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In Your Voice

Human Rights: Infant Rights at Birth by Ibu Robin Lim

7 June, 2014

Parents, grandparents, aunts, uncles, siblings, families, midwives, doulas, doctors, nurses, hospital administrators and legislators… we are BirthKeepers. It is our responsibility to ask the next and the next question, for as BirthKeepers, it is we who are given the sacred responsibility to protect our incoming humans, the newborns, at birth and as they grow, for they are the future EarthKeepers. My question now is: “Are we allowing our health providers to rob our babies, of their full potential of health, intelligence, immunity and longevity, at birth?”

According to the Red Cross, children under the age of 17 (16 with parental consent in some States) are not eligible to donate blood. Blood donations are generally no more than 1 pint, which is 1/10th of the average adult blood volume. Blood donors must weigh at least 110 lbs (49,895 kg).

Yet, all over the world, in nearly every single medical institution where babies are born, Newborn infants (usually weighing only between 2 and 5 kilograms) are being denied up to 1/3 of their blood volume.

At the moment of birth newborn infants are estimated to have a blood volume of 78 ml/kg (X 3.5kg = 273 ml) with a venous hematocrit of 48%.

When the umbilical cord-clamping was delayed for 5 minutes the blood volume increased by 61% to 126 ml/kg (X 3.5 kg or 7.7 lbs. = 441 ml). This placental transfusion amounted to 168 ml for an average 3,500 g infant, one-quarter of which occurred in the first 15 seconds, and one-half within 60 seconds of birth.Baby BloodIs taking 1/3 of a mammal’s blood supply harmful? How then can it be legal, for hospital protocols and practices to harm newborns, by robbing them at birth, of so much of their blood? I have reviewed the research and the evidence, and found absolutely NO benefits for newborn babies, when their umbilical cords are immediately clamped and cut at the time of birth. In fact the studies prove this to be a harmful practice. I am quite sure that if I went removed 1/3 of even one adult patient’s blood, without his or her consent, it would be considered a crime. There would be media outcry against me, and I would be prosecuted. How then is it that people tolerate the same unfair treatment of human neonates?

P2P_image 06A mountain of research does point to the fact that by simply delaying the clamping and cutting of babies’ umbilical cords, our newborn children would suffer less trauma, fewer inner cranial hemorrhages, have higher stores of iron at 4 months of age, and even up to 6 and 8 months after birth. , , The nutrients, oxygen and stem cells present in the blood transfused into babies by the placenta, when cord severance is delayed ensures the bodies’ tissues and organs are properly vitalized, supplied with energy, and nourished. This translates into improved health, heightened immunity, more intelligence and perhaps, potential for increased longevity.

In addition, by not severing the umbilical cord at birth, the baby must stay skin to skin with mother. This eliminates or greatly reduces the potential for birth trauma. Research has proven that babies born without trauma enjoy an intact capacity to love and trust. (Michel Odent OBGYN “The Scientification of Love.)

The simple, natural, common-sense practice of giving the placenta time to do its job, of delivering to the baby, his or her full blood supply, has been criticized and NOT implemented by the very doctors and hospitals who have taken an oath, to “Never Do Harm.”

An intervention, by definition is an action or process of intervening, or interfering, and so, the clamping and cutting of human babies’ umbilical cords is an intervention. However, in the medical literature, I have repeatedly seen the delay of umbilical cord severance called, an “intervention.”

Surgery is an intervention, in some cases a life saving one. I wonder, how not interfering with a natural, healthy process may be deemed an intervention. The imposed medical habit of immediately clamping and cutting babies’ umbilical cords has not been with us so long (just over 200 years) and yet, it is considered “normal” and “necessary.”

“Another thing very injurious to the child, is the tying and cutting of the navel string too soon; which should always be left till the child has not only repeatedly breathed but till all pulsation in the cord ceases. As otherwise the child is much weaker than it ought to be, a portion of the blood being left in the placenta, which ought to have been in the child.” Erasmus Darwin, Zoonomia, 1801

The habitual practice of immediate umbilical cord clamping and cutting began in the 1960s when a hypothesis arose among physicians thinking that immediate cord severance would prevent jaundice. If this was true why do so many babies who had their cords immediately clamped and cut, need phototherapy for pathological jaundice? Research has proven that there is no greater risk of pathological jaundice for newborns whose cord clamping and cutting was delayed.

