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Category Archives: Birth Story

Lowering the Risks of Interventions During Birth

Childbirth is a collaborative effort.

As the different elements of the process work harmoniously, there is often a safer and more productive outcome. Compassionate emotional support and comfort measures hold the power to dramatically reduce certain birth risks and even surgical interventions. The birth community is now publishing more research on the benefits of birth support and how a strong support system can actually affect your birth experience in a positive way.

What’s the verdict?

The American College of Obstetricians and Gynecologists has published their research on birth support and how midwives are making strides by improving the birth experience nationwide. After establishing that a woman is low-risk, she may benefit from less medical intervention that could prove stressful for her or her baby during labor.

In this research they have also identified that it’s not all about experiencing less pain.

With an epidural alone, mothers might feel less physical pain but can still be significantly affected by anxiety and birth trauma without access to a support system. Continuous emotional support, affirmations and comfort measures have been shown to dramatically shorten the duration of labor and lower the risk for operative deliveries.

When midwives, medical staff, and doulas work cooperatively with a woman in labor, they are able to focus attention on empowering them through the experience and finding natural ways to comfort and encourage the progression of birth safely. Changing positions, massage, intermittent fetal heart rate monitoring and pushing at the mother’s comfortable pace reduces cesarean risks and can also reduce birth trauma and stress during birth.

This is important news for babies to be.

As hospitals and birth centers shift toward this holistic way of thinking, it normalizes birth practices that shy away from medical interventions and pain management. Acknowledging the importance of a strong support system in the birth space will empower women to make their own decisions for their baby’s birth and create a birth plan that is more attune to their specific needs.

When you have a carefully assembled team in place, you can feel confident that you’re receiving all the attention and care you want and nothing you don’t, without compromising safety.

A strong support system matters!

As you prepare for birth, assembling your support system is just as important as deciding your birth preferences. Talk to your care provider, your birth center, and birth support professionals about your options and resources that will customize your birth experience to it’s fullest potential.

To Hat or Not to Hat

It’s National Hat Day and although we appreciate the value of a a great hat, there’s a time and a place.

It has become customary to put a little knit cap on your baby’s brand new noggin to keep them nice and toasty just after birth. Although it sounds like a great plan to keep your baby warm, it can actually disrupt valuable bonding and hormone production, and may result in an overheated baby!

We all love that sweet baby smell.. Johnsons and Johnsons tried to bottle it.. there’s a reason why we love to smell babies, especially our own!

Skin to skin contact has some incredible benefits immediately after birth and as your baby is getting introduced to their new environment. This contact benefits the mother as much as baby, and begins the bonding process that will be important during their breastfeeding journey. Skin to skin improves a baby’s respiration, regulates their body temperature and reduces stress and anxiety. The first hour after birth is important for the infant as it’s their first opportunity to become acquainted with their parents, allowing them to become more emotionally stable and confident as they age.

When your are skin to skin with your baby and able to smell your baby, your body releases Oxytocin, the hormone that rules labor and is known as the LOVE hormone. Smelling your babys head releases oxytocin, which helps your uterus contract, helps expel your placenta and minimize bleeding. Oxytocin also helps you fall in love with your baby.

So why do they put a hat on your baby?

The head and face are important for a newborn’s natural instincts to acquaint with the mother’s scent, warmth and heartbeat. Newborns will nuzzle into their mother’s chest and and begin searching for their mother’s breast. Oxytocin is a powerful hormone released in the mother when her baby’s scent is nearby, that triggers the final stages of labor and increases milk production. This is one of the many beautifully simple ways that nature has perfected the childbirth process, and that cute tiny hat is getting in the way!

When mom is available, she can regulate her baby’s temperature with her OWN BODY and no hat is needed. Yes.. that’s right.. when baby is skin to skin with mom, mothers temp will increase or decrease to heat or cool her baby! Pretty incredible!

So when should you choose a hat?

If your baby is born premature, underweight or has certain medical complication, a hat may be a good idea. In some of these situations, the mother or baby is not well enough to utilize skin to skin contactWhen skin to skin contact isn’t possible, hats, swaddling and warmers might be the only way to regulate your newborn’s temperature. If baby is able to be held, but mom isn’t available, Dad or another family member or friend can hold baby skin to skin.

This period after birth is unique and shouldn’t be interrupted by anything, including a tiny hat.

Some birth professionals say that babies remember birth. This period of bonding is unique in that it is the first impression your baby has of this great big new world. These impressions are theoretically associated with the way adults perceive the world, so we should make it count!

