Shower during labor
If you’re planning to birth at a hospital use the shower- it's a game-changer!As a doula, I've witnessed firsthand how this simple act can help moms relax, and find relief from labor discomforts.
Here, I offer you a few tips when using the shower at the hospital during labor:
1️⃣ Safeguard the IV port: If there's an IV port, kindly ask the nurse to cover it with plastic to keep it dry.
2️⃣ Set up your comfort zone: Cover any shower stool or bench with a clean towel, and if you're up for it, bring along a birth ball for extra relaxation. Just remember, not to cover the drain (flooding).
3️⃣ Pack your essentials: Have your favorite toiletries ready for pampering. A little shampoo and soap can go a long way in making you feel refreshed.
4️⃣ Towels: Place plenty of towels in the bathroom to dry off.
5️⃣ Temperature: Get that water running before you step in. Hospital water might need to be cranked to "hot" at first to get it warm.
6️⃣ Play some tunes: If you've got your labor playlist, bring the music into the bathroom with you.
7️⃣ Lights: Dim those bright lights or switch to battery-operated candles for a serene ambiance. If you need extra light, brighten up the room outside or crack the door slightly.
8️⃣ Companionship: Have a supportive presence nearby. Whether they're holding the hand shower, or waiting outside the door; ask for what YOU need.
9️⃣ Hydration: Stay hydrated! Keep water close by.
Delayed Cord Clamping: A Gentle Start to Life
The journey of childbirth is a remarkable and transformative experience, not just for the parents but also for the newborn. Amidst the array of decisions that parents must make during this time, one that has gained significant attention in recent years is "Delayed Cord Clamping." In this blog post, we will explore the wonders of delayed cord clamping, the advantages it offers to newborns, and why more parents are opting for this gentle approach to welcome their little ones into the world.
Understanding Delayed Cord Clamping:
Delayed cord clamping is a practice in which the umbilical cord is not clamped and cut immediately after the baby is born. Instead, waiting for the cord to stop pulsating before clamping the cord. This delay allows extra blood to flow from the placenta to the baby, providing a host of benefits that can positively impact their health and well-being during the crucial transition from the womb to the outside world.
Advantages of Delayed Cord Clamping:
Optimal Blood Transfer: Delayed cord clamping ensures that the baby receives the maximum amount of blood from the placenta, which contains vital nutrients, stem cells, and oxygen. This additional blood can be equivalent to one-third of the baby's total blood volume, providing a valuable boost to their system.
Increased Iron Stores: The extra blood obtained through delayed clamping enhances the baby's iron stores, reducing the risk of iron deficiency and anemia during the early months of life.
Better Brain Development: Studies suggest that delayed cord clamping may support improved neurodevelopment in infants, potentially leading to better cognitive outcomes later in life.
Enhanced Immunity: The rich supply of stem cells and immune-boosting factors in the placental blood can bolster the baby's immune system, offering increased protection against infections and illnesses.
Cardiovascular Benefits: Delayed cord clamping has been linked to improved cardiovascular stability in newborns, especially in preterm infants, reducing the likelihood of complications.
Lower Risk of Respiratory Distress: Babies who undergo delayed cord clamping are less likely to experience respiratory distress syndrome, a common condition in premature infants.
Support from Leading Medical Organizations:
The benefits of delayed cord clamping have gained recognition from esteemed medical bodies, including the World Health Organization (WHO) and the American College of Obstetricians and Gynecologists (ACOG). Both organizations recommend delayed cord clamping for at least 30 to 60 seconds in all newborns, and up to three minutes for preterm infants.
When Delayed Cord Clamping May Not Be Suitable:
While delayed cord clamping is generally considered safe and beneficial, there are situations where immediate cord clamping might be necessary. These instances include emergency situations where the newborn requires immediate medical attention, or when there are complications that require quick intervention.
Conclusion:
Delayed cord clamping is a simple yet powerful practice that can significantly impact the health and well-being of newborns. By allowing the baby to receive the full benefits of their placental blood, parents can provide a gentle and nurturing start to their child's life. The increasing recognition and support from medical experts highlight the importance of this practice in modern childbirth. For expectant parents, discussing delayed cord clamping preferences with their healthcare provider and including it in their birth plan can foster a positive and informed birthing experience, ensuring the best possible beginning for their little bundle of joy.
Embracing the Journey of Motherhood: Trusting the Unknowable
Mama,
As you embark on the miraculous journey of pregnancy, there's something important I want to share with you. Something that cannot be fully understood until experienced firsthand. It's about the extraordinary process of labor and how it defies words and expectations. So, let me offer you some heartfelt advice and assurance as you prepare for this incredible chapter of your life.
During pregnancy, thoughts of childbirth may start to fill your mind. You'll hear stories, seek advice, and imagine what it might be like. But trust me when I say that no amount of preparation can fully encompass the magnitude of what lies ahead. Just as you can't comprehend the intricacies of a long-lasting and seasoned love until you've lived it, birth too is an enigma until you're immersed in its embrace.
You may reach out to me in the midst of contractions, excitedly noting their timing and intensity, believing that the time has come. And while I'll listen attentively, there's a likelihood I'll urge you to rest. To take a bath, sip a glass of wine, or simply carry on with your day, gently disregarding the sensations within your body. They may be new and uncomfortable, but trust me when I say that they are merely the beginning. There is much more intensity to come, beyond what you can currently fathom. Please, trust me on this.
I don't doubt your knowledge of your own body, but remember that this is your body doing something it has never done before. It's uncharted territory, even for you, who has inhabited it since birth. Yield to it without analysis. Observe the sensations, yes, but continue with your ordinary life. Eventually, you'll be carried away by its powerful tide, where thoughts will diminish. You'll be left only with the colors, feelings, and pure physicality of the most profound experience you've ever had.
If you believe labor is progressing, wait for two hours and reassess. If you think it's time to head to the hospital, birth center, or call the midwife, challenge yourself to wait an additional 3 or 4 hours. Wait longer than you think you can bear, and then, my dear, you're likely truly in labor. Until that moment, please, for the love of all that is sacred, try to sleep if you can or at least find rest and distraction. Hold out for as long as possible.
I recently read a beautiful insight from a fellow birth keeper, and it resonated deeply: "She was one of the only mothers who actually listened to me when I told her that birth often can take a while, and it will become more intense than you ever thought you could live through, and while I’m more than happy to come to your house early on and hang out, I cannot emphasize enough how helpful it is to rest during the early stages of birth, and that it will benefit you not to ask me to arrive before your baby is well on her/his way." – Yolande Clark
In labor, control and competition hold no place; there is only surrender. It requires letting go, allowing yourself to be carried away. You must step aside, freeing your sharp, well-informed mind to take a backseat. Your idealized images must yield to the raw reality of the present moment. You must release yourself, entering into the pain and allowing it to envelop you, as if it were your trusted guide leading you from the maiden you are now to the mother that is about to be born within you.
