Saturday, October 17, 2009

BIRTH STORY: The Path to an Amazing Birth

(by Kitty Lakey, about the birth of David Dominick, born 05.27.07)

I'd been having contractions since my thirty-second week. A fun little stint with pre-term labor had already dilated me to two centimeters. Later in my pregnancy I dilated another two centimeters, bringing me to a grand total of four centimeters. I thought my labor may be a quick one but I didn't want to get my hopes up. I was thinking half the time of my labor with Jonathan, which would've been about six hours, and a pretty typical labor for a second child. Every time I took a trip to the bathroom I focused on the story in Ina May’s book about the flower opening up. My midwife was out of town, having left a week before for a midwifery conference in Costa Rica. She was due back in three days and I was overdue by five days. We even tried to induce via herbs before she left. Well needless to say, it didn't work. Apparently David Dominick just wasn't ready.

The day I went into labor I got very little sleep, which was just unusual. Normally I slept like a lioness during my pregnancy, nine hours at night and a nap every day. I was trying very hard to stay rested at the advice of the midwife, knowing that I could go into labor at any minute and I didn't want to be to tired to make it through. I'm a night owl so I went to bed at around one-ish, feeling fine but very tired. I was awoken an hour later by some serious contractions. No stop watch necessary, these did not need to be timed. Hoping, from lack of sleep, that this was a false start, I tried to go back to bed. No luck, lying down just seemed to intensify the contractions. About two-thirty I woke Dave up and told him to call the midwife and my aunt Vita. Dave dialed and handed me the phone, I paged Sarah and Vita wasn't answering. He began to pack, while I breathed through my contractions. I stopped him every few contractions for a leaning post and moral support. Sarah, the midwife that was filling in for Harmony, called back. I had had a couple visits with her and felt comfortable with her. By this time my bag of waters was leaking, it took me a few minutes to realize I hadn't peed myself. Sarah listened to me and told me to come on in! What a shocker, I thought she'd tell me to go back to bed, that is what had happened exactly one week before. I had really begun to think I was going to be pregnant forever and come to terms with it, I think that is why I finally when into labor.

Dave called his mom since we couldn't get a hold of Vita. Dave didn't tell his mom to come, but thankfully she came anyway! Dave continued to pack everything on the list while stopping occasionally to ask me questions. I remember being able to answer most of the questions. So Dinah (Dave's mom) shows up and we sat in the living room waiting for Dave to finish packing. I don't know how far apart the contractions were at this point I just remember thinking, wow this is really it!

On the ride to the birthing center I breathed through my contractions while Dave repeatedly apologized with each contraction. I told him not to apologize and please watch his driving because I couldn't do it this time. The roads were clear and the weather was cool. A beautiful time for little man to be born. The ride was relaxing and the contractions were steady and getting stronger. The pain had me questioning my ability to do this without pain medication. I tried to put those thoughts out of my mind and focus on my breathing and opening up.

On the walk up to the birth center I had several strong contractions to the point of stopping and leaning on Dave for support. Dave walked me in and went back out to get our bags. The birthing tub was ready. Sarah checked my dilation before I got in. I was six to seven centimeters dilated! At some point I had dilated three more centimeters, what great news! With each contraction I tried to keep in mind that was one step closer to having my baby. I got in the tub which felt pretty good, but I was only in for a few minutes. Sarah had to check his heart rate; normally they can check the heart rate in the water but she couldn't get it, most likely due to his positioning. So I clambered out of the tub. It felt very cold after being in the warm water, and got onto the bed. She got his heart rate right away and it was in the one-forties, perfect. So back in the tub I went. Dave started making jokes about my luxurious hot tub, so I joked back all I needed were the jets. Unbeknownst to me the tub actually had jets. So Sarah turned them on for me. As the contractions got even stronger yet I aimed my back at the jets of water. Dave held my hand, encouraged me and fed me Gatorade and water from the side of the tub. A flurry of activity was going on around me but I was too busy to notice. I was in transition, I only know I was in transition because momentarily I felt like I was going to toss my cookies. The midwives' assistants started bailing water out of the tub so Dave could get in with me.

