For the past few months, I have been wondering how this birth story would read. With our first son, Arlo, we had a wonderful birthing experience. Erik and I were freshly graduated students of our Bradley birthing classes, and after an easy, enjoyable pregnancy there was no reason I was planning on anything other than a smooth labor and delivery. Fortunately for all of us it was, and we were able to have a natural, out-of-hospital birth at the local birthing center.
Fast forward two years later. We found out I was pregnant with baby number two just before Arlo's second birthday. Having had an easy, enjoyable pregnancy the first time around, I expected the same again. Much to my surprise, this one did not go as smoothly. I spent the first 14 weeks nauseated throughout most of the day, with fatigue so extreme at times I felt like I could barely care for our toddler. Just as the nausea started to subside, I came down with an awful case of the flu which kept me home and out of work for nearly three weeks. The rest of the pregnancy was filled with feelings of anxiety, heartburn, swollen ankles, and some pretty intense back and rib pain. None of which I had experienced before. Early in the third trimester I was told that this baby, we choose not to find out the gender this time, was in the OP (sunny side up) position, but not to worry since it was still early and he/she would likely turn by the time I was full term. Every appointment that followed confirmed that baby was still comfortably hanging out OP, and every birth story that I read about birthing a baby in this position talked about everything from extreme back labor to a long pushing phase to broken tailbones. I was doing all the exercises recommended to turn this baby, but nothing seemed to be working. In the last few weeks leading up to the birth, I had fully convinced myself that I would be experiencing a long, hard labor - likely with complications related to the baby's position.
The actual birth story I think really starts the day before the birth. I was 39 weeks and 4 days, nearly a week longer than I went with Arlo. I was getting anxious to meet baby and starting to worry about going well past the due date. Leading up to Arlo's birth, I had a full six days notice that labor was imminent. I had starting losing my mucous plug nearly a week before and was also having braxton-hicks contractions that were increasing in both frequency and intensity. This time around, I expected the same signals telling me that my body was getting ready for labor. But the only changes I noticed in the days before the birth were a slight increase in the braxton-hicks, which were still far too mild for me to think anything was about to happen, and an increase in pelvic pressure - although I knew both could last for a week or two before true labor started. And so, I was growing worried that I was approaching my due date without any hint that this baby wanted to exit my body anytime soon.
So, I figured I should start trying to get things moving. I went for a long morning walk with Arlo, dumped extra hot sauce on my lunch, and that afternoon I googled "natural ways to induce labor." I read through lists of old wives tales until I came across a website that stated " The best advice to past-due women longing for that first contraction? Skip
the home remedies, eat right, rest and enjoy those last few days of
pregnancy as much as possible. The safest and healthiest labor is one
that starts spontaneously." And immediately I realized how true that was. I decided to just relax and try to stop wondering when it was going to happen.
That evening, both Erik and I were unusually tired. As well, Arlo had taken a shorter than usual nap that afternoon and was showing signs of being tired well before his usual bedtime. So we put Arlo to sleep early and headed to bed ourselves, nearly two hours earlier than usual. While Erik was getting Arlo ready for bed, I had the urge to quickly tidy the downstairs living room and kitchen, despite feeling as tired as I was. When I went to sleep that night I had no idea what was about to happen next. I don't remember having a single contraction that entire evening before we went to bed, and I certainly had no other indication that I would wake up anything other than my usual pregnant self.
It was 1:00am exactly when I felt the first contraction. My first thought as I woke up was "what the hell?! who is doing that to me??" I realized I was having a contraction, but decided immediately that the braxton-hicks were just deciding to pick up in intensity and it probably meant nothing. I dozed lightly until around 1:20 when I felt another. Slightly annoyed that I was awake so early and would probably have a hard time getting back to sleep (I had been also dealing with some pregnancy-related insomnia for the past month or two) I decided to just lay there and see what happened next. I had a few more contractions and ended up getting up to go to the bathroom where I noticed that I was losing small amounts of my mucus plug. Around that time I decided I was probably in early labor, but by 1:45am the contractions were less than five minutes apart, and growing stronger. I fought the urge to try and ignore them, climb back in bed, and turn on Netflix - my usual coping mechanism with the middle-of-the-night insomnia I was growing accustomed to.
