An invitation to attend…

An invitation to attend…

Gentle Delivery Childbirth Services first Celebrating Birth Expo!

Ever since relocating to State College, I’ve wondered what could be done to help moms in this area become more aware of their birth options and support services available to them. Many of the families I work with have moved here in relation to work or studies at Penn State University,  they don’t have family or friends nearby, and aren’t sure how to connect with or find out about the resources that this area has to offer. It’s my hope that this event will enable these moms to be introduced to area doulas, childbirth educators, midwives, lactation consultants, massage therapists, chiropractors, and more…and help to raise awareness of the availability of midwifery care and homebirth through the screening of the new film “Why Not Home?”.

Collages2I would love to see you there! Please help us to spread the word by inviting your friends and family to attend. Perhaps you’re looking for a fun activity to do with your mommy friends…or perhaps you’d like to know more about working with midwives…or perhaps you’re interested in promoting birth options in this area…or perhaps your a new mom or expecting mom, and you want to learn more about what this area has to offer…whatever the case, this event should be a great experience-and there will be chances to win great prizes and sample products at the vendor displays! Come and spend the morning with us!

To find out more about the sponsors helping to make this event possible, check out the website page here. And to RSVP for your free spot, check out the Eventbrite page. Feel free to invite your friends using the Facebook event page.

Feel free to check out the trailer for “Why Not Home?” here.  Here’s a quote from the director of the film, which will give you some background on what the film is all about:

I grew up hearing the story of the doctor and the surgical procedure that saved my life and my mother’s (I was breech, delivered by cesarean section). I never considered that I might give birth outside of a hospital–until I got pregnant.

At that time I had been a nurse for five years and a nurse practitioner for three. Home birth wasn’t part of my culture and wasn’t something my training had directly addressed. Prompted by a colleague’s experience, I started researching, asking questions, and considering my options in and out of the hospital. It was based on that research that I decided I wanted to pursue a home birth. As a low risk mom, it seemed I had the best chance of a safe and uncomplicated natural birth in my own home surrounded by people I knew and trusted. Some of my family and colleagues disagreed.

The decision wasn’t easy to talk about. It’s such an emotionally charged topic. Everyone has an opinion and a story to tell.

Since then I’ve met more health care providers, doctors, nurses, and midwives, who chose to give birth at home. These are not the women most Americans picture when they imagine a home birth mom. These professionals have direct and sometimes daily experience with the risks inherent in birth. Like all women, they wanted a safe birth, yet unlike 99% of women in the US, they chose to give birth at home. This is their story.

Too often polarization occurs on the topic of home birth. By focusing on hospital birth providers who choose home birth, I hope to bring a voice of moderation to the discussion. Together, we can move toward real improvements to maternity care in hospitals and at home.

What if the choice of where to give birth wasn’t limited by cost or insurance coverage, fear or misinformation? What would change if families had access to the care provider of their choice in the setting that best fits their unique needs and values? It’s worth at least asking, “Why not home?” 

This looks like it will be an exciting day, and I hope to see you there!

 

News & Updates from Gentle Delivery!

News & Updates from Gentle Delivery!

There have been lots of things happening around here this spring, and I thought it would be good to give you all some updates on exciting new developments at Gentle Delivery Childbirth Services. Here’s a brief summary of assorted news items…take a minute to check out what is going on!

  • Addition of Pulse Oximetry Screenings for Critical Congenital Heart Defects (CCHD):

My new Pulse Oximeter just arrived in the mail last week, and I’m excited to be offering at-home CCHD screenings in keeping with PA legislation. These screenings have been mandatory in hospitals since Act 94 was passed in 2014, and this year midwives are being asked to join in reporting these screening results. This is a simple, non-invasive test that I will perform at the home postpartum visit within 24-48 hrs of your baby’s birth. To find out more about the testing, click here.

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Matthias helping me try out the new pulse oximeter!

  • New Apprentice for 2016!

As some of you know, I’ve been working on confirming a regular assistant/student, and I’m glad to be able to introduce you to Lynelle Martin. You can find out more about her by clicking on the “Current Assistants/Students” page, and those of you with babies due this year will be meeting her as she helps out with prenatals once a month and attends home visits.  She recently finished her Neonatal Resuscitation Certification, giving clients the added benefit of two CPR and NRP certified attendants at births.

  • Midwifery Today Conference:

I’m looking forward to writing up a more detailed report about some of the things I learned as I attended a day of the Midwifery Today Conference in Harrisburg, Pa. I enjoyed lively conversation with Lynelle and Rose Marie (another midwife I want to introduce you all to at a later time!) on the drive down, and was encouraged as I visited with many other midwives from all over the country-including Kathy, the midwife who delivered several of my siblings and was instrumental in getting me started in this field. Midwifery conferences tend to attract an extremely diverse group of midwives (ranging from Amish to Hippie and everything in-between!), and there are so many things to learn from each one. The added benefit is more CEU’s that I am required to get each year in order to keep my certification.

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Lynelle, Myself and Rose Marie after a long day at the conference!

  • YourWaterBirth.com Account Set Up:

I now have an account with Your Water Birth, a business offering affordable waterbirth and homebirth supplies, and if you are a client you can contact me for a code that will give you a 10% discount on your order! While there is a very affordable option in State College for those wishing to rent a birth pool, this company offers a great deal for those wishing to purchase their own pool and supplies. Check them out!

  • Travel Dates for Winter 2017

Just giving you all a heads up that my family will be taking a 3 week trip to the Midwest from Jan-Feb 2017 in order for my husband to teach at a Bible School for young people. We’re excited about the opportunity, and I will be glad to give you referral information if you are looking for a midwife over that time. For those who like to plan ahead, here’s your chance! <smile>

  • Advertising Cards Available:

I recently printed up some post-card sized advertising cards that contain contact information, a testimonial and information about the CPM certification. These will be on display at the area kids’ consignment sale at the end of April, but if you would like some yourself to pass out to friends, family and/or local home-birth-supportive businesses, I’d be happy to provide you with a stack!

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  • New Babies:

And lastly, no update is complete without a few pictures of sweet spring babies! Blessings as you enjoy the lovely spring weather that is here at last!

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Nothing like a peaceful newborn!

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so sweet and tiny

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Ready to call it a night and tuck everyone into bed!

Do I Need a Doula if I’m Planning a Homebirth?

