Remembering seven years ago…a thank you to many of you!

Remembering seven years ago…a thank you to many of you!

I had to stop today and remember what happened on this date seven years ago…it’s actually hard to believe it’s been that long! I’m sure the fact that it’s also one of my grandmother’s birthdays helps to remind me of the actual date, but it’s fun to take some time and think about and remember some of the dear people that played such an important role in the midwifery aspect of my life. It was on October 16 in 2007 that I had the great privilege and wonder of “catching” my first baby…

As a student midwife, I had been eagerly anticipating when this time would come. By that point, I had finished almost one year of the academic work required to complete my training, and I had been working, living and training at Family Birth Services, a birth center/training center since the end of May of that year. Living at FBS was like studying midwifery by immersion…that was seriously most of what you did all the time…live, talk, think, dream and study birth, babies and mothers. Since my arrival at the birth center about 5 months before this, I had spent many hours sitting in prenatal appointments, talking with other midwives, attending births in a variety of settings, and trying to take in everything I possibly could.

Family Birth Services was a wonderful setup for aspiring midwives. Besides being staffed by a lovely group of ladies (who didn’t mind questions and discussions going on into the wee hours of the night!), those of us who were students were offered the opportunity to truly get our hands into the work as the birth center offered discounted rates for those families who chose to have a student provide them with care. When I think back to the families I had the joy of working with (many of whom still stay in touch today!), it makes me incredibly grateful for the investment they made in my training. Getting the opportunity to learn how to care for mothers and babies while assuming a major portion of responsibility is one of the best ways to learn! And I’m grateful, too, for the midwives who tirelessly gave of themselves to supervise and ensure that the clients were still receiving safe, quality care while allowing the student to provide as much care as they were capable of.

So, come October, I was feeling mixed emotions about when I would get to play the primary role in my first client’s birth. At this point, I had already had two primary care clients who had already delivered…one who went preterm, and another who ended up delivering while I was gone at a required midwifery training workshop. I should back up here, too, and note that while I had been assisting with other births, each of us students especially savored the relationship we had with our “own” primary care clients-these were the ladies we were providing care to under supervision, and whose births we were the most involved with. Due to the fact that I had some ability to communicate in Spanish, I was give the opportunity to take on my own primary care clients earlier than most students, as there were no other students available at that time who were able to offer Spanish speaking care. My dear Spanish-speaking supervising midwife, Sorani, had her hands full as she not only worked to help me communicate with clients, but also worked to make sure I was covering all the details needed especially since I was so early in my clinical training.

Given the fact that my two previous clients had not turned out the way I was hoping, I was beginning to wonder what might possibly happen with my third client. Sorani patiently encouraged me to trust the Lord with the timing and outcome, and relax while we waited for this baby who was taking her own good time to come. I still remember getting the call on my phone in the wee hours of the morning, and thinking that here was my time to put into practice the things I had been learning! Things seemed to be progressing well, and since this birth was planned to take place at the birth center, my client decided to come on in.

I’ll never forget the thrill that went through me when, just about 2 hours later, I helped this beautiful little girl enter the world during a lovely picture-perfect birth. While the difficult births would take place later, this first one was beautiful…totally breathtaking to me as a new midwife, and thrilling as I realized again how much I was drawn to the birthing process and how fulfilling this work was-even at 4 in the morning! 🙂 I’m sure Sorani (who was supervising) and Peggy (the other student assisting) won’t forget how they had to pull me down to earth and remind me that I really should eat something before my blood sugar crashed due to the high I was on! 🙂 We had a special celebration with hugs and ice cream in the kitchen early that morning, and I was reassured that this was indeed the work that I thoroughly enjoyed doing.

While there have been lots of other experiences in the years since, this birth still stays clear in my mind. And on this day when I remember this particular birthdate, I also want to thank all of those who invested in my training…the families who allowed me to be a part of their birth experiences, the midwives who allowed me to be part of their practices, those who spent hours teaching/instructing/coaching me, the other students who I trained alongside of, and the Lord who opened the doors and allowed me to be involved in the beautiful & intense work of assisting new lives into the world. Thank you!

189798_1003306276667_5593_n

Baby L just a few hours after birth…dressed and ready to go home!

Random Life Happenings…

Random Life Happenings…

Well, my hopes to keep up with blogging a post at least once a month fell to the wayside this summer! My big plans and ideas came to a rather screeching halt when we found out that we have another little one on the way…soon after that discovery I was sick enough with morning sickness that I found it hard to keep anything up besides the bare minimum! I’m very grateful to be past the 1st trimester by now, and we’re anticipating our new arrival to make his/her appearance come early March. This news does, of course, have ramifications for midwifery-at this point I am taking clients until the beginning of February, and will then take time off until May. For updates on my client schedule for the next months, feel free to check out the “current availability” tab.

