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Debra Pascali-Bonaro

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Midwives

Childbirth: A Memory of a Lifetime or Not?


(Including Penny Simkin’s new video)

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

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

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

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

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

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

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

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

 

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


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

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

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My Birth Journey – to the Bathroom and Back

This birth story is submitted by Milena Dyankova who shared her personal birth story with us after organizing a screening of Orgasmic Birth in Bulgaria in 2014.

My Birth Journey – to the Bathroom and Back

About a month before my due date I could finally take the long expected leave and finally focus on birth preparation. After a few extremely busy months I wanted to do yoga and other exercises to get tuned to and fit for birth as much as I could for the short period I had. Since this was my second birth I thought I had the knowledge I needed from my previous experience (what I call a mainstream hospital birth). And here I was the second night on my leave browsing through the Internet to find exercises I would like when I came across the idea of gentle birth. From one click to another a whole new world opened to me. I could not go to sleep until the early morning hours soaking information and stories on the idea of out-of-hospital birth. And it clicked with me. Strongly.

P2P_image 09My mind brought memories from six years earlier when I had read a story about a homebirth in the Eastern European country we were living in that had stunned me with the beauty, the calmness, the strength I had felt from the woman’s words. Now I was reading similar stories that had only recently taken place in my native Bulgaria. That gave me great courage – I thought if people in Bulgaria that was lagging behind on many areas were already doing it so could I.

The next thing I needed was to equip myself with the right reliable sources of knowledge and support. I didn’t need tons of information; I just needed something reliable and inspiring. And my research led me to Ina May’s Guide to Childbirth, a book by Ina May Gaskin and Orgasmic Birth, a film by Debra Pascali-Bonaro. Ina May’s Guide gave to my husband and me a good understanding of birth physiology and the factors that inhibit or stimulate it. It convinced me that my body was perfectly capable of doing what it needed to birth a baby without artificial stimuli (no induction, thank you very much). The Orgasmic Birth film was truly transformative – not only labor and birth were a natural event but it was not meant to be an ordeal, something to put up with to have your baby. On the contrary I saw they were an important journey that could take a woman to a high, even give pleasure, and most of all give her a chance to experience her own power. So I “planned” for an orgasmic birth.

To me it was very important labor to begin when the baby was ready. My first baby was born after induction when two weeks past due date (defined without consideration for the length of my cycle and the conception date that I still remember to this day) I was no longer able to stand up to grandparents’ pressure. And even though I realized how lucky my baby and I had been to have had those two weeks, I was very sensitive to the topic, and it seemed to me the last couple of weeks everyone was calling to ask when I was going to give birth. The daily visits to the doctor’s office were the most troubling. My husband and I had decided we would keep the arrangement with the doctor who was very favorable to women’s active role in labor and birth. Yet, as due date passed he insisted on daily fetal monitoring as this was the protocol. Five days past due date he wanted us to do the monitoring at the hospital and I agreed to a vaginal check. It was rough.

In the late afternoon my palms started to itch and in the evening the mucus plug fell. I thought the reason was the harsh check and felt upset with the doctor for intervening, yet I decided to let this feeling go and enjoy the evening. Around midnight I woke up with quite intolerable itching on the palms and soles that was feeling better by touching cold surface. I found relief placing my hands and feet on different spots of a leather armchair and soon drifted off. In the morning the itching was gone. It was a weird phenomenon that I had not experienced before and I could not find any reasonable explanation.

It was Saturday. The day passed leisurely yet the cold weather prevented us from a much desired walk to refresh my mind so late afternoon we went shopping for the guests we were expecting the following day. Throughout the evening the memory of the previous night was recurring and I appreciated the itching gone so I could get a good sleep. Or so I thought…

At 1:30 AM I woke up with a feeling I had only taken a light nap as I remembered moving my palms and feet looking for a cold place on the bed linen in my sleep. I felt the itching pretty strong so I headed for the leather armchair to find the cure from the previous night. My husband also got up and went to arrange something in the bathroom but I urged him to go back to sleep as he had also stayed awake the night before.

