1 – Natural Birth
How to Choose Your Birthing Team for Best Outcome? Part 1
Just to be clear, this is not about explaining MY choices and “whys” (I can tell you at another time if you like). This is about helping you make the best decisions from the get go so that you can increase your chances of achieving the birth you want.
Choosing your place of birth is going to limit your choices one way or another. That is why it is a good idea to first decide on the place of birth! So ask yourself:
Where do I want to give birth to my baby?
The choice might be easy for you if you know you want an epidural or you know you want a waterbirth. The first one makes it mandatory to be in the hospital, the second, (in most US cities) would restrict you to be at home or in a birthing center equipped with the adequate tub (allowing for at least 24 inches of water for buoyancy). A regular bath tub is not adequate…But that is a whole article in itself! Also consider reading about physiological, undisturbed birth and how it changes you baby’s start in life!
If you find yourself in the majority of the “on the fence”, and “I don’t really know” type of pregnant couples…. Consider this: If it is correct that the process of birth is profoundly influenced by the level of stress of the mother (and father too, by the way), than choosing a place that is most conducive to relaxation and trust is of utmost importance!
For some of you, being in the hospital with all the technology readily available is most comforting while for others just the thought of being in a controlled environment with all the limitations it implies would create high levels of stress physically and emotionally. So decide what it is for you (mom first, because she is most connected to her baby, and what mom feels, baby feels!). Then, share your thoughts, preferences and “whys” with your partner.
Your partner’s comfort is important too but secondary. This is not a good time for you to compromise in an attempt to take care of your husband’s fear and create some more in you. Be honest about how you both feel and find a solution that brings comfort to both of you. For example, if you would prefer a home birth with a lay midwife, and your partner is concerned about “something going wrong” and would prefer having a doctor in a hospital, perhaps a birthing center close to a hospital would satisfy both of you. Or choosing a nurse midwife practicing in a hospital with a medical practice that includes obstetricians?
The next step is to investigate and interview. Not just your family and friends… Think about it, they only “used” that person once or twice, maybe 3 to 5 0r even 6 times but it is only a few times. Also the opinion one woman has of her birth attendant is very subjective. So always ask for their “whys”: what did you really like about this person, place , this nurse, this particular birth. Why did you (or would you) choose that same person again? Remember, you can be best friends and have very different ideas about what feel comforting and supporting. What reassures her may be exactly what triggers anxiety in you!
Ask other people, like L & D nurses. They too have their personal preferences but they see the medical staff (doctors and nurse midwives) in many different settings and circumstances: long labor, short labor, difficulties and non medical birth (Hopefully… Because it’s becoming a rare sight in some parts of the country). You get the idea.
If you plan on hiring a doula, also start interviewing early and ask for her input regarding where to go depending on your birth preference. She too has probably seen many births from the same caregiver in different circumstances.
So ask around and build a list or maybe 2 lists. One of caregivers (MDs, midwives nurse-midwives) and one of doulas (think of it as your personal assistant at birth).
Visit how to choose your birth team part 2 for details on the interviewing them!
Was this helpful to you? What are some other prenatal questions you want me to address?
Use the comment box to let me know!
Continue reading How to Choose Your Birthing Team for Best Outcome? Part 1
What is “Undisturbed” Birth?
You may have heard of the term “undisturbed” birth… Perhaps you just googled it and landed here… But what does it mean exactly? It seems that the words “natural birth” for most people nowadays means “birth without pain meds” or “without epidural”. I have heard Labor & Delivery nurses talk that way on several occasions in my doula work of the past years. In the recent years, I think that many famous natural birth advocates found the need to re-define the message they were trying to convey. A normal, physiological birth requires a little more that “just” refusing pain meds… and the term “undisturbed” really tells a better story of what to aim for when giving birth for optimal health and well-being of both mother and child!
Undisturbed Birth requires:
- Trust and Confidence from the caregiver in the mother and from both parents in the woman’s ability to birth
- A minimum of Knowledge of the “Grand Design” of mother and baby for the natural unfolding of birth when undisturbed by outside interventions (that knowledge will foster Trust and Confidence!).
