By Sheila Stubbs ©2005
Home birth should never be recommended to anyone who is afraid of having the baby at home. If a woman feels safer in the hospital, she will labor better in the hospital.
In spite of all the childbirth education available today, it seems that women fear childbirth as much as they ever did – and perhaps even more so. Thanks to the media, childbirth is perceived as a risky event. The hospital is considered to be the safest place for both mother and child because of its modern technological equipment.
What do the Statistics Say?
Did you know that no study has ever proven that hospital birth is safer?
When hospital birth has been defended as safer than home births, all out-of-hospital births were used in the statistical data, including births that occurred in taxi cabs and newborns found in trash cans.i That is not a realistic representation! A well-informed, healthy, couple planning a homebirth should not be compared to a fifteen-year-old drug addict who gives birth in a toilet at the mall! A reliable comparison between home and hospital births would have to include parents who were matched, couple by couple, for age, number of pregnancies, education, socioeconomic status, and risk factors.
Such a study was actually done in California by Dr. Lewis Mehl, MD, and included over 1000 couples.
· A bottle of champagne and a cake for the party afterward!
· Birth Day Party gifts for other children, wrapped and ready. (Some find a video is a good gift, using it for mom/baby rest time.) Surprise your helper with a gift for her too.
Other Things Some Couples Like to Have
· a large mirror - to watch the birth
· hot water bottle or heating pad
· talc or lotion for back massage
· bendable drinking straws, ice chips
· rocking chair
· your favorite laboring music.
· disposable diapers
· petroleum jelly – helps clean off those first black baby poops.
Other preparations
· Be prepared to meet with negative reactions. Some people may think you have just taken a terrible risk!
· Be prepared to prove the baby is legally yours! A camera that stamps the date might be a good idea.
· Be prepared to limit visitors. They may forget that just like hospital patients, you still need your rest.
· Be prepared to accept help. If someone offers, they will be happy to know exactly what they can do. “How nice of you to offer! There’s a load of laundry in the dryer that needs folded, and could you sweep the kitchen floor please?”
This study, outlined below, clearly shows that planned home birth by informed, healthy couples had superior outcomes to hospital birth. ii
Hospital Birth Home Birth
1st Stage of Labour 8 hours average 12 hours average
2nd Stage of Labour 42 minutes avg. 72 min. average
3rd Stage of Labour 5 minutes avg. 22 min. average
birth injuries 30 0
elective induction 22 0
amniotomy 56 6
episiotomy 87.4% 9.8%
pain medication 75% 5%
oxytocin - 3rd stage 95% 24%
forceps 35% 1.6%
oxygen required 8.9% 1.2%
Cesarean required 8.2% 2.7%
You will notice that all stages of labour all are accomplished in less time in the hospital than at home. This seems to be a benefit. However, it is the increased use of interventions - the amniotomy, episiotomy, oxytocin and forceps – that shorten labor. And note that those long labors at home required little pain medication.
When this study was done in 1976 the cesarean rate in the hospital was only 8.2%. As you are probably aware, it’s now over 20%, even 30% or more in some hospitals. But even that low rate of C-Sections is three times higher for couples who planned their births in the hospital, than for couples who planned their births at home.
The study also found that in the hospital births,
Resuscitation was required 3.7 times more than home births
Newborn infection occurred 4 times more than home births
Meconium aspiration pneumonia 2.5 times more than home births
Newborn respiratory distress 17 times more than home births
Fetal distress occurred 6 times more than home births
Meconium staining occurred 3.5 times more than home births
Shoulder dystocia occurred 8 times more than home births
Maternal high blood pressure 5 times more than home births
Maternal hemorrhage 3 times more than home births
3rd degree tears 5.5 times more than home births
4th degree tears (into the rectum) 14.6 times more than home births
Why would there be more cases of shoulder dystocia in the hospital? Why would there be a greater risk of maternal hemorrhage where there is more technology ensuring your safety? Why should there be a greater likelihood of 3rd - and 4th degree tears dependent upon the location where a woman chooses to give birth? Does this make sense?
Or, is there something about being in the hospital that actually makes birth riskier?
Things Your Obstetrician Doesn’t Want You To Know
§ Doctors are only human. They have made mistakes about birth and continue to make mistakes.
§ Most of the maternal deaths in the 1800’s were a result of childbed fever, an infection which was caused by the doctors themselves, spreading infection from patient to patient.
§ The obstetrical practice of shaving the woman’s vulva to prevent infection caused more infection than it prevented.
§ Doctors believed modern formulas were an improvement upon Nature and discouraged mothers from breastfeeding in the last century.
§ Many of the ‘things that can go wrong’ during birth go wrong because of unnecessary risks taken in the hospital.
§ All interventions carry risks.
§ Interventions are often used in the best interest of doctors, not patients. Why? A hospital is a place of business. Interventions speed and control unpredictable labors to make their business run more efficiently.
§ In a court of law, the use of interventions helps the doctor’s case by proving he used all the available technology to ensure a safe birth.
How Routine Interventions Can Cause Problems
We will look at typical interventions used during a normal labor and how they can turn a normal birth into a surgical procedure.
1. You arrive at the hospital late one evening. The doctor orders a sedative.
Reason given: To help you sleep through those early contractions so you (and the doctor) will be well-rested for the birth.
Risks: - Your baby may be affected by the drug.
- It might slow his heart rate to the extent that he shows signs of distress, necessitating cesarean.
- The baby could require resuscitation.
- Sedatives would not be prescribed during pregnancy because of the risks to the baby, but doctors deem them safe as a labor drug.
2. The hospital policy requires Electronic Fetal Monitoring.
Reason given: “It lets us check on how the baby is doing”
Risks: - Whenever a hospital starts using fetal monitors, their cesarean rates increase.
- There has been an increase in the rate of cesareans being done since routine fetal monitoring began, but this has not resulted in any improvement in mortality and morbidity rates.iii
3. Bed rest for labor.
Reason given: Get as much rest as possible. Avoid infection.