Home Birth
More and more expectant parents are considering the option of giving birth in the comfort of their own homes. While it may not be suitable for everyone, there are numerous benefits to choosing a home birth. In this blog post, we will explore some of the advantages that home birth offers.
Familiar and Comfortable Environment: One of the most significant benefits of having a home birth is the ability to give birth in a familiar and comfortable environment. Being in the comfort of your own home can help create a relaxing atmosphere, reduce stress, and promote a sense of safety. This can positively impact the laboring person's overall experience, potentially leading to a smoother and more satisfying birth.
Increased Privacy and Control: Home births provide a level of privacy and control that may be lacking in a hospital setting. Many individuals find the idea of laboring and giving birth in a space they have personalized and prepared for the occasion empowering. It allows them to establish their own pace, create a birth plan that aligns with their values, and have a say in the overall experience. This control can contribute to a more positive birthing experience and help foster a sense of empowerment.
Personalized Care and Continuity: Another advantage of home birth is the opportunity for personalized care and continuity of support from a midwife or a qualified birth professional. Midwives who attend home births often build strong relationships with expectant parents throughout the pregnancy, providing comprehensive prenatal care, education, and continuous support during labor and postpartum. This personalized approach allows for individualized attention, building trust and confidence between the birthing person and their healthcare provider.
Reduced Medical Interventions: Research suggests that home births tend to have lower rates of medical interventions compared to hospital births. In a home birth setting, there is generally a lower likelihood of interventions such as epidurals, episiotomies, vacuum or forceps-assisted births, or cesarean sections. For low-risk pregnancies, this can be advantageous as it reduces the potential risks associated with unnecessary medical interventions and promotes a more natural birth experience.
Enhanced Bonding and Family Involvement: Home births often provide a unique opportunity for enhanced bonding and family involvement. Loved ones, including partners, siblings, and other family members, can be actively present and involved in the birth process. This allows for a more intimate and inclusive experience, promoting stronger bonds and a sense of togetherness. Siblings, in particular, may benefit from witnessing the birth of their sibling in a familiar and non-threatening environment.
Canvas Rebel Interview
“The mission behind The Intuitive Womb holds deep personal meaning to me. As a woman who has gone through the birth portal, I understand firsthand the significance of feeling heard, supported, and respected during this process. Becoming a mother ignited a strong desire within me to stand alongside and serve women, supporting them in embracing and harnessing the incredible power of birth and womanhood".”
Read more: Check out the interview
Dancing with your baby!
There's something magical about the way music can transport us to a different world, igniting a spark within us and bringing us closer to those we love. One of the most delightful experiences I've had as a parent is dancing with my babies. From the moment they were born, I knew that music and movement would play a special role in our bond.
Dancing with your baby creates a unique connection, a language beyond words. With every step, every spin, and every bounce, we communicate in a language of love and happiness. It's a dance of trust, as your baby instinctively places their tiny hands in yours, knowing that you will guide and protect them.
The beauty of dancing with babies lies not only in the joy we share but also in the developmental benefits it brings. As you move together, their motor skills are enhanced, their sense of balance and coordination are nurtured. They learn to feel the rhythm, to explore their own movements, and to express themselves through dance.
But beyond the physical and cognitive benefits, dancing with your baby creates lasting memories.
Since my kids were babies, I've introduced them to a variety of music, from soothing lullabies to upbeat tunes that make us both dance and smile. These moments become snapshots in our shared history, imprinted in our hearts forever.
As my kids grow, our dances evolve. What once was gentle swaying turns into enthusiastic twirling and silly dance-offs. We experiment with different styles and genres, laughing as we attempt new moves and create our own unique routines. It's a journey of self-expression and creativity, fostering their confidence and joy in movement.
Dancing with my kids is not just about the physical act of dancing; it's about creating a space where we can connect deeply, where we can celebrate life together. It's about embracing the present moment, letting go of worries, and immersing ourselves in the pure joy of movement and music.
So, to all the parents out there, I encourage you to dance with your baby. Let the music guide you, and let your hearts dance together. Embrace the laughter, the silliness, and the joy that fills the room. These precious moments will weave a tapestry of love and connection that will forever shape your relationship.
In the dance of parenthood, let us twirl, spin, and sway with our little ones, cherishing each step along the way. For in these dances, we create memories that will last a lifetime and a bond that will remain unbreakable.
Keep dancing, my friends! 💃💕
Inductions
In Western society, the majority of women and families are aware that inductions are recommended when it is considered safer for the baby to be delivered rather than remain in the mother's womb. Many individuals are also aware that one of the primary reasons for suggesting labor induction is when the pregnancy has surpassed a certain duration, and the baby is perceived as "overdue." Additional grounds for recommending induction include advanced maternal age, early rupture of membranes, a suspected big baby, or the presence of a health issue or medical condition in the mother. Women and families frequently receive information about the benefits of labor induction, but the potential drawbacks are often overlooked. However, this approach lacks accuracy. The truth is that every option has its pros and cons. In fact, there are various factors to consider for women when making a decision regarding the induction of labor.
It's essential to consider the benefits, risks, and alternatives when deciding on whether or not to induce.
Here are some factors to consider:
Risks and complications: Labor induction, like any medical intervention, carries certain risks and complications. These can include an increased risk of uterine hyperstimulation, fetal distress, operative delivery (such as cesarean section), and postpartum hemorrhage. It's crucial for women and families to be aware of these risks and discuss them with their healthcare providers.
Impact on the birth experience: Induced labor may progress differently than spontaneous labor, and some women find that the process is more intense or painful. Induction often involves the use of medications or medical procedures to initiate or augment labor, which can affect the natural progression of birth. Understanding these potential impacts can help women make informed decisions about their birth preferences.
Emotional and psychological factors: The decision to induce labor can have emotional and psychological implications for women and their families. Some women may feel disappointed or frustrated if their birth does not proceed as they had hoped, especially if they desired a spontaneous onset of labor. It's essential to consider the emotional well-being of the mother when discussing induction.
Individual circumstances: Each woman's situation is unique, and what may be a suitable option for one person may not be the best choice for another. Factors such as the mother's overall health, the baby's well-being, and any specific medical conditions should be taken into account when considering induction.
Informed consent: It's crucial for healthcare providers to provide comprehensive and unbiased information about labor induction, including both the benefits and drawbacks. Women and families should have the opportunity to ask questions, express their concerns, and make informed decisions based on their individual circumstances and values.
Ultimately, the decision to induce labor should be made through shared decision-making between the woman, her family, and her healthcare provider, taking into account all relevant factors and considering the potential benefits and risks of the intervention.
