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Showing posts with label epidural. Show all posts
Showing posts with label epidural. Show all posts

Monday, November 9, 2009

Lynsee's Birth on the Internet

A woman in Minnesota, Lynsee, decided to broadcast her birth live on the internet. When I heard she was in labor, I tuned in to see what would happen. Since I hadn't heard much about her plans beforehand, I was surprised to see she was in the hospital. I certainly didn't expect that any hospital would give permission for their procedures to be filmed.

She labored well for the most part. She used the shower, the tub and the birth ball. She leaned on her husband. All of these are fabulous techniques for handling labor. Lynsee seemed to be handling the contractions well. My sound quality was bad, so I could not hear most of what was said, but it seemed that she was doing really well in her quest for a natural birth.

Suddenly, she was getting an epidural. I didn't understand why... she was doing so well. I have read the comments of others that when she was in transition and mentioning that she "just couldn't do this anymore" they offered the epidural. This is such a common phrase for women to utter in transition! Why didn't anyone tell her how close she was? Why didn't anyone support her through what would be the briefest part of labor?

Once the epidural was placed, the whole energy in the room changed. The caption running beneath the picture announced she was at 10 cm and would soon be pushing for a long time before they actually had her doing anything. No one seemed to be in a rush to get started.

For what it is worth, Lynsee seemed to push very well. The baby was born quickly. I tuned out after a few photos were taken because I felt this was a special time between baby and parents. From what I have heard from posted comments is that it took quite awhile for baby to be put to the breast and she was getting a bit frustrated. Poor little one!

The positive things: Lynsee was able to labor actively until she got the epidural. She handled the contractions very well. She pushed effectively and she got a vaginal birth.

The negative things: Lynsee obviously didn't get the support she needed to get through transition. She and baby seemed disconnected from each other after the birth.

Lynsee, thank you for streaming your birth. I hope viewers learned a lot. Congratulations on the birth of your little girl. I hope you and your husband enjoy your new parenthood and that your daughter flourishes.

The best advice I can give you is to follow your instincts. Don't follow schedules for feeding your baby. Spend as much time with her in your arms as possible. Babies thrive on touch.

If you have another child in the future, I hope you can find the support you need to continue through labor. You were so close! You handled those contractions so very well! You should be proud of what you accomplished. If I could be your doula or midwife, I would let you know that those feelings you had were normal. That they are a sign of progress and that labor wouldn't last too much longer. I would try to give you more strength to help you have the birth that you wanted for yourself and your baby.

I hope your breastfeeding relationship with your daughter is long and successful. You are a brave soul to put your experience out there for all of us to judge. Thank you.

Wednesday, March 18, 2009

What No One Tells You About Birth... My Version

We picked up an issue of FitPregnancy recently. Inside was an article entitled "What No One Tells You (But You Need to Know) About Birth. I know this is a mainstream magazine, but sheesh.

Three of the tips mentioned epidurals. Five mentioned cesareans. One mentioned broken blood vessels in her face... from all the purple pushing, no doubt. One mentioned how embarrassed they were that they had a small bowel movement while pushing out the baby. Two mentioned episiotomy.

What do I see wrong with this article? Even though I freely admit I am NOT mainstream in any way, shape or form, I used to be. I admit I had a cesarean. I had two epidurals. I had an episiotomy. I learned my lesson after 4 births of hospital protocols. But I still see problems with this article.

No one mentions doulas as an alternative to an epidural. Studies show that the presence of a doula can reduce the number of epidurals AND cesarean sections because Mom gets the constant, caring support she needs.

While I don't particularly feel comfortable performing bodily functions in front of others either, the whole "eww gross" attitude that we actually have bodily functions bothers me to no end. When will we admit that people actually can smell like people instead of flowery deodorant? When will anyone admit that they pass gas at inopportune times, or that baby helped clean out your bowels on the way out? Not our favorite moments in life, it's true... but it happens frequently. In fact, baby can actually pick up important immunities by passing so close... hmmm. Maybe that's why the vagina is located down there so close to the anus and not up by our belly button?

