Learning Empathy…

A big thanks to each of you for your interest in helping to get Gentle Delivery Childbirth Services off to a great start here in State College! During this past month I’ve had a chance to interact with a number of new friends, and I’m enjoying the opportunity to learn more about what this general area offers as far as birth choices. If you haven’t done so, take a minute to check out and like the new Facebook page: www. facebook.com/gentledelivery  I’ve also added another testimonial to the website-feel free to read through that as well!

As many of you know, I practiced midwifery for a couple of years before I married and had children of my own. During that time, I occasionally met a prospective client who wasn’t sure about using someone for care who hadn’t experienced birth herself. In all honesty, being a single midwife allowed me to give much more to my clients, as I didn’t have the same pressing schedule-it didn’t matter if I disappeared for 2-3 days at a birth, as no one was depending on me to be around! Sometimes when I think about those days, it dawns on me how much more freedom I had to spend time learning, talking on the phone, answering questions, making home visits, spending hours with clients, taking classes, teaching, etc.

But the flipside does have some advantages-I now have an increased level of empathy. I don’t think that I wasn’t sympathetic before. But, my ability to feel with another mom the challenges she is going through has dramatically grown. And the realization of how much growing a baby, giving birth and adding a new member to the family changes things. So, for those of you who have been curious (there were many times a client would tell me, “I want to be there when you have a baby yourself! :), here are a four specific ways my perspective has changed:

1. I now know what it means when someone says “nothing works!”. During my first pregnancy, I had severe morning sickness. The kind that lasted and made you throw up and generally wish you weren’t alive anymore. I would lay on the couch feeling terrible, and cry just thinking of EVER having another baby, because if I was this sick with the first one, how would I ever take care of another baby while going through this. Not exactly the best thing to be thinking at that moment-“sufficient unto the day are the evils thereof”, right?! 🙂 Before I went through this, I would freely hand out suggestions on what helps to relieve morning sickness. After, I just listen, and then offer a list of things “that might help, but they may not work for you.” And feel really bad that I can’t just take it all away or give them a cure-all!

2. When a mom is experiencing the last few weeks of her pregnancy, and comes in with that I-can’t-take-another-day-of-being-pregnant attitude, I take her seriously. Until I was pregnant myself, I didn’t realize how awful you could feel, and how desperate you could be to just get the baby out. But you do really feel like this will last forever during those last days, and a shoulder to cry on can mean the world!

3. Giving birth naturally hurts! Not that I didn’t realize that before. And not that it’s not a beautiful experience. But the intensity of the experience amazed me. I still remember right after my first baby was born, the midwife instructed me to move so she could place fresh pads under me. She kinda grinned and said, “hey, you know what to do!”, and it dawned on me that there was no way I could move those two inches off the bed…I was WAY too sore and tired…and I told her “I know what I’m supposed to do, but I was under the impression that I’d still be able to move after I had a baby!” That made her laugh-but it didn’t seem very funny at the time! During the actual births of both of my children, I also remember how easy it was to feel over-stimulated, and I made me realize how much I personally appreciated quiet during labor and delivery…and it gave me a greater desire to try to carefully understand what really made each individual mom I’m working with feel able to relax and concentrate on her birth.

4. Having a baby changes your life! And here I’m not talking about the birth…but the fact that this little person has come here to stay. And he is totally dependent on YOU for everything. I really thought I knew what it was like to be tired…really tired…I mean, seriously, being up for 48 hours at back-to-back births makes you exhausted! But I had no idea what it meant to be up every 2 hours around the clock for days on end. Now, this is another subject for another time…as both of my babies have struggled with nursing/sleeping/tummy issues….but I do remember when one baby was 2 weeks old, wondering if I would ever know what it would be like to sleep solid again. But I understand now what postpartum depression can be a real live thing to deal with, and why a new mom needs lots of understanding, a listening ear, and sometimes just assurance that what her baby is doing is normal…maybe she knew that herself at one time, but it’s hard to remember when your life has just been turned upside down!
Matthias Johann 447 2 (5)
Well, these are just a few things that come to mind when I think of how I look at things differently from this perspective….while it’s been a change, it’s been a good one, and I love my little ones and the experience of carrying them and being able to deliver them at home. But it’s not always easy, and requires alot of work and sacrifice. And when I do a birth now, it means nursing baby comes along, and I don’t get to sleep until I feel caught up…but those days will come again…and quickly, I’m told, by moms further ahead than I am!

In closing, I feel like there were definite advantages to being a single midwife to being a midwife who is married with children. But there are advantages to this stage, too. And I can’t say that I feel like one is way better than the other-it’s just a different perspective, and different time in life. I’d be interested in hearing your perspective in the comments…what do you see as advantages/disadvantages to using a care provider who hasn’t had children herself? or how has your perspective changed since having children yourself?

