Tuesday, March 17, 2009

The Case Against Doing It All

I don’t consider myself a lactavist. I didn’t call the CBC when I was asked to move into a change room at Superstore while nursing my daughter. I have not been to a nurse-in. I have never smuggled breastmilk onto a plane.

I do think that breastfeeding is a normal natural beautiful act. I breastfeed my daughter anywhere I choose. I don’t let people’s opinions or rude looks stop me. I will breastfeed in a restaurant. At my table. Without a cover. I exclusively breastfed both of my children to 6 months. I continued with my son until he was 2.5 years old and probably will with my daughter as well. I fervently believe that it is the best and in most cases should be the ONLY choice for feeding our children.

Why?

Because I distrust processed food. Because just like I prefer to make my own food from scratch as much as I can, I also prefer to give my babies the food that is specially made for them. I believe that if my body is making it for my baby, it’s obviously the best thing to give her. I trust this million year old evolutionary biological process way more than I trust NestlĂ©. Because I am amazed that the composition of breastmilk changes depending on the time of day and depending on if my baby is a preemie or a toddler. Because I’ve seen the list of ingredients of breastmilk and I’ve heard that they don’t even know what it’s all for or how to replicate it in formula. Because I believe that there is a purpose for all of those ingredients even if science and medicine hasn’t been able to figure it out yet. Because I don’t doubt that they would find a link between every single one of the components of breastmilk and better human functioning in some area (physical, cognitive, emotional) if it were ethically and humanly possible to do so. Because I believe that the act of breastfeeding is about so much more than food.

So it was with utter dismay that I read Hanna Rosin’s recent article for The Atlantic, The Case Against Breast-feeding. The article is so ridiculous and odious that my husband even suggested that it may be a farce, another attempt by the author to have a little game with us, just like she did on the playground. Farce or not, I couldn’t remain quiet.

I have to warn you that I won’t even have a chance to tackle Rosin’s research and studies because I have so much to say about her attitude. And to be honest, I don’t give a damn about the studies she quoted. Personally, I think that science has a long way to go in explaining most human functions from breastmilk to the brain. Inconclusive studies about the power of breastmilk are not going to convince me that evolution was flawed when it came up with mammals.

The tone of The Case Against Breast-feeding is sarcastic, resentful and bitter and I can’t help but wonder why Rosin is so unhappy. She writes about how it is “hard not to seethe” as she breastfeeds her new baby while her husband sleeps, about being “unreasonably furious” at her husband as he leaves her “stuck at home breast-feeding.” She writes about what the What to Expect authors can expect her to do “with this damned fork” (Ok, fair enough, I can’t stand the What to Expect books either) and about wanting to “hit {people} with a two-by-four.” Wow. Really? Why are you so angry Hanna?

When I start to dissect her article, it really doesn’t seem that breastfeeding is the issue. To me her article reads like the whiney self-pitying diatribe of a woman who is unhappy in her marriage, has few real friends, is not supported to breastfeed by her mother, dislikes all the women on the playground and resents her children for interrupting her career and her life. Okay, so now I have to take back the whiney and self-pitying part because wow, that really does sound sad and my heart goes out to such a woman. To be fair to Rosin I have experienced episodes of the rage, loneliness, “crying jags” and cursing at husbands that she writes about but I realise that those times don’t sum up my breastfeeding experience. I really don’t understand how breastfeeding became the scapegoat in this story and I struggle to forgive someone who can damage years and years of work in public health trying to raise breastfeeding rates just because she is unhappy with her life.

Acceptance
The whole article begins with the way Rosin felt at the playground. She witnessed firsthand how judgmental her so-called friends and fellow moms on the playground could be. Of course, she is busy judging right back. She tries to be funny as she describes the “urban moms in their tight jeans and oversize sunglasses” and ridicules their “signifiers” (“organic content of snacks, sleekness of stroller and ratio of wooden toys to plastic”) but she comes off just as awful as she tries to portray them. She talks about her “mother friends” in a way that doesn’t sound like they are her friends at all.

Mothering criticism is definitely running rampant these days; Rosin is right to bring it up. Lord knows I’ve felt it. And stooped to it. We all need to work a little harder to accept each other. That’s a post on its own right there. Yes, moms need to cut each other some slack but that doesn’t amount to a case against breastfeeding (even if it is the major point we judge each other on—“the real ticket into the club” as Rosin puts it).

