Oh boy, having just returned from attending a birth I have a hundred things going through my mind! But what I want to share is that over and over again I see the same thing in birth. What you bring in is what you get. Let me explain.
Every birth is so individual, so special in its own right. We have the power as women to decide what the first day and moments of life for our new family will be like. What I am learning in my work with birth is that the experience is actually determined long before you feel those first twinges and tightenings. Time after time I have seen strong women prepare themselves both mentally and physically for the birth experience they dersire and then I have the pleasure of witnesssing as they achieve those goals. There seems to be at least 2 factors involved. One, these women want to own their birth experience. They are not ready to just let it happen to them, they want to see the map, check out altenate routes to the destination and even pick up some tools and skills that will make the journey easier. Secondly, they act on their desires! They ask questions, face their fears, seek out other sources of information and truly desire to do what is best for them and the child to come.
This pre- determination of your birth experience occurs whether or not you invest yourself in the process. We all carry our preconceived notions of birth, pain, and parenting, We all drag our baggage along with us. We have those terrible or joyous birth stories that we have been told by other mothers swirling through our heads. We have our own issues around self confidence and trusting that our bodies can actually do this thing it was created to do.
Regardless of how you plan, intentionally or by default, your experience will bear that out in the end. Now, I am not saying that every women can plan herself a quick, painless, effortless birth. I am also not saying that things will always go the way you have planned. What I am saying is that when you plan you can handle whatever curve balls birth might throw at you with confidence.
A huge chunk of our birth experience depends on how we mentally process the things that are happening through us and around us. Any competitive athelte will tell you, physical preparation is vitally important, but the mental stamina to complete the challenge is just as important!
The first step is finding out what you don't know about birth that could influence how you prepare and the choices you will make for your child. Start by questioning the obvious. Challenge notions that have been accepted as truth. For example: Why do we feel 'pain' in birth? Sounds like a stupid question doesn't it? But, could our experience be a reflection of our expectations? I have seen the full spectrum of responses to the work a woman's body does during birth. They have ranged from intense pleasure to out of control writhing. The factors affecting these births all seemed to lay within the mother's mind. Her responses to the work. Her ability to flow with and relax into the experience all aided the coping with 'pain'. When we are prepared for the work ahead, when we realize that the work is really coming through us. Women seem to be able to tap into an amazingly deep well of strength and focus.
I am going to be posting some birth stories and reflections from women I have worked with at some point either prenatally or during their their births as a Doula. They are filled with wisdom. I hope they will help you to start asking yourself how you need to prepare. What do you really want from your birth ? What can you do? What is within your power to control and what is not?
Welcome to the journey.
Believing in Birth,
Lisa Wass
Showing posts with label Birth stories. Show all posts
Showing posts with label Birth stories. Show all posts
Thursday, January 28, 2010
We can create our birth experience
Labels: Breastfeeding
Birth in hospital,
Birth stories,
birthplans,
doulas,
who has the power
Sunday, April 06, 2008
Tuesday, February 26, 2008
Trust BIrth Conference
These photos were taken by Gloria Lemay
www.consciouswoman.org
at the Trust Birth Conference in Redondo Beach California. March 6 to 10, 2008.
This was an unprecedented gathering of concerned citizens from all over the planet, coming together at the invitation of Carla Hartley, director of Ancient Arts Midwifery Institute. Carla has taught distance education for midwives for the past 30 years.
PASte this into your browser for more:
http://www.flickr.com/photos/22818838@N03/2327312664/in/set-72157604098594121/
5a. Trusting the Process
Posted by: "Tia Rich" tia@inner-serenity.org innerserenitybirth
Tue Feb 26, 2008 10:30 am (PST)
So I am in post recovery from a birth yesterday as a Doula. This
entire last weekend I have been pondering the birthing process and the
journey it is. How we treat it in our world. So here is a the story of
the birth....
I had a client begin laboring on Feb 11th and on the 12th was 3cm
60% effaced... She lost her mucous plug and so we all thought
soon... I told her to rest, hydrate and eat. She took walks with her
mate and looked forward to the day... Well time passed and she would
have periods of regular contractions that by bedtime when she was
tired would just slide away... By the 22nd after losing two mucous
plugs and having bloody show off and on for a week. she began
contracting at 1am (Friday) 5 min apart, she rested, ate drank and
just hung through them.... This continued through the weekend...
intensity building...(baby reactive and doing well through it all)
Monday the 25th 5:30 am I get a phone call that they are pretty
intense 2 min. apart... so it's time to go to her home.... We labor at
home till I see the dilated pupils and wild look in her eyes, her
water had broken 30 minutes before... time to go Transition has
arrived... At the hospital she is 7 cm and goes to 10 within 30
minutes... Beautiful chubby baby born 90 min. later... With a thick
healthy placenta... Oh and her caregivers honored her plans (push in
whatever position, late cord clamping, mother/baby/daddy bare skin
contact without time limits, no Vacc or interventions etc...) This in
a 90% epidural rate hospital....
OK so my client knows that without me to sound her out and reassure
her she would have gone to her caregiver and would have been in the
hospital many days before this one... She was being seen by two CNM's
and a OB in practice together. She knows she most likely would have
ended up on Pitocin and much more had they known about her pattern of
labor... I find this sad that "I" was their saving grace from that
process.
None of the books that most people read really talk about labor and
birth looking like this... So how are mothers to know that what their
body is doing is perfectly normal. This woman happened to be highly
attuned to her body and baby. More so than most woman, I truly believe
that is part of what let her slowly labor her baby out. She labored
for hours and hours over the weekend and would sleep when she needed
it, her body and adapting to those needs...
She did so much of the work of labor calmly, relaxed, smiling... The
intense part was very intense, but also very short in comparison to
the whole process... In all this woman and her mate had an experience
full of respect and beauty without fear and manipulation.
This is a pattern we need our caregivers and ourselves to honor, that
we need to write about and teach... I believe even midwives need to
really look at this, and learn to trust and honor the birth process. I
see many who fear the process that is not "normal". So what is normal?
That is not a simple answer, normal is as different as each individual
person is.
This journey I shared in was natural and very normal, not
maladaptive... Instead of seeing the normal pattern, most see problems
and look for reasons why the baby isn't popping out in the 14 hr
medical time plan...Of course back in the 60's normal labor was
thought to last as long as 36-38 hrs... In the 80's it was knocked
down to 24hrs, we now expect it to last 14 hrs... Have our bodies
changed so much?
Tia Rich
www.inner-serenity.org
Posted by: "Tia Rich" tia@inner-serenity.org innerserenitybirth
Tue Feb 26, 2008 10:30 am (PST)
So I am in post recovery from a birth yesterday as a Doula. This
entire last weekend I have been pondering the birthing process and the
journey it is. How we treat it in our world. So here is a the story of
the birth....
I had a client begin laboring on Feb 11th and on the 12th was 3cm
60% effaced... She lost her mucous plug and so we all thought
soon... I told her to rest, hydrate and eat. She took walks with her
mate and looked forward to the day... Well time passed and she would
have periods of regular contractions that by bedtime when she was
tired would just slide away... By the 22nd after losing two mucous
plugs and having bloody show off and on for a week. she began
contracting at 1am (Friday) 5 min apart, she rested, ate drank and
just hung through them.... This continued through the weekend...
intensity building...(baby reactive and doing well through it all)
Monday the 25th 5:30 am I get a phone call that they are pretty
intense 2 min. apart... so it's time to go to her home.... We labor at
home till I see the dilated pupils and wild look in her eyes, her
water had broken 30 minutes before... time to go Transition has
arrived... At the hospital she is 7 cm and goes to 10 within 30
minutes... Beautiful chubby baby born 90 min. later... With a thick
healthy placenta... Oh and her caregivers honored her plans (push in
whatever position, late cord clamping, mother/baby/daddy bare skin
contact without time limits, no Vacc or interventions etc...) This in
a 90% epidural rate hospital....
OK so my client knows that without me to sound her out and reassure
her she would have gone to her caregiver and would have been in the
hospital many days before this one... She was being seen by two CNM's
and a OB in practice together. She knows she most likely would have
ended up on Pitocin and much more had they known about her pattern of
labor... I find this sad that "I" was their saving grace from that
process.
None of the books that most people read really talk about labor and
birth looking like this... So how are mothers to know that what their
body is doing is perfectly normal. This woman happened to be highly
attuned to her body and baby. More so than most woman, I truly believe
that is part of what let her slowly labor her baby out. She labored
for hours and hours over the weekend and would sleep when she needed
it, her body and adapting to those needs...
She did so much of the work of labor calmly, relaxed, smiling... The
intense part was very intense, but also very short in comparison to
the whole process... In all this woman and her mate had an experience
full of respect and beauty without fear and manipulation.
This is a pattern we need our caregivers and ourselves to honor, that
we need to write about and teach... I believe even midwives need to
really look at this, and learn to trust and honor the birth process. I
see many who fear the process that is not "normal". So what is normal?
That is not a simple answer, normal is as different as each individual
person is.