Do I Need a Doula if I’m Planning a Homebirth?

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So you’ve heard of the advantages of having a doula with you if you’re planning a hospital birth. The positive aspects include such things as: continuous support that doesn’t change shift, possibility of laboring in the comfort of home knowing someone will help you decide when it’s time to go in, someone who can help you and your spouse keep perspective and act as a liaison with the medical staff, a friendly person to call directly with questions during those last days before labor, and the list goes on. All of these things sound good, but if you’re planning a home birth, then you don’t need all this, right?!? You already know who your caregiver will be, you’re staying in your comfy home, your midwife will provide support and perspective, and you can call your midwife directly…which means that a doula is totally unnecessary, correct?!? Well, that’s a question I hear often, and I wanted to take some time to explore how a doula can actually be a great benefit at a homebirth, as well. If you’re trying to decide whether or not you want to add a doula to your birth team, hopefully this post will give you some help, and maybe even answer some of the questions you have.

To get some input on this subject, I contacted several different groups of midwives, doulas and birthworkers, and asked them to tell me from their experience how homebirths could benefit from doula support. Their responses were very helpful, and provided the bases of what I am going to share below.

When it comes down to it, a midwife and doula offer to distinctly different services. While both are attempting to provide women with personalized, professional care, they are coming at it from two different angles. A midwife’s job is to help ensure that mom and baby both maintain the low-risk status. She is concerned with providing a safe, professional and knowledgeable environment to women seeking out-of-hospital births. This means that she must put mom and baby’s safety first-which sometimes means that she will have to stop providing labor support in order to monitor heart tones, for instance.  There are also those times when the midwife will need to conserve energy in order to maintain the needed mental and physical alertness needed for the actual delivery, which may mean not being able to constantly apply back pressure for hours on end! For some mamas, especially those who appreciate privacy, a midwife and her assistant may be all that she needs in order to feel supported and cared for, but there are others where this may not feel like enough. As a midwife myself, I seek to provide labor support whenever I can, but I am also always acutely aware of what is going on medically. The role of a doula is that of providing consistent emotional support and physical support. Because she does not have to be responsible for the medical aspects of birth, she is free to focus on helping the couple work together, and helps mom to achieve the space and birth atmosphere that she desires, without distraction.

At a homebirth, a doula can:

  • Give valuable input and educational support during the prenatal period.
  • Provide early labor support, and help the couple decide when it’s time to call the midwife to come.
  • Free dad up to focus on mom by paying attention to other details (like keeping the tub water warm, setting up the bed, changing linens as needed, keeping birth atmosphere tidy, etc.).
  • Keep mom and dad fed and hydrated.
  • Help the birth team to remember mom’s preferences-whether it’s the desire for quiet and privacy, or a certain music playing at a certain time, she keeps everyone aware of what mom wants.
  • Help with comfort measures such as massage, positioning techniques, etc.
  • Provide positive encouragement about progress and what is happening.
  • Give mom support during pushing, especially for those families where daddy wants to catch, and mom still needs support by her head that is focused on HER.
  • Assist with childcare as needed, especially if children are present for the birth.
  • Help the mom to feel an extra measure of help and support, through extended availability before and after, and checking on mom’s emotional well-being during the initial postpartum period.
  • Protect and nourish the new family’s space as nursing and bonding are taking place.

A doula is especially beneficial when:

  • A mom is expecting her first baby or is planning a VBAC. The potential for prodromal labor and/or need for extra physical and emotional support make a doula an especially good choice for these moms! For the same reasons, moms who have a history of long labors may also find a doula an excellent addition to their birth team.
  • Mom is lacking other support systems. For single moms, or those who have no family or close friends nearby, a doula can be a tremendous asset in providing a consistent, dependable support person during the pregnancy, labor, delivery and postpartum periods.
  • When using a very busy midwife, or if your midwife has travel plans over the time you are due. If you know there is a good possibility that you may be using your midwife’s backup, then having a doula whom you have already connected with can help make that a smooth transition, as you won’t have to totally “start over” with your birth team.
  • If your chosen midwife usually practices solo (without an assistant). In these cases, it may be hard for her to provide consistent labor support, as she will have many responsibilities to stay on top of.
  • When mom knows that she needs extra hands and extra support. Some moms prefer quiet, privacy and extreme “hands-off” during labor, while other moms know that they would relax better when surrounded by encouragement, positive input, touch, massage, etc.
  • If you’re planning to have your children present at the birth, and don’t have a specific care-giver for them. This can allow dad to spend time with mom or with the other children, and know that no one is being neglected!

So, to tie all of these comments up, you can see that a doula can be a lovely complement to a planned home birth. The moms who have experienced doula care at a homebirth made comments such as “I wouldn’t do it any other way”, “it was the ultimate support group”, “I gained a trusted friend”, “My doula could be someone my midwives could never be (though my midwives were awesome and perfect for me)…All her energy and focus went to me, she had no other obligations”, “she provided a different perspective”, “the little things made a big difference…her doing things that allowed my partner to stay with me was key”. The midwives who have had doulas present at births say, “Doulas are worth their weight in gold, literally!”, “The women who have both feel SO supported”, “Having a doula…helps to share the load, and each individual has something different to bring to each unique situation”, “Doulas provide a different type of connection”,  “I think there are some births where there is plenty of work for many hands…and some where there isn’t”.

All that said, I do want to underline the fact that each mother and each birth is unique. While having a doula can make your birth experience even more special, I totally understand that it is not the choice for everyone. For some mamas a more private, intimate and quiet birth environment with as few people as possible is better.  And this is totally okay. It’s one of the beautiful things I appreciate about the option of birthing at home…the birth team can be personalized to suit the preferences of the individual mom. Each mom/couple has to figure out what is right for them, as this is what will enable them to relax and give birth in the best way. The goal of this article is not to make you feel like you HAVE to hire a doula! But for those who have wondered if a doula could be beneficial, my hope is that you now have a better picture of how a doula can fit in to your homebirth plans, and how this option can make a mama feel even more supported.

Did you use a doula for your homebirth? Or have you been a doula at a homebirth? I’d love to hear about it! And if you’re looking for a doula, be sure to check out www.doulamatch.net in order to find out about doulas offering services near you! For those living in central PA, I’d be glad to refer you to some excellent doulas who serve the surrounding areas.

