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Showing newest posts with label Freebirth. Show older posts
Showing newest posts with label Freebirth. Show older posts

Wednesday, March 17, 2010

ALP: The Freebirth Government

Dear Prime Minister Rudd and Health Minister Roxon,

I write to congratulate you on the great step forward you have taken on behalf of birthing women everywhere in Australia. Few politicians to date have shown such trust in women's innate power to birth their babies in an unhindered environment, as you have.

Most parties involved in debates about Australia's maternity system argue that birthing women need the presence of a medical professional during labour. The vast majority of Australian homebirthers have previously employed an independent midwife to attend to their medical needs during pregnancy, birth and the postpartum period to ensure if anything goes wrong during their homebirth they have skilled hands at the ready. You have taken a bold step forward on behalf of these women, giving them them the final push they needed to embrace unassisted birthing and finally experience the true power of unhindered labour.

By finally passing the controversial midwives bill which will give doctors veto power over "independent" midwives and prevent the overwhelming majority of these midwives from practicing (thanks to an inability to access indemnity insurance for homebirths) you have turned hundreds of homebirthers into freebirthers.

I understand that presently your government is receiving a lot of criticism from midwives, homebirthers and The Greens party for the work you have done to encourage Australian women to stop fearing their power and start freebirthing. But these critics lack your wisdom and fail to realise that evolution has perfectly designed women for birthing without the presence of skilled care providers, like midwives in private practice.

Yours sincerely,

A fellow freebirth advocate


For More:

Major Parties Unite Against Midwives and Homebirths

Senate Passes Controversial Birth Bill

*ALP (for international readers) is the Australian Labour Party, the geniuses currently in power.

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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 clik here.

---
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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Monday, August 31, 2009

Home Made Home Birth Advocacy Items

In the lead up to the mother of all rallies in Canberra, some of my local homebirth friends have been getting together to help make some banners and t-shirts for the protest. When the rally has been and gone I will miss these creative days, they were a lot of fun. Our crew consisted of:
  • One Mum who had a fairly great hospital birth a couple of years ago but can't wait to homebirth number two with a midwife.
  • Another Mum who had a fairly good hospital birth a couple of years ago and recently homebirthed her second child. She also hired a midwife but ended up accidentally freebirthing.
  • A Mum who homebirthed four of her five children, with the support of a midwife (her first, hospital, birth was not good).
  • A Mother of one little freebirthed child, who plans to freebirth all her children.
  • A Dad of one little freebirthed child, who can't wait to do it all again and again and again and again :)
  • And of course, all our children!
First we all helped make the banner brainchild of the mum looking forward to giving birth at home in the future:




Then we made some t-shirts featuring iron-on slogans we created on the computer:




As you can see I created a shirt to reclaim the media's use of the phrase "backyard birth" to refer to homebirth without a midwife. As a freebirther I grow weary of the assumption that birthing without a care provider is dangerous and I am offended at the implication that it is in the same category as illegal/unsafe abortion.

My daughter and I also purchased some homebirth advocating clothing before our t-shirt making day:



One very talented Mama created this banner:


Finally we all helped make a banner featuring my appropriation of the dirty dancing quote "nobody puts Baby in a corner":





We've had a very productive couple of weeks and can't wait to see each other on the steps of Parliament come September 7!

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Thursday, June 25, 2009

United We Homebirthers Stand, Divided We Fall

***Update 1/7/09. Since this post was written Home Birth Australia have removed the press release in question and replaced it with the following, far more inclusive press release:

Health Minister Denies Women their basic rights

NEWS RELEASE
Wednesday June 24 2009

Contact: Justine Caines 0408 210 273



Homebirth Australia today slammed the exclusion of homebirth from insurance schemes for midwives announced by the Health Minister Nicola Roxon in parliament today.

“Effectively two pieces of legislation will outlaw midwives providing homebirth care from July 2010” said Justine Caines, mother of seven and secretary of Homebirth Australia.

“Women will continue to homebirth, but will now be forced to do so without the assistance of a qualified professional.” said Ms Caines.

“It is unacceptable and unsafe to force a woman into a choice that is not optimal for her, whether that is a hospital birth or a birth at home without midwifery support. It is absolutely impossible to understand the government’s position on this, other than to say that they have bowed to political pressure from medical lobby groups.”

The National Maternity Service Review received submissions from hundreds of women wanting access to homebirth services. The vast majority of homebirth services are provided by private practice midwives. Removing this option is likely to end access for most women to homebirth.

Ms Caines called on all ALP members to declare their view on a woman’s right to self determination of her health care needs. “If the ALP is so hell bent on preventing women from accessing homebirth as an option I ask all ALP members to publically state their position on this.

It appears that having a Health Minister who is a woman, a recent mother, and a lawyer understanding consumers’ rights, is not proving to be an advantage for women. Removing women’s rights to the point where we are back providing care in dark alleys or in back rooms is ridiculous in 2009.”



Thank-you Home Birth Australia for listening to the concerns of your sisters. It is comforting to know that at least homebirthers are listening to each other. ***

Original post from 25/6/09:

Yesterday Homebirth Australia issued the following press release:

"Deaths will increase with new announcements

NEWS RELEASE
Wednesday June 24 2009


Homebirth Australia today slammed the exclusion of homebirth from insurance schemes for midwives announced by the Health Minister Nicola Roxon in parliament today.

“Effectively two pieces of legislation will outlaw midwives providing homebirth care from July 2010” said Justine Caines, mother of seven and secretary of Homebirth Australia.



“Women will continue to homebirth, but will now do so without the assistance of a qualified professional.” said Ms Caines. “The result will be an increase in deaths for mothers and babies, this is certain. It is absolutely impossible to understand the government’s position on this, other than to say that they have bowed to political pressure from medical lobby groups.”

The National Maternity Service Review received submissions from hundreds of women wanting access to homebirth services. The vast majority of homebirth services are provided by private practice midwives. Removing this option is likely to end access for most women to homebirth.

Ms Caines called on all ALP members to declare their view on a woman’s right to self determination of her health care needs. “If the ALP is so hell bent on preventing women from accessing homebirth as an option I ask all ALP members to publically state their position on this. It appears that having a Health Minister who is a woman, a recent mother, and a lawyer understanding consumers’ rights, as a health minister is not proving to be an advantage for women. Removing women’s rights to the point where we are back providing care in dark alleys or in back rooms is ridiculous in 2009.”


I was disappointed with the tactics used in this press release to further the cause of saving private midwifery. In particular I was unimpressed with how the release claims that birth is inherently dangerous unless a care-provider is present and the marginalisation of freebirthers within Homebirth Australia (they may be freebirthers but they're homebirthers too!). A dear friend of mine, a fellow birth activist and homebirther, Jessica Pritchard wrote a response to this press release which outlines my concerns more clearly and succinctly than I could. She has given me permission to share her response here:


"It is disturbing to witness the slander of birth that is in the media at the moment. I really believe to label the "freebirth or purebirth movement" as dangerous is irresponsible and just another way of disempowering and dividing an already small community.

While I understand the sentiment behind the claims - unassisted birth should not be the only choice beside hospital birth - this is very different to actually naming the freebirth movement. There are many women who are choosing to birth on their own, or with non-medical assistance for very different reasons - the least of which is money or political. These women will continue to birth this way whether or not these recommendations become law. For you to say that women and babies will die as a result just solidifies the uninformed notion that birth is innately dangerous. It saddens me that as a homebirth advocate you would have so little regard for the process of birth and of women.