This journey I shared in was natural and very normal, not
maladaptive... Instead of seeing the normal pattern, most see problems
and look for reasons why the baby isn't popping out in the 14 hr
medical time plan...Of course back in the 60's normal labor was
thought to last as long as 36-38 hrs... In the 80's it was knocked
down to 24hrs, we now expect it to last 14 hrs... Have our bodies
changed so much?
Tia Rich
www.inner-serenity.org
Monday, December 31, 2007
Top 5 Most Under Reported Birth Stories of 2007
Top 5 Most Under reported Birth Stories of 2007-
O.K. So it is U.S. stuff but I have added some Canadian comparisons....Can you find more?
Following the lead of Time.com’s “Top 10 Most Under reported Stories of 2007” I thought we could take a look at our country’s top 5 most under reported birth stories of 2007. So, here it is:
Top 5 Most Under reported Birth Stories of 2007
A year-end review brought to you by www.nowombpods.blogspot.com(US content) and
www.birthrhythms.blogspot.com (Canadian content)
5. An Orlando mother goes into hospital to give birth and leaves without her arms or legs.
(http://www.wftv.com/news/6253589/detail.html)
The birth for this mother was smooth. It’s what happened afterwards that left her unable to hold or care for her newborn. Claudia Mejia went into a hospital to give birth but when she left the hospital, her arms and legs stayed behind. She is now a quadruple amputee and the hospital refuses to tell her why. She was told she had streptococcus and toxic shock syndrome but the hospital will not tell her how she contracted them. It is unlikely Ms. Mejia would have contracted the illnesses had her baby been born at home.
5.b. Canadian Doctor not negligent in case where woman lost limbs: jury
Last Updated: Wednesday, November 28, 2007 | 5:15 PM CT
CBC News
The Saskatchewan surgeon who operated on a woman who later went into septic shock and needed to have her hands and feet amputated did not act negligently, a Saskatoon jury has decided...more
What the article doesn't tells you is that the procedure was done following the birth of her child before her discharge from hospital. Unfortunately I cannot find a web source for you to support that fact. Does anyone else have something that could substantiate it?
4. a. A Florida woman dies following induction of labor.
(http://www.sptimes.com/2007/05/19/news_pf/Tampabay/Why_she_died_a_puzzle.shtml)
Caroline Wiren was a young, healthy mother who was excited by the upcoming birth of her child. She touched his head, told her mother to tell the baby that she loved him, and then she was gone. Mrs. Wiren had her labor induced just seven days past her baby’s due date, even though it is common for a woman’s first child to be born as much as two weeks after the given due date.
According to http://www.medpagetoday.com/OBGYN/Pregnancy/dh/4334, one possible complication of induction of labor is amniotic-fluid embolism, which can lead to death.
4. b. In Canada, the Society of Obstetricians recommends "counselling women" who reach 41 weeks of the "higher risks of expectant management". Two Canadian obstetricians from the University of Manitoba have written a swingeing article published in the British Journal of Obstetrics and Gynaecology criticising this policy1...They conclude: "The higher risk that routine induction at 41 weeks aims to reduce is dubious, if it exists at all."
Most women who have not given birth by 41 weeks will have gone into labour by 42 weeks. One study showed that 19 per cent had not had their babies by 41 weeks, but only 3.5 per cent were still pregnant at 42 weeks.
Following the Canadian policy, in a hospital with 4000 births a year, about 1000 inductions would be done solely because the mother had reached 41 weeks. The authors point out that the extra attention given to those being unnecessarily induced could reduce the care available for inductions carried out for urgent medical reasons. They cite the case of a woman with severe hypertension whose induction was delayed because the labour floor was filled with 41-week inductions. The mother died of intracranial haemorrhage. more
Amniotic-Fluid Embolism and Medical Induction of Labor: A Retrospective, Population-Based Cohort Study.
Obstetrics
Obstetrical & Gynecological Survey. 62(4):219-220, April 2007.
Kramer, Michael S.; Rouleau, Jocelyn; Baskett, Thomas F.; Joseph, K S.; for the Maternal Health Study Group of the Canadian Perinatal Surveillance System
Abstract:
Amniotic-fluid embolism is a rare complication of delivery, the cause of which is unknown. It remains one of the major causes of maternal deaths in developed countries. This population-based cohort study sought to clarify the association between amniotic-fluid embolism and medical induction of labor in a cohort of 3 million hospital deliveries taking place in several regions of Canada in the years 1991-2002....Of 180 affected singleton births, 24 were followed by the mother's death, for a case-fatality rate of 13%. There was no apparent increase over time in amniotic-fluid embolism for either total cases or fatal cases. Medicalinduction of labor nearly doubled the risk of amniotic-fluid embolism...more
3. a. Two New Jersey women die just days apart following their cesarean surgeries.
http://www.nownj.org/njnews/2007/0518%20Moms%20decry%20high%20N.J.%20C-section%20rate.htm
Two young, healthy mothers entered a hospital in New Jersey to give birth to their babies. Both had cesareans and both were dead within days. The mothers leave behind two beautiful, absolutely healthy baby girls. This raises the question: then why the surgery?
3. b. Canadian news... Increased risks of planned cesarean births must be clearly conveyed
February 13, 2007 - A three-fold rate of severe complications overall is reported among women having a planned cesarean section compared with those who planned a vaginal delivery. Liu and colleagues studied women who delivered a child between 1991 and 2005 in Canada (excluding Quebec and Manitoba). The rate of severe complications in 46,766 healthy women who had a non-urgent cesarean delivery for a breech baby was compared with that among 2,292,420 healthy women who delivered (non-breech) babies vaginally. The rate of severe complications (such as major infection and blood clots) in the planned cesarean group was found to be 27.3 per 1000 deliveries, compared with 9.0 per 1000 deliveries in the planned vaginal delivery group.
Because breech babies are at greater risk during vaginal birth, breech position is an accepted medical indication for planned cesarean birth. This may not hold true for non-breech babies, however, and the authors express concern about the growing number of women who request delivery by cesarean section without an accepted medical indication.
In a related commentary, Armson notes that in Canada, the cesarean birth rate has increased from 5.2% in 1969 to 25.6% in 2003. He reviews the complex interplay of obstetric and nonobstetric factors that contribute to this trend.
Canadian Medical Association Journal
http://www.brightsurf.com/news/headlines/28821/Increased_risks_of_planned_cesarean_births_must_be_clearly_conveyed.html
...The risk of postpartum death was 3.6 times higher after cesarean than after vaginal delivery (odds ratio 3.64, 95% confidence interval 2.15–6.19). Both prepartum and intrapartum cesarean delivery were associated with a significantly increased risk. Cesarean delivery was associated with a significantly increased risk of maternal death. more from the Canadian Post-Partum Maternal Mortality and Cesarean Delivery
Obstetrics and Gynecology, Vol. 108, Issue 3, September 2006
2. a. The most updated birth data from the CDC shows that the cesarean rate in the United States has risen to 31.1%.
(http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_07.pdf)
This latest number (from 2006) represents a 10.4% increase from ten years ago, and a 3% increase from the previous year. The report also indicates that the percentage of low birthweight babies and preterm babies is on the rise. Consumer Reports names the cesarean as one of the 10 most overused tests and treatments (http://www.consumerreports.org/cro/health-fitness/health-care/medical-ripoffs-11-07/10-overused-tests-and-treatments/medical-ripoffs-ten-over_1.htm).
2.b.Canada's Caesarean Rate at Record High;Millions spent on preventable surgeries
http://www.sources.com/Releases/ICAN01-CaesareanRate.htm
The number of caesarean sections in Canada is again at a record high, reports the Canadian Institute for Health Information (CIHI) in their 2007 Health Indicators report. Consumer health groups are concerned. "Everything we know about caesareans supports reducing the number for this major surgery," says Connie Thompson, President of the International Caesarean Awareness Network in Canada (ICAN Canada).
In Canada, 26.3% of women delivered babies by caesarean in 2005 - 2006, increased from 25.6% in 2004 - 2005. However, there was huge variation between health regions (17.8% to 36.8%), and provinces and territories (8.2% to 30.4%). Common reasons given to justify the rise in caesarean sections are that women are having children later in life, thus increasing pregnancy risk and the chance of birth complications, or that women are choosing to have caesareans for personal convenience. None of these factors explain the wide variation in caesarean rates across Canada.
"Medically unnecessary caesareans happen every day," says Ruth Wadley, a mother of 3 in Edmonton. "I was told by my OB that if I showed up at the hospital I would be sectioned." Ms. Wadley delivered her first two children by caesarean and was planning a VBAC for her third last month. "I was given a zero percent chance of ever giving birth naturally but I felt I deserved the opportunity to try," Ruth explains. "I hired a professional midwife and had a perfectly normal birth at home."
The report also states, "Since unnecessary caesarean section delivery increases maternal morbidity and mortality and is associated with higher costs, caesarean section rates are often used to monitor clinical practices with an implicit assumption that lower rates indicate more appropriate, as well as more efficient, care." The World Health Organization (WHO) states that a rate over 10-15% means that unnecessary caesareans are being done.
