Monthly Archives: January 2009

THE breastfeeding podcast

Caryn–this post is partly a response to your request for milk supply musings.  Enjoy! 

Diana West, IBCLC, is my breastfeeding guru.  She wrote the book Defining Your Own Success and co-authored The Breastfeeding Mother’s Guide to Making More Milk.  She created a website for women who are breastfeeding after breast reduction surgery and a website for low milk supply.

Last year, I listened to a two-part podcast of Diana West discussing milk supply issues.  I listened to it again this weekend and remembered how wonderful it is!  She begins with a concise explanation of the biology of feeding before jumping into the specifics of galactagogues and treatment plans for problems.  While most women will not experience a biological or surgical supply issue, many women do find themselves with low or dwindling supply due to a lack of understanding about breastfeeding. 

I recommend this podcast for moms-to-be, nursing moms, and birth professionals.  It is free to listen online or download via the Motherwear Breastfeeding Podcasts on itunes.

Wordless Wednesday

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What happens when…

What happens when… 

a doula, a midwife apprentice, and a childbirth educator get together for a playdate? 

Why, something happens to my hair, of course!  Last time, it was significantly chopped.  This time, it was henna’d.  Ooo, I love it! 

I hate maintenance.  I despise getting a hair cut.  I have never colored my hair out of fear of continuing maintenance (ok, there was that one time in college that resulted in a cranberry-streaked disaster).  I don’t own a curling iron, blow dryer, straightener, etc.  My hair routine is wash (no shampoo, of course), scrunch with some lavendar water and gel, and air dry. 

Still, my hair seems a little dull these days.  Henna seemed like a good option to pick up some highlights, cover a few strands that are betraying me, and add some conditioning.  Caryn graciously agreed to do it all for me hold my hand. 

It turned out perfect.  No dramatic change.  I doubt anyone (who doesn’t read my blog, that is) will notice.  And the best part about henna–it simply fades over time…no roots showing through…no maintenance.

The lovely Angela after puddle-jumping

Angela--a professional puddle-jumper

So what is involved?  I bought some henna at Whole Foods.  It was pretty inexpensive–6.99.  We brewed tea to mix with it.  You can use coffee for deeper brown tones.  Added apple cider vinegar and an egg.  Then Caryn painted my hair with a paintbrush until I looked like I had been puddle-jumping at Camp Pinnacle.

And like post-puddle-jumping, I simply rinsed, rinsed, rinsed until most of the grit disappeared down the drain.

And to think, before I became a mom, I imagined playdates as boring, stuffy affairs. 

    

 

Thoughts on pregnancy after miscarriage

My first pregnancy, I never considered the first trimester as anything fragile or worrisome.  I didn’t realize that 10-25% of pregnancies end in miscarriage.  I breezed through those weeks.  I didn’t hold my breath during the heartbeat checks.  I didn’t notice every twinge or cramp. 

My second pregnancy, again, the idea of loss never crossed my mind.  At 15 weeks, I thought I felt movement.  And at 15 weeks, the heartbeat was not found.  I felt so tricked by my body.  Betrayed.  I had no warning.  No signs.  The shock was devastating.

So, here I am, experiencing my third pregnancy.  I’ve spent the last months in a tentative dance–“embrace this life” cheek to cheek with “refuse to engage.”  I started out saying, “I’m going to take it day by day.  God will bring beauty regardless of the outcome.”  Then a week later, I found myself taking my temperature every morning, wondering about progesterone cream, and starting chasteberry supplements.  Then one morning, my temp dropped below my coverline.     I picked up the phone to call my acupuncturist at least 7 times but never followed through.  It is hard to explain but I felt if I tried to do something to prevent loss, the grief would be worse than if I approached it stoically.

And the anxiety of noticing every single twinge or cramp was consuming.  I think I was terrible to be around.  Calling a friend with questions like “What are the chances of a hydatidiform mole?”  “When would I know I had an ectopic pregnancy?”  Googling searches like “statistics for secondary infertility” and “chances of repeat miscarriage.”  I came close to buying a doppler.  Scott remained a rock of positive words and peace.

For Christmas, we wanted to surprise our parents with the news.  Even as my parents opened their gift–a tiny baby hat I had knitted–I wondered if this baby would ever wear it.

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Finally, I stopped all the striving.  I stopped taking my temperature.  I stopped taking herbs.  I tentatively made a prenatal appointment on the 1st day of my 12th week.  We estimate that Leaf stopped growing no later than 12 weeks so this was my milestone.  Knowing it can sometimes take a while to find a heartbeat this early, I braced myself for the wait.  But the heartbeat sounded loud and clear almost right away.  And my anxiety melted. 

I mourn the weeks I didn’t connect with this baby.  Still, I think the remainder of the pregnancy will be all the more precious for it. 

So, here we go!  It is dangerous when a doula is planning her (likely last) birth.  Oh the choices!  Oh the possibilities!  Stay tuned these remaining months…

Gaining Confidence from Labor

I wanted to share (with permission) two beautiful pictures from a recent birth.  Emily’s first birth left her feeling disappointed by all the interventions that were used and lack of support surrounding her.  We talked about how a natural birth does not mean you have to grit your teeth and just suffer through it!  For her second birth, she chose to stay at home for most of the labor.  Here she is in active labor experiencing a contraction.

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Yes, she is smiling.  I have many more pictures of her smiling through contractions.  She said to me, in between the waves, “Each contraction I go through and stay calm, I gain confidence.”  And she pointed out that this experience would become a wonderful memory to savor.    