Breastfeeding Rates
Rosin goes on to wonder why every woman she knows “has become a breast-feeding fascist.” Apparently Rosin only associates with a very slim percentage of the population if every woman she knows is a breastfeeding fascist. In the US, only 17 percent of babies are still breastfed at 6 months. Rosin quotes the breastfeeding rates in the States triumphantly: “breast-feeding is on the rise—69 percent of mothers initiate the practice at the hospital, and 17 percent nurse exclusively for at least 6 months”—as if to say “How much higher can they really go?” I personally find these numbers shockingly low, especially when you consider that those women who initiate the practice in the hospital may not even stick it out past a week or two.

Meanwhile, 83 percent of mothers are NOT breastfeeding for 6 months. These are the women that the Department of Health and Human Services are trying to target with the ad campaigns that Rosin hates so much that she would wean her child out of spite. The tv ads may be tacky and the print ads may be extreme but they are up against big bucks formula companies (with marketing dollars and Washington lobbyists). Ms.Rosin, they are also up against people like you who do so much damage by suggesting that breastfeeding is holding women back from all the things they want to be doing. The ads are a desperate bid to squeak that 17 percent just a little higher.

Rosin herself explains that “the numbers are much higher among women who are white, older, and educated.” Exactly. Like the women Rosin describes in her “playground set” with their “Baby Einstein videos, piano lessons and the rest.” I would wager that the other 83 percent of the population who give up on breastfeeding after initiating it includes all the women who are working because they have to, not because they have a feminist axe to grind.

Class Struggles
Rosin explains that formula was demonized in the 70’s because South American and African studies showed that formula fed babies were more likely to die. “The mothers, it turned out, were using contaminated water or rationing formula because it was so expensive. Still, in the US, the whole episode turned breast-feeding advocates and formula makers into Crips and Bloods,” she says. Oh, I see. It wasn’t really the formula’s fault. It was the mothers. For being poor. For using dirty water. And besides, it isn’t relevant because it wasn’t in the US. As long as you can afford it and have access to clean water, formula isn’t a bad thing—is that what Rosin is saying? That sounds a little elitist coming from the same woman who (rightfully) derides breastfeeding campaigns that encourage working mothers to pump at work for being unrealistic for the lower classes (waitresses and bus drivers).

And her point about wanting to hit people who say that breastfeeding is free with a two-by-four because that means a woman’s time is worth nothing? Well, for the working poor, a woman’s time is only worth $6.55 an hour (US federal minimum wage – 28 states have minimum wage that are either the same or less than the federal rate). If she buys the cheapest formula at Walgreen’s, it is $9.99 for 105 fl. oz. and her three month old baby will go through it in 4-6 days. So on top of the time it takes to feed her baby she is spending almost 2 hours every week working just to buy the formula. And that doesn’t even get into the number of hours she has to work to pay for her childcare.

Of course, Rosin who talks about launching Web sites, answering cell phones, the luxury of working part time from home, and even having a husband to curse at over division of labour is coming at the whole article from the perspective of the privileged. As she herself says, she is “too privileged for pity” so how does she know the real cost of formula?

Working Moms
Rosin doesn’t even question whether or not the same mother who can’t pump at her waitressing job can even afford to buy formula. Rosin focuses all her anger on breastfeeding and the people that she feels are pushing it down our throats. She brings up the American Academy of Pediatrics’ 1997 policy recommending that babies be breastfed to 1 year (still only half of what is recommended by the WHO) and explains that the National Organization for Women “complained that this would tax working mothers, but to no avail.” The real question is not what a woman’s time is worth (and whether she should spend it nursing her baby) but rather, why are so many new mothers working?

Rosin implies that public health officials should have tempered their child health policies to make it easier on working mothers. I would like to suggest that the problem in the United States is actually that the lack of solid maternity leave is taxing breastfeeding mothers. It certainly is difficult to breastfeed your baby to 6 months or a year when your country’s maternity leave would have you back at work when your baby is 12 weeks old (if you can even afford to take those 12 weeks off unpaid).