We had a fun family trip out to KS for my sister’s wedding at the beginning of July. All of my immediate family (along with much of my extended family) lives in the central KS area, so it was good to reconnect with family and friends again. Making memories by taking horseback rides, going fishing, eating donuts with Grandpa, visiting the zoo, and in general being spoiled by all the grandparents, uncles and aunties made for a lovely time as far as the children were concerned! 🙂

Family Photo at Aunt Charis' wedding

Family Photo at Aunt Charis’ wedding

Two baby girls made their appearance in June, with both of them ending in lovely births. It’s always a special privilege to be involved when a baby makes it’s arrival…those first moments of a family being together for the first time, savoring the new baby looks, smells and cuddles are all so amazing and unique to each individual, and it makes me so grateful to be able to be a part of it!

Little baby K, and my sweet assistant Beth, who also helped me with the delivery of baby K's big sister!

Little baby K, and my sweet assistant Beth, who also helped me with the delivery of baby K’s big sister!

My little guy delighted to hold baby C. when she came for a visit!

My little guy delighted to hold baby C. when she came for a visit!

Another new development that has occurred recently is taking on a new student here at Gentle Delivery Childbirth Services.  At some point in the near future, I’d love to tell you more about Emily, but I’ll just give you a little teaser for now. 🙂 Those of you who are current clients will likely be meeting her in some of your upcoming visits, and from the interaction we’ve had so far, I think you’ll thoroughly enjoy her and her passion for serving mamas and babies in this special time of life. Emily is just getting started in her training, and I’m excited about having a steady assistant to help me out with visits and births during the months ahead!

September brought with it two little fellows, who both interestingly enough, decided to make their arrivals on Saturday nights! They both seem to be thriving, and if they continue at the present rate, won’t be little fellows for long! For both of these births, I had the assistance of Gretchen D, a midwife/assistant who lives nearby.

Baby R with Gretchen and myself

Baby R with Gretchen and myself

and here with baby L!

and here with baby L!

Hopefully it won’t be quite so long until next time…but there’s a little peek into my life the past while…and here’s a peek into what is to come, as birth kits are prepared for the upcoming fall babies!

Birth kits ready to be delivered to families at their home visits!

Birth kits ready to be delivered to families at their home visits!

Have a lovely fall, and thanks for your continued interest in the work here. If you haven’t already done so, feel free to take a peek at our facebook page: facebook.com/gentledelivery. And keep posted on the blog for new pages coming soon!

Another Birth Story!

Another Birth Story!

We recently celebrated our daughter’s birthday, and I thought maybe you all would enjoy reading the story of her birth…this was written almost 2 years ago….just before the birth of our second:

Ever since my daughter was born, I’ve wanted to write down her birth story, both for myself and for her to read someday. Now that “little brother” will be making his appearance any time, I figured I really should get her story written before having another birth to get it mixed up with. So here goes….

Our baby was due June 26, which meant that I really wasn’t expecting to have a baby until the end of June, or maybe even the beginning of July. After seeing many first-time mama’s get so disappointed over not hitting their “due date”, and proceeding to go at least a week overdue, I was determined that I wouldn’t set such expectations.  This was one area where I really didn’t have an expectation…the week before she came, I was busily painting several rooms in our house (“nesting instinct” for sure!), and then Joel’s family hosted a surprise baby shower for us on June 18. While the shower really was a surprise, he had talked with me about dates for something, and I assured him that I would still be doing quite fine by Father’s Day weekend, with probably another couple of weeks to go yet. Shows you how much I knew, after all! During the last 6-7 weeks of my pregnancy, I had continued to get very swollen, and my blood pressure was creeping higher, so I wonder in retrospect if my body just realized that it was time to get the baby out.

I still vividly remember getting up Sunday morning and noticing some bloody show, and signs that my water had possibly broken. I wasn’t totally sure (and wouldn’t you know, that was the one weekend that another midwife was using my kit, so I didn’t even have the test strips to check it out!), but I started crying as I told Joel about it, which made me wonder if maybe I really was going to start labor soon. Since my mother had several labors where she experienced prolonged rupture of membranes, once again I didn’t want to count on anything happening very quickly. I figured it could be a good while yet before we saw any “action”, so I still got ready for church…I didn’t really want anyone asking any questions, and since our home is right off the road, I knew that EVERYONE would know that there was the possibility of something going on if I wasn’t at church and yet our vehicle was in the drive.  During the service I was a bit uncomfortable, experiencing some cramps and things, but still nothing regular. After church I had a humorous conversation with two moms about how I shouldn’t get my hopes up in going anytime soon…and inwardly I was smiling as I figured I probably only had days or hours left, and not weeks!