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The Peaceful Birth of Talitha ~ Part 2

The Peaceful Birth of Talitha ~ Part 2

Here is the promised second part to Talitha’s birth story. If you want the background leading up to where this story begins, click here.

By this point in the afternoon, the noise from downstairs was almost constant, as Chris was doing his best to finish the basement project up by evening.  Lucy had called telling us that their ETA was around 8pm, and just ecstatic to hear there was a good possibility that she might get to be around to see her nieces’ birth (we had told her before that we would love for her to be there, but also told her not to get her hopes up, as there were still two weeks until the due date. I think she prayed pretty hard!). I think it was around 5 or 6 that I went ahead and took a dose of castor oil, hoping that it might help things move along in order to have a baby by morning. We were just getting ready to sit down for supper around 6:30, when Rose arrived at the door-she thought she’d just come hang out, and check in on us! During supper, she noted that I was having to breathe through contractions pretty consistently, to which I replied that “I can still talk through these so I’m trying not to notice them”. She just smiled.  Chris ended up clearing out of the basement around 8pm (Joel finally told him he’d better just clear out-he hardly had time to finish the project after waiting so long to start in the morning!), giving us about 20 min. to sweep, dust, and start getting the bed ready, when Daniel & Lucy arrived at 8:15. Lucy assured me that she could make the bed.  By now I was starting to notice the contractions, so I took Rose to see where baby things were, and we talked more about where we were planning to do the birth, etc. We opted to “camp out” on the main floor, as Daniel was going to be banished to the basement, and we were hoping the toddlers would sleep through the birth in their own beds upstairs. One huge blessing of home birth is the ability to be flexible with the birth location! (oh, and we became more flexible as the evening wore on…)

At 9pm, I felt that release of pressure and felt the trickle that made me think my water had broken…and sure enough, the next contraction confirmed that! Now THIS felt like the “real deal”, and I knew I didn’t have much time before needing a place relax free from distraction. I told Joel that it might be a good idea for the children to go to bed (they were still super excited about the arrival of their aunt and uncle), and he caught the drift, and hustled them off to bed. Daniel disappeared, and it didn’t take real long for our living room/fireplace room to be transformed into a birthing room! Joel had borrowed a large air mattress which he set up in front of the wood stove, and Rose & Lucy got all the supplies out and in good order. I found it most comfortable to sit on the ball, as it helped to be able to move and relax at the same time.

I had always dreamed about having lovely music playing while I labored, and during my pregnancy had been very blessed by the “Sleep Sound in Jesus” CD by Micheal Card. Joel so sweetly made sure to put it on, and I can still remember how special it was to meditate on some of those lovely songs between and during contractions. The mood of the room was so peaceful, with the lamps turned low, Rose & Lucy quietly chatting in the corner, Joel holding my hand (and not minding my squeezing him…during labor I DO NOT want to be touched, but I sure need his hand to squeeze!), and these sweet songs filling the air. The one in particular that stood out to both of us was “Even the Darkness is Light To Him…the lyrics that kept repeating in my mind were “so you are safe as the light grows dim, even the darkness is light to Him…The Father above does not slumber or sleep, He wakefully watches our ways, then there’s no reason for you to weep…would not Jesus safely keep…?” Even though it was intense, it was also amazing to me to feel so at peace and at rest, after so many events, activities, responsibilities, etc. that had taken place those last weeks and months.

Time seems to stand still during labor, or at least you lose all ability to gauge time. I think I spent about 45 min. or so laboring on the ball, and feeling grateful that this time I had a chance between contractions to completely relax and prepare for the next one (so unlike my previous birth!), even though they were coming about every 2-3 minutes.  Joel would encourage me, Lucy would ask questions about labor and birth, we’d all chat for a little bit, and then another one would hit. Although I have such peaceful memories, I’m also struck with the fact that I vividly remember thinking “this is the hardest work I have ever done in my LIFE…how on earth can women forget how hard it is to have a baby?!” So there is one perspective on the roller coaster of emotions in labor! Another thing, that when I’m not in labor I can laugh about, but the one piece of instruction that stands out the most to me from all my years of working with other midwives and childbirth educators, the thing I remember is “if your lips are loose then your cervix is too”. I can’t remember who said it, but it sure is practical! For some reason, that is a point I can focus on, trying to keep my face muscles loose, and thinking about how it means everything else is loose and open, too.

Sometime between 10:15-10:30, I all of a sudden wanted to go to the bathroom. Once again, you’d think I’d know, but when Rose asked if I thought it was time to push, I told her that surely things weren’t that far yet, and that I was positive this was just a result of the castor oil. She looked skeptical, but being the sweet midwife that she is, she just said to go ahead. As I moved to the bathroom, Joel left to get something in the kitchen. Once I sat down, I felt one massive contraction coming on, and immediately needed his hand. After several extremely intense back-to-back contractions, there was that massive feeling of pressure, and instant change in tone. At this point, Joel strongly encouraged me to move off the toilet…and I’ll admit that inside I was thinking that that was a totally crazy suggestion…lots of babies are born on the toilet…and how on earth can I move now?!?  However, Rose had quietly brought in the birth stool, and when I saw it next to me it looked possible to move, which we did as soon as the next contraction was over. I can honestly say that I don’t find pushing enjoyable…it’s like the last sprint in a long race, and I wonder if I’m going to be able to do it…but within 2-3 contractions, our little Talitha entered this world at 10:46pm. Only 1 hr. and 46 min. after my water broke and active labor started-and the castor oil wasn’t even necessary!  She seemed a bit stunned, and took a bit to pink up and really cry…I kept rubbing her over and pinching her toes and telling her to breathe…Rose commented that I sure couldn’t quit being a midwife, could I? Once she gave a good long cry I held her close, and was amazed-she was no little baby, and she had a lovely head of dark hair!

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Less than an hour old here, I think!

The remainder of postpartum went well…I moved from the bathroom (seems like births have a habit of happening in the tight, small quarters of the house!) and snuggled into the temporary bed set up in front of the cozy woodstove (that night was one of the coldest we had that winter!), then Rose did the newborn exam. Even with all my determination to grow a smaller baby (her brother had been 9#), and all my attempts to eat a strict diet and exercise regularly, this baby girl weighed 8#15oz, and that at a good 2 weeks early! And no, my dates weren’t off! Big

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Yoanna meeting her sister

sister Yoanna got to come down and kiss the baby, and her eyes full of awe were so sweet as she gazed on her little sister. After some food, and an absolutely lovely shower, I was packed off to my own bed upstairs. The ladies had the house looking normal again, Rose headed home (by now the snow had stopped, and the snow plows had gone through), and we enjoyed the pampering of Aunt Lucy for the next 4 days. Having her around to entertain the toddlers, cook meals, clean the house, and take care of all the little details was a tremendous blessing, and another gift from God.