If you don't trust birth (or the women who birth) you have no business being it that space.

Divide and conquer - its what 'they' want. Please don't continue to alienate some of the very few allies you have with propaganda and slander. By doing that you are guilty of what Obstetricians do to you - label and shame.

UNITED WE STAND - a homebirth is a homebirth no matter who you have there."


We understand that women being left with a "choice" between homebirthing unassisted or hospital birth could lead to women "choosing" freebirth who aren't really prepared or ready for the responsibility that brings and this could lead to dangerous outcomes. But, as Jess said in her letter, alienating some of their allies does not serve the greater good, it divides an already small community of women (for more on that see my early post "Divide and Concquer Pitting Homebirthers Against Freebirthers")

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Sunday, April 12, 2009

Starting A Book About Australian Freebirth

I've decided to write a book about freebirth in Australia, an effort to demystify this particular birth choice in what the tabloid media have demonstrated is a very hostile climate for women choosing less popular birth options.

The central question driving the project is "Why are some Australian women choosing to freebirth in the Twenty-first Century?", with a focus on what these women's experiences of freebirth have been.

I am defining freebirth as "planned homebirths which are not attended by medical professionals". This includes families who employed a medical professional throughout pregnancy but chose not to have him or her present at the birth, but excludes unplanned freebirths (where either the family did not have time to get to the hospital/birth centre or the medical professional did not have time to get to the family's home). "Medical professionals" refers to any health workers with a university degree in their field of health, be that; nursing, midwifery, general medicine, obstetrics or gyaenecology.

As a starting point I have put together a survey of 23 questions (some multichoice, some short answer) for women who have had planned freebirths and a questionnaire which explores more open-ended and in-depth issues/questions, it considers aspects of freebirth left out of the original survey.

I suspect in the future this research may also include interviews with families who have freebrithed (be they in person, over the phone or via email). I am also currently working on a survey for partners and fathers whose significant others chose to freebirth.

I also hope to include freebirth stories from mothers and fathers willing to share their experiences in their own words in the book.

If you have freebirthed in the last ten years, in Australia. Please email me at sarah@ilithyiainspired.com to get a copy of the survey and questionnaire.

ETA: I have now set up a private group on facebook for supporters and participants of the book project (http://www.facebook.com/group.php?gid=71972723685). If you're interested in joining send me an email to let me know and I can reply with an invitation to join the group.

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Tuesday, April 7, 2009

Divide and Conquer: Pitting Homebirthers Against Freebirthers

An article was published in an Australian newspaper yesterday stating that four babies have died at homebirths in the past nine months. Let's put aside, for a moment, that the article didn't publish the number of babies who have died in hospital during that period, that when a baby dies at homebirth it is presumed to be avoidable and when a baby dies at hospital is is assumed there was nothing that could have been done to save him or her, let's also ignore the abhorrent fact that this article singled out one grieving mother to be the target of all attacks against homebirth, and let's forget for a moment that the article in question made reference to a study which attests to the unsafe nature of homebirth that is twenty years outdated and was not a study of planned homebirths at all, but a study of unplanned "births before arrival", and let us also forget for a moment that the same article failed to make mention of any of the many medical studies attesting to the safety of planned homebirth attended by a midwife (one study which is only four years old).

Instead, let's focus on the fact that the article did not distinguish between homebirth and freebirth. Why focus on this one aspect? Because this is the aspect that some homebirthers have highlighted on their own blogs, or in disucssions on birth forums across Australia. But mostly, because this aspect is the one that has the potential to best serve the opponents of all homebirths.

On the same day as the newspaper article was published one blogger wrote a piece "Homebirthing Vs Freebirthing: There is a Difference", the title in itself pitting two groups of homebirthing women against each other. Ultimately this piece was written as an attack on one group of consumers and their community. In the article she refers to women who freebirth as "radical fringe-dwellers" and concludes that "Freebirthers who actively shun medical assistance for their own selfish ideological positions, however, don’t help anyone. Least of all their babies."

The author's point is this; don't hate all homebirthers, just the freebirthers, women who homebirth with a midwife present are normal mothers who deserve respect, but freebirthers are members of a crazy cult and feel free to disrespect them (where then, I wonder, does this leave the women who had planned midwife attended homebirths but the midwife didn't make it in time?).

What this author fails to realise (in addition to the fact that freebirthers don't actively shun medical assistance or choose to freebirth because of ideology) is that this line of argument makes her, her own worst enemy (if she was hoping to improve the situation for women who homebirth with a midwife). I am reminded of a reworked poem on Empowering Birth Blog:

First they came for the unassisted birthers,

but I did not speak out, because I do not free-birth.

Then they came for those who birth at home with lay midwives,

but I would would not speak out, because I would not have a home-birth with a lay midwife.

Then they came for those who birthed with Certified Professional Midwives,

and I would not speak out, because I would not have a home-birth with a CPM.

And then they came for those who birthed in birth centers and with Certified Nurse Midwives,

but I would not speak out because I would not have a birth in a birth center or with a CNM.

And then they came for me,

and there was no one left to speak for me.



When the freedom of one group is under attack, freedom for all is attacked. This is why when the latest maternity services review recommended effectively making independent midwifery illegal (leaving women who want to birth at home with freebirth or nothing) freebirthers rushed to aid their fellow homebirthers, despite the fact that they don't hire independent midwives!

Homebirthers and freebirthers are not enemies. Nor are hospital birthers and homebirthers. We are all women navigating a system that we did not create, that was not created for our convenience, but for the convenience of care-providers, and we are all trying to make the best decisions for our own health and the health of our babies. To assume otherwise is to be the real fool in all this. Most of all, to pit yourself against another group of women who birth at home is to do the bidding of homebirths' enemies; dividing before concquering.

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Thursday, March 12, 2009

"Why Freebirth?": Looking Glass Alice Answers

Looking Glass Alice is an activist, woman, mother, consumer and birthing warrior. Her latest blog entry reflects on the many reasons women choose to freebirth. Specifically, she addresses the false assumption that many people make about freebirth, which is that it is a homebirther's last resort. Here's an extract that had me nodding along while reading:
"Freebirth is thus not an attack on midwifery but for some women it is an indication that midwifery as it stands is unable to fulfil the needs of many consumers. Perhaps rather than viewing freebirthing women (and those who support them) as another enemy, it would serve some careproviders to use this information to reflect upon how to manage these issues without clients being affected."
She goes on to write:

"Increased availability of midwives, desirable as it is, will not alter every woman’s freebirth plans given the range of reasons women might choose freebirth in the first place nor should it since women’s right to choose within birth must be inviolable. However a woman arrives at the decision to pursue freebirth, it almost always boils down to a desire for autonomy. Autonomy is not available to women in the hospital system, it is not available to all women choosing independent midwifery for complex reasons, some of which are stated above. In fact it is generally not available to (nor is it pursued by many) women in our lives outside of birthing. Some women want to truly make their own decisions around their bodies, births and babies. This can only be a radical concept in a world where women are seldom supported in their basic rights to bodily integrity."

To read Looking Glass Alice's post in full click here.

