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Debra Pascali-Bonaro

Awaken Your Inner Wisdom

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Awaken Your Inner Wisdom

Roberta’s Interlude in Italy

In this blog, Roberta shares about her experience on Pleasures of the Amalfi Coast Women’s Retreat

High above the Amalfi coast, I look out on the Mediterranean Sea far below the craggy mountains swiftly descending to meet the blue water. This view from my room and balcony in Le Rocce hotel never fails to make me catch my breath as I stand mesmerized.

I left Montreux with music fans about to gather for the annual Jazz festival. (Estimated 200,000 fans over 16 days.)  Europe’s trains make it easy to get around, and a friend of mine, Debra Pascali-Bonaro, just happened to be hosting a women’s gathering in Agerola, Italy, during that time.

The area around Agerola is called “small Switzerland” for its cultivated terraces stepping down the mountains.  Pumice from the Vesuvius eruption of AD 79 holds moisture in the soil for the many small farms; every house has its own plot for harvesting vegetables each day of the long growing season.  I don’t know anyone who would argue with me when I say that in Italy eating freshly prepared food in quantity daily is a cultural mandate.

The first official day of our women’s week the seven of us sat down to lunch in a small room just off our hotel pool for the following menu served as courses:  deep fried stuffed zucchini flowers, salad, stuffed lamb rolls with a vegetable side, and a fresh fruit mixture for dessert.  Crisp crust bread of course, and wine and sparkling mineral water were our beverages.

Amalfi SeaWhen we weren’t eating, we were learning about Agerola, the surrounding countryside, and its people.  One of the famous locals is Paolo Avitabile, a soldier and mercenary in the early 19th century.  He became a colonel in the Persian army, leaving after six years to make more money as a general in the Indian army. He became governor of a territory in Afghanistan in 1834, establishing order with ruthlessness and brutality, it’s reported. He made his fortune advancing money to the British to pay their troops in the British Anglo-Afghan wars. Having thereby transferred much of his wealth back to Europe, he quit his post to return to Agerola and build a castle.  We toured the site of the castle high on a hilltop which Mussolini coveted a century later and leveled to build his own great building.

Coincidentally, as I was walking around one of the hamlets of Agerola, I stopped at a restaurant in the courtyard of the Palazzo Acampora. I talked with the manager who gave me a pamphlet about the Palazzo.  It had the rest of the story about Paolo Avitable.

Join Debra on the Amalfi Coast

Returning to Agerola and building his castle, he also married his much younger and beautiful niece.  She took as her lover, Luigi Acampora. One night General Avitable summoned a friend to tell him he was dying, exclaiming, “They have poisoned me!” referring to his wife and her lover.  The lovers got away with it, married and chose the Palazzo Acampora as their residence.  The locals want me to write a book about the general. The last and only book about him was written in Italian in 1909.

There is magic here in so many ways.  One day we took a leisurely five hour hike to and through the Valle delle Ferriere, Valley of the Fairies State Nature Reserve. Stopping at a plunging waterfall, stripping to our bathing suits and cooling off, we thought we were in heaven. But heaven was up ahead. Following the stream, continuing to see aqueduct ruins, carefully crossing a tree trunk bridge, we were all stunned to silence as we entered an area with cascades of gentle waterfalls from different stream tributaries. The water flowed softly down the mountainsides in many places, looking like thousands of translucent threads.  It felt like a holy place.

In another holy place, the church of Madonna of Loreto, we saw a newly discovered fresco by an unknown artist  from about 1375.  Part of the fresco is a scene of the Last Supper of Jesus, done at least 20 years before Leonardo Da Vinci’s famous version in Milan.  The fresco was discovered while repairs were being made to earthquake loosened plaster covering it on a ceiling in the church. I’m working on the mystery of who the artist is. The church is among several beautiful churches in the Agerola area.  But coincidentally, 475 years after the fresco was painted, the mausoleum of General Avitable was constructed in this same church.

Graziella Coccia, Debra’s cousin through their maternal line, was often with us as our local guide.  She invited us to her home for a luncheon with some of her large extended family.  We learned how to make gnocchi in her kitchen, then watched while her brother-in-law and her 84 year old mom made mozzarella cheese. Green beans freshly picked from their garden and Tiramisu made by her daughters, Angela and Bianca, were some of the other treats we savored.  We all ate at a long table on their patio in the shade of their arbor of ripening kiwi. Graziella’s 82 year old father shared his homemade wine with us.

There is much more: a classical music performance of flute and piano in Ravello; an all day boat ride just for our party along the Amalfi coast, stopping to swim in caves; discovering the best pizza in Italy in Agerola (“Tony” has a trophy to prove it); getting to know my new women friends and being with Debra, my long-time friend; exploring other nearby sites; gelato and more gelato.  From the “biologique” food served with pride and love to the open-hearted welcome of Ageroleans including our van drivers, my stay was a feast of the senses and spirit.  Debra is planning more such trips if any of you women are interested.

Though I enjoyed it, spending the last two days in Florence was a bit of a come down only because there were so many tourists! But nothing can dim the splendor of the art and architecture of Florence.  After the heat and crowds of Florence I was happy to get “home” to my little apartment in Montreux.