At this point I started wrestling with feelings of what to do next. On one hand - I had a really fast labor last time around. Active labor lasted just five hours with Arlo, and the midwives had warned me that this time would likely be much shorter. On top of that, we now had a good 45 minute car ride to the birthing center, much longer if we were to wait until later in the morning and hit rush hour traffic. But on the other hand, I couldn't help but think about the baby's OP position and how, in my mind, I was going to have a longer labor this time around. As well, I really didn't want to wake anyone up - Erik, the midwives, Arlo, or friends to care for Arlo. So I decided to just labor a bit on my own. I went back and forth between the bed and the bathroom. I was timing them at this point, and they were around four minutes apart lasting around 45 seconds each. Part of me knew that I should at least wake Erik up and let him know what was going on, and the other part of me was hungry and wanted to eat. So of course, the stubborn, pregnant side of me decided to head downstairs to have a bowl of cereal before I woke Erik up. If this was true labor I was going to need to eat before things got more intense. I had no sooner set the milk on the counter top when I was hit with a contraction that brought me to my hands and knees on the floor. It was during that moment I knew what I had to do next.
Erik had been sleeping in a spare room next to ours for the final months of my pregnancy - my tossing and turning was keeping us both awake and we both slept better in separate beds. Just shy of 3:00am, I quietly tiptoed in his room - partly feeling really silly for waking him up when I was feeling completely fine between contractions, and partly thinking about the next strong contraction that was probably now only a minute or two away. I woke him up and said something like "hey, I think I am in labor and we might need to go to the birthing center soon." He sleepily asked me if I was having contractions or if I was timing them or something like that. I don't even know if I answered before the next wave hit and I was suddenly on hands and knees on his bed moaning my way through the contraction. Suddenly wide awake, he literally jumped out of bed saying "yup, this is happening" as he ran into our bedroom to change his clothes; he knew those moans well, having coached me through my previous labor.
I told him I wanted to eat before we left, and he was already scrambling to get things together so we could get out the door. I calmly reminded him we still needed to call the midwives to let them know we were coming. Erik called and got the answering service, who asked him questions related to my progress so they could relay the message to the midwife on-call. I was contracting every three to four minutes at this point, and after answering a string of questions he grew frustrated and I heard him (almost shout into the phone) "I don't know, but my wife is having a baby!"
Minutes later the on-call midwife called us back and asked us the same questions again. Erik finally handed me the phone and after she heard me moan through a contraction she said to head in and she would meet us at the birthing center. Erik made us some toast at my request, all the while growing increasingly anxious and saying things like "I hope we make it there." And eventually I started to wonder the same thing. Luckily we had already packed the car with our birthing bags and the infant car seat. I told Erik to let out our dog and to feed both her and the cats before we left as we didn't know when we would be returning. He then ran upstairs to wake up Arlo and get him loaded into the car.
What happened next is one of my favorite parts of the story and something I never want to forget. I put on my shoes and headed into the garage, about to get into the car. I realized that I should probably try and explain what was going on to Arlo because he would likely get scared or concerned when he heard me having contractions. I opened the back door, where Arlo was already buckled in his seat, and he looked at me and asked "mommy, where are we going?" I told him simply "to meet the baby." His eyes opened wide and his mouth formed a perfect little round shape. "Ohhhh, exciting!!" he responded with a big smile on his face. It was such a sweet, genuine response from my little guy who had been waiting for so long to be a big brother. It's a moment I want to remember forever.
Backing out of the driveway at 3:40am, headed to the birthing center with our toddler sitting in his car seat directly behind me, felt surreal. I had never planned on going into labor in the middle of the night and in my mind if I did I was going to spend a few hours laboring at home before we left the house. When Erik started up the car, my Chris Stapelton CD started playing and instantly I was drawn into his deep, calming voice. Before I had the first contraction of the drive I restarted the CD so I could scan through my favorite songs as we drove. During the contractions, I focused on the music and lyrics and almost felt hypnotized. I couldn't be on hands and knees and still be buckled in so I had positioned my body to be as much on my side as I could, with my head somewhat over the center console and holding on to the back of the drivers seat as I needed to. Between contractions I sang along quietly and reassured Arlo that I was doing okay and these were the noises I had to make for the baby to come. He didn't seem too phased by the whole experience and surprisingly stayed wide awake the entire drive. Erik was completely in driving mode - hands gripping the wheel at three and nine as we drove 80-90 mph down the nearly empty highway. During the drive I attempted to text and call my friend, Rhianna, who was on-call to pick up Arlo from the birthing center should I go into labor in the middle if the night. She didn't wake up for the calls, but in the end it ended up being a blessing and I realized it all worked out the way it did for a really good reason.
We pulled into the parking lot of the birthing center just 29 minutes after we left the house - certainly making record time. When we had arrived to the birthing center when in was in labor with Arlo I was mid-transition and can barely remember walking inside the building. This time, I was still feeling completely normal between contractions and walked in the door like nothing was happening. Erik carried in Arlo and the midwife and nurse were just inside to greet us. I asked if he remembered which of the four birthing rooms I had Arlo in, and he pointed to one of the doors. Since we were the only people in labor at the time, I had my choice of room and was really happy we could welcome this baby in the same exact place that Arlo came into the world.