Support
Of course, a good maternity leave is only one aspect of the broader issue which is the need for support. Rosin herself appears to feel alienated and unsupported in her attempt to breastfeed. “Being stuck at home breast-feeding as he walked out the door for work just made me unreasonably furious, at him and everyone else,” she says. “So I was left feeling trapped,” she says. She likens her life to a prison. Her mother pesters her about whether her breastfed children are getting enough to eat. She is obviously uncomfortable with breastfeeding in public: “There I was, sitting half-naked in public for the tenth time that day, the hundredth time that month, the millionth time in my life.”

Doesn’t she realize that all the books, lactation consultants, support groups, public health campaigns, and legislation that she is tearing down with her sarcastic and mean words all exist to try to help the women who feel alienated and unsupported? All these people are working so hard to try to make the general public understand that breastfeeding moms have a huge job that is hard and often lonely, that breastfeeding in public is acceptable, that no one should have to stay home and breastfeed all the time, that mothers need help with the hours of breastfeeding they put in. They are trying to make these women feel supported. And they don’t expect you to stay away from your mother. They just want her to realise that her comments don’t help.

Feminism
But for Rosin anyway it sounds like the problem isn’t one of lack of support, but rather of feminist discontent. Her angry ranting unfortunately discloses way too much about her own feelings about children and her husband for my comfort level and tells me in no uncertain terms that she resents breastfeeding (and by extension, her children) for the inequalities in her marriage and for her inability to focus on her career.

“But fear not, You,” she says, “The root of the problem is not the sudden realization that your ideal of an equal marriage, with two parents happily taking turns working and raising children, now seem like a farce.” Who is this You she is talking to? It feels like maybe this is her own issue, especially when you see how often it comes up. I already mentioned how she seethed at her husband in the night, how furious she was that he got to go to work. She goes on to say that she “was raised to expect that co-parenting was an attainable goal. But who were we kidding?” Okay, so she resents the fact that her feminist ideals of marriage are perhaps unrealistic? Fair enough.

But listen to the way she talks about raising children:
“after three children and 28 months of breast-feeding (and counting), the insistent cheerleading has begun to grate.”
“This time around, nirvana did not describe my state of mind: I was launching a new Web site and I had two other children to care for, and a husband I would occasionally like to talk to.”
“So I was left feeling trapped, like many women before me, in the middle-class mother’s prison of vague discontent: surly but too privileged for pity, breast-feeding with one hand while answering the cell phone with the other, and barking at my older kids to get their own organic, 100 percent juice”
“With her first child, for instance, a mother may be extra cautious, keeping the neighbor’s germy brats away and slapping the nurse who gives out the free formula sample. By her third child, she may no longer breast-feed…Maybe she is now using day care, exposing the baby to more illnesses. Surely she is not noticing that kid No.2 has the baby’s pacifier in his mouth, or that the cat is sleeping in the crib (trust me on this one). She is also not staring lovingly into the baby’s eyes all day, singing songs, reading book after infant book, because she has to make sure that the other two kids are not drowning each other in the tub.”

She uses words like grate, prison, trapped, germy brats, slapping and barking to describe raising children. She talks about 28 months and counting of breastfeeding. Maybe she should stop counting and try to enjoy it. She says that by her third child, she is not staring lovingly into the baby’s eyes. Maybe she should have stopped at two children then.

Rosin closes her article with a most jarring tribute to breastfeeding after more than 5000 words in her case against it. She says “breast-feeding does not belong in the realm of facts and hard numbers; it is much too intimate and elemental. It contains all of my awe about motherhood” and yet that is the only indication in the whole article of any kind of enjoyment, let alone awe of motherhood. The only positive thing she says about breastfeeding or her children is the last sentence: “But I also know that this is probably my last chance to feel warm baby skin up against mine, and one day I will miss it.”

She spends the rest of her article comparing breastfeeding to the vacuum in keeping women downtrodden, lamenting that there aren’t more women in “positions of serious power,” complaining about pumping at work as a newspaper reporter, and as mentioned above breastfeeding while answering the cell phone and launching a new Web site while caring for two children and a nursing baby. Hmmm. Maybe the problem isn’t breastfeeding but thinking we can have it all? Maybe it’s this unrealistic feminist ideal that is the problem. Maybe Rosin is upset because she is realizing that we can’t have it all, that we do have to make choices and sacrifices.