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The Time is Now! Doulas Reconnect The Circle of Support

Coming home from Teaching a great birth doula workshop at the University of Pennsylvania where I have been teaching nursing, midwifery, medical, anthropology, women’s studies students, and community members for over 13 years, I always feel blessings and gratitude to see so many young students sharing a passion to transform maternity care. This weekend was so exciting as we shared our passion for doulas and the many ways that including respectful, loving care will transform, not only our broken maternity care system, but the lives of MotherBaby, Father, partner, family’s and community’s.  

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Are you wondering what is a doula and why should I have one?

doula-womanDoulas are women who support women and their families during pregnancy, birth and postpartum. Her-storically women supported women in childbirth and passed along time tested comfort measures, nurturing and massage that helped make birth easier, shorter and as we are learning from science; safer and more satisfying.   Childbirth was a social event that took place in family’s homes. When birth moved to hospital it became a medical event which while we have had benefits from our technology, the loss of support from other women often makes birth longer and harder.  Many of our mother’s and grandmothers labored all alone, by breaking the circle of support of women, we lost traditional wisdom and with it the knowledge of natural comfort measures. Lying on our backs, having to endure physical activity without food and drink has made birth more challenging, frightening, and painful.  It’s hard to imagine when all you know is the system of fear and pain that saves women with medication and surgery what birth can look like if we truly offer women and their partners a full range of comfort measures and the nurturing support that we know can help you to reduce interventions and have an easier more satisfying birth taking you from pain to power.

What a doula does?

A doula supports mothers, fathers, families and partners to experience birth as whole, honoring that birth involves Body Mind and Spirit. We often forget how- what our mind sees our body feels. I believe by cutting birth off from the rest of our lives we have lost touch with how much our emotions and our spiritually effects our bodies. Think about when you feel stressed, do you feel it in your body? Your hormones change. Enter the Doula! Just as women who live together – have their menstrual cycles come together, we are beginning to understand that women help other women to lower stress and secrete the essential hormone of calm, connection and childbirth called oxytocin. So having another woman at your birth is not just nice, it actually affects your hormones and even a wonderful male with all their nurturing will not have the same affect as a female offering continuous support. So that’s not to say then that he shouldn’t be present, we actually know that when a doula is there to support both of you, you both will be more satisfied and often enjoy even more love and nurturing.

What else do Doulas do?

A Doula offers: touch, acupressure, counter pressure, and a toolkit of position that actually help the baby to rotate and can often help make labor shorter and easier.  One of my favorite tools is a Rebozo, a Mexican shawl. Doulas learn how to wrap and rock a MotherBaby. Think of how we swaddle and rocked the baby and how soothing that feels, imagine how it feels when you are wrapped with a warm embrace and gently move to help your baby find its way through your body.

Doulas help create what I call birth ambiance, to help you feel safe, private and relaxed with music, lighting, smells, art, images… doulas help you to create sacred space so that you can relax and open.

Doulas help you to advocate and understand all the choices you have so that you receive informed collaborative decision-making with your caregiver, understanding and choosing what is best for you and your baby

Doulas honor that birth is an emotion and spiritual journey.  Doulas help you welcome you baby with respect, love and sacredness.

Why is the time now?

February 19, 2014, The American College of Obstetricians and Gynecologists released a very important consensus statement for the safe prevention of cesarean delivery, there were many key findings that when implemented will not only reduce the overuse of major surgery in childbirth, but it will reduce the sadness and trauma that many women experience, and help birth to return to the joyful blissful state that it should and could be.

I won’t go into details of all the recommendations but the one that has me the most excited, yes you guessed it – here is what they say about doulas:

Published data indicate that one of the most effective tools to improve labor and delivery outcomes is the continuous presence of support personnel, such as a doula. A Cochrane meta-analysis of 12 trials and more than 15,000 women demonstrated that the presence of continuous one-on-one support during labor and delivery was associated with improved patient satisfaction and a statistically significant reduction in the rate of cesarean delivery. Given that there are no associated measurable harms, this resource is probably underutilized.

Yes, Underutilized for sure, but now for long. With the many benefits of a doula, as the late Dr. Kennel said, “If a doula were a drug, it would be unethical to with hold her!”

To learn more about doulas, read DONA International’s standard of practice, and to find a doula visit www.dona.org

Watch ABC News report on “New Medical Warning From the Nation’s Top Doctors on C-Sections.”

Enjoy Lamaze’s Blog from Judith Lothian Safe Prevention of the Primary Cesarean Delivery: ACOG and SMFM Change the Game http://www.scienceandsensibility.org/?p=7958

Or to Access the full ACOG Consensus statement http://www.acog.org/Resources_And_Publications/Obstetric_Care_Consensus_Series/Safe_Prevention_of_the_Primary_Cesarean_Delivery

http://consumer.healthday.com/women-s-health-information-34/misc-women-s-problem-news-707/ob-gyn-groups-issue-guidelines-to-lower-c-section-rates-685052.html

Join me for more nuggets as I  plan to video blog more about ways you can move from pain to power in childbirth and beyond!

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Cora Luna’s Peaceful Homebirth

Homebirth story submitted by Cora’s mother, Christine Cassella.  Photos by birth doula Rachel Mueller

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“I will accept this birth.”

On Monday, October 28 I woke up with some pressure waves that felt unlike anything I had experienced as “practice” before. I wondered if this could be the day, but the waves subsided as I went about the day.  I took a long nap and went for a walk in a nearby park.  The fall colors were quite lovely and it felt refreshing to breathe the crisp air.

