a hard job done with determination and experience the ecstasy of holding your new baby in your arms.

As you get closer to your baby’s birth, and even in labor, here’s a simple mantra to tell yourself, “I’ve got this!”

Wishing you an ecstatic birth,

AJR-Sig

 

 

 

 

 

For more of Aviva’s wisdom visit her at http://avivaromm.com/

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Heart Led to MotherBaby Sanctuary

As a spiritual person, I feel been blessed to learn and experience so many different religious practices and am always moved by the opportunity to pray, meditate and feel the divine around and within us all and honor the traditions that each culture has created to honor their own connection to divinity and love. Here is one recent experience that I want to share with you.

OLYMPUS DIGITAL CAMERAThe Path of the Gods from Agerola to Positano is world famous for its views and inspiration but even with all I had read, I was not prepared for the experience that it provided me, (and my husband Jimi, my cousin Graziella, and her daughter Angela). We began our walk high in the mountains of Agerola with the clouds swirling around us. The fog provided a gentle breeze that felt good and cool as I knew the bright hot sun would soon be upon us. The cliffs of Agerola are unique- the views beyond anything words can describe and the smells of the wild mountain flowers, honey suckle, jasmine, lemons, rosemary, other herbs, and grapes are intoxicating. Every sense is stirred as you careful place your feet on rock pathways and stairs that date back to the 9th and 10th centuries. Homes built into the rock like caves that are still in use today, fill me with wonder as the only way to them is to walk these steep and narrow mule paths. We pass one beautiful well maintained home with a huge garden of sunflowers, vegetables, herbs and grapes to learn an 80 year old couples lives here. Three times a week they take the 30 – 45 minute walk up hill to get their supplies and other groceries. What a place to live, it feels like I am on top of the world, seeing further than I can ever see in the U.S, and where the sky meets the glistening Mediterranean Sea below, a feeling of infinity fills me as I can no longer see where one ends and the other begins the circle of sky, water and earth go on and on.

I am reminded of the song I sang with Angelika and the doulas of Austria Round and round we dance, we hold each other’s hands, we weave our lives in an circle. Our love is strong and the dance goes on…. For some reason the circle of life felt so powerful to me here.

We soon find a note that someone left to caution us for mating viper snakes ahead. Half way down we can see an old monastery on the side of the cliff, it looks like another canyon away, but in a short time winding down the trail we come to an archway and enter into the sacred gardens. The sun is glistening, birds are singing, the winds gentle breeze feels like a nice caress, calling us into silence and sacred space. Before us are two tables on a terrace overOLYMPUS DIGITAL CAMERAlooking Priano below with blue table clothes and 4 chairs, as if someone was waiting for us to arrive, but we don’t see anyone. I feel like I have stumbled into another time, quietly we walk and see the door to the Monastery is open; we enter into the old section from 1436 with Fresco’s still visible on the wall. I immediately feel a sacred presence and we move deeper to hear the chanting of monks, could it be? On closer observation we see it is a cd player calling us into the main chapel that has been renovated. Here candles are lit, and incredible fresco’s and art bring me to tears. I am called to the one red pew to pray in front of what I later learn is the Madonna de Grazia, the Madonna of grace and gratitude and thankfulness. As I sit before her, the alter is full of MotherBaby images, the whole cathedral is full of MotherBaby images and the circle of women.

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I see a picture of a monk carrying flowers and a scroll in one image and learn he is Saint Dominica the patron saint of Priano where my Great Grandfather was from. He is the patron Saint of Astronomers and Astronomy and if you could see the night sky here you would know why they choose him to preside over these mountains that meet the sea. The twinkle of the stars are so vivid you feel as if you can reach out and touch them. Agerola celebrates a night in August each year with the stars are falling/shooting from the sky so much the village sleeps atop the mountain to see them and a band plays as the sun rises to honor the sky, the moon, the mother earth and all the incredible wonders of nature. I can only imagine how special this would be to attend, but today I can feel my own wonder with what is before me. There are so many hidden secrets in this region that are just asking us to take the leap of faith and allow ourselves to experience them. I am truly overcome with energy, emotion and the reverence that I feel in this sacred space.

I join my husband and cousins outside to have the lunch Graziella had prepared for us. Still no sign of anyone, but this entire Chapel, view and terrace just for us. We are offered the most beautiful lunch view. As we finish two other hikers come by, we learn from them that we had left the Path of the Gods and entered onto the Path to Priano- so without our knowledge we had been led to this sacred space. I walked between Agerola the village where my Great Grandmother, Angelina Milo was born and Graziella and my family still live, to the village my Great Grandfather, Louis Fusco was born in. In the middle I have been swept back in time to this sacred space with music, art, divinity and feminine grace and the wisdom of the Holy Mother fills me in a way I can’t explain and yet the feelings were so strong like nothing I have felt before. I am reminded how birth and life are one. When we trust our inner wisdom, when we allow ourselves to be guided by nature, to be lost in the music of our soul, this is a place that magic happens and in childbirth where we birth our babies and the part of ourselves that begins to understand the beauty and connection we have to nature as we are all one.

I am so grateful that I found the Madonna De Grazia and she deepened my connection and daily attitude of gratitude continues to l lead me to amazing discoveries.

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