Earth Babies Blog

Posts Tagged ‘Birth’

It was the night of the 15 February 2010, and in the midst of another perineal massage I was pondering the possibility of doing this forever and changing my profession to Gynaecology.
We were 10 days overdue and nothing seemed to be happening, so that evening we decided to watch a movie, and finish up with some “passion” (which sometimes started things) before hitting the sack. Now our first child (Seth) was 17 days overdue so we were not worried just waiting, and waiting some more.
I was woken up at around 11:30 to Seth crying and asking for Mumsie. My wife got up and settled him. She came back to the room and said she was getting a hot water bottle as she was having a few contractions and her back was sore. This was nothing really out of the ordinary as we had been through a few nights of strong Braxton Hicks before.

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We were pregnant with our second child and had decided on a home waterbirth.
According to my ovulation dates our baby was due on the 5th Feb 2010, but as with our previous pregnancy the date came and went, while our friends and family harassed us about whether we’d forgotten to tell them if the baby had arrived.
I’d been having painful Braxton hicks at night for weeks and we had one night where we were convinced labour was starting but after a bath and some time it all just petered off again. The BH were painful, but irregular and always disappeared in the early hours of the morning. I found they were most powerful after sex, so we tried often to kick start labour with “passion”, but I was getting frustrated and exhausted from the sleepless nights that passed with no result.
On the night of the 15th Feb we were discussing waiting another week for our baby, and I was contemplating asking my midwife if we could try the castor oil and orange juice route the following morning when I was due to see her. As time was getting on I was worrying more and more that as the pregnancy was so similar to Seth’s that this labour was going to be similar to his too. We decided to give the passion another go and finally turned out the lights sometime before 11pm.

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The story: At about 10 pm on the evening of th 15th January, I started getting a funny feeling in my tummy area. It didnt feel like contractions, neither did it feel like cramps. It was a slight, constant, pressure kind of feeling. A bit like someone was touching a bruise. I thought it was a bit of nerves as I knew I had to be induced in 2 days time.

One and a half hours later, the feeling was not funny anymore.

I could not sit or lie down and I’d want to scream. The only comfortable position was bending forward slightly with my legs apart. Persperation was dripping from every single pore of my body and now i was worried that I might have some kind of infection. The thought still hadnt crossed my mind that I was in labour. I decided to have a bath and see if it would ease the pain. It was a big mistake. Like I said, the only comfortable position was standing wide legs and half bent.

At 01:56(I know this because we argued about the time later and I went back to my phone to check) I SMS’ed my midwife aunt from the bath to ask what could be the matter. She phoned me back immediately and asked me to explain what I was feeling. I told her “it’s not contractions but it feels like my fanny and butt is going to fall off”.She said that I must leave for the hospital immediatly to get checked out.

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Seth James Pearce’s Birth Story

This is the story of how Seth, our firstborn son, was born.

It was my first pregnancy and all went really well. We had tried to conceive for a while and even before I finally fell pregnant we had decided we wanted as natural a pregnancy and birth as possible, which led us to seek the services of a midwife rather than a gynae.

We finally found Xoli, our midwife, and decided to have our baby at Linkwood Clinic as we couldn’t find a midwife we were happy with to help us with a homebirth.

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This is the story of the birth of my little miracle baby – Andrew Roy Cross, (older brother to Birth story of Michael Cross)
born on 24 June 2004.

I found out that I was pregnant on 2 December 2003. My due date was 10 August 2004. It was so exciting to tell everyone. My sister was the first to know and then I told my mom and my grandmother. My mom and sister were flying to visit my brother in Canada for the month that evening and I called my brother from the airport to tell him the news. Everyone was very excited, with it being the first grandchild on both my and my husband’s side of the family.

My pregnancy was great, except for the nausea, which lasted the whole way and was not only confined to morning sickness. I really felt like I was glowing. I love being pregnant.

I don’t know when exactly I began leaking amniotic fluid. I was feeling dampness downstairs for a week or so. I had been ill with bronchitis for a few days and had really been coughing a lot. I just assumed that the dampness was due to incontinence because of the pregnancy and that this was just worsened due to the coughing. I wore a pad and though nothing more of it.
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This is the story of the birth of my precious baby – Michael Albert Cross,
born on 29 July 2006

I found out that I was pregnant on 2 January 2006. My due date was 8 September 2006. I had a lovely (textbook-like) pregnancy and the baby was growing very nicely, although a bit big – but that I would only worry about later.