The report "Giving Birth in Canada: The Costs" from CIHI last year gave the cost of a caesarean as $6000 ($4600 for woman plus $1400 for baby), compared with $3600 ($2800 for woman plus $800 for baby) for a normal birth. With over 343,000 births in Canada in 2006, if WHO guidelines were followed, over $93 million could be saved.
"Put the two together," says Connie Thompson, "and it is clear that many of the caesareans being done in Canada are preventable, risk the health of mother and baby, and cost millions of dollars for our overstretched healthcare system. It is time for a change."
For more information on cesarean awareness and prevention, please visit www.ican-online.org
1.a. United States ranks among lowest of developed nations in terms of newborn death rates. (http://www.cnn.com/2006/HEALTH/parenting/05/08/mothers.index/index.html)
1.b. Canada also ranks in bottom half of developed nations in terms of newborn death rates. check out this link: (10 worst and best)
According to Save the Children researchers, infants in the United States are more than three times as likely to die within their first 24 hours as infants in born in Japan. The United States has the second highest IMR (infant mortality rate) in the developed world, Canada shares the third worst record with 11 other countries. Latvia is the only developed country with a higher IMR than the U.S. There are 22 countries in the world where it is safer to give birth than Canada. see more
That being said let's try to end on a positive note; "With the exception of Japan, Canada has had the most dramatic decline in infant mortality rates in the past 35 years. In 1996, the infant mortality rate in Canada was 5.6 per 1,000 live births compared with a rate of 27.3 per 1,000 live births in 1960; it has decreased steadily since the early 1960s, tapering off somewhat in the mid-1980s." see more...
O.K. So it is U.S. stuff but I have added some Canadian comparisons....Can you find more?
Following the lead of Time.com’s “Top 10 Most Under reported Stories of 2007” I thought we could take a look at our country’s top 5 most under reported birth stories of 2007. So, here it is:
Top 5 Most Under reported Birth Stories of 2007
A year-end review brought to you by www.nowombpods.blogspot.com(US content) and
www.birthrhythms.blogspot.com (Canadian content)
5. An Orlando mother goes into hospital to give birth and leaves without her arms or legs.
(http://www.wftv.com/news/6253589/detail.html)
The birth for this mother was smooth. It’s what happened afterwards that left her unable to hold or care for her newborn. Claudia Mejia went into a hospital to give birth but when she left the hospital, her arms and legs stayed behind. She is now a quadruple amputee and the hospital refuses to tell her why. She was told she had streptococcus and toxic shock syndrome but the hospital will not tell her how she contracted them. It is unlikely Ms. Mejia would have contracted the illnesses had her baby been born at home.
5.b. Canadian Doctor not negligent in case where woman lost limbs: jury
Last Updated: Wednesday, November 28, 2007 | 5:15 PM CT
CBC News
The Saskatchewan surgeon who operated on a woman who later went into septic shock and needed to have her hands and feet amputated did not act negligently, a Saskatoon jury has decided...more
What the article doesn't tells you is that the procedure was done following the birth of her child before her discharge from hospital. Unfortunately I cannot find a web source for you to support that fact. Does anyone else have something that could substantiate it?
4. a. A Florida woman dies following induction of labor.
(http://www.sptimes.com/2007/05/19/news_pf/Tampabay/Why_she_died_a_puzzle.shtml)
Caroline Wiren was a young, healthy mother who was excited by the upcoming birth of her child. She touched his head, told her mother to tell the baby that she loved him, and then she was gone. Mrs. Wiren had her labor induced just seven days past her baby’s due date, even though it is common for a woman’s first child to be born as much as two weeks after the given due date.
According to http://www.medpagetoday.com/OBGYN/Pregnancy/dh/4334, one possible complication of induction of labor is amniotic-fluid embolism, which can lead to death.
4. b. In Canada, the Society of Obstetricians recommends "counselling women" who reach 41 weeks of the "higher risks of expectant management". Two Canadian obstetricians from the University of Manitoba have written a swingeing article published in the British Journal of Obstetrics and Gynaecology criticising this policy1...They conclude: "The higher risk that routine induction at 41 weeks aims to reduce is dubious, if it exists at all."
Most women who have not given birth by 41 weeks will have gone into labour by 42 weeks. One study showed that 19 per cent had not had their babies by 41 weeks, but only 3.5 per cent were still pregnant at 42 weeks.
Following the Canadian policy, in a hospital with 4000 births a year, about 1000 inductions would be done solely because the mother had reached 41 weeks. The authors point out that the extra attention given to those being unnecessarily induced could reduce the care available for inductions carried out for urgent medical reasons. They cite the case of a woman with severe hypertension whose induction was delayed because the labour floor was filled with 41-week inductions. The mother died of intracranial haemorrhage. more
Amniotic-Fluid Embolism and Medical Induction of Labor: A Retrospective, Population-Based Cohort Study.
Obstetrics
Obstetrical & Gynecological Survey. 62(4):219-220, April 2007.
Kramer, Michael S.; Rouleau, Jocelyn; Baskett, Thomas F.; Joseph, K S.; for the Maternal Health Study Group of the Canadian Perinatal Surveillance System
Abstract:
Amniotic-fluid embolism is a rare complication of delivery, the cause of which is unknown. It remains one of the major causes of maternal deaths in developed countries. This population-based cohort study sought to clarify the association between amniotic-fluid embolism and medical induction of labor in a cohort of 3 million hospital deliveries taking place in several regions of Canada in the years 1991-2002....Of 180 affected singleton births, 24 were followed by the mother's death, for a case-fatality rate of 13%. There was no apparent increase over time in amniotic-fluid embolism for either total cases or fatal cases. Medicalinduction of labor nearly doubled the risk of amniotic-fluid embolism...more
3. a. Two New Jersey women die just days apart following their cesarean surgeries.
http://www.nownj.org/njnews/2007/0518%20Moms%20decry%20high%20N.J.%20C-section%20rate.htm
Two young, healthy mothers entered a hospital in New Jersey to give birth to their babies. Both had cesareans and both were dead within days. The mothers leave behind two beautiful, absolutely healthy baby girls. This raises the question: then why the surgery?
3. b. Canadian news... Increased risks of planned cesarean births must be clearly conveyed
February 13, 2007 - A three-fold rate of severe complications overall is reported among women having a planned cesarean section compared with those who planned a vaginal delivery. Liu and colleagues studied women who delivered a child between 1991 and 2005 in Canada (excluding Quebec and Manitoba). The rate of severe complications in 46,766 healthy women who had a non-urgent cesarean delivery for a breech baby was compared with that among 2,292,420 healthy women who delivered (non-breech) babies vaginally. The rate of severe complications (such as major infection and blood clots) in the planned cesarean group was found to be 27.3 per 1000 deliveries, compared with 9.0 per 1000 deliveries in the planned vaginal delivery group.
Because breech babies are at greater risk during vaginal birth, breech position is an accepted medical indication for planned cesarean birth. This may not hold true for non-breech babies, however, and the authors express concern about the growing number of women who request delivery by cesarean section without an accepted medical indication.
In a related commentary, Armson notes that in Canada, the cesarean birth rate has increased from 5.2% in 1969 to 25.6% in 2003. He reviews the complex interplay of obstetric and nonobstetric factors that contribute to this trend.
Canadian Medical Association Journal
http://www.brightsurf.com/news/headlines/28821/Increased_risks_of_planned_cesarean_births_must_be_clearly_conveyed.html
...The risk of postpartum death was 3.6 times higher after cesarean than after vaginal delivery (odds ratio 3.64, 95% confidence interval 2.15–6.19). Both prepartum and intrapartum cesarean delivery were associated with a significantly increased risk. Cesarean delivery was associated with a significantly increased risk of maternal death. more from the Canadian Post-Partum Maternal Mortality and Cesarean Delivery
Obstetrics and Gynecology, Vol. 108, Issue 3, September 2006
2. a. The most updated birth data from the CDC shows that the cesarean rate in the United States has risen to 31.1%.
(http://www.cdc.gov/nchs/data/nvsr/nvsr56/nvsr56_07.pdf)
This latest number (from 2006) represents a 10.4% increase from ten years ago, and a 3% increase from the previous year. The report also indicates that the percentage of low birthweight babies and preterm babies is on the rise. Consumer Reports names the cesarean as one of the 10 most overused tests and treatments (http://www.consumerreports.org/cro/health-fitness/health-care/medical-ripoffs-11-07/10-overused-tests-and-treatments/medical-ripoffs-ten-over_1.htm).
2.b.Canada's Caesarean Rate at Record High;Millions spent on preventable surgeries
http://www.sources.com/Releases/ICAN01-CaesareanRate.htm
The number of caesarean sections in Canada is again at a record high, reports the Canadian Institute for Health Information (CIHI) in their 2007 Health Indicators report. Consumer health groups are concerned. "Everything we know about caesareans supports reducing the number for this major surgery," says Connie Thompson, President of the International Caesarean Awareness Network in Canada (ICAN Canada).
In Canada, 26.3% of women delivered babies by caesarean in 2005 - 2006, increased from 25.6% in 2004 - 2005. However, there was huge variation between health regions (17.8% to 36.8%), and provinces and territories (8.2% to 30.4%). Common reasons given to justify the rise in caesarean sections are that women are having children later in life, thus increasing pregnancy risk and the chance of birth complications, or that women are choosing to have caesareans for personal convenience. None of these factors explain the wide variation in caesarean rates across Canada.
