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Tuesday, December 22, 2009

Elo, Elo, Elo: An Accidental Freebirth

The following birth story is told from the perspective of the birth servant/friend. To read the real birth story, the mother's first hand account click here.

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I picked up my buzzing mobile phone and saw that it was Sarah calling me:
"Hiiiii" I chirped
"I am SO onto you!"
"What?!"
"You made me walk all day to start my labour!"

It was a Wednesday night. I had enjoyed a great day with my friend Sarah and our daughters Iris and Harriet. Poor Sarah was 9 months pregnant with a cold, stuck at home caring for an almost two year old with the same cold. She'd had a really rough week. On Tuesday I'd suggested she and Iris come stay at my place for a night, let me pamper her and parent her daughter, give her a real night off. But come Wednesday she was too tired, to come to my house. Instead I went to her place with a gift wrapped box of much needed chocolates.

I didn't intend to trigger her labour, I just wanted to get Sarah and Iris out of the house. They needed a change of scenery and some fun!

We went to our favourite bookstore, then I suggested we walk up to the library. Sarah was reluctant at first, with good cause, I never walked that much when I was that pregnant. But before we'd reached the end of the street she'd said "Ah what the hell, let's do it".

Earlier that day we had discovered we had the same taste in literature. Sarah had raided her bookshelves and loaded me up with new novels. She had loaned her favourite book to someone and not got it back yet so we decided to see if we could find it at the library.

Our daughters had a great time at the library, running around and inspecting the children's books. It was getting dark by this stage. We began walking home, and as we did it started to rain. We managed to get home without getting too wet. I said good-bye to Sarah and went home for a quiet night in front of the television. This is exactly what I was doing when Sarah rang.

"Ooooh! So has it started?" I asked her.
"I think so. But I was like this for a couple of days with Iris, so it will probably be Friday or Saturday"
"Okay"
"I'll keep you posted".

On Thursday morning I woke to a text message from Sarah. She let me know she was getting "twinges" every ten to twenty minutes, but they didn't last for long. I rang her and she told me she had managed to get a good sleep despite the twinges and she said Iris had slept a solid 12 hours for the first time in years. As she said it a little alarm went off in the back of my mind, telling me these were great birth-imminent omens.

She said that Iris was bored and a visit from my daughter and I could be just what was needed. After lunch we wandered down to Sarah's house. Sarah was keen to walk almost as soon as we got there. She told me that the baby either had to get out before Friday night or hold off until Sunday night to fit in with his or her Dad's work schedule. Jokingly I proposed; "let's see if we can get this baby to fall out of you today" and we set off for another day of walking.

I strapped my daughter to my back in our ergo carrier, Sarah popped Iris in the pram and we set off at a leisurely pace. I offered to push the pram for Sarah but she said she liked having it to lean on. There were quite a few stops along the way. Sarah would stop, lean forward, bracing herself on the pram and breathe for a second or two and then we'd be back on our way.

At our 37 week meet with Sarah's midwives and other doula I had asked Sarah what she saw as my primary role at her birth, her response was "to twitter the birth". We laughed, but I did what I was told. Throughout our days together I tweeted some updates.

We had come up with an informal plan in case she did "drop baby" in the shopping centre, though it was more a joke than anything else. At one point while our daughters were in the playground I needed to go to the toilet, Sarah was happy to watch the girls. As I left I called out "try not to have a baby while I'm gone!", and she called back "Oh yeah! Who's gonna catch while you're gone?!" She looked at the nearest mother at the playground and said to her "You! You'll have to catch". I giggled so much that I had to speed up my run to the loo.

After our girls had had a good run around, we'd chatted to some of the other mums there and Sarah had downed her weight in water we decided to grab a bite to eat before heading home.

