Category Archives: Birth

Heard in L&D

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“Pitocin is natural.  It is the same thing that is in your body to make the baby come out.  It even helps your milk come in!  All my babies have pitocin.”

Yes, spoken by an OB.  I think she even threw in a “girl,” or two into the conversation.  As in, “Girl, you’ve done the natural thing long enough.  Get the epidural!  I did!”

This same friendly OB also ruptured membranes without consent or warning.  Usually I am able to intercept a move like that so mom can give consent first, but I completely missed this one.  It happened so quickly.

When the mom did get an epidural (at 8cm, AROM) after “bad cop” OB suggested it could be another “five hours of excruciating torture,” pitocin was automatically administered and cranked.  The mom was progressing normally.  But “good cop” OB wanted to get home.  I heard her say this.  So Pit was cranked.  Not a gradual increase.  And I watched baby’s heartrate which had been varying in the 130’s-150’s immediately begin dipping to the 100’s during the fast-peaking pit contractions. 

But the pit worked quickly and soon a precious babe joined the world.

I’m thankful mom had a beautiful baby with few complications.  I wish the OBs had been more supportive, encouraging, and patient.  I wish there had been more informed consent.  The mom is happy which is the most important thing and lets me know I did my job.  It is her birth; not mine. 

What can expectant moms take from this?  Talk to the doulas in your community.  Even if you don’t plan to hire one.  Doulas know the inside scoop.  We witness what happens in L&D.  All OBs/midwives are not the same!  I show pictures.  Pictures of different styles in the birth room.  A picture speaks a thousand words.  Does the doctor wear what looks like a radiation suit; so covered you can’t even recognize her?  Does he hand the baby to the nurse instead of the mom?  My observations are just one part of the story but they are things I have witnessed.  Honestly, how else is a family to know what birth looks like in different environments, with different care providers?  I know one mom who wanted to switch to a more natural-birth friendly hospital but one doctor was booked for her date and the other group has a policy about taking patients after a certain date.  I was really saddened that she was unable to birth at the hospital she wanted. 

So, meet with a doula.  Early in pregnancy.  When there is time to interview other providers.

Blazing Trails

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Recently, my repeat client had a repeat breech.  I blogged once before about this amazing woman.

As you know, in the US, it is impossible challenging to find an OB willing to manage a vaginal breech birth.  Heading into a repeat cesarean, this mama did her research and opened a dialogue with her OB about her choices.

I’m delighted to report that Dr. Cowart with Greer OB supported her choice to wait 1 minute before clamping the cord and to have baby placed skin-to-skin.  She enjoyed skin-to-skin contact for over an hour after her baby’s birth. 

I hesitate in posting this because I’m afraid Greer OB will be overrun with families who want choices in their births!  Soon, they might become like Dr. Polo Shirt who is so busy he’s turning expectant families away. 

Thank you to this mama who maybe blazed a trail for other women to have this conversation!  And congratulations on your beautiful baby!

Guest Post from a new Hypno-Doula

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Kristin Abboud took my Hypno-Doula training in January.  I asked her to blog her first Hypnobabies birth experience.  Her clients were first time parents who took my class.  Kristin teaches Bradley birth classes and is available for doula clients.  Hire her.   

I was fully planning on studying up on hypnosis and Hypnobabies to be certified as a Hynobabies doula 2 weeks prior to the due date of a couple I would be attending in labor, so when the dad called me 3 weeks before their due date I was nervous.

All I have ever known about hypnosis is that you get called out of a crowd to go up on stage and make a fool out of yourself doing crazy things.  How in the world was that going to translate to labor?  I soon found out.

I knew the basics.  Hypno-tools like the light-switch, cue word, and special safe place.  I had learned that hypnosis can be powerful.  I learned that a lot of the time, as a hypnobabies doula, you don’t really do much.  I was skeptical.

I went to their home and all was calm…too calm.  Went for a walk.  Came back and mom laid down to rest and listen to a hypnosis script while I crocheted.  About 20 minutes later dad came in and tells me mom is crying, pressure waves are intense and they want to go to the hospital.  

Transferring slows everything down, but dad is assertive about communicating with the nurse their wishes and what hypnosis is all about – quiet.   Only positive communication can be used around a momma in hypnosis.  She internalizes everything and that will be what she feels and perceives.