"Medically unnecessary caesareans happen every day," says Ruth Wadley, a mother of 3 in Edmonton. "I was told by my OB that if I showed up at the hospital I would be sectioned." Ms. Wadley delivered her first two children by caesarean and was planning a VBAC for her third last month. "I was given a zero percent chance of ever giving birth naturally but I felt I deserved the opportunity to try," Ruth explains. "I hired a professional midwife and had a perfectly normal birth at home."
The report also states, "Since unnecessary caesarean section delivery increases maternal morbidity and mortality and is associated with higher costs, caesarean section rates are often used to monitor clinical practices with an implicit assumption that lower rates indicate more appropriate, as well as more efficient, care." The World Health Organization (WHO) states that a rate over 10-15% means that unnecessary caesareans are being done.
The report "Giving Birth in Canada: The Costs" from CIHI last year gave the cost of a caesarean as $6000 ($4600 for woman plus $1400 for baby), compared with $3600 ($2800 for woman plus $800 for baby) for a normal birth. With over 343,000 births in Canada in 2006, if WHO guidelines were followed, over $93 million could be saved.
"Put the two together," says Connie Thompson, "and it is clear that many of the caesareans being done in Canada are preventable, risk the health of mother and baby, and cost millions of dollars for our overstretched healthcare system. It is time for a change."
For more information on cesarean awareness and prevention, please visit www.ican-online.org
1.a. United States ranks among lowest of developed nations in terms of newborn death rates. (http://www.cnn.com/2006/HEALTH/parenting/05/08/mothers.index/index.html)
1.b. Canada also ranks in bottom half of developed nations in terms of newborn death rates. check out this link: (10 worst and best)
According to Save the Children researchers, infants in the United States are more than three times as likely to die within their first 24 hours as infants in born in Japan. The United States has the second highest IMR (infant mortality rate) in the developed world, Canada shares the third worst record with 11 other countries. Latvia is the only developed country with a higher IMR than the U.S. There are 22 countries in the world where it is safer to give birth than Canada. see more
That being said let's try to end on a positive note; "With the exception of Japan, Canada has had the most dramatic decline in infant mortality rates in the past 35 years. In 1996, the infant mortality rate in Canada was 5.6 per 1,000 live births compared with a rate of 27.3 per 1,000 live births in 1960; it has decreased steadily since the early 1960s, tapering off somewhat in the mid-1980s." see more...
Monday, August 27, 2007
T, Sam & the Twins (Freddies)

T, Sam & the Twins (Freddies)
Last month I met with a great couple who are expecting twins. They have set up a blog to chronicle the journey complete with photos of her gorgeous growing belly. I am very excited to share this journey with them as their Doula. Please check out the blog for updates!
believing in birth,
Lisa
Labels: Breastfeeding
Birth stories,
hospital birth,
RUH,
Twins
Tuesday, August 07, 2007
Waterbirth of Rebekkah
On the morning of August 4 , 2007 I had the privilege of being present for the birth of a child.
Rebekkah was born into the loving arms of her parents, in her own home, in a warm pool of water. The midwives and I had sat vigil with this birthing couple for 24 hours. The mother's pace of labour was leisurely, but rhythmic and effective. She focused on her body's natural rhythms and accepted that this child would come on its own terms. I have supported many labours at home in my work as a doula, but only a couple that were planned home births. This was a very inspiring event. As a doula, I usually accompany couples into the hospital once the mother's labour is firmly established at home. The intimacy and security of the family's home environment is left behind as we enter the medical management model of birth at the hospital. Once there my energies are split between supporting the mother's physical and emotional needs and helping to navigate the medical model while still maintaining a sense of control and intimacy in a new and strange environment. My experience with this birth was very different. I was in the company of two of Saskatchewan's three midwives. Their presence set a different tone for the birth from the onset. These are truly beautiful and amazing women. Their complete TRUST in birth, quiet encouragement and hands off approach to a mother's care during labour were a breathe of fresh air. While the labouring mom and her husband spent time together and I supported them both verbally and physically when neccesary, these women kept watch. I think I will call them Birth Guardians. Their presence was barely known; floating in and out of the mother's space only when needed. Some women need alot of physical support in the way of massage during labour, others really just want to be left alone. This mom was most comforted in the arms of her husband, who held her tightly during contractions and was often heard exchanging whispers of love and adoration with her when she rested. The rest of us were there to support them and this process of birth that proceeded so perfectly. There were points during this home birth when I actually thought to myself, "This is so relaxing." They were so obviously in love and absorbed in the work of bringing this child into the world together. There were no interruptions, or interventions to distract them. They had the freedom to roam about, often going outside for walks, eating light snacks and bathing often. When the contractions would slow down, she took her body's cue to rest and would sleep for short periods of time. Upon waking she would comment on how good she felt and they would begin the 'dance' agian. This alone was wondeful to witness. Women are taught not to trust our bodies in so many ways. In the hospital this mom would have been told she was not progressing and interventions would have been initiated to force the labour into an "acceptable" pace. There is a focus on product instead of process in the medical world. The midwives kept careful records of her health throughout and of the baby's heart rate, but did not interfere with the way her body laboured. They made suggestions regarding positioning and nutrition as needed, and encouraged the mom the everything was proceeding well. You see, the range of normal becomes much wider when medical mangement parameters are lifted from labour. This woman was able to honour the process of birth and in doing so honoured herself. Her child was born so peacefully. I am not saying that one must have a home birth to have a satisfactory experience, but I will admit that the level of freedom and support for the couple while in the hands of well trained and capable midwives far exceeded any hospital experience that I have witnessed to date. I look forward to working with the midwives again and I am so excited for this new little family who have entered into relationship together in such a beautiful way. Believing in Birth, Lisa
Labels: Breastfeeding
Birth stories,
midwives,
waterbirth
Saturday, December 16, 2006
The long and the short of it all...
Birth is just so amazing! After supporting two births this week I am in love with our bodies, our babies and the beauty of it all again! These two births could not have been more different while essentially they were identical.
Both couples trusted that birth is a natural process. Both women understood that their own body was capable and strong. Both couples planned for birth by going far beyond the tradition childbirth classes and truly became informed and confident particpants in all the decisions surrounding birth. ANd both couples were surprised when the journey began a little bit differently then they had envisioned.
Their births began, 5 days apart in much the same manner, before their paths took some different twists and turns...
Both couples trusted that birth is a natural process. Both women understood that their own body was capable and strong. Both couples planned for birth by going far beyond the tradition childbirth classes and truly became informed and confident particpants in all the decisions surrounding birth. ANd both couples were surprised when the journey began a little bit differently then they had envisioned.
Their births began, 5 days apart in much the same manner, before their paths took some different twists and turns...
Thursday, November 09, 2006
Welcome Avigail!


Hey Lisa,
I really don't think that Avigail's birth could have been more perfect. Yahweh is SO faithful! As I thought of her birth during my stay at the hospital this thought kept coming to me - "Yahweh will use Birth to push us to our limits - but not past them." I guess that I shouldn't be amazed how Yahweh uses birth to show us our weakness, our strengths, and how incredibly faithful He is.
It was strange because even though I was asking for pain relief some how I knew I wasn't going to get it. In my head, I kept thinking "just because you want something doesn't mean you're going to get it".
Thanks SO much for being there with us! Your calm spirit really made the labour and delivery so wonderful. I truly hope that every woman would have someone like you to share in their birth experience. Oh, how ideas of birth would change from the stereotypical ideas we have here in North America!
Avigail has been adjusting nicely. We had a rough first day home - but now she's into a nice routine. She is calm and content. She's sleeping beautifully - she gave me two 3-hour stretches of sleep last night. Another answer to prayer!!!
I guess the only thing that I may have changed was the attitudes of the medical staff during the delivery - and more "hands off" from the perineum from Dr. --- (OUCH!). I had absolutely no fears as I was pushing her out. I knew that her heartrate was fine. And, I probably could have avoided a few stiches if I'd been left to push her out on my own timing. But, I'd rather take the stiches than have them put the heart monitor on her little scalp.
Thanks again, Lisa! Our family has been so amazingly blessed by Yahweh through you. It's amazing how He brought you into our lives with such perfect timing!
Love,
Kristine
Monday, November 06, 2006
Welcome Ayla!!!



Hi Kari and Lisa!
Some exciting news. We had a baby girl on Sunday! Her name is Ayla Madison Tarasoff and she is the most beautiful baby I have ever seen. (I'm not biased or anything ;) )
I want to thank you guys for everything we learned in the classes we took. I know I would not have had the positive attitude that I had without the classes and I'm sure my birth experience would have been completely different without them.
My membranes ruptured on Sunday morning at around 11:00 a.m. and we decided to go to the hospital. When I got to the hospital they double checked my water had broken and because I wasn't having contractions decided not to do any further internal investigations, which was fine by me. They decided I needed to stay at the hospital and put us in a room in antepartum to wait. The doctor told me they would wait until morning and then we would discuss inducement. That upset me, although I knew she would say that, but she said "discuss" so that made me feel better.
