Category Archives: Birth Preferences

Empowered Birth vs. Empowered BY birth

The interesting thing about the natural childbirth movement (of which I strongly support) is that it often fails to differentiate between empowered birthing and the empowerment gained FROM ones birth. We tend to treat the two as the same thing when we discuss natural childbirth, and in our fervor, we fail to mention that it is entirely possible to have one WITHOUT the other. Instead, we refer to natural childbirth as “empowering” the woman and bringing “empowerment” to women everywhere. But, what exactly do we mean?

I’ve thought about this quite a bit lately, and it is my belief that we lump empowered birth and empowerment BY birth into the same phrase of  “empowering women”. I think we choose to use one phrase because in today’s society they ARE the same thing. In the current day where entering a hospital with a normal, healthy pregnancy increases ones risk of unnecessary medical interventions, we hope to educate women so that they might be “empowered” to make the birth choices that are correct for them. In turn, we hope that these women will experience a birth that is fulfilling TO THEM…thereby granting them a feeling of empowerment (increased self-worth, a powerful sense of accomplishment, and a revelry in her role as a woman).

I feel particularly strongly about increasing the education women receive with regards to the variety of birth choices that may impact their birth experience. Too many women simply go along with whatever their doctors dish out without QUESTIONING him or her. So many women end up in uninformed situations where they have no one to trust other than their doctor…their doctor who has been trained to treat emergencies…their doctor who is  a SURGEON first and foremost. A doctor who has no reason OR time to allow them to labor naturally…to provide them with alternative pain relief, and the solemn support of a midwife or doula. For these women, natural birth is a hard achievement…and often impossible. Some of these women go one to have traumatic births and are left with a sense of loss-the loss of their birth experience…and there is no empowerment in this.

For others, they may have what “normal” culture deems a ‘normal’ birth: labor naturally to 4-5 cm, receive an epidural, deliver vaginally with no complications, but they will still feel dissatisfied with their birth. Perhaps they would have felt a stronger sense of entitlement over their birth if they had managed it naturally. Perhaps they did not educate themselves enough to KNOW of these alternatives. Perhaps those they trusted to educate them failed them in their time of need. And, for these women, their is no empowerment in their birth experience.

By increasing the amount and quality of education that women receive prenatally, we empower women to take control of their births. We can inform them so that THEY can choose what happens to their bodies and their babies. If a woman receives unbiased, informative information regarding the epidural and its risks AND chooses it anyway, then SHE has made an empowered decision in her birth. I want this. I work towards THIS.

While I strongly believe that having an empowered birth (where the woman is educated in her choices and affirmatively controls what happens to her) will lead to a lasting feeling of empowerment BY her birth, I also believe that there are other ways to gain empowerment from birth. For some women, knowing that they have created life is enough. For them, there is nothing to be gained from a vaginal birth over a cesearean. Others only desire to birth vaginally…whatever happens past that point is meaningless as long as their baby is healthy. And, lastly, there are the women who are quite content to leave their birth and the health of their child in the hands of the qualified doctor they have chosen. While these births may happen in a variety of manners that I might not personally advocate, they all empower the women who choose them. These women are empowerd BY their birth.

So, have I made a mess of this distinction? Are we right to use one phrase/word to refer to such an ecompassing meaning? Have we alienated some women by our fervor? Or am I wrong to believe that we are actually referring to TWO separate ideas.

Leave a comment

Filed under Birth Preferences, C-section, childbirth, Homebirth, pregnancy, prenatal care, Uncategorized

The Birth Spectrum

Births occur on a hugely ‘unknown’ basis. I think this is what can utterly terrify some people into opting for the controlled atmosphere of a hospital. There is no danger in a hospital of something going terribly out of control…and if by some mad chance it DID, well, then there are doctors who are trained to react in just such occasions within easy reach.

For other people, the unkown of birth can mean a triumph where one could never have been foreseen.