Besides, there’s plenty of opportunities for cute hats once your baby is a little older.

Birth Story: Katherine Elizabeth

April 16th, 2012 Birth Center/Hospital Birth
Healthy Mom, Healthy Baby

The experience of a laboring mother, father and a grandmother at Sarasota Memorial Hospital

Brief Overview:

“You have your birth plan, I have mine. When yours does not agree with mine, we will go with mine,” Dr. Abu declared. We were at SMH for a 36 week pre-term delivery. My husband had to fight passionately against unnecessary medical interventions including pitocin before and after delivery, a continuous IV, episiotomy, and immediate cord clamping. The tension in the delivery room was so high that it was a miracle my labor did not stop altogether. We sacrificed a peaceful, joyful delivery for my health and the health of baby Katherine. With the exception of delayed cord clamping, we got the birth experience we wanted. Unfortunately, we had to fight tooth and nail.

My experience:

April 16th, 2012. 12:50 AM, 36 weeks gestation, my water broke. We knew before calling Birthways, the birthing center where we had planned to deliver our first child Katherine, that we were headed to Sarasota Memorial—Katherine was one week too eager to enter the world.

3:15 AM we were admitted to the hospital. Triage had confirmed Katherine was indeed on her way. Our midwife, now doula, Kaitlan waited outside as two nurses introduced consent forms and performed preliminary exams.

We wanted Kaitlan in the room as we waded through the decisions and paperwork. She had been through this process before, and as doula, would have been able to offer invaluable advice. We requested her presence three times. The fourth time, the nurses finally called her, but she never came. Labor and delivery turned her away, inconsiderate of the fact that she was our hired doula.

4:00 AM found me one centimeter dilated. By this point, I was overwhelmed with the sheer number of things vying for my attention—two nurses asking questions, the paperwork I was trying to read and the contractions just beginning to come. Kaitlan was still not present when Dr. Abu entered the room and we truly needed her input.

“You have your birth plan. I have mine. When your birth plan does not match mine, we will go with mine. You need a continuous IV, and because your labor is not strong enough, I am putting you on pitocin,” he commanded, leaving no room for discussion.

This was not the birth I wanted. I knew the effects of pitocin, and I knew that my situation did not yet merit such a drastic measure. My water had broken only three hours before, and my contractions had been increasing until the nurses and Dr. Abu entered the room. The stress of the current conversation was slowing labor. If time proved that my body was not acting as it should, I would have considered the drug as a means to prevent a C-section, but currently, it was an unnecessary measure whose consequences for baby and I far outweighed the benefits.

Neither did I want a continuous IV. If getting my labor going was a concern, I wanted to use natural methods, namely walking and nipple stimulation. A continuous IV would limit my movement and therefore limit my progression.

If dehydration was the doctor’s reasoning for the IV, the doctor did not take the time to ask about my liquid consumption. I had drunk more than a liter and a half since my water had broken, and I was continuing to drink.

“Give us four to six hours to get labor going. Then we can consider the pitocin,” my husband and I countered. We did not agree to the IV.

“I’ll give you two,” he responded brashly and then tried to motivate us with fear. “Your water broke at 36 weeks. There’s probably something wrong. You may have an infection.”

I broke into tears shortly after his departure, not because I was afraid there was something wrong with my body, but because the doctor was threatening to take what I had spent eight months preparing for with excellent nutrition, water intake and research. I wanted a natural delivery. I knew the pitfalls of the drugs and interventions the doctor was so adamantly pushing.

The nurse began to prepare the IV. “We didn’t agree to the IV,” my husband looked at me. I was willing to take it, but he knew how important my freedom of movement was. We asked the nurses for a few minutes alone. Kaitlan was still not present. Knowing her knowledge and experience would bring peace to the situation, he called her directly rather than ask the nurses, and then he left the room to find her.

Make peace Kaitlan did when she came into the room. “You could come to a compromise. Ask to be connected to the IV for twenty minutes to receive the antibiotic for Group B Strep. Then ask to be removed to allow movement.” The hep-lock we had requested would make this possible.

The nurses agreed to our suggestion and allowed us time to walk the halls. Walking and stimulating my nipples, labor progressed rapidly. Contractions came closer together and stronger. When the nurses asked us to return to the room for the IV, I was satisfied.

6:00 AM. By the agreed-upon time, I was in active labor. The contractions required my full attention, and I was more than moaning in pain. The nurse checked me. I was three and a half centimeters dilated. There was no more mention of pitocin until the baby was crowning.

I am grateful we fought against pitocin. Had I accepted it, my contractions would likely have been too strong to manage. I would have required other interventions.

