For those of you that don’t know, Â I’ve applied to the UBC midwifery program 2 years in a row now. Â This year will be my 3rd attempt. Â This year they added a new pre-requisite, which I am completing through Thompson River University. The Anatomy & Physiology course I’m taking is absolutely fascinating! Â It’s making me even MORE excited and hopeful about the possibility of attending the midwifery program in 2012…wish me luck!
My studies this morning are about the skeletal system, I came across a piece of information which explains the science behind our reassurances: ‘everything is working perfectly together for you to have your baby! your body has amazing capabilities, and knows just what to do to birth this baby!’
This simple paragraph will answer:
How will my body accommodate this baby (which is appearing quite large while I look down on my belly!) in childbirth?
Why do my hips and pelvic area feel sore / achy? (aside from the obvious weight you are bearing, your bones are in fact moving)
And later…Â Why am I back to my pre-pregnancy weight, but my clothes still don’t fit?
Here’s the magical answer!
“….Joint flexibility may also be affected by hormones. Â For example, toward the end of pregnancy, a hormone called RELAXIN increases the flexibility of the fibrocartilage of the pubic symphysis and loosens the ligaments between the sacrum and hip bone. Â The changes enlarge the pelvic outlet which assists in delivery of the baby.” (source: Introduction to the Human Body, Gerard J. Tortora & Bryan Derrickson)
Also posted in Uncategorized
Tagged birth, birth doula, bones, home birth, hospital birth, natural childbirth, natural pregnancy, relaxin
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Often people are interested in having some music for their birth. Â It’s hard to choose though – you’re not sure what state of mind you will be in, or what you will need. Â I find the best way to approach planning for your birth is to look for things that relax you, keep you feeling calm and centered. Â If you practice yoga you will practice relaxation and breathing techniques that trigger this relaxation. Â Many people use hypnobirthing to train their bodies to relax in response to certain verbal cues – this is also very helpful during the birthing time.
I was looking for some music to accompany my yoga to this morning and came across a YouTube video. Â I wanted to share this because for some, this would be great to add to your birthing day playlist!
Also posted in Affirmations and Quotes, Vancouver Doula
Tagged birth, birth doula, doula, labour playlist, mantra, music, music for giving birth, natural birth, natural childbirth, relaxation, unmedicated birth, yoga
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Come to the Pomegranate Open House this Tuesday from 6:30pm-9:30pm
I will have Natural Belly Bars on sale for $9 (reg 13.95)
Home Birth kits on sale for $22 (reg $28)
Postpartum Bath Teas on sale for $5 (reg $8.95)
Serious savings at this wonderful community event! Â That’s just from Natural Creation – meet and explore the amazing support for growing families in the Vancouver. Â Hope to see you there!
Emily
Also posted in Birth and Postpartum Doula, Breastfeeding, Events, Uncategorized, Vancouver Doula
Tagged aromatherapy, birth doula, hospital birth, infant massage, labour, massage, postpartum doula, pregnancy, Vancouver Doula
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I was 13 days past my due date. Â I’d expected this babe to show up no later than 9 days past, as my first had, but she had other plans! Â We didn’t have a single ultrasound the entire pregnancy – this was a decision my husband and I reached together after much thought and consideration. Â There are many reasons people have ultrasounds, but we decided that our course of action would not change based on any information an ultrasound could give us. I continued to decline them as my due date came and went. Â I had the most supportive team of midwives - absolutely amazing. Â They were great about making sure I was educated throughout the pregnancy and 100% supportive of my choices when I made them. Â This support continued as I went past my due date. Â They ensured I was aware of the risks associated with post-dates babies, how that might impact my planned home birth, and also honoured the fact that my body simply seemed to want to gestate this baby for a bit longer than 40 wks! Â They were fully supportive of my choice to attend the NST (non-stress test) but skip the AFI (amniotic fluid index) ultrasound.
Neighbours, friends and family were getting a bit anxious. Â My doula and mother in law (she was to watch the kids during the birth if needed) had both left town (we never expected I would go past their dates of departure 10 and 13 days after my due date). Â I started to think I’d remain pregnant forever. Â I was surprisingly comfortable, and when I sat with myself I felt in my heart that this baby was just choosing its own time, but there were moments when I felt overwhelmed and nervous. Â We’d pulled the kids out of daycare June 1st thinking I’d have the baby some time in early May and have some time to adjust…but the end of May was coming fast!