How milk composition influences mothering styles
When supporting new parents, I often discuss the fascinating comparison between humans and kangaroos. Kangaroos are among the few mammals that give birth to their babies at a less developed stage than humans. After birth, kangaroo joeys crawl up into their mother's pouch and attach themselves to the nipple, essentially feeding around the clock. Similarly, human babies, if given the chance, instinctively crawl up their mother's chest and latch onto the breast for nourishment. They require frequent feeding. Unfortunately, unlike kangaroos, we don't have a natural pouch. However, we have the advantage of strong arms, a comfortable curvy body to lie on, and the ability to create a makeshift pouch by wrapping fabric around ourselves.
Humans belong to the category of "carry" mammals, which includes apes and marsupials. These mammals give birth to the most underdeveloped infants compared to other mammals. Our babies are entirely reliant on their mothers for sustenance, warmth, and protection. They need to be fed frequently, resulting in human breast milk having relatively low levels of fat and protein.
In contrast, there are other types of mammals known as "follow" mammals, such as horses and giraffes. Their offspring can walk shortly after birth and can keep up with their mothers, enabling them to feed more intermittently. The milk of these mammals has slightly higher fat and protein content than that of carry mammals. "Nest" mammals, like dogs and cats, leave their babies for periods of time and return intermittently to nurse them. Consequently, their milk needs to be higher in fat and protein to sustain the babies during the waiting periods. Lastly, "cache" animals, including rabbits and deer, leave their babies in a safe location and return every 12 hours or so to nurse them. As a result, their milk contains much higher levels of fat and protein to provide sustenance for longer durations.
Many baby books mistakenly categorize humans as nest animals, when in fact, we are carry mammals. Human babies naturally seek constant physical contact and frequent feeding. Our breast milk is perfectly designed to meet these needs. This behavior is entirely normal for newborns.
Informed Consent
Informed consent in childbirth refers to the process in which expectant mothers are provided with comprehensive information about their medical options, potential risks, benefits, and alternatives before making decisions regarding their childbirth experience. This approach emphasizes the importance of respecting a woman's autonomy and right to be an active participant in decisions related to her own body and the birth of her child.
During the informed consent process, healthcare providers discuss various aspects of childbirth, such as available interventions, pain management options, potential complications, and the overall birth plan. They provide information in a clear and understandable manner, ensuring that the mother comprehends the relevant details necessary to make informed choices.
Informed consent promotes shared decision-making and acknowledges that the mother is the ultimate decision-maker in her own healthcare. It recognizes her right to be fully informed and involved in the decision-making process, empowering her to make choices that align with her preferences and values.
Ultimately, informed consent in childbirth aims to foster a collaborative relationship between the expectant mother and her healthcare team, fostering trust, respect, and a sense of ownership over the birthing experience.
The Holistic Stages of Labor, by Whapio Diane Bartlett
Beautiful article written by: Whapio Dianne Bartlett, Traditional Midwife and Director of The Matrona
Embarkation
(Pre-labor and Latent Labor)
Labor is a Journey. The preparation has often been elaborate, conscious and consuming. There is usually an all-important ritual of Arrangement preceding the actual event. We call it nesting and Mother has moved about in a final flurry of activity, taking care of all last details…clothes are washed, food fills the freezer, house is ship-shape…all is in order.
Nesting is part of Embarkation. Mother senses that labor is soon. Perhaps contractions and the loss of a bit of the cervical mucus has offered a hint that the journey is about to commence.
Then it does begin and Embarkation is also the time when a woman realizes that labor is truly here. Mother is excited, maybe a bit nervous, concerned for the welfare of her loved ones having made sure that they will be well taken care of while she is gone. As the Journey is launched she may call all her family to her to bid them goodbye or, depending on her custom and constitution, she may silently take leave with her partner and companions. Usually, at this time she alerts her chosen caretaker. If she is birthing at home, she notifies her midwife who may or may not arrive immediately depending on the mother’s preference. If she is planning to give birth in a hospital or birthing center, she may notify her chosen caregivers and remain at home until other changes occur. Often, moms wish to spend time acclimatizing to the sensations the body offers before they actually connect with their birth attendants. Most moms are aware that labor is still in early phases and are excited and managing their energy very well.
During this time the Mother often feels like talking and sharing impressions as she is pulled away from ordinary reality. She may be chatty and relate information about each contraction or each sensation. She usually stays centered as she is stretched and molded; her sensations become stronger, more intense, powerful. Most Moms experience this as varying degrees of pain. The waves of contractions repeat with increasing intensity and frequency and the Mother is swept toward the Unknown.
In modern parlance this time would be considered pre-labor and the latent stage of the First Stage of Labor. Physically, the cervix is beginning to efface and dilate and this stage lasts until the Mother reaches 4 to 5 cm dilation. Contractions are usually 30 to 45 seconds long and 5 to 10 minutes apart. As Mother comes closer to the chasm that separates her from ordinary reality, contractions build in intensity and become coordinated and rhythmic. It becomes apparent that the Mother is being called away – she is less and less present in ordinary reality with each successive contraction. Her chatty persona disappears, replaced with a growing seriousness.
As she feels herself pulled toward the Veil she will probably want to connect with her caregivers. She may feel the need for the presence of the midwife or doctor because she understands that she will be leaving ordinary reality, taking a definitive step into the unknown, and she wants her caregivers to be aware and ready to witness.
Entering the Veil
(First Stage, Active Labor)
The Mother reaches a point in her traveling where it is time for her to go alone. The endorphins released by her body during her embarking have begun to change her consciousness and she enters, more deeply, the realm of the altered state. She travels to the edge of her normal reality, parts the Veil and goes beyond. The Veil is my nomenclature for the curtain that separates ordinary reality from the deep altered state. Brain wave patterns have begun to slow down and change from Beta (ordinary reality) to Alpha (the bridge into the subconscious) in the Embarkation phase. Now, in the next stage of labor, brain wave patterns slow down even more and mother has access deep into Theta (the subconscious). The aloneness reflects the fact that women move into a place of self-direction that seems to emanate from a grounded yet altered place in them. The Veil is that stage of labor that heralds the change to this new place. This doesn’t mean that a mother wishes to be alone and that others are not relevant. Rather, it signals the shift into a more self-directed realm.
Mothers may approach the Veil several times before deciding to move through. Circumstances may also prevent the mother from moving through. Constant questioning, especially about mundane affairs, and interruptions in mother’s rhythm serve to bring mother back to ordinary reality.
At the Veil, Mom no longer feels chatty and often the experience of something more serious and profound presents itself. She begins the process of separation and while the mom is aware of details and specifics occurring in the room, she becomes less interested in them.