Within 20 minutes of moving to the new room, by 1:30 p.m., my contractions started and I started to get uncomfortable. My contractions kept getting closer and closer and after 3 hours no one had been in to check on me. So, Brenden went to find a nurse and she came to see what was happening. She looked at me for about one minute and told me that I was just in pre-labour and nothing was really happening and that I was "scheduled" for an inducement in the morning. That made me so mad that for about half an hour after that my contractions got farther apart. She told us to tell her when the contractions were "regular".
So an hour later at about 4:30 we were certain they were "regular" and Brenden went to get her. She brought in the fetal monitor and made me lie in bed although I asked to sit. I felt her to be really rude and condescending and even at this point she made another comment about me being induced in the morning. I got upset and said but why would you induce me if I am already in labour and she told me basically that I was in such early labour that nothing was happening. I knew she was wrong. Brenden and I figured I was about 4 cm at this point as before he went to get her I had one of those break down "I can't do this" moments just like you said Kari. However, as she made the inducement comment once again and said other rude things I got upset again and my contractions reversed again so the strip didn't show anything that got the nurse excited.
So, then we decided to have a Jacuzzi and that was wonderful except for when I'm sure I hit the 6 cm mark as once again I had another breakdown but Brenden was amazing and helped me through everything. He was so wonderful I couldn't have done it without him.
At around 6:30 p.m. I was definitely in active labour. I kind of went in to a trance from that point on. I don't know why but the nurse at this point still continued to believe I was in early labour. I think she thought I wasn't making enough noise because I was doing so good with my breathing exercises. At somewhere closer to 8 p.m. I hit transition. Brenden said he knew exactly when it started but didn't want to say anything and kept calm and kept me calm. Brenden went and insisted that I needed to have a doctor check me. They finally came and I had my first cervical exam and lo and behold I was 9 cm.
Things were a rush from there. They hurriedly took me to labour and delivery and within 20 minutes of arriving in my new room I was holding my beautiful baby girl in my arms! The pushing stage was so painful but at the same time it was so wonderful. It was just so exciting and although it hurt like nothing I have ever felt it almost felt good at the same time! It was such an amazing experience and I am so glad I was able to cope as I did! I know those classes were the reason. I would have been begging for an epidural otherwise.
So, I just wanted to thank you again for everything!! You guys are great!
Labels: Breastfeeding
Birth in hospital,
Birth Rhythm Classes,
Birth stories,
hospital birth,
RUH
Monday, October 02, 2006

Swayde Waters: The Story of Your Birth
The day you came to breathe your first breath came with stormy waters indeed. After months of caring for you perfectly, your mother’s labour began. Nice and slow, with only a back ache to let her know that she would see you soon. She was so focused and ready to open her body and let you come to greet the world…
Then there came the surprise… Sometime in the days or weeks before you had decided to greet the world feet first. Your little body was turned around in the womb so that your head was tucked quite neatly below your mother’s rib cage and your foot was trying to push through the opening below. I wonder if this is how you will greet all of life’s challenges. Feet first, without looking at what exactly you are getting yourself into.
Where we live there are very few people left who know how to help a determined soul like you get born that way. Sometimes too much science makes us forget the wisdom of ancient ways. You had grown into such a beautiful and healthy child that there was no room left in the womb to try to coax you to turn around. Your mother then asked for the help of good doctors who could help you come into the world safely, in the absence of the knowledge of the ancient ways to bring a strong spirit like you out safely.
Sometimes your mother was afraid; she wanted only the best for you. She is a very courageous woman. You see, courage only comes from walking through fear. She did it so well. Your father stood strongly at her side the entire time. I can see where your strength and determination come from Swayde. They will fight any battle for your safety.
You still managed to be born the way you wanted. Your little feet came first. You stepped into life with confidence.
When you took your first breathe there was a sense of pure joy in the room. The first words spoken over you were of love and greetings,
followed by the story of your Guardian Angel. You are never alone. The Creator of all things watches over his precious ones.
The journey for you has just begun. Continue to stand and walk tall Swadye Waters. You can overcome any obstacle.
You have been born into a legacy of love and courage.
Walk tall.
May love and blessings walk with you always.
With love,
Your birth guardian
L. V. W.
The day you came to breathe your first breath came with stormy waters indeed. After months of caring for you perfectly, your mother’s labour began. Nice and slow, with only a back ache to let her know that she would see you soon. She was so focused and ready to open her body and let you come to greet the world…
Then there came the surprise… Sometime in the days or weeks before you had decided to greet the world feet first. Your little body was turned around in the womb so that your head was tucked quite neatly below your mother’s rib cage and your foot was trying to push through the opening below. I wonder if this is how you will greet all of life’s challenges. Feet first, without looking at what exactly you are getting yourself into.
Where we live there are very few people left who know how to help a determined soul like you get born that way. Sometimes too much science makes us forget the wisdom of ancient ways. You had grown into such a beautiful and healthy child that there was no room left in the womb to try to coax you to turn around. Your mother then asked for the help of good doctors who could help you come into the world safely, in the absence of the knowledge of the ancient ways to bring a strong spirit like you out safely.
Sometimes your mother was afraid; she wanted only the best for you. She is a very courageous woman. You see, courage only comes from walking through fear. She did it so well. Your father stood strongly at her side the entire time. I can see where your strength and determination come from Swayde. They will fight any battle for your safety.
You still managed to be born the way you wanted. Your little feet came first. You stepped into life with confidence.
When you took your first breathe there was a sense of pure joy in the room. The first words spoken over you were of love and greetings,
followed by the story of your Guardian Angel. You are never alone. The Creator of all things watches over his precious ones.
The journey for you has just begun. Continue to stand and walk tall Swadye Waters. You can overcome any obstacle.
You have been born into a legacy of love and courage.
Walk tall.
May love and blessings walk with you always.
With love,
Your birth guardian
L. V. W.
Labels: Breastfeeding
Birth stories,
Birth trauma,
breech,
c-section
Thursday, August 24, 2006
Benjamin's Birth

Hi Lisa,
Wasn't sure how to blog straight to the site so I'll leave this for you to post. Apologies for the length, but really this is the short version. The full version would really have to start the day our daughter Abby was born as I've realized that that experience and all subsequent emotional, psychological and physical experiences have prepared me for this birth.
Can't thank you and Kari enough for the class. It really was the difference between a birth based in fear or trust. Luckily the latter prevailed.
With love and gratitude,
Jenn, Darren, Abby and Benjamin
journal entry, birth day, July 29, 2006
You are here little Benjamin! We are so in love with you! You are gold. Pure gold. 9 lbs. 1 oz. and a sturdy eater, beautiful color, such a golden pink.
The day leading to Benjamin's birth was the first cool day in weeks. We were already a week overdue and our regular doctor left for holidays. We met her replacement, Dr. Doig and I felt completely at ease with her. She reassured me we wouldn't have to induce at the 10 day mark and instantly I felt all pressures and expectations fall away. It was the first day in weeks that I felt calm and comfortable and trusting in my body and baby. I had felt so frustrated for days, even weeks leading up to this birth, but suddenly I didn't feel frustrated anymore. It was the first time I just let go of thinking about labour and how it would all turn out. 333At around 6:30 pm we were all in the backyard watching my 3 year old, Abby, go around and around on her tricycle saying "look at me, mommy, look at me!" I was feeling an incredible amount of joy and began to laugh like I hadn't laughed in so long. At that moment my water broke--not enormously, but enough to take my breath away. I kept it to myself and carried on with serving dinner. Every time I stood up from the table I would feel another gush so I decided to call Robyn, our doula, to let her know. When I was dialing her number I realized this was it and began to cry. I had been wanting to cry for days and it felt so good to have an emotional release. All my waters were finally flowing!
At around 7 pm I started to experience the most gentle contractions. I was so excited to feel them. I had been induced my first pregnancy and never knew what it was like to go into labour naturally. I greeted each rush with pleasure and excitement. I truly have never felt so calm and grounded in my life. I felt each contraction was a step toward meeting our son. But I wanted to walk. Slowly and rhythmically, so Darren, my mom, Abby and I headed to the neighbourhood park around 9 pm. My contractions were becoming more regular and frequent, lasting about one minute, five minutes apart. I would stand up and walk off alone through each contraction. I just walked through each contraction meditatively, listening to my footsteps in the grass, smelling the sweet bundle of clover Abby had picked for me, watching the sky. It was beautiful how much I was able not just to walk through the sensations, but to relax, breathe and find my own rhythm. I was actually feeling joy during each contraction. Darren would time and watch me from the park bench. I felt myself getting pulled deeper into myself, into the moment. I felt stronger and more centered through every contraction. At the same time, the world seemed to be narrowing. I was less aware of my surroundings and more connected to my own breath. It was very primal. Extraneous things seemed to fall away. I suddenly wanted to go inside.
