Showing posts with label natural childbirth. Show all posts
Showing posts with label natural childbirth. Show all posts

Monday, December 13, 2010

Natural Childbirth Birth Plan

We meant to post our birth plan in honor of Dalia's 1st birthday. We didn't quite make it in time, but still want to share it with our readers. This is a fairly typical birth plan for women planning to labor in a birth center or hospital with midwives. There are some doctors out there who would probably be OK with some of these items, but most (if not all) will not agree to this type of plan (especially since most hospitals have procedures, time lines, and other birth policies they must always follow--hello, Business of Being Born, ever see it? It is a MUST)!

How about the you must dilate one cm per hour once you hit active labor or BOOM pitocin (you know the drill, the all-to-familiar cascade of interventions.....)

Having a natural and gentle birth (calm environment, soft music and soft voices, and gentle language and movements) can lead to a more bonded relationship with your child, not to mention it gives you a head start on gentle discipline, if you are interested in that.

So here you all go! And, if you haven't read our very abbreviated birth story, read it here.

Sarah and Steven Horowitz, Birth Plan

Birth Goal

We are attempting to have a natural, unmedicated birth without unnecessary intervention. We understand that emergencies occur and alterations to this plan may be medically necessary, but we would like to discuss alternatives and consequences of any deviation privately.

Hospital Labor Goals

We ask that our Midwife and Doula (Aimee Clark) be present for the labor. We do not want mother and father to be separated at any time during labor or delivery. All other visitors, family, and unnecessary staff should be turned away until we have had time alone with our new baby.

We ask that lights be kept fully dim, noise and voices be kept to a minimum, and the door always be kept closed for privacy. We will bring our own music to aid in natural healing.

We ask that cervical exams be kept to an absolute minimum and that fetal monitoring be intermittent rather than continuous.

We ask that the hospital staff refrain from offering pain medication at all times.

We ask that no routine IV be administered. The mother will drink and eat as she wishes to maintain natural energy.

We ask that the bag of waters not be artificially broken at any time.

We prefer to labor in one of the hospital’s tubs, if available.

Induction (if medically necessary)

We ask that non-chemical induction methods be tried first. (nipple stimulation, sex, etc) If further help is needed, please try a cervical ripening agent (but not cytotec) rather than pitocin. No pitocin.

Delivery Goals

We prefer not to have an episiotomy unless determined to be medically necessary; we would first like to try perineal massage, support and warm compresses.

We ask that the mother be allowed to try different positions (hands and knees, squatting, birth stools, etc.), if labor or delivery seems stalled.

We ask that the mother be allowed to select her pushing position.

We would like to have the baby placed on the mother's chest immediately after the birth.

We would like to try to have the baby breastfeed as soon as possible, even if delivered by a medically necessary Cesarean.

Newborn Care Goals

Do not administer the eye medication. Do not administer the vitamin K shot until we have spent some time with the baby, preferably as long as possible before leaving the labor and delivery room.

Please delay the weighing and measuring of the baby until the first feeding is complete.

Please do not offer any bottles or pacifiers to the baby without parents' notification of a medical need.

Please discuss routine vaccinations with parents before administering them to the baby.

Do not administer the Hep B vaccination.

__________________________________

So that is it. That was our plan and it went exactly as we wanted. Keep in mind my labor stalled for 3 hours at 9.5 cm (yeah, I go to the hospital at 9.5). MDs probably won't let you go that long--even my midwife was a bit up in arms. And in all honesty, I believe it was Dalia saying, "mommy and daddy, I am just not ready to leave this womb yet. I am not prepared to separate so please give me more time." I also believe it was my body telling everyone that it was not ready. I was not ready to become a mommy. It wasn't the right time.

In the end I did end up letting my midwife break my bag of waters. Funny enough Dalia was being born in the bag of waters (apparently a sign of good luck in Asia). At that moment, I caved, but no regrets there.

Birth is not just a physical task. It is mental, emotional, psychological, physiological, and personal. Your whole self has to be ready to have a baby, not just your cervix!



Sunday, June 27, 2010

Banning Doulas

This post on a blog I frequent, Dou-la-la, is totally upsetting.

I would probably drive across state lines or have a home birth if the practices near me put up a sign like this. Unbelievable! Offices that allow for and assist in natural childbirth care more about the laboring woman, her unborn child, and the connection/bond between the family! They aren't as worried about being sued or getting back to their lattes and ordering an emergency cesarean. Midwives understand that labor takes time and that women's bodies know what to do. There are obvious cases when complications arise (and those should be dealt with on a case by case basis) but any place that has a sign like that up in their office is definitely not for me.