Sarah was concerned about dehydration. Iris had been born in hospital and Sarah had struggled with dehydration and vomiting. She wasn't sure how much longer she would be able to eat and wanted to be sure she had enough energy to make it through the next couple of days if it turned out that she was in for another long labour. We grabbed baked potatoes and had a good laugh as my daughter covered herself in potato and Iris obsessively attempted to clean her.
Our waddle home was much slower than our earlier walk. Sarah was stopping more frequently and starting to verbalise the aches and pains. She called them "twinges", convinced it was early days yet.

When we got back to her house we put Iris's favourite show "Yo Gabba Gabba" on the TV for the girls and Sarah and I began sewing wheat bags. Sarah had beautiful green corduroy, she cut the pieces, I sewed them together, left a hole and filled them with wheat and sewed them close. Iris and Harri were very interested in the wheat bags so we made them one each too.
(Harriet & Iris watching the fish while their Mamas sew)

Sarah heated the girls some casserole dinner and I heated wheat bags for her, and kept on filling her water bottle. "You're a goooood doulaaaa" Sarah called from the couch, mid "twinge" (why we were still calling them "twinges" by this stage I do not know, but baby Louie wanted us to believe it, I suppose).

I asked Sarah if she wanted to circle her hips around while sitting on the birth ball I'd loaned her, but she explained that Iris had claimed the ball her own. Apparently when anyone touched it they got a serve from Iris for touching her treasure. Sarah had to wait until Iris had gone to bed before she could use the ball, but she told me it did provide some comfort then.

Iris was having some fun with a toy she got from the aquarium a while ago. She had a plastic shark head on a stick, opening and closing it's mouth as if the shark was going to eat baby Louie. Snap, snap, snap the toy went. We joked about Iris's unique induction method.
"Are you going to scare baby Louie out with the shark, Iris?" Sarah asked.

Steven (Sarah's husband) gave Iris a shower and got her ready for bed and then I had an honour I'll bet very few people have ever had. I watched a woman in labour breastfeed her toddler.



During this time my partner arrived. While Steven tucked Iris into bed, Sarah and I had a chat about what we thought the night might have in store for us. Sarah still felt it was early, so I went home with my partner and daughter to have dinner. Before leaving I gave Sarah and baby Louie a belly rub and said good-bye.

My partner made spaghetti bolognase for dinner (and a casserole for me to give to Sarah, Steven and Iris) and just as he was dishing up my phone rang. It was Steven. He was due at work in two hours and Sarah didn't want to be alone, she wanted back rubs. She said I should come over whenever was convenient. We agreed I'd call Steven to come and get me after I'd eaten.

A few minutes later Sarah called to tell me that her waters had "exploded" all over her bed and she didn't have a dry blanket. I began to hasten my eating and grabbed a blanket from the linen closet and stuffed it into my suitcase.

My birth bag was packed (with overnight gear just in case, toiletries, spare batteries for the camera etc.). I rang Steven to let him know I was ready to go. In the background I could hear Sarah singing her birth song. It was a loud call. I was amazed by what a huge leap had been made in her birth progress in such a short space of time. Minutes ago I had been talking to her on the phone about blankets and whatnot and now she was getting down to the business end.

Sarah later told me that she still didn't think she was that far along because she could still chat between contractions.

Steven told me that the other doula, Michelle was on her way and she would pick me up. This was a much better plan, Sarah did not sound like she should be left home alone with Iris asleep in the next room.

I told my partner to run to the convenience store down the road and grab me some snacks, just in case and to be quick because Michelle was on her way. Off he ran, literally, down our dark driveway in old slippers that were falling apart. He fell over, grazed his hands and knees, bruised one knee and twisted his ankle. The first birth related injury accrued that evening, (and might I add we have since discovered it was also the biggest injury anyone involved in the birth sustained LOL!)

It felt like days had passed as I waited for Michelle to arrive. In truth it wasn't long at all! It was probably about five or ten minutes. I nervously gave my daughter a kiss good-bye, not because I was nervous about the birth, but because this could be the first night she and I had spent apart in her life.