 

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Soon, we felt it was time to head to her birthplace.  She paused a moment before rising from the tub to gain even more confidence from her labor.

Emily had been adamant that she did not want photos of her labor.  I’m so glad she let me change her mind! 

Beautiful.

Work Blunders: A Year in Review

The top 3 most ridiculous things I’ve done or said as a doula in the last year.  WARNING:  may not be for the weak-stomached and if you’re a current client, you might lose complete confidence in me.

1)  I chased a placenta down a hospital hallway.  It was almost midnight and I hadn’t had anything to drink or eat since noon.  The client asked me to take her placenta home so she could get it later.  Staggering under the glaring lights, I walked into the hall holding my birth ball, doula bag, and odd tupperware-like container of placenta.  I dropped the container which then rolled an enormous distance past the nurse’s station.  I dropped my bag and ball and bounded like a toddler after the container much to the amusement of one OB and several nurses.  Thankfully the container remained closed.  Could have been a disaster.

2)  I made up a story about marshmallows.  I had a client who seemed to respond well to mental imagery during contractions.  I was doing ok at first with the usual “Imagine you’re in the center of a field on a breezy day…”  Then, after so many of those, I went blank.  She was lying on white sheets with fluffy white pillows so I said something so embarrassing like “You’re climbing a mountain and when you get to the top, you realize you’re on the edge of a bowl of marshmallows.  And you spread your arms and fall into them.  Smell the powdery sugar.”  And if the image wasn’t bad enough, the client followed a kosher diet and I couldn’t remember if marshmallows were kosher!  It was awful. 

3)  I wiped meconium poop with one hand while eating chick-fil-a with the other.  I was starving.  And the glorious saint of a dad called his mother to bring me a chick-fil-a sandwich.  It didn’t arrive until the mom was pushing so it got dropped in the shuffle.  During the birth, my entire chest got covered with amniotic fluid.  As soon as baby was breastfeeding, I grabbed my sandwich and started munching.  Then baby pooped on mom’s hand.  So, wearing a saturated shirt and with my half-eaten sandwich in one hand, I used my other hand to clean her up with wet wipes.  A few years ago, that scene would have really bothered me.

It was a good year.

A Few of Norah’s New Things

We had a wonderful Christmas.  I’ve already posted about how important family time is to us.  I wanted to share a couple of fun new things Norah received.  And bonus…she didn’t receive any plastic toys this year!

img_7313Norah’s playhouse grew. 

I love that Plan Toys designed their houses to grow by adding a basement floor.  Or really, adding as many as you wish.  Her dollhouse also now has a gazebo and some pets.

To reach the top floor now, she has to stand on the table.  Which, of course, she loves to do. 

You might also see in the bottom left corner of the picture the Plan Toys bug balance game.  The object of the game is to alternately place a ladybug on the color circle rolled by the die.  Don’t let the ladybugs fall.

Not pictured–she received a clever Haba stacking game.  She loves to stack the animals (and also to change their diapers, put them to bed, take them to the zoo, etc).

img_73151The spotted dinosaur is a bank.  Norah is notorious for stashing our spare change in odd cubbies around the house.  Little packrat.  The colorful geometric shapes are really neat shape-builders.  Like wooden legos. 

I made a terrarium for her with moss and ferns.  Norah loves moss.  I hid a few wooden turtles and frogs inside.  She loves to mist her terrarium everyday.

“Norah’s Magic Medicine” is a salve made with calendula, local beeswax, essential oils, and more.  It smells so yummy. 

These gifts are resting on a beautiful earthy blanket that Norah’s great grandfather crocheted for her. 

Not pictured is Ribbit the Rice Sock.  What can I say?  She’s the daughter of a doula so she adores rice socks and asks for a heated sock for every woe.  I sewed a corduroy frog and stuffed him with lavender scented rice.  I think she has requested Ribbit the Rice Sock at least 8 times since Christmas.  And I’ve used him once!  Between the magic medicine and the rice sock, our first aid kit is set!

Expectant Motherhood (1940’s style)

My Aunt Helen (see previous post) also gifted me with a book my grandmother owned.  My grandmother had all her babies at home until her last one–my mother.  I guess grandpa didn’t support a hospital birth but my grandmother had a bad feeling about this birth and secretly saved up her money from selling eggs.  And while we don’t have all the details from my mom’s birth, it was apparently pretty dramatic. 

Anyway, so my grandmother’s book is called Expectant Motherhood and it was first published in 1940.  The preface to the first addition begins like this:

Pregnancy should be a healthy, happy time.  Childbearing is a natural process, the supreme physical function of womanhood; and no other event confers so much in deep-seated, abiding contentment.  As a rule, the greater span of pregnancy is associated with an increased sense of vitality and well-being.  Not a few of the discomforts, which only a few decades ago were regarded as invariable accompaniments of pregnancy and labor, have been tracked to their source and are now amendable to simple preventative measures; even that old bugbear of childbirth, the pain of labor, has been so assuaged that the majority of American mothers today are unconscious of the actual birth of the baby.

I laughed out loud when I read that.  I was really agreeing with the author.  Yes, pregnancy is a time of great health.  Yes, it is a natural process.  Then wham…it is so wonderful that we send you into twilight sleep for the climactic moment! 

The preface to the third edition (1957) encourages women that “having a baby today, provided you are in the hands of a competent doctor, is a much safer undertaking than a long automobile trip.”  And, do try to limit yourself to 10 cigarettes a day! 

Likely more to come from this book.