There is often a palpable smell in the air or a subtle but perceptible color change in the room that marks the presence of the mother at the Veil. Many caregivers can calculate the flow of labor by these signposts, making yoni exams redundant at this point. I have experienced color changes and find this to be very reliable and helpful for me as I witness a mother’s journey.
In conventional terms, the Mother has achieved 4 or 5 cm dilation and the character of the labor changes. Contractions begin to be about 60 seconds long and about 5 minutes apart. Mother may seem to act a bit more spacey and unfocused to caregivers in the beta mindset.
Between the Worlds
(First Stage, Active Labor)
During this time the Mother craves privacy, silence, warmth and the intimacy of the dark. She looks to her Guardian to know that she is safe and that no one will breach the sacredness of her travels by distracting her or leveling any expectations on her. But most importantly, she looks to her Partner to see if he* is with her. She reaches for him to bring him into the vortex and together they speak a silent language as the sensations between them become more powerful and intense. No one may disturb them; they are Between the Worlds. They become tuned to rhythm of this process and perhaps to the spirit and soul of their child. They may have visions, see colors, hear the voice of their child. Whatever their experience, it is unique and relevant to them as partners, parents and family.
This place Between the Worlds is the trance-like altered state where the opportunity exists to access the mystical state of transformation. Profound realizations may occur; new truths may become evident. Non ordinary reality may bring forth new information and new perspectives that forever alter the consciousness of the individual and the family. Mother is no longer in Beta, way past Alpha and moving through the deepest states of consciousness…Theta and Delta (beyond the subconscious to unconscious). It is important not to interfere with the birthing couple and it is seldom necessary.
Mother stays upright, moving with her labor, moving with her contractions. They become longer and stronger – from 60 seconds to 75 seconds, almost to 90 seconds. At this time her dilation moves from 5 cm to 8 or 9 cm. Labor is considered hard now and often painful…at the least, strong and intense. Mother has coping strategies. She is not lost. She has what it takes to find her way. She doesn’t usually need words…simple reassurance in the form of present companions who give her privacy and offer safety, although sometimes quiet murmurings of respect and affirmation may afford the mom an understanding that you are there if needed. Sometimes humming or soft singing, from another room, may provide the mom with any needed reassurance. Mother may wish touch, eye contact, the healing powers of water…or none of the above. I’ve learned to make no assumptions. Now, I follow the mother and the journey. Again, the Art of Midwifery is inherent in being able to provide for the needs of any women, whether she wishes company or aloneness, eye contact or someone in the next room. The Art is being able to individualize your presence to the preferences of each woman. I often take a position in the corner, quietly witnessing, though not observing or intruding on the birthing couple‘s privacy. After all, what could possibly be wrong if the caregiver is knitting in the corner.
Mother climbs higher as she plunges deeper.
The Summoning
(End of First Stage — Transition)
Mother becomes aware that she is nearing the peak. She is deep in a vortex, past anything she has ever known.. She has been continuously opening to wisdom, opening to revelation and now she comes face to face with the apex of her labor. This is what she has come for – accessing the new spirit, the new person that is her child and her Partner’s child, and bringing this soul to Earth. She hears the Summons, she summons her child and together they make their way back. This is often the most precarious part of the journey. Mother must summon all her reserves and she may want to know that her Partner is totally present and supportive. She assumes her caregiver is following their course and holding everything steady on the other side of the storm. Mother is braver and more courageous than ever before in her life.
Transition is considered the most intense time for Mother. Contractions are long and hard – 90 seconds plus and coming 3 or 4 minutes apart. She is reaching toward 100% dilation or 10 cm. This is as open as a woman can be. Of course things may seem hectic and often the Mother flounders briefly during this supreme openness. She may say that she cannot go on or that she wants to go home. She may have a wild-eyed look and seek the presence of others. She may ask for help but I have noticed this is not the authentic need for someone to do something, rather it is the calling out to be witnessed in this hardest phase yet. Sometimes the presence of another person, especially one she loves and trusts, will restore calmness. And sometimes, the presence of another will allow her to feel safe and she will then rage to the end of the universe. Her personal tempest may take her far from ordinary reality. She will become the storm, become wild and incredibly powerful. Caregivers and partners may be amazed, even intimidated. Mother will find her way however it takes.
It’s important to note that birth does not look any particular way. Some moms are calm, some are wild. Some labors are fraught with pain, some are totally bearable, some are even orgasmic. I am not suggesting that any style of birth is better or more conscious than another. What I am saying is that when the mom is in her authentic power, no matter how that may appear, her birth is normal, natural and perfect for her. I am also saying that when a mom is imprinted by cultural or caregiver mores or prevented from accessing her instinctual wisdom, her experience of birth may be unbearable, agonizing, out of control, humiliating and shameful.
At this time, a woman often needs to find her own way. She needs to hear the Summons in her own language and on her own terms. When she does, the journey toward home can be initiated. Any distraction at this time can be confusing and dangerous but I have witnessed women be flexible and powerful and rise above danger and distraction with astounding regularity. During this time of openness, women find their way, find themselves, find their power and their will and commune with forces greater than they have ever experienced.
Again, the art is to witness yet not to disturb the process.
The Quiescence
(The Resting Phase)
This is the period of great stillness and peace that occurs after transition. All becomes calm and quiet and the Mother knows that IT has happened. She knows she has found what she is looking for…her still place in the tempest and access to the soul of her baby. Both mother and baby are tranquil and serene, drifting toward the shores of home. She may choose to rest in the arms of her Partner or create a still place to recoup her energy. She is not finished with her travels – she must manage the breakers ahead – but right now she is in peace.
This is one of the most important parts of labor.
For many years there was no acknowledgment of this stage of labor in our culture. Once a Mother achieves complete dilation she is usually encouraged to begin to push out her baby. But in the holistic paradigm, this stage, which usually lasts about 20 to 30 minutes (but can be as short as 5 minutes or can last hours), is Mother’s time to regroup and collect her energies for delivery. Labor seems to stop; contractions literally stop or slow down and the Mother may fall asleep or fall into a quiet, meditative trance. Everyone waits in the hush until contractions resume.
What happens during the Quiescence is more than resting or regrouping. When you have climbed the highest mountain and finally reached the Summit what do you do…run right back down the other side. Of course not. Would you simply rest up for the journey down. Of course not. You may open your eyes and look! You would see what you have come this far to envision. You would possibly have a sacred and holy moment, set apart from all other moments in your life. You may receive.
This may be the pinnacle of the altered state. Brainwaves may shift to Delta, the slowest and deepest of our known patterns, which allows us access to the realms of the unconscious…the realms of profound knowing, meditative understanding and peak experiences. This is the realm of transformation.