With it being Father’s Day, we had planned to eat lunch with his family down the road (they only live a mile from us, so it wasn’t far). Joel wondered if I still wanted to go, and once again I wanted to show up just to keep people from knowing what was going on. I still felt pretty good, though I could tell that the cramps were getting stronger, and I was beginning to lose a bit more fluid. Everything went fine until right at the end of lunch, when all of a sudden I just wanted to be home…and I was afraid that the pad I was wearing might not be catching all of the fluid! Joel caught the message that I wanted to go, so he made some remark about the pregnant mama needing a nap, and whisked me out…with my swollen feet and hands, no one objected to my not helping with dishes, or wondered anything about us leaving so quickly!

We came home and laid down, and right around 3 or 3:30pm, I experienced my first REAL contraction. Not one of those low-crampy kind of aches, but the actual thing. It woke me right up, and after that my adrenaline kept me from sleeping anymore. However, things still picked up slowly, with the contractions only coming every 10-15 minutes or so, and were fairly easy to relax through. At this point, we called our folks to let them know that it looked like I really was in labor, which of course made them all excited. I still was figuring on hours and hours yet to go, so I took care of some things around the house, and Joel had a friend over for an early supper (they sat out on the porch to talk). At about 6:30, the contractions got more intense, and started coming more frequently. Joel thought it would be a good idea to call the midwives and let them know, especially since one was coming up from Lancaster and had a two hour trip ahead of her. I told him that I was fine with letting them know what was going on, but that I probably had another 24 hours at least to go, so there wasn’t any hurry. He didn’t agree with me, which was a good thing!

By 8:00, we went ahead and had Rose come over, as Joel thought I should have someone here. He also called Debby and told her that he thought she should go ahead and come…and meanwhile the contractions were about 5 minutes apart, lasting around a minute. I changed into more comfortable clothing, and tried to get comfortable, though I wasn’t finding it easy. I finally got in the shower, which gave some relief. Rose wondered if I wanted to be checked, but I didn’t-I was afraid at this point that I was probably only at 2-3cm, and wasn’t sure I could handle that news with how intense the contractions were.  Joel started filling up the tub, as I always thought that I would like to labor in water…though our tub faucet wasn’t working well, and it took an hour to fill up! By 9:55, Rose suggested that she check me, and Joel encouraged me to…and I was a stretchy 6-7. That was encouraging, though the contractions by now were coming so close and so hard that I was finding it difficult to stay on top of them. The most comfortable thing I could do was sit on the birth ball, lean my head on the bed, and squeeze onto Joel’s hand…and there was NO way I could think about making the effort to get into the tub at this point!

That next hour was intense, with the contractions coming every 2-4 minutes, and lasting a good long time, and I was beginning to wonder how I could ever get through a whole night of this. I still remember thinking “they always say that when you think you can’t do it anymore, you’re almost through”, but then dismissing the thought as wishful thinking.  By this time, we were beginning to wonder where Debby was…Rose called her, and found out that she also figured she had a good amount of time to get there with this being my first baby and all, and she hadn’t left right away. I couldn’t blame her, as I would have done the exact same thing! Rose told her she should hurry…it was 10:40pm by that time, and I was close to 9cm. That surprised all of us! Just before 11:00, I started feeling pushy, and Rose said I was complete. Right about that time Debby walked in, so I felt like I could relax to begin pushing.

By this time I moved to the bed in a semi-sitting position, as it seemed to be the most comfortable for pushing. The pushing part was not at all what I was expecting…I guess I had heard enough moms say that they enjoyed that part of it as it felt like they were doing something, but I felt like I wasn’t making any progress, and there was a constant sharp pain near my pubic bone. It took only 35 minutes of pushing, and she was born with a nuchal hand…which I think attributed to the pain during pushing AND to the tear coming out!

Having that squalling little baby put on my chest was amazing…I kept looking down at her and thinking, “she’s mine to keep!”. Although we hadn’t had a sonogram during the pregnancy, Joel and I both felt like the baby was going to be a girl, so it almost felt like it was no surprise to see our little daughter. She pinked up and cried right away-just about as perfect as it can get. I was in for another surprise, though…I felt so sore that I could hardly move afterwards! The placenta came about 10 minutes after her birth, and I was so relieved to have everything all over, and thankful for how well everything had gone. Postpartum continued without incident, though it almost made me laugh to think of how difficult it was to get out of bed just to go to the bathroom, and how incredibly sore and tender everything was-and this was a small baby! I decided then that I did not believe the nonsense that is talked about in regards to a mom not needing pain relief if she is sutured right after birth, as she is still numb and on a high from the birth…that certainly was not the case! 