I have to say that I was antsy to get things moving.  She didn’t seem to be making progress visibly.  She listened to scripts through ear phones and barely made a peep.  Once in a while she would say “peace” or make a little moan. It was during scripts that the most work seemed to be getting done.   Vaginal exams were refused.  I wanted to DO something.  Shouldn’t we be walking, swaying, massaging, praising, encouraging, timing?  Shouldn’t she be breathing harder, moaning, groaning, snapping, needing?

Time, time was what was needed.  There were hints and clues here and there that things were progressing.  I couldn’t tell when a pressure wave began or subsided so timing was no use.  When she was on the monitor we caught a glimpse of her waves.  They would rise half way and hold on for 2 minutes or longer.  I watched her when they would start, peak and end.  Her hypnosis was so well practiced and trusted, she hardly flinched at the pressure.

Patience was of the utmost importance.  Dad seemed to overflow with it.  He trusted as well.  I, on the other hand, was getting worried that she was too relaxed and this was never going to happen.  Again, I kept thinking about all the things we could be doing and trying.  I texted my wise friend and Hypnobabies instructor for advice.  She said there wasn’t anything better to do than the hypnosis stuff, and to think of it as “supporting her brain rather than her body”.

There it was again, patience.  Patience is not my forte. I can feign it pretty well though! 😉

She slid into pushing without much fuss, although I could tell she didn’t want to give in to it.  I would love to attend more Hypnobabies trained moms to see what pushing is like for them because again, not much seemed to be happening. Dad and I decided to put the pushing script on which is to be played out loud.  2-3 nurses and the doctor were there to hear it.  Mom had maybe 2 pressure waves during the 20 minute script.  When it ended, it was like a complete turn-around.  Mom got down to business and her baby emerged in no time.  And just like that mom flipped a switch and was fully present and eating up every delicious feature of her sweet baby girl.

I’m sold. Hypnosis for labor works.

Choosing for YOU

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My amazing Hypnobabies students, Jenni and Brandon, were featured on the official Hypnobabies blog yesterday.  I love this story so much. 

I talk to so many women who choose to birth in a way counter to their intuition because of someone else’s desires.  They say things like “Well, my husband doesn’t want…” or “My insurance doesn’t cover…” or “Since this is my first baby…maybe the next one…”

Jenni is the only mom I’ve ever encountered who had the birth SHE wanted even after making a plan for the birth OTHERS wanted. 

Moms, please listen to your inner mama voice.  If this is your first pregnancy, you may not have heard this voice before.  Recognize it.  Your intuition is powerful in pregnancy.  You are wise.  Listen carefully.  Explore every inclination.  And in the end…birth where/how/with whom you feel safest and most loved.

Drop the excuses that are stopping you from having the birth of your dreams.

By the way, THIS is what Jenni looked like after her dream birth.  A blissed out mama!

More delayed cord clamping info

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Academic OB/GYN (who is in SC!) has a fantastic presentation on delayed cord clamping.  It is really worth taking some time to watch. 

Wonder what it would take to lure him up for a Blessingway?  No, even more importantly, I wonder what it would take to have him present this info at GHS?

Upcoming Classes

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Mindful Birth:  I have a few spots available for this childbirth class series.  We’re planning the reunion now for the babies born in the last series.  It is so wonderful to see couples on the other side of their births feeling strong and empowered by their experience!  Class begins March 25th and will meet until May 4th–a mix of Fridays and Wednesdays to accommodate schedules.  7pm-9pm in Greenville.  Email for more info (j_byers (at) bellsouth (dot) net)

Hypnobabies:  Begins May 6th and will meet for six consecutive Fridays from 6pm-9pm.  I have three spots remaining for this popular series.

Cloth Diapering 101:  I teach this class every 3rd Saturday at Natural Baby.  1pm.  So, March 19 (following the amazing fundraiser/consignments sale—more to come on that), join me to learn about your options for cloth diapering.  Last month was standing room only!

Changing the Energy

“PUSH!” 

Except it was spoken in Spanish. 

Which I don’t speak.  And neither did my client.  But the nurse assumed from her dark skin that she did. 

