Earth Babies Blog

Posts Tagged ‘Birth’

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?

I wrote an article for Parent24 that was about the unassisted birth that I had with my son Caleb.
It is not a birth choice that I think would suit most people but it I think part of appreciating our differences as parents is seeing what other people have done and even if it is something we would never do, it is nice to share.

So here is the link to the day I caught my lovely Baby Boy Parent24: I delivered my own baby

I doubt there is another title that comes with as much judgement as being a mother. Comparison, superiority, one upmanship, feelings of guilt and inferiority seem to be part of the package. I think the first year of being a mom is the most rough in this regard – everything feels personal. You have to wade through a bit of a swamp of your own opinions and those of others.

We all judge and feel judged (not always intentionally) – and a few years down the line when we have learnt our own lessons and become more flexible, we can no longer remember so clearly ‘how’ we used to think in that first see-sawing year of motherhood.

A friend posted this on a forum a while back – I had a good giggle as it could have been taken from quotes made over the past few years I have been chatting there from the subjects we have argued about, made statements and voiced opinions on.

Read through and then share your score (you dont have to say which ones they were ) of judgments made and judgements felt.

(by Damaria Senne)

As you and your partner go through different stages of your life, so your love-making will change. At times it will be wonderful. At times it might be just okay. And sometimes, it may even be difficult. What’s important is that you always talk and listen to one another and do as much as possible to keep your sexual relationship working.

If you have a new-born baby, your sexual relationship might be difficult for 6 months or longer, says SoulSEX, a new 44-page sex guide published by the Soul City Institute.

This is really a time when talking, listening, caring and supporting one another is so important. You both need to be patient and understanding. After all, there is a tiny little person in your life.

A man needs to remember that a mother of a new-born baby is often sore after giving birth and her body needs to recover. She may also be tired from nights of being up with the baby and from breastfeeding. What’s more a man needs to understand the mother’s natural motherly feelings about giving her baby as much attention, love and care as possible.

Fathers can help look after babies. This will take some of the strain off the new mother.

A new mother needs to understand that the father of a new-born baby also wants her attention, love and care. What’s more, a woman needs to remember that today many fathers want to help with their new-born babies and don’t want to be left out.

Also, there are a few men who were present at the birth of their child who find that they very distressed by what they have seen. “Some of them feel so guilty at the pain their partner has gone through that they are unable to even consider the idea of making love with her again. This is usually just a passing phase, but not always,” says Dr David Delvin at netdoctor.com.uk. Fathers who feel like this should seek help from a counsellor to discuss his feelings, he says.

Will childbirth change your sex life?

Definitely, says Delvin. “Please don’t expect that everything will instantly return to normal. Men are particularly likely to believe this; a lot of young blokes think that they’ll be able to have intercourse as soon as their partner gets home from hospital. But that just isn’t true,” he says.

Dr Delvin notes that childbirth is a traumatic process for a woman. “Having a baby pass through her vagina is almost like having a small explosion go off inside her. The delicate vaginal tissues are inevitably strained, bruised and torn – and it takes some weeks for these injuries to heal up,” he says.

He adds that childbirth also involves very considerable hormone changes and emotional stress. As a result, very few women feel “rampagingly sexy until a long time after they have given birth,” he says.

However, a couple can engage in non-penetrative sex while they wait for the woman to heal. And that, too, can bring its own fun, and help the couple maintain a sexual closeness. For more details on some of the non-penetrative sexual activities you can do, download SoulSEX.
Also note that non-penetrative sexual activities should exclude cunnilingus for the first few weeks after childbirth, which could introduce infection into the vagina and womb.

Is sex going to be the same?

As previously mentioned in the introduction of this article, love-making will change as we go through various stages of our lives. However, that does not mean that it can’t be fun/as or even more rewarding than before childbirth. And yes, the vagina of a woman who had a natural childbirth will not go back to its original shape.

As Kelly Winder at Bellybelly.com.au notes: “The vagina is designed like a piano accordion – its actually designed to stretch open. Memories of trying to insert a tampon for the first time or the first sexual encounter may suggest to women that giving birth to a baby will be even worse. But the body is very capable and in fact designed to do this. Another help is that the baby is slippery, covered in vernix or at least wet with amniotic fluid. This lubrication will help the baby move through the birth canal.”
This means that the vagina is designed to stretch for childbirth and revert back to its original position afterwards, she says.