Risks: - The weight of the baby presses on your back when in bed, causing pain, increasing the need for medication.iv
- Labor is slowed down increasing need for augmentation
- When mother can’t move about freely, baby may become wedged into an awkward position increasing the need for forceps delivery.
4. Rupturing Membranes (Breaking your water)
Reason Given: This will “help speed things up a bit.”
Risks: - Increase your infection risk.
- The cord may prolapse making a cesarean necessary.
- Your contractions will become more intense and painful.
5. Augmentation: The use of artificial hormones to stimulate labor
Reason given: This will increase and/or regulate contractions.
Risks: - Can cause uterine contractions so strong that it increases the risk of uterine rupture
- Substantially more painful than natural contractions.
- More likely to need pain medication.
- Abnormally strong contractions can cause fetal distress.
6. Pain Medication
Reason given: Pain Relief
Risks: - Could adversely affect your baby, causing respiratory difficulties.
- Your baby may be lethargic and have more trouble breastfeeding.
- Some drugs have been known to have an adverse affect on intellectual and motor development of the childv
- Can make the mother feel lightheaded and not in control
7. Epidural
Reason given: The epidural will allow you to be awake and alert for the birth, but feel no pain.
Risks: The epidural has been related to an increase in neonatal jaundice.
- Some women experience a backache that might last up to several months.
- Occasionally the numbing effect of the drug accidentally goes up instead of down, causing the woman breathing difficulty.
- Slows down labor, increasing the need for further augmentation.
- You can’t feel the pushing urge.
- Forceps delivery is more likely, because your ability to push is affected.
- Adversely affects the hormonal surge following birth that aids bonding
8. Lithotomy or semi-sitting position
When it is time to deliver, you will usually be positioned on your back or semisitting.
Reason given: Allows the doctor better access to deliver the baby
Risks: - Lying on your back makes your uterus work harder.
- Increases the need for forceps.
- Increases the risk of tearing as it puts the most pressure on the perineal tissues.
- The weight of the uterus rests on your major blood vessels, possibly making you lightheaded and also...
- Reduces the oxygen supply to the baby, causing fetal distress.
- The main reason for you to be in that position is so the doctor can do an episiotomy, but the main reason you need the episiotomy is because he has you in this position!
9. The Episiotomy
Reason given: to enlarge the vaginal opening and make it easier for the baby to come out, and to prevent a tear that would be difficult to repair.
Risks: - Studies have shown there is a higher risk of second- and third-degree tears with an episiotomy, than without one.
- Increases the risk of acquiring an infection.
- It will be painful to sit on those stitches for days, at best, weeks sometimes, and that some women have painful intercourse for months after an episiotomy.
- The birth may occur a few minutes sooner but repairing the incision takes up to an hour.
What about the Baby’s Safety?
- Both you and your baby have a much higher risk of picking up a dangerous infection in the hospital.
- You are immune to the germs in your own home.
- A cord around the baby’s neck is not uncommon, occurring in about 30% of births, and is not inherently dangerous.
- What about cutting the cord? Within a few minutes the cord goes cold and white. Tie string around it so it won’t leak, and cut it.
- The common practice of putting alcohol on the cord to help it heal was proven in one study to be useless.
- Hospital nurseries were necessary when babies were adversely affected by amnesic drugs given to the mother. Healthy mothers can look after their own babies.
- The nursery undermines a woman’s confidence in her ability to care for her child. Mothers feel inadequate compared to the medical experts who keep her baby under observation in the nursery.
- When nurses ignore babies’ fussing as insignificant, mothers assume that as the “experts” they must be right.
- Separating mom and baby interrupts an important learning period in which mother learns to interpret baby’s signals. This can affect breastfeeding success.
- Babies should be welcomed to the world with love, not kept in a nursery with strangers!
The Move to the Hospital
There is a common misconception that women stopped giving birth at home because hospital birth was safer. The truth is that from the early 1900’s and continuing to today, studies have shown that mortality rates were higher in doctor-attended births than midwife-attended births, and highest in hospitals.vi
Why do they continue to use hospital s if home birth is safer?
1. Convenience. It was easier for the doctor to have the patient come to him, than for him to have to travel to the patient. Thus, while the woman was laboring in the hospital under the watchful eyes of the nurses, the doctor could continue to see other patients. This brings us to the second reason:
2. Money. The doctor could earn more money if his patients came to one central location, where he could manage several patients at once.
3. Power and control. In the hospital, the doctor was in his own domain. He had authority, could dictate how things were run and refuse admittance to outsiders. At homebirths, doctor was not the leader, but the helpful guest.
Home Birth: Not only safe, but fun!
§ You don’t have to worry about going anywhere. Your doctor or midwife comes to you instead.
§ There is little to do in the hospital but focus on having the baby, and time can drag in the hospital (making augmentation more appealing). At home, you can move about freely, doing what you might normally do.
§ Preparing your home for the baby – “Feathering your nest” – is an emotionally satisfying way to pass the time.
§ No coping with admission procedures and paperwork.
§ No asking permission or arguing policy. Eat what you want, go where you wish. Cry, scream, dance, or talk on the phone. No rules to follow.
§ You can have whoever you want at the birth, as many people as you want. You can be all alone if you prefer.
§ Your privacy is respected. You don’t have to worry about staff walking in at any time.
§ You can do whatever you feel like doing with that privacy. Kissing and lovemaking, by stimulating the right hormones, can actually help your labour along!
What should you do if “Something goes wrong”?
· If something goes wrong, go to the hospital of course!
· Most problems can be detected well in advance of disaster.
· If the umbilical cord has prolapsed into the birth canal, call the hospital to prepare for an emergency C-Section. Kneel on the back seat of the car with your head down and bottom up to protect the cord from getting compressed. Being in the hospital would not have avoided this complication.
· Some blood is normal in labor, but too much would be worrisome. Go to the hospital to be checked out.
· Hemorrhage after the birth. (3x more likely in hospital) Nursing the baby and massaging your belly will help your uterus to contract. Go to the hospital if the bleeding is profuse.
· A cord around the baby’s neck: The cord can usually be slipped over the baby’s head. If it can’t be slipped off, tie it and cut it and deliver the baby as quickly as possible.