Sunday, June 20, 2010

Father's Day Birth Story

(A post from H.)

For my first Father’s Day we drove to Sarah’s aunt’s house to spend time with several of the dads in our lives. We took a familiar highway, and each time we drive along that road, I’m reminded of the time we spent on it the morning we prepared to welcome our beautiful baby girl into the world. Today is an especially good day to recall that day, so I think I’ll share the story. (It’s a long one but it ends with the greatest moment of my life.)

On Sunday, November 22nd, an extremely pregnant Sarah and I decided to spend much of the day walking around an enormous nearby mall, which was taxing for both of us but Sarah in particular felt exasperated after about an hour. Having worked up an appetite, we decided to collect the ingredients for Sarah’s famous kosher turkey enchiladas, complete with homemade enchilada sauce. But we had little luck collecting ingredients and had to travel to four different grocery stores to get what we needed. It was in those various grocery stores that we began to sense that something was afoot: Sarah was feeling new kinds of cramps, one of which had her doubled over in a checkout line (Tofutti sour cream in hand), laughing hysterically to keep from crying.

Thanks to our fabulous Bradley teacher, whose methods we were committed to from the start of our pregnancy, we knew what we had to do when we got home: walk, eat, drink, shower, and sleep. If these new sensations continued through each of these activities, we would soon meet our baby. We took care of the walking already, so we started with a delicious dinner, after which Sarah took a bath with soothing music (our labor playlist) and aromatherapy, but the contractions persisted—in Sarah’s words, “Owie! That hurts!” To get ready for the greatest athletic event of our lives, we decided to go to bed to get some rest.

As I snored the night away, Sarah dosed in and out of consciousness, experiencing moderate contractions throughout the night, but by 4:45 Monday morning they were getting stronger and more frequent so she decided to wake me up to assume my role as contraction timer and husband-coach. As we lay anxiously in bed for 45 minutes, the contractions came once every six to eight minutes—this baby was not fooling around. I got up to make Sarah a simple breakfast of oatmeal and she took a shower. At 6:00 we called our amazing doula Aimee, at which point the contractions were reliably six minutes apart (a sign for many that it’s hospital time, but we wanted to labor at home as much as possible). Between then and Aimee’s arrival, I coached Sarah through contractions (lean on me, honey; relax your brow; this pain means we’re meeting our baby girl!), but otherwise I was on prepare-the-house duty, making sure that we wouldn’t come home to dishes in the sink or trash that needed to be taken out. Aimee arrived just in time at 7:15; the contractions at that point were getting very hard to deal with.

She went through the entire bag of doula tricks: massaging Sarah in the bath, using the rebozo, squeezing Sarah’s pelvic bones, and more. I timed contractions and made sure my beautiful, laboring wife stayed hydrated and ate when she could, giving her lots of honey sticks and at 9:15 her last “meal” before Dalia’s birth—a cup of applesauce.

Our first contact with the hospital was an 8:00 a.m. check-in with our midwife Carol, who wanted to speak with Sarah. Sarah was in the tub, but we put her on the phone. Carol asked many questions, trying to get Sarah to talk through her contractions, which at this point she could not do. Carol’s response: “It sounds like you have everything under control, and there’s no reason to rush in here since you want to do things without pain medication. Call us when your contractions are between 2-3 minutes apart for an hour.” (That advice may seem crazy to some, but it was just what we wanted.) The contractions had already gotten close to 2-3 minutes, but they slowed while Sarah was in the tub to 4-6 minutes again. That changed when Sarah got out of the water, and we realized that we faced a rush hour trip downtown to the hospital. The contractions were consistently close for an hour, and we loaded up and left by 9:45 a.m.

The car trip—the memory of which was conjured up by this morning’s drive—was eventful. Our planned highway route was derailed by the unexpected closure of the nearby entrance. Along our alternate route, we saw another entrance to the original highway option, which we planned to take but turned too early and ended up going five blocks in a circle before successfully joining the caravan of downtown commuters. My laboring princess in the passenger seat weathered the mishaps and bumps like a champ, although her few contractions (six in 45 minutes) were extraordinarily unpleasant and made her quiver with tears. I suppose the Corolla wasn’t designed for childbirth.