Rose was ready to go within two hours after the birth, and since Debby had been up the night before at a birth, she stayed the rest of the night to catch some sleep before heading back. We were so grateful for how the Lord took care of every detail, and gave us a wonderful first birth experience, and a beautiful, precious daughter!

271079_2043437599300_4801222_n

our little princess!

February Travels…and what the CPM Title Actually Means

February 2014 - Costa Rica 155

Beautiful palms and lots of green-we soaked it up while we could, and then returned to 12 in. of snow still on the ground at home!

Happy March to each of you! I am really ready for winter to be over, especially since this one seems to be stretching on and on. This past month has been busy, and I even enjoyed a 6 day reprieve from cold when I took my 15 mo. old to Costa Rica in order to attend a dear friend’s wedding. It was a great trip, though not without excitement (like when I realized I left my wallet behind when I arrived at the airport and was ready to depart…or when flights were cancelled due to weather…and other such things….so grateful for how the Lord took care of every detail!). The chance to reconnect with old friends was very special, and it was fun to introduce them to my little fellow, though it would have been even better if my husband and 2 yr. old could have joined us. They seemed to manage quite well on their own, but we were all ready to be back as a little family once again!

February 2014 - Costa Rica 162

The way to travel with a toddler…

February 2014 - Costa Rica 098

Matthias LOVED playing in the water-this same day it was -10 in PA!

I was trying to come up with a good idea to write about this month, and then I thought that perhaps I could blog about one of the items on my list of things that I want to add to my prospective client handout folder. One question, or series of questions, that comes up frequently during the initial interview has to do with my certification, and what exactly it means. There are so many different names and titles out there that it can be confusing at times! When you go to figure out what care provider is right for you, it is helpful to have an idea of what his/her qualifications are, and what all is entailed with those. So, here’s a brief look at what the Certified Professional Midwife title means…

The North American Registry of Midwives (NARM) was founded in 1987 by the Midwives Alliance of North America, and they oversee the certification standards of the CPM credential. In order to become certified, one must first show that she can provide competent, safe, and qualified care to mothers and babies throughout the birth and postpartum process, both by completing academic studies and by demonstrating care in a clinical setting. This requires that a prospective midwife both study through a NARM-approved academic institution, as well as complete an internship under the supervision of other certified midwives. Proving that one has the mastered the skills necessary to provide knowledgeable care takes time, and there is an extensive set of qualifications that must be met before one can sit for the final exams that cover questions relating to each phase of maternal and infant periods. Once the exams are passed, re-certification must take place every 3 years, which requires ongoing continuing education and re-certification of CPR and NRP.

When I first looked into obtaining midwifery education, I decided to pursue getting certification, even though the state I was working in did not recognize the credential. It was important to me that I do my best to provide the best care possible, and submitting to the qualifications necessary to become a CPM helped prospective clients to know that I took my job seriously and that I had demonstrated the ability to pass the national standard for midwifery care. In areas where licensure is not offered for homebirth midwives, this certification also gives clients the assurance that a certain level of training has been taken, instead of not having any idea of what a midwife’s qualifications may or may not include. Interestingly, many of the states that offer licenses to midwives are using the CPM as the basis for their training requirements. While many midwives who do not have the CPM title are competent and experienced, I feel like having a standard of competency for certification helps to ensure safety and high standards of care for each mother who desires to birth out of the hospital.

Finally, I like the way this quote sums it up, taken from http://www.nacpm.org/what-is-cpm.html
“A Certified Professional Midwife (CPM) is a knowledgeable, skilled and independent midwifery practitioner who has met the standards for certification set by the North American Registry of Midwives (NARM). CPM is the only international credential that requires knowledge about and experience in out-of-hospital birth.”

If you’re interested in looking into this topic further, I’d suggest you check out these links:
http://narm.org/advocacy/narm-brochure-text/  gives a good overview of the Midwifery Model of Care and how CPM’s help to promote this, and http://midwifeinternational.org/how-to-become-midwife/certified-professional-midwife-vs-certified-nurse-midwife-whats-difference/  details the differences between the CPM and CNM titles.

Feel free to let me know if you have questions, or if you’d like to add a comment regarding this…thanks!

March 042

Little M ready for his newborn exam…a March baby who will be having a birthday soon!