· Shoulder dystocia (baby’s shoulders get stuck) occurs eight times more often in hospital. Usually a change of position will help: standing up, or on all fours, or squatting. A midwife or other attendant can reach in a finger and gently pull one shoulder from under the pubic bone. If not, call 911.
· Baby doesn’t breathe: (Seventeen times more likely in the hospital!) Do infant CPR as described in any First Aid Book.
· If a long, difficult labor is exhausting you, you can always go to the hospital for relief.
· If you simply have a “gut feeling” that something is just not right, trust your instincts.
Handling the Pain
§ Pain is usually easier to handle in your own home as you know when you feel ill at work. You want to go home where you’re able to cope better.
§ At home you don’t have to wear the same image you wear in public. Hospitals are public place. At home you “let loose,” and that relaxation leads to a faster, easier, less painful labor.
§ Often when you feel like you can’t handle the pain it’s because you are only a few contractions away from pushing your baby out.
§ Pain is worse when accompanied by fear. At home, the fear of the unknown is reduced because of your familiar surroundings.
Birth Attendants
You will likely have two midwives at the home birth, so there one pair of hands for mom and one for baby. You might want another attendant to help out as well. There are several things to consider when you decide who you would like at the birth.
· A “doula” is a woman you can hire who has training in labour support. Or you could just ask a caring, supportive neighbor to be your doula.
· How many people? Some like having the support of many close friends. Others like to keep it private and intimate.
· What do you want them to do? Housecleaning? Childcare? Backrubs? It’s nice to have someone do cleanup while you enjoy the new baby. Pick someone who won’t mind doing a little housework.
· With other children, you may wish to have a person who knows your other children well can take them out to play if you request it, or can reassure them if they watch the birth.
· Don’t make the mistake of inviting someone to your birth because it would be a good experience for her. This is your day, and you have enough to do without performing the perfect birth for someone else’s benefit.
· It must be someone who is supportive. If your best friend thinks you are taking a terrible risk, you don’t need her there.
· Have a few back-up persons lined up in case your first choice of helper is not available, or you need more help than you expected, or in case you have to go to the hospital. Ask them ahead of time.
Preparations for the Home Birth
Stuff You Probably Have Already
· Lots of food stored away - so your birth attendant(s) can have something to eat, and so you have plenty for yourself after the baby is born.
· A firm bed, if bed is where you want to give birth.
· Some like to sit on an exercise ball during labor. Or soak in the bath.
· Plastic sheet - to protect the mattress (or carpet) from wetness. An old shower curtain or vinyl tablecloth will do.
· Old sheets and towels - to put over the plastic sheets and absorb fluids.
· Newspapers - also to protect floor if amniotic fluid is leaking.
· Tea Kettle - to make some raspberry-leaf tea, an herb which is known to help labour, childbirth, morning sickness, menstrual cramps, and mood swings. Boiling water is also for sterilizing the scissors and shoelace for the cord, and to have warm compresses for the perineum.
· Sharp scissors for cutting the cord.
· A dresser or table cleared off for doctor or midwife use.
· Large bowl or dishpan or ice cream tub for the placenta. You can line it with a plastic bag if you like. Or use newspaper.
· A roll of paper towels. Handy for any kind of messes.
· Large garbage bags to contain those messes.
· A shovel. Traditionally, Dad buries the placenta ceremoniously in the backyard, planting a tree over it.
· Camera, camcorder, or tape recorder for those who want to record the event.
· Heavy-flow menstrual pads. You’ll need them the first day or so.
· Clothes, washed and clean for the baby; clothes for mom to wear after the birth, too. Something with easy access for breastfeeding.
· Thermometer - a good idea to check mom’s temp daily - a rise in temperature could indicate an infection.
· A list of emergency phone numbers, posted by the phone.
· Olive oil - often used for perineal massage. You can put it in a squirt bottle from the dollar store for better aim. Warm it in hot water.
· Soft washcloths or old diapers - for hot compresses.
· Flashlight - in case of a power failure.
Things You Might Not Have and Might Want to Get
· A shoelace for tying the cord. Shoelaces are soft and pliable like babies, unlike the hard plastic clamps used in maternity wards.
· Germ-killing soap like Betadine or Phisoderm for hand-washing.
· Infant Ear syringe - to suction mucous if necessary.
· Baby Scale – you can borrow one. Many midwives use a simple fish scale. Babies don’t cry when weighed this way (suspended from the scale in a cloth sling) like they do when laid out naked on a metal scale.
“What about The Mess?”
When you prepare the birth bed, make the bed with clean sheets, twice. On top of the clean sheets, put a plastic sheet, and then another set of clean sheets. After the birth, your helper simply strips the top layer off. Wash out blood in cold water, not hot, or it will stain. If you use old towels and newspapers, you could simply stuff everything — even the placenta — into a large trash bag.
In some places the placenta must be buried by law, as it is human tissue. In winter, wrap it up and put in the freezer until the ground thaws. Label it to avoid surprises!
Notes
i Ontario Ministry of Health, p. 109.
ii Lewis E. Mehl, MD., “Statistical Outcomes of Homebirths in the US: Current Status,” in Safe Alternatives in Childbirth, ed. by David & Lee Stewart, (N.A.P.S.A.C. [National Association of Parents and Professionals for Safe Alternatives in Childbirth,] 1976) p.81.
iii Nancy W. Cohen and Lois J. Estner, Silent Knife, (Bergin & Garvey 1983), p. 180.
iv Robert S. Mendelsohn, MD, Confessions of a Medical Heretic , (Warner, 1979), p.155.
v ibid. page 168-70.
vi ibid. p. 35 footnote.
© Sheila Stubbs 2005
Sheila Stubbs is a nurse, doula, childbirth educator, breastfeeding counselor, mother of six, and author of Birthing the Easy Way. Her first child was born by cesarean section due to a condition she calls “Physician Distress.” The rest of her children were born without medical intervention, four of them at home.
Monday, February 28, 2011
Wednesday, February 23, 2011
Missouri Legislature Targets Midwives
The Missouri legislature is going to vote, possibly as early as this week, about midwifery in Missouri.