That's when I began to lose control, yelling in pain. I'd say I could bear the pain ninety percent of the time and then I'd start to lose it. I tried to remember to relax, make low sounds and relax my muscles but the pain was really getting to me. I remember thinking this it, I'm not going anywhere now even if I wanted to. I thought those women who tried to run from this were nuts, I mean really where are you going to go. Sarah asked me why I was yelling. I told her because of the pain, then she asked where it hurt. I told her in the front of my abdomen and at my hips and pelvis. So she asked me to get on my hands and knees and had Dave press my hips together. I was more than willing to try anything that would relieve the pain. She told Dave where to push and said "push as hard as you can, you won't hurt her", he did, and mid-contraction I said "not that hard!" This relieved the pain in the front of my abdomen but also intensified the contractions and the feeling of pressure. I remember Sarah saying "Kitty, that's just your baby trying to get around your sacrum"as she poured water over my back. It was so intense at this point I was yelling out in pain with each contraction. She must have sensed I was feeling a little desperate and came around to the front of the tub and got in my face. To help me focus she got right in front of my face and said "try not to yell so much, it will scare the baby and make him poop." That really got my attention, I didn't want any meconium in my baby's system. So I tried to tone it down, the contractions were so strong at this point I just couldn't stop myself from yelling as hard as I tried, the pain was just too intense. I think at this point I said for the first and only time "I can't do this", but it didn't matter, my body was doing this, whether I liked it or not. So I tried to flow with it.

Shortly after that I began to realize that I was yelling all my energy up and out. I had read about this but didn't really believe it. I realized I needed to use that energy to push that baby out! So with the next contraction that's what I focused all my energy on doing. I don't remember telling Sarah that's what I was going to do, I just did it. Looking back, it is incredible that your body just knows how and when to do this but at the time you don't think about that. Even with the first push I could feel his head. She tried to check for his head but by then his head had retracted. With the next contraction she checked and could feel his head, I thought maybe that feeling of him being that far down was in my head, but no it was real! She asked me if I wanted to feel his head and I reached down and felt it. I just couldn't believe it!

The next contraction I began to feel the infamous ring of fire. It wasn't as bad as I expected it to be. Sarah said "Okay Kitty, now just ease his head out slowly." Some how I controlled it, and did just that, and his head came out. The whole time I was thinking of the girl in our prenatal class that tore, Harmony told me the girl wished she'd waited and push her baby out slowly so she hadn't torn. The birth instructor used the expression spaghetti off a spoon, and that is just what it felt like. The next contraction he was completely out, he just slid out with no effort, like spaghetti off a spoon. Then Sarah guided him in the water underneath me into my arms. Someone handed me a receiving blanket to wrap him in. I wrapped him up and held him in the water with me. The first thing I said was I can't believe I did it, I was in shock. We sat and cuddled and bonded for a few minutes while we waited for the cord to stop pulsing.When the cord stopped pulsing Dave nervously cut it with a little resistance (on his part and the cords). Then I handed the baby to Dave and got out at the midwives urging. As I exited, clots came falling out, it felt like worms, which was pretty gross. Sarah wanted the placenta delivered. She asked me to squat on the bed to deliver it. In my mind that seemed impossible, but I had just accomplished the impossible so I gave it a try, with one push the placenta came out with a thud. I sat down on the bed, which seemed like the most comfortable bed ever and one of the midwife's assistant's brought in some of the snacks we brought with us. Apples, cheese and crackers and a protein smoothie, they encouraged me to eat.

Meanwhile Sarah checked my bleeding and they weighed and measured the baby and checked his reflexes. I couldn't believe it, a nine-pound baby with a fifteen-centimeter head and no tears. He was twenty-one inches of perfection. He had a perfect ten apgar score, I guess you could say he was a perfect ten!

His birth, although painful, was intensely empowering. I chose this mostly for the health of the baby, the idea that it would empower me seemed ridiculous. Now, having experienced it, I know first hand that this is true. I conquered my fears and came out on the other side!

Thursday, October 15, 2009

Dr. Washington Hill is Featured Activist for Florida Planned Parenthood

Dr. Washington Hill, MD, FACOG, one of our distinguished panelists for Maternal Health Care in the 21st Century: Sarasota and Beyond, was recognized as the September 2009 Featured Activist for Florida Planned Parenthood. The following an excerpt from Dr. Hill's column, 'In His Own Words.'

As an OB/GYN physician, I learned long ago the importance for women of all ages to be educated about their bodies and about pregnancy-how it occurs and how to prevent it from occurring. That is the big mission of Planned Parenthood, to combine medical services for women and families with education. An educated patient is better prepared than one who is not, and that includes teens: girls and boys.