- Respect of the mother’s choices (of place, of position, of timing, of aids -water, hypnosis, chanting, breathing, etc.-)
- A pain management plan: water, doula, hypnosis, acupuncture, homeopathy, massage (especially Light Touch)… All of the above would be MY choice! (see also 5 Golden Rules for an Easier Birth)
- The mother to have an active, prepared and automatic method/means of Connecting to her own “Spiritual Support”. Birth is such an intense and powerful event in a human’s life (mother and father) that it requires your “spiritual attention”. If you have no habit or means of communicating with that aspect of you, birth will catch you by surprise… But perhaps, it is part of the “Grand Design” as I called it before, to “push” you into taking a more active role in your connection with “Source” (or Oneness or Spirit or God). That has very little to do with what religion you practice or adhere to, it is a personal daily conscious decision to “connect” with that Greater part of you! That to me, is the most important “requirement” to give birth in bliss!
- And for the physiological aspect, here are some world renowned experts explaining it to you briefly… When the mother giving birth is undisturbed, the hormones are flowing, the baby’s natural reflexes take place and all unfold easily…
HAPPY “Undisturbed” BIRTH TO YOU!
Side Effect of Epidural Anesthesia: Rare but Real!
In my 12plus years of doula career, I have seen many clients get an epidural, usually as a last resort. Being exhausted and with no relief in sight… It was a life saver for them. It happens to many (too many) women in labor (Why? is a different story and I will need another blog for just that topic…).
As a hypnotist, I know the power of the mind and I also believe that “Thoughts create Reality”. So, I hesitated to even post all the possible side effects, some permanent in very rare cases. But the truth needs to be accessible so that you are making INFORMED decision when it comes to your body, your health and your baby’s health!
So here is just a simple list (adapted from see source below):
1 ) Significant Low Blood Pressure
2 ) Fetal Distress
3 ) Cannulation
4 ) Trauma to Blood Vessel
5 ) Puncture Dura
6 ) Infection
7 ) Bach ache
8 ) Broken Catheters
9 ) Abnormal Uterine Contractions
10) Increased use of forceps and vacuum extraction in second stage
11) Inadequate pain relief ( For 7.1 % of women, it doesn’t work!)
12) Accidental Spinal Anesthesia
13) Maternal Heart Attack
14) If you have asthma, it can get worse during labor
15) Medication interaction i.e. with the prostaglandin gel used in some cases to induce labor
16) If you had migraine, that can get worse
17) Interactions with other illnesses
18) Fever and Malignant Hyperthermia
19) Respiratory Arrests (you stop breathing because your diaphragm is numb)
20) Neurological Disabilities
21) Nausea (30% of women)
22) Vomiting (3-7% of women)
23) Allergic conditions may worsen
24) Heart problems
25) Headache
26) Temporary paralysis
27) Recurrence of Herpes Simplex (if you had it in the past, it could flare up again!)
28) Permanent Disability
29) Death
It is a balancing act to get information and than decide what is best for you and your baby. Get you partner involved, so he too knows the “inside story” and can advocate for you when you are staying focused during labor and connected with your inner work and your baby. Once your decision is made, make total peace with it, because that is what is most important after all!
Let me know… Was it useful to you? Did it help you decide? Or Would you rather not have known?
P.S.: In my “Quantum Birthing” hypno-program for childbirth, I teach a simple technique called clearing the “Library of Record” to help erase or cancel the negative beliefs and information not in alignment with your blissful, undisturbed, normal birth!
Source: Medical Risks of Epidural Anesthesia during Childbirth by Lewis Mehl-Madrona, MD, PhD and Morgaine Mehl-Madrona, midwife.
You might also like: Is Epidural a Safe Way to Have Pain Free Childbirth?
Continue reading Side Effect of Epidural Anesthesia: Rare but Real!
Is Epidural a Safe Way to Have Pain Free Childbirth?
I have read on other “mom and baby” blogs comments like: ” For pain free birth get an epidural!”. My epidural was the best thing ever, I was rested and did not feel a thing.” That is until the effect wears off, mind you! I know, epidural anesthesia can be a life saver but do you really know the risk you and your baby are taking?
Everyone would like to believe that epidural anesthesia is safe for you and your baby. It is very difficult to find evidence based information because for the longest time, no one wanted to know! But things have changed! Thanks to people like Professor Lewis Mehl-Madrona, MD, PhD and his wife, Morgaine Mehl-Madrona.They say: “Women are almost never given informed consent for epidurals. Even if they were, just read two paragraphs from the package insert that comes with the medication used for epidurals (manufactured by Abbott Laboratories), they might think twice.”
The package insert states:
Local anesthetics rapidly cross the placenta, and when used for epidural, caudal or pudendal anesthesia, can cause varying degrees of maternal, fetal and neonatal toxicity….
