Showing posts with label midwives. Show all posts
Showing posts with label midwives. Show all posts

8.19.2011

The Homebirth Story: A Family Affair

3 months later...sorry for the delay. I'm not sure what excuse there is beyond me just putting it off. I think in one way I'm sort of embarrassed for not having had the triumphant experience I did with Leviah. That's not true, on any level. The difference is how much help I needed to get to that triumph--not how my do-it-myself self prefers things...an event in which everyone in the room is like family. Note the girls in the pictures. Though Naomi cried nervously this time around due to the extensive noise-making, she came out on the other side excited--and Leviah was like a rock, and now tells everyone exactly where her new sister came from--whether it's appropriate or not.

First, it's important that you know how I feel about due dates. With this pregnancy I was hell bent on keeping numbers out of it. Having gone to 42 weeks with the last pregnancy, and knowing how crazy that made me...well, I recommend this ignorance. It helped for the obvious reason of not losing my mind when I went over plus, at those last few check ups I didn't worry over the measurements as much as I would have had I followed a predetermined date--I was measuring small (not by the human eye--for sure).

Anyway, the estimated time of arrival, in my mind was the end of May, maybe June. I had plans I'd meant to accomplish in those last few weeks that have yet to be done...I was so convinced I had more time and not that I was caught unprepared, but we were sort of  'in media res' (latin). So, Friday we were visiting my parents in Raleigh, Saturday we stopped by a birthday party on the way back to Greensboro, Sunday morning we woke up early and met someone to have maternity pictures taken--I wore white pants. Can I just say I think this is why I went into labor? Seriously...
my big belly less than 24 hours before she came out. (courtesy of Gina Schultz Photography)

So, it starts; low, menstrual cramp like contractions began as we started our photo-op. Pre-labor contractions are normal for me, like for a month to 6 weeks prior, but these contractions were not the same. Fortunately there was a public restroom at the park. We continued with our session, ran some errands (looked for strawberries at farmstands and bought a fig tree), then headed home. On the way I called my dear midwife, just to keep her in the loop. At this point I assumed it would go away as it had last time, but my midwife hit me with unexpected news, "I think you'll have this baby tonight!". So, we ran home to clean.

The contractions were never regular. Thanks to my sweet iPod and clever app-builders I tracked them for you to see:
we stopped timing at 5:32.

Drew blew up the pool, ran to the store to buy a hose, I cleaned frantically and tried to remind the girls about what was going to happen: midwives, pool, screaming, new baby...My mom came at 8ish to watch the girls and at that point the contractions were very uncomfortable, but still, irregular. We watched about 3 episodes of American Pickers while I traveled to and from the bathroom.

It began to storm around 10:30 or 11pm and at this time some of the contractions were about 4 minutes apart, so I called my midwife and told her she may want to come. Both my midwife and her lovely assistant were there within an hour, and we discussed the irregularity of my contractions. Though painful, they just weren't keeping a rhythm.

I paced, I got in the pool, I laid down, I paced--the hours passed. We all rested (and while I tried to get things moving along by walking around in our bedroom I was serenaded by restful snorts down the hall...).

Birds were chirping. I hated those birds. The sun was rising. I hated that sun. The contractions kept coming hard and with every painful contraction there was a 5 minute pause in between--I hated these pauses. I wanted to push forward and be done because exhaustion was settling in...I could sense that the break was keeping the baby from coming.

At about 8:30 I tried squatting and my water exploded. At this point I was not prepared to stand much, my legs were worn out, so laying on my side I pushed and screamed and thought to myself about the impossibility of pushing this baby out. There were lots of pushes and no crowning and it was the most frustrating thing of my life. But, thanks to the clever persuasion of my midwives who moved something down there out of the way (lovely imagery), the baby came. 9:23am. The GIRL came. (admittedly this fact was shocking to me, and I believe my response to Drew who first told me was, "you're kidding me!". Not that we don't love girls, but I think everyone secretly wants one of each and everyone, from the waitress at the Mexican restaurant when I was only 4 months to the old antique junk collector at a yard sale when I was 35 weeks to my mother and my best friend, said it was a boy. My belly misrepresented it's cargo apparently.
Anyhow. That is the story of how Eliza came. I didn't mention the fact that had I been in a hospital, the odd contracting would have led to pitocin, the pain from that to epidural, and the lack of feeling and odd position of the baby to a cesarean. All this to say that I believe homebirth is not only a safe option for women in normal birthing conditions, but perhaps SAFER (as the studies show).

Something interesting? My midwife noted 2 things about Eliza post-birth. 1. She held her left arm up to her face, probably because that's where it'd been all along in utero. This makes sense, because I'd often felt a 'low scraping' with her that'd I'd never felt with the others. 2. She appeared to be more like 41 weeks based on her skin, fingernails, etc. Funny, since I measured 35cm only 1 week before...Just goes to show what we can't know for sure.
the sisters Grim.

**thank you my sweet midwives, for risking yourselves for the sake of my well-being in a state that doesn't recognize the importance of this choice. we love you.

***it has been brought to my attention that I forgot to mention the support of my husband, who was there for the entirety of the event--even at it's conception ;) and without whom none of this could have taken place. And, while I'm adding, i'll mention my mom, who also has played a significant role in my births (including my own).

5.20.2011

{this moment} - midwife in training



{this moment} - A Friday ritual. A single photo - no words - capturing a moment from the week. A simple, special, extraordinary moment. A moment I want to pause, savor and remember. See Soulemama to play along.

2.21.2011

HOMEBIRTH: a Fugitive's Quest

artwork by Chrissy Butler available here.

