“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.

Announcing Winter 2010 Natural Childbirth Class!!

This all-day class will cover topics such as prenatal nutrition, exercise, explanation of the childbirth process, tips for couples on how to work together during labor, positions and comfort measures for labor and birth, suggestions on writing a birth plan, and much more! There will be opportunity for you to ask questions, meet other couples who are sharing similar experiences, and learn together about the miracle of birth. Designed especially to help those planning a natural childbirth, this class will help you to better understand and prepare for your upcoming birth from a Christian perspective. I strongly encourage couples to attend together, as well as any other support people who are planning to be present at your birth.

In order to enable the best concentration and involvement, please make other arrangements for your children, with the exception of nursing babies.

When: Saturday, January 23rd
Schedule: 10am-Noon, break for lunch (on your own), 1pm-4pm
Location: Camp Hiawatha Chapel,1601 W 51st Street North, Wichita, KS 67204
Cost: $75/couple (note: for those using Gentle Delivery Childbirth Services, this class is included in your total fee)

A workbook, drinks and snacks will be provided for your enjoyment!

Taught by Kelsey Hobbs, CPM
Please register by January 17th, to ensure availability of materials. Feel free to call if you need more information or have questions. Email: gentlemidwife@gmail.com ~or~ phone: 316-253-0099

Special Suggestions for first-time moms

This information is written specifically to give first time mothers suggestions for how to improve their chances at achieving a natural, easier delivery. Pregnancy and birth is such a special and exciting time, and it is also something to be prepared for ahead of time. It is good to keep in mind that a woman’s body was designed to give birth, and that, normally speaking, your body does know what to do to get the baby out. On the flip side, though, is the fact that this is the first time your body has ever experienced this process. Because of this, labor can sometimes last longer, and be more physically demanding, as your body takes the time it needs for all of the muscles and bones to work together and stretch to allow your baby to enter this world. If you have invested time and effort into preparing ahead of time, your body will benefit, both in the labor and recovery processes. Just think, you wouldn’t run a marathon without giving adequate training and preparation-and so it is with childbirth. You must condition your mind and body to give you the best results.

Throughout the pregnancy:

–          Read and educate yourself! Take childbirth classes, together with your husband. This will help you both to be informed about the physical and emotional processes, and allow you to discuss ideals, hopes, and dreams before labor begins. I believe that education can also help to reduce the level of pain, as it helps you to understand what is going on in your body, instead of fearing the unknown. The more you can find out ahead of time, the more able you will be to relax, knowing your body is doing what it was intended to do. There are many books, DVD’s, and classes available-talk with me if you need suggestions!

–          Eat a healthy diet. A diet full of good, healthful foods (vegetables, protein, and complex carbohydrates), and low in sugars, fats and simple carbohydrates, can help you in several areas. One, it doesn’t build a huge baby. A smaller baby is easier to push out! Secondly, it allows your body to be able to function at it’s optimal ability, as your energy level is increased. Thirdly, good nutrition can build better skin integrity, which decreases your chances of tears.

–          Exercise regularly. Exercise is an extremely important factor, as labor and birth are very much physical events. Stretching, and building up your endurance level throughout the pregnancy will enable you to persevere if your labor gets long and tiresome. Throughout the last few weeks, walking briskly (until your pelvis hurts!) for at least 45 min. every day, can help to encourage the baby’s arrival to happen sooner rather than later.

–          Practice relaxation. If you can learn to relax, go limp, and let your body work before labor begins, then the better able you will be to do this during labor. Remember, fighting pain and discomfort works against you during labor-you must open up, let go, and relax in order for your uterus to function the most efficiently. And the more efficiently it works, the easier it will be on you! In practicing, pick times of the day when you can work on letting each area of your body go limp. Find out what helps you to relax: water, music, massage, etc., and then have these available during labor.

During the last 5 weeks:

–          I encourage moms to take the following supplements:

  • Gentle Birth Formula ~ this is a specially formulated blend of herbs in a tincture form that work to help prepare the uterus for the upcoming birth. You begin at 35 weeks by taking 2 dropperfulls a day throughout the first week, and increasing the amount to 2 dropperfulls 3x/day for the remaining weeks. Mothers who take this herb usually have more “warm-up” contractions, which help the cervix to begin dilation and effacement before actual labor. This tincture can be purchased through In His Hands Birth supply at the same time that you order your birth kit.
  • Super Primrose Oil or Borage Oil ~ this supplement is in a soft-gel form, and you begin taking 1-2 capsules orally beginning at 35 weeks. Around 36-37 weeks, you may begin inserting one capsule vaginally at night when ready to go to bed. The high GLA content and natural prostaglandin that these oils contain helps the cervix to soften, making dilation easier. It’s a great way to give your body a head-start towards dilation!

In closing, remember to keep yourself hydrated, rest often, and take care of yourself. And when labor begins, try to get some rest before getting excited.   You need to conserve the energy for later. So think about some activities that provide fun distraction (games, movies, going out for supper, etc.), and try to focus on other things until the contractions become consistent and strong enough that you can’t be distracted through them….

Random Thoughts and Tidbits

I was thinking that by this time I might have another baby announcement, but the next arrival hasn’t made his/her appearance yet! However, I do seem to stay plenty busy these days seeing expectant mamas, answering numerous phone calls and emails, and keeping up with life in general. I’ve thought I’d get some articles written to post before now, but it hasn’t happened yet. Maybe it will happen sometime this week?

This past week, as I was searching for new material to share in Childbirth Class, I stumbled upon this website: http://www.thebirthfacts.com   While not written from the home-birth standpoint, it had a variety of useful information. As a disclaimer, I’ll mention that it is wise to take things read on the web with a grain of salt (my comments included!). Do your research, and get your information from a variety of sources!

Speaking of childbirth classes, I am in the process of planning for an all-day class sometime towards the end of January. We’ll cover everything from nutrition, exercise, the physiological process of labor and birth, relaxation and positional techniques to help with pain, what to expect, how the father can play a vital role…..and much more! I’m getting excited about it, and would love to get your input as to things you would like to see covered. Or perhaps you’ve taken classes before, and have some suggestions? Let me know!! Once I have the date and time set, I’ll be sure to give out more information….

And in closing, since I enjoy baby pictures, here’s another one to share-this little one just celebrated her 2nd birthday this month!

 

Maria Ana-2 hours after birth!