Planned Parenthood fulfills its mission of providing medical services, education and advocacy efforts extremely well every day and that is why I believe in speaking up for them whenever I can.

I also believe in choice. I’ve taken care of women who didn’t have a choice of when to become pregnant. Some of them got sick and some died. When I was in medical school, I remember seeing patients sick from septic abortions from unplanned pregnancies. When I was at Temple University, I remember going to the ER and seeing women who had made attempts at self-termination and done it very dangerously. Fortunately, these life threatening medical emergencies are rare now in the United States, but back in those days, were common.

When I worked for Planned Parenthood in Oakland, CA , many years ago, I helped women with family planning, terminations and tubal ligations. A woman should be able to choose these options for herself. It’s her body.

I learned to respect women’s decisions and their right to make their own choices. I feel that is the right thing to do. I believe deeply in Planned Parenthood’s work of education, choice, and prevention and that is why I do everything I can to advocate for them.

Tuesday, October 13, 2009

Interview on WSLR's Women Matters

Click here to listen to Jane Blanchard's interview with Sonia Pressman Fuentes and me, featuring special musical guests Carmela Pedicini and Tanya Radtke. We discussed Maternal Health Care in the 21st Century: Sarasota and Beyond, and maternal health care issues facing Sarasota today. Thank you so much, Jane, for having us on your program!

Maternal Health Care Featured on WSLR's Women Matters Tonight at 6:00pm

Tune in to your community radio station, WSLR 96.5 LPFM, at 6:00 pm as Women Matters hostess Jane Blanchard welcomes Sonia Pressman Fuentes, co-founder of the National Organization for Women (NOW), and me on her program to talk about maternal health care, and about the upcoming panel discussion Maternal Health Care in the 21st Century: Sarasota and Beyond.

Sonia and I will be addressing the following topics:
  • What is maternal health care?
  • What are some facts about maternal health that our listeners should know?
  • What alternatives are there to maternal health care ? What is available in Sarasota?
  • Insurance and maternal health care. Explain.
  • Is midwifery safe?
  • What is the Safe Motherhood Quilt and what does it represent?
  • Tell us about the upcoming panel discussion Maternal Health Care in the 21st Century: Sarasota and Beyond.
  • What will be some of the topics discussed and who are the panelists?
  • Who are the sponsors of this program and how did they become involved?
Women Matters is a discussion talk show exploring matters of interest to women. The goal is to to inform and empower women and expand the women's perspective by providing a feminist point of view. The format may include guest speakers, reviews of articles/book/movies, notices, news, and etc. on topics about or by women. Additionally, each week the show features original music by local female musicians. The program will be recorded and available in the program's audio archives. Thank you for listening, and thank you for supporting your community radio station!

Saturday, October 10, 2009

Sarasota Welcomes HypnoBirthing Founder

"When you change the way you view birth, the way you birth will change."
-Marie F. Mongan

I am thrilled to announce that in attendance for the upcoming Safe Motherhood Quilt Presentation, Maternal Health Care Panel Discussion, and An Evening with Ina May Gaskin, will be Marie ("Mickey") Mongan, founding director of the HypnoBirthing Institute.

Marie Mongan, M.Ed., M.Hy., of Chichester, New Hampshire, is an award-winning hypnotherapist, who brings to her classroom over thirty years' experience in education and counseling on the college level and in the private sector. She has recently relocated to Florida's east coast, and is coming to Sarasota to participate in the events at the end of this month.

Ms. Mongan is a former college dean who, early in her career, was named one of five outstanding educational leaders in New Hampshire and was awarded a Ford Foundation Fellowship to Harvard University.

Marie (best known as "Mickey") is licensed as a counselor and is certified as a hypnotherapist, hypnoanesthesiologist, and instructor of hypnotherapy. She holds several awards for distinguished service and achievement in the practice of hypnosis and is the 1995 recipient of the National Guild of Hypnotists President's Award. In 2000 she was presented with the coveted NGH Charles Tebbetts Award for her contribution in "shedding the light" and advancing the awareness of hypnosis. In 2005 she became the first woman ever to receive the highest award given by the National Guild: the Rexford L. North Award.