Another theory was that early cord clamping would prevent Polycythemia, or too much hemoglobin. Some research does show an increased concentration of hemoglobin in the delayed cord clamping group, but it has not harmed babies, nor is it a significant argument for immediate cord severance.

When immediate umbilical cord clamping and cutting was introduced, it was never questioned. NO research was conducted to determine if it was a safe practice. It was just done for convenience. Doctors, nurses and midwives began to follow the trend, like sheep wearing blinders. Later, they justified it with myths about delayed cord severance causing jaundice. Few asked the questions I am asking today; “What about the Baby?” “What are the Babies’ human rights?” “Is the practice and protocol of immediate umbilical severance harming our children?” “Is it sabotaging breastfeeding and bonding?” “Is it impairing our children’s birthright to their full potential of health and intelligence?” At this junction on herstory and history, many BirthKeepers are asking these very questions.

The research proves that immediate or early umbilical cord severance is detrimental to our newborn children, but no one seems alarmed? Are we hypnotized? Why are we trusting medical professionals, who profit from denying our offspring their very blood?

Thinking, caring parents and grandparents have concluded that OBGYNs and midwives, who insist on habitually severing the umbilical cords of newborn babies, immediately, are simply protecting their right to practice with impatience, and what they deem ‘efficiency,’ with no regard for the rights of the baby, who cannot protest.

Due to imagined Fear of litigation. In 1995 the American Academy of Obstetricians and Gynecologists (ACOG) released an Educational Bulletin (#216) recommending immediate cord clamping in order to obtain cord blood for blood gas studies in case of a future lawsuit. They did this because deviations in blood gas values at birth can reflect asphyxia, or lack of. Lack of asphyxia at birth is viewed as proof in a court of law that a baby was healthy at birth.

Following an unpublished letter sent to ACOG by Dr. Morley, ACOG withdrew this Educational Bulletin in the February 2002 issue of Obstetrics and Gynecology, the ACOG journal. This action released them of liability resulting from their previous bulletin #216 of 1995. Parents and all BirthKeepers must ask; WHY, if ACOG has withdrawn its erroneous instruction to doctors, to immediately clamp and cut babies’ umbilical cords, is it still universally and dangerously practiced? Midwives and doctors who propose to preserve the healthy process of placental transfusion at birth, by delaying umbilical cord clamping and cutting, are criticized and charged with the burden of proving that letting nature take her course is, safe!

At Bumi Sehat we have received nearly 7,000 babies safely into the world, in high-risk, low resource settings. ALL of them enjoyed delayed umbilical cord clamping and cutting. Normally we wait 3 hours before doing anything with the Babies’ umbilical cords, and many parents choose cord non-severance, or, “Full Lotus Birth.” My grandsons, had what is called, “Full Lotus Birth” their placentas were left intact. Full Lotus Birth is simply allowing the baby, umbilical cord and placenta to stay intact, until the cord naturally dries and falls away, with no violence. Partial Lotus Birth happens anytime we see the baby, cord and placenta trinity. This means we do not clamp or cut the babies’ umbilical cords, before the placenta has been safely born. Certainly we would never clamp and cut a baby’s cord, until all pulsation has stopped.

At Bumi Sehat we have experienced NO ill effects for the babies, even though we do not immediately sever their umbilical connection to the placenta. A small study was done which compared a small sample of 30 babies from Bumi Sehat (greatly delayed cord severance) and 30 babies from a local hospital with immediate cord severance. There was NO increased rate of Jaundice and the delayed cord severance group from Bumi Sehat enjoyed higher hemoglobin.

Our MotherBabies enjoy a breastfeeding rate of 100% upon discharge from all of our three Childbirth centers, in Indonesia and the Philippines. We attribute the success of Mother’s to breastfeed to the bright, enthusiastic way in which babies, born at our birth centers, bond wide-eyed, and go directly to the breast to self-attach and feed. Also the support of our midwifery team, for each MotherBaby, protects breastfeeding start-up. There is absolutely NO infant formula supplied or promoted at Bumi Sehat.

