Friday, April 15, 2011

Hospital Birth Plan

Before you touch me or do anything to me, you will discuss it with me and obtain my informed consent. When I say informed, I mean informed. Don't send anyone in to talk to me that does not know every single benefit and risk in detail as well as statistics.
 
If I decline something, which will most likely happen, be respectful and don't push it. No means no the first time.
 
Things you need to know:
 
I am using the Bradley Birth Method to give birth. I need total focus and concentration. If I need something, I will ask, otherwise don't bug me.
 
If you have a question, ask my husband or doula first. I like to be left alone.
 
If you want to take heart tones, you'll need a handheld Doppler. I'll likely be moving around a lot. Absolutely NO internal monitoring and no continuous monitoring.
 
I will be eating and drinking as I feel the need.
 
DO NOT offer me drugs or ask me to rate my pain. Make up a number if you have to.
 
Husband or I will be catching our baby. No touching me or the baby as it is emerging.
 
When I am pushing, stay silent and calm. Just sit back and watch me work. If I need you, I will let you know.
 
Baby is born, goes immediately on my chest, latches on, and stays there indefinitely.
 
Umbilical cord remains unclamped and uncut until I feel like cutting it. Then Husband will cut it. Don't ask, I'll let you know.
 
No routine Pitocin or cord traction unless I'm hemorrhaging. My placenta will come out when it's good and ready, possibly 1 to 2 hours. Don't freak out.
 
Feel free to take pictures and videos.
 
My baby is not to leave me at any time unless it is an emergency, then Spencer is to stay with baby at all times. NO EXCEPTIONS!
Do not do ANYTHING to baby without my permission. If I decline something, don't push it.

My birth plan.

Just because I'm planning a homebirth, does not mean, I have no birth plan. I am a planner. I like to know what to expect and have every detail planned out well in advance. The benefit of having a detailed birth plan, is that you don't have to worry about what you want done. Everyone already knows what you want and your birth team will take care of everything. All you have to worry about is focusing on your labor and having a healthy baby.
Now, I won't be sharing every single detail of my birth plan, because some things are private. However, I'll give you a good idea of how my labor and birth will most likely go.
 
Attendants (birth team): Midwife, Apprentice Midwife, Coach, and Support Person(s)
 
A few weeks before labor begins:
  • Gather all homebirth supplies and have them cleaned and set aside in a convenient place.
Homebirth Supply List: 2 boxes of disposable bed pads, 2 boxes heavy/overnight pads, 1 pack of depends-type underpants (if preferred in the first few days), 4 wash cloths, 4 hand towels, 4 bath towels, 2 sets of bed sheets, plastic sheets (for protecting floor or furniture), pillows (at least 4), 1-2 bottles hydrogen peroxide, newborn hats, several bottles of favorite juice or sports drink, flashlight with new batteries, 2 large bowls, kitchen size garbage can with bags, 1 roll of paper towels, 2 1/2 gallons sized zipper bags, thermometer, peri bottle, olive oil, heating pad, large cutting board or baking sheet (to provide firm surface to examine baby), new garden hose.

  • Set aside comfortable clothes to labor in.
I plan to start off in some really stretchy yoga capris and a super soft t-shirt. As my comfort level decreases, I will go down to a robe and breast feeding sports bra. Once in the birth pool, it will be just the bra.
  • Make a list of important phones numbers, including midwives and birth team.

  • Stop all travelling and begin lock down.
This means we will be staying in town and not accepting visitors. I don't want to go into labor and have to travel back home, have to kick people out of the house, or have people trying to invite themselves to the birth.

When labor begins:
  • Set up birth rooms.
Depending on my mood and comfort level: The living room will have a birth ball, yoga mat, candles lit and music on. The kitchen will be draped, table moved and prepared, birth pool set up, floors bleached then cleaned to remove bleach smell. The bathroom will be sanitized. The bedroom will be darkened, candles lit, bed prepared, and clothes laid out.

  • Lay out supplies.

  • Get ready.
I will have my hair French-braided to keep it out of the way and neat. I'll take a shower with antibacterial soap. I'll get dressed in comfy clothes that I can move and relax in easily. I'll also eat a high protein meal to give me energy for a the long labor to come.
  • Relax.
Go for a walk, do some yoga, dance. . . I will do whatever feels comfortable at the time.

Active labor sets in:
  • Call birth team.
     