On Wednesday, 26 July, I woke up the morning with contractions. Not being sure if they were false ones or not I started timing them and sure enough they were regular, meaning it was the real thing! This concerned me as I was only 33 weeks pregnant. I went off to the hospital and was admitted with premature labour, which my gynae (tried to stop. After some drugs for the pain and others to stop the contractions I made myself at home for a bit of a hospital stay.

I remained in the hospital for 2 nights and was discharged on Friday, 28 July with some medication for in case the contractions started up again and told to take things easy (mild bedrest). All was well until 5am the next morning (29 July) when the contractions started up again. I got up and did some washing and packed a bag for myself and the baby, just incase – instinct must have taken over then – had some of the medication to stop the contractions and waited to see what would happen. By 7am I was in a lot of pain so I woke my husband up and we all (my eldest child too) made our way to the hospital again. I got to the hospital at about 8am and was told that I was indeed in labour again and that the doctor would be called. Unfortunately my gynae was not available as it was his weekend off, so I was introduced to the on duty doctor. He examined me and told me I was already 5cm dilated and therefore they would not be able to stop the labour process and that the baby would be born that day. As you can imagine, I was in a lot of shock (and pain) and had to quickly mentally prepare myself for this as it was really the last thing I had expected!

We called the parents and my mom (who happened to be in town) came over to the hospital. We also called my husband’s mom to come fetch our other child, who was still with us at that stage (terrorizing the people and the poor fish in reception, but luckily I was the only patient there that day).

After being prepped, I was moved into the labour suite. Things started to get a bit hectic then and pain-wise I was not doing too well and the baby was lying posteriorly, making labour a bit worse than anticipated. I asked for an epidural as pain relief at about 10am and the anesthetist arrived shortly before 12pm to come do the procedure. It was quite quick and painless with the only challenge being to sit perfectly still during a contraction for him to work on the spine. The epidural kicked in quite quickly and the midwife did a sweep of the membranes and my waters broke at 12h25.

Before I knew it, I was 10cm dilated and was told to hang on for the doctor before starting the next phase of labour. The gynae arrived just in time and about 10 minutes later Michael Albert Cross made his appearance at 13h35! HE screamed when he was born and wee’ed all over the nurses. He had an apgar score of 8/10 and 9/10 and I managed to hold him for a few minutes before the paediatrician took him off to the NICU. He was fine with the birth, weighing in at 2.39kg. He only needed a little bit of oxygen, which they administered by holding a tube close to his nose and mouth.

Michael spent 11 days in the NICU before coming home

Gestational age when born 34 weeks
Weight when born 2.39kg
Reason for premature birth (eg. Pre-term labour, pre-eclampisia, placenta praevia etc) Pre-term labour (I had a bladder infection)
Baby’s age & weight at time of writing 23 months (June 2008); 13kg

My role is not central to the birth but more as a background support to the key players so that they can each focus their energies where they are most needed at any given time.

1. What is a doula?
A doula is a trained, non-medical, birth support person (labour companion). Her function is to provide emotional and informed-choice support to the parents before, during and after the birth. The focus of the doula falls on the mother’s emotional and physical needs, wants and best interests. Her aim is to help the mother (as far as possible) achieve her ‘ideal birth’ as opposed to the ideas held by those present (doula included).
The doula’s support complements the medical care-giver and assists a birth partner in participating with confidence.

2. Why would you need a midwife/doctor and a doula?

says gail J Dahl. “Many women think their doctor will be there for them throughout labor only to discover it’s just them and their partner in the room for most of the time.”

Though a midwife’s approach is holistic care, their main function at a birth is as your medical caregiver and as such there is always a stage in a birth where their focus out of necessity becomes clinical in nature and the emotional needs of the mother become secondary. The doula’s function does not change – her focus remains the mother’s needs and through assisting the birth partner in how best to support the mother, allows the mother to focus on birthing her baby.

3. Does it really help having a doula?
It has been observed that the support of a doula has a positive impact on a woman’s ability to cope in labour as well as her feelings about the birth experience afterwards. Mothers with doula support are less inclined to feel overwhelmed and panicked. This reduces the requests for medicated pain relief, epidurals and the number of caesareans.
Results from 6 different studies of doula assisted births have been observed that due to better birthing positions and less stress hormones produced by calmer women in labour, there is a:

• 50% reduction in the caesarean rate
• 25% shorter labour (due to better birthing positions and less stress hormones produced by calmer women in labour)
• 60% reduction in epidural requests
• 40% reduction in oxytocin use
• 30% reduction in analgesia use
• 40% reduction in forceps delivery
Information was obtained from Mothering the Mother: How a Doula Can Help You Have a Shorter Easier and Healthier Birth, Klaus, Kennell, and Klaus (1993).