Babies who are compromised by newborn anemia, caused by the immediate or early clamping and cutting of their umbilical cords, are withered in comparison, and have more difficulty finding the energy required to self-attach and robustly feed at Mother’s breasts. After all, babies who suffer the routine medical habit of immediate cord severance, only seconds after birth, have been denied up to 1/3 of their divine right to their natural blood supply and stem cells, of course they have trouble breastfeeding. Sever anemia makes any and all newborn activities; gazing, crawling toward the breast, nuzzling, staying awake, latching and suckling, nearly impossible. I sing praises to the determined mothers who manage to bond and breastfeed their infants, in spite of immediate cord severance. Humans are super resilient, but that is no excuse to abuse them at birth.

No other Mammal, except humans, routinely interferes with bonding and breastfeeding by quickly severing the umbilical cords of their offspring.

No matter if you are rich or poor; educated or not; brown, black, white, red, yellow or of mixed race, Muslim, Christian, Buddhist, Hindu, Pagan, Catholic, Jewish or Agnostic, very young or getting older, if you go to a medical institution for childbirth, your baby will be robbed of up to 1/3 or 33% of his or her natural blood supply.

Why? Stem cells are valuable, blood is valuable, some hospitals sell babies’ blood for transfusions and for research. Many parents are asked to donate their babies cord blood to science or to help others. Is this blood not meant to help the baby it belongs to? If adults may only donate up to 10% of their blood, why are doctors taking up to 33% of our babies’ blood, without consent. There are hospitals and clinics who impede the natural transfer of blood from placenta to baby, only to throw it away as medical waste. Umbilical cords are marketed for transplants. Placentas have been sold to cosmetic companies to be used in beauty supplies.

Just say “NO, I will not allow anyone to abuse my newborn by immediately clamping and cutting my Baby’s umbilical cord!”

If you were born in a hospital or clinic, it happened to you. If you plan to have your birth in nearly any medical institution on earth, it will happen to your baby, unless YOU stop it. Immediate or early clamping and cutting of babies’ umbilical cords is the biggest most widespread, medically sanctioned Human Rights issue on Earth!


Join us for Eat Pray Doula: A Gentle Birth Workshop where you will visit Bumi Sehat Clinic, connect with other BirthKeepers from around the world, and learn from Ibu Robin and Debra Pascali-Bonaro.


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Ibu Robin Lim is an internationally-recognized midwife, well-known author and talented poet. She was awarded the 2011 CNN Hero of the Year Award, and was nominated for the 2016 CNN Superhero award. Her non-profit Indonesian birthing and educational clinics Bumi Sehat have saved hundreds of lives and delivered thousands of babies over the last decade, serving the poor and medically disenfranchised citizens of Bali and, far away, in the tsunami-ravaged province of Aceh, Sumatra. After years of service and frequent financial challenges, “Ibu” (Mother) Robin and her organization remain indefatigably committed to changing the world, one gentle birth at a time. Please consider supporting Ibu Robin and her clinic by donating to Bumi Sehat Foundation, or adding Bumi Sehat Foundation International Inc as your Amazon Project SMILE link. (shop from http://smile.amazon.com and Amazon will donate t the charity of your choice.)



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The Four Biggies …for Dads/Partners at Birth

By Patrick Houser

Most fathers/partners are strangers to the birth environment. Additionally, they typically have had little if any opportunity to prepare for it. In my opinion, this is society’s responsibility and we all need to raise our game in the support of new families during this crucial time of family foundation building and bonding.

Towards that end, I have four ‘topics of awareness’ that dads/partners would do well to have support on in order to make a more useful contribution during the mother’s labour and their child’s birth.

1. PAIN: Men typically know pain as it relates to injury, football, falling off a bike, hitting their thumb with a hammer etc. With this as their point of reference, or default setting, for pain if the one they love is experiencing pain during labour they can, knowingly or unknowingly, revert to their ‘known experience’ and assume that injury or damage is being done to her. They need to be informed, perhaps even convinced, that if there is pain during labour it is safe, intermittent, cyclical and also creative. They also need to know it is not their role to try and do something about it i.e., fix it. In addition, it is possible to transmute ‘pain’ and transform it into pure energy…rather than something that hurts. The word YES is key.

