Twilight Sleep
Posted by doularama | Filed under News
Twilight sleep is a state of finely balanced semi-consciousness. In 1902, doctors in Germany started injecting laboring women with morphine and scopolamine. When combined, these drugs induce a semi-narcotic state which allows women to have the experience of childbirth WITHOUT THE MEMORY OF PAIN. The goal was not anesthesia, but amnesia.
It wasn’t long before this was the popular birthing procedure in the U.S.. The method was said to dull the pain yet women were restrained and strapped to gurneys for their own protection as they thrashed around in bed, freed from their inhibitions by the drugs, but not entirely freed from the pain. Some had their legs clamped in stirrups for hours in order to be ready when the doctor arrived.
The women, while responding somewhat to pain, did not remember it after delivering their babies. They didn’t remember the pain or the actual deliveries.
At the time, the medical consensus was that scopolamin-morphin was without danger to the babies.
This idea would eventually change as the negative side effects of twilight sleep came into the light.
Some of the complications noted were emotional. Removing the mother from the experience of childbirth, leaving her with no memory of the labor or delivery of the child is definitely a side effect.
However, more severely, the drugs had depressive effects on the central nervous systems of the newborns. This resulted in a drowsy baby with a compromised breathing capacity.
As if this wasn’t enough, let’s take another look at the following phrase: the experience of childbirth without the memory of pain. Is this not colossal disrespect!?! Ironically it was the suffragists who rallied for it to become standard procedure throughout the country.
By the mid 1970s, twilight sleep was no longer being used, but the labor and delivery staff of the previous generation had lots of stories to tell while the mothers had none. They just couldn’t remember.
Tags: childbirth, Twilight Sleep
New Videos!
Posted by doularama | Filed under News, Recommendations
Have you taken a look at the other pages on this blog? There are some great books and links listed in addition to interesting and fun videos. I’ve just added a couple of new videos including one depicting the birth of an elephant. For a long time I was hoping to find a good mammalian birth video to add and this one is perfect. Notice how the elephant moves in labor, swaying her hips and stomping her feet. She opens her mouth as her baby emerges. Many people think that opening the mouth correlates to the opening of the birth canal. How did the elephant know that? Enjoy!
Ina May’s Guide to Breastfeeding
Posted by doularama | Filed under News, Recommendations
Ina May Gaskin’s new book has just been released. I was at a seminar with her last year and saw a couple of the photos she wanted to use for the cover of this book. One was the photo of a mountain which she took herself. It looks just like a breast, with color variations and all. Below is the other set she wanted to use. My daughter delightedly exclaimed “leche” when she saw a nude statue in a museum once, and my son took another nude statue as a reminder to ask me for my own milk another time. In the end, her publishers got their way and the book has a very conventional cover.
Tags: Breastfeeding, Ina May Gaskin, Statue
Labor Pains for Men
Posted by doularama | Filed under News
Surely, some men will watch this and think that they would be able to do better, but there is much more involved than just the contracting of the uterus (the largest set of muscles in the body and men will never have them). There are other sensations, many would say pain, that come up in various parts of the body, and there is also a huge emotional factor that contributes. If you are frightened or anxious, dehydrated or have a full bladder, it all comes into play. There is so much involved, but this is still worth a look.
I say too bad men can not go through labor. Not because they deserve to suffer, but because it is really a privelege. Women can’t truly remember the physical component of how they felt during labor, but the emotional component never leaves us. That’s why, as a doula, I am working to help women create positive memories.
Tags: doula, Dr. Andrew Rochford, Men Experiencing Labor
Chewing Gum!?!
Posted by doularama | Filed under News
I have never understood the idea of chewing gum. What is the appeal? Chew, chew, chew and at the beginning you get a little flavor. Oooh, that’s exciting. Can I also chew it with my mouth open to annoy the people around me and make little crackling noises on the train so they won’t be able to read even though this is the only opportunity they’ll have? What fun. Even bubble gum, which provides some amusement as you practice a skill that you will never use elsewhere, seems pointless to me. I didn’t even need to finish that last sentence, did I?
Well, finally I see the reason gum was invented at all. Following are the results of a study that say that chewing gum after a cesarean surgery can help speed the rate of recovery. Now that’s something to chew on.
RODALE NEWS, EMMAUS, PA-Chewing gum after giving birth by C-section appears to help new mothers recover faster, stimulating bowel function sooner, which can translate to shorter hospital stays and lower healthcare costs, according to a study published in the journal BJOG: An International Journal of Obstetrics and Gynaecology.
THE DETAILS: Researchers looked at 200 pregnant women who delivered by elective cesarean section and put them into two groups; 93 who received one stick of sugarless gum for 15 minutes every two hours after surgery, and 107 who underwent traditional treatment-no clear liquids until a patient passes gas, and no regular diet until the first bowel movement.
