Category Archives: Pregnancy

Pregnancy, Power, and Parenting

I spoke yesterday at an Attachment Parenting Forum.  The topic was how choices in childbirth were related to the first AP Principle:  preparing for pregnancy, birth, and parenting.  I joined a forum with a midwife and two childbirth educators

In my classic style, I did not prepare at all.  I had no idea what I was going to say.  So I was pleasantly surprised when coherent words came out of my mouth.  And I was even happier that when I finished speaking, I agreed with what I had said.  Sounds schizophrenic, yes?  Welcome to my public speaking technique.    

I said that one of my primary roles as a doula is to guard power.  I don’t care what kind of birth my clients choose or end up having; my concern is that they retain their power throughout.  They are not bullied or undermined.  They have informed consent.  They understand and claim responsibility for their birth.  The power of pregnancy and birth springboard us into confident parenting.  When our friends and family question our AP methods or on a sleepless night 5 months postpartum, we question ourselves, we can draw on the strength and trust learned through birth. 

Parenting is not rocket science.  It is much harder.  It calls for something more than mere instruction manuals.  It demands an inner strength beyond anything else.  Those 9 months of pregnancy and however many hours of labor and birth can lay a firm foundation for our parenting; particularly when our choices are questioned at every turn.

“Soon They’ll Be Asking for Informed Consent”

I caught that line from an overheard snippet of House M.D. recently.  Someone told House to get consent before a procedure.  He sarcastically replied something to the effect:  Start getting consent for procedures and soon they’ll be asking for informed consent.

Well there is a new tool in the informed consent workshop.  Released this week, the Milbank Report:  Evidence-Based Maternity Care Report has the US abuzz.  Consumer Reports even released a report on the findings.  One of the quotes I love in the Milbank report’s executive survey is “The many beneficial, underused practices around the time of birth include continuous labor support, numerous measures that increase comfort and facilitate labor progress, nonsupine positions for giving birth, delayed cord clamping, and early mother-baby skin-to-skin contact.”  Humph.  Nonsupine positions, delayed cord clamping, and immediate skin-to-skin are usually the most difficult concessions to get in hospital births I attend.  There is always some reason why it can’t be done. 

The sum-up of the findings seems to be hire a family practice physician or midwife to attend your birth, hire a doula, and know which processes are evidence-based.  Not sure how to discern evidence-based practices?  I usually go first to the Cochrane Database of Systematic Reviews.

A Little Gem I Found

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While scrounging around my parent’s house, I found the 1966 edition of De Lee’s Obstetrics for Nurses.  Interesting reading and frightening pictures.  Here are a few tidbits:

  • The introduction praises the fact that “99% of whites and 85% nonwhites now give birth in hospitals” while the next paragraph expresses fear at the scarcity of OBs and the “coming avalanche of babies.”
  • There is pointedly no mention of midwives and those mostly “nonwhites” who give birth outside of hospitals do so “unattended.”
  • Aside from the rising birth rate, the other great problem is infant mortality.  It is a “stinging realization that 15 countries have lower infant mortality than the United States.”  (ahem, we have slipped still lower on the list) 
  • “Most mothers complete their families by age 30.”
  • “It is the nurse who is the constant attendant of the woman in labor.”
  • I found it interesting that gentian violet was the only treatment mentioned for yeast infection during pregnancy.  How could the poor pharmaceutical company make any money if that was still prescribed? 
  • The ideal weight gain is 15-20 lbs and each pregnant mom must closely monitor her water and salt intake. 

I’m sure I’ll add more morsels of De Lee as I skim along.  The best part is reading my mom’s notes in the margins. 

 

Missing me one place search another

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Upstate Childbirth Education and Doula Services has a new home!  We’re now in the lovely Waldrep building near the corner of N. Main and Stone Ave.  It is so nice to be in a place with no hint of sheet rock dust!  Of course, as always, we continue to serve our clients in the birthplace of their choice:  hospital, home, or birth center.  We go where they go!

Our email newsletter will be going out soon with a full calendar of upcoming events in our new home.  If you haven’t signed up for the newsletter, click on over to UCEDS and type your email in the top right corner to keep up with our happenings.  I hope we’ll see you at the next Blessingways on June 28.  Leia will be sharing her birth story and we’ll have a special topic on “Going Green in the Nursery.” 

Ok, shameless plug is over…

Pregnancy Podcasts

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I found some great podcasts at PregTASTIC.  I listened to Barbara Harper, founder of Waterbirth International, discuss the chemical effects of buoyancy and Dr. Jack Newman  talk about breastfeeding.  I loved the two-series podcasts with Maria Mongan who developed hypnobirthing.  I have several more loaded in my ipod and hope to listen to them when Norah is sleeping in the car.      

Blessingways and Broken Mornings

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I’m re-reading Spiritual Midwifery and getting lost in the hippie love of the Farm midwives.  Why is it that in almost every Farm birth story, the couple makes out during labor?  I didn’t even think of that during my labor.  I was very close to Scott physically and emotionally during the process and he was very hands on but we weren’t making out.  No.  I asked him if he’d be willing to give it a go next time around.  Of course, he suggested we start practicing right away. 

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Because I’m dreamily lost in the Farm love, my background music carries the smell of patchouli.  Yesterday, Norah and I were riding in the car.  I was listening to a Cat Stevens song.  Norah asked, “What’s dat song called?”  I said, “It’s called ‘Morning has Broken.'”  Norah:  “It needs batteries, Mommy?”

This Saturday is our monthly Blessingway at UCEDS.  The Blessingways are free and open to anyone.  It is our way of surrounding new and expectant families with positive support and mindful information.  Caryn will be sharing her birth story and then we’ll have an informational session on Cloth Diapering 101.  We need experienced women with encouraging wisdom to bless these new families.  We meet from 2-4 at UCEDS the 4th Saturday of each month.  Children are welcome.       

“The Business of Being Born” DVD releases today on Netflix

If you missed one of the BOBB showings, you can now watch the DVD in the comfort of your own home.  If you have Netflix, add it to your queue today OR WATCH IT INSTANTLY.  Netflix shows a short wait but I promise it is worth it.  I advocate women watching this DVD even before getting pregnant.  It is perfect for college women (and men).  Once you are pregnant, your birth plans solidify rather quickly (based on provider and location).  For women not yet pregnant, this documentary can help you begin thinking about birth and forming thoughtful plans before they are formed for you! 

If you don’t have Netflix, you can purchase the DVD beginning March 6 here