I headed toward the field where I first began dreaming of thipregnant-woman-relaxings baby over a year ago and which is also the field that inspired the song I wrote for her.  I found a bare piece of Earth at the edge where the field meets the forest and grounded myself, soaking up energy from the Earth and feeling very aware that the birth would be happening soon.

I went home and prepared a hearty noodle soup and salad.  As I was doing this, the strong pressure waves that I felt that morning returned.  In fact, they were getting stronger.  Some of them began requiring my full attention.

photo 4When Michael came home I hugged him and told him that I thought the birth was imminent.  He let out a big smile and remarked on how wild it is that our lives could be changing so much in the course of a day.  He sat with me as I went through some waves, but we decided that we should try our hardest to get some rest.  We both went upstairs to bed, but I wasn’t there for long because I was too uncomfortable. I began timing the pressure waves, which were coming anywhere between 5 and 10 minutes apart and lasting for about 45 seconds to a minute.  Early labor for sure, but something was definitely happening.

I wandered around and rested when I could between them all night.  Eventually, I put on a Hypnobabies track and was able to rest better, but the waves never completely stopped.  Cora was on her way.

In the morning I warned doula Rachel that something was happening and I also called my midwife, Pam.  Her advice was to rest as much as possible because there is no way of telling how long this type of labor would go on for a first-time mom and fatigue is often the biggest reason that first-time moms leave home for the hospital.  She assured me that rest would only help the labor progress.

So I rested the best I could.  Some parts of the day were easier than others.  I checked in with Rachel in the afternoon and told her that things were stalled at semi-regular contractions happening 5-10 minutes apart.  She gave me confidence that everything was normal and that my cervix was just taking its time thinning out.

photo 1A few hours later Michael brought dinner home, but I could not eat more than a few bites.  I didn’t feel very hungry and I felt something shifting.  I needed to be on my hands and knees to focus on the pressure waves more often and they were consistently coming 5 minutes apart.  We were getting closer.

I called Rachel and she started to head over around 7PM.  Michael began preparing the birthing tub.  I went around the house between waves lighting candles and setting up my birth alter.  The atmosphere was peaceful, calm, and welcoming.

It was nice to have Rachel there when she came.  She set up a calming aromatherapy diffuser and we could play around with her relaxation tools – massage paddles, a head massager (my favorite), a birthing ball, and more.  She helped to remind me to stay relaxed and to let out low moans instead of anxiety-filled high-pitch ones.

photo 3As things became more intense, we decided that I could get in the water.  It felt nice, but our hot water tank had run out so it wasn’t quite warm enough to stay in long.  I got out rather quickly and warmed up by our fire.

Soon after, I was laboring on the toilet which is a surprisingly nice place to work through these sensations.  Midwife Pam arrived about this time and brought an additional sense of reassurance and calm to what was happening.  She reminded me to let my body do the work, to relax fully as the sensations overtook my being, and to moan low.

I’m not sure how long this went on, but eventually Pam offered to check my dilation and I accepted: five centimeters with the sac beginning to bulge through.  My contractions were around 3-5 minutes apart at this point.

I have to admit I was a little disheartened when Pam suggested that she and her assistant leave for a while to get some rest.  She suggested that I drink a glass of wine and try to get some rest because I still had a long road ahead.  I wondered how I would possibly rest when I was having contractions 3-5 minutes apart.  It seemed impossible.  I also felt scared by the prospect of things getting so much more difficult.  I was already bowled over and very vocal with each wave.  What was still ahead?  Despite the concerns, I went ahead and tried to rest.  I don’t know that “rest” is quite the word for it, but we went to our bed and I tried to relax and slow things down as best I could.

That may have lasted for an hour and a half or so, although I was often on my hands and knees in the bed trying to “let go and let my uterus do the work”.  When I emerged, the “rest” appeared to have done its job and my body was really ready to get going with this baby.

photo 5It wasn’t long until I was ready to try getting in the tub again and Michael called Pam to tell her she and her assistant Monica had better come back.  The water was warmer and there were pots of water boiling on the stove that were being added frequently.  It felt nice to have the warm water flow toward me.  However, this time in the tub was extremely challenging.  I had to completely focus on moving and moaning through each wave.  My body swayed from side to side, I lifted my pelvis up and down, and I kicked my legs back so that I looked like a frog.  Somehow I needed to move this baby down.

Eventually, the waves were coming very fast and intensely.  I remember thinking that there was no way out of this but through. Somehow I just needed to be patient and let my body do its work.  I knew that this was the time that women who had every intention of birthing naturally might slip and ask for drugs.  It took every ounce of courage and strength to make it through these feelings.  I asked my doula several times, “Are you sure I am doing this right?” and she assured me that I was doing just fine.  I was very thankful to be in the comfort of my own home and to work through this time in my living room.  It would have been very easy to ask for pain relief at this point had I been in the hospital!

At times, I would throw my arms around Michael because it was very difficult to keep my shoulders loose.  I remember Pam saying, “Look into his eyes, let him give you strength.”  I certainly needed it!  I felt like a wild animal, my body had completely taken over.  There was nothing I could do but surrender to it.  And it was challenging!

photo 7At some point while laboring in the tub, I turned so that my belly was pointing up and I felt the strangest popping sensation, like a balloon had just shot out of me.  “I think my water just broke!” I exclaimed.  They confirmed with a flashlight that there were bits of vernix floating around suggesting that it had broken.  Little did I know that I still had another 3 hours of this journey left!

