So I am in post recovery from a birth yesterday as a Doula. This entire last weekend I have been pondering the birthing process and the journey it is. How we treat it in our world. So here is a the story of the birth....
I had a client begin laboring on Feb 11th and on the 12th was 3cm 60% effaced... She lost her mucous plug and so we all thought soon... I told her to rest, hydrate and eat. She took walks with her mate and looked forward to the day... Well time passed and she would have periods of regular contractions that by bedtime when she was tired would just slide away... By the 22nd after losing two mucous plugs and having bloody show off and on for a week. she began contracting at 1am (Friday) 5 min apart, she rested, ate drank and just hung through them.... This continued through the weekend... intensity building...(baby reactive and doing well through it all)
Monday the 25th 5:30 am I get a phone call that they are pretty intense 2 min. apart... so it's time to go to her home.... We labor at home till I see the dilated pupils and wild look in her eyes, her water had broken 30 minutes before... time to go Transition has arrived... At the hospital she is 7 cm and goes to 10 within 30 minutes... Beautiful chubby baby born 90 min. later... With a thick healthy placenta... Oh and her caregivers honored her plans (push in whatever position, late cord clamping, mother/baby/daddy bare skin contact without time limits, no Vacc or interventions etc...) This in a 90% epidural rate hospital....
OK so my client knows that without me to sound her out and reassure her she would have gone to her caregiver and would have been in the hospital many days before this one... She was being seen by two CNM's and a OB in practice together. She knows she most likely would have ended up on Pitocin and much more had they known about her pattern of labor... I find this sad that "I" was their saving grace from that process.
None of the books that most people read really talk about labor and birth looking like this... So how are mothers to know that what their body is doing is perfectly normal. This woman happened to be highly attuned to her body and baby. More so than most woman, I truly believe that is part of what let her slowly labor her baby out. She labored for hours and hours over the weekend and would sleep when she needed it, her body and adapting to those needs...
She did so much of the work of labor calmly, relaxed, smiling... The intense part was very intense, but also very short in comparison to the whole process... In all this woman and her mate had an experience full of respect and beauty without fear and manipulation.
This is a pattern we need our caregivers and ourselves to honor, that we need to write about and teach... I believe even midwives need to really look at this, and learn to trust and honor the birth process. I see many who fear the process that is not "normal". So what is normal? That is not a simple answer, normal is as different as each individual person is.
This journey I shared in was natural and very normal, not maladaptive... Instead of seeing the normal pattern, most see problems and look for reasons why the baby isn't popping out in the 14 hr medical time plan...Of course back in the 60's normal labor was thought to last as long as 36-38 hrs... In the 80's it was knocked down to 24hrs, we now expect it to last 14 hrs... Have our bodies changed so much?
Tia Rich
AAMI Student Midwife #1940
www.inner-serenity.org
PS... Any who are not registered for the Trust Birth Conference... Rethink whether you can miss this experience. I know even more after this birth that I NEED this conference, I have so much more to learn, and honestly I need the recharge to sit in a room with others who trust and believe in birth....
I had a client begin laboring on Feb 11th and on the 12th was 3cm 60% effaced... She lost her mucous plug and so we all thought soon... I told her to rest, hydrate and eat. She took walks with her mate and looked forward to the day... Well time passed and she would have periods of regular contractions that by bedtime when she was tired would just slide away... By the 22nd after losing two mucous plugs and having bloody show off and on for a week. she began contracting at 1am (Friday) 5 min apart, she rested, ate drank and just hung through them.... This continued through the weekend... intensity building...(baby reactive and doing well through it all)
Monday the 25th 5:30 am I get a phone call that they are pretty intense 2 min. apart... so it's time to go to her home.... We labor at home till I see the dilated pupils and wild look in her eyes, her water had broken 30 minutes before... time to go Transition has arrived... At the hospital she is 7 cm and goes to 10 within 30 minutes... Beautiful chubby baby born 90 min. later... With a thick healthy placenta... Oh and her caregivers honored her plans (push in whatever position, late cord clamping, mother/baby/daddy bare skin contact without time limits, no Vacc or interventions etc...) This in a 90% epidural rate hospital....
OK so my client knows that without me to sound her out and reassure her she would have gone to her caregiver and would have been in the hospital many days before this one... She was being seen by two CNM's and a OB in practice together. She knows she most likely would have ended up on Pitocin and much more had they known about her pattern of labor... I find this sad that "I" was their saving grace from that process.
None of the books that most people read really talk about labor and birth looking like this... So how are mothers to know that what their body is doing is perfectly normal. This woman happened to be highly attuned to her body and baby. More so than most woman, I truly believe that is part of what let her slowly labor her baby out. She labored for hours and hours over the weekend and would sleep when she needed it, her body and adapting to those needs...
She did so much of the work of labor calmly, relaxed, smiling... The intense part was very intense, but also very short in comparison to the whole process... In all this woman and her mate had an experience full of respect and beauty without fear and manipulation.
This is a pattern we need our caregivers and ourselves to honor, that we need to write about and teach... I believe even midwives need to really look at this, and learn to trust and honor the birth process. I see many who fear the process that is not "normal". So what is normal? That is not a simple answer, normal is as different as each individual person is.
This journey I shared in was natural and very normal, not maladaptive... Instead of seeing the normal pattern, most see problems and look for reasons why the baby isn't popping out in the 14 hr medical time plan...Of course back in the 60's normal labor was thought to last as long as 36-38 hrs... In the 80's it was knocked down to 24hrs, we now expect it to last 14 hrs... Have our bodies changed so much?