In this case, mother receives understanding and knowing pertinent to this new human being that she is birthing. She receives wisdom that is easily accessible at this great altitude and in this momentous altered state. We lament that we are not accorded the blueprint with which to raise our children but that is not entirely true. There can be a veritable download of information about her child…the blueprint. This is a key part of the journey and mothers wish to be respected and afforded solitude to experience this phase of labor.
This stage is different for each woman and for each labor but in a labor where the Mother is not required to perform to any expectations or has any strong programming about exactly how labor should unfold, I have noticed that this interval lasts about 20 to 30 minutes. At the end of this period, contractions begin and the Mom is often startled into wakefulness. She is now ready to head down the mountain, carrying precious information. She is heading to shore on the incoming tide.
The Tides
(First Stage of Second Stage)
Mother puts her feet on the ground again. However, the resumption of contractions does not mean the mother is planning or ready to push out her baby at this time. During the time of the Birthing Tides the mother is alive with wonder and she is aware that her body is bringing her baby down the birth canal. She feels the sensations of baby moving, she feels a quickening and an alertness that allows her to shuttle back and forth through unconscious, subconscious and ordinary reality. She knows something is different, she knows birth is imminent but she’s not in a hurry. She is coming down the mountain with a steady step…revitalized, reflecting, remembering what she has seen.
Her contractions may become strong and intense and her uterus is doing something very different than when she was ascending to the top. Her cervix is completely open and her contractions begin moving the baby through the birth canal and closer to her perineum. She may have small urges to push with each contraction but more often than not she will just let the contractions sweep the baby down without pushing with them. She may feel the intimation of pressure and pushing but the momentous urge to fiercely bear down is usually not present yet. In her wisdom she understands that she does not need to push hard at this time. Rather she needs to wait until her baby is there. Mother is focused, receptive, alive and alert. She is still Between the Worlds, but she is a new woman. Alive and active, mother says to all – “Stand back. I’m about to have a baby.” She finds her own position, her own rhythm. Her eyes are trained on the shore; she is coming back, bearing a great gift.
The time of the Birthing Tides generally feels good to women. No matter how tiring or exhausting her journey, the Mother experiences a second wind, a new spurt of energy and excitement. The birth now becomes more of an active event – the receptive state of Between the Worlds gives way to the active state of the Birthing Tides. Most Moms are galvanized into a place of intense power. Sensations are considered strong and powerful rather than painful. A Mother who is alert, erect and under her own authority will instinctively know what to do. She will find the appropriate place, position and rhythm for the work she is doing. She will absolutely know how to birth her baby.
Mothers generally tend to vocalize during labor. In the early parts – Embarkation – the Mom is often chatty and responsive to the environment. As labor progresses and Mom reaches the Veil (active labor – 5cm) she becomes quiet and responds to her own inner environment. Her vocalization may change to sighing, humming, ohming or ahhhing. As she moves Between the Worlds these sounds escalate in their depth (not pitch) and in their intensity. The Mother may begin to sway and moan and give herself completely to the primordial quality of this powerful experience. During the Summoning she may call out loudly to the Universe, to her partner or to the soul of her child – usually remaining deep and grounded but occasionally reaching out to share the intensity of this journey with her companions. Sometimes the Mom may ask for reassurance during this time, sometimes she goes even deeper into her own realms. During Quiescence a hush prevails. Then as the Mother begins to navigate the Breakers her sounds change. Louder and deeper still, the sounds that emanate from the birthing Mother are the sounds of opening; a channel is being cleared and everything moves out of the way.
It is also relevant to note that some women go from their Quiescence directly into the next stage, The Breakers. In some births I have noticed that women, usually moms having their second or third+ children, wake from the Quiescence already with the baby on the perineum and ready to begin pushing.
The Breakers
(Second stage of Second stage — Pushing)
At this point the baby’s head reaches the perineum. It can be felt by the mother, it may be visible to her partner if her position makes that available. Mother knows her baby is right there. The sensation of the baby on the perineum will bring on pushing contractions from the mother if necessary. Usually mothers seem to be at one with the power of the waves and push with them but I have witnessed a few women who never actively push during their labors. The uterus does everything. Mothers articulate with these birthing contractions and the birthing song that began in early labor crescendos into magnificent aria. The mother’s voice may actually guide the baby to the end of the tunnel. These universal sounds may spur the baby on through his or her journey and create the natural excitement and tension that comes with reaching a goal. At this point, close to Crowning, the Mother experiences a rush of adrenaline. With the speed of light she is in two worlds. Her oxytocin birth trance is still palpable and she is cognizant of her earthly reality. She is back and is ready to bring her baby to dry land.
I have noticed that almost all women engage the same position for birth. Women who are left alone and not told what to do…universally and naturally seem to do this…
KNEEL on one knee.
During their time Between the Worlds, most women are upright and flowing with labor. Many women sway with contractions and will lean forward during the majority of the contraction. This is natural wisdom. In labor, the uterus moves upward and forward and women naturally move with the uterus, facilitating the process. Some women will even hold their uterus up and forward with contractions…never having been guided or encouraged to do this. During Quiescence, women seem to relax. They may float in the tub or sit back. They may even lie down on the side. When contractions resume full-on during the time of the Birthing Tides, women are usually upright again…walking, swaying, leaning. As this time becomes more intense and melds into the actual Breakers a woman instinctively knows her baby is near and will begin to hunch down and get closer to the floor. Finally, when the breakers are in full swing, women invariably bring down one knee and take a kneeling position with one knee on the floor, the other bent. A mother will never drop her baby out on the ground. She will crouch on the floor, one knee down, one bent and facilitate the birth of her child. Her partner usually crouches in front and above her, like the Archangel, protecting and witnessing, claiming his family. The caregiver is nearby…waiting to be called closer if needed. Most mothers birth their babies solo. Babies generally don’t come barreling out of the uterus when the mother is present and instinctually engaged in her birth, so no one needs to catch. Mother’s hands know what to do…as always…and assistance is seldom needed. Baby comes through mother’s hands and she places her baby gently on the birth mat prepared for the baby on the floor.
A note about other positions…
Women will sometimes go from a kneeling position during the Breakers to a hands and knees position. This is popular position because the laboring mom can get the weight of the baby off her back and has her arms to support her as she leans over. A mother will only do this if a caregiver or partner is facilitating the actual delivery because a mom instinctively knows that her baby is now behind her and she cannot receive her baby herself. Often moms confide after the birth that the hands and knees position made sense in the moment but that they were sorry to have missed the birth of their child. Someone else ended up catching the baby and many moms I have known will not choose this position again.