This time the coldness of the leather did not bring the same effect. I also started to feel menstrual cramps and I became quite restless in the armchair. Soon it dawned on me – the time had come. I knew I had hours ahead and it was better to rest and gather energy so I went back to bed. Yet, pretty soon I found myself up again trying to find comfort on the birth ball. It didn’t work either. The bath tub seemed quite alluring at that point and with desperate hope to finally find my place I woke up my husband and asked him to fill it up. As he took to fulfilling my request I sensed the peace of mind one feels when the imminent and long expected is finally happening. Joy was there, too, as I was finally having the baby when he was ready to come. It was March 8th, Mothers’ Day in Bulgaria.

The contractions became more frequent and stronger. I immersed in the water and my whole body relaxed as I sensed this was my place, my zone. Suddenly the light was too much and I asked my husband to dim it. He took a seat next to the tub and held my hand. Every now and then he was handing me a bottle with water. I started to drift away in my own world, my own dimension. I was aware of all that was happening to and around me, yet I was in my own distant space where I could surrender to the sensations and enjoy the deep gratitude for actually experiencing labor in its pure power.

When contractions came my body changed its posture and arched, and I was diving somewhere deep while some strong alt sounds were emerging from within my womb. Later my husband called them moose mooing. The sensations were very strong and although my work with the Sedona Method had clearly shown me that ‘pain’ was only a label we attach to a group of sensations, it was difficult to deal with the ones I was experiencing. I tried the welcoming and allowing techniques that had done a great job for me many times, yet I could not keep my focus on anything. I was riding strong waves and the mental efforts somehow made the pain tougher. Contractions were becoming more and more intense and doubt crept into me “Oh, my Goodness, am I able to do this?”

  • I can’t. I cannot do it, – a wail escaped my lips.
  • Yes, you can, – a comforting voice came across and when I looked up I met a warming smile.

Around 2:30 AM our daughter appeared in the bathroom, sat down next to the tub and started asking questions. I made an effort to respond, yet speaking was beyond my power. My answer was concise and I left it to her father to explain. However speech was disturbing and soon I asked for quiet. She stayed for a while, then went back to bed.

My husband was providing great support. Every now and then he would hand me over the water bottle reminding me to drink. I would take a couple of sips motivated by discipline rather than thirst. Soon I felt and urge to throw up. As if strictly following “the rules” my body started to cleanse itself. Although I was still in the tub with the original water, I was not feeling cold. After a few efforts my stomach was empty of its content and the urge to throw up disappeared as suddenly as it came.

Some time later I felt my face muscles contracting making my lips form an “O” and I realized this had accompanied orgasms sometimes. A slight regret crept in my mind, and then I smiled. As much as it was possible. Even though I was not having the orgasmic birth in the way I had envisaged it, my body was producing a similar reaction.

Each contraction was making my body arch and bringing some mooing sounds from deep inside. The pauses were short. I felt compelled to get out of the bathtub so I went out, put on a shirt and found my place of comfort on the toilet. My husband sat down on a small chair in front of me and held my hands. That was of great help as if him holding tightly my hands gave me additional strength. I felt his presence so comforting and solid, exactly what I needed to keep my focus on my job knowing there is someone there for me to take care of everything else.

Contractions intensified further and I started having bowel movements – apparently my body needed to cleanse some more. I was looking forward to the “rest and be thankful” phase so that I could take a little break, contractions were becoming stronger and stronger straining my whole body. And while I was thinking I’d finally found a way to ride the waves they started to grow into something different. The end of each contraction turned into a burning sensation that I could bear only screaming. The screams were tearing from my throat and I was thinking about the neighbors (we were living in a 6-storey building and the bathrooms underneath and above us had windows to a common space). Our daughter was sleeping in a distant room and the noise would not reach her. I was screaming at the end of the contractions squeezing my husband’s hands. He kept reminding me to drink yet I was already oblivious to the world around me.