"Four years ago, the Missouri Legislature decriminalized midwifery -- making it legal for a woman who's certified by one of two national midwives' organizations to deliver babies here.
But the state's physicians don't like the competition. They sued, unsuccessfully, to stop the legalization in 2007. And now they're pushing a bill to require midwives to be licensed by the state, on top of national certification, and meet a host requirements so onerous that midwives say they could be forced right out of business.
The Columbia Missourian reported last week that a lobbyist for the the Missouri Medical Association -- the powerful physicians' lobbying group in Jefferson City -- actually helped write House Bill 301. http://www.house.mo.gov/billsummary.aspx?bill=HB301&year=2011&code=R
In addition to requiring state certification, the bill would force midwives to carry at least $500,000 in malpractice insurance, pay a licensing fee and perform at least 30 hours of continuing education every two years. It would also require them to notify the state in writing every time they get a new client -- and only allow them to work "in collaborative agreement with a licensed physician" who has privileges at a nearby hospital.
Not surprisingly in light of its origin, the bill carves out special exemptions for physicians, even while cracking down on midwives. According to the bill's official summary, it "exempts certain emergency medical providers from civil liability when treating a woman or infant during childbirth as a consequence of care received from a licensed midwife."
According to the Missourian, a lobbyist for the physicians' group testified that the current system was like "invit(ing) your neighbor over to help you deliver your baby" -- an analogy that might make a bit more sense if midwives weren't required to do extensive training first.
But if money talks at the Capitol, the midwives might be in trouble.
A Daily RFT analysis of reports filed with the Missouri Ethics Commission shows that the physicians' political action committee, MO Medical PAC, donated $199,349 to various legislators in the 2010 cycle. That includes $500 to Representative Mike Talboy, the Democrat who serves as the bill's primary sponsor, and another $500 to Talboy's co-sponsor, Republican Ryan Silvey.
MO Medical PAC also donated $1,000 to the new Speaker of the House, Republican Steve Tilley, according to ethics commission records.
The House Professional Registration and Licensing Committee could vote on the bill as early as this week.
http://blogs.riverfronttimes.com/dailyrft/2011/02/missouri_legislature_targets_midwives.php# "
A woman here in Missouri got many of us women together to send a letter as to why we decided to have a home birth, and some nice pictures if we had them.
Amanda Hartman Home Birth Story for Missouri Legislature
"Four years ago, the Missouri Legislature decriminalized midwifery -- making it legal for a woman who's certified by one of two national midwives' organizations to deliver babies here.
But the state's physicians don't like the competition. They sued, unsuccessfully, to stop the legalization in 2007. And now they're pushing a bill to require midwives to be licensed by the state, on top of national certification, and meet a host requirements so onerous that midwives say they could be forced right out of business.
The Columbia Missourian reported last week that a lobbyist for the the Missouri Medical Association -- the powerful physicians' lobbying group in Jefferson City -- actually helped write House Bill 301. http://www.house.mo.gov/billsummary.aspx?bill=HB301&year=2011&code=R
In addition to requiring state certification, the bill would force midwives to carry at least $500,000 in malpractice insurance, pay a licensing fee and perform at least 30 hours of continuing education every two years. It would also require them to notify the state in writing every time they get a new client -- and only allow them to work "in collaborative agreement with a licensed physician" who has privileges at a nearby hospital.
Not surprisingly in light of its origin, the bill carves out special exemptions for physicians, even while cracking down on midwives. According to the bill's official summary, it "exempts certain emergency medical providers from civil liability when treating a woman or infant during childbirth as a consequence of care received from a licensed midwife."
According to the Missourian, a lobbyist for the physicians' group testified that the current system was like "invit(ing) your neighbor over to help you deliver your baby" -- an analogy that might make a bit more sense if midwives weren't required to do extensive training first.
But if money talks at the Capitol, the midwives might be in trouble.
A Daily RFT analysis of reports filed with the Missouri Ethics Commission shows that the physicians' political action committee, MO Medical PAC, donated $199,349 to various legislators in the 2010 cycle. That includes $500 to Representative Mike Talboy, the Democrat who serves as the bill's primary sponsor, and another $500 to Talboy's co-sponsor, Republican Ryan Silvey.
MO Medical PAC also donated $1,000 to the new Speaker of the House, Republican Steve Tilley, according to ethics commission records.
The House Professional Registration and Licensing Committee could vote on the bill as early as this week.
http://blogs.riverfronttimes.com/dailyrft/2011/02/missouri_legislature_targets_midwives.php# "
A woman here in Missouri got many of us women together to send a letter as to why we decided to have a home birth, and some nice pictures if we had them.
Amanda Hartman Home Birth Story for Missouri Legislature
Thursday, February 10, 2011
Happy Birthday My Little Rebekah
Last year, on this day, my family was snowed into our little cabin. At 11:15am, my husband (Brent) and 11 year old daughter (Sadie) assisted the birth of our baby girl, Rebekah! Oh, how time flies. She is now, officially, 1 year old. It really does seem like just the other day she was a tiny newborn. Now she has her two front teeth, is walking, and just getting into everything in general.
Happy Birthday my beautiful Rebekah. You are my joy! You bring such happiness and laughter to our family every day!
Rebekah about an hour after birth (2-10-10)
Rebekah March 2010
Bekah in April 2010
Today, on her 1st birthday.
Happy Birthday my beautiful Rebekah. You are my joy! You bring such happiness and laughter to our family every day!
Rebekah about an hour after birth (2-10-10)
Rebekah March 2010
Bekah in April 2010
Today, on her 1st birthday.
Monday, February 7, 2011
One Born Every Minute...
So, I finally got to watch episode 1 today. I must say, I was sorely disappointed, but not really all that surprised. I was extremely saddened by the second woman who ended up with a cesarean. When she said she had lots of pressure. The nurse said it was because baby was coming and she was almost fully dilated (she was at a 9 1/2). Then, when she hit transition (you could tell), they called emergency c-section for "failure to progress". I was like WTH!!!! She's at a 9 1/2! Baby is pushing it's way down! I was so ticked!!! DH thought it was complete crap!