4. How do doulas practice?
In South Africa doulas practice privately and are hired by the birth parents.
Depending on how they structure their package and what extras are provided their costs range from R1500 to R3000 (this will invariably cover 1-2 visits prior to the birth, the birth itself, the settling period after the birth and 1-2 post natal visit).

5. Does a doula replace nursing staff?
No. As indicated the doula’s function is non-medical, though they do assist the staff in terms of taking care of the mothers needs as the doula’s presence at the birth is consistent throughout the birth and they only have one person to care for -whereas medical staff are not present the entire duration, their attention is shared by others on the ward and staff is subject to shift changes.

6. Does a doula make decisions on my behalf?
No – she purely carries out your wishes.

7. Will a doula make my partner feel unnecessary?
No, as said she assists your birth partner in being actively and effectively involved, so on the contrary most birth partners feel that the doula made them feel more comfortable and attending the birth.

8. What do Doula’s do?
• A doula is the only carer who is with the mother consistently for the duration of labour, the birth and till everyone is settled and resting after the birth

• Gives both emotional and physical support and comfort in coping with each contraction through various means such as: words of encouragement, keeping those present quiet through the contractions, touch, massage, aromatherapy, counterpressure, movement, praise and reassurance.

• She guides on position changes, how to relax, prepares and guides the mother through the different phases of labour by keeping her informed of what is happening.

• The doula can assist and guide in the writing of a birth plan, explain procedures and help parents to make informed decisions and assist in realising the birth plan as far as possible – with this as a guide she acts as the voice for the parents with the medical staff and advocates their birth requirements.

• Doulas are informed on all phases of labour and birth and are able to prepare parents through explaining what to expect.

• Doulas assists the birth partner in how to be supportive to the mother and by taking care of more trivial things can free the partner up to concentrate on the birth mother (or by being there to support the mother can give the partner a breather).

• She is able to take pictures at the labour and birth (though it is not practical for the doula to be both the carer and the official photographer).

• The doula is trained to assist with post natal care for the mother and child and provide basic support in the successful initiation of breastfeeding.

9. What is most important to consider when choosing a doula?

Regardless of whether you’re choosing a doctor or midwife, you need to look at personality. “If you feel you’re not being respected by your caregiver, then that is not the caregiver for you,” says Gail L Dahl. “And you can switch to someone new right up to the time you give birth.”

You need to feel that she respects your wants and needs for the birth and does not try to instil her own on you. She is not your medical caregiver (you have chosen that person in the role of your obstetrician or midwife) and will not be attending the birth on her own or making medical decisions on your behalf– above all else you need to feel able to rely on her for support, so connecting with her as a person is important.

10. How can I find a doula in my area?
There are various listing services on the net.
DOSA www.doula.org.za
The Village www.doulas.co.za
Sacred Space www.doulatraining.co.za
WOMBS www.wombs.org.za

Birth Plan Generator

other posts on this topic
Birth Story Friday – Gabriel’s Birth – doula perspective
Women who birth

I wrote an article for Parent 24 this week on my daughter being present at her brother’s birth. I know it is a very personal choice that each family has to make for themselves but for us it worked and it was wonderful to share the time with her. There are some tips for those thinking about including a child in the birth process

http://www.parent24.com/Baby/birth/My-daughter-was-at-her-brothers-birth-20100727

Did your children witness a sibling birth?

Was such an unbelievable experience, I had thought that as a doula I did not want to do births and only post-natal care but I think I may have found an addiction. WOW

Mom has been in pre-labour for over a week, I had been to see her in last week where she was convinced baby would come that night but I could see she was not actually in labour. Shame they did not know when she conceived so according to what they thought she went 17 days overdue but since baby, placenta etc was all strong and healthy they gave the benefit of the doubt to them being wrong about the dates. I could totally understand where she was in that you so desperately want the baby to be born that you are convinced labour has started even when it has not.

On Sunday early morning she gave me a call at about 2 am to say she was definitely in labour contractions being 4 minutes apart but she would let me know when I should come. The midwife had also let me know that if nothing happened they would have to induce Sunday 8.30am as the mom was getting very tired and worn down in the wait. So I headed over at about 7, she was very focused on having baby that day. Labour was still not really established, contractions had eased off again. Midwife did an internal and to the poor moms disappointment she had only dilated 1cm the whole week – she was now 4cm dilated and baby was not engaged against the cervix. She had thought she would be closer to 8 by then. She did not want to induce as she very much wanted a natural labour so the midwife agreed to allow till that afternoon. We stayed with her a while, encouraged her moving about, walking stairs etc to try get baby down ad advance the labour. I left at about 11 to give them (mom & dad) a chance to nap as they were both so tired after being up half the night (and many more before).

