I just came across this great clip on a blog called connietalk. I'm really glad she shared it. Who knew that mainstream American tv could be so great? Too bad those days are long gone.
Enjoy!
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Sunday, October 21, 2007
Thursday, October 18, 2007
Recipe for a Gentle Birth
Have you ever wondered what exactly people are talking about when they say “gentle birth”? From the way our culture talks about birth, there doesn’t seem to be much about it that is gentle. This week, I’ve been re-reading Barbara Harper’s Gentle Birth Choices – A Guide to Making Informed Choices and would like to share with you some of her suggestions for a birth that’s gentle on mom and baby.
Barbara Harper is a former nurse who went on to form Global Maternal/Child Health Organization and Waterbirth International following the births of her children. She lectures around the world on maternity care reform and describes gentle birth like this:
What are some simple, practical suggestions for a gentle birth?
1. Preparation
In the past, preparation would have probably included talking to older experienced women in your community: your mother, grandmother, aunts, older sisters, and probably witnessing a birth or two before you had to do it yourself. Nowadays, some key aspects for preparation are:
The human body is designed with some wonderful pain management chemicals called endorphins that are triggered by the contractions of the uterus. The stronger the contractions, the more endorphins are released. Working in direct opposition to endorphins is adrenaline. Adrenaline is triggered by fear and stress. It prepares us for the fight or flight response by tensing our muscles for action. It is the anti-thesis of staying relaxed and letting your endorphins do their job. One key way to help a laboring woman cope with pain is to keep her relaxed and confident. This can prove difficult if she is surrounded by busy attendants, beeping machines, scary looking resuscitation equipment and ticking clocks.
3. Freedom to Move
It is vital that a woman be able to move about during labour, to adopt whatever position she needs to birth her baby instinctively. Lying on her back is more painful and unlike more upright positions (kneeling, squatting or leaning on furniture or a support person), she is working against gravity to deliver baby. Moving around during labour helps baby to readjust and descend and keeps mother actively participating in the process.
4. Quiet
Keeping the birth room quiet is essential. Partners, support people and birth attendants must respect the mother’s need to focus. Each woman deals with contractions in her own way but it’s absolutely important that she be able to concentrate. Quiet also fosters a sense of intimacy and baby’s transition into a world full of sound is much less jarring.
5. Low Light
Turning the lights down or off has much the same effect as turning down the volume. Mother feels calmer and more relaxed. The room becomes comforting and intimate. Baby is more relaxed and alert, able to open his eyes and look at his mother without the glare of bright lights in his sensitive eyes.
6. Continuous Labour Support
Studies (M. Klaus, and others) have shown that maternal satisfaction and birth outcomes are much better when the mother is not left alone to labour. Mothers who were given continuous interactive labour support had 50% fewer surgical births, requested painkilling medication 60% less often than the others, and also had much lower incidence of interventions such as forceps or vacuum deliveries.
7. Labour Starts on its Own
Despite technological advances and extensive research, it is still difficult to determine exactly when conception may have occurred or to determine the perfect moment when labour will start. Due dates are calculated using educated guess work based on a menstrual cycle of 28 days. Only 15% of women have a 28 day cycle. It is fair to say that at this point, with our limited understanding of the natural processes at work, it is very presumptuous to think we know better than Mother Nature. Induction is common enough in America (36%) to have created ample opportunities for research. This research has shown that to artificially initiate labor for any but the most critical medical reasons is to create an unnecessary and potentially serious risk to mother and baby.
8. The First Breath
Until the baby takes her first breath, she is receiving oxygenated blood from her mother through her umbilical cord. Cutting the cord too quickly after delivery forces baby to abruptly begin breathing air on her own for the first time. By delaying cord cutting, baby can gradually take breaths while still receiving precious oxygen from mom. And should baby need some extra stimulation to breathe on her own, a gentle rub will usually do the trick rather than hitting or slapping.
9. The First Caresses
The newborn should be handed to mother immediately after birth. Babies benefit from skin-to-skin contact and are reassured by their mothers’ loving touch. Mothers are eager for these first caresses too: she may be experiencing feelings of loss over the end of her pregnancy, she may be relieved that the hardest part of the birth is behind her and excited to meet her child. Fathers can get in on the skin-to-skin touch right away as well and it might be the first moment when the baby becomes “real” to him. These early moments of holding and touching baby help to bond all three.