**Here is the link to the video.
http://www.mylifetime.com/shows/one-born-every-minute/video/full-episodes/episode-1-to-medicate-or-not
Fast forward to 27:45. She says that there is a lot of pressure. The nurse says "That is the baby. You are almost fully dilated." Then at 28:07 they call "Failure to Progress" for the reason of the cesarean! NOTHING about baby having ANY problems.**
I've also been hearing all about how the "crunchy" family was so rude and obnoxious. How the nurse (Pam) was also rude and obnoxious. How they should have had a birth in a birthing center if they wanted to go natural. So on, and so on.
I think that the nurse, was a bit rude with her overall attitude about their labour and birth wishes. She needed to step back, and let them labour. Really, just leave them alone. They didn't want all the interventions. After hours of hard labour, I can tell you that I am much meaner than they were. DH is also very protective of my wishes. Neither on of us would have been so nice, and probably would have just asked for a different nurse. The couple most likely would have LOVED to go to a birthing center, but they couldn't. Why? Here is what the mother had to say:
"First of all, there are no birth centers in Columbus, and several homebirth midwives, but only one homebirth midwife practice that has a physician ‘back-up’ (which just felt responsible to me). But, NO insurance locally covers homebirthing, so at first, it was an economical decision. Later in my pregnancy, after we began taking NCB classes, we decided that our next baby would be at home, but there was also a measure of comfort in doing the first at the hospital, since I had no idea what to expect."
I was disappointed when they finally pressured her into Pitocin. :( At 21 hours of labour (which is normal), she was tired and (IMO) they took advantage of that.
Overall, I really think that the show put the hospital and staff in a negative light. The nurses spent a lot of time rolling their eyes when the woman was moaning through her labour pains. They always had snide little looks on their faces. They were always pushing interventions. Which I understand. It is there job to sell the drugs and procedures. The more they sell, the more the hospital makes.
It was actually really sad to watch. However, on the plus side. This show did remind me why I enjoyed birthing my last 3 babies at home so much. It was a little more painful, but so much easier, happier, more comfortable, and much less stressful.
I think that the first episode is all I care to watch. I think I'll throw it in the "A Baby Story" trash bin. It's too bad, because the previews really made it look like it was going to be interesting.
**Here is the link to the video.
http://www.mylifetime.com/shows/one-born-every-minute/video/full-episodes/episode-1-to-medicate-or-not
Fast forward to 27:45. She says that there is a lot of pressure. The nurse says "That is the baby. You are almost fully dilated." Then at 28:07 they call "Failure to Progress" for the reason of the cesarean! NOTHING about baby having ANY problems.**
I've also been hearing all about how the "crunchy" family was so rude and obnoxious. How the nurse (Pam) was also rude and obnoxious. How they should have had a birth in a birthing center if they wanted to go natural. So on, and so on.
I think that the nurse, was a bit rude with her overall attitude about their labour and birth wishes. She needed to step back, and let them labour. Really, just leave them alone. They didn't want all the interventions. After hours of hard labour, I can tell you that I am much meaner than they were. DH is also very protective of my wishes. Neither on of us would have been so nice, and probably would have just asked for a different nurse. The couple most likely would have LOVED to go to a birthing center, but they couldn't. Why? Here is what the mother had to say:
"First of all, there are no birth centers in Columbus, and several homebirth midwives, but only one homebirth midwife practice that has a physician ‘back-up’ (which just felt responsible to me). But, NO insurance locally covers homebirthing, so at first, it was an economical decision. Later in my pregnancy, after we began taking NCB classes, we decided that our next baby would be at home, but there was also a measure of comfort in doing the first at the hospital, since I had no idea what to expect."
I was disappointed when they finally pressured her into Pitocin. :( At 21 hours of labour (which is normal), she was tired and (IMO) they took advantage of that.
Overall, I really think that the show put the hospital and staff in a negative light. The nurses spent a lot of time rolling their eyes when the woman was moaning through her labour pains. They always had snide little looks on their faces. They were always pushing interventions. Which I understand. It is there job to sell the drugs and procedures. The more they sell, the more the hospital makes.
It was actually really sad to watch. However, on the plus side. This show did remind me why I enjoyed birthing my last 3 babies at home so much. It was a little more painful, but so much easier, happier, more comfortable, and much less stressful.
I think that the first episode is all I care to watch. I think I'll throw it in the "A Baby Story" trash bin. It's too bad, because the previews really made it look like it was going to be interesting.
Monday, February 22, 2010
I Did It! It's Encapsulated! -- Had To Tell Someone! -- Pictures
I am so excited! I finally got the placenta encapsulated! Our little one is a week and a half old, but I am so happy that I got it done. I froze it the day of her birth, and decided to go ahead and dehydrate it and make it yesterday, since I had thawed it out the day before.
I took pictures of the process. I am just so happy, since this is another of my firsts in this pregnancy and birth. :) I don't know if anyone else has posted this, but I thought it might be of interest. Here is how I did it.
Placenta after sack and umbilical cord trimmed, and being sliced thin.
Sliced and on rack.
In oven (very low temp so it drys and doesn't cook).
Hours later... it is finished drying.
Chopping it up.
All ground up with RRL, fenugreek and kelp.
Encapsulating the powder.
Finished... I got 150 capsules! :)
I took pictures of the process. I am just so happy, since this is another of my firsts in this pregnancy and birth. :) I don't know if anyone else has posted this, but I thought it might be of interest. Here is how I did it.
Placenta after sack and umbilical cord trimmed, and being sliced thin.
Sliced and on rack.
In oven (very low temp so it drys and doesn't cook).
Hours later... it is finished drying.
Chopping it up.
All ground up with RRL, fenugreek and kelp.
Encapsulating the powder.
Finished... I got 150 capsules! :)
Our First Unassisted Birth!
Feb 11, 2010
She's Here! I can't believe it finally happened. Due on Jan 30, our little Rebekah arrived February 10, 2010. Weighing 9 lbs 1 oz and 21 inches long.