Between each wave, I could do nothing but rest.  I felt someone pouring water over my shoulders and chest, but I didn’t even know whom it was.  Someone else was putting warm compresses on my forehead.  In each period of rest, I tried to focus on finding strength to ride the next wave.  I prayed that my body would relax and stay calm through each one.

When one overtook me, I remember groaning and shouting various random comments like, “THIS FEELS SO WEIRD!”  Reflecting back on my time in the tub feels like a dream.  

It was a time of the most intense physical sensations and challenging mental space of my life.  I am in awe of myself that I could do this.

Eventually, I could sense someone looking for the head with a flashlight and I also remember the baby’s heart rate being checked.  The baby was totally fine, but this was taking quite awhile.  Pam suggested that she check to see how far dilated I had become.  Perhaps there was a cervical lip holding things up.  When she said this, I couldn’t imagine getting out of the pool or moving anywhere.  However, I managed one more contraction and then got out and on to the couch.

She checked me and said right away, “You’re 10 centimeters.  This baby is ready to come out.  Do you want to get back in the pool or try something new?”

I had no ability to make a decision, but I think I must have agreed to try something new since I had just dried off.  Someone suggested the birthing stool, which sounded like a decent plan so I hobbled to it.

I was really feeling pushy at this point and ready to move the baby down.  However, she was still taking her sweet time.  “Please come down, baby!” I pleaded with her, but despite many pushes on the stool, we still weren’t getting much closer.

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Pam suggested pushing on the bed with my knees up.  What the heck, I would try anything at this point.  I tried moving toward the bedroom, but fell to my knees at the door to the room.  When you’re body says push, it says push!  Everyone came quickly to me and placed chuck pads beneath me just in case.  But I just had one round of pushing there before I was in the bed.

I remember recalling from other birth stories that many women enjoy the pushing stage because they feel more in control of what is happening. However, I’m not sure I felt that sense of relief – it still felt like this was extremely difficult! But I knew we were closer.  I just had this one last hurdle.

Finally we reached a point where Pam and Michael said they could see the top of her head.  She was coming closer!  With each push, there was a little more of her visible, but then she would go back in.  We soon learned that she had an impressive amount of hair!

While everyone was thinking about her hair, I was feeling some very intense sensations of pressure and stretching.  I’ve heard people refer to this as the “ring of fire” and although I’m not sure that’s exactly how it felt, it was certainly very intense and I was looking forward to her head coming out to feel some relief.  I couldn’t believe how this felt!  I was given a mirror and told to look – sure enough, I was opening and my baby’s head was right there! Pam told me to feel for her – she was warm and wet and it felt unbelievable!

Pam had olive oil out and really helped me to push at a good pace (in the end, I didn’t tear at all!).  I was just trying to stay focused and give it my all when each wave came to help me.  Doula Rachel continued to put compresses on my forehead and made sure that I was lifting my legs appropriately.

I remember looking out the window and seeing the crescent moon.  It was a beautiful reminder of who I was doing all this for – my baby whose middle name is Luna.  That was quite a special moment.

photo 8I don’t know how long after that it was until her head finally crowned. With a few more total-body, completely concentrated pushes, I birthed my baby’s head.  What relief! Almost done.  I pushed her shoulders out quickly after and Michael scooped the rest of her out of my body.  He placed her right on my tummy and I felt her warm, wet, wiggly body for the first time.  Her cord was a bit short so she needed to stay on my belly, but I was in shock.  My baby was here!

She breathed very quickly and began her newborn cry soon after.  I began singing her special song and she seemed to recognize it right away.  It made her slow her crying significantly.  I couldn’t stop looking at her – who was this person with these wide eyes?

Unfortunately, I got a little distracted from my bliss during this time because part of my placenta was not coming out.  Pam was rubbing on my uterus as her assistant Monica was gently tugging on the cord.  She gave me some herbs to help my uterus contract and soon I was back on the birthing stool trying to expel the rest.  It finally came, but it did scare me that something bad might happen after I had just made it through such an intense birth!

It all came out, however, and I was fine with a new baby in my arms.  Wow!  Michael was beaming and was so proud of me.  He had done such a great job coaching, especially through the pushing phase as he could more easily report on what was happening and exclaim, “You’re doing it! Great job!” He was such an important part of feeling calm and supported throughout my entire pregnancy and the birth.  He never let me doubt myself and he had amazing faith in my ability to birth naturally.  He is amazing!

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After we were settled back on the bed, Michael and I spent some time gazing at our new baby while doula Rachel cooked us a breakfast of eggs and toast, and Pam and Monica were cleaning up after the birth.  I could barely eat I was so excited, but I was also extremely hungry and the eggs tasted great.  Our baby was finally here!  I had actually achieved my goal of an all-natural, peaceful homebirth to start my baby’s life in the most gentle way possible.  It was very challenging, but it was very worth it.  I am so proud of myself and my abilities.  I have never spent so much time, emotional, and spiritual energy preparing for anything as I had in preparing for this birth and I achieved my goal.  I feel like I can do anything! IMG_7651I also feel so proud for sticking with the way I wanted this birth to be (i.e., natural and at home) rather than falling victim to the fear and uncertainty that exists around natural birth in our culture at large.