The fact that 1 in 3 women get cesareans today (or more in some hospitals), and another 1/3 get episiotomies even though studies have shown that episiotomies cause more damage than natural tearing is utterly amazing to me. What is wrong with easing the baby out? Your body will push the baby out whether you actively help or not, and taking a break and breathing through a few pushing contractions can actually give your perineum time to stretch around baby's head. Yes, it may be uncomfortable. They don't call it the "ring of fire" for nothing! However, letting your tissues stretch little by little prevents tearing.

The whole "eww factor" that many people seem to have today really gets to me. What will they do when baby has a messy diaper? When baby throws up what looks like more milk than they've eaten in a week? What will they do when their 4 year old throws up macaroni and cheese in the middle of the night? That last one is sure to get inward groans from me and fighting my own gag reflexes, but they can't help it. They didn't do it on purpose to make your life a living hell. Life is messy. If you're going to have children, it is time to get used to it.

Maybe we need childbirth classes that really teach what will happen in labor. Will people listen and understand?

Here is my version of what you should know before going into labor.

1. It will probably hurt. Some women are lucky and don't feel labor pain... whether this is because of reframing their perception of pain, or just sheer luck... I don't know. Either way, wish I had been them! For most of us... it will involve some intense pain. But it is only for a short time out of your entire life. Drugs will cross the placental barrier and your baby will get the drug just like you. Only your baby is much smaller than you, and they are not getting the baby dose.

2. Being active can actually help you cope with pain! It's true! I've done the beached whale syndrome in labor, and I've walked, rocked on a birth ball, leaned on a wall... anything that even remotely sounded good at the time. It helped! While the contractions were still intense in active labor and transition, I knew they were accomplishing something. I told myself every contraction I went through never had to be experienced again. In the midst of transition with its overwhelming feelings, I told myself that millions of women throughout history had done this exact same thing... and so could I. I could feel the baby moving down, so as uncomfortable as I was, I knew what was happening in my labor and could deal with it.

3. Your water may break before labor, during labor, just before baby is born, or it can be broken after baby is born in rare cases. All are normal. Having someone break your waters in early labor puts you on a clock that will lead to more interference with your labor.

4. You can do this! Women are strong! Our bodies are wondrously designed to bring life into the world. This is an amazing super power that women are blessed with!

5. Purple pushing (where you continue to push hard while someone counts to 10... slowly) is not only exhausting for you, but it deprives your baby of oxygen. There are only a very few instances when you want to push this hard, and they all involve situations when your baby is in distress and needs to be born asap. In a normal labor with a healthy mom and baby, exhaling while you push, shorter pushes and pushing only when you feel the urge will let baby be born gently and you will stretch better instead of tearing. By the way, an episiotomy is like cutting a piece of fabric a few inches with the scissors. Try tearing it before making the cut. Pretty hard to do, isn't it? Now snip it and try to tear it again. It tears all the way down. Your perineum is the same way.

6. Once baby slips out, the pain is miraculously gone. Take the time to get lost in your baby's eyes... smell his or her head, still wet with birth goo. This helps your mothering hormones kick into high gear! Don't let society's "eww factor" come into play. Watch your baby... they will begin to lick and lap at your breast. This is an inborn instinct.

7. If breastfeeding hurts, baby is not latched on correctly! Baby needs to open wide and take in as much of the areola as possible. Their tongue needs to be under the nipple and over their bottom gum line. Don't let them clamp down ON the nipple. The nipple should be taken deep into their mouth along the roof of their mouth.

8. Sleep when baby sleeps! Don't take that precious time and clean the house or update your blog. Get as much rest during your babymoon as possible to get you and your baby off to a good start.

I have a zillion more tips... so more later. :) In the meantime, visit our site, http://organic-birth.com for more tips and advice.

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