Talitha Shalom means “Little Girl of Peace”, and it’s our prayer that she will embody this name as she grows, and that her life can be filled with God’s peace…just like the night of her birth was!

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The children meeting baby the next morning

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Three little ones to nurture!

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Capturing her expressions

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Dear Aunt Lucy and Uncle Daniel!

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Less than 24 hours old!

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Mama has her hands full!

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Talitha with baby E-the one I caught just two days before my birth…this was their first time at church!

The Peaceful Birth of Talitha ~ Part 1

The Peaceful Birth of Talitha ~ Part 1

Note to my readers: I kept thinking I’d get this story written long before now, but I finally finished it just before my baby turns one. How time flies! My apologies on the length…there were so many details that had to be shared to give the background, but if you aren’t interested in those, just wait for the actual “birth story” coming soon!

When I sit down to write out the story of Talitha’s birth, the subject that continually comes to mind is that God answered prayer. Seriously. The winter of 2015 was unlike any I have ever experienced to this date, full of stretching in areas physically, spiritually, and emotionally. In order to understand part of the picture of how so many things came together in order to make her birth the peaceful event that it was, bear with me as I give you some background to that cold February night…

My husband, Joel, has served with All-Nations Bible Translation for many years, and earlier in 2014 the decision had been made to build a training base in the State College area, just 2 miles or so from our home. It would take too long to recount the ways God opened doors for a location, permits, funds, etc, but suffice it to say that, as generally happens with construction projects, this one had taken much longer than expected before all the red tape was completed in order to begin building. Which translates into the “crunch” time beginning while I began my last trimester of pregnancy, even though it hadn’t initially been planned that way. While I was not helping with construction J, it was our responsibility to make sure the volunteers had coffee, snacks for break, lunch, and sometimes even a place to stay along with breakfast and supper. Joel had tried to get help in for this, but to make a long story short, nothing worked out-though he was able to get a number of churches and interested individuals to help with some of the food prep, in order to reduce my load. I will admit that these months were HARD. When I’m pregnant, I’m extra emotional, uncomfortable, unsocial, and ready to be DONE. To add hostessing, food prep, and all the effort that goes into that to having two toddlers to care for, all the while dealing with pregnancy issues stretched me beyond what I thought I was physically able to handle. Oh, and I should mention that our small church community (made up of about 7 families) had THREE pregnant mamas, two major moves, a house renovation project AND health issues during the last two months of my pregnancy. But God gave strength, and we pressed on, reminding ourselves that at least the construction project wasn’t something that was going to be repeated!

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How the building project looked in January…so much snow that volunteers had to be taken up the lane in a 4 wheel drive vehicle!

Besides the building project, I also was committed to delivering babies! The “last” baby I had on my radar before my own was due the end of January. When I took on this sweet couple, it was with the idea that January would be my “rest month”, as Joel was actively lining up help for the month in order for me to prepare for our baby. I also figured that since there were a solid 5 ½ weeks between this mamas due date and my own, this also should be no problem. Well…sometimes God has other plans in mind! I started getting a bit nervous about how all of this was going to work out when I began having preterm labor signs of my own around 33 weeks. When I realized that I was beginning to dilate, and that baby was settling lower and lower, we seriously reduced my time on my feet, which helped to slow the contractions. I began praying that God would help baby wait at least until this other baby came…and that baby wouldn’t come before we could do it at home. We figured out a workable plan in which I would sit with my feet up after every hour or two of work, which helped to keep things at bay, though I started wondering if we’d be meeting our baby sooner rather than later. But back to babies…the one due in January was not to be my “last” one after all! One of the ladies in our church, who is a good friend, had some things come up which made their family feel like perhaps the midwife they had chosen was not a good fit for them. While I do not normally get involved with a situation such as this (there’s often a deeper reason when a couple and midwife part ways late in pregnancy, and it’s not something to delve into without concern), we had a close relationship with this family, and felt like we needed to help them out. Incidentally, this mama was due the same week as I was, and we had been neck-to-neck throughout our pregnancies, though she was convinced she’d deliver first, as her babies tended to come early. We lined up a back-up, just in case, as there was the real possibility we’d both be in labor at the same time…

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Getting things ready for baby sister to arrive!

So all of that brings us to the first week of February. At this point, I’m still having contractions whenever I ‘m on my feet for awhile, and I’m waiting on two babies before my own can come. It’s the kind of situation where you keep saying, “Okay, Lord, let’s see how you’re going to work all this out…” 🙂 In the middle of all this, we started a renovation project in our basement…we had help to do it, and wanted to have the basement ready by the time my mom came to help after our birth, and I didn’t want to be dealing with dirt, dust and noise with a newborn, so we dug in. There were times I cried-like when the heater came on in the basement and spewed concrete dust all through the house…but the guys made great progress throughout that week, and one afternoon a sister from church came over to help me clean. After waiting about 10 days from his due date, the “January baby” came…and I felt like it was a direct answer to prayer to have a clear night for travel (no snow and ice on the road) and a straight-forward, relatively short labor, complete with a healthy baby. I felt a huge sense of relief, too, as that was one more responsibility off my shoulders, allowing me to feel more prepared for my own baby.

By the time the third week of February began, my friend and I were wondering who was going go first. I had reached that point where one is chronically uncomfortable, but so had my friend. That Sunday night she went into labor (just 3 days after moving into her newly renovated  house…talk about cutting it close!), and early Monday morning I was called over, helping them to welcome a baby girl within an hour or two of my arrival. Once again, God was gracious, giving them a lovely birth, with no issues that would have been challenging for this very-pregnant midwife to take care of! This week were also trying to finish up the renovation in our basement, as Joel’s sister, Lucy, and her husband were supposed to be arriving that week in order for Daniel to do some trim work at the ABT project. So I napped around construction noise, and felt grateful that meals at the ABT project were being taken care of by another church family who had moved into our community just the week before (remember my mention of two moves over this time?!).