10. The Baby at the Breast
The minutes after birth is the best time to get baby started breast-feeding. Suckling gives babies immense comfort and after a brief period of alertness, baby will often sleep, exhausted from her efforts during the birth. The earlier you can start baby on the road to nursing, the more chance of success. Breastmilk production increases with demand, colostrum (the nutrient rich, high protein first milk) helps get baby through until mother’s milk comes in and the act of nursing releases oxytocin in mom which stimulates contraction of the uterus (preventing hemorrhaging) and magnifies those lovey-dovey feelings for mama.
11. Bonding & Attachment
Time together as a family to get to know each other after the birth is especially important. Separating mother and baby is extremely stressful for both and should be avoided. In a gentle birth the mother is awake and aware, highly conscious, energized by having given birth, and extremely eager to spend time with her child—touching, feeling, resting or sleeping together. The newborn needs and wants the comforting presence of its mother, her warmth, touch, sound and smell. After a gentle birth most mothers experience an incredible exhilaration that helps them to overcome their exhaustion. A gentle birth does not involve baby being left in a bassinet in a nursery far from her family.
As Harper herself indicates, this list isn’t a prescription or a set of rules, but rather an approach to birth that each woman must customize herself, taking into account her own values and beliefs to achieve a gentle birth whether at home or in the hospital.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Barbara Harper is a former nurse who went on to form Global Maternal/Child Health Organization and Waterbirth International following the births of her children. She lectures around the world on maternity care reform and describes gentle birth like this:
“A gentle birth begins by focusing on the mother’s experience and by bringing together a woman’s emotional dimensions and her physical and spiritual needs. A gentle birth respects the mother’s pivotal role, acknowledging that she knows how to birth her child in her own time and in her own way, trusting her instincts and intuition. In turn, when a mother gives birth gently, she and everyone present acknowledge that the baby is a conscious participant in his or her own birth. The experience empowers the birthing woman, welcomes the newborn child into a peaceful and loving environment, and bonds the family.”I love this description of a gentle birth because on the one hand, it seems so simple and obvious that we should be respectful and gentle with the two main participants in any birth: mother and child. Yet, on the other hand, it highlights for me how rarely this happens in our high-tech culture and how difficult it is for many women to achieve a gentle birth.
What are some simple, practical suggestions for a gentle birth?
1. Preparation
In the past, preparation would have probably included talking to older experienced women in your community: your mother, grandmother, aunts, older sisters, and probably witnessing a birth or two before you had to do it yourself. Nowadays, some key aspects for preparation are:
- choosing a childbirth educator that trusts birth and brings a positive attitude to their classes
- taking care of your body: getting adequate rest, exercising, eating well
- remaining open-minded and flexible about how your birth might unfold
- taking an honest hard look at your attitudes, beliefs and fears about birth
The human body is designed with some wonderful pain management chemicals called endorphins that are triggered by the contractions of the uterus. The stronger the contractions, the more endorphins are released. Working in direct opposition to endorphins is adrenaline. Adrenaline is triggered by fear and stress. It prepares us for the fight or flight response by tensing our muscles for action. It is the anti-thesis of staying relaxed and letting your endorphins do their job. One key way to help a laboring woman cope with pain is to keep her relaxed and confident. This can prove difficult if she is surrounded by busy attendants, beeping machines, scary looking resuscitation equipment and ticking clocks.
3. Freedom to Move
It is vital that a woman be able to move about during labour, to adopt whatever position she needs to birth her baby instinctively. Lying on her back is more painful and unlike more upright positions (kneeling, squatting or leaning on furniture or a support person), she is working against gravity to deliver baby. Moving around during labour helps baby to readjust and descend and keeps mother actively participating in the process.
4. Quiet
Keeping the birth room quiet is essential. Partners, support people and birth attendants must respect the mother’s need to focus. Each woman deals with contractions in her own way but it’s absolutely important that she be able to concentrate. Quiet also fosters a sense of intimacy and baby’s transition into a world full of sound is much less jarring.
5. Low Light
Turning the lights down or off has much the same effect as turning down the volume. Mother feels calmer and more relaxed. The room becomes comforting and intimate. Baby is more relaxed and alert, able to open his eyes and look at his mother without the glare of bright lights in his sensitive eyes.
6. Continuous Labour Support
Studies (M. Klaus, and others) have shown that maternal satisfaction and birth outcomes are much better when the mother is not left alone to labour. Mothers who were given continuous interactive labour support had 50% fewer surgical births, requested painkilling medication 60% less often than the others, and also had much lower incidence of interventions such as forceps or vacuum deliveries.