  • Try out different labor positions to find the most comfortable one.
I will be doing different things like rocking on the ball, doing yoga poses, leaning on Spencer, etc. Whatever makes me comfortable is what I will be doing.
  • Change positions as needed.

  • Eat and drink as needed.
In order to stay hydrated and keep my energy levels up, I will be eating and drinking as much as I feel the need to. No fuel means over exhaustion.
  • Time to focus.
When labor becomes intense, it's time to really focus. I'll be going into the bedroom to lay in the bed or into the bathtub or birth pool. The room will be lit only by candle light and everyone will need to be very quiet, so I can focus.

Time to Push:
  • Push instinctively

  • Progress free of timelines
Pushing can take hours. There's no need to rush things.
  • Change positions as I feel the need to.
Changing positions is not only comfortable, but helps the baby descend and turn more easily.
  • Baby emerges on it's own.
When the baby is comes out into the water, I want it to float free for a second before Husband reaches into the water and gently bring it to the surface. Don't worry, until air hits the baby, it won't try to breath.

Immediately after birth:
  • If baby is born "behind" me, help me turn around while Husband holds baby in the water.
I may be on my knees, leaning against the tub wall when baby emerges. I would like to be kneeling in the water, but that may not feel right at the time.
  • Keep baby's body submerged until time to cut the cord.
I want to keep baby in the water for warmth and soothing effects.
  • Breastfeed right away.
Breastfeeding right away is essential to the bonding process and releases an extra burst of oxytocin that helps dispel the placenta with hemorrhage.
  • Wait until cord stops pulsing before it's clamped and cut.
Cutting the cord before it stops pulsing takes away several pints of blood that would have gone into baby. This causes allot of unnecessary problems like anemia in the baby. Once the cord stops pulsing, Husband will be the one to cut it.
  • Allow the placenta to come out on it's own time.

The placenta can take anywhere from 10 minutes to 2 hours to come out after birth. It's ok.
  • Wash Baby while waiting for cord to stop pulsing.
I want to get all the goo off of baby and get it clean asap, so it can be examined and dressed quickly.

Postpartum:
  • Take a shower while Baby is being examined.
As soon as the placenta is delivered, I want to get up and get cleaned off and dressed. Then I will get into bed to be examined and bond with baby. A shower will be refreshing and being clean makes me feel better.
  • Eat and drink something.
I will have spent many hours in labor and we will all need to refuel.
  • Go to sleep.
Everyone will need plenty of rest after such a long process.
 

Wednesday, April 13, 2011

Husband-Coached Childbirth

     I will be using the Bradley Method to give birth. This is also known as Husband-Coached Childbirth. I will be starting my class in May and the class will last for 12 weeks. This is method was the first birthing class to ever be created. It is also, in my opinion, the most effective method in preparing your body for natural childbirth. I chose this method, not only because of it's effectiveness, but also because I want my husband to be as involved in my pregnancy, labor and birth as possible. During the class, he will basically learn how to be my doula and support me through the whole process. I highly recommend this method for anyone who is pregnant, no matter if you plan do use drugs or where you plan to give birth.
 
What is The Bradley Method?
 
     The Bradley Method® teaches natural childbirth and views birth as a natural process. It is our belief that most women with proper education, preparation, and the help of a loving and supportive coach can be taught to give birth naturally. The Bradley Method® is a system of natural labor techniques in which a woman and her coach play an active part. It is a simple method of increasing self-awareness and teaching a woman how to deal with the stress of labor by tuning in to her own body. The Bradley Method® encourages mothers to trust their bodies using natural breathing, relaxation, nutrition, exercise, and education.
 
How is The Bradley Method® Unique?
 
     The Bradley Method® teaches couples ways to stay low risk. While occasionally there are risk factors out of your control, staying healthy and low risk can help to avoid complications. Low risk mothers have more choices.
     Relaxation is the key to The Bradley Method® during labor. It is the safest and most effective way to reduce unnecessary pain and to handle any pain that you do experience. While other methods seek to control the sensations of labor (emphasizing distraction as their Primary labor control technique), The Bradley Method® encourages mothers to trust their bodies (emphasizing relaxed abdominal breathing and relaxation throughout labor).
     The term The Bradley Method® is a registered trademark to ensure you are getting quality childbirth education. All Bradley Method® instructors are highly trained to help you learn how to give birth.
 
Why Natural Childbirth?
 
