Early this morning, before breakfast we wandered outside and dug a hole, (navigating around the maple tree's roots) about two feet deep. I carefully separated Nettie's frozen placenta from the plastic bag that carried it from our house on the Hill to our friend's basement, to our new home. The placenta was at the top of my list of things to keep track of as we negotiated the double move. As my hands slipped over the frozen shiny red surface, I sensed a sigh of peace. Nettie was very happy and grabbed at the placenta's bag while I removed it. We covered the placenta with dirt, added some acid-soil loving mix for the blueberry bush, and then planted our blueberry bush. A happy placenta.
Fenimore was born at home in water, caught by my own hands. I am joining the many birth blogs and birth listservs spreading the word.
For twenty plus years WBI and Barbara Harper have been guiding mothers and their providers, providing education and birth pools all over the world. Waterbirth International is facing the very difficult truth that the Gentle Birth World Congress - a fabulous success in every way for international and local attendees - drained all of our resources. We may have to close the doors permanently by January 31st.
We need to raise $200,000 in donations to cover the debts from the Congress.
With such a large sum to raise, we need each of you to support this cause. When you support waterbirth, you are making a statement that you want and need options, choices and more control.
Can you help us stay open to take the next phone call?
- to convince the an obstetrician to incorporate waterbirth into his/her practice
- to work with the nurse midwives to install pools in their facilities
- to educate an entire hospital on the benefits of allowing women freedom of movement in the water
- to continue our resource services for parents and professionals
We have freely given
these services over the past 20 years. We want to continue to give them
freely, but we need your help to keep the phones turned on and the
How much is it worth to
see waterbirth become the norm in the US, like it is in the UK? I
think we only need a few more years to make that happen.
Women really do want waterbirth to be an available choice in every hospital. They need choices now, more than ever.
If we need to call every single waterbirth parent personally, we will. We don't want 25 years of pioneering work to end and the vision of safe and beautiful waterbirth to go away.
Please do the following:
~DONATE any amount you can
~Become a MEMBER of Waterbirth International
~Buy a birth pool for your local midwives
~Buy a birth pool for yourself
~Buy a birth video and donate it to your local library
~Spread the word around the world - Post this message on other sites and blogs
Thanks to Sazz for sharing that 2008 is The Year of Homebirth Awareness. Australia's homebirth group Joyous Birth has launched a homebirth awareness campaign for the new year. The below post is from their website:
The time has come to speak out as women and mothers about how our lives have been changed by the beauty of birthing at home. We cannot stand by as more women go through the conveyor belts of our maternity hospitals without speaking the truth –
Join all of us in speaking out with just one action a day, however small, and be the ripple effect as each of us across Australia speaks out to inform, normalise and honour birth.
* Thanks to Carla Hartley at www.trustbirth.com for this quote.
What can you do in one day? How about these ideas?!
This blog is a bit off topic but has been on my mind ever since the bruhaha on the neighborhood moms mail group to which I belong. The scandal began when I posted this post on my local mail group and a mom who seemingly interpreted this post as an attack against epidural-users slammed me publicly on the site. I had mixed feelings about starting a blog. I was afraid of trolls and wasn't sure if I wanted to deal with people leaving attack comments on my blog. I didn't want my posts being mis-interpreted. My good friend and fellow blogger helped me get over my fear (I need to toughen up, I know!) but lately I've been thinking a lot about virtual communities and the hostility and miscommunication they often engender.
I was reading the bloggers code of conduct, and wishing that all virtual communities would make some attempt at following these rules, specifically this one: We won't say anything online that we wouldn't say in person. Interestingly enough the proposal of this code of ethics drew waves of protests from parts of the blogging community. The virtual group I visit most frequently is not just a virtual group, we are all parents and live in the same neighborhood. And yet our group has a hard time following the bloggers code of conduct, particularly the suggestion not to say anything online that we wouldn't say in person. What is it about the online medium that provokes us to respond with rapid-fire remarks, often not policing our content, misinterpreting another's words without first asking the author for clarification or emailing off-line? Members of my virtual community often have little excuse for their attacks. Many times the attackers know the posters and an email off-line would be the better approach (again, the suggested path via the bloggers code of conduct). Certainly I have learned much from the discourse of my virtual/real community, primarily, to reflect carefully on what I post (a good lesson for me who has been too quick to post in the past). On the web, however, it is much easier to misinterpret another person's blog. We don't know that person and, unless we have been diligently following their blog, it is hard to understand the context within which they write. We might have missed a previous post that might be critical to understanding a future post.