We busied ourselves with all kinds of projects in those final weeks – we repainted our entire main floor (ceiling, and baseboards included!), we found someone to take over the lease for my car, and found another to purchase, I cooked and baked to fill our deep freeze with easy meals, and we went out and bought a new king sized bed!
I was running out of projects to do, I was up a lot in the night (this is common due to hormonal changes) and started to feel that if I wasn’t sleeping much anyway – I might as well have this baby in my arms! Â My hubby was so supportive as I went through my ups and downs – he just kept reassuring me “everything is fine, baby is happy, there’s no rush”. Â It was just what I needed to hear! Â My blood pressure was normal, the baby was active – there was no need for concern, and I remained patient. Â I spend so much time supporting moms to listen to and trust their bodies, and I have a strong and genuine faith in letting nature take its course. Â If there had been additional concerns of hypertension, or any other risk factors I would have taken these into consideration – but thankfully the only thing “unusual” about my situation was simply that I was beyond 41+3 the time that many health care providers will recommend induction.
I had several people ask me “how far will they let you go?”, “so when are you getting induced?” Â I took the opportunity to educate people about the fact that we have a CHOICE in the matter. Â Many people hear their health care provider say “well, at 41+3 , it’s time to get your baby out” and take it as it’s said – this is what’s happening. Â The truth is, anyone can say “I’d prefer to wait, I’d prefer to see when my body chooses to go into labour” . Â Anyone can ask “is it medically necessary? why is there an urgency to get the baby out?”. Â I encourage people to do the research and make their OWN decision as to what is best for them and their baby. Â With my first baby I was told I would be induced due to low amniotic fluid – it was treated as though it were an urgent matter – that is, until there were more urgent cases and I was lucky enough to be left alone for 5 days after this assessment. Â My body went into labour on its own, and I couldn’t help but wonder what would have been different had there not been several more urgent cases ahead of me – if the hospital had been slow I’d certainly have been induced. Â I was glad for this opportunity to learn, and it was part of my reason for making the personal choice to decline an Amniotic Fluid Index with my second baby.
For several weeks my baby had been posterior. Â I had done everything possible to encourage my baby to turn anterior. Â I had birthed my first baby posterior, so I took this extra time to make peace with the fact that I may just have a body type more suited to posterior babies, and to mentally prepare myself for the possibility of another lengthy labour. Â Posterior babies often take longer to descend, and often the cervix will not dilate quite as quickly as an anterior labour. Â I tickled my baby’s hands and feet as they waved around the front of my belly. Â I wondered whether we’d be welcoming a boy or girl, and how and when this baby would decide to emerge.
As members of our support team left, as the spaces at the boys’ daycare filled, and as I added an extra stripe or two to my belly – I connected with my baby and my husband, and enjoyed the last days as a family of 4.  Our baby danced in my belly and my trust in my body deepened.
Also posted in Birth Stories
Tagged 41 wks, AFI, Birth Stories, going postdates, home birth, labour, NST, overdue, posterior baby, pregnancy, waiting for babies
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This is just a very simple list.  Many people find the books a bit daunting…they are full of valuable information, but I find this simple list is a good basic  guide to give anyone new to supporting a mama in labour!  I always recommend having a doula as part of your support team as well.
Join our forum for more tips or to ask specific questions about labour support!
Happy Birthing!
Also posted in How - To
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*The information and suggestions here should be discussed with your health care provider.  Everybody’s situation is different, and I am NOT a medical professional - please do not use these tips until you have spoken to one.  Thank you.
There are many things that contribute to a smoother and easier labour. Â One key component is your baby’s position.
The optimal fetal position:
Occiput Anterior or Left Occipput Anterior (OA or LOA for short).  Occiput refers to the back of the head, so when you are visualizing your baby in your belly visualize the back of the baby’s head facing outward, or toward the anterior of your body.  Your baby would be looking at your back with it’s head down, chin slightly tucked.  This seems to be the best way for babies to apply appropriate pressure to the cervix, helping it dilate, and the easiest way for the baby to move down and out of the pelvis.
Positions that may be more difficult:
Breech refers to a baby that is head up rather than head down. Â There are different types of breech presentation; frank breech, complete breech, and footling breech.
Posterior refers to a baby that is head down, but facing your front rather than your back.
How you can help:
Regardless of your baby’s position, there are a few things to be aware of and do in the late weeks of pregnancy to get / keep your baby in a good position:
- hands and knees – doing cat-cow yoga stretch, washing the floor, or crawling around with your toddler!