As labor became more intense, time blurred. The nurse allowed me on a birth ball for a short time before requiring me to lie in bed, once again attached to the fetal monitor. I respected their desire to keep tabs on Katherine’s health, and the nurse said she would detach me after ten minutes.

Ten minutes never came. The monitors would not stay attached long enough to acquire ten full minutes of data. Except for bathroom breaks, I was attached to the monitor and confined to bed for the duration of labor. Thankfully, the nurses were gracious about allowing my movement within the bed.

9:00 AM. I had dilated quickly. Sitting on the toilet, I suddenly felt the urge to push. The nurse rushed me back to bed and confirmed what I already knew. I was at ten centimeters.

“Don’t push!” the nurse directed as she left the room.

Don’t push?’ I thought. ‘There’s no way!” I pushed anyway.

The nurse returned shortly and directed my pushing. Her counting was very helpful, and before long, to my surprise, the nurse called for the doctor. Katherine was close.

As Katherine was crowning, Dr. Abu held up the scissors to perform an episiotomy. “I’m going to cut her,” he announced without asking permission.

“You will not cut her,” my husband responded.

Dr. Abu was aggressive, “I’m going to cut her. I need to do it now.” The discussion turned into a full-on quarrel, and the atmosphere in the room was so intense that my mother could no longer stand. Gone was the hope of a peaceful delivery, overrun by the fight for a “Healthy Mom, Healthy Baby.” Incredibly, I was still able to focus, and the war raging around me did not affect my ability to deliver Katherine.

“Everyone be quiet,” I groaned, “ I need to push!

The room quieted temporarily before the volume rose again. “Ask her,” my mother practically yelled.

All eyes turned to me, and between pushes, I made my wishes known. “No! Do not cut me. I’ve done my research.”

“This is not about research,” Dr. Abu negated my hours of study, “This is about what needs to be done.” He and my husband went at it again.

“I would rather tear than be cut,” I interrupted. I repeated myself to make sure I was heard, “I would rather tear than be cut!” I knew Abu heard me, but whether he would comply was another matter. My care was in someone else’s hands, and I was incapable of protecting myself. In the end, Dr. Abu did not perform the episiotomy.

Next came the dispute over cord clamping. The blood in an umbilical cord is the baby’s blood, and research shows that babies fare better when the cord is allowed to stop pulsating before it is clamped. My husband requested multiple times that Dr. Abu refrain from clamping until Katherine had received its blood. Abu refused and clamped the cord immediately, insisting he needed the cord blood to do tests because of her pre-term delivery. I cannot fathom that medical testing outweighs the overall health of my infant. We would have been pleased to have her blood drawn after her cord had finished pulsating. Instead, Abu disregarded our wishes.

I was very pleased that Dr. Abu placed Katherine directly on my chest after delivery. This was one of my greatest desires, and he made it happen.

After delivery, he once again tried to put me on pitocin. “She needs pitocin. Her platelet count is low. She may bleed out if we don’t.” My body, at that time, was showing no signs of hemorrhage. We understood the doctor’s concern, but stood firm against the force of his words. “Give us an hour. If I start bleeding, then administer the pitocin.”

I never hemorrhaged. My platelet count began to rise within 48 hours. The nurses in recovery were surprised at how high the other aspects of my blood count were compared to the norm they encountered in the hospital. Now, only a week after delivery, my bleeding has practically stopped. The pitocin was once again an unnecessary fear-based measure.

We did not need any of the medical interventions Dr. Abu so aggressively pushed. With natural means, labor progressed more than twice as fast as the average of over 20 hours for first-time Moms. Katherine was in my arms nine hours after my water broke. If I had accepted the pitocin, the contractions would have been too strong, and I would have required additional interventions. I did not need the continuous IV to ward off dehydration nor the pitocin to prevent hemorrhage.

Katherine required no interventions after birth except the suctioning of mucus from her airways. With a little coaching from our nurses in recovery, who were fantastic at what they did, we are breastfeeding eight times a day, and a week after delivery, she is only one ounce shy from her birth weight. Her pediatrician at her one week check-up declared her lungs, heart, weight and color excellent.

I am grateful that my husband fought for my health and the health of my baby. I am grateful for the natural childbirth we had as a result of his strength. We did not have pitocin. I was not connected to a continuous IV. I did not have an episiotomy.

“Healthy Mom, Healthy Baby.” Though Sarasota Memorial’s labor and delivery team touts this as their end, I would invite them to reconsider their means. A woman’s body knows how to give birth and in most cases, does it naturally.