Rosin’s feminist rhetoric fumes about a woman’s time being worth nothing and yet it is the feminists themselves who decided that the work of mothers was not valuable, the ones who said that we should all want to get out and work with the men.

Personally I think it’s time for a new brand of feminism, a feminism that says that the most amazing work a woman can possibly do is to bear, nurse and raise her babies, a brand of feminism that says that if you want to work outside the home you can but you might have to make some tough choices, a brand of feminism that says a woman’s time IS worth something and a mother’s time is invaluable. I think feminism has done us a major disservice by saying that we should be able to work AND raise kids AND have time for ourselves. The simple biological truth is that child bearing and nursing must fall to women so now with our quest for workplace power we have the pressure to do everything. No wonder we are tired and stressed out and alienated. No wonder Rosin resents breastfeeding. Because the reality is that breastfeeding and motherhood (at least while our children are young) are pretty much a full-time job. It’s hard bloody work and yes, it’s really frustrating to do all that while holding down an outside job too.

Let me be clear here. I am NOT saying that mothers shouldn't work. I am saying that the demands on today's mothers are unfair; the bar has been set too high. My own feeling is that breastfeeding shouldn't really be a choice. That is, as much as possible, with a huge margin for medical difficulties and other issues like lack of support, breastfeeding should be one of those things that is a given for parents - just like providing shelter, food, love and schooling as our children grow. Because pregnancy, birth and breastfeeding fall to the females, there will undoubtedly be times in a woman's life where she has to choose between working and mothering. The first year after the birth of a baby is one of those times.
If maternity leaves allowed mothers to stay home and focus on their babies while they need to be breastfed, women might find it easier to balance work life and family life. The problem is not breastfeeding. The problem is the lack of programs and support for women who want to prioritize breastfeeding. The problem is the expectation that no one should have to make those choices, that women should do everything.

Rosin needs to look in the mirror and consider if it really is breastfeeding that she is so disenchanted with. The illusion of co-parenting is not shattered by breastfeeding. The illusion crumbles because the expectations on women are unrealistic and unfair. As Rosin’s life became more complex breastfeeding seemed to her an unbearable burden but she never stops to ask why she took on so much. In The Case Against Breast-feeding, breastfeeding became the unfortunate scapegoat in our society’s quest to have it all.



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Thursday, March 5, 2009

Technicolor Birth Memories


I have just started reading Ina May's Guide to Childbirth. The first 1/3 of the book consists of birth stories, mostly from women associated with or at The Farm in Tennessee. The stories are varied, representing women from differing backgrounds but most are extremely positive and uplifting, beautiful.

Birth stories often have a play-by-play quality (first this happened, and then this, and then I said this and then...) as mothers recount every little detail. Other times, they are too short, only giving a general account of what happened. Despite this, I always love to read them.

As I read Ina May's Guide I was struck by some of the women's vivid memories of very small details of the day their children were born:

I looked at the clear blue November sky and the brown oak leaves and basked in the warmth of the sun.
~ James's Birth

I remember the way the wind blew up the stairwell as I walked down with my beautiful son. Then the thunder and lightning began, and it started to pour rain, making everything cool and comfortable.
~ Otis Francisco's Birth

It was quite comforting to curl up next to my man, listening to the sound of the woodstove crackling.
~ Mulci's Birth


These tiny details, usually just a sentence here or there are what brought the stories to life for me. Some of the women talk about how the world was more vivid and clear, crisper than it had ever been before. I had never thought about it in quite that way before but as I remember my children's births, I realise that this is exactly true. The world, or at least certain parts of it, were in sharp focus. I have very vivid memories of a few small moments, sensations that will be with me all my life.

The day my son was born I remember the look of the lake, still and calm, reflecting the Indian Summer sunrise with the promise of a little more warmth before winter.

The day my daughter was born - I remember the rattle and hum of yet another load of towels and sheets in the dryer mingling with the shouts of children floating in the open window. I remember the early evening midsummer light, sun still high at 8:00 pm. I remember baby potatoes with dill from the garden.