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Baby E around 24 hrs old…this was the day before my own baby came!

Another aspect of uncertainty surrounding this birth also had to do with the availability of my own midwife. Our dear friend, Rose, had been involved with our previous two births, and we really wanted her for my midwife again this time. For each birth, God answered specific prayer related to her availability, and this time was no exception! She was working down in Lancaster, and while she had permission from her employer to head our direction when needed, my last labor hadn’t given us a lot of warning-and Joel was not in a hurry to do a solo birth again! I had also been hoping to have my student, Emily, involved, even thinking that at least she’d get some good practice if Rose couldn’t make it in time. But she was already committing to attending her next midwifery class in Maine, which was scheduled to take place the last two weeks of February. So we prayed, and committed the situation to the Lord, knowing that He would work it all out somehow…but not knowing exactly who would be a part of our birth team.

Tuesday night, the 17th/18th, I slept fitfully, being awake for several hours with contractions. While intense enough to keep me from sleeping, they wouldn’t get any stronger, and I kept wondering at what point I should be calling Rose to come. When morning finally arrived, I was tired and discouraged. By this time I had experienced many uncomfortable nights with little sleep and lots of contractions, and wasn’t sure how much longer I could survive physically and mentally. After so many hours of consistent, time able contractions through the night, finding myself at only 4cm was so disappointing…surely things should be happening by now! Joel was so understanding, and after giving me time for a good cry on his shoulder, he sent me for a long, relaxing bath, after which he put me back to bed to see if I could sleep. He then proceeded to tell our friend who was working in the basement to wait to come for several hours. I know this seems like an unrelated detail, but it played into the events of the rest of the day!  I was able to sleep in the quiet house, and once I woke up refreshed, Joel told Chris to come back-we found out that Daniel & Lucy were coming that evening, instead of waiting for the next day-so we needed the basement for them to sleep in!

I still look back on that Wednesday as a gift. Up to that day, my life had been so full, the schedule so tight, so many urgent, pressing things to take care, running from here to there. No time for reflection, or for that mental preparation that is so helpful when facing something like labor. Even after having had two natural births, I found myself fighting fears of a different type this time. Nightmares of having to be taken to the hospital, because I couldn’t take the pain. Wondering if I could mentally cope with whatever might come in labor. Every time I would voice those fears, my husband would remind me that they weren’t coming for the Lord, and that I needed to trust in Him, and resist those fears. Yet having a day in which to reflect, and be able to gear up mentally for labor was something I needed in order to be prepared. Joel encouraged me to take the day “off”, and he even suggested taking our little family out for lunch. It’s one of those sweet memories I have…our last outing as a little family of 4, enjoying some relaxed time together at the local Chinese buffet. Talking about when the baby might come, and the children soaking up the time with mommy and daddy.

Contractions continued to come and go throughout the day, and Joel (wisely) wondered if it might not be a good idea to touch base with Rose. He really didn’t want her to be very far away if things did start to happen! Rose informed me that she was off work the rest of the week, and was thinking of heading up to her family’s place in order to do some study, and be closer to us in case baby decided to come. I went for a walk in order to get some fresh air and sunshine (though a storm was brewing), and found contractions very strong and intense while walking, though they would slow down again whenever I would sit. Around this time, Joel and I discussed whether or not I should consider taking castor oil. While we didn’t want to interfere with God’s timing of this birth, we also knew that I was physically very run down, and we were concerned about how I would handle more DSC_0632csleepless nights should things continue. After talking with Rose again, and finding out that she was studying at a nearby restaurant, as she felt from the tone of my voice earlier that she should be close by (and a snow storm was predicted for later on in the evening!), we decided to try castor oil if things didn’t move forward on their own. The mind-body connection is amazing, as contractions began to pick up again after just knowing that Rose was 2 miles away!

To be continued….

Some Recommended Reading

Some Recommended Reading

As we’ve headed into a new year, I’ve been taking the time to update old records/files/paperwork, etc. One of the fun things I’ve updated is my current library list. While the internet can be an excellent resource for many topics, I still enjoy a good book that can stay on my nightstand, or be read while I nurse baby (one of the best things about having a nursing baby is getting guilt-free time to sit and read a book!). This past year I was introduced to a number of books that I had not read before, and I thought it’d be fun to share a few of those titles to you, in case you’re looking for something new to read!

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One of the library shelves in my office

  • Ina May’s Guide to Breastfeeding by Ina May Gaskin: I found this jewel at a thrift store this summer, and picked it up just because of Ina May’s name. It’s a great resource to have on hand if you’re wanting some extra help or information on breastfeeding issues. One thing I appreciated was that she actually dove into the issue of tongue-ties causing nursing difficulties, which is something that many manuals on breastfeeding overlook. Overall, this book was a great easy-to-read book that I would recommend adding to your home library!

 

  • Pushed: The Painful Truth about Modern Maternity Care by Jennifer Block: This book is not your “feel-good-warm-and-fuzzy” type, but if you’re in to making informed choice, and understanding the politics and protocols that go on behind the scenes, especially here in the US, this is an eye-opener. Jennifer explores the history behind different changes to the maternity care scene, how insurance companies dictate much of hospital’s protocols, how our lack of understanding our bodies and understanding the normal function of birth contributes to the rise of interventions, the limitations in so many areas of good alternative care options, and more. While it can be a bit depressing at times, it was definitely educational, and helpful in understanding risks vs. benefits of different medical choices.

 

  • The Official Lamaze Guide: Giving Birth with Confidence by Judith Lothian: While this one has been around for awhile, I had never taken the time to pick it up and read through it. I found that it really wasn’t all about a particular “method” for birth, but more about understanding how your body works, and how to work with it. Clear, concise information written in an easy-to-read style, with birth stories to boot.

 

  • Cut, Stapled, and Mended: When One Woman Reclaimed Her Body and Gave Birth on Her Own Terms After Cesarean By Rosanna Rosewood: This one deserves a disclaimer-while the story was fascinating, I don’t recommend or agree with everything this mama pursued in her quest for a VBAC. However, this book helped me to understand many of the challenges that brave VBAC mothers must make as they recover, heal, and prepare for birth from an emotional, spiritual and physical standpoint. I found it valuable as I seek to help mothers who desire a VBAC without having personal experience.