- sit forward NOT back – any time you are watching TV, reading, or on the computer make sure you are leaning forward so that your belly is hanging forward as much as possible – leaning back on your couch encourages baby’s bum to swing toward your back (not optimal)
- lie on your side rather than your back
- go swimming
- do some art work to represent your vision of your baby in your belly, ready for birth
If your care provider discovers that your baby is breech late in your pregnancy, it is a good idea to discuss these options with them,steps 1-3 can be used if your care provider discovers that your baby is posterior:
1 – acupuncture – I personally have found this to be a very effective method, be sure to see somebody that is experienced working with pregnant mamas!
2 – yoga poses - cat-cow stretch, knee to chest and downward dog
4 -Â moxibustion – I’ve attached a link to a Vancouver clinic that uses this technique as they have great information about the use and stats associated with moxibustion for turning breech babies. Â I personally used this technique while pregnant with my first child to great success
5 – have someone talk to the lower part of your belly and shining a light on the lower part of your belly – the idea is your baby will move toward the noise and light
6 – keep your legs open, not crossed
7 – inverted lying – if your baby is sunken down in your pelvis it doesn’t allow them much turning room, if you do an inverted lying position it floats your baby out of your pelvis allowing it more space to turn. Â Place a sturdy board propped against the seat of your couch and lie upside down on it! (Â as always talk to your health care provider)
Relax and enjoy the last few weeks of your pregnant belly!
Also posted in Motherhood
Tagged better birth, fetal positions, tips for 3rd trimester
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Choosing the right health care provider has the potential to make or break your pregnancy, labour and postpartum experience. It is important to find a provider that is sensitive to you and your family’s needs; you should feel they are considerate, responsible, professional, yet warm. It is also important they maintain a relationship with other health care professionals so you can receive the appropriate care you require.
Most practitioners will provide an initial consultation; use this time to ask important questions to determine if their care is right for you.
What to ask a Midwife:
·What training and experience do you have?
·Can you handle both complications and emergencies?
·Do you have medical back up or a contingency plan for emergency? What will be your role in an emergency? Will you continue to be with me during an emergency?
·What kind of equipment do you carry with you?
·What is your back up arrangement if you become ill or are otherwise unavailable at any point during my pregnancy or the birth?
·Do you have clear protocols and, if so, are these protocols rigid or flexible? For example, what happens if I go into early labour, or if I go past my due date? What if my baby is breech and so on?
·What are your philosophies about birth?
What to ask an Obstetrician (also relevant for midwives):
·What are your credentials?
·What is your cesarean rate?
·What is your episiotomy rate?
·What is the rate of medicated births in your practice?
·How many women in your practice breastfeed their babies?
·Do you usually order medications, IV, enemas, monitors or do you judge each situation individually?
·Are women encouraged to use different positions during labour and pushing?
·What are your feelings on natural birth?
·How much time do you spend with women at prenatal visits?
·Will you be at my birth or will another physician attend (and if so, who will that be)?
·What are your policies for women who go past-due, for permitted length of labour and pushing (or any other concerns or questions you might have)?
Write down the questions that you are most interested in and bring them to your first appointment. Go with your gut. If you feel off about the midwife or Doctor you met with interview another, you have the right to receive the care you want.
Questions taken from: The Complete Book of Pregnancy and Childbirth by Shelia Kitzinger (1993) & The Natural Pregnancy Book by Aviva Jill Romm (2003)
Also posted in Motherhood
Tagged birth, doulas, hospital birth, interventions, labour, natural birth, pregnancy, questions to as your OB, questions to ask you midwife
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Studies show numerous ways that doulas effect the outcomes of birth and the postpartum period.
A doula presence at the birth decreases the rate of medical intervention:
6 weeks after birth, mothers who had doulas were:
*These statistics appear in Hodnett E, Gates S, Hofmeyr G, Sakala C. Continuous support for women during childbirth. The Cochrane Database of Systematic Reviews 2003. Issue 3, Art. No. CD003766. DOI: 10.1002/14651858.CD003766.
For more about the research, see http://www.dona.org/publications/position_paper_birth.php
For information on Natural Creation Doulas Click HERE
Also posted in Birth and Postpartum Doula, Motherhood
Tagged birth outcomes, brith doula, calgary, calgary doula, doula, doula statistics, postpartum doula, victoria, victoria doula
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