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Wednesday, November 12, 2008

Here Comes The Sun

April has made an awesome montage of her journey to Sunny's freebirth. And what a journey!
Enjoy...


Tuesday, September 16, 2008

A Sunny Freebirth

This birth story is written from the perspective of moi, zee doula. To read the authentic version written by the birthing mother herself (complete with photos) click here!

"Oh my God! You've got a penis!" April gasped when she first laid eyes on her newborn. All throughout pregnancy she and I had felt that she was carrying a girl. So much so that we used the girls' name she had picked out for her daughter when talking about her pregnant belly. But having a penis was not Sunny's only trick. This is one tricksy dude. He has enjoyed keeping us guessing.

At 38 weeks gestation April started experiencing contractions in the middle of the night. Living so far away from her, that night I sadly accepted the reality that I would probably not make it in time to support her through her final labour (and her first homebirth) and I apologised in advanced to her for this. I went to bed that night fully expecting a call from April or Jamie telling me to jump on the earliest train to Warrnambool I could find. Instead I got a text message telling me labour had stopped.

April was having a blessingway at 39 weeks, so for a week we waited, wondering if she would get to have a blessingway or if her baby would beat us to it. She continued to have contractions on and off throughout the week, but no baby. My family spent the weekend with April's family for her blessingway. We had a great time, making woolen birth bracelets, a belly cast, and enjoying one another's families. I thought that surely April's baby would conveniently time her birth for sometime then, when I was in Warrnambool already. We joked about her "dropping babe" mid-blessingway. But it was not to be and Monday morning I was back on the train home.

Forty weeks came and went with April feeling nauseas and contracting here and there, but no birth. Round came forty-one weeks, same story. Forty-one weeks plus one day gestation April called in the morning to tell me she felt like labour was starting. She said the contractions were more intense than any she had had so far and that she wasn't coping with them very well. I packed my bag, popped my baby girl into my wrap-around carrier, and called a taxi to the station.

On the train I was seated with another family, I made an instant friend in the mother. They were going to her grandmother's funeral. They asked me what I was headed to "Warny" for, and when I told them she said "Beautiful, one goes and another comes".
Later at April's house the two of us joked about the freaky possibility that the woman's grandmother might get lost on her way to the next world and take up residence in April's baby's body.

A few stops away from Warrnambool April sent me a text message to say that the labour had stopped again, but on my train went, and I was optimistic that by the time I got to their doorstep things might have picked up again. It was not to be...again.

It was a Wednesday when I arrived, and we decided that I would stay in Warrnambool until Monday afternoon, so that I would be close if labour started again. Wednesday and Thursday night I slept at April and Jamie's house and on Friday night my partner came to Warrnambool and my family stayed at a motel to give the expecting family some space.

Sunday night my partner returned to our home and I returned to April and Jamie's. We had a great five days together. It was wonderful to spend that short time living with their family, developing a special appreciation for how they work together and what their days and nights look like. We shared some really fun and heartwarming moments as we watched our children play together.

It was also good to be there when April needed a listening ear. She was approaching forty-two weeks gestation, and those weeks had not been easy on her physically. She was sick of being pregnant, but more challenging was the unknowing nature of birth. Contractions would start and stop and had been doing so for weeks. It was a mind-fuck April would be happy to say good-bye to.

On Friday night April let go of some tears in the kitchen. I stood with her, with a hand gently on her back and listened. When the tears had passed she said "I feel like I'm going to be pregnant forever". I told her how wonderfully she was doing, and that the baby will be born and she will do that wonderfully too. The following day I gave her a bottle of Australian bush flower essences to help if she wanted.

In the time that I stayed with their family labour did not start again. Monday afternoon came and my baby and I boarded the train home. Jamie drove us to the station and as we said good-bye we jokingly said "see you in a couple of days...or hours" and laughed.

My daughter and I got home late Monday night and had a rather sad day on Tuesday, both missing our friends and all the noise and excitement of living with a family with older children. I chatted to April throughout the day via MSN, she was also missing us. We both jumped off our computers around 1am. I climbed into bed with my baby, but I couldn't sleep. I laid awake until after 3am.

At quater to eight I woke to the sound of my phone receiving a message. I opened one eye and reached for it to find a message from April saying "catch the midday train. I'm having a baby today". I couldn't go back to sleep after that! I snuck out of the bed, leaving my baby to get the sleep she needed, and I re-packed our bags, booked a taxi to the station, and when my daughter woke I got her ready to go.

During the taxi ride my baby slept in the carseat, which I sat next to, and the taxi driver and I chatted about raising children, politics, feminism, empowerment, and homebirth. Rather amusingly my driver did not get feminism ("how are women not empowered today?" he asked at one point), but he was more than onboard when it came to freebirth. He was so excited by my academic background and newfound calling to be a doula that he suggested I make a record of my experiences and publish it. "You could have a blog!" he informed me, to which I chuckled internally.

Jamie and April kept me in the labour loop throughout my train trip back to Warrnambool with text messages. My baby slept and I read a book, wondering if I would make it to their house before their baby did. At 1:20pm April rang to tell me that her waters had broken. There was no big bang, no Hollywood style drama, she got up after having a nap and gush. She told me that there was a light brown stain on her underwear from the waters breaking, which we guessed was meconium. She was feeling fine and we had a chat about how most of the time mec in the waters doesn't mean anything is wrong, and given that her baby had been in the womb for 42 weeks and 1 day it was likely that she would have had her first poo already.

From the station at Warrnambool my baby and I taxied to April's. As the taxi pulled into their driveway Jamie emerged from the house with a big smile. I thought for a moment he had a birth announcement to make, he looked so happy.
"Has she had a baby?" I asked excitedly.
"Not yet" Jamie replied as he helped carry my things into the house "Welcome to the real one!"

Inside I found April sitting on the birth ball at her desk, arms folded on the desk, and head resting on her arms. Jamie was right, this was indeed the "real" labour. Between labour rushes April told me she had been in labour since 2am, and we chatted. When a rush would start she would reach for Jamie or call his name and he would come to her. They would hug and she would breathe and chant "ow, ow, ow, ow, ow, ow, ow" until the rush passed.

April, Jamie, their two boys Jet and Indy, my baby and I, all hung out in the kitchen and the lounge room area of the house together. April and Jamie hugged their way through April's labour rushes and after a little while April retreated to their bedroom. She perched herself on the edge of the bed and leaned forward onto a chair she put in front of herself. She would rock the chair back and forth throughout her rushes. She wrapped herself up in an old blanket that used to belong to her Nana. Jamie joined her in the bedroom and I played with the children in the lounge room.

From the lounge room I heard April's birth song. It wafted down the hallway. Occasionally it would entice the boys to the bedroom where they would want to play with their mother's blanket, her birth necklace, or her chair. If ever they became a nuisance Jamie or I would encourage them to play elsewhere. At one point the boys were jumping on the mattresses in one room, squealing with delight, while their parents held one another in the other room, their mother labouring away.

April returned to the kitchen after a while and the two of us stood by the bench together and had a chat. She said she had just been telling Jamie how she "sucks at labour", and how that's how it might feel, but it's far from the truth! Jamie put Jet and Indy to bed as we talked.