Birth Story: Elijah

August 18th, 2011 Birth Center Water Birth
A Mother’s Birth Story of her Second Son

I was driving to work on my last day of work. It was two weeks before the baby’s due date. I felt a few contractions on my way to work but they stopped when I got to work. I got off work thrilled that I had two weeks to relax, clean and prepare for the new baby. At least I thought so, but the baby had other plans.

I got home at about 7:30pm and, like any other pregnant woman, went to the bathroom again for the millionth time that day. While in the bathroom, I noticed that I started spotting and knew that the baby will come sooner than I planned. I went to pack my bag with the baby clothes and few items that I needed. I called my midwife and told her that I was spotting so that she would be prepared to wake up at night if I went into labor. I went up to go shower and prepare a few more things while I told my husband to prepare some snacks and call the babysitter for my older son.

Right after I got out of the shower, my water broke and started leaking out. It was at about 11:45 pm and at first I was not sure if it was my water but when the contractions started coming quickly after that and strong, I knew that I was right. After my first contraction, the next one came in ten minutes. The one after that in seven minutes. After that they were coming every 3-5 minutes and getting stronger and more intense with each contraction. I told my husband to call the babysitter and get them to come over ASAP and to call the midwife again. I was lying down most of the time on my side. I still felt like I needed to pee every 5 minutes and was irritated by it but went anyway. I was even more irritated every time I went because I would get a contraction on my way to the bathroom, a contraction while I peed and then another contraction on my way back to the bed or couch. So in other words, if I moved, my contractions came every 30 seconds to a minute and if I was lying down, they would come every 3 to 5 minutes. When the baby sitter came, we left right away to the birth center knowing that the baby was going to make me work extra hard after working all day and didn’t want to wait. So much for relaxing for two weeks, I thought.

2 We got to the birth center at 2:30am and by then I was moaning to get through every contraction. Before I was in labor, I told my husband that I wanted him to massage me and showed him a list of things that I wanted but once I started labor, all I needed was him to hold my hand. If he tried to massage me, I could not concentate on relaxing during the contractions and felt worse in the process. I told him that he can squeeze my hand and nothing more. Once I was in the birth center at 2:30am, the midwife checked me and said that I was 8+ cm dilated and that I can get in the tub. I thought that when I was in the tub that I would feel better but because my labor was progressing so quickly, I was in just as much pain and it kept getting worse.

My other midwife came to help with the delivery and within minutes told me that I can take my bottoms off. I asked her if she really thought that the baby would come that quickly and she said that the baby could come in the next contraction. I was like WHAT!! I just started my labor! I am so not ready for this!

She was not joking. Within the next few contractions, that were now coming every minute, I felt the baby start crowning. When I had my first son, I was cut and then I tore 3rd degree. It took 45 minutes to stitch me back and it took months for me to start feeling normal again. My biggest fear with my second was that I did not want a tear. I expressed this fear to my midwife during my prenatal visits and she told me that when the baby is crowning it will be intense and it is 3called the ring of fire because it really feels like it. She also told me that if I feel it, it’s a good sign and that it means I did not tear yet. If I don’t feel it, it means I had a tear. SO, when I felt the baby crown and I felt the ring of fire, I was telling myself that it’s a good thing, I did not tear. I just kept repeating it in my head during the pushing phase till he was born. My midwives kept reminding me to breathe. I knew that with him coming so fast that I should not push hard like they say in the hospitals. I knew that the faster he came out, the higher my chance of getting a tear was. May I say that it was hard not to push hard because all my body wanted to do was push as hard as I can.

I gave birth to my second son at 3:24am in the water and my husband got to catch him. He was a small 6 pounds 6 ounces and only 19.5 inches long. He was born two weeks before my birthday. He was not breathing and his heart rate was in the 50s, my midwife later informed me. The midwives stayed so calm and started giving him oxygen and rubbing him to get him crying. He did and is now the healthiest baby ever.

And guess what, I did not tear. I did get a skid mark because he came out so fast but it healed on its own and it did not need stitches. Boy, was I thrilled. And my blessing was that my labor started at 11:45 pm and I had him at 3:24 am the next morning! The labour was less than 4 hours! I did not relax for two weeks but I did have a very good experience at the birth center with my birth. I had all the privacy that I needed and great midwives. Big brother was excited for his new brother and runs to him first thing every morning. Thanks to my wonderful midwives, Christina and Kristin, at Birthways for making my experience wonderful! And thanks, Chantal, for helping us be prepared!

Happy Parents

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