I had been having contractions starting at 4:30am the previous morning, lasting about 10 minutes apart. They were strong, but not uncomfortable. I was beginning to get excited until around 4:30 pm, when they stopped. It was such a let down, since she was over a week late and I was really looking forward to meeting my new little one. I was also excited, because, although she was our 6th baby and 3rd home birth, she was our first completely unassisted pregnancy and birth. It was like doing it for the first time all over again.
This being our 6th baby, I thought I knew what the labor would be like. LOL! Like they say, each labor is different. I went to bed around 9pm that night, and was a little down since my contractions had stopped a few hours earlier. Brent came in and I asked if he could rub my back, since it had been hurting some. He began rubbing my lower back, just above my butt, and it felt so good, but gave me one long contraction the entire time he rubbed it. It happened to be hurting in the pressure point to help with labor. :)
After that, my contractions started up again slightly. Around 10:30pm the contractions were back to 10 minutes apart and were waking me up. I was able to sleep between them until 11:30, when I decided to get up and listen to my MP3 and rock in the recliner in our room. I spent some time listening to Ashokan Farewell (civil war song) and Scottland the Brave (bagpipes), but ended up listening to Oh Holy Night by Josh Groban for an hour or more. It brought me some peace, thinking of how all of mankind had been going through this, even the mother of Christ.
I started timing the contractions around 1:30am and they were still 10 minutes apart. By 2:30am they had gone to 3-5 minutes apart. My water hadn't broken on it's own (like it did with 3 of my others), but I decided to wake up Brent just in case, since my last labor only lasted 4 hours.
He was so wonderful for me. He got me what I needed when I asked. I moved around a lot, and always forgot my robe in a different part of the room. He would bring it to me, get me drinks, hold me, comfort me when needed. He was great.
Brigham, our 3 year old, woke up around 5am and came into our room. He watched me as I labored, and added a little humor to it. He began moaning with me during my contractions, as they were getting stronger and I was beginning to make noise at this point. LOL!
At about 7am he woke the rest of the kids up (their normal wake up time) and told them baby was coming today. They were so excited! They all came into the room, one at a time and gave me a big hug. Throughout my labor Brigham was in the living room, just on the other side of the wall, but continued to make noises like me. What a funny little guy!
Things were really not going how I had thought they would. Each child I had, the labor was shorter, so I was more or less expecting a quick labor and birth. This labor was getting stronger, but felt like it was taking forever. My water hadn't broken, so I wasn't sure how far along things were moving. Brent asked if I wanted him to check me. He did, and said he could feel the head and I was about a 7 or 8. I must say that after 10 hours of laboring, I didn't want to hear that her head wasn't through the cervix yet. He then asked how it was that he could feel the head if the water hadn't broken yet. I said something to the effect of it being like a water balloon and you could still feel the head through it.
I must say that through this, it was such a bonding experience for us. It was great to work together and learn the actual birthing process, as just the two of us.
I don't know what time it was, but maybe and hour and a half or so before Rebekah was born, Brent called in Sadie (our oldest - 11 years old) to help be the nurse. She was to bring Brent what he needed so he wouldn't have to leave me. She was also advised how to give me the mistletoe tincture after the head was born, but before the body, to help prevent hemorrhage. She was so excited to get to help out and experience the birth of her new little sister (or brother since we didn't know at the time what we were having).
Labor was really getting hard for me. I was so tired that I was almost falling off the birthing chair asleep between contractions, which were about 3 minutes apart and very strong (to the point of me yelling at times). I moved to where I was kneeling on the floor and laying on the birthing stool. I asked Brent to check me again, and he said she was still not through the cervix (how disappointing), but he asked if I wanted him to break my water. He was so sweet to not do anything without asking my permission first. I said yes.
He pinched the bag of waters under the baby's head. He said for a moment he didn't think he had done anything. Then the water shot out and covered him. LOL! He got it in the face and all over his clothes! Sadie said she got a little on her hand, as she was standing off to the side holding a flashlight for dad, but he got covered. I felt it come out, and I heard him react. I slowly turned around to sit on the birthing stool and told him that I know wish we had been video taping the birth so I could have seen that. LOL!
I was hurting pretty bad, but the water breaking helped a lot. Things began to really move at that point. I began pushing a little during contractions. She was slowly moving her way down the birth canal. I asked Brent where the head was, if it was coming out yet (as if I didn't know). He said she was almost there and he and Sadie could see her hair. I reached and felt her head, but she was still about 3 inches in. I told Brent later that it may as well have been a mile at that point. :) A few contractions later, pushing during them, she was crowning.
WOW! I've been through natural birth 2 times before. I never seem to remember how big a baby's head is. I kept pushing, and it took about 3 contractions before I got her out. The entire time as she kept coming and coming and coming, I could just picture myself tearing. The only thing keeping me going at that point was knowing that once the head was out, it was basically over. As her head was coming, I began yelling for Sadie to get the tincture for me. Brent kept saying the head was not out yet, but I knew that she needed to get it, because I wasn't going to wait around to long to deliver her body.
Finally, her head was out (and I didn't tear). Brent said that there was a beautiful head of hair. So sweet and wonderful, he teared up and began to choke up when talking. He was so overcome with emotion. Oh, how I love him.
My little Sadie, big sister to all our children, gave me the mistletoe tincture and on the next contraction I pushed our little girl into the world. I thought as soon as she was out, I should have warned Brent that I was pushing, but I think he knew what I was going to do. He caught our little Rebekah, and she was perfect. Sadie quickly fetched a towel to put her in and clean her up with. As soon as she was in the towel I asked for the time. 11:15am. Brent held our new little baby for a minute, looking at her and absorbing her into his memory, and then quickly passed her to me.
I sat on the birthing stool for a moment, then asked Sadie to get a chux pad to put on the recliner. Brent went to take our baby, when he found she had pooped on me. :) We cleaned us both up. I then moved over to the recliner and held the baby, while helping Brent tie off the cord after it had stopped pulsating. We cut it, and I got a little blood spatter on my shoulder. :) Then he got some thick cloth diapers wet, and one with a ginger tea compress, to clean me off with and to hold onto myself for helping to heal.