Women seem to dislike a supported squat. They are totally dependent on someone else to hold them up during birth, usually the partner, and then the partner does not easily see his child born. Also it often puts the mom in an awkward state…needing to depend on someone to hold them during birth when they instinctively understand that this is not really necessary. I realize that supported squat is a caregivers position for a mom rather than a position that she would naturally choose. Also, in a supported squat, I have seen women have difficulty arching their back for the fetal ejection reflex that Michel Odent speaks about.
Semi-sitting, the most culturally popular position for childbirth, is the most difficult position in which to birth a baby. It’s a matter of sacred geometry. When a women is sitting on her coccyx, which is exactly where she is sitting when leaning back, she is occluding the birth canal. In labor, the coccyx will naturally roll out of the way so the baby can fit through. When mom is sitting on it, great force may be required to move the baby over the coccyx. That translates as hard and heavy managed pushing with the legs to the ears and often a lot of yelling and coaching. Even though it is psychologically preferred to lying on the back or in stirrups I have never seen a mother choose this position, or need to. Actually, from the physiological stance, lying on the back is an easier position for labor because the coccyx can move out of the way with less effort than when the mom is sitting on it. Moms do not like lying on their backs in labor because intuitively they know it’s not natural and it creates more work for the uterus which moves forward and upward.
Women opting for a water birth may sometimes remain in the semi-sitting position. This works in water because as the baby is borning, mother can easily raise herself up and let the coccyx move and the baby come to crowning.
Lying on the left side is chosen by moms who are wanting to be in their beds or are confined to bed for some reason. It seems to work very smoothly as it equalizes pressure on mom’s bottom but women report that there’s something very awkward about needing to have your leg held up during your birth.
What I learned from birthing women is that they will instinctively find the position that works best for their labor….usually the kneeling position. Whatever position a woman chooses…semi-sitting or hands and knees or kneeling…it is the natural position in the moment. There is no one correct position for birth. It is as individual as each woman and each labor. My experiences have been that women most often choose a kneeling position when not culturally imprinted.
The distinction between the two stages of Second Stage of Labor:
In clinical practice, we have acknowledged only one aspect of second stage. In this holistic model we notice that mothers don’t usually push until the head is on the perineum and we have delineated two stages of labor. The first stage of second stage, The Tides, occurs after transition and includes the time between full dilation and the arrival of the head on the perineum. This stage encompasses the time that the uterus naturally brings the baby through the birth canal. The other stage, The Breakers, characterizes the time when the baby is visible and the mother has a compelling and involuntary urge to push. Sometimes she will feel her uterus pushing gently during the Birthing Tides. She does not push with it…it’s not necessary. In fact, encouraging or managing a mom to push during this time before the head is on the perineum may cause undue damage to her vaginal tissues, pop capillaries and disorient the mom who instinctively knows her baby will come down with privacy, time and the ability to find the appropriate position. During The Breakers she will use her own effort with that of the uterus to birth her baby. I have been taught by women that it is not necessary tell a mother to begin pushing or to guide or manage a mother in pushing. This overrides her instincts and unless something is terribly wrong, her instincts will always be her best guide. Pushing before the head is visible… known as managed pushing…is a dubious achievement at best. It can be humiliating to position a woman on her back or bring her legs up to her ears and exhort her to push her baby down and out. It is instinctively incorrect, it seems overbearing and generally, from my experience, unnecessary.
(Certain variations, such as moms with babies in a posterior position, often do need assistance with pain relief and with pushing techniques…more on that later.)
Emergence
(Birth)
At the time of Crowning the largest part of the baby’s head has now passed through the Birth Gate. Mother is often ecstatic and totally energized.
She may cry out as if to announce her return. An adrenalin response occurs in the mother and she rises up slightly from her kneeling position and arches her back. This has been called the fetal ejection reflex by Michel Odent and this rising up allows her to facilitate crowning and the baby moving through the last part of the birth canal. This adrenalin surge, that co-exists with the flow of oxytocin, is responsible for the alertness of the mother and baby during this time. A mom may feel somewhat overwhelmed as she transports from one dimension to another but she is never at a loss for what to do. She simply births her baby. As she kneels to birth, her partner may be facing her, ready to catch his child. Perhaps another pair of hands, those of the midwife or caregiver, are ready to assist, and then again, perhaps not. Assistance is normally not necessary. Mother is not out of control, birth is not chaotic, there is no hysteria or confusion. Birth is accessible and a woman does what is natural.
It is an absolute fact that a woman does not particularly need anyone to catch her baby. She may desire another pair of hands in her field or she may desire someone to catch her child but women do not particularly NEED anyone to catch their babies. The myth that someone must check for the cord or perform head traction to free the baby is simply not true. Cords seem to resolve themselves…in fact one third of all babies I have seen born have had the cord around the neck and generally nothing was needed to be done. Head traction or assisting the baby is usually not necessary either and may, in fact, cause a problem or delay.
The Return
(Immediate Postpartum)
Baby slides into a new world. A transformation has occurred. Both mother and child experience a period of re-integration and re-organization. This stage may take about 5 to 10 minutes and is similar to the Quiescence in it’s calmness and quietude. Mother and baby are stabilizing – reorganizing molecular structure – and neither may do anything that is visibly apparent for a few moments. Baby is changing from fetal circulation to neonatal circulation, initiating respirations, smelling the environment, feeling air for the first time, listening, seeing, and experiencing his or her first impressions of this planet. Mother is seeing this planet through new eyes. She will usually sit quietly for a few moments allowing herself to return. She then reaches out to touch her baby. Usually the partner sits by, watching, with tears of awe.
This is the moment of earthly bonding. Oxytocin, the hormone of love, runs high…higher than at any other time in labor and the family falls into love with each other. Mother recognizes her child, partner claims his family. The bonding occurs first on psychic and spiritual level, then the mother reaches to pick up her baby.
Mothers have taught me that it is not appropriate to interfere with this important stage of birth. This is an incredibly high and holy moment and if we truly understood birth and the ramifications of returning from an altered state…the re-integration…we would protect the privacy of the mother and baby at this time more than any other. I have noticed that mothers are often not ready to hold their babies immediately after delivery. They need a moment, or two, or five. They need to experience their baby in an authentic and instinctive manner. We need not hand a baby to a mother and please, never remove a baby from the mothers field.
Acquaintance
At this time Mother has picked up her baby and begun to become acquainted. Mother and Father are in awe; in awe of their baby, of each other, of the amazing realms through which they have just traveled. With a sense of wonder and reverence they approach their baby. Initially they may be crying and speechless, still wrapped in the mystical cocoon of the Vortex. This may soon give way to expressions of delight as parents caress and speak to their baby and each other. The period of Return and of Acquaintance are times when distractions should be kept to a minimum in order to respect the initial bonding between parents and baby. Stethoscopes, flashing cameras, suctioning devices, hands and voices other than the mother and father can be disruptive and inappropriate during these vital first few minutes, especially if the parents want the sanctity of the bonding process honored.