The contractions that seemed to hibernate during the car trip returned with a vengeance as soon we got out of the car at Prentice, one after another and more intense than ever before. We moved quickly to triage, where the receptionist made Sarah hold her overflowing bladder (recall the water she had dutifully consumed all morning) for a urine sample. The triage nurse saw Sarah and immediately called for backup, and after Sarah miraculously provided what the receptionist had demanded, the two nurses went to work. In the first examination we ever had—we declined them at our recent visits to the midwives—we learned that Sarah had dilated 9.5 centimeters! What a relief! In the car Sarah had cried in fear that she would arrive only to be told that her cervix hadn’t budged. Anyway we rushed (walking, to the nurse’s manifest surprise) to our gorgeous new room with a view of Lake Michigan, arriving by 10:45 a.m. At that point I called the family for the first time to let them know what (and who!) was coming.

Our birth team assembled: Carol, our midwife; Meghan, our doula-turned-nurse from North Carolina; Aimee, our doula; and then someone unexpected, a young resident named George who wanted to observe our birth. George was not part of our planned team, and although Sarah gave George some hope of staying as he sought her permission during a contraction, my position was clear: the birth plan we gave to the hospital months before said no unnecessary personnel, and George, nice as he was, was unnecessary. He wanted to see the rare natural birth we were planning, but our comfort was more important than his education.

Having been told by the triage nurses that Sarah was almost fully dilated, Carol said we should push right away. But Sarah’s body resisted; something inside her said, “Wait, you’re not ready to meet this baby yet, so just breathe and relax.” After the false start, we spent a good two hours laboring in the delivery room (there, Sarah’s dirtiest expletives were “Oh my goodness!”), in the shower, walking, rocking, sitting—anything but lying on the bed. Throughout Sarah stayed hydrated to avoid an IV, or indeed any unnecessary intervention, and we kept the lights dim and the labor playlist just loud enough to maintain a peaceful hospital environment, as much like home as possible. Save Carol’s repeated admonitions (“To stay at 9.5 this long isn’t normal; we don’t I break your bag of waters?”), which we calmly resisted as a team, it was exactly the hospital experience we envisioned and had hoped for. When it was time, Carol was a model Dalia-catcher, placing Sarah on the birthing stool—again the bed was not for us, nor is it an especially natural position birthing babies in general—and coaching Sarah through the last of her contractions. Sarah breezed through the pushing stage in twelve minutes, at the end of which our lives changed forever. At 2:48 p.m., we held for the first time the light of both our lives, our wondrous Dalia Liat. We had the perfect, and perfectly natural, birth we had planned!

There is no greater Father’s Day gift than the memory of Dalia’s birth. It’s so wonderful, in fact, that I just couldn’t keep it to myself.

Monday, May 17, 2010

Breakfast at the Doula's House

We loved everything about the birth of our baby, Dalia. One of the best decisions we ever made was to hire a doula, or labor assistant. Our doula came to our house and helped us labor at home in our tub, selected music, and used various techniques to help facilitate the natural birth that we desired (including massage, whohoo!). We attribute much of our success in natural childbirth to having an amazing doula. She advocated on our behalf and provided consistent guidance and support. She told us that we could do it when others around us doubted it. She believed in what we were doing and reminded us that the decision we made was worthwhile. She was refreshing for us. She listened, cared, and was empathetic. She even came by our home on Thanksgiving for our post-partum check-up--now THAT is dedication!

Yesterday she and her husband invited us for breakfast at their lovely condo in Chicago. We had a wonderful time sipping lattes and eating a scrumptious meal. After a lot of solid food talk, sleep schedule talk, and mommy talk, we called it an afternoon and said thank you. Fortunately, they live quite close to Lake Michigan, so our family of three took a stroll to the icy blue water in the Sunday sun. Mommy had her camera in hand:





















Tuesday, May 4, 2010

New Baby!

NOT mine, obviously!

My cousin and his wife welcomed their second baby girl, Kiera Layne, into the world yesterday! We talked briefly and I congratulated R and M on a successful natural childbirth. There is nothing like a woman being in full control of her body, dominating the seemingly uncontrollable.

Natural childbirth is beautiful. Natural childbirth is natural! Can you tell I am a huge believer in natural childbirth?

They were obviously very busy bonding with the new baby so our phone conversation was cut short. I can't wait to see the newborn baby! My eyes are already welling up!

Congrats!