I sat in the chair for about an hour, trying to feed her, but she wasn't interested. She was just angry. :) Then I began cramping pretty hard and having a little blood pass. I took the umbilical cord and gently put pressure on it (not pulling, but making it taunt) and pushed a little. The cord began to go slack. I asked Sadie to get me the bowl I had reserved, and I slowly pushed the placenta out and put it into the bowl, reserving it for later, to encapsulate it.
We were preparing to weigh her, but found she had pooped on me, again. LOL! My little stinker! We both cleaned off, again, and then I helped Brent put her in the baby sling with a digital scale attached (after zeroing it out of course). 9 lbs 1 oz! No wonder! She beat out my biggest baby by an ounce! LOL! She loved the sling, and we let her stay in it for about 15 minutes while we got things cleaned up. Sadie went and got some clothes for Rebekah, and when I went to get her out of the sling, I found, yet again, she had pooped in the sling! :) I must say that through the night she proved that her bowels worked great. LOL!
She is perfect, though. Her big, little head with great big squishy cheeks. I love her more than I can say! The kids can't get enough of her. The boys love her and want to hold her all the time. Even though Moses can't talk, he still tells me he wants to hold her. He sits next to me and reaches for her. Oh, how he and Brigham love to share their new little baby! :) What good big brothers they are. The big sisters are all so great with her and were so excited to hold and love on her finally. ;)
She's Here! I can't believe it finally happened. Due on Jan 30, our little Rebekah arrived February 10, 2010. Weighing 9 lbs 1 oz and 21 inches long.
I had been having contractions starting at 4:30am the previous morning, lasting about 10 minutes apart. They were strong, but not uncomfortable. I was beginning to get excited until around 4:30 pm, when they stopped. It was such a let down, since she was over a week late and I was really looking forward to meeting my new little one. I was also excited, because, although she was our 6th baby and 3rd home birth, she was our first completely unassisted pregnancy and birth. It was like doing it for the first time all over again.
This being our 6th baby, I thought I knew what the labor would be like. LOL! Like they say, each labor is different. I went to bed around 9pm that night, and was a little down since my contractions had stopped a few hours earlier. Brent came in and I asked if he could rub my back, since it had been hurting some. He began rubbing my lower back, just above my butt, and it felt so good, but gave me one long contraction the entire time he rubbed it. It happened to be hurting in the pressure point to help with labor. :)
After that, my contractions started up again slightly. Around 10:30pm the contractions were back to 10 minutes apart and were waking me up. I was able to sleep between them until 11:30, when I decided to get up and listen to my MP3 and rock in the recliner in our room. I spent some time listening to Ashokan Farewell (civil war song) and Scottland the Brave (bagpipes), but ended up listening to Oh Holy Night by Josh Groban for an hour or more. It brought me some peace, thinking of how all of mankind had been going through this, even the mother of Christ.
I started timing the contractions around 1:30am and they were still 10 minutes apart. By 2:30am they had gone to 3-5 minutes apart. My water hadn't broken on it's own (like it did with 3 of my others), but I decided to wake up Brent just in case, since my last labor only lasted 4 hours.
He was so wonderful for me. He got me what I needed when I asked. I moved around a lot, and always forgot my robe in a different part of the room. He would bring it to me, get me drinks, hold me, comfort me when needed. He was great.
Brigham, our 3 year old, woke up around 5am and came into our room. He watched me as I labored, and added a little humor to it. He began moaning with me during my contractions, as they were getting stronger and I was beginning to make noise at this point. LOL!
At about 7am he woke the rest of the kids up (their normal wake up time) and told them baby was coming today. They were so excited! They all came into the room, one at a time and gave me a big hug. Throughout my labor Brigham was in the living room, just on the other side of the wall, but continued to make noises like me. What a funny little guy!
Things were really not going how I had thought they would. Each child I had, the labor was shorter, so I was more or less expecting a quick labor and birth. This labor was getting stronger, but felt like it was taking forever. My water hadn't broken, so I wasn't sure how far along things were moving. Brent asked if I wanted him to check me. He did, and said he could feel the head and I was about a 7 or 8. I must say that after 10 hours of laboring, I didn't want to hear that her head wasn't through the cervix yet. He then asked how it was that he could feel the head if the water hadn't broken yet. I said something to the effect of it being like a water balloon and you could still feel the head through it.
I must say that through this, it was such a bonding experience for us. It was great to work together and learn the actual birthing process, as just the two of us.
I don't know what time it was, but maybe and hour and a half or so before Rebekah was born, Brent called in Sadie (our oldest - 11 years old) to help be the nurse. She was to bring Brent what he needed so he wouldn't have to leave me. She was also advised how to give me the mistletoe tincture after the head was born, but before the body, to help prevent hemorrhage. She was so excited to get to help out and experience the birth of her new little sister (or brother since we didn't know at the time what we were having).
Labor was really getting hard for me. I was so tired that I was almost falling off the birthing chair asleep between contractions, which were about 3 minutes apart and very strong (to the point of me yelling at times). I moved to where I was kneeling on the floor and laying on the birthing stool. I asked Brent to check me again, and he said she was still not through the cervix (how disappointing), but he asked if I wanted him to break my water. He was so sweet to not do anything without asking my permission first. I said yes.
He pinched the bag of waters under the baby's head. He said for a moment he didn't think he had done anything. Then the water shot out and covered him. LOL! He got it in the face and all over his clothes! Sadie said she got a little on her hand, as she was standing off to the side holding a flashlight for dad, but he got covered. I felt it come out, and I heard him react. I slowly turned around to sit on the birthing stool and told him that I know wish we had been video taping the birth so I could have seen that. LOL!
I was hurting pretty bad, but the water breaking helped a lot. Things began to really move at that point. I began pushing a little during contractions. She was slowly moving her way down the birth canal. I asked Brent where the head was, if it was coming out yet (as if I didn't know). He said she was almost there and he and Sadie could see her hair. I reached and felt her head, but she was still about 3 inches in. I told Brent later that it may as well have been a mile at that point. :) A few contractions later, pushing during them, she was crowning.