“These are pushes,” a lightning thought cut through my mind. But there was supposed to be a break. “Where is my break?” I grunted in my mind in a miniscule pause between contractions. A few minutes later an impulse made me get up from the toilet and take all-fours position on the bathroom floor. While kneeling down my water broke. My husband asked what was going on and I responded that was it. I felt tired already. Pushes were becoming stronger and stronger and I screamed at the peak. I needed to push myself. The next one I joined and I felt the head moving down. My body seemed to have been stretched to the limit like a fully-bloated balloon.

I reached down to feel for the head yet it seemed my arm was not long enough. My husband realized birth was imminent and prepared himself. The head was slowly making its way downward. Energy surged all over me. Then the little body turned slowly and gently inside without any effort on my side, just like we had seen it on YouTube. I was strongly aware of the sliding inside, I felt as if electricity was going through me – my senses were acutely open and all perceptions came very powerful. Just a few seconds later the little body slipped out right into daddy’s palms. I turned around and sat down to embrace our baby who had been conceived with love and came to this world in an intimate environment where his dad and I were a team, one whole. My husband and I looked into each other’s eyes and I could see the same incredible happiness I felt. When I cuddled the little body the bathroom filled up with love as if coming from an invisible hidden spring. The incredible feeling of my own power and the grand power of Nature were going hand in hand with deep satisfaction. I was in awe with the wonders of Nature that had manifested through my body and I realized there was nothing I could not do. I had women’s power and strength.

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Sing a New Song for Ina May & Int’l Women’s Day

March 8th is International Woman’s Day and it is also Ina May’s birthday! To celebrate want to share a couple special things that will be happening with Ina May and elsewhere…

Photo credit: http://girlinflorence.com/2012/03/05/womens-day-in-florence-ideas-and-mimosas-incoming/

One is that tomorrow, in Debra’s ancestor’s village of Agerola on the Amalfi Coast of Italy, they will be celebrating International Woman’s Day as one of their Festivals of Life. On this day all the women in Agerola are celebrated. Women are given Mimosa flowers and taken out to dinner, as the men celebrate the women in their village, together they remember the many women who live in much more challenging situations. Read Debra’s blog about Agerola and the many festivals there.

 

Everybody sing: “Let your monkey do it!”

We are also celebrating Ina May Gaskin, world-renowned midwife, on International Woman’s day as it is also her Birthday! Debra is honored to call Ina May a special friend. We are very grateful to Angelika Rodler and Marion Ritz-Valentin who came up with a very creative way to support Ina May. Angelika and Marion created a special song, “the crowd:loving:birthsong:experiment” (song excerpted in video below). To support Ina May everyone on the obirth team will be purchasing the download for a mere $1.29 and sharing this great opportunity with our friends and colleagues. Every single cent of income is donated to Ina May and her projects. Happy Birthday Ina May!

“A new and juicy way to show our love and sisterhood in action….so please share with your friends and lets start an amazing lovestorm for our hero!”

Join us as we continue to advocate for every woman’s human rights in childbirth and beyond as well as to celebrate Ina May and her lifetime of work to create safe, respectful and healthy births for all MotherBaby’s.

Ina May Gaskin is our hero. She inspires us to be joyful, brave and funny, she tells us stories we´ll never forget. Because of her teachings so many women have been empowered to explore birth as their holy sacrament. She´s also a hero for m…any midwives, a heartfealt teacher and researcher. Nobody can count all the positive effects of her work for the birth-culture all over the world. For me –and I know that thousands of women will agree – she was the one who changed everything I thought about childbirth. I wouldn’t be the same and my lovely birthstories would sound different without her wisdom. Since many years Ina May is educating my Austrian Doulatribe and the midwives here. I heart so many people thanking her with tears of love in their eyes – we are so many everywhere on this planet! My biggest wish is to say “thank you”, but not only with words. Let´s show Ina May our love and support with this the crowd:loving:birthsong:experiment.

How will you celebrate International Women’s Day? A day to honor women and our collective efforts for equality. What festival and rituals do you have in your family and region of the world or will you create a new one? Please share your story and ceremonies here or on our facebook page.

 

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