I felt that Navelgazing Midiwife, whom I love, misinterpreted my post "Why Are Moms so Threatened" on her recent blog entry. This post was a direct response to the attack I received in my online community to the post Doctors have much to learn from Midwives when it comes to induction, which was inspired by the difference between how the midwives handled the mom I was working with who was past her due date and how the doctors of neighborhood moms had handled the "problem" of a mom going past 40 weeks. On the one hand (with the midwives), there was a wait and see scenario that didn't involve talk of induction until the mom was 41 weeks (and induction was not a given until 42 weeks) on the other hand the doctors mentioned the moms might have a big baby because they were past their due date and, in one case, told the mom horror stories of shoulder dystocia when the mom questioned the need to induce. Navelgazing's midwife's post on my entries seem to suggest that I believe all babies must fit through the pelvis (I most certainly don't, although the percentage that won't is small indeed) and completely misunderstood my use of the term "big baby" (perhaps I should be more clear about my use of the term, I will clarify this in my post). The lesson is, I suppose, that I need to be more clear in my posts and to remember there is a lot of background information that my readers don't have and that I sometimes assume they have. But for the record, and for my readers, I would like to clear up some of the misinterpretations of my posts.
Navelgazing midwife asks me to respond to the following scenario:
"You're the midwife and you have a woman pushing for a couple of hours and you do a vaginal exam, having the woman push through two or three contractions... you don't feel any forward movement. What do you say? "Great! Things are progressing nicely!" Do you not say anything at all? Or do you look at mom and tell her there is no progress and you should probably think of the next course of action."
My response "I agree that sometimes the baby just won't fit and know that in the future a mom might be mad at me because of a hospital transfer I felt was necessary but which disrupted the moms plans for homebirth. I've been thinking a lot about control lately and how we "natural" birthing types can be as guilty of it as the medical community. While we might not always like to admit it, the reality is that of course some babies don't fit" shocks Navelgazing Midwife. Her response "Blinking, I wondered why she couldn’t develop a relationship with her client that fostered a belief in each other… one where if the midwife said, “There isn’t forward progress. We need to go in,” the client would say, “Let’s go.” One where no one is angry with anyone else."
The scenario described by Navelgazing Midwife is of course the ideal. There is a reason I spoke of the scenario where the mom is angry at the midwife rather then one in which the midwife is trusted. Here is the background information I did not supply: my midwife is currently under attack by two moms who are very angry with her care of them (yes, you can definitely argue she should not have taken them on and I understand Navelgazing's midwife fear of certain clients after my midwife's experience), so that is what is on my mind at the moment. On another day/moment I might have given a different answer.
As an aside, while I believe that you must fully trust your caregiver, the trust must be earned and moms must honestly assess whether or not they can trust their current care provider/practice to fully support your birth choices (the glaring example being docs who "say" they support VBACs but have a successful VBAC rate around 1%). It isn't easy to question your caregiver, I know, I was there. While I am usually very good a pursuing what I want, when pregnant with my second, it was a friend who said "Kat, I am hearing you say you want a VBAC but the actions of your care providers and your desires for the birth suggest you will have a hard time having a VBAC in a hospital." I switched to a CPM at about 7 months thanks to a friend who gently but persistently encouraged me to listen to my heart/follow my instincts. And that is what I hope to encourage moms to do, not to give their trust blindly to a caregiver (who because of the large practices in the area, will probably not even attend their birth) but to seek out information, follow their heart, and find a caregiver/practice who will support them.
Finally, Navelgazing Midwife writes "In ignorance, for there is no other way to say it but this, Kat says that whenever a doctor or midwife speaks about induction because the baby is getting large, that that is a threat." I feel that I must have miscommunicated here. In the post in question, I was referring to the phenomenon I have observed lately of doctors routinely offering induction as a way of preventing the complications, such as shoulder dystocia, associated with truly big babies. I wrote:
"When an "expert" declares you need to induce because you are going to have a big baby he/she is making a threat, not a suggestion. The threat is, if you don't induce, your baby will "be too big" and you may "tear", "baby may get stuck," etc. (this is what the doctors say to their clients, in reality there is nothing wrong with having a big baby). "
I am referring specifically to doctors who suggest that induction is the solution to the big baby "problem," something that Henci Goer has found to be false. If there was an error in my post, it was that I could have eliminated the phrase, "there is nothing wrong with having a big baby." I didn't mean to imply that there aren't complications associated with a big baby but rather to send mom the message that their pelvises are indeed ample and in most cases, their baby will indeed fit (see Pelvises I have known and Loved*). I think it completely unnecessary to scare clients with the threat of having a big baby and wrote rather passionately on the subject because I've heard too many stories lately from moms who have felt pressure to induce in order to avoid a "big baby." None-the-less, so as not to imply that I think ALL babies will fit (is anything ever absolute?), I updated my post to read "induction will not reduce the complications associated with a big baby" and included a link to an article by Henci Goer on the subject.