I went straight for the bed and had a contraction almost right away. I asked the midwife, Lydia, if she wanted to check my dialation status to see how far along I was. As she was checking she felt around for a little while without saying anything. I started to worry (do you see a trend here? yes, I am a natural worrier) and told her if I was only two centimeters or something not to even tell me. She said she felt the head, bag of waters, that I was 9cm, and the baby still had to move down a good bit. This was exactly where I was when I had arrived to give birth to Arlo. Erik and I exchanged glances, this was really going to happen and probably pretty soon. We were going to meet our baby and Arlo was about to become a big brother!
Being the middle of summer and almost always uncomfortably hot, the thought of getting into a warm tub did not sound appealing at all. I had used the tub for pain management during Arlo's birth but had no desire to this time, so I stayed where I was on the bed. It felt like the contractions had started to space themselves out since our arrival at the birthing center, but since I was no longer timing them I can't say for sure. They were still what I would call pretty moderate in intensity, I definitely had to moan and work through them but they were by no means unbearable. Between contractions I sat up and chatted with the midwife, nurse, and Erik who was sitting in a rocking chair nearby holding our slightly stunned looking toddler. I don't remember what we talked about but I remember laughing a few times and at one point I told them we hadn't decided on a boys name yet which somehow Erik had turned into a joke and we all laughed. At one point I almost felt silly were were all just sitting around waiting for the baby to come. Here it was, the middle of the night practically, and I was feeling completely fine between contractions. I mentioned that I felt like labor was slowing down a bit and that I didn't even feel like I had hit transition yet. Lydia said she thought I had, and that it was normal for things to slow down sometimes upon arriving in a new place. Not two minutes later I was hit with the most intense contraction yet, and immediately after told her how I regretted saying what I had just said.
After I had been laboring at the birthing center for 30-40 minutes or so, I asked Lydia how I could encourage the baby to move down. She said what I was doing with frequent position changes would help, but we could also try the peanut ball. My friend Katie, who is a labor and delivery nurse, had told me about this special ball they often use for women in labor with an OP baby. "Yes!" I thought, let's try that. So I laid down on my side with the peanut shaped ball between my legs to help open my pelvis. A contraction came on and the intensity was so much that I started pushing the ball away and kicking my legs to move it off the bed. Erik saw me thrashing around and immediately came to help me back to hands and knees, by far my preferred position to labor in. Sometime around this point the midwife and nurse stepped out to greet another woman who had just arrived in labor. They told us to come get them if anything changed.
After the peanut ball incident, Erik set Arlo up in a big, squishy beanbag chair the nurse had brought in for him. He put on a Mickey Mouse cartoon on his phone and covered Arlo with a blanket, hoping he would fall back asleep. We had tried a couple more times to touch base with our friends, still without success. At least at this point Arlo was totally engrossed in his show, not even caring about his laboring mom on the bed not 10 feet away. Erik was now by my side, rubbing my back and helping me work through contractions. They were taking more of my attention and I was no longer feeling "completely fine" between them, I was starting to become grateful for the rest. All of a sudden, I felt the urge to push a little so I did. At first I thought the baby had descended into the birth canal but there was no pain associated with the feeling so I was unsure as to what was going on. Immediately after the push I felt a pop and was instantly covered in warm water. My water had broke! I remained on hands and knees, stunned at what had happened. My water never broke spontaneously with Arlo so I hadn't experienced that feeling before. Erik literally ran out the door to get the midwife and within seconds they were all back in the room.
Still not knowing what to do at that point, I simply told them "I'm all wet." Which was pretty obvious by the puddle underneath me! The nurse quickly changed out the wet pads that I was kneeling on. I didn't look to see what they were doing but there was suddenly a commotion at the foot of the bed, and I knew they were getting the birthing supplies ready. Lydia said to me "Kendra, I think what is about to happen next is that your baby is about to come." I asked her if I should take off my shirt that I was still wearing knowing that we would be doing skin to skin immediately after birth, and Erik started to help me finish undressing. He started to help me with my bra and suddenly a strong contraction came along with the urge to push. Instinctively I wanted to fight it, I remembered how much I disliked the feeling of pushing last time and I was really wishing I didn't have to. I gave into the urge and felt the baby move down the birth canal during what felt like a nonstop contraction. I had pushed out Arlo laying on my right side and remember liking that position so I immediately lied down and assumed the same position. Lydia told me to grab my left leg and during the next contraction curl towards her and push with everything I had. I barely remember a break from the previous contraction and it was happening again. It took every bit that I had, but our new little baby came into the world during that next push, just six minutes after my water had broken. The intensity of the actual birth was considerably more than I remembered with Arlo, and pushing him out was by far the most pain I felt the entire labor.