WHAT IT MEANS: Generally, after any abdominal surgery, including hysterectomies and C-sections, a portion of your intestines is temporarily paralyzed. Most doctors won’t allow you to eat or drink until your gut awakens because they don’t want food to become stuck in your GI tract and cause complications. This study adds to the evidence that chewing gum is a helpful way to wake up your gut after surgery, perhaps because the act of chewing signals that food is on the way.o Make the chew case to your doctor. If you’re scheduled to undergo any abdominal surgery, ask your doctor if chewing gum could be used to speed up your recovery. University of Texas Southwestern Medical Center researchers found that patients who had undergone colon surgery and chewed gum for 15 minutes four times a day saw a return of bowel function a half a day sooner than those who just sipped clear fluids.
Tags: abdominal surgery, ceasarean, chewing gum, recovery
In the Caul
Posted by doularama | Filed under Birth Stories, News
Caul is the term used for the amniotic sac when it is still intact around the baby at birth. Fewer than one in one thousand babies are reported to be born in the caul, and there are some old beliefs surrounding these births. Among them is the idea that a baby who is born in the caul will have good luck
I am not really superstitious- I happily believe some of the positive (things) and leave the rest behind. I’ll even go as far as saying that Friday the 13th brings me good luck because, if everyone has bad luck on that day, the good luck has to go somewhere. So, I’ll often see the positive portents in my life, and recognize nary an ominous omen.
I feel like I came into birth work in the caul. I have been very lucky. I’ve had great mentors and many opportunities for continuing education. I’m usually called to births after breakfast and get home before dinner. I get women to the hospital just before they need to push, leaving no time for interventions, and homebirths speed right along too.
The last two homebirths I assisted were attended by the same midwife. For the first one, she arrived just three minutes before the baby was born. Things were just going so smoothly and everyone was coping well, it was hard to tell that it would end so soon. For the second one, she arrived a little less than an hour before the little caul-enveloped girl emerged. The midwife told me that I am very calming and that’s why labors go so quickly for me. Well, “calm” is the one word everyone uses to describe this midwife. What a compliment it was to have her say that about me.
Now I’m on call for another client with the same midwife. Some might suspect that my luck should run out by now, I choose not to worry myself with those thoughts and just take the challenges as they come (if they come).
I don’t think there are any long- standing beliefs about the people who are present when a baby is born in the caul. Well, there is now and you better believe it’s a good one.
The midwife mentioned above had an aunt who was also a caulbearer. She died the day the little girl speedily came out in her own caul. That’s not superstition, it’s just fact, but I like to believe that those coincidences are significant too.
Check out some amazing photos and some more info HERE.
Tags: caul, childbirth, in the caul, midwife, Navelgazing Midwife
The Safety of Homebirth Reviewed
Posted by doularama | Filed under News, Recommendations
Following is an abstract of a study that demonstrates the safety of midwife-attended homebirths from The Canadian Medical Association Journal. This is extremely important! People quote and misquote the findings of a very flawed study to say that homebirth is not safe and they are just wrong. Dr. Marsden Wagner, in his book Born in the USA, does a wonderful job of educating his readers on this. Too bad we’re not all his readers!
Outcomes of planned home birth with registered midwife versus planned hospital birth with midwife or physician.
Patricia A. Janssen PhD, Lee Saxell MA, Lesley A. Page PhD, Michael C. Klein MD, Robert M. Liston MD, Shoo K. Lee MBBS PhD
ABSTRACT
Background: Studies of planned home births attended by registered midwives have been limited by incomplete data, nonrepresentative sampling, inadequate statistical power and the inability to exclude unplanned home births. We compared the outcomes of planned home births attended by midwives with those of planned hospital births attended by midwives or physicians.
Methods: We included all planned home births attended by registered midwives from Jan. 1, 2000, to Dec. 31, 2004, in British Columbia, Canada (n = 2889), and all planned hospital births meeting the eligibility requirements for home birth that were attended by the same cohort of midwives (n = 4752). We also included a matched sample of physician-attended planned hospital births (n = 5331). The primary outcome measure was perinatal mortality; secondary outcomes were obstetric interventions and adverse maternal and neonatal outcomes.