“The result of vaginal birth is an increase in blood supply to the area. This can result in women becoming more orgasmic after vaginal birth. This effect may be reduced if the pelvic floor is weak, however a women’s health physiotherapist can teach women how to correctly exercise these muscles to improve strength.”

Baby steps

According to Delvin, a couple should begin sexual intercourse gently after childbirth. If possible, try and find a time of the day when you are not too worn out, he says. Also, try to find a time when the baby is not likely to wake up, so you can have some peace and quiet.
“Hormone changes and worry can lead to some women experiencing vaginal dryness for the first three months after giving birth. But you don’t take hormones for this. Instead, buy lubricants over the counter from a pharmacist,” he says
He also notes that a couple should choose a position in which the woman can control the pace and depth of penetration for the first few sessions of sex after childbirth, A position with her on top, or one where both partners lie side-by-side facing each other, may be more comfortable, he says.

Lastly, here are some ideas stop your children walking in when you are making love:
• Lock the door
• Ask a friend to look after them when you arrange a special time for yourself as a couple
• Make love somewhere else (outside the home, for example0
• Make sure your children are fast asleep.

Download SoulSEX

Bio
Damaria Senne is a writer based in Johannesburg. She is the web content developer for OneLove (www.onelovesouthernafrica.org) , a 9-country regional campaign which aims to encourage people in Southern Africa to have one sexual partner. Damaria writes about her life as a writer at http://damariasenne.blogspot.com

I have recently, due to a few blog posts, been thinking about the vivid dreams women have when pregnant (it is very common – like morning sickness).

Acidicice’s … Do Dream catchers really work? and
Louisa – 123blogmyself’s … Week 21 – She’s a Carrot

They got me wondering and reading as to why we have such vivid dreams when pg – there must be a reason as every pregnant woman I know has spoken of the dreams – happy, sad, nightmares, disturbing, erotic does not matter what it is they are generally very detailed and you do remember them when you wake.

This stunning picture is from Lauri’s blog where she also discusses/interprets common pregnancy dreams.

Other common dreams that reflect the first time mom’s impatience are:
*Dreaming the baby is born with teeth
*Dreaming the baby can talk
*Dreaming of giving birth to a toddler or child
*Dreaming you can see inside your belly

Pregnancy-info.net had an interesting read on the whats, why’s hows and how not to’s of pregnancy dreams

Are Pregnancy Dreams Normal?

Though these vivid dreams can often be confusing and even frightening, it is entirely normal to experience a large number of dreams during pregnancy. There are a variety of reasons that can help explain this dramatic increase in dreams:

* Pregnancy Hormones:
Throughout your pregnancy, your body pumps out a variety of different hormones, including progesterone and estrogen. It is thought that these hormones affect the way we sleep at night, causing us to experience longer periods of REM sleep. It is during REM sleep that our minds begin to dream.

*Increased Waking:
Pregnant women are much more likely to wake up during the night than women who aren’t pregnant. Whether you have a leg cramp or a backache, you may find that you wake up several times every night. When your body wakes up from a deep sleep, it has better dream recall than it would had you slept through the night. This means that you may be experiencing more vivid dreams simply because your body is better at recalling them.

* Pregnancy Anxiety:
Pregnancy is a time of distinct changes, many of which are scary and overwhelming. You probably have a number of anxieties over becoming a parent: for instance, you may worry how you will handle having a baby and if you will be a capable mother. Our subconscious mind often works through these anxieties while we are sleeping, in the form of dreams.

Sally(pinkhairgirl) passed this on to me and i also got tagged by Louisa (123blogmyself) thank you both ÜÜ

Since this is the EB blog I will do the meme about me but connected to Earth Babies – long winded sorry.

1. Sally is correct I don’t consider myself a blogger (maybe a plodder lol). I blog here as it gives a space to post those things that I would love to share but our website is either not the right place or does not have the space for them. I don’t blog personally as I would probably write all those things I think and never say – and there is maybe a good reason they remain unsaid.

2. I am not a ‘green-person’, so feel like a hypocrite at times when getting shoved into a box of someone else’s expectations– what enviro-awareness I have, has come (and still is) secondary to my original motivations for the choices I have made. Like many things on EB if it makes sense I will discuss it, incorporate aspects of what I learn, share info with others on things they find interesting but don’t do anything that is not practical and possible for us as a family.