Still wrapped in her Nana blanket, April moved into the lounge room and we followed. I sat on the floor with my baby, and April sat on the couch. When a labour rush began Jamie would kneel before her. He accidentally knelt on her foot and as she rushed April yelled "Jamie! Get off my fucking foot!" and half laughed her way through the rush.

When the next rush hit her, April was back on her feet in the kitchen. "Jamie!" she called to him as it began and he held her again. She accidentally grabbed his hair as she rushed and together they sang "ow, ow, ow, ow, ow, ow!" through the rush.

I made sure April had plenty of juice and water nearby. She asked Jamie to make her pasta, but she couldn't eat it, so I did. She munched on Jamie's sandwich for a while, but eventually spat that out too.

There were long breaks between April's rushes. Between them we talked a lot and made one another laugh, just like any other day we were together. April was still her funny self, even during most of her rushes. At one stage she whined "fucking babies, why do they have to grow so big?". She also mused that labour was "alright until I have a contraction", which made us laugh!

After 9pm April's rushes became more intense. Her birth song became louder and the rushes seemed to last longer than before. No one was actually timing her, but I remember thinking they seemed longer from this point onwards.

Jamie had set up a couple of foam mattress on the lounge room floor in front of the heater. April laid down on them and he sat beside her on the floor. It wasn't long before she could be heard snoring, and I hoped it meant she was getting some decent, well-deserved rest.

The house felt very still. Jamie was beginning to drift off to sleep as well, leaving my baby and I the only one's awake. I took my baby into their bedroom to entertain her quietly away from everyone else. She had spent her evening the way she spent every evening we were with April and Jamie. She nursed when she was hungry, sat and played with toys on the floor, watched the other kids play, bounced around in her carrier as I roamed the house wearing her, and slept in her carrier. Now she munched and sucked on some toys I brought to her in the bedroom.

I heard April experiencing another rush, it sounded more intense. I left my baby briefly to see how April was going. She looked like she was in a daze. I returned to the bedroom and continued playing with my baby, hoping she would tire soon and I could feed her to sleep for the rest of the night.

Jamie and April remained together on the floor. Their heads resting together, holding hands. April softly moaned her way through the rushes. An intimate moment between mother, father and bellyfruit.

My baby tired. I laid on the bed with her and fed her to sleep. When she was sleeping deeply I gently slunk away, hearing April move from the lounge room to the toilet. April went to the toilet with Jamie and I as her audience, the humour of the scene not lost on her. She updated us, telling us she felt crap and cold, tired and over it.

I returned with April and Jamie to the lounge room and kitchen area of their house. April got back on her purple birth ball and rolled backwards and forwards during rushes. As she rolled back and forth with her bum sinking into the ball and her knees up she cursed "I feel like a fucking frog" and we giggled.

This period was one of my favourite memories from the whole experience. For about forty-five minutes Jamie, April and I were alone in the lounge room. During rushes Jamie and I silently listened to April sing her birth song. And between the rushes the three of us talked and made one another laugh. April said she felt like "it's doing something down there" and I replied "that's good. Nice to know you're not hallucinating labour!". I thought about Ina May Gaskin and what she says about the use of humour during birth and how laughing your way through dilation is the best way to do it.

As she emerged from another rush April mused "labour sucks. It's very laborious...that's not how you say it..." (she said it so it sounded like layb-er-us)
"Sounds like Cerberus" I replied.
"What?"
"The dog that guards the gates of hell"
"Yep, that's just....YEP!"
Apparently Cerberus felt very relevant to her at that point in time!

April was still really lucid, no longer in the daze of earlier. She was sitting on the couch and I was standing by.
"Don't you know you're not in labour yet?" I teased her, tongue firmly in cheek.
"How come? My waters have broken. Oh coz my contractions aren't regular yet."
"Well that means you're in pre-labour, but because your waters have broken but you're not in labour you'll need constant foetal monitoring," I advised with my imaginary obstetrician cap on.
"And antibiotics, coz of those pesky infections and the waters," April added, briefly donning her own ob cap.
"Oh yeah, there's all kinds of infections tryin' to crawl up yer cunt and eat yer baby!"
April's whole body shook as she laughed at my final comment.

At one point she was rushing on the couch and I recalled how comforting I found it to hear my doulas breathing with me during my daughter's birth. I began trying to mimic April's breathing, but it seemed she did not feel the same as I once had, and called out "Shut up!" at me, which I promptly did.

Indy woke up at quarter past midnight, usual for him. But instead of being taken to bed with his parents, tonight he joined them in the lounge room where his mother laboured. It was now Thursday, September 4 2008.

I pulled out my notebook I take to my doula classes and opened up to the page that had a list of things women like to hear while giving birth, a list we students compiled together based on our own experiences. April wanted to know what I was up to, I told her. She wanted to see what was on the list, so we sat together and went through it. April poo-pooed every list item, as I suspected she would. And we laughed at what April might do to Jamie or I if we tried any of these sickly sweet approaches with her. She cringed in particular at "use her name regularly" and "she will like to hear "I love you"". Knowing April's sense of humour well during the next rush she had I said: "April, I love you, April", causing her to smile throughout.

Sitting on the couch April said that the pressure had begun to feel different in her backside. She wandered into the kitchen and while standing she felt another rush rise up. She called to Jamie and he held her. As she rushed Indy ran to the birth ball and rolled it to her side because he had seen his mother use it earlier in the evening when she was like this. It was a very touching moment, and cool to realise how much little people really do understand just from observing.

Eventually Indy fell asleep again, this time in the lounge room. April laboured on, and Jamie continued to hold her quietly when she rushed. Everyone was asleep but the three adults. Jamie and April were sitting in the kitchen facing one another, ever ready to embrace when the next labour rush hit. That peaceful stillness had returned to the space and I sensed I should disappear for a while and allow April and Jamie to have this intimate moment in solitude. I mentioned to April that I would go lie down with my baby and they could call me back whenever they wanted. That was at 2am.

I slept by my baby for a little less than two hours. Around 4am I woke to hear April singing her birth song. It was louder and stronger than ever before. I went to the kitchen to see how she was holding up. She was saying "this sucks butt" and chanting "stop! stop! stop! stop!" throughout her rushes. I went back to the bedroom to gently scoop up my baby and transfer her from the now cold bedroom to the warm lounge room. I laid her down next to Indy, who was sleeping peacefully on the foam mattress by the heater, and there she continued to sleep.

I noticed that Jamie looked tired. I stood beside April and said "you're doing really well. You're doing it. It's going perfectly." April didn't seem to believe me, which I could appreciate, remembering what it was like to be inside the labouring body. I added "I know it's hard to do, but it is amazing to witness. Everything is as it should be".

April's birth continued like this for a while and then she told us she felt very uncomfortable. She felt tired and "everything hurts". She wanted "to try something" but wasn't sure what. I suggested a walk: "either outside with Jamie, or just around the house". I remembered seeing a video of Rhea Dempsey with her arm around a birthing woman who was wrapped in a blanket (just as April was now) guiding her around the house. April didn't like the idea of a walk, I suggested the birth pool. She was hesitant, concerned that it might be too soon to use warm water.

I asked her how she was feeling to try to work out how far along she might be, but felt that she was far enough along that water wouldn't hinder her progress. I hoped that by the time the pool was full she would have progressed further enough that she knew it was the right time for water. So Jamie went to the bathroom to get the already inflated birth pool and roll it down the hallway into the kitchen.