Mickey is the mother of four adult children, all born in the late 50s and early 60s. She experienced all four labors without labor medication, using the theories of Dr. Jonathan Dye, of Buffalo, New York, and Grantly Dick-Read, of the UK, two pioneers in natural childbirth. Two of her birthings were entirely free of anesthesia at a time when it was unheard of, and her husband was by her side in both the labor room and the delivery room. Her book, HypnoBirthing--A Celebration of Life, was written in 1989; her latest book, HypnoBirthing--The Mongan Method is now available in leading book outlets and through the HypnoBirthing Institute.

HypnoBirthing is as much a philosophy as it is a technique. The concept of HypnoBirthing is not new, but rather a rebirth of the philosophy of birthing as it existed thousands of years ago. This philosophy was recaptured in the work of Dr. Grantly Dick-Read, an English obstetrician, who in the 1920s was one of the first to forward the concept of natural birthing. The method teaches that in the absence of fear and tension, or special medical circumstances, severe pain does not have to be an accompaniment of labor.

HypnoBirthing clients gain an understanding of how the birthing muscles work in perfect harmony when their bodies are sufficiently relaxed and they are able to trust birth. HypnoBirthing teaches women how to achieve this kind of relaxation, free of the resistance that fear creates, and how to use natural birthing instincts for a calm, serene and comfortable birth.

Trained HypnoBirthing educators are successfully teaching women and their birthing companions to trust birth and release all fear and limiting thoughts. HypnoBirthing practitioners can be found in 27 countries throughout the world.

Ms. Mongan will be available following Maternal Health Care in the 21st Century: Sarasota and Beyond for questions about her pioneering work in this field.

Tuesday, October 6, 2009

Florida Licensed Midwives Week

Governor Charlie Crist has signed a proclamation observing October 5 through the 9 as Licensed Midwives Week in the State of Florida, upholding midwives for being “dedicated to the care of pregnancy and childbirth and treat[ing] each woman’s pregnancy according to her unique physical and personal needs.” Governor Crist’s proclamation also recognized midwives for their role in the need to “improve birth outcomes in the State of Florida and ensure that women are given proper care and treatment in all phases of childbirth.”

In honor of this week, Florida Friends of Midwives (FFOM), a non-profit grassroots organization dedicated to promoting and supporting the practice of midwifery in Florida, will be hosting various community events throughout the state this month to celebrate the more than 110 Licensed Midwives in the Sunshine State.

Florida Licensed Midwives Week coincides with National Midwifery Week, a time to recognize the contributions of Certified Nurse Midwives (CNMs), Certified Midwives (CMs) and Certified Professional Midwives (CPMs) nationwide. The American College of Nurse Midwives (ACNM) publicly announced the week with an introduction to midwifery. “The heart of midwifery care for women and newborns lies more in the nature of that care than in its specific components. Midwifery practice has a firm foundation in the critical thought process and is focused on the prevention of disease and the promotion of health, taking the best from the disciplines of midwifery, nursing, public health and medicine to provide safe, holistic care.”

Midwives have a long and valued history in Florida. The state first passed legislation to license direct-entry midwives in 1931. In the 77 years since, Florida’s licensed midwives have continued to tirelessly serve the families of Florida and to ensure the continued availability of safe, evidence-based birthing options for Florida’s families. In 1992, Governor Lawton Chiles declared the first-ever Licensed Midwives Week. More women than ever before are seeking out licensed midwives for maternity care. According to the latest data from the Florida Council of Licensed Midwifery, births managed by Licensed Midwives in the state grew by about 5.5% from 2005 to 2006.

“We are honored every day to serve Florida’s mothers, babies, and families,” says Sarasota Licensed Midwife Alina Vogelhut, LM. “It means so much for our profession to be honored by Governor Charlie Crist and the State of Florida.”

Midwifery in Florida
In Florida, two types of midwives are allowed to practice: Certified Nurse-Midwives and Licensed Midwives (a Florida state licensure), also known as direct-entry midwives. Throughout the state, about 11.2 percent of births are estimated to be managed by midwives, rather than by OB-GYNs. Many birth centers and midwives have reported a significant increase in business in the past year. This increase is believed to be a result of various factors, primarily a greater number of women seeking alternative birthing choices due to an unhealthy increase in caesarean sections and other unnecessary interventions that frequently occur in hospital settings. In a 2006 report on Florida Licensed Midwives, midwives had a caesarean section rate of 6.3 percent compared to a 36.64 percent statewide average in hospitals the same year.