7. Labour Starts on its Own
Despite technological advances and extensive research, it is still difficult to determine exactly when conception may have occurred or to determine the perfect moment when labour will start. Due dates are calculated using educated guess work based on a menstrual cycle of 28 days. Only 15% of women have a 28 day cycle. It is fair to say that at this point, with our limited understanding of the natural processes at work, it is very presumptuous to think we know better than Mother Nature. Induction is common enough in America (36%) to have created ample opportunities for research. This research has shown that to artificially initiate labor for any but the most critical medical reasons is to create an unnecessary and potentially serious risk to mother and baby.
8. The First Breath
Until the baby takes her first breath, she is receiving oxygenated blood from her mother through her umbilical cord. Cutting the cord too quickly after delivery forces baby to abruptly begin breathing air on her own for the first time. By delaying cord cutting, baby can gradually take breaths while still receiving precious oxygen from mom. And should baby need some extra stimulation to breathe on her own, a gentle rub will usually do the trick rather than hitting or slapping.
9. The First Caresses
The newborn should be handed to mother immediately after birth. Babies benefit from skin-to-skin contact and are reassured by their mothers’ loving touch. Mothers are eager for these first caresses too: she may be experiencing feelings of loss over the end of her pregnancy, she may be relieved that the hardest part of the birth is behind her and excited to meet her child. Fathers can get in on the skin-to-skin touch right away as well and it might be the first moment when the baby becomes “real” to him. These early moments of holding and touching baby help to bond all three.
10. The Baby at the Breast
The minutes after birth is the best time to get baby started breast-feeding. Suckling gives babies immense comfort and after a brief period of alertness, baby will often sleep, exhausted from her efforts during the birth. The earlier you can start baby on the road to nursing, the more chance of success. Breastmilk production increases with demand, colostrum (the nutrient rich, high protein first milk) helps get baby through until mother’s milk comes in and the act of nursing releases oxytocin in mom which stimulates contraction of the uterus (preventing hemorrhaging) and magnifies those lovey-dovey feelings for mama.
11. Bonding & Attachment
Time together as a family to get to know each other after the birth is especially important. Separating mother and baby is extremely stressful for both and should be avoided. In a gentle birth the mother is awake and aware, highly conscious, energized by having given birth, and extremely eager to spend time with her child—touching, feeling, resting or sleeping together. The newborn needs and wants the comforting presence of its mother, her warmth, touch, sound and smell. After a gentle birth most mothers experience an incredible exhilaration that helps them to overcome their exhaustion. A gentle birth does not involve baby being left in a bassinet in a nursery far from her family.
As Harper herself indicates, this list isn’t a prescription or a set of rules, but rather an approach to birth that each woman must customize herself, taking into account her own values and beliefs to achieve a gentle birth whether at home or in the hospital.
Adapted with permission from Barbara Harper's Gentle Birth Choices
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Reflection
- What do you know about your own birth? Do you feel it was a gentle birth?
- What about the births of your children? Were they gentle births? Were there major differences between each birth? What factors played a part in making them more or less gentle births?
- What specific ideas have you put into your birth plan to reflect a dedication to gentle birth? What have your caregivers done to help you feel confident that they respect your wish to have a gentle birth?
In the spirit of celebrating midwifery, we'd love to hear your stories about how midwifery has affected you. Tell us your birth story. Tell us why you love your midwives. Tell us how midwifery was influential in helping you have a gentle birth.
Post your comments or send us an email so we can publish exerpts in our coming newsletters.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Celebrate Midwifery
Friday, November 2, 2007An evening celebration/fundraiser marking 10 years of regulated midwifery in BC! Featuring music, birth art, children's entertainment, food and drink.
The Heritage Hall
3102 Main Street
Vancouver, BC
For tickets or more info.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Friday, October 5, 2007
Birth & Breastfeeding News This Week
It is Thanksgiving Weekend here in Canada and I have my in-laws visiting so it'll be a short news run down this week. Enjoy your weekend and Happy Thanksgiving Canada!
Health Canada Warns Against Morning-Sickness Remedy
Health Canada is advising Canadians, especially pregnant and breastfeeding women, to avoid taking the traditional remedy calabash chalk because of potential health risks from high levels of lead. Testing has shown that calabash chalk also contains arsenic. Calabash chalk - which is generally sold loose and without a particular brand, batch number or best-before date - is not authorized for sale in Canada.
Coverage of the Quintessence Breastfeeding Challenge
CTV covered the Quintessence Breastfeeding Challenge in Toronto and spoke to renowned breastfeeding proponent, Dr. Jack Newman. Have a look at the comments section following the article – I was particularly pleased by the number of positive comments from both men and women. It appears that Canada’s breastfeeding acceptance is pretty good.