      The kind of pregnancy, labor, and birth our children experience has a profound and lifelong effect on their health, including their mental, emotional, and physical health. The Bradley Method® attempts to give babies the best possible start in life by teaching how to have a natural pregnancy and a natural childbirth.
    Why should I choose a Bradley Method® Instructor?
Your local Bradley Method® instructor is a professional trained to help pregnant couples obtain the birth experience they desire. Bradley Method® instructors are experts in the field of natural childbirth. All Bradley® instructors have gone through intensive training with the American Academy of Husband-Coached Childbirth® and are required to re-affiliate each year in order to continue teaching The Bradley Method®. The American Academy of Husband-Coached Childbirth® is proud of its affiliated teachers for their personal attention and outstanding success in training natural childbirth students.
 
When should I start?
 
     Healthy nutrition, appropriate exercise, and pregnancy information can be of benefit throughout the entire pregnancy. For most couples, the fifth month is the suggested time to begin a Bradley Method® class series as they seriously start training for labor and for their upcoming role as parents. The earlier you start, the better prepared you’ll be physically, emotionally, and mentally.
 
How long are classes?
 
     A Bradley Method® class series is 12 weeks and is designed to give both mother and coach adequate preparation time for the birth of their child. Labor can be a strenuous physical activity, but mothers and coaches can prepare both physically and mentally and with the help of their Bradley Method® Instructor to make their birth experience an even more beautiful and joyous event.
 
What does The Bradley Method® Teach?
 
  • Natural childbirth – Nearly 90% of Bradley Method® moms having vaginal births do so without pain medication.
  • Active participation by the husband as coach.
  • Excellent nutrition (the foundation of a healthy pregnancy and baby).
  • Avoidance of drugs during pregnancy, birth, and breastfeeding, unless absolutely necessary. No drug has been proven safe for an unborn baby.
  • Training: weekly classes starting in the 5th month and continuing until the birth.
  • Relaxation and NATURAL breathing – can be effective pain management techniques with training according to the National Institutes of Health.
  • “Tuning-in” to your own body and trusting the natural process.
  • Immediate and continuous contact with your new baby.
  • Breastfeeding beginning at birth provides immunities and nutrition.
  • Consumerism and positive communications.
  • Parents taking responsibility for the safety of the birth place, procedures, attendants, and emergency back-up.
  • Parents being prepared for unexpected situations such as emergency childbirth and cesarean section.
Are there any books I should read before I start?
 
     There are numerous good books on childbirth and pregnancy at your local bookstore, library, or even on-line. Books that we have found helpful and recommend include:
  • Husband-Coached Childbirth by Robert A. Bradley, M.D.
  • Natural Childbirth the Bradley® Way by Susan Mc Cutcheon, AAHCC
  • The Womanly Art of Breastfeeding distributed by La Leche League International
  • The Thinking Woman’s Guide to a Better Birth by Henci Goer
  • Sweet Dreams – A Pediatrician’s Secrets by Paul Fleiss, M.D., M.P.H., F.A.A.P.
  • Children at Birth by Marjie and Jay Hathaway, AAHCC * Currently Being Revised – Available at some local libraries

I'm not nuts, just well-informed.

    When I first announced my decision to have a home birth, I got a lot of negative reactions. Even though they were meant to be out of loving concern, all I heard was: "you're crazy!"; "you're stupid"; "you're risking your baby's life and yours." Basically, I was made to feel like I was a bad mom and I was gonna kill myself and my baby by giving birth at home instead of the hospital. It was really hurtful and upsetting. I mean, how could people be so mean or treat me like that? It wasn't until I stopped, took a deep breath, and stepped outside of the situation, that I saw what was really going on. No one had a clue about how birth could really be. They were just speaking out of fear of the unknown.
    I realized that everyone was like the millions of other Americans who have been brainwashed into believing that the only safe way to give birth is in the hospital. I found this very hard to understand at first, but then I began doing a ton of research. I learned about the myths that the medical community have gotten us to believe as well as the truth. Fear exists in the presence of ignorance and lies, but it cannot abide in knowledge and truth. It is my intention to debunk these myths and thus alleviate the fears that everyone has.
 
Myth #1 — Hospital births are statistically safer than homebirths.
    Safety in childbirth is measured by how many mothers and babies die and how many survive childbirth in less than perfect health. Studies done comparing hospital and out-of-hospital births indicate fewer deaths, injuries, and infections for homebirths supervised by a trained attendant than for hospital births. No such studies indicate that hospitals have better outcomes than homebirths.
     The US has the second worst newborn death rate in the developed world. In all other majorly developed countries, midwives are there to take care of the majority of births. The doctors are there to take care of the small percentage of women that develops problems in pregnancy.
 