I was encouraged that at the last birth I attended, the midwives made no mention of a big baby, even though we all thought that was exactly what we were going to have. There was a point in the pushing phase where the midwives seemed to be a bit concerned about the shoulders but thankfully all went well.
Thanks Navelgazing Midwife for encouraging a lot of reflection. I will try to be more clear in my posts and be careful of assuming background information. Please ask me for clarifications readers when/where they are needed. I am a student and have much to learn. And thanks to my kids who were very, very patient as I was blogging today. I owe you EXTRA quality time tomorrow! You really are wonderful little beings.
•Thanks to Pregnancy Birth and Babies for leading me to this article.
Today I am reminded that within every negative, there is a positive. I never thought I would say this but I am actually going to say thank you to the Homebirth Debate blogspot. Once again a blog post of mine (this time on Group B Strep) was the target of an unfriendly post (Dr. Amy, the author of the Homebirth Debate blog, needs some lessons in constructive criticism). At first I was needlessly upset and considered commenting on her blog (thankfully I refrained!) but then I took a second look at my post and realized that I would like to be able to speak to everyone, birth junkies and skeptics alike, so I made some clarifications, added more information, and took another look at the two statements that so grievously offended the doctor.
The "offending statements" and my comments:
Prenatal treatment with antibiotics will not prevent neonatal infection.
I deleted this comment. I meant that prenatal treatment does not always prevent neonatal infection but this statement is a bit unclear so I deleted it and added this statement: The CDC's protocols are "expected to reduce, but not eliminate, the incidence of neonatal infection" and included a bit on control of the birth process at the end of my post.
In many cases mom will transfer antibodies to fetus which will protect fetus from GBS infection.
This statement is clear and true. I included some links to verify the above statement that I found in Anne Frye's book "Understanding Diagnostic Tests in the Childbearing Year" (which, as I documented this source in my blog entry, should be enough verification, but I added the links and am down-loading a few other articles that I will read and comment on in the future).
So thanks Homebirth Debate Blogspot for encouraging me to give my post another look. My posts are not always as in-depth as I would like. I sometimes dash them off during nap-time and post them before they are ready. I will try to be more careful in the future and remember that I would like to speak to a broader audience. Those who view birth as pathology, like Dr. Amy, may never be convinced, and that is ok. It takes all kinds to make the world go round!
The mom who inspired my post about induction was not induced. At 41 weeks and three days, baby arrived! And what a powerful birth. So many times today I marveled at how gently and effortlessly midwives handle birth. It was my first birth center birth (I had previously attended only home and hospital) and I am now a confirmed supporter of birth centers. I was impressed with how similar the birth was to a home birth. As at a home birth, the midwives didn't have to follow those hospital protocols that are rough on mom and baby (and put grey hairs on my head!). Now if only they could handle VBACs!
One of the midwives told me about an amazing hospital, the North Central Bronx Hospital, where midwives manage the majority of the patients and the cesarean rate is by far the lowest in the city. There is hope! If New York can do it, why can't other cities?
And attending a birth at 19 weeks pregnant wasn't bad at all. I am doubly tired and I did get sick once during the birth (luckily I scurried quickly down the hall to the family bathroom!) but over all it really wasn't an issue. I am a bit sad that I might not attend another birth for a while (I decided not to take on any more doula clients during my pregnancy but rather focus strictly on apprenticing). Oh there is nothing like the miracle of birth, the strength of birthing women... the power of it all can knock you over. I can't believe I get paid to do this stuff!
I won't be blogging for the next week or so. Every waking moment the next seven days will be spent learning new midwifery skills or hiking with the family on The Farm in Summertown,TN. I am sure I will have much to share upon my return. Until then, be well!
I know there are some great birth blogs out there but once my blog entry has been written and posted, there is never enough time to do any web searching. The blogs that I have found are usually from checking Technorati to see who has linked to my blog (thank you Technorati!!). So a big thanks to Birthyourway's blogspot for gathering together a good list of web resources for birth. And double thanks for including my blog on your list (and to all the other blogs who link to me)! So visit Birthyourway and check out the list for some good empowered birthing blogging (say that twenty times fast).