I wonder about your experiences. What tiny detail is etched in your consciousness? If everyone shared their one bright moment, what kind of variation will we see? Will there be a difference between home birthers and hospital birthers?

Join the discussion on Facebook or post your comments here.



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Sunday, February 22, 2009

Review: The No-Cry Nap Solution


Usually I am wary of sleep books. My three year old son has resisted sleep since he was five months old. We tried everything. We read books. We struggled. Sometimes we just gave in and accepted that he wasn’t a sleeper. Somewhere in there I gave up on all advice about getting children to sleep. I quit reading the books and I followed my older sister’s tried and true parenting adage “Do What Works.” Since then we’ve added a family member (8 month old daughter) and we’ve seen that there are both similarities and differences in our children’s sleep personalities. We’ve attempted to do things a little differently with her and sometimes we’ve been successful and sometimes we haven’t.

Along came Elizabeth Pantley’s new offering, The No-Cry Nap Solution – Guaranteed Gentle Ways to Solve All Your Naptime Problems. Having read The No-Cry Sleep Solution when my son was a baby, I already respected Pantley’s approach and philosophies. She is well recommended by the docs
(dad and sons) over at Dr. Sears and I respect her tireless efforts to spread the word about gentle ways to get your child to sleep. I too am fervently opposed to the Cry-It-Out approach so despite giving up on sleep advice, Pantley remained one of my favourite parenting authors.

The newest book in her No-Cry series did not disappoint in the least. Like previous offerings, this book is well-researched, sensitive and practical. She includes in-depth explanations about baby and child sleep patterns and about the science and benefits of naps. These sections were extremely helpful, provided several Aha! moments and paved the way for me to re-evaluate our daily schedule for both our pre-schooler and our baby. It gave me the background information I needed to discover why certain methods were working and others weren’t.

After some general discussion about sleep and naps, the rest of the book is organized around specific challenges and solutions. Each challenge is explained and followed by more than one way to solve it. The bonus here is that a busy mom doesn’t have to sit down and read the book cover to cover. After the first few chapters, it is easy to flip to the section that applies to you and come back whenever your situation changes to try something new. As long as you can get past the distracting references to other pages in every chapter, this small paperback will become a treasured reference book to come back to over and over.

Because the book is written for a general audience, it may feel daunting when the list of possible causes to catnaps includes so many possibilities that you don’t know where to begin. My daughter’s frequent wakings could be caused by teething, impending developmental leap (crawling) or separation anxiety. My son’s inability to settle for a nap could be caused by being over-tired or not tired enough. But Pantley is thorough; rest assured that she has guaranteed gentle suggestions for every possible scenario that you might face. Gentle solutions are not always easy solutions though and The No-Cry Nap Solution is certainly not a quick-fix manual. Some of Pantley’s suggestions have to be done over and over again before they work. It might take five times unlatching your nurse-to-sleep baby before you can sneak away. You might have to try several different methods before finding the one that works for you.

Sometimes a sleep-deprived parent will feel like it’s easier to just do what’s been working. Which brings me to my favourite thing about Elizabeth Pantley and The No-Cry Nap Solution: Pantley accepts that all families are different and she repeatedly asserts to do what works for you. She offers the log sheets and schedules to fill out and then says to go ahead and skip them if they don’t suit your personality. She describes sleep challenges like a baby that will only nap in arms and then explains that not all families will consider that a challenge. Her No-Cry Process for Peaceful Problem Solving was like a page torn from my parenting manifesto:
"Address only those problems that are true problems to you, and don’t create or imagine problems because someone else thinks you have them, no matter if that person is family, friend or expert."

As always, Pantley proves sensitive not only to differing parenting approaches and family situations but also to the child. Her suggestions are always gentle and never designed to cause the child distress and yet she recognizes that parents need practical ways to get their children to sleep so they can re-charge too. Her approaches are balanced and realistic in that the goal is rest for both parent and child.

The book is peppered with quotes and photos from real-life parents. The photos are sweet and sometimes funny. The quotes give a tired, frustrated parent hope, a glimmer of light at the end of a dark sleepless tunnel. Both give the book added credibility. The science and research are wonderful but it’s the fact that Pantley has tested these ideas on real families (209 in 18 different countries) that makes it feel like they might work in my own.