We tossed my suitcase into the doula car (like a bat mobile but less flashy and instead of electronic gadgets it's full of heat packs, blankets, towels, candles and a birth ball). As we drove the five minutes to Sarah's, Michelle said she thought we would get there to find Sarah already holding her baby.

When we arrived we saw that the midwives car was already in the driveway. We quietly made our way to the front door, I tapped lightly and Steven answered. If he could have been any more cool, calm and collected he'd have been asleep. He casually said "you missed it, everyone did". I thought he was pulling my leg. He was too calm to be serious. As Michelle asked; "seriously?" I walked into the lounge room to find Sarah naked by the fire, holding a newborn baby in her arms, umbilical cord still attached and pulsating, a healthy looking placenta in a bowl before her.

I felt my eyes fill with joyful tears as I looked at my friend and her newborn. Sarah looked up at me and said:
"Baby Louie is a girl!"
"Welcome Eloise" I greeted the new soul.

Michelle and I both pulled out our cameras and began taking photos. At the 37 week meet Sarah had said she hoped that anyone with a spare set of hands would photograph the birth.

Michelle and the midwives arranged some pillows, fresh towels and sheets so that Sarah could lay back with her baby comfortably. I pulled my phone out of my pocket and made my last twitter posting for the day, sharing the arrival of Ms Eloise Jane. When I finished I announced "My role here is done, birth twittered!" and we laughed. Midwives and doulas alike made sure Sarah had access to water, juice and icey poles and Steven began making phone calls to let friends and family know Eloise was here.
Sarah told us the birth story briefly. Little Louie had been born in the shower, Steven had almost missed the birth as well, if he had come to collect me he surely would have missed it. Sarah said it was roughly one short hour of active labour. We realised no one had checked the time of birth, so worked out a close estimate of quarter past ten from the recorded times of various phone calls Steven had made to the midwives and doulas. Eloise was nursing up a storm as we chatted and the midwives checked Sarah's physical health.

The worst of it seemed to be that she had a steady trickle of blood leaving her, and it could build up to become quite a significant amount of blood loss. Sarah decided she wanted the syntocinon injection to prevent postpartum hemorrhage. Sarah's primary midwife talked all of us through what she was doing and why, we also had a discussion about alternative methods of preventing PPH. The continued blood loss was most likely on account of how fast Eloise's birth had been, Sarah's uterus had been left in a bit of shock, her body still sending blood to the baby who was no longer there.

Sarah was experiencing some nasty after pains and the syntocinon increased the intensity of these. At one point Sarah said it was more painful than the contractions during labour. I knelt behind her and began massaging her lower back and applying pressure, one of the midwives heated one of the wheat bags and then I held that firmly against Sarah.

From where I was I had a beautiful view of Baby Louie feeding away. We had a giggle about the fact that Sarah and Steven had bought themselves a birth pool for the occasion, which sat on the other side of the room, totally unused.
"You'll have to use the pool" Sarah said to me "I still haven't got my waterbirth!"

The syntocinon was making Sarah feel nauseous and I was sitting directly in front of the heater, starting to feel a little off too. Michelle took my place and I ran some face washers under cool water. I placed one on Sarah's forehead and she elicited a sound that made me think if she could she would have married me right then and there. I used another damp face washer to fan her.

Slowly and carefully Sarah rolled over, to get more comfortable. Her nausea was increasing, she grabbed the ice-cream container in front of her and began gagging. I pulled her hair back from her face as she was sick. It was the most adolescent moment in our history. Once it was out she felt muuuuuch better.

I continued to pat Sarah's face gently with a cool face washer. Michelle took more photos. Steven rang work to tell them he wouldn't be in. The midwives kept checking Sarah's health and taking notes.

Sarah wanted a shower, one of the midwives helped her up and escorted her to the shower with Steven. Michelle and the other midwife wrapped Eloise in fresh warm blankets and laid her by the warm fire. For a moment I found myself alone with baby Louie. I sat next to her and softly told her where her Mum and Dad were, and stroked her when she started to stir, soon enough her Dad was back and took her in his arms for a cuddle.