If you’ve wondered about eye ointment used on newborns…

For those of you following this blog, you probably thought I had given up ever posting anything again! 🙂 Time seems to keep me from spending much time on the computer, and blogging is at the bottom of the priority list! But, I read this article today and just had to pass it on, as it refers to a question that often comes up during the newborn exam. Enjoy!

http://evidencebasedbirth.com/is-erythromycin-eye-ointment-always-necessary-for-newborns/

Article Links

I thought some of you readers might be interested in looking at the following links….

Here’s an excellent article by ABC news that gives some good statistics about home birth and birthing options:

http://abcnews.go.com/Health/Wellness/cdc-home-births-rise-us/story?id=9998349

 

And here is an interesting video regarding the development of the new idea of a “family-centered Cesarean”. If you had to have a C-section, it would be lovely to have it happen this way! Just a note, it does show details of the C-sec surgery:

Enjoy!

“Birth is not an Illness!”

While compiling helpful articles and information for the childbirth class handbooks last month, I came across this one and thought it would be a good one to share. It is interesting to get this perspective!

Birth is Not an Illness!

15 Recommendations from the World Health Organization compiled from Care in Normal Birth: report of a technical working group 1997 – WHO/FRH/MSM/96.24

These 15 recommendations are based on the principle that each woman has a fundamental right to receive proper prenatal care: that the woman has a central role in all aspects of this care, including participation in the planning, carrying out and evaluation of the care: and that social, emotional and psychological factors are decisive in the understanding and implementation of proper prenatal care.

1. The whole community should be informed about the various procedures in birth care, to enable each woman to choose the type of birth care she prefers.

2. The training of professional midwives or birth attendants should be promoted. Care during normal pregnancy and birth and following birth should be the duty of this profession.

3. Information about birth practices in hospitals (rates of cesarean sections, etc.) should be given to the public served by the hospitals. There is no justification in any specific geographic region to have more than 10-15% cesarean section births (the current US c-section rate is estimated to be about 23%).

4. There is no evidence that a cesarean section is required after a previous transverse low segment cesarean section birth. Vaginal deliveries after a cesarean should normally be encouraged wherever emergency surgical capacity is available.

5. There is no evidence that routine electronic fetal monitoring during labor has a positive effect on the outcome of pregnancy.

6. There is no indication for pubic shaving or a pre-delivery enema.

7. Pregnant women should not be put in a lithotomy (flat on the back) position during labor or delivery. They should be encouraged to walk during labor and each woman must freely decide which position to adopt during delivery.

8. The systematic use of episiotomy (incision to enlarge the vaginal opening) is not justified.

9. Birth should not be induced (started artificially) for convenience and the induction of labor should be reserved for specific medical indications. No geographic region should have rates of induced labor over 10%.

10. During delivery, the routine administration of analgesic or anesthetic drugs, that are not specifically required to correct or prevent a complication in delivery, should be avoided.

11. Artificial early rupture of the membranes, as a routine process, is not scientifically justified.

12. The healthy newborn must remain with the mother whenever both their conditions permit it. No process of observation of the healthy newborn justifies a separation from the mother.

13. The immediate beginning of breastfeeding should be promoted, even before the mother leaves the delivery room.

14. Obstetric care services that have critical attitudes towards technology and that have adopted an attitude of respect for the emotional, psychological and social aspects of birth should be identified. Such services should be encouraged and the processes that have led them to their position must be studied so that they can be used as models to foster similar attitudes in other centers and to influence obstetrical views nationwide.

15. Governments should consider developing regulations to permit the use of new birth technology only after adequate evaluation.

Photos from a two-week visit

Just had to share some cute pictures of the darling not-so-little baby I saw yesterday. No worries about this child gaining weight! He looked to sweet in these pictures that I had to post more baby pics again….sometime I will post something more informative, but seeing as babies are part of my work, I have to show them off here and there! And just to keep you in suspense….I still have some great pictures of this little fellow’s birth that I can’t wait to share soon!

Nothing quite as relaxing as holding a sleeping baby

Taking the whole world in....

Big brother does a great job of taking care of baby!

Enjoying sweet babies…

Last Sunday, my family and I enjoyed spending some time with a family who, incidentally, have two little ones whom I had the privilege of assisting with their arrivals into this world. My mom and sister had their cameras along, so we were having fun shooting pictures, and I thought I’d share some here. Today was special, as well, as I got to see a couple of little, and not-so-little people that I have delivered….one of those times when I just love my work and the people that I get to spend time with and become friends with over pregnancies and births. There’s nothing quite like being a midwife! 🙂

So fun to cuddle!

It's a trick to get us both looking at the camera...

Older brother Caleb knows exactly what to do to get Grace to grin.

After several tries, we finally got a semi-decent picture with Timothy AND Grace, with all of us looking happy!