At around 10 pm I suggested we walk home. By the time we got home I could no longer talk through contractions. I shuffled laps around my kitchen and living room through each contraction until it was no longer possible to walk. When I felt I was losing confidence, I got Darren to massage me between contractions. During contractions he squeezed my hips until I couldn't feel any pain. Truly his hip squeezing took away the contractions! It was so wonderful to discover this and we laboured like that for quite a while. I felt immense power between each contraction and really was convinced I could have a natural birth. Darren massaged me in between contractions so each contraction was met from the calmest possible place of strength within myself. Then suddenly the hip squeezes weren't helping as much and I began to feel restless. I didn't know what I needed and was frustrated not knowing what position to labour in. I started to panic a bit. We went into our dark bedroom and lay on the bed together, but laying down made me feel scared and I began to lose my ground. Suddenly the contractions were intensifying. I began to vocalize through them which really seemed to help not only with the sensation, but in staying grounded and connecting with myself and the baby. I was considering running a bath when Robyn calmly suggested we go to the hospital. Turns out I was in active labour then and about to go into transition. I was Robyn's second birth and she thought if we didn't get to the hospital soon she'd be delivering our baby in the tub!
Luckily I agreed to go to the hospital at that point as I wasn't comfortable at home anymore. At midnight we made our way to the RUH. Robyn set up the back of her van so Darren could still give me hip squeezes. Though they weren't helping as much anymore, it helped to feel the pressure and his physical support. The van windows were open and the heavy scent of rain flooded the air. My face was cooled in the wind and I sent my moans out the window. By the time we went through admissions, I was dropping on the floor and moaning "mooooore" through each contraction while Darren squeezed. At one point I thought how much my requests for "more" sounded like "mourn"! I was conscious about the tone of my moaning and kept bringing it lower. My voice really took over through each contraction. It was as if my voice was coming from within and outside of me all at once. It really helped to block everyone/everything out except for Robyn and Darren. Despite all the commotion of doctors and nurses who were worried I'd push the baby out right there in the hallway, I really felt as if it was just Darren and Robyn and I. The three of us had such a rhythm together and their attention was so tuned into me, that it was as if we were the only ones present. They were there for me whenever and wherever I needed them. As we made our ways through hallways and elevators and assessments all I had to do was say "NOW" and they would be there squeezing my hips, encouraging me and giving me love. During transition I really just concentrated on staying inside myself and getting through each contraction as Robyn and Lisa and Kari had all said. I felt alone in my pain, but never unsupported. I kept thinking about how close we were getting to meeting Ben. It was close to torture to go through assessment and to have an exam. I thought I'd die if I had to take a contraction on my back, but the doctor on duty wouldn't have it any other way. Luckily I was at 8 cm and feeling the urge to push so they sent me up to labour and delivery right away. As they wheeled me through the hallways I ordered them to stop at every contraction so I could rest on my hands and knees. At one point I yelled "I'm pushing!!" as I squatted in the hallway. My entire body wanted this baby to come out but Robyn helped me to breathe in a way that helped me not to push. My vocalizations began to take on words and phrases such as "come on baby" and "I'm puuuuushing! or "it's coooommmminggggg!" The words and my voice and the tone were key to my power. All at once I felt the most powerful and the most pain I have felt in all my life. But luckily the frequency of the contractions didn't leave any room to be overcome by fear. All other intentions beyond absolute necessities got squeezed out of consciousness. The room lost its detail. The hallways and rooms became spaces of horizontal and vertical objects. Every object was a potential support to lean on through a contraction. Objects lost their regular purpose and everything was centered around me and the baby and how we could get through this. I was able to zone in instantly on what might help us and simultaneously dismiss anything that didn't serve us any purpose.
When we got to the birthing room I scoped out the bed, ripped off my gown (which was so annoying) made a tower of pillows, and leaned over it as I bore down on my hands and knees. Darren and Robyn stood on either side of the bed and pressed my hips. The contractions were at their most intense and frequent and the pressure to push was in full force. I focused all my energy on my voice calling out and sent my energy down through my vagina. With each contraction I visualized opening up around the baby and the baby's head slipping out effortlessly as it had happened in all my birthing dreams. The pressure was tremendous and the contractions were radiating down my thighs. I didn't push with my breath but rather with my voice. I called out from as deep a place as I could. I kept waiting to feel the release that I hadn't felt the last time because I had had an epidural. Most surprising was the pleasure I was feeling. The pressure didn't hurt. In fact if it wasn't for the contractions in my thighs and hips I think with all my screaming it could have been orgasmic! I was getting so tired but I drew energy each time from a reserve that surprised me. It was really just me and the baby at this point. Dr. Doig had arrived just as Ben was crowning and I could feel her applying a tremendous amount of counterpressure which encouraged me that we were nearly there. The whole time I was pushing I was inside and outside of myself. So powerful inside and so proud about how I was doing this from the outside. The baby's head came through and there was that release! I was there, I was nearly there! The shoulders took one more push and at 12:53 am, just 50 minutes after arriving at the hospital, Benjamin was born. I was so exhausted and relieved I could hardly turn around and meet him. They put him in my arms immediately. He was absolutely perfect. And there we all sat, Darren, Benjamin, Robyn and I adoring him. We had done it (we had!) as naturally as we had planned.
It was such an empowering experience to birth Benjamin naturally. We couldn't have planned it better. If Dr. Doig hadn't arrived when she did I might have had a doctor who insisted I lay on my back. The nurses as it was seemed to be slightly freaked out that I opted not to have the cytocinon injection nor to have Benjamin bathed or weighed before we had held and breastfeed him and the cord had pulsed out. Unfortunately their reaction to our requests turned into a bit of a negative experience when they were convinced I was hemoraghing (though I was not) and instilled fear in me for hours after the birth that I translated in my overly-vulnerable state, that I might be dying. Luckily Robyn stayed and reassured me for 5 hours after, rubbing my thighs and serving up Rescue Remedy as needed. Her reassurance and support from the day we met until immediately after the birth was so important. I would never attempt to have a child without at least one doula. She really helped me overcome a lot of anxiety I was harbouring from the last birth and prepare me for a new experience--an experience that turned out to be the most empowering of my life.
I am so so blessed for this baby, this birth and all the wonderful and beautiful people who loved me and honoured pregnancy and the birth experience enough to make this all happen the way it did.
Thank you all!
I'm including a picture of our first moments with Benjamin.
"People spend more time shopping for a car or home than they put into their births." -- Kim Wildner from Mother's Intention
Labels: Breastfeeding
Birth in hospital,
Birth Rhythm Classes,
Birth stories,
doulas,
LAbour Intensive Couples Class,
RUH
Tuesday, August 01, 2006
July babies!

I am looking forward to posting the stories of three women from our Birth Rhythm Prenatal class who gave birth last week. Keep checking in and remember:
Birth is safe, Interference is risky.
Labels: Breastfeeding
Birth Rhythm Classes,
Birth stories
Sunday, July 16, 2006
Tatianna's Birth
I wanted to send out a little birth story to you.
I do expect to be there on Thurs. for coffee by the way with baby!!!!
As it turns out, I went into Labour approx. 3 pm Thurs. 29 but didn't know it until after 5 pm. I was determined to stay out of hospital as long as possible so we went in about 1:30 in the morning. By that time I was only 4 cms. dilated, was hoping it was more, but it progressed fairly quickly after that.
My son & Tony were both in the labour room with me the whole time and Tony's son was in & out (he is 18). My son & Tony had attended two labour classes with me ahead of time so they were awesome and helpful. I couldn't have done it without them. John has a new respect for women and Tony is very grateful to the doulas for all they taught us!!
It was very intense and transition lasted a while which was the hardest. I not only felt extreme pressure with each contraction but sometimes nauseaus and shaky. The only thing that got me through was prayer and Tony's words. Most of labour I could not be in bed, just couldn't get close to comfortable. The nurse was awesome but of course she kept putting that damn fetal monitor belt on me to get baby's heart rate.I'm guessing around 6 a.m. i was checked again and the Dr. had to rupture the membranes.
Well, this was left up to us to decide. I was kind of stuck at 6- 7 cms. and wanted faster progression. I found pushing to be really hard cause i was sooooo tired. But finally after lots of coaching & help Tatianna was born at 7:41 a.m. Friday June 30. She was 8 lbs. 13 oz. and 19 3/4 long.
Because of my age and her size we had to spend a few days in hospital and they did some tests on her. She is beautiful and healthy and we finally came home Monday. It is good to be home finally. My room was often freezing cold. Most of the staff were wonderful but the odd one put me & Tony off.The nurse from Healthy & Home came over today and was very helpful, answering my questions. She weighed Tatianna, now 8 lbs. 7 oz. after being 8 3 just before leaving hospital. So, breastfeeding is going well. We've learned together and she is an awesome baby. But of course we all say that about our babes eh? Look forward to seeing all of you when possible. And to those who are still pregnant - hang in there thru the heat. It is SOOOOO worth it when you hold your baby and gaze at her with a love so huge you cannot imagine it.
Gwen
I do expect to be there on Thurs. for coffee by the way with baby!!!!
As it turns out, I went into Labour approx. 3 pm Thurs. 29 but didn't know it until after 5 pm. I was determined to stay out of hospital as long as possible so we went in about 1:30 in the morning. By that time I was only 4 cms. dilated, was hoping it was more, but it progressed fairly quickly after that.
