Tag Archives: cesarean

New Motherhood: 5 Ways to Thrive in the Postpartum Period

Vanessa's Sunshine!!! Emilía.

By Zoe Etkin

In America we desperately need to let go of “super mom” syndrome. The expectation that women should be back to work, back in shape, and somehow managing everything else, in 6 weeks or less is just not a realistic portrait of new motherhood. I propose a new way, well, an old way, really, of viewing the postpartum period. One that honors the mother just as she is in her unique journey. The number one issue is the length of maternity leave in this country—6 weeks doesn’t cut it. But I won’t go down that rabbit hole, as government reform is what is required to make that change possible. There are, however, things we can do, as new mothers, and as those who support new mothers, to make the postpartum period less stressful and more enjoyable.

  1. Enlist family and friends for support, but set clear boundaries. Moms: give your friends (family too) specific hours that they should visit. Make it brief—2 hours tops—enough time for them to throw in some laundry, grab you a snack, and hold the baby while you shower. Friends/family: When you visit a new mom, focus your attention on her. Often people get wrapped up in the excitement of the new baby (totally understandable—babies are amazing), but at the exclusion of the mother. Let her know what a good job she is doing, then moon over the baby when she’s taking a little “me time.”
  2. Part of recovering from your birth, and producing milk to feed your baby, is maintaining good nutrition. Sitting down to eat a full meal is often not possible for new moms, so it’s important to have healthy snacks and water available at all times. Simple snacks I recommend are avocadoes, almonds, eggs, trail mix, fruit, and smoothies. Preparing meals before the baby comes is a great idea too. Prep a few homemade veggie lasagnas, soups, and other easily reheated meals for the first weeks home with baby. You’ll probably be offered meals from friends and family as well. Streamline that process by choosing someone to set up a Meal Train for you. This website allows you to state food preferences, times you’d like food delivered, and if they are to just drop it off (rather than come in). Fresh meals at your doorstep are such a blessing to families with newborns.
  3. Diapering/Nursing Stations: If you have a larger home, particularly multi-level, you don’t want to be trekking up and down the stairs to change baby’s diaper, or feel tethered to one spot for nursing. Purchase a few small baskets and stock them with water, nuts, diapers, nursing pads, burp cloths, a clean onesie, wipes and nipple/butt cream. Place one basket by your bed, one in baby’s room, and one in the living room/where ever else you’ll be nursing. I highly recommend these to women who’ve had surgical births, as stairs can be uncomfortable to navigate during recovery.
  4. Hire a postpartum doula. No really, I’m not just plugging my own work! What we do as postpartum doulas is focus on the mother’s needs, emotional and physical, assist with breastfeeding, give newborn care instruction, watch siblings, perform light household maintenance, and provide resources and referrals, among other things. With many new mothers’ partners away at work, the doula can provide relief, support, and encouragement. Our hearts are so open as doulas, we absolutely love watching our clients grow into confident, amazing parents. We’re there to support the partners as well, and the siblings, making sure the household is running smoothly, but our number one and two priorities are mother and baby.
  5. This is for you, mama: make time to take care of yourself. I know it seems impossible with a newborn, but schedule it into your day. When your friend, relative, postpartum doula comes over, make sure one thing they do is hold baby while you nap, exercise, eat, shower, meditate, or whatever else feels good to you. You’re not super woman, and we need to stop making our mamas feel like they need to be. It’s okay to be exhausted, frustrated, overwhelmed. It’s also okay to accept help when it’s offered, and ask for it when you need it. We’re a society of hard workers, but we must balance that work with self-care.

Finally, set up your postpartum support system prenatally, making the transition into new motherhood more easeful. Take the journey one day at a time. It will get easier. Your baby is only this small for a short part of her entire life. You are doing an amazing job, right where you are in this moment.

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76773_582146197395_8154608_nZoe Etkin is an LA-based CAPPA trained birth and postpartum doula, poet, and teacher. She earned her MFA in Writing from CalArts, where she earned the Beutner Award for Excellence in the Arts. She is the editor of Red Sky: A Literary Journal, and her own poetry can be found in many print and web publications. She is committed to educating and empowering women, supporting families, and promoting good writing.

 

Photo credit: David Terrazas

Positive Birthing: 5 Practical Steps to Optimize a Joyful Birth Experience

GeborgenheitBy Ana Paula Markel

In this day and age of media and busy schedules, first time parents are bombarded with images and articles about childbirth. It becomes very hard for one to prepare for the birth of a baby without images on TV that most of the time portray the birthing process as either medieval torture or ridiculous comedy.

The United States has one of the highest induction rates, in some hospital nearly 50% of women do not go into labor on their own, and with that a very high epidural rate and cesarean rate (approximately 34% in the US); more than double of what the World Health Organization recommends (10-15% in developed countries). And that is not even the worst. Not only are the cesarean rates high but our NICUs (neonatal intensive care units) are full, so whatever we are doing here… it is NOT working.