If you know me in person, one of the advocacy roles I play is for Homebirth. Many women live in places where homebirth midwives and the services they provide are readily and legally available. NC is not one of those places. It's a complicated issue, I'm going to break it down as best and as concisely as I can.
  • There are 2 kinds of certified midwives. CNM (certified nurse midwives who began with a nursing degree) & CPM (certified professional midwives who are trained in the field, however pass the same tests & often graduate from the same schools). Now, one is not better than the other, however most CNMs are found in hospitals and healthcare offices--CPM's do just homebirths. 
  • CNM's can be licensed to attend homebirths in NC as long as they have a Doctor back-up.
So, why don't all midwives simply go the route of CNM? well, there are not a lot of Docs jumping at opportunities to back homebirthing midwives for several reasons:
    1. Insurance
    2. Politics
    3. Loss of business
    4. General Inconvenience
This leaves the waters in which homebirthing mamas swim very low on options, CNM's can't find backers, backers don't want to support homebirth, blah. 

Why am I bringing all these political hot topics out to air? Because I just lost my midwife. My sister just lost hers. Many friends as well. The state we live in arrested the most experienced CPM in the area, disgraced her and has left her to shut her practice's doors. What is my option? To find the one CNM in the area & pay her higher fees (perhaps a cut goes to the back-up doc) or search for another CPM willing to risk her own dignity to provide a woman with what should be an unalienable right. Or to count on the wits of my husband. Or to go to the hospital and go into years worth of debt. Or go to a birth center 45 minutes away and do the same. These are not great options.

More ironic? Had my midwife been 20 minutes south, in a bordering state, her services as a midwife would be respected and completely legal. As it would have been in any of our bordering states. This is a travesty beyond measure and we must make it stop! 

I'm not here to lay a claim that all women ought to homebirth, I won't even plug what a marvelous and comfortable and natural experience it can be ;)  I simply want to point out that this challenge is one FREE people shouldn't face. FREE people should get to choose their healthcare providers. Licensure programs would suffice at weeding out the frauds. What I am here to say? Well, really I'm here to vent--but are you aware of the situation where you are? 

the full story on my midwife is here.

6.01.2010

Marriage brings people together.

Weddings do anyway.
I had the distinct pleasure of being in an old friend's wedding this weekend. A true honor, as has been our friendship. I'm so happy for her (& him), happy to have made new friendships, & am also happy to be finished making her present, which has been opened & I can now share a little pic with you to brag & simply point out how my hands have been occupied for the past few weeks. It's hard not to share, but i didn't want to reveal the surprise!
It's been a few days & perhaps, with the wedding weekend as a new & wonderful memory, I'll be able to focus on the other plans in my mental notebook. Of course, there's always the land. Give us 2 hours to steal away to that tick infested acreage & we're gone! (an issue we are more optimistic about--it seems to be a bad year everywhere, our piece may not actually be plagued alone. Also, encouraging ideas from you folks help A LOT!) The girls are learning how to entertain themselves while we weave fences, cut down framing materials, & clear out underbrush. While things won't happen nearly as quickly as we'd anticipated, we have a place to turn cartwheels to our hearts content--who could ask for more?

Did you hear I was on the local news a little over a week ago? I can't find a link to share the video, but it was short & the article sums it up nicely. Gist: Certified Professional Midwives & the women of NC deserve better. Glad to help the effort in our area in any way possible. LICENSE CPM's NC!

Our lives have been hectic & will probably remain so through the 'lazy' days of summer. In many ways I'm grateful to the blog world for giving me a place to keep tabs on what has actually gone down...although, it can be hard to keep up.

And the winner of the May 2010 Playtime Bundle Give Away is: Twig & Toadstool Enjoy!! Thanks everyone. Keep your eyes peeled for another give away soon.

& shameless promotion. My sister has been helping me keep up our Etsy Shop (gremlina.com) & there are LOADS new great items--you may want to take a peek.

3.26.2009

Fine, call me a hippie

When it comes to birthing, I AM a hippie, not just a naturalist--I'm too emotional about it. I believe that every woman is entitled to the birth of her choice AND that she's powerful enough to do it the old-fashioned way (if she so chooses). You rarely find an OB that agrees in the heat of the moment. Don't take my word for it, see the statistics below.

Someone posted this link in a forum & I cried a bit & became enraged because it's a whole other facet I haven't yet come to terms with.



The Other Side of the Glass

I can just imagine how difficult it is for a man to come to terms with the notion that he cannot protect a woman from the pains of childbirth, then add the powers he does have--of supporting her, defending her wishes, caring for the infant--are stripped from him, tragic. How does he recover from that?

Before all that there's the years of entrenched fears to deal with. Mis-education is nearly impossible to penetrate when it's foundation is fear. Across the board. Here is what that mis-education & fear is achieving locally:


The numbers below show the Maternity Care Statistics for North Carolina for 2007:
Category Number Percentage of Total Births
Total Births
130,886

Cesarean Births
Primary Cesareans
24,221 18.5%
Repeat Cesareans
16,579 12.7%
Overall Cesarean Rate
40,800 31.2%
Vaginal Births
Vaginal Births
88,794 67.8%
VBAC Births
1,253 1.0%
Other Births
39 0.0%
Interventions
Labor Inductions 26,346 20.1%
Labor Augmentations
21,480 16.4%
Non-Induced or Augmented Births
83,060 63.5%
The World Health Organization recommends cesarean rates for any region not exceed 10 to 15 percent and induction rates not to exceed 10 percent. It is the expectation that when the 2008 numbers are released later this year that the cesarean and intervention rates will both increase in North Carolina hospitals.

this information is from the current NC Friends of Midwives newsletter. To read more, or join, go here.

I just had to post this. It is very important to me & I don't want families to not make educated decisions. I don't know a mother who doesn't remember the day her child was born--no matter how old. It's one of those things worth the research since no one wants to be upfront about it.