My son & Tony were both in the labour room with me the whole time and Tony's son was in & out (he is 18). My son & Tony had attended two labour classes with me ahead of time so they were awesome and helpful. I couldn't have done it without them. John has a new respect for women and Tony is very grateful to the doulas for all they taught us!!
It was very intense and transition lasted a while which was the hardest. I not only felt extreme pressure with each contraction but sometimes nauseaus and shaky. The only thing that got me through was prayer and Tony's words. Most of labour I could not be in bed, just couldn't get close to comfortable. The nurse was awesome but of course she kept putting that damn fetal monitor belt on me to get baby's heart rate.I'm guessing around 6 a.m. i was checked again and the Dr. had to rupture the membranes.
Well, this was left up to us to decide. I was kind of stuck at 6- 7 cms. and wanted faster progression. I found pushing to be really hard cause i was sooooo tired. But finally after lots of coaching & help Tatianna was born at 7:41 a.m. Friday June 30. She was 8 lbs. 13 oz. and 19 3/4 long.
Because of my age and her size we had to spend a few days in hospital and they did some tests on her. She is beautiful and healthy and we finally came home Monday. It is good to be home finally. My room was often freezing cold. Most of the staff were wonderful but the odd one put me & Tony off.The nurse from Healthy & Home came over today and was very helpful, answering my questions. She weighed Tatianna, now 8 lbs. 7 oz. after being 8 3 just before leaving hospital. So, breastfeeding is going well. We've learned together and she is an awesome baby. But of course we all say that about our babes eh? Look forward to seeing all of you when possible. And to those who are still pregnant - hang in there thru the heat. It is SOOOOO worth it when you hold your baby and gaze at her with a love so huge you cannot imagine it.
Gwen
Labels: Breastfeeding
Birth stories,
complications,
hospital birth,
LAbour Intensive Couples Class,
RUH
Shelbie is born!
Hi Lisa
Just wanted to let you know that I gave birth to a beautiful baby girl on June 24 at 3:38 pm. She weighed 7lbs 5oz and was 19 3/4 inches. Her name is Shelbie Jane Isabella.
Everything went so much better this time. I didn't need any stiches which was great. My water broke at 8:00 am at home, then labour started about 1/2 hour later. I went to the hospital around 10:00 and she was born at 3:38.
I really want to thank you and Kari for all the stuff you taught in the class because I think it really helped. I used lots of the breathing techniques and they must have been working because the nurse kept telling me I was doing a good job. My nurses name was Donna, we really liked her. Dr. Martel wasn't there (no surprise) so a resident delivered her. I'm not sure what her name was but she's from Columbia. We really liked her to, she did a good job. The baby was out after 3 rounds of pushing.
So thank you thank you very much. I hope to see you all soon. As soon as I get a stroller I plan to come to the walks. I would like to go to the coffee shops too if they ever go to one that is a little closer to me since I have no transportation.
PLease feel free to share my news with the other ladies and tell them all I can't wait to show her off.
Hope to see you all soon
Sheena
Just wanted to let you know that I gave birth to a beautiful baby girl on June 24 at 3:38 pm. She weighed 7lbs 5oz and was 19 3/4 inches. Her name is Shelbie Jane Isabella.
Everything went so much better this time. I didn't need any stiches which was great. My water broke at 8:00 am at home, then labour started about 1/2 hour later. I went to the hospital around 10:00 and she was born at 3:38.
I really want to thank you and Kari for all the stuff you taught in the class because I think it really helped. I used lots of the breathing techniques and they must have been working because the nurse kept telling me I was doing a good job. My nurses name was Donna, we really liked her. Dr. Martel wasn't there (no surprise) so a resident delivered her. I'm not sure what her name was but she's from Columbia. We really liked her to, she did a good job. The baby was out after 3 rounds of pushing.
So thank you thank you very much. I hope to see you all soon. As soon as I get a stroller I plan to come to the walks. I would like to go to the coffee shops too if they ever go to one that is a little closer to me since I have no transportation.
PLease feel free to share my news with the other ladies and tell them all I can't wait to show her off.
Hope to see you all soon
Sheena
Labels: Breastfeeding
Birth Rhythm Classes,
Birth stories,
hospital birth,
RUH
Wednesday, June 28, 2006
Reese's 'Birth' Day

Reese’s ‘Birth’ Day….
I had a fleeting glimpse of what a ‘Doula’ meant when I was reading the famous “What to Expect When You Are Expecting” and thought that Doulas were not likely to be available to us in small cities such as Saskatoon (much less Rosetown, 115km outside of Saskatoon)! I thought the concept of a Doula would have been something I would have investigated further had I realized their availability to us sooner. Other mothers and fathers we knew had never mentioned a doula before, so that is why I assumed this would not be an option to celebrate the birth of our baby. I must say that there seems to be an incorrect perception that midwives and doulas are the same and are the old-fashioned way to celebrate your baby’s birth day –much like when health care was at a much lower standard and lower-tech. This could not be further from the truth and that is why I have chosen to share my husband’s and my experience in choosing to use Doula services!
Reese was due December 30, 2006 so my husband and I were attending the hospital orientation held at Royal University Hospital in early October. We were choosing to deliver Reese in Saskatoon due to my doctor being located in Saskatoon. It was here that we heard a brief presentation from Kari Hollingsworth discussing the role and benefits of doulas. It wasn’t until early December that we met with Lisa Wass and Ann Cook to fine-tune our Birth Plan. My philosophy for our baby’s birth was to have no medical interventions unless our baby’s life was compromised….this meant no epidural (or other medications for pain), vacuum, etc. There are many services doulas provide to help both mothers and fathers prepare for the birth of their child, but given that we enlisted Lisa and Ann’s services so late in my pregnancy, they were primarily available to assist with the actual ‘birth’ day. This meant reviewing considerations we hadn’t thought of as related to our Birth Plan, helping us with how to practice various breathing and massage techniques, a few different exercises for mom to practice, and even some herbs that I could try to induce labour naturally if I felt necessary (rather than being induced at the hospital).
Since this was our first child, my husband and I wanted to have some assistance for the delivery of our precious gift!! Our hope was for a safe and healthy delivery of our baby –one that both of us could participate in. Well…..on January 7th my contractions came with a vengeance, beginning at 11:45AM. It was like a light switch had been flipped! I had thought something was ‘up’ the previous night, and had called our doula to discuss what I had been feeling. Under her advice, I tried to rest as much as I could, thinking that I could be going into labour. My husband and I decided to make the drive into Saskatoon to have our baby delivered there (even though Ann and d Lisa would have come out to the hospital in Rosetown). When we arrived just after 1PM, Lisa met us at the emergency door for RUH and had even taken the liberty of saving my husband a parking spot!! --That is certainly going the extra mile! J
Upon assessing me, the doctor on call found that I was fully dilated…so up I went to the birthing unit, expecting my baby to be born very quickly! Ann and Lisa were great at involving my husband in my labour: they guided my husband as to what to do be it various position changes, massage, positive reinforcement to encourage me….soon (that means after five hours or labour), our son, Reese was born! I was fortunate that we didn’t require any interventions (episiotomy, vacuum, epidural, etc) other than the doctor suggesting he break my water as he thought this was holding the deliver of my baby. He was right! Within 20 minutes of him breaking my water, my son was born!
Typically, pregnancy and birth related health care facilities, classes, and books are tailored exclusively to the needs of the mother-to-be. Lisa and Ann’s practice was to include both the mother and father. We found our doulas attentive to our needs, plans, wishes, worries, and concerns regarding labor, birth, and transition to parenting our new baby. My husband was encouraged to be as involved as he wanted: from simply holding my hand to coaching me through each contraction. I concentrated on the labor, while my husband concentrated on supporting me. Ann and Lisa took care of everything else (being familiar with the process and terminology of birth to understanding hospital protocols while at the same time being and advocate for what we hoped our ‘birth’ day to be). They seemed to know what we needed before we did.
Overall, by my husband and I using doulas for the birth of our son definitely helped nurture and protect this intimate and life-changing event for our family! My husband and I felt that he was a better participant during the labour and delivery process as a result of Ann and Lisa’s doula services. Both he and I were much more prepared, confident, and…dare I say it….relaxed about the delivery of our precious son!
Tammy, Geoff & Reese
Labels: Breastfeeding
Birth stories,
doulas,
hospital birth,
RUH
Sunday, June 11, 2006
Pic#1: We are on the BALL! Pic#2 : Resting
between the waves........

Doula moments to cherish...

Having Doulas attend Saskia's birth was a last minute decison. What a joy! Here are some pic's to share of Kari and I with the family. Used with permission of course!
Lisa
between the waves........
Doula moments to cherish...
Having Doulas attend Saskia's birth was a last minute decison. What a joy! Here are some pic's to share of Kari and I with the family. Used with permission of course!
Lisa
Labels: Breastfeeding
Birth psychology,
Birth stories,
doulas,
epidurals,
RUH
A Doula in Action


Hi
Lisa, Kari asked me to send some pictures of "a doula in action."
We also wanted to thank you for your part. It was a nice team effort. It is nice to see that you and Kari can work like that...it is comforting to know that you can leave your clients in good hand. Hope these work out.