When he slid the pool into the kitchen I looked at it and saw it wasn't nearly inflated enough. April obviously read my face and asked "What?" in a way that suggested to me that she knew exactly what was up. I put one of my legs in the empty pool and stood on the bottom of it, immediately my foot sank down and hit the floor as if there were little to no air in the base of the pool.
"I think the pool could use a bit more air in it" I said carefully, hoping April would not kill us for this oversight.

They had a horrible electric pump that made a noise I imagine will accompany the apocalypse, and a noise that scared the children (two of whom were asleep nearby). Jamie rolled the pool back to the other end of the house to inflate it more. I told him it should be pretty full, and he'll know when it's ready when it feels nice and coushy on the base, supportive enough for tired labouring knees!

Jamie returned with a perfectly inflated pool, and April was really starting to want that water now! She was standing by the kitchen bench, leaning over it, sipping juice, and swaying her hips from side to side as she rushed. Her patience for imperfect birth attendants was starting to wane.

Jamie began looking for the part which connected the hose to the kitchen faucet. He couldn't find it and asked April where she thought it might be.
"You put it somewhere where you said you wouldn't forget where it was!" April snapped, understandably!
Jamie continued the hunt for the connection unsuccessfully until April followed him down the hall and spied it within two seconds of glancing into the laundry.

With the connection found, Jamie began filling the pool with water from the kitchen tap. It was almost 5:30 in the morning and April couldn't bear it any longer. She climbed into the pool and sat down. It seemed to help. Perhaps it was just getting off her feet that made her relax, but I felt my own muscles release a little bit at the sight of her lying back with her eyes closed in the water.

April began shaking and I wasn't sure at first if it was because the water was too cool or if it was the effect of labour hormones late in dilation. We had run out of hot water from the tap so Jamie and I began filling the kettle with water and putting pots of water on the stove. In true male fantasy fashion whenever Jamie poured another pot of steaming water into the pool he'd announce to April "Incoming!". It was as if he'd been waiting his whole life for a moment to say that. And it was revealed that April's shaking was due to the water temperature.

April lifted her arm in the direction of her bucket and I passed it from the bench to her in the pool. She had a mighty hurl into it and I felt my own body become lighter and feel a shared sense of physical relief with her as she let it all go.

Indy woke to the sound of change. He trundled into the kitchen to see what I imagine to him would have looked like a fun park! A big shiny blue inflated tub filling with water! What fun! He ran around the outside of the pool, as if he were looking for a way in. He stood up on tippytoes and tried to dive head first into the water, Jamie gently pushed him backward to prevent him from getting into the water. He roamed around to the side of the pool April was resting against. She looked deep in that labour haze now. Indy reached into the pool where he spied his mother's necklace floating on the surface. That necklace had been a source of interest all labour. I imagine it looked like lollies to the children. April didn't mind Indy playing with her necklace, until he tried pulling it too far away from her body and began to choke her. At that point she called for Jamie to intervene.

Half an hour later Jet woke up and wandered bleary eyed into the kitchen. I saw him walking down the hallway rubbing his eyes, hair a crazy mess from being slept on. I greeted him as "Jet Bon Jovi", remembering how April and Jamie had referred to that style as his "Bon Jovi hair". He walked into the kitchen where the rest of his family were, it took him a few minutes to wake up and realise how great it was that there was a swimming pool in his kitchen! When he did realise he took to thumping his hands around the sides, which Indy quickly joined in on. They ran around the pool thumping the sides, and trying to climb in.

I was worried about how the thumping might be annoying April and wanted to encourage the boys to leave the pool be. Jamie gave them weatbix (or "weas bits" as Jet calls them) for breakfast and put a DVD of their favourite show on in the lounge room.

At 6:30 April said "I was going fine, now I'm not. I can't get comfortable" and it immediately reminded me of my own labour experience. I remember feeling exactly the same way just before transition. I wondered if perhaps April's transition was about to be upon us? She was definitely in that late dilation hormonal haze period.

The boys playing in the lounge room woke my baby who had been sleeping by the heater for a couple of hours. I offered her a feed but she wasn't interested in the breast since her friends were playing on the mattress and the television was on. She was happy to sit on the floor watching the boys play, with a few toys in her reach to grab at and suck on. I left her there and returned to April's side.

Jamie sat on the floor by the pool. I noticed that both he and April were sleeping between her labour rushes. It was another fairly still moment. I focused my attention on the children in the lounge room and keept them occupied with games and television. My baby was sick of sitting by this point, especially since she could see the older children coming and going as they pleased. I put my wrap around carrier on and wore her on my front, and she was content from then on.

At one point the boys ran back into the kitchen and again tried to jump into the pool, I really wanted April and Jamie to be left in peace at this point, so I said to the boys
"Hey guys! Wanna play on the mattress?!" And I ran into the lounge room beckoning them to chase me, which they did.
I ran across the mattress on the floor and they followed.
"What else can we do on the mattress?" I asked "How about jumping across it?!"
So we did that too.
Then Jet suggested we "scoop" across it, which I could not for the life of me figure out what he meant, until Jamie called from the kitchen "Skip, Jet!". So we skipped across the mattress too. I also suggested hopping, and it was very cute watching the tots trying to figure out how to hop long enough to get themselves from one end of the mattress to the other without falling over. It was rather hard to skip and hop while wearing a baby on my front!
With all this fun they had forgotten about the pool and I was free to slip out of the lounge room and leave them be with the mattress.

April was on all fours in the birth pool now. She had been in labour for thirty hours and she was sick of it! She still felt like she "sucked" at labour, and told us that she couldn't do it. There were some tears, and some pleading, and some whimpering. But Jamie and I never wavered in our total faith in her strength. Whenever April would cry "I can't do it" I would say "you are doing it".
"No I'm not!" she would retort.
"You are, honey. I know it doesn't feel that way at the moment, but you really are doing it, and you're doing it beautifully!".
I knew she didn't believe me in the moment, but I hoped telling her the truth would help in some small way.

One time as she cried that she couldn't do it anymore I said to her "April, it's your baby's birthday today!" so full of excitement for her. She shook her head in response, she reminded me of Indy, shaking his head and saying "noooo" when someone suggest he do something he'd prefer not to :)

At her request Jamie was applying pressure to April's lower back with the palm of his hand. She asked me when the baby would be born. I jokingly replied "In time for Macca's breaky". For a brief moment the mood felt lighter in the kitchen.

My baby wasn't interested in going to sleep in the wrap on me, and she seemed to be getting restless with me because I was spending my time in the kitchen rather than walking non-stop, which is what she prefers. So I took her out and placed her back in the lounge room with toys and the boys.

Jamie was looking really tired, so I passed him a glass of water and suggested he eat something (April had made the same suggestion earlier too). So Jamie made himself a sandwich and wandered between the kitchen and the lounge room, keeping an eye on children and wife. I took his place over the other side of the birth pool and applied pressure to April's lower back with my hands.

As Jamie and I made our way to swap sides of the pool April had another rush. Both standing at her head I lunged forward and reached my hands down to her lower back to apply pressure. Jamie and I were stuck in the corner, me sandwhiched between the pool and the oven, doubled over, Jamie squished between the pool, the pantry and me. For a moment he considered squeezing past me, but realised there was no way he could do it without sexually harassing me, so stood still by the pantry. He said "Um, I think I'd better not", and I used all my strength to stay focused on April and not laugh at him and my bum being in his face.

