Doulas on The Today Show 0Doulas are a wonderful addition to the modern, medical birthing environment. They are proven to reduce a number of unnecessary interventions, including cesarean. They offer emotional support and in many instances, doulas will gently remind a woman who is being coerced into unnecessary procedures about her original intentions and birth plan. Doctors (and CNMs) hate this. The following clip is from the Today Show which aired on November 20, 2008 and in which mother and doula's opinions were downplayed while the obstetrician got the lion's share of the interview and the woman basically blamed doulas for less than favorable outcomes which is absolutely and utterly ridiculous. They (the cogs in the medical model) have no one to blame but themselves, their wallets and their watch for less than favorable outcomes.
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Emergency Childbirth: You Need To Know What To Do 10Author: Anne Childs When it comes to childbirth, most women are able to make it to the emergency room or their prearranged birthing centers; however not all are. While there is a good chance that you will make it to your intended destination before your baby arrives, what would you do if you couldn't make it? Unfortunately, a large number of expectant parents have no idea. That is why it is important that you take the time to familiarize yourself with emergency childbirth, just in case. Perhaps, the best way to familiarize yourself with emergency births is by speaking to your pregnancy care physician, whether that professional be your primary care physician, an OBGYN or a certified nurse midwife. There is a good chance that your pregnancy care provider will briefly touch on the subject of an unexpected birth, but it is important that you know as much as you can about the situation, including what you can and cannot do. For that reason, you may want to make a list of questions that you should ask him or her. One of the most important questions that you need to ask your pregnancy care provider is where you should or shouldn't have your baby. Depending on the situation, you may not have a choice, but you might just have one. For instance, if you are going into labor at your home, you may want to know where the best delivery location would be. From a medical standpoint, you will want an area of your home that is safe and clean, but also one that will be comfortable. Your OBGYN, primary care physician, or certified nurse midwife should be able to give you the most accurate answer.* During emergency childbirths, it is recommended that the births occur on clean surfaces, at least a surface that is clean as it could possibly be. Although you might not have enough time to make it to the hospital, there may be enough time to sanitize the area in which you plan on giving birth. The only problem with sanitizing your birthing area is that not all cleaning products are safe for you and your child. That is why it is advised that you seek professional assistance. If cleaning supplies need to be used, it is important that you know which ones are safe and which ones are not. Cleaning supplies are not the only items or supplies that you need to be concerned about. As beautiful as childbirth is, it can also be messy. That is why it is often recommended that you wear protective clothing, such as gloves, and have a number of towels or blankets on hand. You should ask your pregnancy care provider what items, as well as how many, you should have on hand. In fact, your healthcare provider should be able to provide you with an emergency birthing checklist or you could easily make your own. Although it is best to get your information directly from your own pregnancy care provider, you can also familiarize yourself with emergency childbirth by using the internet or by buying a pregnancy book from one of your local retail stores. These books and online resources may not provide you with as detailed or as personalized information, but they can do in a pinch. If at any point you find that you have unanswered questions or need further assistance, you are advised to seek assistance from a professional healthcare provider. Whether you learn about emergency childbirth through your physician, the internet or a printed resource guide, you are advised to follow all of the information and directions given to you. It may also be a good idea to take additional precautions. For instance, it will likely be recommended that you have the above mentioned supplies on hand; however, you may want to take it a step further. It may be a good idea to keep the materials needed for an emergency childbirth in number of different locations, such as your car or your workplace. Despite the fact that your labor and delivery may go exactly as planned, there are no guarantees. By asking the above mentioned questions, you should be prepared for anything that happens, whether it be expected or not. The information you will learn may come in handy; however, it is important that you share it with those that you will be around. Since you will be occupied, you will need to rely on assistance from those around you, whether they are medical professionals or not. About the author: Anne Childs is a contributor to Healthline who has also conducted many seminars focusing on childbirth and other issues related to women's health. Sheryl's comment: A. Childbirth is not an emergency for the mother or baby. If your baby is ready to come out, it is exciting and thrilling! B. Childbirth outside of a hospital is only an emergency for the OB-GYN's car payment C. You should be familiar with how birth works no matter who (if anyone) is attending the birth. D. You can give birth in any room in your home including your bathroom. If it is clean enough for you and your newborn to live in or to conceive the baby in, then it is clean enough to give birth in. E. You will be catching your baby so the surface that you are kneeling or squatting on is somewhat