Tuesday, July 26, 2011

BIRTH STORY: Certified Organic Baby

(written by Tanya Hackney, about the birth of Rachel, 05.02.11)

Rachel is two weeks old today, and the most pleasant baby we’ve had. I don’t know how much truth there is to the theory that the kind of birth experience a baby has affects his or her personality for life (it certainly affects the mother's willingness to have more children), but Rachel would support the theory that the more peaceful the birth, the more peaceful the baby. Of course, it doesn’t hurt that we’ve done this four times before, and we’re more relaxed. I am certain that the mother’s feelings during pregnancy and after birth are reflected in the baby’s disposition. All I can say about that is, “Poor Eli.” No wonder our first kid is so keyed-up.

The previous four children were born without drugs and with minimal intervention, under the care of a midwife, but in a hospital setting. There is a time and place for medical attention, for medication, and for “meddling.” Natural, uncomplicated birth is not it. It took me a few babies to realize I do not need to be in a hospital, just relatively near one in case of emergency. I have a history of late babies and long, slow labors. Once I figured out that it takes my body a really long time to prepare itself for the last phase of labor, I just stayed at home until it was time, or, in a couple of cases, allowed the midwife to start an induction using Cervidil (to ripen the cervix), but I never actually needed a Pitocin (IV) induction. I’ve also condoned various interventions to speed things up: stripping membranes, breaking my water, enemas—you name it and we’ve tried it. But I’ve never had an epidural (no needles in my spine, thank you very much) and don’t mind suffering a little to bring a child into the world. In fact, I would say that the suffering is proportionate to the elation one feels afterward.

But this time, I wanted something different. Having a baby in the hospital is like going to McDonald’s at lunch time. A hospital is a place of busy-ness—people running around in scrubs, officiously doing their duties and following protocols. The L&D room is needed for the next customer, so taking 24 hours to have a baby makes one a nuisance. Also, the nurses are used to 90% of women wanting to be drugged immediately, and then they rest comfortably hooked up to a monitor that can be seen remotely at the nurse’s station down the hall. These moms require very little. The mom going natural is always asking for things or refusing things, and some nurses feel rather put out. And when it’s time to actually have the baby, the busy-ness increases: a team of strangers in green swarm into your room and turn on bright lights and start unpacking mysterious packages. The end of the bed breaks away and when that wee thing comes into the world, it is a shock of lights, noise and air conditioning. They are whisked away to a corner of the room to be poked and cleaned and checked. No wonder they scream their little heads off.

As we have gotten more organic and natural in everything we do, it makes sense that this assembly-line approach to birthing babies would become less acceptable to me. When I found Rosemary Birthing Home (www.rosemarybirthing.com) in Sarasota, I knew that aside from having a birth on the boat with an island midwife—we’re not quite there yet—this would be the best option for a peaceful, natural birth for our fifth child. I mean, my midwife’s name is Harmony for heaven’s sake! We were right. There was no rush, no sense that we were a burden, no unnecessary meddling. Instead of McDonald’s at lunch time, it was like going to a friend’s for a home-cooked dinner and staying to open another bottle of wine. The birth was no shorter than normal, but aside from my water having broken (which starts a 24-hour intervention clock ticking) the experience was so much more relaxing. Labor in the courtyard, in the tub, in the shower, in the rocking chair, in the kitchen, in the garden, on the boardwalk along Sarasota Bay—no one was telling me what to do or how to do it. Not that we didn’t try to speed things up a bit—I went to the acupuncturist, tried herbs and homeopathy, even drank a Castor oil smoothie. The difference for Jay was marked, too. He hates hospitals, and was a little wigged out after Sarah's arrival (at 9 1/2 lbs. she was hard to get out). He bowed out of Sam’s arrival, leaving it to a team of girlfriends instead. But he was more comfortable in the homey atmosphere at Rosemary and was on hand when Rachel arrived, just outside the door. Even Sarah, at seven, felt comfortable and was there to see her sister’s birth.

In the end, Harmony gave me the extra time I needed to have the kind of birth I wanted to have (we were close to having to transfer to Sarasota Memorial), and when Rachel finally decided to show up, she came fast. So fast, in fact, that I didn’t even make it to the birthing tub and had her in the shower, where I had been laboring for the pain relief of pressurized hot water. When I picked her up for the first time, she wasn’t crying. She was quiet and alert, looking around and wondering where she was. We spent the first couple of hours of her life just looking at each other, holding her in the warm water of my (undefiled) birthing tub, nursing, and generally basking in the post-childbirth glow. (Man, those hormones are like a really good drug.) We had Rachel the night of May 2nd, and at midnight, we broke out the chocolate cake and candles and celebrated Sarah’s 7th birthday on May 3rd!