After her shower Sarah settled into bed with Eloise. Sarah's primary midwife brought the scales in to weigh the newborn. Sarah and Michelle had a good laugh when Lou quite literally tipped the scales.

The birth team began cleaning up. Before long the house looked the same as it had before the birth. Louie continued to feed in bed with her Mama, Iris continued to sleep peacefully, completely unaware that she had been a big sister for a couple of hours.

Once Sarah was set with fruit and water by her bed, we got ready to leave the family to get some much needed rest. I went into the bedroom to say good-bye to my friend. I wanted to give her a kiss and thank her for letting me be with her during such a special time in her life, instead I ended up saying congratulations again and to call if she wanted me to come over the next day. She thanked me, which is when I said "No need to thank me! Thank YOU!"

As Michelle and I tossed our suitcases of doula goodies back into the car she said "look at all this stuff we didn't need". I smiled, thinking that's just the way it should be.

I got home around 2am, but was too high on love for my friend and for birth and the new little baby in our lives to get to sleep straight away. I shared my joy with my partner, who was rocking our daughter in her sleep. She was just starting to get restless and search for my breast when I walked in the door. Baby Louie had everything timed out perfectly.

The following day I woke to find missed calls from Sarah, she wanted me and my daughter to come over. We had the pleasure of another day of hanging out with Sarah and Iris and my daughter met her newest friend; Eloise Jane.

Iris was quite taken with her baby sister. Apparently when she met her in the morning she giggled and said "bubby!". My daughter was also delighted with Louie. They loved to take a closer look at the new baby, gently pat her, give her toys and try to feed her all kinds of things she should not eat!
Sarah's midwife had visited in the morning with birth related paperwork (like the birth certificate form etc) and dropped off a delicious quiche. I added my partner's casseroles to the collection of food in the fridge and lent myself in any way that was helpful including; back rubs, parenting, fetching drinks and any other item out of Sarah's reach, and I had the honour of holding little Eloise whenever it was helpful.

The following afternoon I returned with my partner and we did some cleaning. My partner made everyone dinner and I helped get Iris washed and ready for bed. We spent a couple of hours with Sarah, chatting and half-heartedly watching Braveheart on foxtell while Steven was at work.

We talked about the birth, about everything that had happened in the last couple of days, and about food. It was agreed that I should make Eloise a birthday cake from the recipe my mother had always used to make my birthday cakes. This was exactly what I did the following day and on Monday afternoon the new family of four came over to eat Eloise's first birthday cake.

Sarah is now a tandem nursing wonder mother

Looking at her Dad

Me giving Sarah a much needed hands free toilet break

Eloise, not yet 12 hours old

Eloise's belated birthday cake. Moist chocolate cake with dark chocolate ganache and her name in vanilla icing.



*Posted with Sarah's permission
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Monday, December 21, 2009

"Mother Freebirths While Father Surfs The Web"

would have been a more apt title for Slashdot's: post entitled "Dad Delivers Baby Using Wiki":
"A Londoner helped his wife deliver their baby by Googling 'how to deliver a baby' on his mobile phone. From the article: 'Today proud Mr Smith said: "The midwife had checked Emma earlier in the day but contractions started up again at about 8pm so we called the midwife to come back. But then everything happened so quickly I realized Emma was going to give birth. I wasn't sure what I was going to do so I just looked up the instructions on the internet using my BlackBerry"
Any member of a birth support team worth their salt knows that nobody "delivers" babies. Mothers give birth to them, plain and simple. The original article from The Sun states: "And after following the detailed guide on the internet's wikiHow Emma safely gave birth to daughter 6lb 11oz Mahalia Merita Angela Smith...." crediting the healthy outcome of this unplanned freebirth to a man's ability to use a search engine when it seems rather obvious that it didn't matter whether or not he was online, that baby was coming then and there!