2. TIME: How much time will the birth take? How long is a piece of string? Birth takes as long as it takes. Fathers need to know this and to relax around the time thing and to be present with her and in each moment with her. This knowing and attitude from him will support her to relax more easily and be in the zone with her labour. All in good time.

3. NOISE: She may make loud and/or unusual sounds, perhaps unlike any he has ever heard from her before. This is normal, good even. This comes from deep inside her, from that ‘instinctual mother’ place in her. Welcome it.

4. SAFETY: Is she safe? Is our baby safe? Here is where experienced advise is needed from the professionals in the room. They have attended many births. Trustfully they have learned what it is like and have a deep knowing that birth is safe. It is important to communicate this to the father/partner. Let him know through a look, a touch, a kind and gentle word that all is good and going according to nature’s plan. Trust birth!

 

Patrick HouserPatrick Houser consults with hospitals, birth centers and organizations regarding fathering policies and procedures. He offers study days, workshops and keynote lectures in various formats to support working relationships with fathers during the time of pregnancy, birth & breastfeeding. His Fathers-To-Be Handbook is very supportive for professionals working with families during pregnancy and birth. F2B Handbook also available at 50% discount for selling-on or giving to clients as part of information/support packets. www.FathersToBe.org   info@fatherstobe.org

 

Learn about Debra’s upcoming From Pain to Power online childbirth experience!

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Debra Pascali-Bonaro Receives Koko Roy Award

This has been a very special week for me. I was honored to keynote the New York University Midwifery Program/College of Nursing Graduation’s Blessingway. Midwives are the gatekeepers of gentle, respectful beginnings and the joy of being able to honor and inspire new midwives as they begin their careers filled me with joy. When Julia Lange Kessler, their Director gave the description of their Koko Roy Award, I was to touched by Koko Roy’s life and dedication to midwifery care. When I learned I received their Koko Roy Award, I was overwhelmed with emotion, my tears, my heart was so full as I feel so blessed to share this sacred path with so many and I am so honored to share with you!

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About the Koko Roy Award by Julia Lange Kessler

Background

Asoka Roy was a pioneer nurse-midwife who established this field as a profession in the United States.

She began her midwifery career in India, the country of her birth. One of eleven children, Ms. Roy was born on December 10, 1915, the daughter of a high-ranking civil servant.

Though she could have lived a leisurely life, not needing to work to support herself, she decided, instead, to become a midwife. After learning about deficiencies in maternity care in India, she realized how much mothers, babies and midwives of India needed her commitment to them. From this initial decision, Ms. Roy found that she truly loved the midwifery profession. With great energy, she devoted her entire life to the care of mothers and babies, considering each mother-to-be as a sacred individual on a nine-month journey to deliver a miracle.

Visiting war-torn villages

Her first job was in a hospital in New Delhi and she later became fully trained in midwifery, earning her master’s degree at a university in Calcutta. During the partition between India and Pakistan, she made several trips to the war-torn villages. During this period, stories are told of her courage when she risked her life to see all her midwives to safety and of her trips to the villages to deliver babies — such as twins in the mud-huts of war-torn India — when medical assistance was nowhere to be found.

After the partition, Asoka Roy broke new ground for the cause of Indian nursing, as General Secretary of the Trained Nurses’ Association of India, or TNAI. She was only the second Indian to hold this high-level ‘British’ national post and the first Indian Editor of the Nursing Journal of India.

Then, through her association with TNAI, she traveled to London to earn a midwife’s teaching certificate at the Royal College of Midwives. Before she immigrated to the United States, she was a midwifery tutor in Britain. Ms. Roy always welcomed technology as a valuable complement to the traditional skills she practiced and traveled, also, to Sweden to learn the vacuum-extraction method of delivery.

Trained midwives

Just at a time when American women were beginning to seek midwifery services, Ms. Roy earned her nurse-midwife license in New York in 1967. In 1968, she became the first director of Beth Israel Medical Center’s midwifery program, which was one of the first of its kind.  Ms. Roy also taught midwifery students and medical students at the prestigious Yale University. While there, she drafted the curriculum of a course to train foreign midwives for practice in the United States.  In 1983, she obtained midwifery-admitting privileges at St. Vincent’s’ Hospital and, when she retired from delivery practice in 1990, the hospital named her “Midwife Emeritus.” During this time, she became a Fellow of the American College of Nurse-Midwives.