Tia Rich
AAMI Student Midwife #1940
www.inner-serenity.org
PS... Any who are not registered for the Trust Birth Conference... Rethink whether you can miss this experience. I know even more after this birth that I NEED this conference, I have so much more to learn, and honestly I need the recharge to sit in a room with others who trust and believe in birth....
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Re: Trusting in the Process
Tue, February 26, 2008 - 11:59 AMThank you for this story.
The birth I attended two weeks ago was a testament to trusting the process, namely the hospital DID NOT and pushed her into early labor, her body wasn't ready so even after 12-14 hrs on pitocin she was not dilating and ended with a c-section.
It's so sad that our medical system can only see problems............
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Re: Trusting in the Process
Mon, March 10, 2008 - 12:05 PMSo I have a couple of questions:
How long after someone's water breaks do they usually deliver the baby?
Can you explain what a dry birth is and how this may affect the delivery experience?
My friend just had a baby yesterday and everyone was freaking out that her water broke at 9am on saturday and she didn't deliver until monday. She decided not to induce at the hospital or get the epidural and I am still waiting to hear how the delivery went. -
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Re: Trusting in the Process
Mon, March 10, 2008 - 12:49 PMthat v"dry birth" stuff is mostly for old cowboyovies.
a skilled midwife will know how to palpate (I think it's called "trilling) the uterus to see if it's still filled enough with fluid...remember your body keeps making it, it's not like someone turned a valve at one nd and there's a aucet turned off at the other...
the standard has been 24 hours because of supposed danger from infection, but that too has been questioned by evidence in recent yeears...I;d definitely quit putting anything inside (including gloved hands!) except in a dire emergency of some other nature after the water breaks, shower instead of tub baths (though doesn't the flow tend to go OUT not in? simple physics...), probably take extra vitamin C and maybe some echinacea if my about-to-deliver stomach could hadle it...
there are all kinds of "water breaking"...you can leak a little at a time for days, or you can have a sudden gush.
my suggestion is read LOTS of natural birthing stories and see the diversity of experience...not to worry... -
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Re: Trusting in the Process
Tue, March 11, 2008 - 9:48 AMInteresting you say 24hrs. The hospital my friend was in only gave her 18!
Of course, a doctor there also said "80% of women's pelvis' are to small for natural delivery", so I'm not really going to believe much of what they say......... -
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Re: Trusting in the Process
Fri, March 14, 2008 - 1:00 PM18 hours is the standard for starting antibiotics if a mother's GBS status is unknown. Could this have been the case with your friend? -
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Re: Trusting in the Process
Sat, March 15, 2008 - 11:06 AMWhat is GBS staus?
Her water had broken after they took her off pitocin, while having normal contractions.
Then they put her back on the pit since her contractions weren't where they wanted them. -
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Re: Trusting in the Process
Sat, March 15, 2008 - 12:06 PMGBS = group beta strep, a common part of our body's flora. However, if it's present in the mama's vagina during delivery, there's a chance that it can cause problems for the babe after the birth. For this reason, a GBS screening test is done around 36 weeks. If it's negative, nothing more is done. If it's positive IV antibiotics are given to the mama during labor.
That said, sometimes the results of the GBS test are unknown (either labor started before the test was performed, the results are not back from the lab, or something else along those lines). In that case, IV antibiotics may be started if the babe is less than term (37 weeks), if the water has been broke for 18 hours or more, or if the mama starts to run a fever. -
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Re: Trusting in the Process
Sat, March 15, 2008 - 1:09 PMThey weren't talking about anti-biotics.
She was one week past her "due date"
They said her "trail of labor" could only go 18 hrs after the water broke.
Basically, the baby hadn't dropped yet and they were just pushing the darn induction on her body that wasn't ready. Some silliness about meconium staining being very common in babies over 42 weeks in their practice.
And of course they never told her she could refuse the induction and go in for check-ups.
She and her husband were convinced the due date was off by two weeks anyway. He ended up being a very long baby, so it's posible the tests that "show" how old the kid is were off b/c of his size.
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Re: Trusting in the Process
Sat, March 15, 2008 - 5:50 PMOf course they wouldn't be where they want them. The Pitocin made her body shut down production of Oxytocin, and decrease the receptor site. It would take awhile for her body to get back in sync....
Geez..
Tia
AAMI Student Midwife -
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Re: Trusting in the Process
Tue, March 18, 2008 - 8:37 AMAdd to that all the strangers walking in on her, trying to talk to her during contractions, and telling her the opposet of what she wanted to hear at every turn it's no wonder she didn't dilate!
I was amazed that neither the doctors or the nurses (with on exception, a nice day-nurse) seemed to be aware of when she was contracting, even with the monitor. They just kept yammering at her through them. I wanted to shout at one doctor "Can't you see she's having a contraction!!!! Leave her the hell alone for a second!!!!"
Plus, they bow down to that stupid monitor. Didn't matter what she was actually feeling, the monitor told them what to do.
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Re: Trusting in the Process
Thu, March 27, 2008 - 7:57 PMI loved reading your story- I don't hear too many of them like that in the area I live in. I agree with everything you have said and feel. Women aren't allowed to trust the process- they are swayed by "what -if's" and pressured by unfounded fear... and then we end up with a C- section in the end about 30% of the time ( or is the national average more now?!?!?!) Trusting the process- it is just that simple......sometimes I feel like the OB's make it more complicated then it is....