Myth #2 — You can get more professional attention in a hospital than you could get at home.
    In the hospital, obstetricians do not routinely sit at the bedsides if their laboring patients, but rely on machinery and others for information, then appear at the last minute in the delivery room. Most physicians do not build a relationship with each patient or offer much encouragement to give birth naturally. In fact, most OB's give you the sense that they don't have time for you with their "one hand on the door" approach to care. My personal experience with a great number of OB/GYNs is that they are in such a rush to get you in and out of the office, you feel more like cattle than a real person. Midwives take a more holistic approach to care. They get to know you as a person and observe your whole health.
    Midwives are trained professionals and are usually far more qualified to handle natural birth than an OB. Obstetricians are trained surgeons. They should be doing surgery, not be involved in normal healthy births. My midwife has a very impressive resume and I feel far more qualified to handle my birth than the OB I also see. Her list of education, training, and professional qualifications is 2 pages long, so I won't list it all, but she is a Certified Professional Midwife with 10 years of education alone.
 
Myth #3 - The more modern technology you have on hand, the easier the birth will be.
    In a sincere effort to catch complications early and produce healthier babies, medical science has changed the atmosphere surrounding birth from one of a circle of loving support around laboring women to one of space age technology in a laboratory setting. Though technology can save lives in a crisis, the routine use of technology can interfere with the normal birth process.
    Continuous fetal monitoring, frequent vaginal exams, even an i.v. can all really hinder the natural birth process. I know when I have ever gotten an i.v., I become extremely tense and uncomfortable. This is not how you want to be during labor.
    Women need privacy, darkened rooms, and a calm quiet atmosphere. Basically, whatever a women requires for a good sexual experience is what she requires for a good birth experience.
 
Myth #4 - A hospital is a more sanitary place to have a baby than at home.
    Childbed fever killed thousands of women in the 19th century — about the time physicians, who also cared for the ill and dying, began to attend births in clinics. As hospitals became the places to go for birth and death, infections became a plague upon childbearing women and other hospital patients. This was hugely because doctors did not wash their hands between doing autopsies and attending births.
    Today, infections acquired in hospitals are becoming more and more problematic. New "super bugs" (antibiotic resistant strains of bacteria) are showing up in hospitals everywhere. The more "sterile" we try to make hospitals, the more dangerous these germs are becoming.
    Hospitals are for sick people. Pregnancy is not a disease.
    Each family becomes accustomed to its own household germs and develops a resistance to them. Since fewer strangers are likely to be present at a homebirth than at a hospital birth, the chances of acquiring foreign germs are less likely in a homebirth situation.
    Every effort is made to provide a clean environment at homebirths. Midwives and homebirth doctors wear sterile gloves and use sterilized instruments for cutting the umbilical cord.
     At my homebirth, I plan to bleach the heck out of everything and sterilize as much as possible. My midwife says this is not necessary, but I'm slightly germ phobic. I've gotten separate towels to use for the birth that I've bleached and rinsed out a lot and will be sterilizing sheets and all other things being used during labor and birth.
 
My personal beliefs:
    I was raised in a Christian family. We believe in God and the power of natural medicine. I believe that God knew what he was doing when he designed a women's body. Childbirth is as natural a bodily function as pooping. Every time you go to the bathroom, you don't have to rush to the hospital and have a doctor tell you when to push it out. Your body knows what it's doing without any help. Likewise, if you allow your body to do it's job and you don't fight it, it will birth without anyone telling you what to do. I have faith in my body's own ability to give birth.
    I want my children to have the best advantages in life. I believe that the way a child is born into this world, affects it for many years to come. Children who are born without drugs, in a calm and gentle way, tend to get sick less often and have less problems with learning disorders. They also tend to be calmer and more well adjusted. I want to raise my children to be healthy, well-adjusted adults. I am more than happy to go through a few hours of labor pain, so they can have a healthy life.
 
        

Thursday, April 7, 2011

Labor: What a women needs and what she gets in the hospital.

