Tag Archives: epidural

Why Kate Middleton’s Natural Childbirth Should Inspire Us All

grid-cell-11924-1373657822-26Kate had natural childbirth!

Kate had natural childbirth!

Kate had natural childbirth!

I’m not sure how reliable the reporting on Access Hollywood is, but I flipped on the TV last night to get the latest royal baby update and heard that Kate had natural childbirth.

After a Google search I quickly learned that Princess Kate was taking steps to prepare herself for a drug-free experience; and if Mario Lopez’s man on the scene is correct, doulas, midwives, and natural childbirth advocates around the United States are jumping for joy.

The US ranks among the countries with the highest rates of epidural use and Cesarian section. It’s hard to decipher exact numbers as some hospitals report childbirth stats and some don’t, but on average well over 60% of vaginal births in America employ an epidural. Some hospitals report 95% epidural use for vaginal births. 32% of births overall are Cesarian, many of which are scheduled and elective.

We Americans tend to learn lessons the hard way. We think we can create answers to life’s problems and pains by outdoing Mother Nature. (Ahem, GMOs, ahem.) And then we spend generations trying to figure out how to dig ourselves out of the holes we’ve trenched. I place childbirth in this category.

We’ve created a “new normal” in America. Over the past several decades, there’s been a shift from using chemical pain relief only when labor is not progressing to using chemical pain relief before active labor has even started. This is not the case in the rest of the world. This the numbing of America. How deep will we get before having to dig out from this one?

I’m a mom of three naturally born babies. I get it completely. Birth is painful, it’s challenging, it pushes us to our limits – the perfect introduction to motherhood. From a spiritual perspective natural childbirth is an incredible opportunity to awaken. From a confidence perspective, it’s downright empowering.

After I had my first baby, there was a procession of nurses stopping by my recovery room to congratulate me on nixing the epi. I was like a celebrity that evening. One nurse even stopped in and told me she heard me growling and screaming down the hall and felt a thrill.

Really? Just for having a baby like billions of women have before me? Really really?

I can’t count how many birth stories I’ve heard over the past 10 years. The number of natural stories are far and few, but a surprisingly high number of friends have opted for the epidural and not benefited from its effects, still feeling the intensity of labor and the pain of delivery. The epidural is not always a ticket out of the torment.

That said, I encourage OBs to encourage patients to at least try a drug-free experience. The anesthesiologist will be lingering nearby in case she needs to needle up. What I always suggest to pregnant ladies who ask for advice is this – Keep the pain in perspective. It won’t last forever. Focus on the breaks between the contractions. And just when you think you can’t take another minute of pain, have the nurse check you. You’re probably fully dilated and ready to push. Pushing will hurt, but it will be way faster without the epi.

But don’t take my word for it. There are a gazillion moms out there who have forgone that big fat needle in the spine and lived to tell about it. We need more high profile examples like Kate Middleton to let women know that natural is the norm worldwide and to inspire American women to look at the anesthesiologist and say, “Thanks, but no thanks.”

In the end, the most important part of childbirth is healthy baby, healthy Momma.  Modern medicine is a blessing. And we are doubly blessed here in America to have top notch services to provide new mothers and infants with excellent care.

A woman needs to do what is best for her and her baby and take advantage of the resources available to her during this intense time.

That might include chemical pain relief, emergency C-section, or it might include a drug-free-screaming-banshee-spiritually-uplifting-celebrity-in-the-maternity-wing delivery. No matter how that baby comes out, he’s a miracle nonetheless. As is his Momma.

 

Image via Buzzfeed

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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