Breast Milk Associated With Greater Mental Development in Preterm Infants, Fewer Re-hospitalizations
The US department of Health and Human Services (yes, the same one that’s been under scrutiny in recent weeks) has released a report this week stating:
Lay-Midwife Charged $11,000 For Practicing Without a License
Diane Goslin, an Amish midwife in Pennsylvania, has been fined and ordered to cease practicing midwifery because she is not licensed. Goslin, a former premed student, has been a lay-midwife for 25 years and attended 5,000 births but does not have the state’s required nurse certification. Homebirths attended by lay-midwives are common practice among the Amish and Mennonite communities in the area. Apparently the case against Goslin does not rest on questions of her competence and she has many supporters within the community. Not all states require nursing certification to practice midwifery. (I think there are about 10 states that do). Goslin is registered as a direct entry midwife (that is, a midwife who has undergone formal training, apprenticeship and testing but is not a nurse) through the North American Registry of Midwives but her certification is not recognized by Pennsylvania. There are 29 states that legally recognize certified direct entry midwives. Learn more…
What are your thoughts on this? I’d love to hear your comments.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Health Canada Warns Against Morning-Sickness Remedy
Health Canada is advising Canadians, especially pregnant and breastfeeding women, to avoid taking the traditional remedy calabash chalk because of potential health risks from high levels of lead. Testing has shown that calabash chalk also contains arsenic. Calabash chalk - which is generally sold loose and without a particular brand, batch number or best-before date - is not authorized for sale in Canada.
Coverage of the Quintessence Breastfeeding Challenge
CTV covered the Quintessence Breastfeeding Challenge in Toronto and spoke to renowned breastfeeding proponent, Dr. Jack Newman. Have a look at the comments section following the article – I was particularly pleased by the number of positive comments from both men and women. It appears that Canada’s breastfeeding acceptance is pretty good.
Breast Milk Associated With Greater Mental Development in Preterm Infants, Fewer Re-hospitalizations
The US department of Health and Human Services (yes, the same one that’s been under scrutiny in recent weeks) has released a report this week stating:
“Extremely low birth weight premature infants who received breast milk shortly after birth, while still in intensive care units, had greater mental development scores at 30 months than did infants who were not fed breast milk, reported researchers in an NIH network. Moreover, infants fed breast milk were less likely to have been re-hospitalized after their initial discharge than were the infants not fed breast milk.”
Lay-Midwife Charged $11,000 For Practicing Without a License
Diane Goslin, an Amish midwife in Pennsylvania, has been fined and ordered to cease practicing midwifery because she is not licensed. Goslin, a former premed student, has been a lay-midwife for 25 years and attended 5,000 births but does not have the state’s required nurse certification. Homebirths attended by lay-midwives are common practice among the Amish and Mennonite communities in the area. Apparently the case against Goslin does not rest on questions of her competence and she has many supporters within the community. Not all states require nursing certification to practice midwifery. (I think there are about 10 states that do). Goslin is registered as a direct entry midwife (that is, a midwife who has undergone formal training, apprenticeship and testing but is not a nurse) through the North American Registry of Midwives but her certification is not recognized by Pennsylvania. There are 29 states that legally recognize certified direct entry midwives. Learn more…
What are your thoughts on this? I’d love to hear your comments.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Friday, September 28, 2007
Birth & Breastfeeding News This Week
New Maternity Care Recommendations in the UK
Government advisory body the National Institute for Health and Clinical Excellence (Nice) has laid out recommendations for how women should give birth in an attempt to standardize the currently varied practices across the country.
It says that women should be given information and support to make an informed decision about where they would like to give birth.
Among the options of the surroundings for labour are a home birth, hospital birth and water birth – with the latter not currently available to all women in labour.
Other Nice recommendations include supportive one-to-one care for women in labour; clinical intervention only being offered if the labour is not progressing well; and informing women about the risks and benefits of choosing epidural analgesia.
Source: In The News UK
NICE indeed! I’m especially pleased about the bits I’ve highlighted. Though, I suppose one issue (of the many that have come up over this, most of which I’m not familiar with because I’m not overly familiar with the medical system in the UK) is that there is a lot of debate about when labour is not progressing well—by who’s timetable??
As is to be expected, reaction in the UK to this announcement has been all over the map. Childbirth groups have welcomed the guidelines and encouraged health organizations to implement them as soon as possible. On the flip side, Prof James Drife, a specialist in obstetrics and gynecology at Leeds University, says that because midwife-led maternity units are not staffed by consultants trained to deal with life-threatening emergencies during birth thousands of women may need to be rushed to hospital if complications arise, possibly putting the lives of mother and child at risk.