As the Acquaintance comes to an end (usually after about ten minutes) and mother and father have explored their new child, the mother may feel the placenta descend and feel that it may be ready to be birthed. If so, she will signal for the bowl and perhaps wish the caregiver to come closer. However most women I have worked with have not desired to birth their placentas until after the next stage.
From the Tao…‘The midwife does her work by doing nothing.’
From close by, without interrupting or being in the mother‘s field, the midwife or caregiver can assess the newborn, assess mom’s placental separation and bleeding, assess and meet the immediate needs of anyone in the room, stabilize the environment and be the silent witness during these first minutes and stages after the birth.
Communion
This is the point at which the parents choose to share their new baby with others in the room. Children, grandparents, friends, attendants are invited to come closer and greet the newborn. At this invitation, the caregiver may move into the space of the Mother and family. Momma and baby are alert and receptive. Father is processing the experience and claiming his family. Baby may show interest in nursing. Congratulations are offered and a quiet celebration ensues. The Return, Acquaintance and Communion together last about 20 to 30 minutes and comprise the immediate postpartum. While they are short in duration they are very different stages of birth, each with a unique and important experience that impacts the development and well-being of the family.
Completion
(Immediate postpartum, Delivery of the Placenta)
About 30 minutes after the birth, the mother will often turn her attention to her placenta. At this time, the placenta is out of the uterus and sitting in the yoni. It is easily birthed at this time with very little fuss and concern. The midwife may hold the bowl and assist the mother in positioning herself to release the placenta.
The mother has had her bonding time and has had initial communication with her loved ones and she now settles herself down to nurse and fortify herself with something to eat and drink. The family is stable and safe. Perhaps the midwife has finished that baby hat by now and may offer it to the parents before she withdraws.
Babies tend to be alert for the first hour or so after their birth. Then they generally drift deeply into sleep, having nursed and fallen in love. Mother has birthed her placenta and received nourishment and witnessing from her loved ones. This is now the time, after about an hour, while her baby sleeps, for the caregiver to return to the scene and assist the mother in accessing her body and her bleeding. Mother may wish to shower and assess her bottom, the birthing room is tidied, phone calls are made. Perhaps mother calls for more food and wishes to talk, perhaps she wishes to rest. As this finishing winds down over the next while, mother and partner draw together and prepare to enfold their baby, and each other, in sleep.
The midwife enfolds all as she writes her notes or closes her eyes in silent vigil.
Weaving the Story
(Postpartum)
During the next days and weeks the vortex remains open. Mamatoto…motherbaby…are establishing their relationship and rhythm. The altered state is still apparent but beginning to close. How quickly it closes depends on how soon the mother returns to her ordinary reality. During this time, family and caregiver revisit the events of the birth. This is a crucial time of witnessing and articulating the journey to each other. Mother has an opportunity to review her altered state with her companions and formulate her wisdom. Partner is incorporated into the experiences and the parents share their insights.
The Weaving goes on forever. Families and caregivers form a special bond and as time progresses and children grow often the birth wisdom continues to be revealed and understood. Being present with families in the postpartum is as relevant as being present in pregnancy and birth. Also, this is the stage when parents let me know what worked for them and what didn’t. This is time of open and candid communication as parents taught me how to better midwife them.
As I continued to facilitate women and families in birth, more was revealed. As I gave up my preconceived ideas about birth, and witnessed what actually happened, women were free and delighted to share a new paradigm with me. And while I realized that this account of birthing does not represent the mainstream in birth today, it is my experience and the experience of many of the women I have attended. As a constant student of birth, I offer thanks to them.
VBAC
VBAC stands for Vaginal Birth After Cesarean. It is the process of delivering a baby vaginally after having had a previous cesarean section. VBAC is a safe and viable option for many women, but it is important to discuss the risks and benefits with your doctor before making a decision.
The success rate of VBAC varies depending on a number of factors, including the reason for the first cesarean section, the type of incision made, and the woman's overall health. In general, the success rate of VBAC is about 70%.
There are a number of benefits to VBAC, including:
No surgery is required, which means a shorter hospital stay and a quicker recovery time.
There is a lower risk of infection and other complications.
Women who have a VBAC are more likely to be able to have more children in the future.
There are also some risks associated with VBAC, including:
The baby may be in a breech position, which can make it difficult to deliver vaginally.
There is a slightly increased risk of uterine rupture, which is a serious condition that can require emergency surgery.
There is a slightly increased risk of complications for the mother, such as bleeding and infection.
It is important to discuss the risks and benefits of VBAC with your doctor before making a decision. If you are a candidate for VBAC, your doctor will work with you to create a birth plan that is right for you and your baby.
Here are some additional things to consider when deciding whether or not to attempt a VBAC:
Your age and overall health
The reason for your previous cesarean section
The type of incision made during your previous cesarean section
The size and position of your baby
Your doctor's experience with VBAC
If you are considering a VBAC, it is important to find a doctor who is experienced in this type of delivery. Your doctor can help you understand the risks and benefits of VBAC and make the best decision for you and your baby.
Artificial rupture of membranes (AROM)
Amniotomy, also known as artificial rupture of membranes (AROM), is a medical procedure in which the healthcare provider uses a specialized tool called an amnihook to break the amniotic sac (bag of waters) during labor. The amniotic sac is the fluid-filled membrane that surrounds and protects the developing fetus during pregnancy.
Amniotomy is typically performed in a hospital setting and is used to help speed up labor or to induce labor when it has not started on its own. It can also be done to allow for fetal monitoring or to collect a sample of amniotic fluid for testing.
While amniotomy is drug-free and generally not painful it does carry some risks. These include infection, prolapse of the umbilical cord, and fetal distress. As with any medical procedure, it is important to discuss the risks and benefits of amniotomy with your healthcare provider before making a decision.
Remember:
You can always say no, and allow water to rupture on its own. You have a right to refuse a procedure.
There are other natural and medical options to induce and shorten labor if that’s what you would like.
If you don’t want AROM, let your healthcare provider know before they do a cervical exam. Many times, they will rupture your waters without asking first.
The Midwifery Model of Care
The midwifery model of care is an approach to healthcare for pregnant people and their families that emphasizes a holistic, woman-centered, and evidence-based approach to pregnancy, childbirth, and postpartum care. This model of care is typically provided by midwives, who are trained professionals with expertise in normal pregnancy and childbirth.
The midwifery model of care is characterized by the following principles:
Partnership: Midwives work in partnership with pregnant people and their families, recognizing that they are the experts on their own bodies and lives.