irrelevant. Clearly you are not going to give birth in your cats litter box or in a obviously unsanitary location. We are talking about western civilization here people, not the third world. Think "reasonably clean" or "company is stopping by clean" F. Lay down a shower curtain or some old towels. Childbirth without incisions and episiotomies is a lot less bloody. There will be amniotic fluid however, so be prepared for that. Some women give birth in the bathtub, over the toilet or on a tiled floor for easy cleanup. If you are at home, fill the tub, climb in and get ready to meet the new love of your life. Location is really not that big of a deal. G. Don't welcome your baby into the world with latex gloves. That is insane. You will be holding your baby for years in your bare hands. Why is this crucial moment any different? H. Try a lotus birth and you wont have to worry about cutting the cord. If you do want to cut the cord (PLEASE only cut if after it is done pulsing) then cut it with a clean/sterile scissors. You might want to have a large bowl on hand to place the placenta if you do not do a lotus birth. If you were in fact planning a hospital/birthing center birth, then the doctor or midwife will want to examine the placenta to make sure it is intact. (Otherwise how can they get paid?) Image Source: http://flickr.com/photos/ouij/50115629/
Birthing Around the World 7Since ancestral times, birthing around the world was showed off in different customs based on varying beliefs around the miracle of life that birthing means. Birth has been also associated to fertility of the earth, and is the symbol of construction that rules the universe. In Egypt, mortality of both babies and pregnant women were regarded so high that a plea for divine intervention became a rite on the day of childbirth. Hator, Aset and Tawaret were invoked to protect the life and discover the destiny of a newborn. The Roman obstetrician Soranus (98-138 AD), wrote a book used until the 16th century describing childbirth care and common customs to observe before and after delivery. In the Middle Ages, European women were whipped to induce labor. During the 18th century, things would change. In 1739, the first obstetric wards in Great Britain were opened, and shortly after the Scottish obstetrician, William Smellie would publish his Treatise on Theory and Practice of Midwifery 1752. Midwives attended pregnant women and changed old customs, particularly during the next century when modern times began. In 1849, a doctor in Manchester reported three mothers and babies death after experimenting with five cases and because anesthesia was involved, a new superstitious belief was born. The turn of the century brought more studies on pregnancy, but people kept some custom even until today. In Germany, pregnant women visit a midwife before or instead of consulting an obstetrician. Doctors are considered "optional" on the birthing day. In several German cities, local government keeps a list of acceptable names for the newborns. Parents must choose a name from it, otherwise file a form compelling their reason asking for a non-listed name, a custom that is kept in an effort to protect children from potential ridicule after parents choose exotic or misspelled name. In Brazil, pregnant women are meant to have a Cesarean childbirth, because it is a delivery custom, although the government is making efforts for encouraging other childbirth methods with the hope to reduce the public expense that Cesarean surgeries cause to the state. In Turkey, there are no baby showers or special celebrations before or after the birthing day. The new mother and baby remain isolated for 20 days, after which they go from home to home visiting family and friends on an individual basis and celebrating with a special beverage. Japan is a nation with a cultural custom that dictates 21-bed days for women after giving birth, as in Mexico old time traditions make a women stay 40 days in bed, custom which only survives in a few remote rural communities today. The United States is multi-cultural nation where some of these customs are continued by immigrants, and others are resulting from the fusion of local and country home traditions. Author: Nicky Pilkington About the author: For more information about understanding childbirth and other childbirth information you can check out childbirth.me.uk Image Source: http://flickr.com/photos/paopix/244067624/
Psychological Pain of Childbirth 2Birth is an extraordinary event for families and for the whole community. We have come a long way, and it is now rare for women to die in childbirth. There are still, however, many unanswered questions. Why is birth still perceived as dangerous, when it is such a natural event and there has never been a safer time in history to give birth? The physical pain of childbirth is well known but the vast majority of women suffer from the rarely talked about psychological pain of childbirth. Were we truly cursed by God in Genesis? These are questions that can become important for a woman, particularly after undergoing a particularly traumatic or surgical childbirth. Birth is a rite of passage into womanhood and if unplanned major assistance is provided it is not uncommon for a woman to feel that she has perhaps failed. Unresolved relationship issues may also surface which can be detrimental to the birthing process while also being distressing. "What happened?" a woman may ask, or even "Am I fit to be a good mother?" My own beliefs regarding child birth have developed from a life long interest that began for me in rural England, as a small child, watching farm animals as well as my own pets give birth. I was likewise drawn to the local women who regularly shared stories, not meant for my young ears. This of course only whet my appetite further! Telling one's story has, in psychology, always been the beginning of understanding and of healing. In my practice, in my research and now on my website I encourage