What makes this story interesting is that the mother had been planning for a homebirth and visited by her midwife before the labour. Surely at some point earlier in the pregnancy the father might have shown some interest in what to do at a homebirth or considered the possibility that they might have a fast freebirth (it was their fourth baby too, one would think the father would have learned how to support his wife during labour slightly before she went into it for a fourth time! But instead he spent those precious moments in front of a computer screen).

Concerning the representation of accidental freebirths in the media, Gloria Lemay notes that
"What is missed is that birthing a speedy baby without any professionals around is actually a safe process. I have read these stories for 30 years and have never seen a single one that involved a true complication."
She also notes that the majority of these stories involve two factors which help contribute to these births being uncomplicated: the umbilical cord is left alone because of a lack of clamps at the scene, which enables baby to stabilise breathing and the mother holds her newborn continuously. She says it best when she says:
"I’m sure that the newspapers will continue to write these stories with all the drama laced throughout them but, remember, birth is a healthy, normal elimination process of the body that happens smoothly, easily and quickly for some women and their babies. It’s an emergence, see?"
I like to think of birth like pooing, two elimination process as Gloria notes. But I can't imagine a fast-moving freepoo by the side of the road making it in the news and I certainly can't imagine anyone trolling the internet for tips of safe poop-before-arrival!

Related Posts:
Emergency Deliveries - Stand and Deliver
Treatment of Baby in a Hurry Stories - Gloria Lemay
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Saturday, December 12, 2009

Peninsula Birth Support's Submission to Senate Inquiry

The Green's party successfully referred the amendments to The Midwives and Nurse Practitioners Bill 2009 (which would effectively end homebirth midwifery in Australia) to a senate inquiry, the submission deadline was Friday. The following was Peninsula Birth Support's submission:

To Senator Moore,

Inquiry into Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009 and two related Bills

The following submission outlines the concerns of members belonging to Peninsula Birth Support regarding the Health Legislation Amendment (Midwives and Nurse Practitioners) Bill 2009. Peninsula Birth Support is a group of maternity service consumers living on The Mornington Peninsula, Victoria. We aim to provide information about childbirth to the community and support to mothers interested in making informed choices during pregnancy and childbirth. We have observed that many mothers-to-be are not aware of the maternity care options available to them and we are gravely concerned that not only will the Bill make this situation worse, it will also eradicate some of the lesser known options, such as giving birth at home with the assistance of a qualified and registered midwife.

Presently independent midwives provide homebirth families with a series of antenatal and postnatal in-home appointments, as well as attending births at home and living on-call throughout the last weeks of their client’s pregnancies. These are highly trained medical professionals who come to a woman’s home, prepared to provide medical care if need be. They are the experts on normal physiological childbirth. In the rare event that a homebirth mother’s pregnancy or labour becomes high risk, independent midwives work with the mother and other medical care providers, such as obstetricians, to ensure that mother and baby are safe.

In contrast obstetricians are the experts of high risk pregnancies and birth complications. Few women are aware that they are able to hire a midwife and have a homebirth. Obstetrics has a monopoly over maternity services and many women’s initial medical contacts in pregnancy (such as General Practitioners) do not think to share information with their patients about homebirth or independent midwives. Low risk women are needlessly referred to obstetricians due to a lack of understanding in Australia about the two very different models of care obstetricians and independent midwives offer. As a result we have a national rate of homebirth that is under 2%.

Peninsula Birth Support aims to improve childbirth knowledge within the community to combat the lack of information provided to pregnant women about their options. However, there will be no point to our mission come July 2010 when The Midwife and Nurse Practitioner Bill comes into effect. This Bill is set to give obstetricians and GPs power over independent midwives (as outlined in the Health Legislation Amendment), leaving Australian families with no such thing as independent midwifery.

While the Australian government, in conjunction with the Australian Medical Association have stated that this Bill seeks to create collaborative arrangements between independent midwives and doctors, their version of collaboration gives doctors the power to determine whether or not a midwife may practice, and who she can and can’t care for. More alarming is the fact that this means Australian women will not have freedom of choice when it comes to who they wish to employ as their care provider during pregnancy and childbirth. The government is taking this right away and giving it to one group of service providers.