Active after her retirement, Ms. Roy attended her last birth, her grand-niece’s, at home, at age 82 in 1998. Until nearly the end of her life, she was involved in developing the Beth Israel midwifery archives.

Throughout her career, Ms. Roy delivered more than 5,500 babies. In a 1983 article in The New York Times, Ms. Roy explained her approach this way: “I consider that the woman delivers the baby, not a midwife or obstetrician.”

Affectionately called ‘Koko” by her friends and family, she died on June 22, 2001 at the age of 85. In her memory, “Koko Roy Award” has been instituted to recognize an individual’s contribution to women’s health. Her story is an inspiration to all Indian nurses and to the global nursing and midwifery community.

Ms. Asoka Roy was one of those fortunate women of pre-independent India, who had access to the highest education and a life of wealth and privilege. Yet, she used her education to devote her life to the care of mothers and babies and toward the improving her profession and inspiring her students and colleagues.

Her New York Times Obituary closes with these words: “Her departure represents a great loss to the international midwifery community. Her spirit will live on for many generations.”

Julia Lange Kessler

Koko Roy

Excerpts to be published from Debra’s NYU keynote speech- sign up for Debra’s enews & be the first to hear.

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Baby Bumps, Thought Bumps & Holding Our Very First Newborn

Submitted by Laura Vladimirova

Some awakenings happen in the midst of serious conflict, when ideas crash up against the walls of your mind. Sometimes they happen in the least expected of moments, like when a thought sort of just bumps around. It can stew there for some time and eventually set off a cascade of new ideas that transform our whole philosophies. My most recent realization, or thought bump, happened at an art opening in downtown Manhattan, and it’s changed my thinking about womanhood ever since.

I had just come from the final day of my doula training with Debra Pascali Bonaro at Birth Day Presence. I was filled with inspiration about caretakers, babies and birth. The art gallery was getting crowded, friends were walking in and drinks were everywhere. The vibe was warm, though I admit, I was only somewhat present at the event — my mind was truly elsewhere.

Cut to twenty minutes later and in walks a stunningly glowing woman with a chunky baby in her arms and her bearded partner in tow. Baby was totally cool as a cucumber, even when he was passed around from friend to cooing friend. He was happily entertained by the colors of the art, lights and laughter surrounding him. When he reached my arms, holding the sweet 5-month-old was a treat after having spent days talking about happy, healthy moms and babies. When mom came to check on her son, I asked if this was her first. She proudly nodded yes. She also mentioned that this was the first baby she had ever held.

That’s the moment when my thoughts bumped.

I wondered how old I was when I held my first newborn. I recalled I was in my late 20s, after a  dear friend had given birth to her first son. I was graciously invited to the hospital to meet him, and as soon as I got there, she put him in my arms. I remember that he felt heavier than I’d expected a newborn to feel and that was surprising to me at the time.

After I left the gallery, I questioned how common it was for women in our society to have only held a few, or even no newborns before they had their own children. In societies where caretakers live closer together and depend more on each other, babies are passed around like the baby at the gallery. Young women (and men) become accustomed to being babysitters. They learn how to change a baby, entertain a baby, and provide support for mom early on.

I asked myself if experience like this was something that was missing from our modern world. For example, does not spending time with nursing mothers and not getting peed on when changing a baby (until we have our own) affect us psychologically or emotionally?

I began to ask around. I asked friends with kids, I asked friends without kids and I asked older women about their first time seeing, holding and interacting with a newborn.

So many women responded in the same way that I had. If they had older siblings or cousins, they had babies to play with. But many women did not hold a newborn until their late 20s or older. And mostly, it was their firstborn child.

I felt like I had missed out on opportunities as a young girl to better understand what it means to be a mama and create a bond with the miracles that surround pregnancy. All of the women I had interviewed had felt this way too. One woman said that not having had any experience with babies gave her parenting anxiety when she found out she was pregnant. Later, after she delivered a healthy baby girl, she felt relieved when she began to trust her instincts as a new mother.