      If you go to the average American hospital, odds are, you will have a normal baby. You will be ok, but you will not have a normal birth. In the sense of not having all kinds of unnecessary things done to you. When we first brought birth into the hospital, we treated it like it was surgery. The women is put into a wheel chair upon arrival, even though she can walk. They take away her clothes and give her a hospital gown. There is no need for gowns and masks in a normal birth. She is given an i.v. even though we have 4 decades of research showing that it is far better for a women to eat and drink on her own. She will get hooked up to an electronic fetal monitor and when the doctor or nurse comes in, they don't even look at the women, they look at the screen. The monitor was invented to prevent unnecessary intervention, but instead got used in the opposite way. The cesarean rate went from 6%, when the monitor was introduced, to 23% in just a short 10 year span, because the monitor more often than not, gives false alarms.
      There is no question that interventions have saved lives. The problem happens when you apply these same interventions to normal, healthy women. Less than 10% of women will actually need interventions, but when you apply the same interventions to the other 90% of healthy women, then you're going to screw up the birth of the normal women.
      It used to be ok that labor in hospitals lasted for 26 hours. Then it was 24 hours, then 18 hours and in some hospitals, it is now down to 12 hours. The act of labor takes place when the cervix begins to open the allow the baby to pass through. Normally this muscle is very tightly shut to keep the baby inside. The beginning of this muscle opening up (from about to 4 centimeters) is the first stage of labor. This stage can take hours or days to happen. Then you get into what is called active labor (about 4 to 6 centimeters) where labor moves a bit more quickly. In the hospital, you get frequent cervical checks to see if you are dilating quickly enough and if you're not, you get put on Pitocin. This cases the avalanche of other complications I have previously talked about which likely ends in cesarean delivery. Everyone may say, "Oh thank goodness we were able to do all these things to get the baby out." when in reality, those interventions are what caused the problem in the first place.
      Another major cause of the rising cesarean rates is the increasing number of inductions. An induction is a major intervention, that instead of relying on the timing of nature and the mother and baby working together in partnership, it's saying, "Oh, it's 8 o'clock in the morning, you can be out of here by dinner and so can I." This way, the doctor can slot a women in when it's convenient for them.
      There are a lot of women dying in this country because of unnecessary interventions. Women often go to their doctors expecting to be cared for during their pregnancy and there are many wonderful doctors and nurses who go into practice really wanting to care for and help mothers and babies. What happens is, the institutional policies and practices override what we know is really good and safe and supportive for mothers and babies. Most people are very uncomfortable with a women in labor, because of the pain. Everyone tries to push the mother into getting an epidural. At least 90% of all hospital births are given epidural. Women often say that they want their epidural in before the pain ever starts. That fact is, you aren't given the epidural until labor is almost over. Also, women are told about the risks of epidural, they are made to believe that it is safe, when in fact it is not.
      When you get an epidural, it cuts off your sensory nerves. Think of it as a highway that at your baby is traveling out on. What if you numbed your feet and were expected to walk down a highway? You wouldn't be very good at it, would you? Your muscles work, but if your feet are numb, they don't work the same way. If your birth canal is numb, it won't work the same way.
The pain in childbirth in an essential part to giving birth. The pain you feel down there, goes up to the brain to tell it to release certain hormones and then the hormones go down. It's a cycle and if you take away the pain, the whole physiology is interrupted and causes things like forceps or the vacuum to be needed.
      If women are given the right support system and are properly prepared, they won't need interventions like epidural. Water is one of the best forms of pain relief during labor. The heat form the water and the bubbles sooth and relax the muscles and can even speed up labor.
Childbirth is a transformative journey in a women's life. She can transform herself into a totally different women. She can see past all her barriers and come out saying, "I did that. I can do anything." At the same time, if we don't respect this women and give her dignity during childbirth, we can put her into a state of depression and give her a sense of inferiority. She can look at her birth experience and say, "This proves I am a weak women."
      We now know that women who have experienced trauma in life, especially sexual trauma, learn that do not carry over well into birth. Some of the ordinary procedures carried out on laboring women become traumatic for the sexual abuse survivor. With the right kind of support, preparation and thorough prenatal care, she can enter into the experience of child birth and be completely transformed.
      Women in labor need privacy. They need darkened rooms, and minimal interupton. The very act of observation can impair the release of the critical hormones of birth. A women can feel observed by the doctor, the nurses, or any number of interruptions. Pregnant women and laboring women are very emotionally porous. They will pick up on anything in the room. If your providers knew that you their job was to create a safe relaxing environment for labor, the women in labor would relax, her body would open and it would be totally different.
      The hormones being produced during labor are the same hormones produced during sex. These hormones are important for making labor a good and safe experience. When we use interventions, this natural flow of hormones is blocked, causing labor to be less pleasurable and less safe.
      If a women wants to have an ecstatic birth, she needs to be conscious of where she wants to give birth as well as who she wants to be present for the birth. The same elements a women would choose for having a wonderful birth are the same elements she would choose for having a great sexual experience
       If women are given the right support system and are properly prepared, they won't need interventions like epidural. Water is one of the best forms of pain relief during labor. The heat form the water and the bubbles sooth and relax the muscles and can even speed up labor.
       A good Midwife will be warm and welcoming. They will also ascertain whether the baby is in a good position, if the baby is growing well and reacting to the outside world in a healthy way. Her whole health will be observed and noticed by the Midwife. This really is the basis for being able to see whether a women is healthy enough to have a homebirth or if this women needs to be passed onto the doctor as a high risk patient. Homebirth midwives carry with them, all the same medical equipment as midwives at birthing centers have.