My client was a first time mom.  She had spent most of her labor at home.  Beautifully relaxed.  Quiet.  Intuitive.  She was fully dilated when we arrived and pushing with small “ahhhhs” and grunts. 

When it was discovered in triage that she was fully dilated, the energy went through the roof.  Nurse yells for a precip tray, un-brakes the bed and begins rolling it down the hall.  Instructions:  “don’t push, honey, just breathe through them.”  Flurry.  Another nurse appears and looks at my client with pity, “Sweetie, did you mean to go natural?”  The dad is frightened by all the activity. 

We arrive in a room.  IV antibiotics are started (GBS +).  Belts strapped on her belly.  Blood pressure cuff.  Thermometer.  Dr. Ken Barbie enters. 

Mom asks if she can push in a squat.  Ken Barbie says “no, we need to get this baby out quickly because I don’t know what’s been happening in there.” 

Stirrups raised.  Legs held back.  “You’re having a contraction, can you feel that?” 

She shakes her head “no.”  I mean, she’s been a bit distracted by all the madness. 

“Well you are.  And you need to use it.  So take a deep breath, hold it, chin to chest, pull your legs back and PUSH.  1…2…3…4…NO, don’t let your air out!  Again, deep breath…”

And then the nurse switches to Spanish.

Sigh.  Many of  my clients choose to arrive at the hospital late in labor.  And I am struggling to find ways to lower the adrenaline when we get there.   Literally at a recent birth, the nurse was asking the mom (in between pushes) questions like “Do you have electricity in your home?”  “Is this man the father of the baby and will he be going home with you?”  And sometimes, it doesn’t matter how early we arrive, when a woman begins pushing at the hospital, the energy skyrockets.   I especially love the tray of scary instruments that is wheeled into view.   

Yet, out-of-hospital, this stage is often the quietest.  The mom is focused and serious.  The caregivers may murmur a few “beautiful…you’re doing it” or “push with your body” affirmations but are mostly quiet.  And the moms who are encouraged to “push with your body” don’t often “take a breath, hold it, chin to chest, PUSH!  1…2…3….10.”  They give 5 or 6 small grunty pushes or they breathe their baby down.  Sometimes they skip a few pushes to get some rest.  Often, their own adrenaline causes them to rise up, lean forward.  Rarely does a woman intuitively lie back and pull her legs back. 

I’d love to show L&D nurses videos like this one or this one: 

Instead, many of them are trained in this way.  I realize that most of their patients have epidurals and may need help with pushing but PLEASE remember that most unmedicated women do not need to know when or how to push. 

Norah (5 yrs), who has been helping me write this post, would like to tell everyone that “squatting is best.  I know it is best.” 

 I’d love to hear from other doulas how you change the energy during this stage.

Thank You 2010 Families

From Mary-Grace, the first new baby of the year to the TWO sweet boys born today, I am incredibly honored to serve a tiny role in these births. 

  • To the couples who have invited me into their homes.
  • To the women who’ve met me at coffee shops to talk about their pregnancies. 
  • To the Hypnobabies dads who have fallen asleep (one even snored) while I read the scripts in class.
  • To the couples I’ve coached through contractions over the phone.
  • To the tiny new babies I’ve held as if they were the most precious treasure in the world.  Because they are.
  • To the clients who became friends.
  • To the friends who became clients.
  • To the women I’ve cried with.
  • To the first timers who dared to birth differently than everyone else around them. 
  • To the midwives, doulas, doctors, childbirth educators who have been listening ears, back-ups, and teachers.
  • To my husband who has texted me at births such questions as “how effaced is she?  did she do the rotisserie? and when will you be home?”
  • To the Anderson class who had to listen to the macarena playing outside the window while under hypnosis.  Wonder what the long-term consequences of that will be.
  • To Dr. Stafford who let me use his office (and his fancy technology) to teach classes and who consistently holds the space for alternatives and choice in the hospital birth experience.
  • To the women who have cared for my children when I leave.
  • To the VBACs who went to great lengths to avoid another cesarean.
  • To the nurses who sometimes broke the rules and who always remembered that patients have choices.  Even the choice to say “no.”
  • To my family who is tolerant when I find a way to talk about birth during every mealtime conversation.
  • To Cedar who cried every time I left and pretty much the whole time I was gone.
  • To the tearful postpartum mamas who called at 3am. 
  • To the babywearing groups and the women who shared their birth stories at Blessingways (pssst…I’m scheduling stories for 2011).
  • To the repeat clients who told me they were pregnant before they told anyone else. 
  • And to the births who have taught me so much about serving, honoring, protecting, and loving.