I see why people choose to birth naturally and I love what I have learned and who I have become.  I am now a mother.  Not only was my baby born, but I birthed myself into my new role very confident that I can do anything I set my mind to. 

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Thank you Christine Cassella for sharing your story and photos (many taken by doula Rachel Mueller)!

Christine is a permaculturist, herbalist, and biologist doing her best to follow the rhythms of the natural world. She likes to write about herbalism, backyard farming & permaculture projects, simple living, and finding spirit in nature. She is also an attachment/gentle parent and natural birth advocate. Visit her blog at http://theselightfootsteps.com/.

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The Story of Brazilian Midwife Dona Ivani

Traditional Wisdom: Honoring & Reclaiming the Heart of Birth, The Beautiful Story of Midwife Dona Ivani

This story is a good example of the rich discussions we had last fall at the Human Rights in Childbirth Conference about every MotherBaby’s Father, Partner and Family’s right to give birth with respect, dignity, collaborative decision making, with whom, where and how they choose. With a long rich history of midwifery around the world it feels good to honor the midwives who paved the path and whose wisdom and caring that Gabriela so eloquently captures as in celebrating Midwife Dona Ivani. At the HRiC conference, in my roundtable with Robbie Davis-Floyd on cultural perspectives, one of the many topics discussed was how it is not enough to just survive childbirth, MotherBaby’s must also thrive. We are learning how birth effects us emotionally in both the short and long term. It is the heart, the caring, nurturing and support that we must reclaim and value as much as safety, the part that traditional midwives such as Dona Ivani embodies. Thank you Gabriela for sharing.

Submitted by: Gabriela Azcoaga Klett, Sana, Rio de Janeiro, Brasil

vale do sanaThe day we chose to make our first midwife’s meeting in the countryside was the same day there were protest in the streets of Brasil about birth humanization. As my friend doula Fabiolla said, we were protesting too in another way…

We decided to honor the traditional midwifes that worked in the valleys of the Rio de Janeiro state not so long ago, because the more we know about them, more our admiration. Here I want to share the story of Dona Ivani. She is 77 years old and we had the pleasure of her presence, hearing her story and even share a yoga class with her!

1385047_614566051915521_822983782_nDona Ivani was an orphan. She grew up in an orphan house and as the years went by she became to be known as the “mother of the country.”

Her first child was born when she was a teenager, and the birth was attended by a midwife in the city of Rio de Janeiro. She lived in a neighborhood where people were friendly and women started calling her to help in births- she doesn’t know why, maybe because she was gentle, maybe because it was her destiny. So she acquired some experience, and when she went back to the countryside, people knew about her and started going to her house looking for help. Not only women in labour but people with any health problem. There was no hospital in the area at the time, no doctors. Her house became the only place, she did not only the attention but also feed them and took care of the children that came together.

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Dona Ivani midwife and a yoga class.

The neighbors helped her in her mission, as women arrived from all over walking long distances. She managed to have a place with clean sheets for everyone, and clothes for the baby. At the time it was was difficult- no electric light, no transport, wood for cooking. But she says she had always successful, even with some hard situations, she felt she had a protection from heaven. With time she was recognized for her work and authorities decided to help her. She fighter hard for an ambulance that finally arrived in the 80’s. She was called to work in the city hospital and had a salary after long years of volunteer work, and when she went back home after work she attended women that was expecting for her there.

Now she’s a beautiful grandmother and she says she misses her time, time of solidarity.

Thank you Dona Ivani, your life is an incredible example.

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Playlist Helps Sarah’s Birth Roar with Pleasure

Sarah-82“I am Woman, Hear me Roar”
– Helen Reddy, 1972

I am woman, hear me roar
In numbers too big to ignore
You can bend but never break me
‘Cause it only serves to make me
More determined to achieve
    my final goal
And I come back even stronger
Not a novice any longer
‘Cause you’ve deepened
   the conviction in my soul
Oh yes, I am wise
But it’s wisdom born of pain
Yes, I’ve paid the price
But look how much I gained
If I have to
I can do anything
I am strong (strong)
I am invincible (invincible)
I am woman

I was 6 years old and singing and dancing to Helen Reddy’s amazing words and message. I grew up with these words. They were instilled in my body.

As a birth doula for over 14 years and a prenatal yoga instructor for the past 10, I sometimes have a gentle, quiet laugh inside when moms talk about their “birth playlist.” I chuckle because for many mamas, those songs are never played for one reason or another. I certainly didn’t have any expectations of hearing a specific song on my birthing day.

This past fall, at 38 years old it was finally my turn to stretch, move, transform, and walk the walk that I have been teaching for over a decade. I knew so much about how to support others’ birthing, but wasn’t sure how I was going to do it myself. I had seen mamas birth in so many ways using so many different techniques and tools, that the mystery of what it was going to be like for me was daunting. I hoped for ways in which I could experience pleasure while birthing my daughter, Metta.


May you be the rockstar at the birth of your child, and doulas, midwives, partners, friends and family be the backup singers and dancers to rock you through.

I listened to hours and hours of Hypnobirthing and Hypnobabies meditations. I drew images with the help of Pam England and Birthing From Within. I spoke to Debra Pascali-Bonaro about ways to get “juicy” and enjoy the sensations of birth. I spent hundreds of hours (yes, really!) on my yoga mat doing strong powerful warriors and goddess pose, dancing and relaxing and breathing deep.