Midwifery: a short history

 
Some might say that birthing at home with a midwife is incredibly stupid and dangerous. I beg to differ. Trained homebirth midwives are extremely good at what they do. They don't just come in with a towel for you to bite on. They bring things like oxygen, pitocin, i.v.'s, fetal monitors, and other medical equipment. They come well prepared and are trained to stop a problem before it becomes a problem. If they think it is no longer safe to birth at home, they transfer you to the hospital.
Up until the 1900s, all births occured at home. As the human race evolved, women turned to others to help in labor and delivery. During some time in pre-history, this established the profession of the midwife. In fact, historians stress that midwifery has played an important historic role in all cultures from the earliest times. In early English language, the term "midwife" meant "with woman," or someone who supports rather than intervenes in the birth experience. In some countries,such as France, the word midwife is translated as "wise woman". The World Health Organization distinguishes midwifery for its continual health care of women and infants worldwide.

The Bible

The Bible contains many verses about midwifery. For example, the Egyptian midwives defied the Pharaoh's mandate to kill the Hebrew's newborn sons. Exodus 1:15-22 reads "if the midwife sees a boy on the delivery stool, he should be killed; if it is a girl, she may live." Later, in Genesis 35, Rachel recalls Joseph's birth with the midwives' help: "When she was in labor, the midwife told Rachel not to be afraid, she is having another son." Early Chinese and Hindu writings also mentioned midwives

Roman and Greek Civilization

During early Greek and Roman history, midwives were recognized as respected caregivers for women, not only at times of delivery, but throughout the childbearing years. Even Socrates' mother is believed to have been a midwife. The profession became more clearly defined at this time, and the midwives needed certain qualifications to administer their duties. For instance, Greek midwives were required to have borne their own children. This requirement continues with many cultures today.

Medieval Times

Throughout the Dark and Middle Ages, midwives relied on a variety of herbs and potions, which are seen as the forerunner of present-day medicine. The midwives gained their knowledge and learned their specific skills as apprentices to someone more experienced in the field. There was no formal "school," so the information was passed down through the generations. Both midwives and women in general were not highly esteemed. The mothers were still blamed for all cases of infertility.

Renaissance

Midwifery nearly disappeared during the late Middle Ages and the Renaissance when Midwives were accused of witchcraft and the surgeons took over the role of childbirth. Many of these women patients died, however, because the doctors delivered the baby without washing their hands from an earlier body dissection. Over time, the role of midwifery once again established itself as an important role.

1940s

It was not until 1944, with the publication of "Childbirth Without Fear" by Grantley Dick-Reed, that the profession of midwifery was closely studied. The book covered how midwives supported women through labor and delivery and the child could be born with relaxation methods rather than medicine or ether. He also concluded that women who were unafraid of delivery had less medical problems.

1980s

It was not until the 1980s, however, that birthing centers and home births were once again accepted. However, to this day in the United States, hospital birth is still considered by most people as the best alternative. Yet many couples now look at all their options and choose what they consider meets their personal, emotional and physical needs most.

Types of Midwives

Certified Nurse-Midwife (CNM): an individual trained and licensed in both nursing and midwifery. Nurse-midwives possess at least a bachelor's degree from an accredited instituton of higher education and are certified by the American College of Nurse Midwives.
Cerified Professional Midwife (CPM): an individual trained in Midwifery that meets practice standards of the North American Registry of Midwives.
Direct-Entry Midwife (DEM): an indiviual trained in midwifery through a variety of possibilties that include: self-study, apprenticeship, a midwifery school, or a college/university program.
Certified Midwife (CM): an individual trained and certified in midwifery. Certifed midwives possess at least a bachelor's degree from an accredited institution of higher education and are certified by the American College of Nurse Midwives.
Lay Midwife: an individual who is not certified or liscensed as a midwife, but they are trained informally throuhg self-study or apprenticeship.