Results: The rate of perinatal death per 1000 births was 0.35 (95% confidence interval [CI] 0.00–1.03) in the group of planned home births; the rate in the group of planned hospital births was 0.57 (95% CI 0.00–1.43) among women attended by a midwife and 0.64 (95% CI 0.00–1.56) among those attended by a physician. Wo men in the planned home-birth group were significantly less likely than those who planned a midwife-attended hospital birth to have obstetric interventions (e.g., electronic fetal monitoring, relative risk [RR] 0.32, 95% CI 0.29–0.36; assisted vaginal delivery, RR 0.41, 95% 0.33–0.52) or adverse maternal outcomes (e.g., third- or fourth-degree perineal tear, RR 0.41, 95% CI 0.28–0.59; postpartum hemorrhage, RR 0.62, 95% CI 0.49–0.77). The findings were similar in the comparison with physician-assisted hospital births. Newborns in the home-birth group were less likely than those in the midwife-attended hospital-birth group to require resuscitation at birth (RR 0.23, 95% CI 0.14–0.37) or oxygen therapy beyond 24 hours (RR 0.37, 95% CI 0.24–0.59). The findings were similar in the comparison with newborns in the physician-assisted hospital births; in addition, newborns in the home-birth group were less likely to have meconium aspiration (RR 0.45, 95% CI 0.21–0.93) and more likely to Abstract be admitted to hospital or readmitted if born in hospital (RR 1.39, 95% CI 1.09–1.85).
Interpretation: Planned home birth attended by a registered midwife was associated with very low and comparable rates of perinatal death and reduced rates of obstetric interventions and other adverse perinatal outcomes compared with planned hospital birth attended by a midwife or physician.
Tags: Born in the USA, Canadian Medical Association, Homebirth, Marsden Wagner
Reducing Infant Mortality
Posted by doularama | Filed under News, Recommendations
DONA International is the Associate Producer for the important film, Reducing Infant Mortality, Improving the Health of Babies. DONA International Founder, Phyllis Klaus, is featured as an expert along with many other wise and caring professionals, including Sarah Buckley and Marsden Wagner.
The film can be seen and downloaded for FREE! It is available on the web site at www.reducinginfantmortality.com.
Penny Simkin on Doulas for Birth Care
Posted by doularama | Filed under News, Recommendations
Tags: doulas, Midwifery Today, Penny Simkin
What is a Rebozo?
Posted by doularama | Filed under News, Recommendations
I’ve never used a rebozo at a birth because, up until a few weeks ago, I wasn’t trained and didn’t really know what to do with one. Several months ago, I wondered if one of those five-dollar “pashmina” shawls that are being peddled by any one of the hundreds of street and small store salesmen in my fine city would do as a rebozo until I figured out what to do with a real one and bought it. I threw one in my doula bag, mostly in case someone was cold during a birth, but also in case I got up the courage to use it. I never took it out, as births are usually warmer than cold and my rebozo experimentation never poked it’s head at those times. Recently, when placing an order through the DONA Boutique, I saw that they are selling rebozos for only $10. That is a bargain! To my surprise they had one in black. My doula motif is mostly black and white (and oh, how it isn’t), so that’s the one I had to have. I laughed when my package arrived and I saw that my rebozo looked like it had been purchased by the Nigerian guy on Broadway and 74th Street, same package and all. It doesn’t matter that it cost me twice as much. At least I know that the shawl I already have in my bag will indeed suffice as a rebozo. I’m sure DONA can put the profits to good use too.
The rebozo is a traditional Mexican garment, like a long shawl or Spanish mantilla. In addition to its use as a shawl, it is multifunctional, being used during pregnancy, labor and as a baby or toddler carrier. During pregnancy, it is used to counteract back pain, during labor to help the mother into various positions, for relaxation and to adjust the position of the baby.
When used by a doula, the rebozo is like an extension of the arms, allowing one to help support the woman’s weight and helping to ensure that she is in a good position. During the pushing stage of labor, it can be used like a tug-of-war rope to help the mother focus her pushing and widen the pelvic outlet. The rebozo can be used by a midwife to assist in repositioning a posterior or breech baby.
The most basic technique one can practice with a rebozo is used to relax the soft tissues of the abdomen and the broad uterine ligaments. It is called jiggling or sifting and is pretty much what these names imply. This method can also be used during pregnancy to help the baby get into the optimal position for birth.
For photos and videos on these techniques and more, visit Spinning Babies and Birthing Essentials.
For books and other related materials, check out The Rebozo Way Project.
For more uses, view Midwifery Today’s Transcription of the Rebozo Workshop Given by Dona Irene Sotelo and Naoli Vianver.
So, go out and get a cheap pashmina shawl. Dress it up, dress it down and carry your groceries home from the farmer’s market in it. Then, when you’re pregnant, it will help you relax and get your baby into the right position for birth. When the time comes, it will be right there to help you in labor and even support you in pushing your baby out. How great that you can then use it to carry that baby. On second thought, maybe you don’t want to get such a cheap one.
Tags: childbirth, DONA, doula, labor, Pashmina, pregnancy, Rebozo, Rebozos, Using a Rebozo
