Archive for the ‘Information Support’ Category

Working and Breastfeeding

Saturday, January 8th, 2011

Breastfeeding moms who are going to work outside of their homes can use strategies for making it work. Here are some books which provide that support. Not every strategy works for every working mom. You need as many options as possible. Check these out: “Working Without Weaning: a Working Mother’s Guide to Breastfeeding” by Kirsten Berggren. Written by a lactation consultant who belonged to a group of working moms. Her friends swapped strategies about what worked for them. Recommended to me by a local hospital lactation consultant: “The Milk Memos: How Real moms Learned to Mix Business with Babies and How You Can, Too”. Milk Memos are funny to read as well as helpful. On the La Leche League Website you can find “Of Cradles & Careers: A Guide to Reshaping Your Job to Include a Baby in Your Life. There is the inspirational book: “Hirkani’s Daughters: Women Who Scale Modern Mountains to Combine Breastfeeding and Working”. Hirkani’s Daughters is a compilation of mother’s stories of how they made breastfeeding and working outside the home happen.

If you are a breastfeeding woman and you plan to return to work, you will do yourself a favor with these books. You don’t have to re-invent the wheel. Other mothers’ wisdom and experience can help you choose what is right for you and your baby.

VBAC On My Mind

Friday, January 7th, 2011

Yesterday I described 5 ways to help make your VBAC  birth dreams come true. There are many other things I could have added. Sometimes I help a mom process her Cesarean birth experience by talking about it and looking at the birth record from her doctor. I can often assist her making sense of the doctor’s jargon.

Sometimes we discuss her cesarean birth and her lingering feelings about it. Sometimes I encourage her to use crayons (or pastels) and make a picture of her birth — or of her ideal birth. In other words, there are many ways to support a mom. I tailor my support to her needs.

What is wonderful, though is that sometimes, after all the discussions and preparations and attempts to make this new birth experience better, the second baby is just born vaginally without a lot of worry. It just happens! That is lovely to behold. Everyone is excited and in awe of what the mom just accomplished. That is when she begins her journey to realize that — she could do it! Her body was capable of it all along.

VBAC — 5 Things That Help

Thursday, January 6th, 2011

Here are 5 things you can do to increase your chances of a vaginal birth after you’ve had a cesarean birth:

  1. Choose your caregiver by their VBAC success record. It isn’t enough for them to say that they will support your VBAC. Find out how much success they have had and what aspects of your pregnancy and previous birth make that make a VBAC favorable for you.
  2. Find a doula to support your labor. Sometimes a doula will come to your house in earlier labor to support you so that you won’t get to the hospital too early. Getting there in a well-established labor greatly increases your chances. That is just one way a doula can help. Support is beautiful!
  3. Invest in your VBAC. Write a birth vision, we show you how to do it in my book: Doulas’ Guide to Birthing Your Way. Go see a chiropractor who works on pregnant women. See a nutritionist. Do pregnancy yoga. Choose whichever of these works for you.
  4. Find out your birth options and do everything you can to support your VBAC. Then, if you have a cesarean birth again, you’ll know you tried everything. Knowing that you needed  to have a cesarean birth is one of the keys to recovering from it.
  5. Visualize your gentle vaginal birth. Seeing is believing. Visualization is practice for your actual birth.

Are You Ready?

Sunday, December 19th, 2010

How do you know if you are ready for your labor to begin? At the end of pregnancy, most women can’t wait to great their baby. But are they ready for their labors to begin?

Women who have overly big anxieties can postpone their labors by a few days. The hormones of anxiety can retard the hormones of labor. So if your due date comes and you wonder why you aren’t in labor yet, ask yourself if you are emotionally ready.

If you have anxieties, you can talk them through to help you feel more ready. You can talk to your doula. She’s probably spoken to many women who are worried about their births. The amazing thing is that all women worry at one time or other if they are ever going to have the baby.  Trust me, you will have the baby, just relax!

Artificial Rupture of Membranes (AROM)

Sunday, December 5th, 2010

For years I have seen women’s membranes artificially ruptured. Most of the time, I suggest before labor that moms try to avoid it. Rupturing the membranes doesn’t hurt, directly. But it does take away the cushion of water that usually helps make the birth more comfortable. The question is: why do care-providers suggest artificial rupture of membranes (AROM)?

Some care providers suggest that it will make the labor go faster. Studies show only a 30-60 minute decrease in labor length. Sometimes, when a labor medically needs to be managed (because the mother is ill or during an induction which could overwhelm the mother’s resources if it goes too long) AROM is the next logical step to getting a mom into active labor. The idea is, if rupturing the membranes is the only intervention needed to put the mom into fully active labor, it isn’t a big intervention. Keep in mind that once the membranes are ruptured, the clock is ticking on the birth. The longer the membranes are ruptured, the greater the chance of the baby being born with an infection.

I still find mothers tend to enjoy their labors more if their membranes stay intact or rupture on their own. Navelgazing midwife talks about the joys of the baby being born in the caul (with membranes intact at birth). I haven’t yet seen a baby born in the caul, but I would love to!