women to share their birth stories. By sharing our words we open new possibilities for the entire community. A growing body of research together with my years of experience, including working with post birth trauma, has led me to predict a swing back towards natural birth, and indeed a new psychological model for birth is now emerging. The emphasis for those wanting a natural birth has been to be physically and mentally prepared. Caregivers often lack a psychological viewpoint and because of this I am often invited and consistently welcomed training and supervising medical staff in understanding the deeper emotional needs of mother and child at this significant transition. Being psychologically prepared for the birth of a child is as important as the physical preparation! Your well-being in both areas requires planning and preparation. This will benefit both you and your child. Hypno birthing, calm birth and an experienced Doula are all beneficial tools to consider for yourself. I will share with you my five golden rules of natural child birth; 1. Birth is a inward experience, such as meditation or prayer. Don't have anyone present while you are birthing that you don't feel totally comfortable ignoring or who is going to distract you. Your partner may be better helping with preparing food for the next few days, answering and making phone calls cleaning house or keeping company with other friends and relatives. Can you meditate comfortably for an hour or more with your partner present without being distracted by their presence or them being hurt by you ignoring them? Even if you don't meditate, try doing something like this with your partner to see if it feels comfortable. This can be a useful guide. Hypnobirthing is becoming very popular now and is very good for preparing both partners for the kind of state that a woman will deliver the most positive outcome for all involved . This can and should be part of your childbirth education or childbirth classes. 2.Adrenaline slows and disrupts (and can even put a brake on) the sequence of natural body chemicals necessary for a smooth delivery and bonding between mother and child. Any issues of fear around the birth (experienced by either partner) needs to be addressed well before time. The doctor, midwife or support person that you choose should be trained to help keep you calm and focused "inward" if you should be-come agitated or afraid. 3. Practice positions for first and second stage labor that you feel comfortable meditating or relaxing in. In the bath, in Open Lotus position, sitting up in a chair etc. Follow your bodies signals about what is comfortable. Feeling totally relaxed and no pressure on you to perform or give attention to others is powerful pain relief. Accept totally that your body knows what is happening and knows what to do. Birth is a neurochemical process, trust your body and let the process unfold. 4. Have a good relationship with your doctor or midwife who will be present at the birth. Make sure that they are aware of your intended approach. Not all caregivers have had training in the positive psychology of birth, these ideas may be new to them and you may need to take some time choosing the right support. This is vital to you feeling safe and secure. 5. Resolve emotional issues with yourself and your partner before the birth. Do you long for more attention from your partner? The birth process is not a good time to look for this. Do you feel resentment or fear about your partner controlling or possibly abandoning you? These issues can arise during birth bringing unwanted adrenaline into the equation. If unresolved they can get worse after the baby is born rather than better. There is wonderful help available for these and other unresolved emotional issues and needs. Start preparing psychologically for the best birth experience for yourself as soon as you plan to become or become pregnant. For those who have suffered an invasive or traumatic birth in the past, understanding what happened and how it might have been different can be very healing. For Childbirth education and childbirth classes visit www.newbirthways.com for more information. For those with unresolved emotional issues from a past traumatic birth experience help is available and will make you a stronger and more confident woman and mother. Happy new beginnings. Susan
Susan's five golden rules of birth can all be addressed with an unassisted childbirth.1. Birth becomes an inward experience when you trust the process and allow your primal self to do what it already knows how to do. 2. Humiliating, painful and invasive procedures and interventions done by doctors and midwives is one of the primary causes of adrenaline surges during childbirth as a woman's fight or flight response is engaged. This can be avoided by avoiding the cause of the "attack" and only seeking medical attention if there is a problem. 3.Doctors and some midwives will force you into unnatural and damaging birthing positions particularly during the actual delivery. You need to allow your instincts and your body to naturally choose the best positions to labor and deliver in. The easiest way to ensure an optimal birthing position is to avoid birth attendants. 4. You will not have to try to educate or enlist the support of a doctor or midwife who are used to doing things in a way which benefits them and their schedule if you do not use a doctor or midwife. 5. An unassisted birth requires a greater amount of preparation and responsibility and this includes preparing mentally, physically, psychologically and naturally engaging the full support of your partner. By: Susan Dalby About the author: Birthing options/Birth classes/Parenting classes/Hypnobirthing/Post Natal Depression/Creating a Birth Plan/Positive psychology/Birth related PTSD (post-traumatic stress -disorder) and it's effect on relationships and sex/Individual, couples and group counselling. Image Source: http://flickr.com/photos/xymox/156973810/