WOW! I've been through natural birth 2 times before. I never seem to remember how big a baby's head is. I kept pushing, and it took about 3 contractions before I got her out. The entire time as she kept coming and coming and coming, I could just picture myself tearing. The only thing keeping me going at that point was knowing that once the head was out, it was basically over. As her head was coming, I began yelling for Sadie to get the tincture for me. Brent kept saying the head was not out yet, but I knew that she needed to get it, because I wasn't going to wait around to long to deliver her body.
Finally, her head was out (and I didn't tear). Brent said that there was a beautiful head of hair. So sweet and wonderful, he teared up and began to choke up when talking. He was so overcome with emotion. Oh, how I love him.
My little Sadie, big sister to all our children, gave me the mistletoe tincture and on the next contraction I pushed our little girl into the world. I thought as soon as she was out, I should have warned Brent that I was pushing, but I think he knew what I was going to do. He caught our little Rebekah, and she was perfect. Sadie quickly fetched a towel to put her in and clean her up with. As soon as she was in the towel I asked for the time. 11:15am. Brent held our new little baby for a minute, looking at her and absorbing her into his memory, and then quickly passed her to me.
I sat on the birthing stool for a moment, then asked Sadie to get a chux pad to put on the recliner. Brent went to take our baby, when he found she had pooped on me. :) We cleaned us both up. I then moved over to the recliner and held the baby, while helping Brent tie off the cord after it had stopped pulsating. We cut it, and I got a little blood spatter on my shoulder. :) Then he got some thick cloth diapers wet, and one with a ginger tea compress, to clean me off with and to hold onto myself for helping to heal.
I sat in the chair for about an hour, trying to feed her, but she wasn't interested. She was just angry. :) Then I began cramping pretty hard and having a little blood pass. I took the umbilical cord and gently put pressure on it (not pulling, but making it taunt) and pushed a little. The cord began to go slack. I asked Sadie to get me the bowl I had reserved, and I slowly pushed the placenta out and put it into the bowl, reserving it for later, to encapsulate it.
We were preparing to weigh her, but found she had pooped on me, again. LOL! My little stinker! We both cleaned off, again, and then I helped Brent put her in the baby sling with a digital scale attached (after zeroing it out of course). 9 lbs 1 oz! No wonder! She beat out my biggest baby by an ounce! LOL! She loved the sling, and we let her stay in it for about 15 minutes while we got things cleaned up. Sadie went and got some clothes for Rebekah, and when I went to get her out of the sling, I found, yet again, she had pooped in the sling! :) I must say that through the night she proved that her bowels worked great. LOL!
She is perfect, though. Her big, little head with great big squishy cheeks. I love her more than I can say! The kids can't get enough of her. The boys love her and want to hold her all the time. Even though Moses can't talk, he still tells me he wants to hold her. He sits next to me and reaches for her. Oh, how he and Brigham love to share their new little baby! :) What good big brothers they are. The big sisters are all so great with her and were so excited to hold and love on her finally. ;)
40+ Weeks and counting
This was from Feb 4, 2010...
Wow! I can't believe it's February already. I was due Jan 30, and as of now, still no baby! LOL! In some ways I'm disappointed. In others, I'm relieved. We are planning another home birth this time around, but we are still finishing up on the cabin we are living in. I keep arranging the bedroom to where I can move about comfortably and prepare to labor in. Then, the next day, DH has to move it into a big mess to put in plumbing (or for other reasons). SIGH....
Sometimes it is so frustrating. I feel like I'm going to be pregnant forever, but I'm not ready for the baby because of the cabin situation. I hate conflicting emotions. It's really made me a basket case. I feel so bad for my DH and kids. Sometimes I'm fine. Others I'm yelling and crying. My poor family has to put up with my emotional instability. LOL!
Other than that, I am feeling pretty good. Baby is doing well. I'm really surprised with this baby. He/she doesn't move as much as my other 5. I am used to getting a good kick in the ribs or bladder at least once a day. I can only think of one time each this baby has done so to me. Baby moves about, but is very gentle with me. I just get an occasional elbow and knee across the stomach. :)
Anyway, I am so looking forward to meeting our new little one. I have been having dreams for the past week of giving birth and seeing my new little angel. I've seen her (girl in the dreams but we don't know if we are having a boy or girl) face in the dreams. I've gotten to hold her. I wake up longing to snuggle with my baby in my bed. To nurse my baby and love on him/her on the outside.
I hope you are all doing well in your pregnancies. I'll keep you all posted as to when we have our little one. Any day now! :)
Wow! I can't believe it's February already. I was due Jan 30, and as of now, still no baby! LOL! In some ways I'm disappointed. In others, I'm relieved. We are planning another home birth this time around, but we are still finishing up on the cabin we are living in. I keep arranging the bedroom to where I can move about comfortably and prepare to labor in. Then, the next day, DH has to move it into a big mess to put in plumbing (or for other reasons). SIGH....
Sometimes it is so frustrating. I feel like I'm going to be pregnant forever, but I'm not ready for the baby because of the cabin situation. I hate conflicting emotions. It's really made me a basket case. I feel so bad for my DH and kids. Sometimes I'm fine. Others I'm yelling and crying. My poor family has to put up with my emotional instability. LOL!
Other than that, I am feeling pretty good. Baby is doing well. I'm really surprised with this baby. He/she doesn't move as much as my other 5. I am used to getting a good kick in the ribs or bladder at least once a day. I can only think of one time each this baby has done so to me. Baby moves about, but is very gentle with me. I just get an occasional elbow and knee across the stomach. :)
Anyway, I am so looking forward to meeting our new little one. I have been having dreams for the past week of giving birth and seeing my new little angel. I've seen her (girl in the dreams but we don't know if we are having a boy or girl) face in the dreams. I've gotten to hold her. I wake up longing to snuggle with my baby in my bed. To nurse my baby and love on him/her on the outside.
I hope you are all doing well in your pregnancies. I'll keep you all posted as to when we have our little one. Any day now! :)
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