Never in a million years did I think that my pleasure in birth would come from my playlist.

After a full 24 hours of intensity, my midwife checked me for the first time while I labored at my father’s farm, in the beautiful sunroom. I was thrilled to hear I was 9.5 centimeters and ready to birth. Little did I know that at 12:30 a.m., 14 hours later, I would still be with child.

I hit the wall many times—wondering if I could really do this and did I have the strength, love, energy, focus? I always came back up, and I did so with the help of my husband, my birth doula, my midwives, my sister and my step-daughter and step-son.

Sarah in the barn
Sarah surrounded by loving support, while laboring in the sunroom of her father’s farm.

One of the most pleasurable, memorable moments of my birth was around noon, just four hours before Metta’s birth. That favorite childhood song of mine “I am Woman, Hear Me Roar” streamed through the speakers. I’ve played that anthem for years in my prenatal yoga classes. Finally, that triumphant song played for me: My doula and midwives danced, grooved, and sang along with me and Helen … now that was pleasure!

I will never forget when my midwife flung her arm straight up in the air with a clenched fist as she said, “YOU ARE STRONG! YOU ARE INVINCIBLE! YOU ARE WOMAN!” I believed her wholeheartedly as I dipped into the pleasure of the perfect song at the perfect moment.

Soon enough, Metta was born. Her entrance song was Snatam Kaur’s holy tribute “Ong Namo” … I bow to the divine within. Remarkably, this is the same song that played as my husband and I walked down the aisle on our wedding day the previous September.

My birthing day was full. Not what I’d call painful, but full of hard, beautiful work. Full of love and music and letting go. Full of musical pleasure. The 44 hours it took to bring Metta into my arms was not the kind of pleasure I had imagined it might be. Instead, birthing my girl was the pleasure that a mama knows when she is called into the embrace of the birthing goddess within … stronger than she realizes she is, for longer than she imagines she can be.

I hope that someday Metta will have her own birth soundtrack — one that roars with power and pleasure. I wonder what will be on it? Maybe she’ll have Helen Reddy’s encouragement pulse through the speakers once again. Maybe Metta will invite Katy Perry to add her “Roar” to the mix, too: You hear my voice / you hear that sound / Like thunder gonna shake the ground … I got the eye of the tiger / a fighter / dancing through the fire/ ‘Cause I am a champion and you’re gonna hear me roar!

Metta's entrance song was Snatam Kaur’s holy tribute “Ong Namo” ... I bow to the divine within. Remarkably, this is the same song that played as my husband and I walked down the aisle on our wedding day the previous September.
Metta’s entrance song was Snatam Kaur’s holy tribute “Ong Namo” … I bow to the divine within. Remarkably, this is the same song that played as my husband and I walked down the aisle on our wedding day the previous September.

“Ong Namo” by Snatam Kaur

Oh, my beloved
Kindness of the heart
Breath of life
I bow to you
And I’m coming home

__________________

Screen Shot 2014-02-04 at 2.32.57 PMSarah Longacre is the Founder of Blooma in Minneapolis as well as an educator and yoga instructor there- learn more about Yoga at Home. O Birth’s Debra Pascali-Bonaro teaches Post-Partum Doula Workshops at Blooma annually, to learn more about Blooma workshop, please visit their event page.

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Debra demonstrating Rebozo Closing Technique on participant of 2013 Post Partum Doula Workshop at Blooma.

 

 

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Vita Nascita: Life, Birth in Campania

Join me for Orgasmic Italy:  Amalfi Coast Women’s Retreat & Tour. Registration opening soon!

“It all began one sunny day on my honey moon in Positano Italy almost 14 years ago.”

Nonna with fresh bread from the Bakery
Nonna with fresh bread from the Bakery

Vita Nascita. Life birth. Weather we are birthing new life spiritually to ourselves, or physically (and spiritually) to a new baby- it is always important to nurture ourselves. That is why I am so excited to have 2 workshops in Italy this summer. I love the element of water to enhance our connection to our emotions, it is no surprise that both my summer workshops are near the water.

People know I like to share the best-kept secret, as in our documentary Orgasmic Birth where we share that pleasure in childbirth is not only possible but something we need to talk about. I also love to look at the herstory of childbirth and the herstory of my family roots to Italy.

Nonno driving It all began one sunny day… on my honey moon in Positano Italy almost 14 years ago. My husband and I were driving and saw a sign for the town of Agerola (a-gzher-ola) that I knew was where my great-grandmother was born. We began the windy drive up, up, up to the top of the mountain and found absolutely stunning views of the Mediterranean. We started searching for my family and soon people were helping us and, we found my family!

Graziella's bookWhat a surprise when I found my cousins who still have the home where my great-grandmother was born in. With stories and old photos we have pieced together our family-ties and since then have developed a close bond and deep love for them and the traditions and culture of Agerola. It was amazing story, that still touches my heart today, as I reconnected our family.

Produce Truck
Fresh produce truck stopping so we can buy vegetables & fruit at my family’s home in Agerola. I love it!

 

View from Debra's room at Hotel Le Rocce.
View from Debra’s room at Hotel Le Rocce.