Holistic Care: Midwives provide comprehensive care that addresses not only the physical aspects of pregnancy and childbirth but also the emotional, social, and spiritual aspects.
Continuity of Care: Midwives provide continuity of care, meaning that they see the same clients throughout pregnancy, childbirth, and the postpartum period.
Informed Choice: Midwives provide information and support to help clients make informed decisions about their care.
Safe and Appropriate Interventions: Midwives provide safe and appropriate interventions when needed, but prioritize the use of non-invasive, natural approaches to childbirth.
Respect for Normal Processes: Midwives recognize that pregnancy and childbirth are normal physiological processes that are best supported by minimizing unnecessary interventions and maximizing support for the body's natural processes.
The midwifery model of care has been shown to improve maternal and fetal outcomes, increase satisfaction with care, and reduce healthcare costs. It is particularly well-suited for low-risk pregnancies, but can also be adapted to support higher-risk pregnancies when appropriate.
Finding a Size-Friendly Doula
Check out the article by Plus Size Birth - https://plussizebirth.com/size-friendly-doula/?fbclid=PAAaYlbowC0uTR28o5SXqdgD1Igkg_mLe9bAwXl3U2AakOpfiwkTiEv1S8HJE
Can you spot Doula Isis?
Baby Wearing
Baby wearing has been practiced for centuries by cultures around the world, particularly in regions where it was necessary for parents to keep their babies close while working or traveling. Baby wearing can be traced back to ancient civilizations such as the Greeks, Romans, and Egyptians, who carried their babies in slings made of linen or other fabrics. In fact, many indigenous cultures around the world have practiced baby wearing for centuries, often using woven wraps or carriers made from natural materials such as animal skins or plant fibers.With the arrival of colonizers and the advent of industrialization, traditional baby wearing practices were often discouraged or replaced by Western-style strollers and baby carriers. However, in the 1960s and 1970s, baby wearing experienced a resurgence in popularity in the Western world, particularly among the counter-culture movement. This led to the creation of new types of baby carriers, such as structured carriers and backpacks.
Here are some benefits of baby wearing during the postpartum period:
Bonding: Wearing your baby close to your body can help promote bonding and attachment between you and your baby.
Convenience: With a baby carrier or sling, you can keep your hands free to complete tasks around the house or to care for other children.
Comfort: Carrying your baby in a carrier or sling can be more comfortable than carrying them in your arms for extended periods of time, particularly if you are recovering from childbirth.
Breastfeeding: Some baby carriers or slings allow for discreet breastfeeding while on the go.
Regulating baby's temperature: When your baby is close to your body, they can regulate their body temperature more effectively, which can be particularly helpful for premature or low-birth-weight babies.
However, it's important to note that not all baby carriers or slings are created equal, and some may be more comfortable or safer than others. It's important to research the different types of carriers and slings available and to choose one that fits your body well and provides adequate support for your baby.
Due Dates
Due dates are just estimations and are not an exact science. They are not an expiration date. In fact, only 4% of women give birth on their actual due date. Most first time moms will give birth approximately 5 days past their due date, and many will go longer than that.
A due date is typically calculated based on the first day of the mother's last menstrual period and assumes a 28-day menstrual cycle with ovulation on day 14. However, not all women have a 28-day cycle, and not all women ovulate on day 14.
Additionally, even if the mother's cycle is regular, there can still be variations in the actual date of conception and the time it takes for the fertilized egg to implant in the uterus. These factors can all contribute to differences between the estimated due date and the actual date of delivery.
It is also important to remember that a due date is just an estimation and not a guarantee of when the baby will be born.
Your baby will come when they are ready.
I know how exciting it is to think about due dates. Use it as a way to prepare yourself for labor, but try not to get fixated on it. I know that’s easier said than done especially when everyone around you starts asking “is the baby here yet?” as you approach your “due date” My recommendation is to tell people the month you’re expecting your baby to arrive instead of sharing the actual due date.
Delayed Cord Clamping
Delayed cord clamping is a practice where the umbilical cord is not clamped immediately after the birth of the baby, but rather is left intact for a period of time, typically between one and three minutes, or until the cord stops pulsating.
During delayed cord clamping, the baby continues to receive oxygen-rich blood from the placenta, which can improve their health and well-being in several ways, including:
Increased Blood Volume: Delayed cord clamping allows for more blood to transfer from the placenta to the baby, which can increase their blood volume and help prevent anemia.
Improved Iron Stores: The additional blood that the baby receives during delayed cord clamping can also increase their iron stores, which can help prevent iron deficiency anemia in the first year of life.
Improved Immune Function: Delayed cord clamping can also improve the baby's immune function by providing additional stem cells and other immune cells that are present in the blood transferred from the placenta.
Better Cardiovascular Stability: The additional blood volume from delayed cord clamping can also help stabilize the baby's cardiovascular system during the transition from fetal to neonatal life.
Improved Brain Development: There is some evidence to suggest that delayed cord clamping may also improve brain development and reduce the risk of neurodevelopmental disorders such as cerebral palsy.
Delayed cord clamping is generally considered safe and is recommended by several professional organizations, including the World Health Organization and the American College of Obstetricians and Gynecologists. However, there may be situations where delayed cord clamping is not recommended, such as in cases of fetal distress or when immediate resuscitation is needed.
Benefits of hiring a Midwife
A midwife is a trained healthcare professional who specializes in providing care to women during pregnancy, childbirth, and postpartum period. Midwives provide a range of services including prenatal care, delivery support, and postpartum care.
There are several benefits of hiring a midwife, including:
Personalized care: Midwives provide personalized care to their clients, taking into account their unique needs and preferences. They spend more time with their clients during prenatal visits and are more likely to provide one-on-one support during labor and delivery.
Holistic approach: Midwives take a holistic approach to healthcare, focusing on the physical, emotional, and social well-being of their clients. They promote natural childbirth and may offer alternative pain relief options, such as massage or hydrotherapy.
Lower rates of intervention: Studies have shown that women who receive care from midwives have lower rates of interventions during childbirth, such as epidurals, inductions, and C-sections. Midwives are trained to provide non-invasive care and support natural childbirth.
Better outcomes: Research has also shown that women who receive care from midwives have better outcomes, including lower rates of preterm birth, low birth weight, and infant mortality.
Continuity of care: Midwives provide continuity of care, meaning that they are with their clients throughout their pregnancy, labor, and postpartum period. This allows for a more trusting and supportive relationship between the midwife and the client.
Overall, hiring a midwife can provide many benefits, including personalized care, a holistic approach to healthcare, lower rates of intervention, better outcomes, and continuity of care.
Breastfeeding vs Formula
The following article was written by Michelle Llamas, BCPA Board Certified Patient Advocate, discusses the benefits of breastfeeding, along with the benefits and risk of formula feeding.