Take care.
Labels: Breastfeeding
Birth Rhythm Classes,
Birth stories,
doulas,
epidurals
A birth Story to share....

This is a story I have been given permission to share. Debbie came to take our Labour Intensive and movement classes at Birth Rhythm.
Birth Story of Melissa Rose (in detail - for the ladies only!!)
Melissa was due on Feb 25, 2006. She, however, had her own ideas aboutwhen her birthday would be and gave no hints whatsoever about herimpending arrival. In my opinion, I was having zero contractions, not even Braxton Hicks, just an occasional pain in my lower abdomen that would last maybe 15 seconds and only occured a couple of times per day. It was nothing, just a twinge, really. I tried my best to be patient and let her decide her own time. I did have an acupuncture appointmenton the 27th, and considered a few of the other alternatives, but settled for simply walking and getting out of the house a few times to visit coworkers and friends at the curling rink.
All of the activity seemed to have no effect on inducing labour, but I knew something must be going on as I started to lose my mucous plug on March 1. Nothing too dramatic, but enough to give me hope that the babywould be coming - someday! Still no contractions, so imagine mycomplete surprise when my water broke . . . while I was lying on my side napping on the couch 'watching' a curling game on television! I haven't moved that fast in many, many months as I dashed to the bathroom; I was shocked at how much liquid was simply gushing forth from me, and I had to change my pants twice before I was ready to go out of the house.
I did not want to go into the hospital as I knew they would not release me, and I was convinced I was not in labour, plus I very much wanted to labour at home as long as I could this time. So much for that plan though! My water broke at about 3pm, Scott got home shortly after 4pm, his mom had come over to be with me in the in between time and she would be looking after arranging care for Amy and Kari. We went in to the hospital and got admitted around 5pm. They hooked me upto the monitors and baby was happy with a heartbeat varying between 130and 150bpm.
I was apparently having contractions after all, so said the machine, but I honestly was unaware. The nurse figured that was OK -why would a person need to feel all of them?! I was only 3cm dilated so pacing the hallways we went. My doctor came and checked me at about 6pm,and made arrangments to have my labour augmented (the drip!) as soon as there was room in the delivery ward. At that point I also elected to get the epidural if I was going to have medicine to increase the contractions. The nurses thought the move to the delivery ward might happen around 7:30, so Scott and I had some supper and waited, and I finally felt some contractions, and I breathed through them, and then they started getting worse, and 7:30 came and went and 8:30 came and went and I was really having some hard contractions and no one had checked me since 6- so I sent Scott to find a nurse and find out when Imight be moved and when I could get an epidural. Luckily, they were just on their way to find me - they had sent a lady home from the delivery room to make room for me!
Apparently she had been induced and it wasn't working. How disappointing to get sent home fromthe delivery ward! Shortly after 9pm I was in my birthing room and the 'epidural man' was on his way. Unfortunately, I was in a lot of pain and could hardly wait for him to get in to do the '5 minute procedure'. The nurse tried to get my IV started - no luck, my vein collapsed. So the 'epidural man' came in and tried too - no luck, I started bleeding fromthe needle site in my hand. Ouch. On to the other hand, luck was with us that time, as he located a good vein in my arm.Then to lean over the table and arch my back as the contractions were coming one top of the other and 'don't move' and 'breathe slowly' and I was sweating and then I was nauseous and everyone had to wait while I retched into the metal bowl, epidural procedure only halfway done. Icould FEEL the catheter sliding up my spine, it was most unpleasant. Iwas shaking and crying (can anyone here recognize transition? LOL) and then had to roll on my back for the epidural medicine. Oops, the nursehad accidentally thrown it out. So we had to wait while he got more. Then, a check to see if the epi was in the right place came back -negative - blood in the syringe.
At this point, the 'epidural man' commented that this made him 'not very happy'. If I had not been in the middle of a contraction at that very moment, I would have commiserated that I too was 'not very happy'! So I had to sit up and over the table again as they tugged the catheter down a little bit. And lying down onthe bed again I whimpered and said "Hey, guys I gotta PUSH". The 'epidural man' seemed shocked but the nurse was right on top of it (and later apologized as she suspected I was in transition as soon as I felt pukey) and checked and sure enough I was fully dilated.
There was a bit of a commotion as they tracked down my doctor (already on his way) andthe 'epidural man' gave me a big shot of painkiller - it maybe took the edge off the last three contractions before I had to push, but they were still painful. He figured that I must be feeling better because I triedto make a joke in between contractions right at the end. I tell ya, the delivery room is tough crowd. I could hear this beeping noise from somewhere so I piped up "what, am I backing up now?". It took them amoment to 'get' the joke, but then they were all laughing and saying'good one!'. Hmmmm, they never did say what that beeping noise wasthough . . .
...Pushing lasted maybe 15 to 20 minutes, and was very intense. The epidural (if it was indeed working) did not touch a hint of the pain of delivery. Melissa was born with the cord wrapped around her neck so tightly that the doctor had to cut it immediately as he could not loop it over herhead. Again, so much for the whole 'when should the cord be cut' decision, it quickly became no decision at all!
She had very good APGARscores though, of 8 and 9. Healthy little girl, reasonably healthy Mommy at the time of delivery. She was born at 10:37pm and by the time the stitching was completed it was around 11:30. I breastfed Melissa, had a shower, and we went to our room. This is the only delivery I have felt well enough to stand andhave a shower afterwards, what a treat. I sent Scott home and Melissa didn't wake for another feed until 5am. Bonus! Unfortunately, I was feeling lousy, and the nurses were concerned becauseI was bleeding 'more than they would have liked'.
The next day my doctorwas also concerned, enough that he wanted to take a look - with my legsin stirrups and with a speculum!!!!! I shuddered and thought I was goingto cry. I have second degree tears and many, many stitches. A speculum?! OH my gosh, shoot me first. And, if he couldn't see anything with the speculum, it would be straight to the Operating Room and a spinal anesthetic to see what was causing the bleeding. In my mind I was thinking 'can I get the spinal for that darn speculum thing?' but Ididn't say it outloud as I was trying to focus on just being brave andgoing through with the procedure.
Scott was there and the girls were there, it was probably good because I knew it would be upsetting to them if they saw Mommy cry and then leave with the doctor. As I made my way out of my room to the dreaded stirrups and speculum Iasked to go pee. Wish granted. All of a sudden an enormous clot (likethe size of one of Amy's shoes!) fell out. EWWWW! However, it was this event that prevented the whole speculum ordeal, as both the nurse andthe doctor felt that this was the cause of the bleeding. THANK GOD.!!!!
So far, she has been a very sleepy baby which means I get to be a very sleepy mommy if I choose to be! I'm still moving pretty slowly around the house, but I am eager to get out and show off Melissa and book myself some 'me' time and get a full body massage. My staff got me a gift certificate for a spa, and I DO intend to use it soon.
Lots of love, thanks for all the well wishes.
Debbie and Melissa
OOOppppss
I realized after I thought the birth story was complete that I had forgotten Melissa's stats! She was 8lb, 1oz, 21 inches long, barely anyhair, and all fingers, toes, ears, and other assorted appendagesaccounted for.
I also thought you might be interested to know if I used any of the learnings from class - I did!
I spent some time during the rest of my pregnancy on my big purple ball rolling around as I typed on the computer and discovered that it felt really good. As I was waiting for labour to begin, I reminded myself time and time again, that my bodyknew what it was doing, and I didn't need to 'help' it. I did 'figure8' belly dancing through some of the early contractions and when my lower back was sore. When labour was strong, and in particular as I was going through transition and an epidural installation at the same time, I focused on the (inhale) slooooowwwwwwww (exhale) dooooowwwwwwnnnnnnbreathing technique. It really helped to focus. My relaxation times were not all that relaxing due to the epidural stuff, and I found that instead of my 10 focus words to relax, I used 3 of them as a mantra to get me through some of the other contractions "patience, perseverence,and giggles'. It was the only three I could remember from the wholelist, in fact!
I had high hopes that I would be able to labour at home for as long as Icould, but that was not to be. I was undecided about the whole cordcutting timing procedure and that was not to be my decision anyway either!Perhaps the best thing I learned from the birthwise course was to trust myself, and the knowledge that I have, both from cognitive learning and research as well as the intrinsic spiritual knowledge that lives in eachof us if we just choose to listen to it and trust it as well. It was a challenge at times of "oh my god, this really hurts I don't want to do this anymore" followed by "ok, relax, slooooowww dooowwwwwn, relax your jaw, breathe, imagine the birth, where is the baby, make room for baby,this is the way, you can do it"
I imagine most of my fellow participants of the course have also hadtheir babies as well, I hope they were all healthy deliveries. I have pictures of Melissa, but they are on my digital camera and our computer is unhealthy at the moment and I can't get the pictures off. I'll seewhat I can do to get you one though!
Debbie
Labels: Breastfeeding
Birth Rhythm Classes,
Birth stories,
Birth trauma,
complications,
epidurals,
LAbour Intensive Couples Class,
RUH
Subscribe to:
Posts (Atom)