Amazingly, many of Pantley’s solutions did work for us, despite our track record. Some suggestions were new to us and have worked their magic in only a couple of short weeks. Others show promise but are not paying off just yet. Still others were old tricks that we found on our own through trial and error. Imagine my surprise when I read solutions in the book that I had learned to employ in our family while struggling with sleep for three years. It was like a message telling me that I do know what I’m doing. And thankfully for all of us, so does Elizabeth Pantley; this book is one more great reason why she is the trusted resource for all parents looking to help their children sleep better.



Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!

Friday, February 13, 2009

So tell me...

...Why would a woman want to have an unmedicated birth?

What a great question! And beautifully answered here by fellow blogger at Feminist Childbirth Studies.

Thank you to Sarah at Birth Matters Virginia for sharing.

Why did you want to give birth unmedicated? Leave a comment with your answer or join the discussion on our Facebook Group.



Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!

Beautiful Breastfeeding Resources

Just a quick post to share some wonderful breastfeeding resources I came across today. These were posted on the BC Baby-Friendly Network as resources for World Breastfeeding Week in October 2008. There are all kinds of interesting things including posters for your workplace, clinic or shop, a doorhanger for a new mom that on the front reminds guests that mom and baby are resting and explains on the back how to nurse side-lying and a list of all the ingredients in breastmilk among other things.

I particularly liked this great Motivational Breastfeeding Poster Series:

Support - large or small
Satisfaction - large or small
Protection - large or small
Preferred - large or small
Healing - large or small
Family - large or small
Connection - large or small



Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!

Tuesday, February 10, 2009

Birth Video Contest

Do you feel strongly about the need for mother/baby-friendly maternity care? Do you want to win $1000?

Check out this video contest from Birth Matters Virginia. It will be judged by Ricki Lake and Abby Epstein of The Business of Being Born and by author/birth expert Dr. Sarah Buckley. Contest closes on Mother's Day, May 10, 2009. All contest rules and info can be found here. You can also join their Facebook group to learn more.

You don't need to be a filmmaker to enter. Birth Matters is encouraging amateurs to enter as well and the site has suggestions and tips for those who've never made a film before.



Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!

The Birth Survey

US Mamas:

Some of you may know about this already; it went national in August 2008. It's worth posting here just to continue spreading the word. I have utmost respect for these kinds of initiatives and really wish that we could do this in Canada too.

Non-profit organization the Coalition for Improving Maternity Services (CIMS) has started a project for collecting feedback on maternity care in the United States. You can take the survey to share your experience/information and you can also access data about the caregivers in your area so that you can make informed decisions as you choose your practitioner and your care facility.
From the Birth Survey website:

The Transparency in Maternity Care Project was birthed in February of 2006 by the Grassroots Advocates Committee (GAC) of the Coalition for Improving Maternity Services (CIMS). We are a volunteer group dedicated to ensuring public access to quality of care information specifically related to maternity care providers and institutions. It is our intention to extend the current social trend toward transparency in health care into the virtually overlooked maternity care arena.

The Birth Survey is structured around the Coalition for Improving Maternity Services (CIMS) evidence-based 10 Steps to Mother-Friendly Care and other quality of care indicators. The creation of The Birth Survey has been inspired by Childbirth Connection's Listening to Mothers Survey (Harris Interactive, October 2002) and the A-CAHPS (Ambulatory Consumer Assessment of Healthcare Providers and Systems) program and surveys.

We believe that women of childbearing age must have access to information that will help them choose maternity care providers and institutions that are most compatible with their own philosophies and needs. We hope that the Transparency in Maternity Care Project will provide information that will help women make fully informed maternity care decisions.

We also believe that maternity care practitioners and institutions must have access to feedback from their patients. We hope that doctors, midwives, and hospital administrators will find the information generated through the Transparency in Maternity Care Project useful in quality improvement efforts.

Women need accurate, objective data in order to make fully informed choices about birth settings and providers. Practitioners and hospital administrators also need data to evaluate whether they are delivering quality care. We hope this project will fill a void by providing much needed information that benefits all parties engaged in maternity care.

Take the Survey. View Survey Reports. View Intervention Rates. Spread the word. Or just learn more about the project. The Birth Survey.


Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!