I love you and wish you grace and beauty in the coming year!

Wheel of Fortune

I had a Hypnobabies student birthing recently. 

She emailed me that “today was the day and that her pressure waves were getting easier instead of harder.”

Then later, an email that said she felt silly being at the hospital since labor was so comfortable and she was just watching “Wheel of Fortune.”  She was 5cm.

And the last email just a few hours later:  baby is here! 

Intact perineum, surprise posterior baby (!), and only 20 minutes of pushing.  Her words:  “smooth sailing.”   

And this is why I never have to advertise for my Hypnobabies classes…

Two Things to Do While Pregnant

Put these two items on your To-Do List.  You’re pregnant for 9 months.  You can fit it in.

1)  Learn about breastfeeding.  Yes it is natural.  Yes it is the biological norm for human feeding.  Yes we are mammals and thus defined by our mammary glands.  Here’s the problem:  we’ve become disconnected from this function.  We don’t witness it as part of normal life.  My sister told me of a young girl who had no idea how babies were fed without a bottle.  She even asked, “Do you drink the milk and then spit it in the baby’s mouth?  How cool!” 

And then you’re given this baby.  It is all you, mama.  And you are unfamiliar with the tangible signs that baby is “getting enough.”  And maybe you don’t know that her little stomach begins the size of a marble.  Did you know colostrum (the initial nourishment) is measured in tablespoons? 

Oh, and then you realize that it takes 15 hands to get the baby properly latched, held in place, arms out of the way, breasts compressed? 

I remember picking Norah up to nurse her in the middle of the night that first week postpartum.  I was so tired.  I tried to latch on her feet instead of her mouth.  And then Scott was asleep and dreaming he was nursing the baby while he held a tiny pillow to his chest.  Exhaustion.

Yes, it is natural.  No, it does not come naturally for many women.  So learn.  Take a class.  Don’t just read a book, buy it so you’ll have it to re-read at 3am.  Know where to go online for help.  My favorite resources are kellymom and Dr. Jack Newman.  And please stay away from books that try to put newborns on a schedule.  Every medical organization and breastfeeding organization says to feed baby on demand (when baby says it is time to eat). 

2)  Take an independent childbirth class.  Even if you’re planning to birth with an epidural.  Why?  Because sometimes you are not able to get an epidural (moving too quickly, no anesthesiologist available, low platelet count, etc).  And sometimes you get one and it doesn’t work.  A childbirth class will give you other tools in case your primary tool doesn’t work out.  You won’t panic.  You’ll have plan B.  Also, you probably won’t get an epidural before your first contraction.  Wouldn’t you like to have some ways to cope with those? 

A childbirth class will give you a realistic picture of birth.  Did you know that active labor for a first time mama is around 12 hours and that most labors do not begin with your water breaking?  You might decide to spend some time in the comfort of your home before rushing to the hospital.  A childbirth class will give you confidence to identify where you are in your labor and what to expect next.  It will give your birth partner confidence to support you.  It will show you options you didn’t know you had.   

Why independent?  Because the hospital class spends more time teaching you procedures, pain medication options, what to expect as a patient and less time on alternative pain coping options, stages of labors, etc.  Independent classes are usually longer and more in depth.

Don’t make excuses on this one!  If you cannot find a group class, take a private class in your home.  If you don’t have time, take a private class in your home around your schedule.  It is important. 

Things to consider when choosing a class. 

I don’t normally go authoritarian on expectant couples but I’ve heard one too many terrible birth story and sabotaged breastfeeding story this week.  Your birth experience matters because regardless of natural birth or medicated birth, knowing you are an active participant–making choices, getting informed consent–gives you confidence to do this difficult journey called parenting.  Birth is a small window in time but it is a giant door to becoming an informed and mindful parent.