Wednesday, April 6, 2011

When birth moved to the hospital- a short history.

    In the early 1900s the hospitals started setting up smear campaigns against midwives saying that these women were dirty nad ignorant. Hospitals were offered as clean and safe places to give birth. The reality was that it was far more dangerous to give birth in the hospital than it was at home, because doctors were coming out of med school and many of them had never even seen a live birth before starting to practice.
    In 1900, 95% of births in the us took place at home. In 1938, half of all births took place at home.By 1955, less than 1% of births took place at home. It has not changed since then.
The hospital is set up for one kind of birth and women get put through that system. You have to fight to get the birth you want. Once they start one intervention, it's like the domino effect. You may just end up with them all.
    Pitocin is synthetic oxytocin which causes contractions to become longer and stronger. The contractions are so intense and painful, that you end up with an epidural. The epidural slows down the contractions causing more pitocin to be needed. Even though you may not feel the stronger contractions, your baby does. The longer stronger contractions cut of the flow of blood and oxygen to the baby, putting it into distress. It becomes a victious cycle that ends in cesarean delivery. If the interventions had not been done in the first place, the need for cesarean would not have occured.
    Lying flat on your back with your legs up in the air actually makes your pelvis smaller. Your stomach muscles have to work harder to push and makes episiotomy and forceps alot more likely.
Doctors don't care about the mother's wants. They are focused on thier schedules and how fast can I get this baby out. When you start to ask questions, they get defensive and use the "it's to save the baby" line and you are bullied into giving in because you don't want to be the "bad mom".
    Birth is not the place to be rescued, it's the place for every women to face her darkest moment and lay claim to her victory. Birth is a life altering experience. It can be a beautiful and empowering experience or it can be traumatic and scarring.
    We are completely lost. We have forgotten to ask the most simple questions. What are the basic needs of a women in labor? And the fact that the midwives have disappeared is a symptom of the lack of understanding of the basic needs of the women in labor. Today, what we have to rediscover is how easy birth can be when we don't try to make things too complicated. When, ideally, there is nobody around but an experienced, motherly, and silent, low-prolife midwife.
    During the 1920s, a german scientist,
    In the 1930s, they were giving every women x-rays to measure her pelvis. Then, in the 40's they discovered that this was causing the babies to have cancer. In the 1960s, they had another drugs called Folidomide, which caused babies to be born without arms and legs. In every case, they stopped using it after the fact. In the 1990s, they were giving Cytotec as means to induce labor in women who had already had a previous cesarean. They ended up with hundreds and hundreds of ruptured uteruses and dead babies before they found out that they shouldn't do that. These drugs are not carefully studied before they are used and no one has studied the long term effects of drugs given during pregnancy and labor.
    During the 1960s, midwives and home birth started to come back as reaction against the Scopolamine era. People started leaving the hospitals once again until technology caught up again. In the 1970s, the electronic fetal monitor was introduced and by the end of the decade, the rate of cesarean went from 4% to 23% and has continued to rise.
    Today, one in three women give birth by cesarean. This is not because women have changed, but because it is extremely doctor friendly. Instead of a women being in labor for 12 hours or more, it's 20 minutes and the doctor can make it home for dinner. During a 24 hour period, the peak times cesareans are performed is at 4pm and 10pm, just in time for dinner and bed time. Also, the current thinking is "Oh, we don't want to get sued, so let's just section them."
    Hospitals are not up front with thier patients about birth procedures even though it's the law. People spend more time researching purchases like a camera than they do about birth. There really is not informed consent given, when talking about procedures. Nobody talks about the side effects or risks. When asked what the risks of a certain procedure or drug is, the most common response given is "minimal". In most cases, this is a big fat lie.
    In the US, we know that there is an increase in neurological disorders like autism, ADD, ADHD, etc. Likewise, the number of interventions that take place during birth have been rapidly on the rise. The thing is, we don't know how these interventions are affecting children in the long term. I do believe that we're going to realize in the next decade, that these problems could have been prevented if intervention during birth had not occurred.
    One of things that happens during labor is the body starts producing oxytocin (the love hormone) to cause contractions. That's when the "mommy brain" gets turned on, that strong desire to love, nurture and protect your baby. Pitocin is a synthetic form of oxytocin given in hospitals to speed up contractions, however it does not act like natural oxytocin does. It actually inhibbets the brain's abilitiy to develop this natural maternal intsinct to protect and care for your baby.
    The time immediatly following birth, is most important to the bonding of mother and baby. It is very short and irreplaceable. When mother and baby are close to eachother, they are able to be bound together by a complex cocktail of love hormones. Today, most women give birth without this flow of hormones. In animals, if you disturb the hormonal balance in giving birth, the mother does not take care of her baby. The most common example in humans is what we call "post-partum depression". If women are not allowed to produce these hormones, what does that say about the future of our society?
Albert Ladenburg , created a drug known as Scopolamine, which was used on women during labor to take away pain. American women, at the time, heard of this drug and started demanding it. Women were taught that child birth had to be painful because of Eve, so the modern, liberated women decided "I don't have to go through pain, give me drugs!" What they didn't know is that the drug wasn't actually taking away the pain, but only the memory of it. This was called "twighlight sleep". Not only did it take away memory, but also self-control, and self awareness. Women would scream, spit at people, and try to claw the face of the doctor or nurse, so they began to strap women to the beds with lambs wool, because if you used anything else, it would leave marks and the husbands would start asking questions. Women would be strapped down and left there for days.