I felt really privileged to be able to give April some hands on support. For a couple of her rushes I bent over from behind and pressed my hands against her lower back, and eased off when I noticed the rush had passed. As she yelled through the rushes I would whisper "that's the way" and "yell it out", "beautiful". At the end of one of her rushes she seemed more emotional than before, she was teary. I bent down and softly told her how awesomely she was doing and asked if she would like Jamie to return? She nodded.

I went into the lounge room where Jamie was with the children, finishing his breakfast and told him that "April could do with some Jamie loving" hoping that he might say a few encouraging words because they would mean more coming from him than me. As I left them alone I noticed them softly talking to each other and heard Jamie tell her she was doing really well. The conspiracy theorist part of me was wondering if perhaps they were formulating a plan together to ditch their doula and high-tail it outta there for the hospital, but I laughed it off knowing it was a ridiculous thought, the vibe in the birth space remained calm, peaceful and normal.

She began to get fabulously vocal. During the more intense labour rushes she would yell "OUUUUUUUUUT" and "FUUUUUUUUUUUCK". Fifteen minutes after she started to yell through her rushes I noticed that her yelling became even louder and the rushes seemed suddenly even more intense! As one rush ended her shoulders began to shake up and down as she cried and told us "I can't do it anymore". No sooner had she said it than another rush took over her body and she screamed "GET ME OUT!"

April was starting to sound like if she were offered an escape route she would take it. I figured it was transition time, but I didn't want to commit to that thought in case it was wrong, or in case it made me expect the birth to be finished soon. I wanted to suspend all expectations, because that's how I could remain present to the moment.

I was tempted during this period to tell April that she was in transition and soon the worst would be behind her and she would have her baby in her arms in no time, but I caught myself thinking that and reminded myself that I didn't know that! Even if I was right and it was transition I could not be sure that April would find second stage easier. And even if those two things ended up being true, I couldn't know for sure how long April's second stage would be. "Soon" could still be a long way off. Thankfully I stopped myself from saying any of these stupid thoughts to April. Although, looking back I realise that those thoughts became true and now I wonder if I had some psychic birth serving gift at the time or whether it was pure coincidence?

The closest I came to telling April that it was transition and it would be over soon was saying "just this moment" to her once. As soon as I said it I imagined April yelling back at me "this moment's the problem!", like DUH, Lith! So I didn't say it again.

She whimpered fairly often about not being able to do it and not wanting to do it, and she said she no longer cared about having a homebirth or having a baby at all (at one point I said "the harder it is, the closer you are to meeting your baby" and she yelled "I don't care!").

April was starting to say things that I suspected she hoped would convince Jamie and I to save her or give her an easy way out. Jamie was really quiet during this period, and I was worried for him. I know what a challenge it can be for a man to watch his loved one endure so much pain and not be able to "do" anything to make it stop. I decided to kneel by the pool and tell April how wonderfully she was doing, as much for Jamie to hear as for April, just in case he needed to hear it (I would discover later that he didn't need to hear it, he knew she was doing great, but didn't know what to say to make it any better so opted to say nothing and be present instead. Arguably Jamie was a better doula than me!).

April, of course, protested to being told everything was going perfectly and she was doing an awesome job. At one point she cried "you're not listening to me!". That really hit me, knowing that the birthing woman I am supposed to be serving felt like I was ignoring her concerns. It really stopped me in my tracks.

I knelt with her and said "I know if fucking hurts, honey, but you are doing it! It's hard fucking work and it hurts, but you are doing it. And no matter how much it hurts you are stronger! You just don't feel it right now, but you really, truly are stronger than the pain". She still protested, saying "No I'm not. I'm not strong. I can't do it. I'm not doing it". I stuck to saying "I know, honey", because it's true, I knew that's how she felt, and there wasn't a bloody thing anyone could do to change how she felt, and nor should they. She felt like SHIT! It fucking hurt and it pissed her off and she wanted out. And that's okay because that's how she felt. All I could offer was my heartfelt "I know", and hope that the depths of my sympathy made her feel she was being listened to and validated.


I encouraged her to "yell it out", which she did roarsomely! Part of me sensed she might be thinking "you want me to yell, I'll fucking show you!", which I loved. I loved being able to witness such a powerful and untame moment. It was so real! So raw! So birth! "AAAAAAAAAAAAAAAAHHHHHHHHHHHH" she would SCREAM! I remember feeling like the earth was trembling beneathe us on account of her awesome ROAR, like her voice was vibrating through the whole planet and changing it forever. I was so in awe of her power! So grateful to feel that roar vibrate through me, and be right there at the source of such an unhindered sound, a most pure birth moment.

By this stage my baby was back in the wrap around carrier on my front. My baby was happy enough for me to focus on April and leave her to hang about in the wrap. Occasionally she would look up at me, a little taken aback by April's screaming. I would simply smile down at my baby and say "it's alright lil one, April's having a bubba, she's okay, just needs to yell bubba out". I think that because all the adults were acting like it was the most normal thing in the world for a woman to be screaming in the kitchen, the kids were fine with it.

April insisted that she couldn't do it, and I didn't want to dismiss her and assume all was well, because I thought that was contrary to the doula's role. Being present is not about making assumptions. Instead, I formulated a plan for if this challenging time went on and developed into a problem. I listened carefully to how she said it to work out whether it was a matter of confidence/exhaustion/frustration or evidence of an emerging problem. My gut was telling me everything was fine and it was the normal expressions of a woman in transition. But just in case it went on to develop into a problem requiring attention I decided I would say to April "let's give it three minutes, and see how you're coping then?" and keep doing that. If it was a physical problem she would not feel right at all, if it was the hard fucking work of normal labour she would protest to it, but it wouldn't feel wrong. I never had to use this plan because just as transition reached the peak of hard work it passed

April began to poo in the pool. The first poo happened when she was on all fours, her head at my side of the pool and her bum at Jamie's, so Jamie had the first honours. I chuckled to myself internally at this, remembering how happy Jamie had been when it was agreed in April's birth plan that I would be poo scooper. We used a little green net to scoop up poop, the kind you get from pet stores to scoop up fish. Then she changed position. She got up onto her knees and turned to face Jamie, placing me in prime poop-scooping position, as planned :) She braced her arms against the side of the pool and burried her face into Jamie.

I heard April begin to grunt and thought "awesome sound, probably means that was transition and we're all about the pushing now!". She looked to be bearing down as she grunted. I looked at the clock, it was ten to nine in the morning. I smiled at Jamie, who was looking a little forlorn, to let him know that she was on the home stretch now.
He mouthed "what's happening?" to me and I mouthed back "pushing".

April was the first woman I ever saw bear-down and I remember what an awesome sight it was to behold. As I watched her I thought "bearing down is such an apt term for what women do in second stage!" It felt so right and so primal.

April pooed and she pooed and she pooed. And I scopped and I scooped and I scooped. At one point I accidentally jabbed her in the bum. I could've kicked myself! The poo had sunk to the bottom of the pool, so I went deep sea scooping with my net to fetch the little blighter, and slipped. I would scoop up the poo and then put it in a bucket on the kitchen bench. There wasn't much point cleaning the bucket yet because more poo was coming. So I decided to keep a shitty vigil by her bum with my trusty net and go clean the bucket when the poo had started to let up a bit.