I headed back at 2 as the midwife was again going to consider applying gel to cervix. mom said her contractions were strong and regular.
We got her moving and walking again contractions were strong and regular so we didn’t think any intervention at the time was necessary. By 4 there was still no progress in terms of dilation but Mom though still strong was starting to physically tire so midwife gave her the options of gel on the cervix to help soften it or breaking her water which would mean baby would put more direct pressure on the cervix and the contractions would come on stronger – she opted for breaking of water. They did this at 4.30pm – she was by this time only 6cm .

She is such a strong woman her active labour lasted 4 long hours of really intense contractions we helped her through each one by applying counter pressure on her lower back. Her husband was fantastic, he was by her side the whole way encouraging her, applying pressure and helping soothe her.

She had only wanted to get into the water in the pushing stage but she started tiring and becoming overwhelmed by the contractions so we encouraged her in to labour there a while which gave immediate visible relief. At 8 the midwife again checked at moms request if baby was descending and was worried to see she was only 8cm dilated, her cervix had thinned on one side but the upper side was still thick – turned out baby had his head tilted slightly up – not tucked in chin to chest.
Midwives were starting to worry that they would need to transfer mom to the hospital so they decided to give it a last try to get baby to move so he could come out. Dad sent out an sms to their ‘prayer warriors’ to pray babies head down, midwives got mom to put one foot up on a low stool and do lunges which worked like a dream immediately mom could feel baby moving down she did this a few times and then we moved her back to the pool she had a few very intense contractions, midwife helped the lip of the cervix over babies head so he could move properly into the birthing canal, we encouraged mom to push with every contractions. She worked so hard to get her baby born, it was unbelievable witnessing her strength and faith at work in getting baby out.
At 8.50 after lots of hard, tiring and forceful pushing little Gabriel emerged. Beautiful, still with some vernix and quite tired. He lay quietly in mommy’s arms and mommy who just seconds before had looked exhausted and totally drained suddenly looked beautiful, totally illuminated, excited and full of energy. They stayed together for a short while but midwife could not leave baby too long as he was tired and they needed to check he was okay and get him warmed up (I don’t think mom minded so much as she was tired too and just wanted to finish up so she could climb in bed with her baby). Baby was wrapped up tight and given to Dad while mom birthed the placenta. They then went off to the room for the midwife to check on Mom and I got busy, tidying up their space to try return it to ‘pre birth’ state leaving them to spend their time together as a family without interruptions.

I made sure they were settled, had something to drink and then headed home at 10.30 – was a very long day but an unbelievable one.

don’t know baby’s details except that he weighed 3.88kg’s as I kept to the background once I was no longer needed. Name is Gabriel meaning God’s strength (which was her mantra through the labour). We knew ahead of time he was a little baby boy.

Personally the experience was empowering, it was like reliving Rafe’s birth and to actually witness that I DID that – I have new respect for myself.

More about Doulas

From The Unnecesarean.com

Ever wondered what people do with the placenta when it is not discarded of through a hospital?

I have heard of eating it as a cure for Post Natal Depression. Why would anyone even consider this? – well placenta is said to be very high in nutrients and vitamins beneficial to a mothers’ healing – you can read various articles here about placenta benefits.

Placenta pills may help to:
• Increase general energy
• Allow a quicker return to health after birth
• Increase production of breast milk
• Decrease likelihood of baby blues and post natal depression
• Decrease likelihood of iron deficiency
• Decrease likelihood of insomnia or sleep disorders

Luckily I did not suffer from post natal depression but for some it is debilitating and I think anything that can help or prevent it would become a life-line (and lose its ick factor). My mother suffered PND very badly after my own birth – it was in a time when post natal depression was not recognised and women were told to simply ‘buck up’ which I have been told simply made it worse. It took long for her to recover from it but she was lucky to have had support in my father and aunt. Knowing this now (I was unaware as a child) I can look back and understand better our hot & cold relationship and also my very close attachment to my dad.

There are some new ones here that I had not thought of (specifically the ‘crafty’ ones) and somehow these make me feel even more squeamish than the idea of a placenta sandwich.
Read 5 fun things you can do with your Baby’s Placenta from Inhabitots.com

What did you do with the placenta and what do these ideas make you think / feel?