Introduction

       I wanted to start this blog, because I've found that most people I know, don't have a good understanding of homebirth. There is much fear in the unknown. In order to help ease the fear, I want to educate everyone. Most people I know think that going the hospital route and doing everything the doctor tells you to do, is the best and safest way to give birth. I strongly disagree with this myth. OB/GYN's are not taught how to handle normal, healthy women with normal, healthy pregnancies. They are taught only to deal with the problems of it. While it's great that we have doctors to help those problems, applying the same procedures you would use on a sick person to a healthy person actually creates problems that would not have come up if left alone.
      When I first found out I was pregnant, I did what every other pregnant women does. I called and made an appointment with my OB. The morning I was to go see my OB and begin prenatal care, I got a called from his office saying that due to my army insurance, they could no longer see me while I was pregnant. BACH, the army hospital, had decided that they had room for me as prenatal patient, so I had no choice but to go there. I freaked! I spent the next several days screaming at insurance and army doctors to release me back to my doctor, but of course they did not oblige.
      I ended up going to BACH for my first prenatal visits and was horrified. The first visit, I spent 3 hours waiting in the waiting room until a nurse finally realized I had been there too long and went to find out why I hadn't been seen. It turns out, no one had a clue why I was there. I spent 2 mores hours explaining to everyone why I was there. Finally, one of the doctors who wasn't busy saw me and did an ultrasound to confirm my pregnancy and such. That's when it really started going downhill. After doing a ton of painful digging trying to locate the embryo, he told me that I could possibly have an ectopic pregnancy. He wanted me to come back in a few days to get another ultrasound to confirm. After 2 weeks of ultrasounds, bloodwork, and dealing with the possiblity of having to terminate the pregnancy I had been through hell to get, it turns out everything was just fine and I had gone through a bunch of bs for nothing.
      I quickly realized that this was not where and how I wanted to bring my child into the world. I started researching alternative birth methods. After alot of research, I decided upon a home water birth. I found an excellent midwife and immediately began seeing her. I love seeing a midwife. They take a wholistic approach to prenatal care. She talks to me, listens to me and really gets to know me and my needs. She doesn't run a bunch of stupid tests on me if I think something might wrong, she just listens and tells me how to treat the problem. If I get a yeast infection, she doesn't make me pee in a cup, and pump me full of drugs, she simply tell me how to rebalance my body and fix it naturally. And it works better than drugs.
      I continue to do alot of research and have alot of decisions still to make. I will continue to and to my blog and give information as I collect it. To avoid turning this into a full book, which I could easily do, I'll just put up the links to websites I've found to be very helpful in my research.
    
The Bradley Birthing Method- http://www.yourbirthingbody.com/    
Orgasmic Birth (documentary)- http://www.orgasmicbirth.com/
The Business of Being Born (documentary)- http://www.thebusinessofbeingborn.com/
Kimberly Spencer, CPM- http://www.nashvillemidwife.com/
Unassisted Childbirth (book)- http://www.unassistedchildbirth.com/