About Florida Friends of Midwives
Florida Friends of Midwives is a non-profit grassroots organization dedicated to promoting the Midwives Model of Care and supporting the practice of midwifery in Florida. Florida Friends of Midwives was formed to support midwives who offer safe, cost-effective, evidence based care to Florida's families. For more information, please visit www.flmidwifery.org.

Friday, October 2, 2009

BIRTH STORY: Exceptional Emergence

(by Kate Adams, about the 15 minute birth of Luke Irwin, born 10.01.07)

After several weeks of deliberation you finally decided it really was time to be born! I spent the day having contractions, much like those that I had been having for weeks, waiting all day for them to become more intense. Every few minutes they came, but always the same. After a very anxious day we called our midwife, Harmony, to come visit and help us to understand what was happening. We learned I was making progress, but we thought that because it was so manageable that it might be some time, perhaps days, before true active labor would begin. We agreed that if things changed we'd call, and set our plans for the evening as lots of resting and early to bed. The contractions continued to come throughout the night, but I could sleep in between and it seemed that they were losing strength and coming farther apart. Then at 1:4something I jumped up out of bed from being very asleep. It was as though the volume had been turned WAY UP and labor had definitely changed. My water broke, and I woke up Kenny to tell him. I went to the bathroom, relieved that finally we knew our baby would be here soon.

Kenny went to call Harmony (1:47), and while he was on the phone and running around grabbing things another contraction came and my legs began to tremble. I only made it half way back to our bed, and felt pushed to all fours by the next wave. Kenny was changing the sink over so he could fill the pool when I told him that there wasn't going to be time for the tub, and began asking him what was happening to me. He looked at me with worried eyes and told me that I was doing a great job, and then continued to run around the house trying to get things ready. I told him that I needed the ottoman to lean on (while he was rushing about). With the next wave I felt the baby's head pushing against me and told Kenny to come and look, that he was coming! He did, and suddenly realized why I was making such a commotion (truly I am not dramatic without necessity). He called Harmony back, who rushed out her door also now knowing that this was not going to be a typical birthing.

Kelsea woke up and wobbled to our bedroom door clutching her blanket and dolly. Her eyes were so wide; trying to figure out what Mommy was doing making all that noise in the middle of the night. Kenny called her to him and she came and sat on his lap, the two of them behind me when his head started to crown, slowly going in and out and then emerging completely. Kelsea started to shudder, so Kenny explained that it was just the baby coming and that Mommy was okay. Then she reached out to touch his head and said “BABY!” as loud and proud as could be. She then got very excited for the rest of him to arrive. I felt his warm wet head too, and kept asking Kenny if he looked okay, so worried that being born was hurting him. With the next contraction he was fully born into his father’s hands. It was exactly 2 o’clock in the morning.

And it was how the scriptures say, “A woman, when she is in labor, has sorrow because her hour has come; but as soon as she has given birth to the child, she no longer remembers the anguish, for joy that a human being has been born into the world. John 16:21”. We laughed and kissed and cried all at once at this little miracle that was now in our arms. We did it together, on our bedroom floor of all places, and it seemed like the most natural and wonderful thing in the whole wide world. I guess we were all in a bit of shock trying to decide what to do next when Kenny’s phone started to ring. Harmony was on the other end and heard Luke’s first noises before Kenny could say what had happened.
Kenny helped me to the bed and laid Kelsea down beside me and hormones fuzz the rest of the story out. I know it wasn’t long before Harmony arrived and instilled a calm where there had been chaos, setting about checking on us all. There was still work to be done, a placenta to deliver, cord to cut, water to boil (really!). Dad and Minna arrived, greeted our new family member, prepared food and did a number of other noisy but beneficial things in the kitchen. There were stitches for me; they hurt, despite best efforts to make that part of the experience pain free. Little man was measured and weighed, found to be not little, and admired from all around. It was decided that he did not look like a Keegan at all, and would be called Luke instead. There was also Jodi, who fairy godmother like made things clean and said nice things about our naughty cat (he climbed in Harmony’s bag!). Before the sun was up a great many things had been accomplished and everyone hugged and said goodbyes and left us to live happily ever after.

Luke Irwin Adams measured 20 ½ inches long, had a head 13 inches around, and weighed 8 pounds and 4 ounces.