I had plenty of time to rest and recover (Harmony herself made my breakfast the next morning after Jay had gone with Sarah to pick up the boys) before heading out to my mother-in-law’s. It was, aside from the part of childbirth I’m already forgetting about, a totally pleasant experience. I will never have another McBaby again (if I have another at all). I never cease to feel amazed at the miracle of new life—thanks be to God for answering all our prayers for a smooth delivery and a healthy baby!

Ina May Gaskin on The Diane Rehm Show

Ina May Gaskin, America's most prominent midwife and founder of The Safe Motherhood Quilt Project, was a guest on NPR's The Diane Rehm Show this past Monday. When telling the story of how she evolved into her calling, despite the increased medicalization of birth, she told the host:

"I knew that everything could be born on the farm and I thought, there's a lot of species of mammals and only the human doesn't work? I mean, that was just hard for me to accept."

Listen to a complete podcast or read a partial transcript here.

Wednesday, June 29, 2011

Reposting: BIRTH STORY: The Beginning

(written by Laura Gilkey, about the birth of Michael Banyan, 06.29.04)

Last journal entry before the birth

Tuesday, June 29, 2004, 3:30 pm

Able to relax on the couch...learning how to breathe and moan through the contractions really well...I just wanted to thank you again for such a beautiful, wonderful, comfortable pregnancy. I will always cherish this time of my life when I was able to hold you inside my soul. Papa is being so wonderful! He's inflated our birth pool and he's making our bed and getting everything ready. He's just as excited as I am!

Soon...Love, Mama

P.S. 4:25 pm: I LOVE THAT IT'S RAINING SO HARD!

First journal entry after the birth

You are the most beauty I have ever seen in all my life. You have changed me forever and I am so thankful to you and for you that it SPILLS out of my heart. Here is the story of your arrival into this world.

As I last wrote on the day of your birth, the rain was coming down in hard, white cascades all around our house, washing over us with each contraction. Papa and I started to watch a movie after he finished getting everything ready...which, by the way, he did a great job of...we joked about it looking like the movie E.T. with all the plastic dropcloths everywhere! We didn't make it through the movie, but it was a nice diversion as we rested between contractions.

I started to need to get up and move around during the contractions, and that seemed to help a lot...it was Papa's idea, and he walked right behind me the whole time, doing laps around the house with his hand rubbing my back. He fed me a raspberry yogurt to keep my energy up and I drank lots of herbal tea and water. When the contractions were very hard for me, I got in the bathtub a couple of times to take the edge off...that was very nice.

It is so surreal to me, thinking back to how I thought it would be and remembering how it actually was. For example, I thought I would certainly want music, and we even turned on a CD (Ray Charles) between contractions once. But once the next contraction came, I didn't want the noise anymore. Through the whole labor the only things that really helped me, my two sole means of strength, were your father's arms and my own voice. His arms kept me steady and I just needed to concentrate on getting my own sound as LOW as I possibly could. My moans sounded like deep tenor "O's" that vibrated deep down in my belly to surround you and squeeze you out into the world.

Papa had been timing my contractions for about an hour or so, and they were between 45 seconds and a minute long, and 2.5-4 minutes apart. We tried once more attempt at conserving our energy by watching this man win his 20th Jeopardy in a row, then we decided to call Anne, who was your midwife on call. I thought that maybe I wasn't brave enough, that it was too soon to call her, that I didn't know the right time and that I was surely only 4 cm dilated. This was all about 8:00 or so...Anne arrived shortly after, about 8:15 or 8:30. First she observed us through some contractions and took my vital signs. She listened to your heartbeat and watched us a bit more, then helped me to our bed to measure my cervix. I couldn't believe my ears...6-8 cm! We were almost in transition! She quickly started to fill the birth pool and ask Papa where all of our supplies were. Papa called Mimi and Aunt Sarah and told them to come on over...you would be born SOON!

I stayed on our bed for a while, and the contractions were coming very closely together. That was when it REALLY helped to feel the vibrations in my own deep voice...I just concentrated on that, and on blowing out my lips like a horse, trying to keep my bottom half loose and open. I was still on the bed when Mimi arrived, and I was so happy to see her! Aunt Gana came soon after that, and I had one or two more contractions before Anne asked me if I wanted to get into the birth pool. I did, and it felt nice. We had lit candles through the house too, including the one we made for Aunt Sarah for your cousin Lotus's birth (but he came so quickly it was never lit!). We also were diffusing some essential oils in the house...clary sage and lavender, mostly...and when I got into the birth pool that was ALL I smelled. It was nice, but a bit too strong, so I remember asking Aunt Sarah to take it out of the room. I'm sorry I'm jumping around so much--Aunt Sarah had arrived right after I got into the pool, and she had an armful of beautiful wildflowers for us! She was SO excited to watch you arrive. The birth pool was in your room, and it felt very good--right--to be in there.