Adverse reactions in the parturient, fetus and neonate involve alternations of the central nervous system, peripheral vascular tone and cardiac function….
Neurologic effects following epidural or caudal anesthesia may include spinal block of varying magnitude (including high or total spinal block); hypotension secondary to spinal block; urinary retention; fecal and urinary incontinence; loss of perineal sensation and sexual function; persistent anesthesia, paresthesia, weakness, paralysis of the lower extremities and loss of sphincter control all of which may have slow, incomplete or no recovery; headache; backache; septic meningitis; meningismus; slowing of labor; increased incidence of forceps delivery; cranial nerve palsies due to traction on nerves from loss of cerebrospinal fluid.
Would you sign a consent for an epidural if it included the above language? The Mehl-Madrona also state: “The degree to which the facts about the risks of epidural anesthesia are hidden from women in labor is astonishing”. And I agree. What happened to “informed consent”!
Would you do it now that you have read the “insert”? Would you do it again? What do you think?
Let’s share…
source: Medical Risk of Epidural Anesthesia during Childbirth
Continue reading Is Epidural a Safe Way to Have Pain Free Childbirth?
Birth Preferences: All Women Want What’s Best for Baby!
“Of course!”, are you going to say, all women want what is best for baby! Yet it is amazing how many times I hear as a doula and birth professional that a mother who wants a home birth or a water birth or even just a drug-free birth is just being selfish, thinking of herself only and not of what is best for her baby.
You hear it on TV or read it in blogs, each time a celebrity has a “less conventional” birth! They (the media) invite an “expert” who tells the world about all that could have gone wrong and the “what ifs” and how dangerous that all was!There is a consensus in this country more than anywhere else to keep the population in fear… And that has worked so well in the field of childbirth that now a vaginal delivery is considered “normal” birth even with all the interventions (induction, epidural and other medications, forceps and the like) as oppose to a birth by c-section (which is still going up by the way).
So, I am here to say, no, you are not selfish for wanting a calm environment and support and freedom to do what your body wants to do. Choosing in what position you feel most comfortable, using whatever method helps you get in “the zone” (warm water immersion, self-hypnosis, music, drums, signing, praying or what ever else), connected to your baby and own this wonderful moment. You are not selfish to want to protect your baby from unnecessary interventions, poking and rubbing, aspirating, isolating and washing when he/she should be resting on your chest to find its “bearings”, neurologically and physiologically!
Many medical staff like to hide behind the say: “It’s for your baby’s safety”! Really? How much distress and complication comes from the “disturbing” of the birth or the separation of a newborn infant from his/her mother? Well, I know, there is very little “hard” evidence, because undisturbed birth happens mostly at home and that is not valid information.
So… Who will take the challenge and run a “Big” study, in a “Big” hospital and show “scientifically” the outcomes of undisturbed birth compared to the regular medical model of care!
Who will take the challenge?
In the mean time, don’t blame the informed parents who choose a different approach after thorough investigation and mind searching! They only want what is best for their baby!
Continue reading Birth Preferences: All Women Want What’s Best for Baby!
Why does Natural Childbirth often create Outrage in the Female Community?
Googling “Natural Childbirth” is always interesting! As I was playing with it the other day, I found this 2 year-old BBC-News article in which a male midwife proclaimed that “childbirth pain is a good thing”. Though, I think I got his point (no medication is better for mom and babies), he expressed it so poorly that it was drowned in chauvinism and triggered only controversy and outrage. I think it might be the journalist’s doing. But it’s irrelevant… The point is that “Natural Childbirth” produces “outrage” more often than not. Just read the comments on VS model Gisele’s painfree birth or those of Jessica Alba‘s natural birth and you will see what I mean…
Why do you think that is?
In an attempt to answer this question, let me tell you about the story of a client of mine. In my early years of practice as a doula, this client of mine had a very comfortable labor except for the last hour when she received pitocin in her I.V. She was very close to giving birth and she “made it” without pain medication! Details are unimportant for the message I mean to convey but the most important thing was her elation at the moment and the pride and self-worth she carried for months after the birth. Now this is the interesting part, she admitted to me a few months later that she could not tell her friends and even some of her relatives about how easy her birth was (it was a 12-hour labor with only the last hour being “challenging” in terms of comfort which by me is not that easy but to her it was). Each time she would attempt to talk about it, she would feel the uneasiness in the group, women looking away or down, avoiding eye contact. No one wanted to hear it, and she became ashamed of mentioning her experience and refrained herself from sharing the wonderful feelings it gave her… Again, why do you think telling your great experience of birth triggers such reaction IN WOMEN?