 

Besides the mentioned books, I’ve encountered a few new resources that I would heartily recommend:

  • Spinning Babies DVD’s: The Parent Workshop & Daily Essentials. Gail Tully, the instructor of these DVD’s and the brains behind the Spinning Babies website, has so many tips, suggestions and information to offer-and it all helps to make pregnancy more comfortable, understand your body, and encourage baby to be in good postion…which ultimately helps your labor, birth and recovery to go so much smoother! If you haven’t spent time on Gail’s website, it’s worth looking in to!

 

  • VBAC:Know the Facts by Jen Kamel: Jen has compiled an immense volume of research and facts surround VBACs, and presents them in a fascinating seminar that can be taken online or attended live. This 6+ hour seminar addresses subjects such as myths, actual research results, how and why different hopsitals have different protocols, what complications can increase risks (and how to avoid some of them!), and the list goes on and on. If you are considering a VBAC and have questions, or just want to learn more about the subject, this would be a very worthwhile investment. I learned so much from it!

 

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More books…and they don’t all fit here, either!

This past year I had a friend who contacted me-she was newly pregnant, lived in another state, and wanted to know where to start in figuring out what she wanted for her pregnancy, birth, caregiver, etc. What a list of questions! And where do you start?!? So I’ve been on a quest to find factual, evidence-based information to help new moms in making decisions and sorting through all the myriads of opinions and information. If you have a resource that was particularly helpful to you, I’d love to hear about it! Feel free to comment (below), leave a message on the facebook page, or send me an email at: gentlemidwife@gmail.com. I’d love to hear from you!

And if you want to check out my updated Recommended Reading/Library List, feel free to look at it here:  https://gentlemidwife.wordpress.com/recommended-reading/  Remember, clients have access to this library as part of their maternity care package!

 

Midwife + Nursing Baby = Crazy Stories!

Midwife + Nursing Baby = Crazy Stories!

For a little change of pace, I thought it’d be fun to recount some of the craziness that took place in my life over this past summer. With my third-born arriving in February, I took a break from delivering babies while we adjusted and recovered. As the summer came closer, and the due dates of those fist mamas approached, I’ll admit that I had some misgivings. For starters, it wasn’t like I was getting vast amounts of sleep. 🙂 Then, you add my dear, intense, unpredictable baby to the mix. The plan had been to bring the baby along, and make sure I had an assistant along to help out, should my baby need help while I was unavailable. I had these lovely visions of those “crunchy” midwives that you see doing everything toting their happy baby around on their back…but that’s not reality in my case!

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my baby girl when these stories start…

My babies have all been of the “high needs” class, and baby #3 has been no exception. But that adds another dimension to the situation when you’re talking of bringing an extra little person along to something as unpredictable and intense as a birth! Thankfully, I was blessed with very understanding clients, and they were all duly warned beforehand that if I was hired, so was my baby…but I also promised to do my best to keep distractions to a minimum. So here are some tales from this past summer as I toted my little companion with me at all hours of the day and night!

As it turned out, I didn’t have alot of time to stress over how it was all going to work out, as my first mama went early. When I took the early morning call, I had to think that the timing was beautiful, as I had JUST finished feeding Talitha, and had just gone back to bed. (On another note, it also happened that my sister was staying the weekend, so Joel didn’t even have to babysit the other children!) This meant she was ready to be buckled into the van, where she promptly fell asleep-and she slept long enough for me to arrive at the house, unload, set things up and have my babysitter/assistant arrive to help me out. And it just happened to be my dear friend/helper who can now say she’s cared for ALL of my babies at births over the years. Beth did a great job of playing with Talitha, taking her outside for a walk when she was fussy, and acting as my second set of hands at the same time.

Beth entertaining Talitha

Beth entertaining Talitha

It felt like an answer to prayer, then, when my baby slept in the new  baby’s nursery during the birth itself, and for the hour after. She even sat in her Bumbo while we finished cleaning up! With the exception of crying while the mama was in transition (this was when Beth took her for a walk!), she did really well. This made me figure that maybe this whole thing of bringing a baby along wouldn’t be so challenging after all…

Until the next birth! It was that evening that I realized that my baby girl does not appreciate Chipotle’s spicy chicken. I already knew that dairy products caused her stomach to protest, so I had forgone any cheese and sr. cream on my burrito the night before. But the chicken must have been too much. This time, a good friend from my church was along to help babysit, and provide any additional help we might need at the birth. All was well when we arrived, but as the evening wore on, Talitha protested everything…nursing…sleep, you name it. Lynelle ended up walking her up and down the road, and finally baby calmed down and went to sleep. But once she was down, she awoke for her usual night feeding, and blissfully slept through the birth and ensuing clean up. The biggest challenge, then, was getting home when it was her usual time to get up, and now mama wanted to sleep!

Fast forward several busy weeks…by this point, I had two mamas that could technically go anytime. And then at the last minute, I ended up taking over care for another friend, as her midwife had a planned trip out of town (planned well in advance-the hope was that this baby would arrive before she left!), and her baby had decided to take her own sweet time to arrive. Wouldn’t you know, the day this baby decided to come, all of my back-up helpers were either out of town or busy…and my own family was in the middle of helping to host a youth group of 20 from OH, as well as prepare for a big open house that the ministry my husband works for was hosting that evening. Timing can be amazing sometimes! 🙂 It’s also amazing, though, how God can work out all the details…a friend helped

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Amy & Talitha

with my older children so my husband could finish his projects for the day, and one of the youth group girls graciously consented to being pulled into a totally unexpected job. Amy ended up not only caring for my baby, but also caring for the laboring mama’s older toddler, as well. The baby came in the middle of the afternoon, once again finding Talitha sleeping during the birth, and we made it back to the open house that evening just as they were ready to ask the blessing on the meal.