I had a few more contractions before we started to push. I can't really describe what it felt like, but I think I enjoyed that part the most. I knew you would be with us soon, and it felt like you were really helping me to do the work.

Papa might have to tell you this part of the tale from his perspective...he had a better view than I did! Everyone gathered in the room to watch your birth. Heidi would up being Anne's birth assistant, which was wonderful for us, we always wanted both of them there! So in the room at the time of your homecoming were: you, me, Papa, Mimi, Aunt Sarah, Aunt Gana, Heidi and Anne. I was aware of their mixed voices telling me how well we were doing. I pushed HARD and your beautiful little head with all of its thick, long, straight black hair, was born. Then it becomes a bit blurry to me. I had to get out of the pool and into bed...I was incredulous, I couldn't believe I was supposed to lift myself out of the water! The rest of your birth happened very quickly. I felt my body being lifted up...Papa gathered all of the strength he had and ignored his sleeping arms and legs (from my grasping) and carried me from the pool to the bed in your room. Your umbilical cord was wrapped around your little neck, and they wanted me out of the water to make sure they could get your body out quickly. One more big push and you were here! INTO MY WORLD, INTO MY ARMS, MY BEAUTIFUL BANYAN BOY!
So at 10:57 pm on Tuesday, June 29, 2004, you were born to us. They placed you on my belly and I felt so much pride! It was my proudest moment, knowing we had done it, all three of us. You didn't get that first really good cry in right away, and the midwives were worried because your heart rate had dropped from the cord being wrapped around your neck. So they suctioned your mouth and nose and put some oxygen to your face. I asked you to please cry for me...I remember saying "please" a lot. Your eyes fluttered open and from your mouth came the most beautiful sound I'd ever heard. Papa was crying, so thankful and relieved. As the midwives worked to get your heart and lungs acclimated to the world outside, everyone kept saying "he" when they talked about you. So I asked, "is he a boy?" and the midwives lifted up your little legs and said yes, you were a boy...and I hugged you and kissed you and whispered your name, "Oh Banyan, thank you!"

Aunt Gana called Grammy and Grandpa and told them it was time to come over and meet their grandson. They asked your name, and Gana asked if she could tell them...so Papa announced to everyone present that your name, strong and beautiful, shall be MICHAEL BANYAN.

Editor's note: This story was written by hand, in ink, in my pregnancy journal. That medium did not afford editing, and I felt it unjust to edit the story in retelling it here, whether grammar or medical details be slightly askew. The story in my journal continues to describe at length the painful ordeal that was Banyan's transfer, three hours post-birth, to Sarasota Memorial Hospital's neonatal intensive care unit for suspected meconium aspiration. After five of the longest and most excruciating days of our lives, we brought him home. This was the one benefit of the transfer. From my journal:

Bringing you home was easily one of the most perfect moments of my life. The second we walked in the door, your eyes widened and became much more aware--you could sense that the energy here was YOUR energy. I showed you your house and sat down to feed you your first homecoming "meal." That was the happiest moment I'd had since you were born. Papa and I kissed, and I could not stop smiling.
Happy seventh birthday, Banyan. Thank you today and every day for choosing us to guide your path.

Friday, June 17, 2011

BIRTH STORY: Baby Love & Soul Work

(written by Krystle Sommers, about the birth of Annabelle, born 06.11.11)

Really? I get to keep her forever?

If I knew what day it was I'd say "I cant believe its been x amount of days since Annabelle was born" but life is a little interrupted at the moment and she is worth every bit of it.
Im still recovering, not 100% yet and still unable to wrap my head around what Josh & I just went through.

Delivering our child together after all night Friday and all day Saturday (totaling 19 hours) in hard labor was the most amazing experience of my life. The pain and fear I experienced during childbirth was more than I had ever imagined BUT the feeling of accomplishing what I knew my body could do was priceless. There is a reason less than 2 percent of Americans do homebirths- its REALLY HARD WORK.

But it the type of work that changes your soul.

I have never felt so empowered and strong even though in it I felt weak and scared. I cant tell enough people how proud I am of my husband. For hours I looked him dead in the eyes, bawling, pleading and begging with him to help me and all he kept saying was "You can do this."