I was aware of myself growing very excited about the fact that April was in second stage and I thought that it wouldn't be long. I caught the thought and reminded myself that just because my second stage was speedy doesn't mean April's would be. I took some deep breaths and reminded myself that it could be a couple of hours yet and that April could find pushing very challenging. Though from the looks of it I didn't believe April would find pushing a struggle, she looked to be getting on with it and like she just needed everyone to let her be.

In my new-found acceptance that second stage can take as long as it wants I decided to take the poo bucket away and clean it up. I would have plenty of time to come back, scoop up any more poo and clean the bucket again before I would be needed to take photos of the baby crowning. I took the bucket to the bathroom, I was still wearing my baby on my front and she was sleeping peacefully now. I tipped the poo down the sink and washed the sink and the bucket. It was cooler in the bathroom than in the kitchen, and something about the cold air made the stench of the poo really get to my nose. I gagged a couple of times as I scraped the last little bits from the bottom of the bucket and also chuckled at myself for this being my dream job and imagining myself describing what a days "work" involves to friends and family :)

When I returned to the kitchen I looked into the birth pool expecting to find more poo to scoop. I didn't register at first what I was seeing. It looked as if April had grown a third bum cheek. A smaller one, in the middle. It slowly dawned on me that it could only be a baby's head! It had barely been ten minutes since second stage had begun and here was the little person's head! A smile flooded my face. I took some photos.
"Hello!" I said to the little forehead, and Jamie's eyes lit up.
He asked if I could see the baby's head. I told him the very top of his baby's head was visible. So Jamie moved from April's front to the back and readied himself to catch their third-born.

Jamie was trying to ask me something without using words, and I was very confused. He was gesturing with one hand, then with both, gesturing towards the pool. I thought maybe it was to do with the baby's head? Suddenly I wondered if touching her baby's head as she was born was something April wanted to do? I hadn't seen her do it, so I suggested it at this point. April wasn't interested (I later found out she had already done so just before the baby's head became visible to me). It turned out Jamie was asking me how I thought he should go about catching his baby, which I never figured out or helped him with. In the end he simply did what came naturally to him.

I looked at the clock to discover that it was 9:04am when the forehead had been born. Then the baby's head emerged fully, it felt like it happened so slowly. Then the head moved out of our view, behind one of April's legs. After the head an arm was born and for a split second I had forgotten the head was already earthside and wondered if we had a transverse situation, as soon as I thought it I remembered I'd just seen a head so of course it wasn't transverse! Duh! And then the little head swung back into view along with two shoulders, two arms and a torso!

A little face was staring up at us from underneath the water, eyes open. I took a photo, I was awestruck by the sight! There was a little person being born before my very eyes. Half in the world, half not. Already alert and taking it all in - watching us. The baby looked at me and I took a step back, wanting her to focus on her father's face and make eye contact with him, not me. I remembered being pregnant myself and talking to my doula, Jo, about the importance of the first look, of how they bond to you by staring up at you, studying your face carefully, and what a big deal it was for babies and parents to miss that first gaze.

The baby was starting to float up toward the surface while her legs were still inside her mother. I was worried she would take her first breath before she could be pulled up out of the water completely. Once their little faces are out and they breathe they can't go back in!
"Make sure she stays underwater" I said to Jamie, who I later found out was already thinking the same thing as me and doing everything in his power to keep his baby safe.

It felt like such a long period of time between when I first saw April's "third butt cheek" and when the baby was fully born into Jamie's hands. In reality it was about one minute! That really blew me away. Birth really does stop time!

The baby emerging from April's vagina seemed to happen in slow motion, until the very end, when she fell out into Jamie's hands. At that moment it was as if time got back into itself and because it had all gone so slowly before now normal time seemed too fast. The baby was suddenly out of her mother's body and in the world, suddenly out of the water and into the atmosphere, resting in the palms of Jamie's hands.

I took another photo and looked at the clock. Time of birth 9:06am Thursday, September 4 2008. My eyes were filled with happy tears, and I can't remember exactly what was said at this point, but I think I was talking about the fact that April had just given birth and there was a baby.

The baby was wearing her cord like a scarf, draped around her neck. She still had some yellow vernix in the nooks and crannies of her wrinkly skin. Born at 42+2 and still with vernix, beautiful! She looked so normal and little. Still with her arms and legs folded into her body as if she hadn't yet realised she could open up and stretch herself out in our world. And still with that light blue coloured skin I'm used to seeing waterborn babies with, like my own daughter.

Because of the position of the baby's cord it was tricky for Jamie to pass their newborn to April. April was standing in the pool, still with her backside to Jamie and I, and Jamie was hunched over behind her, with a slippery little babe in his hands, and a thick juicy cord around the baby still reaching up into Mama's vagina. April was looking behind her to see her baby and all of a sudden she said "Oh my God! You've got a penis!". That was when Jamie and I looked. I couldn't believe it! I've never been wrong about the sex of a yet-to-be-born baby, this little dude ruined my good run! Days later April and I would talk about that surprise, and decided Jet was psychic because the week before Sunny was born he said to me "Baby out 'gina KABOOM" then gestured to his penis and announced "Penis!" And Jet was right! The baby did come out April's vagina, second stage was KABOOM seventeen minutes, and the baby had a Penis!

Eventually they worked out their awkward dance and Jamie got baby to April's arms safely. April sat back down into the pool and rested against one side, holding her baby to her bare chest. While Jamie was passing Sunny to April, Sunny to his first wee. It was one minute since his time of birth.

April began crying and saying "Oh!" as she gazed down at her little baby. She was crying and smiling, and so were Jamie and I. Jamie wiped away some of his tears and we caught one another's eye and I felt guilty, I hoped that he wasn't trying to hide his emotional display from me, or cover it up because I was present.

I wanted to get a photo of April smiling down tearfully at her newest creation but just as I snapped the camera button April looked up at me and let out a great cry, and in the photo it looked as if she was desperately disappointed with her baby. Needless to say April ordered me not to show anyone that photo! :D
"Hewow Baby" April was saying as she took the moment in.

Jet and Indy heard the excitement taking place in the kitchen and ran in to see. They stopped at the pool and peered in to see the newest member of their family. "Baby" Jet said and pointed with a big smile. "Yep, baby brother" Jamie told the boys. "Baby Buh-tha" Jet repeated. Indy took this opportunity to splash the water in the pool again with his hand before Jamie took his hand out and washed it. Nothing quite like birth pool water with all it's blood, mucus and poo for little toddler hands!

Sunny was resting happily against his mother, occasionally letting out a loud rough sounding little cry as he adjusted to this new world. April's necklace kept falling in Sunny's face so I offered to take it and put it on the bench.

My baby woke up briefly shortly after Sunny was born, she took a look around and noticed the new smaller baby and I told her what had happened while she was asleep :) It all seemed normal to her, and as quick as she had woken she was back to sleep on me.

I noticed Sunny was starting to look really pink and like a newborn as opposed to a justwaterborn baby. I looked at the clock, he'd been in the world for five minutes. I was a bit overwhelmed with emotion at this point and without thinking said "oh look! He's pinking up!". As if it was even remotely relevant to this sacred moment!