A friend of mine was relaying the story of  her sister who had an unneccessary C-section with her first child. This same woman switched caretakers, adopted the Bradley Method of childbirth, and vaginally birthed her 2nd and 3rd children. Despite her proven ability to birth, this woman was talked into birthing her 2nd and 3rd children in the local hospital where she was forced to undergo all the medical interventions deemed ‘necessary’ by her attending doctors. For her 4th and final child, she chose to homebirth. Despite all their best preparations, her 4th child came too quickly and was delivered by his father in the family’s living room. The midwife arrived to the cries of wonderfully healthy baby boy who had been welcomed into this world in the most natural way possible. This woman feels like a warrior and thanks to the huge ‘unknown’ of birth has reclaimed her birthing rights. She no longer doubts her ability as a woman to bring a child into this life…and that is wonderful.

4 Comments

Filed under Birth Preferences, Birth Stories, C-section, childbirth, Homebirth

Free Book of Birth Stories!

Sheri Menelli is offering the digital (pdf) copy of her book Journey into Motherhood for free! The book is a collection of 48 inspirational birth stories that are meant to empower women to take charge of their own birth experiences. She is also offering the hard copy version of her book for only $5 in the hopes that this collection will become as popular as the ‘DREADED’ What to Expect series. You can read more about it as well as download the pdf here.

I just found this today, and I can’t wait to start reading! I’ve heard that it’s an exciting read!

Leave a comment

Filed under Birth Preferences, Birth Stories, childbirth, Homebirth, pregnancy, prenatal care

Getting “Normal” Birth OUT of the Hospital

Canada has been all the talk among those of us in the natural birth realm over the past few months.

A few weeks ago, they instigated new medical protocols regarding breech births…basically requesting that doctors actually attempt vaginal births even when a breech is present BEFORE conducting a C-section.  As a resutl, doctors in Canada are now being trained in breech presentation which is basically becoming a lost art among OBs her in the U.S.

More recently, the  Society of Obstetricians and Gynaecologists of Canada came out with the following statements APPROVING natural birth and displacing the theory that medical interventions are ALWAYS necessary.

“We want to be sure that women who are at low risk for complications receive adequate information and support to have a normal birth.” …  “…the number of medical interventions used in healthy pregnancies is on the rise and could be subjecting mothers and babies to risks they don’t need to take.

Additionally, Canada recently conducted a study that found planned homebirths to be SAFER than planned hospital births. The best part about this study though is that it takes into account planned hospital births with a physician and ALSO with a midwife. Homebirths STILL won out. So often people seem to think that just birthing with a midwife is enough…what we forget is that there is so much more that will affect the outcome of a birth than just the overseeing practitioner. The sense of comfort, familiarity, and naturalness that comes from birthing at home can obviously improve outcomes in a way that the stark environment of a hospital simply can not.

(of course, they had to sneak in that the data gained from midwives was limited by the incomplete nature AND ONLY accept data from REGISTERED midwives.) *sigh*

1 Comment

Filed under Birth Preferences, Homebirth, Scientific Studies

Continuation of Birth Story #1

I gave a brief overview of my first doula client’s birth HERE. It’s taken me a while, but I finally have wrapped my head around a few of the things that bothered me about her birth. Of course, visiting her postnatally has helped her tremendously, but I can’t help but feel the burden of her birth on MY shoulders. It’s not as though I could have done anything differently to get her through the 37 grueling hours of labor withOUT a C-section. Once she entered that hospital with broken waters but NO contractions, she became a medical patient sick with childbirth. Once she “failed to progress”, she was a shoo-in for surgery.

Anyway, in this post, I wanted to give an update as to my client’s condition. Shortly after the birth of her son, she complained of shortness of breath and chest pain. After being ignored for quite some time, she was finally sent for a scan that showed fluid around her lungs. An EKG later diagnosed her with Congestive Heart Failure. (Basically, that her heart had expanded to a level that would not allow it to retract like a normal heart…in other words, her heart is not able to pump like normal.) Needless to say, she was rushed to the Heart Tower of the hospital where she was completely separated from her newborn (who remained in NICU) for a full week. After a week, her baby was finally released from NICU and reunited with her in the heart tower. 2.5 weeks AFTER her birth, my client was released from the hospital with instructions to limit her physical activity to only lifting her baby.  A few days later, she ended up in the ER due to pain and numbness in her arms and left leg. The doctors gave her medicine to the relieve the pain, and sent her home after a brief hospital stay with no diagnosis. Today, she begins follow up visits with her team of 12 doctors who are working to treat her various conditions.