That is why this summer I am so excited to share my family and one of my favorite places with an intimate group. I have come to know the many treasures that are hidden in this mountain village and am so looking forward to sharing the pleasures of life, history, art, dance, food and music of Agerola, Italy with others.

AgerolaMy friend Jacqueline is joining us to translate. Family friend, Salvatore, will host us at his Hotel Le Rocce where from one’s room you can look out at the whole coast seeing views of Positano, Amalfi, and the Mediterranean sea below.

At the hotel, I’ll guide us thru some workshops to help us all open up, decompress, revel, and reconnect- vita nascita! We will meet my dear cousin Graziella, who has shown me the many treasures and traditions in this special region and she will help lead the group into town to visit a family friend’s panetteria, the pottery shop, the mozzarella maker, and more. Our driver, Efisio, will take us on special day trips to Amalfi and Ravello and we will walk to Positano via the famous Path of the Gods (and share some secret treasures that only the locals know about!).

So looking forward to the celebrations of life in Campania and to giving birth to the life within us- Vita Nascita, and awakening our inner wisdom! Join me on the Amalfi Coast Women’s Retreat and Tour!

Amazing Waterfalls on The Path of the Fairies - it is said the water from these springs bring you memories from past times.
Amazing Waterfalls on The Path of the Fairies – it is said the water from these springs bring you memories from past times.
Antonio shares his discoveries in this church with us.
Antonio shares his discoveries in this church with us.
One of the many churches in Agerola filled with art and treasures.
One of the many churches in Agerola filled with art and treasures.
Classic Italian Pottery of the Amalfi Coast, made in Agerola, Italy- we will visit her shop.
Classic Italian Pottery of the Amalfi Coast, made in Agerola, Italy- we will visit her shop.

Amalfi Sign

The streets of Amalfi, Italy.
The streets of Amalfi, Italy.
My cousin, Graziella cooking home made pasta, with vegetables from the garden. Delicious!
My cousin, Graziella cooking home made pasta, with vegetables from the garden. Delicious!
A typical lunch, fresh Mozzarella, fresh Ricotta,  made this morning down the road, homemade Bread from the bakery, homemade Pasta &  homemade wine, a feast for lunch at my families home in Agerola
A typical lunch, fresh Mozzarella, fresh Ricotta, made this morning down the road, homemade Bread from the bakery, homemade Pasta & homemade wine, a feast for lunch at my families home in Agerola
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How to Lead a Laboring Woman Towards Pleasure

1614301_10152196941446407_1327116207_oCold.  White.  Warm.  Pleasure.  Connection.  Nurturing.  Sharing.  Love… These are all words I feel this week co-teaching a doula workshop in Montreal with Rivka Cymbalist, author of The Birth Conspiracy and founder of the Montreal Birth Companions. Being in Montreal is filling me with many emotions since I attended McGill University there, was married there, and gave birth to my first son there. Each street corner brings a flood of memories. Montreal is where I entered the sacred gate of motherhood that led me onto my life journey of bringing information, wisdom and pleasure to all as they prepare for childbirth. While pregnant, I realized I had been blessed with confidence and knowledge from the grandmother’s before me.

In this video Debra shares about her first personal experience with birth, in Montreal.

Yet so many women seemed to have lost their connection to the birth stories and the knowledge held by all the women who have given birth before us. As I navigated the system to claim my power- to birth my son with trust, confidence and pleasure, I felt my body, fill with power and grace. I birthed myself into motherhood, into a strong woman that has now lead to my return to share this knowledge and the many stories from the 1000’s of women I have been blessed to meet and share their birth and/or stories with, who have reclaimed this sacred inner wisdom.

IMG_0089
Rivka leading a discussion at the Montreal Doula Workshop.

In our doula circle, Rivka asked: “How can a doula maintain a foundation of pleasure for women prenatally and in labor, birth and beyond?” Our group of doulas suggested the following ideas and questions to consider, which can all be used by a doula or partner:

1. Providing access to information, and facilitating informed decision-making. Would you like more information?

2. Women find pleasure when they feel calm and confident.  What helps you feel calm?

3, With food, special foods you enjoy in your culture. What food nourishes you?

4. Touch and hugs. Do you like to be touched? How?

5. Are you happy? A smile can change our hormones and bring more pleasure.

“Prenatal is a time of hope, of looking forward, even if we have conceived in challenging circumstances, there is still an element of hope when pregnant.” Rivka smiles as her wisdom feels so natural and we each understand how a doula can nurture and help a woman prepare for a pleasurable childbirth.

6. Comfort measures in childbirth. I shared that I have a Mary Poppin’s bag full of pleasure tips for comfort in childbirth that I shared with the doulas so they can pass them along.  What comfort options will help you move from pain to pleasure and find comfort in childbirth?

IMG_02417.  Love her thru labor!

When is the last time you heard I love you?  Share your love. Rivka says she tells women she loves them, she loves watching women in labor, women in labor are the most beautiful! I am reminded of Ina May Gaskin’s quote” If a women in labor does not look like a Goddess you are doing something wrong!”

8. “Don’t just do something, Sit there!” If the birth is going well, respect women for what she is doing.  A laboring women will let you know what she needs if you listen.

9. Do not argue with anyone in the room. Maintain an environment of peace. Be respectful and loving to everyone in the room.