Luckily, not all media is bad, and women are learning that the childbirth movement is a human rights issue. Women do have the right to:

  1. Be treated with respect
  2. Be informed with evidence about their care in labor and in postpartum

Women are finally understanding that birth belongs to them and their families. Childbirth is not a medical event. A woman is never healthier than when she is pregnant. And yes, of course complications could arise, but that is when appropriate medical or midwifery care becomes important, mostly if the mother and her caregiver have an open, honest, and clear relationship.

Here are some of 5 things a woman can do to optimize her chances of having a joyful experience:

1) Choose your care provider carefully.

A midwife or a doctor are ultimately the ones who will make the medical decisions regarding a woman’s care during labor. They are the ones that sign the birth certificate and are in charge of the well being of the mother and baby. Research the best care provider for you, the one that matches your philosophies about the birth process. Some care providers have a very paternalistic relationship with their patients, and that is not wrong or bad if you want someone who will take charge of the experience and make decisions for you…

I do have to say that as a working doula, that is definitely not where the majority of women are these days. Women want to have a voice and say in their care, so hiring a provider who listens to your needs, respects your views, and explain things in terms you can understand will definitely impact how you feel about your experience.

Ask potential care providers how much time they spend with women in prenatal visits, how they view women’s position in making decisions for their care and birth, and mostly if they enjoy attending births even if in the middle of the night, on weekends and holidays. Share your views on childbirth and note how they respond, not only what they respond. Do they seem excited by your questions? or annoyed? Are they defensive or appreciating the dialogue. Ask your friends, ask women on random pregnancy lists and lastly, ask the doulas in your community. Doulas know all and tell all, which brings us to number 2…

2) Hire a doula.

Evidence is clear that doulas have an immense impact on the woman’s experience of her birth. Studies have shown that the presence of a doula (professional labor support and information) will decrease cesarean rates, induction rates, and medical interventions.

But mostly, doulas help improve birth satisfaction by asking mothers what they want and listening to them. Doulas are also incredible facilitators and mediators of conversations between the woman, her family, and her medical team. They do not make decisions for clients or they speak for the woman, but they certainly inform women of pros and cons and risks and benefits of every possible option, allowing the mother and her partner to make informed and conscious decisions. Doulas are supportive of the woman and her wishes regardless of whether she chooses medications or medical procedures or not. Doulas do not judge. They inform, support and mostly listen.

3) Choose your birth nest wisely.

Humans are cute and fancy mammals because we can think and that is fabulous… until we go into labor. Other mammals seem to have shorter and less complicated birth than ours and mostly because they do not think, but rather act on instincts. In order for a woman to allow this primal self to come out she needs to feel SAFE. Mammalian birth is all about safety. Women birth better where they feel safe – and that is why hospital birth is not for everybody and homebirth is not for everybody.

A woman needs to consider what does she need in order to feel safe? Quietness, prayer, people she trusts around her, equipment, skilled professionals, an OR next door? Regardless of what her answers are, they do not mean anything if the place she is planning to birth does not offer that. Most women these days are somewhere in between – they want freedom to move and cope with labor and reassurance that the baby is coping well with labor. That is common sense. A simple hospital tour may answer your questions, but asking the community is vital for you to be certain your birthing location is just right for you.

4) Create a sense of community.

Find a supportive community that trust birth, that listens to and honors your wishes. Think about our ancestors, regardless of where we come from. Women have always surrounded themselves with a village of support. Aunts, grandmothers, cousins, neighbors. In our modern lives we are focused on tasks, schedules, and work. Pregnancy is a time to reclaim your village, to connect with other women who are going through similar situations and the ones who have gone before us. Birth is a right of passage, and even big city, evolved, accomplished professionals need the support of their community

5) Practice flexibility. There is a lot we can plan about birth, but there is a lot we cannot. One of the most beautiful things about birth is that we do not control it. We can’t control nature, we respect it, protect it and allow it to amuse us. It is the same with birth. Every child comes with a unique story that will ultimately equip parents with tools that they acquire in labor.

And lastly, enjoy yourself. Take time to do research, read evidence based information but do not let this process consume you as if birth was a college course. Childbirth is a very simple process, by hiring a team and place you trust you will find time to enjoy this unique and special time in your life.

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AnaPaulaOriginally from Brazil, Ana Paula Markel is a childbirth educator, a certified doula with DONA (a leading doula organization), a DONA-approved birth doula trainer, and a certified childbirth educator through ICEA (International Childbirth Education Association). She is the founder of Bini Birth, a center in Los Angeles dedicated to childbirth education classes and workshops, doula training workshops, parenting
classes, doula referrals, and green pregnancy retail. Ana Paula created Bini to fulfill her life’s mission to comfort and spread evidence based information and joy about the birth and parenting process. She lives in Los Angeles with her husband and four healthy, happy, and vibrant kids.

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