I visited her a few days ago at her request, and I was shocked at how frail and frustruated she appeared. It’s one thing to have a hard labor and birth, but quite another to deal with additional medical emergencies while remaining the sole caretaker to a newborn! The hard part though was when she began to ask me questions…staring at me eagerly as though I could offer some valid reason as to why her birth has turned into this nightmare. We discussed the various stages of her labor and the progression of interventions leading up to the C-section. When she told me that she had been told by the doctors that she could never go through childbirth again as a result of her heart condition, she started to cry. This is her birth…this is her ONLY birth.

As a doula, my role is to support her…as a WOMAN it is my role….and most especially, as the person who has seen her in that most primal state of childbirth. I helped her with her baby for a few hours, and we talked until she was confident in herself once again…confident that, for her, she had made all the correct decisions (the ones that were allowed) with regards to her birth. She is now satisfied….I am the one left with questions.

Questions such as…why did your water break in the first place? Why did you ever go to the hospital? Why did you let them give you pitocin? Why did you let them drug you to high heaven? Why did you never question the doctors’ decisions regarding YOUR body? AND, most importantly, why are you STILL complacent with those decisions?!!!

2 Comments

Filed under Birth Preferences, Birth Stories, C-section, Doula

Delayed Clamping of the Umbilical Cord

I recently attended a local meeting of The Birth Network that focused on the benefits of delayed cord clamping. I found the talk to be facinating…particularly because of the amazing scientific data that confirms what natural birthing proponents have been suggesting for years: delaying clamping of the umbilical cord by up to 3 min. introduces numerous long term benefits for the newborn.

1). Higher iron/hemoglobin levels. (how I understand it)

Red blood cells carry the necessary oxygen throughout our body. One of their necessary components is hemoglobin which is the binding agent for the oxygen carried by the red blood cells. In order to function properly, hemoglobin requires iron. If our body is low in iron, then the hemoglobin levels drop causing the sluggishness known as Anemia. In newborns who experience delayed cord clamping, boosted levels of iron and hemoglobin have been noticed as late as 6 months following birth.

2). Safety Net when Fetal hemoglobin converts to Adult hemoglobin. (Again, as I understand it.)

Between 10-12 weeks of age, the newborn experiences a drop in iron and hemoglobin content due to the conversion of fetal hemoglobin over to adult hemoglobin. During this process infants are susceptible to Anemia. However, several studies have illustrated that those infants who’s cords are clamped after a delay of up to 3 min. actually sail through this time period with a minimal drop in hemoglobin/iron levels. Basically they have a ‘buffer zone’ created thanks to delayed clamping of the cord.

This same buffer zone assists breastfed babies in maintaining a proper iron level. In one study of infants who were followed until 6 months of life, babies who were exclusively breastfed and experienced delayed cord clamping still maintained higher levels of iron/hemoglobin than their formula fed counterparts who had their umbilical cords cut immediately. (Remember, formual contains iron supplement while breastmilk contains a very low amount of iron.)

3). Easier Transition from the Womb.

There are no studies on this particular benefit as it’s really an impossible thing to know for sure, but one can logically reach this conclusion. As long as the cord is pulsing and uncut, the newborn is receiving oxygenated blood and “breathing” is unnecessary for survival. In other words, if the cord remains uncut, then there is no cause for worry if the baby does not take in a breath until after the cord has stopped pulsing. The minute the cord is cut, the baby MUST breathe on its own to survive. Typically, the cord is cut immediately which is classified as the first 10 sec. or less of life outside of the womb causing an abrupt transition to “breathing”. Can’t you just imagine how stressful this must be to a poor little newborn?! Particularly if there is NO NECESSARY REASON for the immediate clamping of the cord! As one O.B. textbook accurately states, ” [The Clamping of the cord] should be based on convenience…”.

I can’t remember if Kaius’ cord was clamped immediately, or if the midwife delayed it, but I have a feeling that it was clamped immediately. I am RH-, and we didn’t know if that would cause issues or not. I do remember it being a preference of mine, but since we never wrote down a birth plan, there was no real way for the midwife to even KNOW that. I do remember that there was a second or two when the midwife and nurse seemed to really want Kaius to cry…perhaps that was when his cord was clamped…

I’d love to hear your thoughts on clamping the umbilical cord. Did you have a preference when your baby was born? Do you have a preference now?

5 Comments

Filed under Birth Preferences, Umbilical Cord