In no other arena of consumption would the government allow one group of service providers to control their competition. Birth attendant Kelly Winder summarised the situation thusly: “Giving obstetricians and GPs the power to choose who can homebirth with an independent midwife is tantamount to giving formula companies the power to choose who can breastfeed.” It is deplorable.

For the government to remove such choice from Australian women is ignorant, unjust and paternalistic. This Bill places doctors, rather than women, at the centre of maternity care. It suggests that the government believe doctors should make women’s minds up rather than leave women to make choices themselves, choices which directly concern their bodies and their babies. Further, it suggests that the government believes obstetrics is a superior service to independent midwifery. This is inaccurate (independent midwifery and homebirth have been shown to be safe according to peer reviewed medical journals[1]) and places many low risk women in danger of receiving unnecessary high risk interventions during pregnancy and birth, because this is what obstetricians specialise in: high risk cases.

The women within Peninsula Birth Support have had many and varied experiences of pregnancy and childbirth. Our group includes mothers who have given birth: in hospital, at home with an independent midwife and unassisted at home. We respect one another’s diverse birth choices regardless of whether we would choose the same for ourselves. All we ask of our government is that they do the same. Our government should respect a woman’s right to choose where she gives birth and who she hires to be her care provider. If the government are able to go forth with The Midwives Bill as it stands these rights will be taken from women and placed in the hands of doctors, many of whom are unsympathetic to homebirthing despite the medical literature which attests to the safety of homebirth attended by independent midwives.

If homebirth is to remain a feasible option for Australian women it is imperative that we have access to independent midwives. It is their independence which enables these midwives to provide such high-quality, personalised and in-home care!

Yours sincerely,
Peninsula Birth Support

[1] de Jonge A, van der Goes B, Ravelli A, Amelink-Verburg M, Mol B, Nijhuis J, Bennebroek Gravenhorst J, Buitendijk S. Perinatal mortality and morbidity in a nationwide cohort of 529 688 low-risk planned home and hospital births. BJOG 2009.Kenneth C Johnson and Betty-Anne Daviss, Outcomes of planned home births with certified professional midwives: large prospective study in North America. British Medical Journal 2005;330:1416 (18 June); Macfarlane A, McCandlish R, Campbell R. Choosing between home and hospital delivery. There is no evidence that hospital is the safest place to give birth. British Medical Journal. 2000 Mar 18;320(7237):798; Olsen O, Jewell MD. [The Nordic Cochrane Centre, Rigshospitalet, Blegdamsvej 9, dept. 7112, Copenhagen, Denmark, DK-2100 O. Home versus hospital birth. Cochrane Database Syst Rev 2000;(2).


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Wednesday, December 2, 2009

Peninsula Birth Support

Last week I mentioned that I was setting up a birth information and support group in my local community with the assistance of some local friends. Since then we have found ourselves a venue for monthly community talks/discussion meetings, booked a couple of guest speakers, set up a yahoo group email list in addition to our facebook group and we have created a brief newsletter listing our scheduled events (so far) for February to June 2010 (click to enlarge):


We are also planning a submission writing meeting in the coming week, where those of our members who can make it will come together to support each other in writing submissions to the government regarding The Midwives Bill. We also plan to pen an official Peninsula Birth Support submission. Anyone interested in joining us for this can email me for details: sarah@ilithyiainspired.com

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© 2007 - 2013 Ilithyia Inspired | No reproduction without docmentation of permission from blog author and/or providing full bibliographic details including a link to the exact page quoted.

All the opinions expressed on this site are the author's, unless otherwise stated, and are independent from any of the organisations I am affiliated with| Any information provided on this site should be used as an introduction to ideas that hopefully inspire further research and education elsewhere. Information and opinions provided on this site should not used in place of professional midwifery or medical advice.

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