Am I suggesting we as women just go up to strangers in the street and ask them to hold their babies? Well, that probably wouldn’t fly in NYC. Yet, there may be things we can do. Perhaps, if we open up our circle of sisters, we can consider this a a slow, but helpful thought bump for ourselves and any young women around us, like a neighbor or distant family member. We can help plant seeds of experience and confidence, seeds that say ‘holding a baby is a beautiful, empowering moment.’

Get the latest updates about workshops & schedules in Debra’s weekly enews.

Laura holding Jakob.
Laura holding Jakob.

Laura Vladimirova is a DONA-trained doula currently working towards becoming a certified nurse midwife. She aims to provide emotional, physical and spiritual support during pregnancy, labor, delivery and postpartum. She’s passionate about her role as a member of the birthing team and focuses on giving families space to make empowered choices, be it clinical or holistic. In between helping families achieve powerful and fulfilling birth experiences, she’s a maternity photographer and communications specialist living in Brooklyn, NY. She can be reached at NaturalBirthBebe@gmail.com.

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Wake up, woman! Follow Your Pleasure

Submitted by Marcy Sauter

Have you ever been moved to tears while watching someone do exactly what they were put on this planet to do? I have, and I think it’s one of the most beautiful scenes to behold. Perhaps it’s a musician that plays beautiful music, or a gardener that has a gift to keep a bounty of fruits and vegetables growing, the ballet dancer that pliés his way across the stage, the cook that pours her heart and soul into the fresh cookies she bakes and the jam she lovingly makes for her friends, the attorney that fights for justice with passion, the mama that raises her children with love and kindness, the math teacher that shares his knowledge through carefully designed lessons, or the surgeon that gives hope to the dying, or the midwife that lovingly catches babies.

I often wonder what gift or talent we’re missing out on because someone is not heeding the call of their desire. It makes me sad to think that I haven’t heard the song that’s hiding beneath that seed of doubt within someone’s heart. It’s heartbreaking that a poem wasn’t shared with others due to a fear of sounding imperfect, and tragic to think of the athlete who won’t train because they were told they wouldn’t achieve success by pursuing the potential that their body held.

How different would our world be if each and every person did what they were created to do? How would your life be if you didn’t live within the expectations of culture, gender, family, tradition, or worse, self-doubt? If you shed every label that was placed upon you, what would you be capable of? How would you be living your life differently than you are now?

Our society is really good at labeling us from birth.

Good baby, bad baby
Good sleeper, bad sleeper
Big baby, little baby
Happy baby, fussy baby, and the list goes on.

Beyond infancy, these labels continue to weigh us down, and sometimes they define us. They threaten to convert us into what we aren’t meant to be.

When I was a kid, well-meaning people told me things that made me ashamed to be the way I was, making me feel like a weirdo. As I shed the labels that were put upon me, the passion for life began to burn in me again. The realization that I am different is now comforting. There is no one on this planet who is just like I am! How cool is that? There’s no one just like you, either.

We are amazing!

The women with whom I work, and my new understanding of this concept of living, have inspired me to write this poem. My hope is that you’ll start shedding the layer of labels which prevent you from doing what you were meant to do in this life. The world waits for you to wake up and share your gift.

Wake up, woman! Have you gone to sleep?

Have you lost yourself in culture? Are you in deep?

Have you been put upon a shelf?

And lost your soul, your voice, yourself?

It’s time! The time is now!

You may think twice, you don’t know how!

You’ve been reduced to few roles

Your heart, your mind, it’s taken its toll

So now it’s time, you must not sleep

Your life awaits, don’t live as sheep

There’s so much more that’s in that box

The key is there, unlock the lock

Wake up, woman! Don’t you forget

Don’t slumber on, or you’ll regret

Waste not the days, or months, or years

Lest you grow old, and drown in tears

Awaken!

 

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

 

Edited by M.L.

 

 

 

 

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Can Birth Films Really Can Change The World?

Submitted by Toni Harmon

Films don’t change the world. It’s people that change the world.

If people get behind a film, then it can achieve incredible things. It can change opinions. It can inform, educate, inspire, empower and yes, it can change the world.