In this case, my clients’ friends were well-educated, upper class you would say, and all had medicated birth, many ended up with a c-section. I don’t think any of them had hired a doula and they had taken the hospital childbirth class. Just like the majority of couples in this country… And please, understand that there is no judgment on my part in women’s choice for birth. I am just wondering if they (the majority) don’t care or don’t believe in unmedicated, undisturbed birth, why do they get so upset to hear about those other women who experience something so different that it seems made up fantasy!?
I have my own idea about it but I really would like to know what you think, all of you out there, reading and learning about natural childbirth. I know the curiosity is there! I know many don’t want to accept the only choice the healthcare system is giving us… But then what is so upsetting about hearing or reading the wonderful stories of painfree (or almost) childbirth?
Don’t we have an obligation to let the world know? Don’t we need to get ALL the information out, not only what the society declares acceptable? If we (women who have experienced or witnessed blissful, undisturbed births) tell our stories, at least, the newly pregnant women have a chance of making the best decision aware of all their options, all that’s possible!
Nothing is worst in life then regret! So lets get the information out for all women BEFORE they experience childbirth so there will never be another “I wish I had known this BEFORE!”
After that the choice is entirely yours!
Continue reading Why does Natural Childbirth often create Outrage in the Female Community?
What is Natural Childbirth?
You would think that we all give these 2 simple words “Natural Childbirth” the same meaning… But no Sir, no! Even among birth professionals, we disagree. Most midwives and doulas still think that “Natural Birth” means un-medicated birth. In other words, giving birth without epidural or other narcotics -basically, without the drugs that take the pain away. That is also why, for the same midwives and doulas, “Natural Birth” means painful birth (no drugs to take the pain away). But “It’s good pain” they’ll tell you. Ever tried to say that to a woman in “transition”- the last few centimeters that the cervix needs to open before the baby starts moving down? She will slice you with her eyes (and be glad she is too busy for anything else right then). There are natural ways to greatly decrease the level of pain often to the level of comfort, sometime even bliss! It needs some preparation of course and lots of practice but it’s possible!
Natural Birth is totally undisturbed birth: no agenda, no expectations, no time table. The caregiver is there just in case, keeping his/her hands in their pockets. Love and support, trust and confidence and what I call “holding the space” is all that’s needed. Holding and maintaining a high vibrational level (I know, I will need another blog to explain that) is essential. When all the people in the room are able to do that (or even 1 or 2 people in the room), the energy of the whole room changes. Mom senses it and begins to relax more deeply, some call it “being in a zone”. Baby perceives it too (The baby is pure consciousness so of course he/she feels it). Where there was fear or doubt, there is calm and confidence. Where there was fatigue and pain, there is strength, energy and bliss! And, usually, “things” start moving fast…
So lets dream together on what it could be like in America’s birthing rooms if we trusted our bodies and received unbiased, empowering information along with the assistance of an informed, confident, patient (as in “full of patience”) and accepting caregiver at our side.
Barbara Harper is a great friend of mine. We teach together and we have very similar, if not identical, views and wishes for childbirth in America. Here is my understanding of what she teaches as “undisturbed birth”. For more information, visit her website waterbirth.org or even better take a “Gentle Birth Guardians” workshop with us.
Undisturbed birth: the way it was intended!
- The Baby is in charge of when it comes out. The baby chooses the date of birth and pushes himself out!
- When fear and doubts have been eliminated, the mother’s birthing body can do what it knows how to do. It secretes hormones and neurotransmitters in the proper amount and at the perfect time so that mom AND BABY are in a state of comfort, if not bliss, during the whole birth process.
- The baby prepares in a calm, euphoric (it’s the endorphins!) environment and aligns easily in the pelvis. He/she is able to find its way out easily without resistance or tension when mom stays relaxed and in an upright position, preferably in a tub of warm water that covers her belly.
- From the womb, the baby goes to its new natural habitat without delay: right between her mother’s breast for at least a couple of hours.
- The baby is allowed to crawl by itself to the breast and self-attach to the nipple for feeding (he is programmed to do so… And with an un-medicated birth, he has the strength to do so!) (More on Self-Attachment soon). This process is well-known to (re-)wire the baby’s brain for best adaptation to the life waiting for him (see Dr Nils Bergman website)
So tell me, what will your choice be for your (next) baby? Wouldn’t you at least want to learn more about “Natural Childbirth?