I had a couple of weeks to wait, then, as the next babies weren’t in any hurry to come. In fact, I had pretty much given up on being at either of them, as we had planned to be out of town for a weekend (again, this was planned before these mamas started care), and with both of the babies still inside, I figured the chances were slim that they would both wait on my return. But when we returned home from our little trip, both babies were still waiting! The amazing thing was that they also waited until after the following afternoon, when our church was having an ordination that my husband was part of…I wasn’t sure what I was going to do if I had received a call during that time! That evening, after a big, busy day in which Talitha missed a good nap, I got a call-and we decided that this time I should leave her home sleeping (she had just gone down), and hope that either I would be home by the time she got up, or else we’d figure out a plan B. I went on out, and after awhile realized I wasn’t going to be home to feed her, so my babysitter went by my home and brought Talitha to me, around 2am! She looked rather puzzled when she arrived, but after taking everything in, she nursed and went down for a good nap, waking once and needing some attention.

waiting patiently for mommy to finish paperwork

waiting patiently for mommy to finish paperwork

We went on to have a baby, and soon after I got another call-this time from the other mama. Things were happening fast, so after checking things over again, I left my newly-delivered mama in the hands of my assistant Gretchen, pulled Talitha out of bed and tucked her into her carseat, and raced across town. By the time I reached this home, I knew things were moving quickly, and since Talitha was sleeping, she just stayed in her carseat while I went in and joined my assistant (Lynelle) for the birth, which took place within half an hour of my arrival! Once Talitha awoke (about an hour later!), Lynelle brought her in and she was happy as a lark, and she did well the rest of the morning as we returned to the first mama and completed another appointment before we got home.

But the next birth was not so rosy from Talitha’s perspective…I had hoped that if things happened in the night, I could just let her sleep. My usual babysitter was unavailable, and after calling around, I found a friend who was willing to help out, and she brought Talitha to me when it was time for her to eat. Teething was in full force, and my little girlie was not a happy camper. I honestly don’t know what I would have done with out Heidi, who patiently walked her around the neighborhood until she went to sleep…

The last two births of the summer took place about a week apart, and both ended up being similar stories…both took place at some time during the night, both places Talitha protested being put to bed (I have a travel pack n play that would always take with me), and both times once she finished protesting, she went to sleep and was fine.

Sleeping peacefully in her bed

Sleeping peacefully in her bed

So thus ended the adventures of Talitha joining mommy at births!
As a general rule, I only take on 2 clients per month, as I find more than that very stretching…partly due to demands on family time, partly to the difficulty in sleeping after a birth when you have little ones at home, and partly because I want to enjoy being a mom besides being a midwife. 🙂 So doing 8 births in 3 months time was a record since I’ve been combining midwifery with family life. My husband and I marvel as we look over the summer…there were so many other things going on, besides these births, and yet we’re amazed at the way God directed and orchestrated these events. There is a dear older midwife around here that tells me God always sIMG_0031eems to work things out in a perfect way…if I could just learn that from the get-go, it would eliminate alot of stress in my life! But this is a little picture of how things came together this summer, from just one perspective-that of having a nursing baby. Now that my baby is getting older, it will hardly happen anymore. On one hand, it looks much easier to not have that additional unpredictable factor included at births-and on the other hand, I’m going to miss my little buddy!
My favorite conveniences for the first days postpartum…

My favorite conveniences for the first days postpartum…

If you’re like me, sometimes you roll your eyes at yet one more advertised item deemed a “necessity” for baby. Seriously, what more does a newborn need than diapers, a few blankets, and mama to snuggle with, sleep close to, and nurse whenever he wants? I’m not saying some of these accessories aren’t helpful-I have my favorites gizmos that I find to be a blessing (the bouncer and Bumbo being at the top of the list!), but I think we can forget that babies don’t need 101 items in order to survive the first days and weeks. That said, after having my third child earlier this year, I was reminded once again that there are some things out there, that while not necessities, can help in easing the transitions and recovery process during the initial postpartum period. I keep thinking I need to write them down, in order to share them with other mamas-to-be, so here’s my attempt at listing some of my very favorite postpartum items to have on hand:

Note: this list is totally of my own making, and the links given are solely for your benefit-these are NOT affiliate links, nor do I receive any compensation for posting these!

For Mom:

  • Depends/Disposable Underwear:
    • No joke! This may be the only time in your life when disposable underwear seem wonderful. They are comfortable, keep you and the sheets clean, and make life easier…

      Snuggling with my littlest and the new big sister

      Snuggling with my littlest and the new big sister

  • A good quality, comfortable nursing bra:
    • It’s been my experience that higher cost = higher comfort when it comes to nursing bras. My absolute favorite is the Bravado! Seamless Body Silk. It’s adjustable, has no wires, is easy to use, and adjusts to your continuing adjusting size during those first weeks!
  • Nursing Cups:
    • These were new to me, recommended by a client. But I’ve found them to be a life saver during the days your milk comes in and your body is trying to adapt! They relieve some of the pressure, giving you some relief, and make it easier for a newborn to latch on. Depending upon my milk supply and the infant, I’ve used them for anywhere between 48 hours to 3 weeks as we get the latch/supply/demand/initial soreness figured out. If you struggle with inverted or flat nipples, these can also help to pull the nipple out, making nursing go much better. Here’s the ones I use: http://www.amazon.com/Pharmics-0813-0099-00-O-cal-ette-Nursing-Cup/dp/B002UKXLJK
  • Wish Garden New Mother’s Salve:
    • Nothing beats this salve in being the ultimate for nipple care and repair. Used after every feeding, it helps relieve soreness, heal trauma, and is a general all-purpose healing salve for about anything else, to boot. We keep it around and use it for wounds, bruises, etc. when it’s not being used for a newly nursing mommy! Find it here: http://www.inhishands.com/new-mothers-healing-salve/
  • Maxi-Milk herbal tincture:
    • Whenever I sense my milk supply is low, a few days of using this supplement always makes a difference. I keep it on hand for those times when baby is experiencing a growth spurt, sleep is in short supply, or when the schedule is unusually hectic. A hungry baby is an unhappy one, which then makes for a stressed mama! Nothing else I have tried works like this stuff does. Order it from: mountainmeadowherbs.com
  • Nursing pillow or several extra pillows:
    • Having a good pillow handy during those first days of breastfeeding can help get baby in a good position, and keep your back from the strain of bending over…sometimes you don’t even realize you are bending over or getting uptight as you help baby nurse…but this can help you relax and save you from some stressed muscles!
  • A few good books:
    • The first 2 weeks after baby comes are a critical time for you as a mom to lay low, rest, and enjoy these first days with your baby. I’m always amazed at how long it takes a newborn to nurse those first weeks, and I find that I enjoy having a few good books around from my “reading wish list” to enjoy makes that time feel like a mini-vacation.
  • Thank you notes:
    • I know, you need to rest those first days, but I find, too, that those first 2 weeks while I have extra help around and meals coming in are the best times to write little notes. Once I start getting back into “real life”, that time evaporates. So I like to be prepared ahead of time, with blank note cards so I can keep from getting behind on writing notes to those who bless us!