I've never had to tap into my inner strength before but when things got so bad I screamed for Jesus, drugs and told everyone I was dying I knew I could either own the situation or let it own me. My midwife, mother and birth assistants also stayed by my side and championed me into delivery.

When in the 18th hour I knew she was close I gave it everything I had and then she was here in our arms as if she had always been here with us. I don't believe everyone should do as I did because we all have different roads to take but I know that I went into labor and parts of me did die and I came out with a strength I didn't know existed.

-New Mumma
HEAVEN.

I give God the credit for it is through Him we find strength.

Monday, April 25, 2011

Sunday's Letter to the Editor

Thank you to the Sarasota Herald-Tribune for printing my letter on Easter Sunday. I am hopeful that many readers will take action.

Regarding pediatrician Sean Palfrey's column "How patients can help doctors practice better, less costly medicine":

No discipline best illustrates the American medical trend of over-intervention than maternity care.

Despite spending more on maternity care than any other nation (about $98 billion annually), the U.S. ranks an abysmal 50th in maternal mortality, the World Health Organization reports.

Why are two to three American women dying of pregnancy- or childbirth-related causes every day? Because their care falls on one extreme or the other of appropriate. Many women are not receiving prenatal or postpartum care at all. On the spectrum's other end, many are receiving dangerous intervention that exceeds what is medically necessary for a healthy birth outcome.

What can we do? To start, we can adequately count the women who are dying, and discern their causes of death. Florida is one of only 21 states that has a check box on a woman's death certificate to note whether she was pregnant or recently pregnant when she died. The Maternal Health Accountability Act of 2011 aims to change that, making a nationwide data collecting system that establishes maternal death review boards in all states. I strongly urge you to contact your elected officials and convey your support of this bill.

Tuesday, April 12, 2011

SRQ Daily: Every Child Needs a Mother

Many thanks to SRQ Magazine for running the following guest column in today's SRQ Daily.

I type from an airplane somewhere between DCA and SRQ, my heartbeat quickening as I anticipate a joyous reunion with my husband and children. Yet for far too many American families, joy is replaced with grief, reunion replaced with loneliness. Saturday’s Healthy Mothers Healthy Birth Summit at Shenandoah University addressed the silent epidemic of maternal mortality in the United States.

Americans spend more on maternity care than any other nation in the world (approximately $98 billion annually), yet World Health Organization data shows 49 countries losing fewer mothers than we do. Some names might not surprise you—Sweden, the Netherlands, Germany, the U.K. But how about Slovenia, Bosnia, Kuwait and Bahrain?

Amnesty International researcher Nan Strauss presented the group’s report "Deadly Delivery: The Maternal Healthcare Crisis in the USA." Amnesty concludes that at least half of American maternal deaths are preventable, resulting from lack of prenatal/postpartum care, or from overuse of intervention such as labor induction or Cesarean section. "We have the research. We have the answers," said Strauss. "We're just waiting for the political will."

Florida midwife Jennie Joseph agrees. Her answer? The Midwives Model of Care, empowering the mother through knowledge and support, minimizing interventions and referring women who require obstetrical attention. The Summit’s experts recommend the midwifery model as the standard for low-risk, normal births.

Renowned midwife Ina May Gaskin then presented her Safe Motherhood Quilt Project (www.rememberthemothers.org). The quilt honors American women who have died of pregnancy or childbirth related causes since 1982.

So what can we do? We can begin by accurately counting and discerning the causes of our maternal deaths. The Maternal Health Accountability Act of 2011 (H.R. 894) would mandate a national data collection system, and establish maternal death review boards in every state. I encourage anyone who is concerned about this crisis to contact your representatives and urge their endorsement of this bill.

Every child needs a mother. I can't wait to get off this plane and show my babies how grateful I am to be theirs.

Thursday, April 7, 2011

Nations with Lower Maternal Mortality Rates than the U.S.

Australia
Austria
Bahrain
Belarus
Belgium
Bosnia and Herzegovina
Brunei Darussalam
Bulgaria
Canada
Croatia
Cyprus
Czech Republic
Denmark
Estonia
Finland
France
Germany
Greece
Grenada
Iceland
Ireland
Israel
Italy
Japan
Kuwait
Latvia
Lithuania
Luxembourg
Malta
Marshall Islands
Montenegro
Netherlands
New Zealand
Niue
Norway
Oman
Poland
Portugal
Puerto Rico
Qatar
Republic of Korea
Serbia
Singapore
Slovakia
Slovenia
Spain
Sweden
Switzerland
The former Yugoslav Republic of Macedonia
Turkey
United Arab Emirates
United Kingdom
(current data from the World Health Organization, http://apps.who.int/ghodata/?vid=250#)