Jamie stood up, he had been kneeling by the pool watching April and Sunny gaze at each other. He looked at the clock and said "Hey, Lith was right, in time for Macca's breaky!" April could not believe it! She looked up at the clock, totally dumbstruck! She'd lived a thousand years since I'd made that joke only three hours earlier. Of course we didn't actually have Macca's breaky because we were patiently waiting for April and Sunny's placenta to be born and even if it had been born no one would have wanted to leave the house to go get it! This new birthy moment was far better than take away breakfast!!!

While April and Sunny had skin to skin time in the pool I fetched towels from the linen closet to drape across Sunny's naked body, the part that wasn't touching April. I regularly checked with April if she was warm enough in the pool, and if ever she wasn't Jamie would add more hot water. Whenever one of Sunny's towels became too wet and cold we would change it over with a fresh one.

As Jamie added some more water to the pool and gazed down at his newest son and his amazing wife who had just freebirthed the little dude, he said "WHY would you do that anywhere else???" I remember feeling thrilled that the experience had been all that Jamie had hoped it would. April, however, was still feeling very raw and sore after thirty one hours of intense physical labour! She retorted "Why would you do it at all????!"

It didn't take long for April and Sunny's placenta to be born. We could see it sitting between April's legs at the bottom of the birth pool. But April said it didn't feel fully born yet, like it was still half inside her vagina. So we continued to wait patiently for that last little bit to be born. After a while (about an hour) April grew really uncomfortable with the sensation of having half a placenta sitting in the mouth of her vagina. She wanted to try something to help it budge out. I suggested she try a different position, maybe get on her knees and see if opening herself up more would help the last of it fall out. But when she began moving position she became even more uncomfortable, so we continued to wait patiently as we had been.

April began to say that she wondered if maybe it wasn't the placenta still inside her at all. She reached down to to use her hands to explore and find out what was going on, but she wasn't really sure what she was doing. She said that it felt like part of the placenta was broken and that part was still inside her, but the rest was born.

She asked if Jamie or I would give a second opinion. I suggested Jamie do it because of April's previous experience of birth rape. I thought the best thing would be if we could avoid anyone but April and Jamie exploring that area of her body. I said "I think Jamie should do it because it's an intimate area and you love Jamie". Jamie put his hands in the water and gently felt around, he felt even more lost than April.


I offered to have a feel and give my opinion if April wanted, which she did. I went to put my hands in the water and hesitated, April assured me she was okay with me doing it, so I put my hands into the water and carefully felt around the placenta. The placenta was whole and born there were some blood clots that had got caught up in April's pubic hair and still inside her vagina that were also attached to the placenta.

April waited for the last clots to be born. I went into the lounge room to see how their children were going and put the DVD back on that had run it's course. While in the lounge room I heard Jamie call out to me "Placenta's born!" I returned to the kitchen and checked the clock, it was 10:50am.

Jamie put the placenta into a colander and placed that into a big bowl. He took Sunny in his arms, wrapped in a towel and held the placenta bowl with one hand underneath baby. April and Jamie asked me to take a look at the placenta to see if it looked whole and healthy. I told Sunny I was going to take a look at his placenta. At first when I went to touch it he cried, so I withdrew my hands and apologised to him. I asked if I could take a look, and this time he didn't cry. As I lifted the placenta up to look at the other side of it I wished I had some gloves to give me a bit of grip, I was worried about it slipping out of my hands or worse yet grabbing hard or digging my nails into it in an attempt not to drop it!

I remember feeling amazed that I was touching placenta. I didn't even touch my daughter's when we had a lotus birth, I left that to her father instead. There is something other worldly about placentas. So slippery and bumpy and red and full. They're the sort of thing that I feel like I shouldn't be allowed to touch. Forbidden fruit. The one time I had seen an ultrasound I felt similarly, spellbound by the image on the screen, and a little sickened that I could suddenly be part of a world far more sacred than our own. That might also be why I wanted gloves and why I hesitated when April asked me feel if the placenta had been fully born in the pool earlier, to protect this sacred piece of another world from being marred by human hands. But then again is rubber or latex any more worthy than flesh?

Sunny's placenta looked great. We all agreed it was an odd kind of a shape. A bit like a very thick brick. It was whole and healthy looking and most of the excess blood had washed off in the pool. There were no clots, they had also washed off in the pool water.

As Jamie stood holding Sunny and placenta bowl I helped April out of the pool. April squatted over a towel on the kitchen floor to help release the last of the clots and blood from her body. As she was squatting I asked her if she would like to press the placenta to her lips knowing how wonderful consuming placenta can be for aiding mothers postpartum healing. April wanted to, so I helped Jamie and Sunny carefully move toward April. I held the placenta bowl to April's face and she asked what to do. I suggested sucking on it, knowing that even kissing the organ can be medically beneficial to the mother. April did this and stopped when she said it felt like she might suck it off. Sunny was totally fine with his mother doing this, which makes sense since it belonged to both of their bodies throughout pregnancy. After seeing April suck on the placenta Indy asked if he could give it a kiss. It was adorable, and again Indy reminded me of how switched on little people are to what's going on around them.

I helped her to the bathroom where she had a warm salt bath and some time to herself. While she soaked in the bath Sunny slept in Jamie's arms in the kitchen, and began having his first poos over the kitchen bench, floor, and father.
It was the return of the pooper-scooper doula for me :) I followed Sunny and Jamie around the house scrubbing meconium off linoleum, carpet, tiles, and bench tops.

As a servant of birth, Sunny and April have taught me a lot. They've taught me that due dates, even vague due months, are meaningless. Baby will come when baby is good and ready, and just because a baby is born at 42 weeks does not mean he will be lacking in vernix or oversized. They taught me that while home provides a superior birthing environment to hospital or birth centres, it does not mean birth will be easy breazy. It's called labour for a reason!

Before attending Sunny's birth I had never been present at a birth that I wasn't giving birth or being born at, and I used to think that "once I've been at a birth as a support person I'll know everything about birth for the next time". HA! April and Sunny helped me realise that I will never know everything about birth and that is one of the brilliant things about birth, her sacred feminine mysteries. I realised that I will never stop being a "student doula". Any birth attendant worth her salt understands that she is an eternal student of birth.

I also wondered before attending a birth if I would be able to "be present to the moment". There are always so many thoughts a jumble in my head - and in everyday life I sometimes feel as if I am living with four or five hands instead of just two. But there is something about a birth space that makes it possible - easy - to quiet that monkey mind. The birth space feels beyond the everyday realm of time and space, peace happen with ease, and they enter your own body enabling you to be more patient and loving and calm than I thought possible.

Sunny and April also taught me that serving families at birth is indeed my calling xoxo



*Posted with April's permission.

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© 2007 - 2010 Sarah Langford - 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 opinions expressed on Ilithyia Inspired belong to the author, unless otherwise stated and should not be confused with the official views of any of the organisations with which the author is associated, including but not limited to: Australian Breastfeeding Association, International College of Spiritual Midwifery, and Maternity Coalition.

All the opinions expressed on this site are the author's, unless otherwise stated, and are independent from the Australian Breastfeeding Association and International College of Spiritual Midwifery | 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 medical advice.

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