Related articles:
Water birth 'provides the safest form of pain relief'
The Facts about Birth in the UK
More commentary on the case of the homebirth death in Oregon reported last week
Elise Hansen, regional representative of the Oregon Midwifery Council, wrote a letter co-signed by 15 midwives lamenting that home birth makes the news only when there are deadly complications.
I couldn’t have said it better myself!
Bill Maher
I don’t watch Bill Maher. I don’t have a tv. But I have noticed the web ripples he’s caused with his latest “New Rules” on breastfeeding in public. Louise Marie Roth, who writes regularly at HuffingtonPost.com wrote this excellent piece in response. I took a class in persuasive writing in University and it makes me incredibly happy to read a well-researched, cool-headed response to small-mindedness and ignorance. It’s easy to get angry and write something scathing or equally small minded; It’s a lot more difficult to have the control to present a well thought-out argument that puts someone in their place without letting your emotions get in the way. Kudos to Ms. Roth.
The Politics of Breastfeeding
This commentary from the Toronto Star examines the recent rise in activism for breastfeeding rights. Here’s a choice quote:
So don't people have a right to not be comfortable with public breastfeeding? Sure, but even the YMCA this week said it's time to start dealing with their discomfort as the problem, and not the breastfeeding mom. Those who are uneasy can leave, or look away, or just get used to it. Or as Gilmore says, think of it this way: "What about the rights of the baby – to eat?"
Vitamin D
The Canadian Pediatric Society urged pregnant and breastfeeding women to increase their daily vitamin D intake to up to 2,000 IU. This goes against Health Canada’s recommendation to take 200 IU a day. Health Canada says that 2,000 IU is the maximum allowable safe intake. However, this is the second time in recent months that a health advocacy group has recommended an increase in Vitamin D without the backing of Health Canada. In June, the Canadian Cancer Society said that adults should increase their daily intake to 1,000 IU. This week, Health Canada continued to assert that no changes to Vitamin D intake should be made until further studies showed evidence of a need to revise recommendations.
Vitamin D is included in most multivitamins, some foods, such as milk, are fortified with it, and it is also found in oily, cold water fish, such as salmon. Vitamin D has been shown to offer protection from multiple sclerosis, diabetes, cancer, asthma, osteoporosis, dental cavities and inflammatory bowel disease.
Increase spending to support midwifery?
The Green Party’s platform (in Ontario’s provincial election) includes a promise to increase funding of midwifery training by $10 million over four years, increasing the amount of midwives in the province. Cool.
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
Quintessence Breastfeeding Challenge
Join us to celebrate breastfeeding in a fun “competition” where every child “wins” because they are breastfed!!
What: Quintessence Breastfeeding Challenge 2007 This fun event is a challenge for which geographic area ( province, state or territory) has the most breastfeeding babies, as a percentage of the birthrate, “latched on.” at 11am local time.
When: September 29th 2007
Why: to celebrate breastfeeding and demonstrate promotion, protection and support for breastfeeding women and their families. It’s a chance for education and peer support done in a fun social way.
“Latch on”: 11am local time. Some sites are a few breastfeeding women who get together to “be counted” and others are much larger events with lunch, raffles, education, speakers, door prizes etc.
Registration: online at no cost and submit some simple paperwork to be counted on the big day. Dial up www.babyfriendly.ca
Background: In 2001 when this event started, there were 856 babies at 26 sites in British Columbia, Canada. Last year there were 4,687 babies at 156 sites across Canada and the US. This year we would love to see that number increase dramatically. Do your part, join us – organize a site – big or small! Every breastfeeding baby counts in the final count.
Find a location near you!
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
What: Quintessence Breastfeeding Challenge 2007 This fun event is a challenge for which geographic area ( province, state or territory) has the most breastfeeding babies, as a percentage of the birthrate, “latched on.” at 11am local time.
When: September 29th 2007
Why: to celebrate breastfeeding and demonstrate promotion, protection and support for breastfeeding women and their families. It’s a chance for education and peer support done in a fun social way.
“Latch on”: 11am local time. Some sites are a few breastfeeding women who get together to “be counted” and others are much larger events with lunch, raffles, education, speakers, door prizes etc.
Registration: online at no cost and submit some simple paperwork to be counted on the big day. Dial up www.babyfriendly.ca
Background: In 2001 when this event started, there were 856 babies at 26 sites in British Columbia, Canada. Last year there were 4,687 babies at 156 sites across Canada and the US. This year we would love to see that number increase dramatically. Do your part, join us – organize a site – big or small! Every breastfeeding baby counts in the final count.
Find a location near you!
Sweet Home Birth Boxes - the supplies you need no matter what your birth plan includes!
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