Take three birth documentaries ORGASMIC BIRTH, THE BUSINESS OF BEING BORN and our previous film, FREEDOM FOR BIRTH. By connecting with a wonderfully supportive audience, these films became powerful. They changed the face of birth around the world.

Before ORGASMIC BIRTH, did you know that it was even possible to have an ecstatic birth? Before THE BUSINESS OF BEING BORN, did you realise the extent of the economic interests that impact maternity policy in the US?

Before FREEDOM FOR BIRTH, did you know about human rights in childbirth? Had you heard of Agnes Gereb, the Hungarian midwife imprisoned for attending home births? (Just in the last few days, there’s wonderful news with Agnes’ case – she has been released from house arrest although there’s more court cases still pending).

I believe films can be more powerful than books, blogs and newspaper articles. Films can break through into the mainstream, attract global media attention and influence decision-makers to bring about change.

Take FREEDOM FOR BIRTH. When we released the film in September 2012, over 100,000 people saw the film on one day. The issue of human rights in childbirth was catapulted into the mainstream media resulting in hundreds of newspaper articles, blogs, radio and TV news features. And why did this happen? Because a global community of over 1,000 extraordinary people supported the film by holding a world premiere screening.

Now change is starting to happen. Women’s birth rights is now firmly on the agenda. In the UK, the Royal College of Obstetricians and Gynaecologists is holding a training event on 7th March for International Women’s Day 2014 called ‘Human rights awareness in women’s health’. And one of the talks at RCOG World Congress 2014 Conference Committee in Hyderabad, India at the end of March is on ‘Obstetric violence and human rights’. Whether this is directly down to FFB – who can say. I’d like to think our film may have played a part.

Our next film, MICROBIRTH is a feature-length documentary looking at the latest science asking if medical interventions in childbirth could be damaging the long-term health of our children with consequences for the whole of mankind.

MicroBirth_indiegogo_linkJust like we did with FREEDOM FOR BIRTH, we want to release MICROBIRTH with a huge global simultaneous screening event this September. In this way, we want to grab the attention of the world’s media, policy-makers and all healthcare providers so that everyone becomes aware of the potential long-term risks of interventions.

But for the film to become a powerful tipping point that inspires real change, we need you. And thousands of strong-willed, strong-minded individuals just like you.

So, can a birth film really change the world? No. But with your help, yes we can!

Please consider holding a world premiere screening of MICROBIRTH this September. Make it a rallying point for change. Then together, we can and will change the world.

To secure a screening, choose one of MICROBIRTH premiere perks on our Indiegogo fundraising campaign website http://www.indiegogo.com/projects/microbirth.

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Producer Director Toni Harman PhotoAfter training at the London Film School, Toni Harman worked as a producer / director making factual programmes, documentaries, short films and even a feature film. Then she had a baby and everything changed!

Together with her partner Alex Wakeford, Toni started making films about birth including DOULA! (http://doulafilm.com) and FREEDOM FOR BIRTH (http://freedomforbirth.com). Their new film MICROBIRTH will be released this September. (http://www.indiegogo.com/projects/microbirth).

Together, Toni and Alex founded ONE WORLD BIRTH with one objective: to make films to make birth around the world.

You can contact Toni via ONE WORLD BIRTH’s Facebook page http://facebook.com/oneworldbirth and on Twitter @oneworldbirth or via the ONE WORLD BIRTH website http://oneworldbirth.net.

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Ina May Inducted into Hall of Fame by Robbie Davis-Floyd

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

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

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

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

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

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

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

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

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

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

 

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

 

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Supporting Newborn Golden Hour

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

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

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

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

1-The world is a scary place

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

3-Medical intervention supercedes instinctual behavior

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

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

Breastfeeding Is a Public Health Issue

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

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

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

What the Data Tells Us:

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

What My Experience Tells Me:

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

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

How Can We Do Better?

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

Postscript:

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

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

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

Resources:

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

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

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

http://www.kangaroomothercare.com/

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

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

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

http://www.childbirthconnection.org/

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

http://www.babyfriendlyusa.org/

For an outline of Mother-Friendly Care:

http://www.motherfriendly.org/MFCI

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

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

References:

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

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

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

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

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

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

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

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

Review of the current NRP Guidelines:

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

The definition of the Midwife Model of Care:

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

 

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

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

 

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