3. This company I love & co-founded is considered by many as a ‘green’ company – I don’t see it as such though. For me natural and green are very different (but ‘green’ is where most people categorize us, marketing seems to work for us and a large part of our supporters – and our green-passionate Sally Ü view themselves). I try to keep us available/open to everyone (and myself lol) – organic and middle of the roader’s. Sally and I both agree nothing in life has to be all or nothing you incorporate what works for you and leave the rest.

4. My lifestyle, focus and intentions with Earth Babies are different to Sally’s (which is what makes us work – we balance each other). My personal passion for EB is supporting South African parents who want to birth naturally, breastfeed and cloth nappy. I love the products we carry, I love trying to keep the focus local, I love offering practical alternatives to the commercial norm and really enjoy trying to help customers find the right information/product etc for them. All the rest is complementary to this focus, is what Sally is passionate about and I don’t oppose or our clients have asked about.

5. I birthed naturally, breastfed, used cloth nappies, did elimination communication with my 1st (not 2nd); baby signing with my 2nd not my 1st; am a doula and have a business that supports these things and more. Based on these points a lot of assumptions are made so I thought I would clarify: I have used disposables (was a combination user – so actually know very well the pro’s and cons of both); I did not do Attachment parenting (and hate being called an attachment parent); I did wear my babies in slings; I am not a co-sleeper though our kids do sleep in our bed on and off; I did not and would probably not breastfeed past 2 years though I have no issues with others breastfeeding or encouraging it for as long as it is beneficial to both parties; I tried very hard to get my kids to take dummies – they would not; I breastfed publicly but always covered because that is what I was comfortable with; I don’t believe everyone should birth naturally or breastfeed etc, I feel strongly for informed choice; I don’t homeschool (would not consider it unless there was NO other choice); My kids do watch TV and play on computers (no specific limits); eat junk (and healthy too) and have plastic toys (natural and some organic too).

6. I hate being told what to do so as such am repelled by anything that carries a label and has a set of rules you are meant to follow. I am not an all or nothing person and approach everything instinctually. (Sally and I have in the past differed on many things parenting related and in the journey of Earth Babies have had discussions and arguments with each other and others. Through these debates, time and personal experience we have both learnt to be more open and non-judgmental. Because of these differences though there were many subjects that we have ended up not incorporating into the website even though some readers have suggested we should – the subjects on the site got lots of editing till we both felt comfortable with what we are sharing).

7. A question I am asked often is which is the ‘BEST’ nappy on the market – in experience there is honestly NO best nappy – each one has their pros’ and cons’ and these are very subjective according to individual & lifestyle criteria and baby’s (body shape, elimination pattern etc) – I do have a personal favourite just the same as any other nappy user though.

8. I am put off from many natural/green/alternative approaches because of their esoteric connections. Many of them make actual or scientific sense but the strong esoteric jargon connected make me careful about them.

9. I have read very very few parenting books, I prefer to learn through observation and discussion (For the same reason as my label aversion thing – it is someone else’s 123 step guide on how to raise YOUR children and I feel this represses the natural parenting instincts). Basically my theory (unproven lol) is that your children are a combination of you and your partner and so have a combination of your personalities – so between the two of you, you should be able to realize what approaches will and wont work for your children based on what your own gut reactions to it would be … If it does not come naturally to you, all it will probably do is create stress, expectation and feeling of failure.

10. I am a pretty quiet person who write-talks way too much lol

I am meant to pass this one to other bloggers I like and admire – I am pretty new to blogging and following them and most have done it already so I am going to reserve the right to put some thought into this before I tag others.

Was reading an small article this morning in the GOLF magazine about Catriona Matthews a Scottish golfer – and before you are either impressed or think I am nuts, noooo I dont follow golf my husband showed me the article (which is a month old news – but new to me).

What is impressive – apart from that she can actually play golf – is that at 39 years of age (which many considered to old to be playing as well as she did) and a mere 10 weeks after giving birth to her second child she won her first Major championship at the Women’s British Open held at Royal Lytham and St Anne’s (on the 2nd of August 2009)… WOW!!!

Catriona Matthew with her trophy and her husband Graeme, her caddie

Though my second birth was a walk in the park I was definitely not up to a 3 day golf championship just 10 weeks later (okay who am I kidding I am not ever up to that).

articles:
Times Online
LPGA.com