10. Support and respect the partner and the intimacy of the couple.

11. Music: Can create sensuous, intimate feelings and memories. What music or sounds brings you pleasure?

12. Adjust lighting that creates a safe, pleasurable feeling: What type of lighting creates safety and pleasure for you?

13. Breathing: What type of breathing helps you relax?

14. Listen to Women, honor her-story!

15. Support and provide breastfeeding information.

“Breastfeeding is a huge source of pleasure in a women’s life, whatever else is happening in her life, she will find pleasure in the special relationship and bonding that breastfeeding will bring.” – Rivka Cymbalist

16. “Postpartum stay naked in bed. Staying in bed, naked from the waist up with your baby helps restrict unnecessary visitors,” Rivka shares to help mothers to enjoy the sacred babymoon time while others can nurture you, cook for you and care for you and your family.

17. Tenderness: Be Tender to yourself and surround yourself with people who will be tender to you.

18. Next we had the pleasure of a talk from Julie Bonapace who taught us how the three endogenous mechanisms can relieve pain. Rather than try to capture all the great information she shared, look for her guest blog soon that will revolutionize the way you look at finding comfort in childbirth.

19.  Birth is sexual! How can you incorporate and honor your sexuality in childbirth?

Wow, what a great doula list of tips to help every woman and her partner to find pleasure in childbirth and beyond. Please add your tips too, so that we can continue adding to our list of pleasurable birth tips!

Learn more about Montreal Birth Companions or order Rivka’s book, The Birth Conspiracy.

FRIDAY January 31st is the LAST DAY to sign up for Kim Anami’s class- sign up today, don’t miss out!

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Pleasurable Birth Tips from Debra

NettieBirth-3What is the first thing you think of when you think of childbirth?  Sacred, Natural, Blissful and Orgasmic full of love and orgasms?  Or do you feel your body tighten as you think of tension, contraction, pain, and feel a sense of fear come over you?  If you said the latter, you are in good company as that is what we have been told again and again about childbirth- that women’s bodies don’t work!

What were the first stories that you heard about birth?  Do you know your birth story? What was your own birth like?  There are so many influences that shape our beliefs about birth and our bodies.  I love to ask women what they were told as young girls about their bodies and childbirth.  What did you call your breasts, your vagina, and your uterus?  Were you told that your body was beautiful, magnificent and amazing?  Were you celebrated when you had your first period?

For many of us, we grew up in a time when women’s bodies have often been shrouded in shame or seen as some type of dysfunctional machine and a feeling of “let’s not talk about menstruation and certainly not celebrate it.” It is possible to change these thoughts and beliefs but first we must look at where our beliefs came from and be willing to look at them in new ways, or sometimes old ways where women’s bodies and childbirth were considered sacred and powerful!

I am reading Eve Agee, PhD book “The Uterine Health Companion.”  As a medical anthropologist she looks at how some traditional cultures have appreciated the feminine body.  “Instead of dreading their menses, early humans cherished the uterus and women’s cycle of menstruation, pregnancy, birth, and menopause. The uterus was considered sacred in much of early Africa, Asia, Native America, and Europe.  Many prehistoric societies celebrated the uterus as the body center of female power and creativity.”  How did we get to where we are today where in most Western cultures we have the drugs and means to stop our bodies from menstruating, stopping it from its natural cycle, and disconnecting us from our moon cycle of fertility?

I am sure you have heard of the placebo effect. The placebo effect is an example of the mind-body connection and the understanding that what the mind sees the body feels. With all that we’re learning about mind-body medicine we must question what the effect is on women (and I would add on babies, men and families) when we don’t value and celebrate women’s bodies and their life-giving ability?

I love the saying “we birth the way we live!” I believe that all we’ve been told about our bodies sets the foundation for how we feel about childbirth, such as: if we had to hide our menstrual cycles, if we feel ashamed about our bodies, if we don’t believe our bodies are sacred, natural and pleasurable. These negative beliefs make it challenging to move into our power and see childbirth as a healthy part of our sexuality. That is why childbirth is a wonderful opportunity to tap into our bodies’ amazing abilities and energy at its peak, feeling our power, facing the challenge, and knowing that the body that grew the baby can birth the baby.  It’s your body, it’s your baby, it’s your birth!  It is time to reclaim the sacred feminine and celebrate each phase of our body’s cycle of life.

To find pleasure in childbirth

  1. Begin by taking an inventory of the messages you have been given about your body and birth.  Strengthen the messages and intentions you hold about your body.
  2. Create a new language for birth that includes words and phrases that encourage opening, pleasure, release, bliss and sacredness such as; riding the waves, releasing into the sensations, opening, hugging your baby into the world. Create your list of words that will redefine how you feel about your body and birth.
  3. Explore the ways that you can stimulate pleasurable sensations in your body. When you feel pleasure, you flood your body with oxytocin; the hormone of love, and endorphins, that produce a feeling of well-being- together they will help you create a safe, satisfying birth, and enhance sensations of pleasure. Find time to connect with your sensuality and create a list of ways you can bring these feelings into childbirth.
  4.  Three key elements for birth are being where you feel safe, private and undisturbed.  What do these words mean to you?  Where and with whom can you give birth and meet these three essential criteria?
  5. Even with all the above birth can be challenging. How have you worked through challenges in your life?  Create a list of techniques and strategies that you can use if you have challenging moments in birth and life.

Please share your tips, strategies and birth stories with us at http://www.debrapascalibonaro.com/share-your-birth-story/

 

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