      Enjoying my little "vacation"...you can see my little tote on the end table

      Enjoying my little “vacation”…you can see my little tote on the end table

  • Postpartum Tote:
    • Before my baby came, I prepared a little portable tote basket with the essentials I would need, in order to eliminate trips up and down the stairs. It contained nursing pads, salve, diapers, wipes, and a few other items that I might need, and I kept it on the end table by the couch. It saved me many steps, as the rest of the baby items were upstairs!

 

For Baby:

  • Coconut Oil:
    • This stuff is amazing for baby skin care! With the antibactieral properties, it helps to keep cradle cap and baby acne at bay, as well as nourishing baby’s tender skin, and adding moisture during dry months. This time I purchased the liquefied oil, in order to make it easier to use, and sometimes I’d add a drop or two of some sweet-smelling essential oil to lather baby with after her bath.

      All cozy in her muslin blanket while big brother holds her hand!

  • Bulb Syringe:
    • The 2oz. size works the best, in my opinion. Many times your midwife will include one in your birth kit, but they can also be purchased from medical or birth supply companies. These are great for the occasional gagging babies due on mucus, or for cleaning out stuffy little noses so baby can sleep better.
  • Muslin Swaddle Blankets:
    • I love these! While the name brands do seem to be the softest, the “off brands” work as well! The cotton is breathable, allowing baby to be comfortable while still feeling secure when wrapped tightly. And they make great nursing covers, or sun shades for baby…and they are big enough they can still be used when baby is past the newborn stage!
  • Baby Book:
    • If I don’t have a baby book ready to write in, then I miss so many little events of those first few days. Plus, the extra time mama has to sit and hold baby also translate into a few extra minutes to jot things down as they happen, rather than trying to remember after the fact!

      Lots of love and kisses!

      Lots of love and kisses!

So, what are your favorite items? Anything you would add, or give to a new mama? I’d love to hear your suggestions and thoughts!

So, you’re interested in a VBAC….

So, you’re interested in a VBAC….

DSC_0632cThis is a subject that I get asked about frequently. There are many mamas out there, who, for a variety of reasons, are looking into their options concerning a pregnancy and birth after a previous cesarean section. The first question usually centers around whether or not I will take on a VBAC client…so let’s start with that, and then look into some ways to make achieving a VBAC a reality.

When it comes to considering a VBAC mom as a possible homebirth candidate, it’s helpful to have an idea of why the c-section was performed in the first place. You have the legal right to your medical records, so ask for them! Sometimes they don’t shed light on the subject, but frequently you’ll have a clue as to what actually happened, which may not have been clearly explained to you at the time. Was it due to a surprise breech? Was baby’s head in a bad position (such as posterior or asynclitic)? Did your water break, putting you on the clock, and labor didn’t start in time? Was it a case of “failure to progress”, where labor didn’t proceed, or you got “stuck” and then were tired? Or perhaps baby’s heart tones dropped, making it a fast emergency? Whatever the case, understanding what all took place helps to paint the picture, and give me an idea of what hurdles you might face in this next birth. And it might help you in knowing what to prepare for-for instance, if your c-section was due to a bad position of the baby, then we’ll be much more proactive at integrating exercises to help with optimal positioning. There are very few situations which risk a mom out of the option of a homebirth, but getting a clear picture of what happened before helps us to determine your eligibility. And perhaps you would feel more comfortable pursuing your first VBAC in the hospital setting…either way, these next suggestions can be beneficial and productive in helping you prepare for your birth!

I like to tell VBAC moms the same thing I tell first time mamas…preparing for birth is like preparing for a marathon. You don’t just decide to run a marathon today and achieve it tomorrow. It takes WORK to prepare your body for it! Most mamas planning a VBAC have not yet had a baby vaginally, so in that respect, we focus on preparation in the same way we do for a first birth. Not to make things sound negative, but it’s good to be prepared for the long haul-and prepare your body to be able to cope with it. Eating a healthy diet and consistent exercise both contribute to this. Regular walks, workouts, squats, etc. can all help to build up your stamina for labor and pushing. I’d also suggest seeing a chiropractor, especially during the last trimester, which can help to ensure good alignment of your pelvis and good positioning for baby. I highly recommend checking into Gail Tully’s website: spinningbabies.com, as well as following her suggestions in her DVD entitled “Daily Essentials”.

Besides getting your body ready, you need to prepare mentally and emotionally…and this includes educating yourself about the particular risks and concerns that affect VBAC mothers and babies, as well as talking with others who have gone through similar experiences. This support can be invaluable in helping you to work through your past disappointments and set realistic expectations. Some excellent resources that I encourage all VBAC moms to consider are:

  • VBAC Facts by Jen Kamel (She teaches an amazing class based on research surrounding VBAC safety. You can attend a live seminar, or take a webinar at your convenience.)
  • Read books on the subject:

C-Section by Mark Zawkowski, MD,  Natural Childbirth After Cesarean: A Practical Guide by Karis Crawford

  • Look into the “International Cesarean Awareness Network” (ICAN) and glean from their website…there are chapters throughout the US that meet regularly, where you can talk with other moms and learn from their experiences.
  • Join a facebook support group for VBAC mamas, and ask questions and hear about how other mamas achieve their VBAC.
  • Read evidencebasedbirth.com, and consider taking the class they offer online regarding “Failure to Progress”.

 

This information is hopefully enough to get you started with resources…blessings as you pursue your quest for a beautiful, natural and safe birth!

Announcing our new arrival…

Baby Talitha joined our family on Feb. 18th, born at home, and weighing in at almost 9#! We are thoroughly enjoying her, and this explains why I may not have responded to your emails or other communication if you’ve tried to get in touch with me recently. More details regarding her birth will be shared eventually, once I have a chance to process everything, recover, and become a bit more accustomed to life with three little ones. 🙂

For now, here’s some pictures of our sweetheart:

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Sisters meeting for the first time…midwife getting ready to perform the newborn exam

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Happy siblings!

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2 days old…

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Sleeping peacefully all wrapped up

We love her!

We love her!