We had put in the birth plan that if it was possible Erik would like to catch the baby. But with as fast as everything happened, and the fact that he had his cord wrapped around his neck, foot, and hand, Lydia ended up being the one to guide him in to the world and place him on my belly. He had a short cord and couldn't quite make it up to my chest yet. He cried loudly immediately, and seconds after he was born Erik announced, with the most proud look on his face, "it's a boy!" I realized in that moment that I had forgotten we were about to find out the gender, something that I had always thought would be the first thing on my mind after I gave birth. I was super excited to learn that we had another sweet boy in our family, and then filled with mild concern that we hadn't yet decided on a boys name.
Through the whole commotion of bringing his little brother into the world, our two and a half year old sat quietly watching his show, either oblivious to what was going on or maybe just choosing to ignore it. Erik picked him up and asked him if he wanted to meet his brother, and at that point Arlo realized there was a new tiny person in the room and became interested in what was going on. He spent some time next to us looking at the baby but eventually wanted to go back to watching his show, which was fine because I needed Erik next to me for what was about to come next.
After the cord stopped pulsing the midwife clamped it and Erik took the opportunity to cut it. The placenta was delivered a short time after without issue. At this point, Lydia started to assess me to see if I needed stitches, and with the amount of pain that I experienced during the birth and afterwards, I was not surprised to learn that I did. I later learned that our little guy was born with both shoulders coming out at the same time (usually it is one then the other) which is the reason for the tearing that occurred. Another midwife, Carey, came into the room about this time, she was second on call and since the other laboring woman in the birthing center was about to deliver they called her in for backup. She came into the room at a great time, and was an awesome support person during what ended up being a rather painful repair. Eventually Lydia left to go catch the baby in the room next door, and Carey took over with the stitches. After what felt like an eternity, in reality was probably something like 45 minutes, she was done and I was able to sit up and for the first time really get a good look at our newest family member. He had began rooting very shortly after he was born and had already spent a good amount of time nursing. The first thing I noticed about him was his tiny, pouty lips and round face. I fell in love immediately.
It was around this time that we got in touch with our friends who we had been calling to come pick up Arlo. They were very excited to learn that we had a boy, and said they would jump in the car immediately to come up. Rhianna wanted to know could they all come - her, her husband, and two kids, and I loved the idea of them all visiting to meet the new baby. We met John and Rhianna in our Bradley birthing class when we were both pregnant with our first babies, and have been good friends ever since. They are the closest thing we have to family in the whole state, and I was thrilled to have them all come visit during such a special time in our lives. When they arrived a bit later, Arlo was filled with so much excitement to not only see his bestie, but also to introduce them to his new little brother. He started literally jumping up and down on the bed next to me when they walked in, talking so fast we could barely understand him - "my new baby brother right there!! baby was born! baby came from mamas belly!" and we all had a good laugh. All four of the kids in the room had been born at that very birthing center, three of them in that very room! I like to think that it was a very special time for all of us.
They hung out for a bit and gave the new baby some snuggles before heading out with Arlo and the overnight bags we had packed for him. It was a little hard to say goodbye to my toddler, but he was so excited to be going to his friends house he didn't seem sad at all to leave, which made for a really easy transition. In the end, I wouldn't have changed a thing about the birth and realize how awesome it was to have Arlo there to meet his new little brother right after he was born.
After bonding for a few hours with our new little guy, he was finally weighed and measured. He looked so tiny to me so I was shocked to learn he weighed a healthy 7 lbs 6 ounces! He measured in at 19.25" long. Not long after he was born it was shift change at the birthing center and the midwife who came on for the rest of the day was Allison, the same midwife who delivered Arlo! She was the one who did Oliver's newborn exam, and everything checked out just fine. Erik and I spent the rest of the morning discussing boy's names, and texting family to let them know that the baby had arrived. We hadn't wanted to wake anyone in the middle of the night to let them know I was in labor, so the first text everyone received was a picture of him and a family picture of the (now) four of us! After a few hours of discussion, we decided upon the name Oliver William. Oliver was a name we had considered with others in the months before the birth, and William is after Erik's maternal grandfather. After getting to know him these past few weeks, I couldn't picture him with any other name.
I am beyond thankful that we had another healthy, supported, natural (and fast!), out-of-hospital birth. Everything I had worried about in the months leading up to the birth - back labor, long pushing phase, broken tailbone due to an OP position baby, turned out to be non-issues. Oliver was not born OP, and must have turned sometime during labor. He entered the world four hours after active labor kicked in, less than five hours after I felt my first contraction, and only 90 minutes after our arrival to the birthing center. We headed home later that afternoon, and again, just as it had after Arlo was born, felt surreal walking in the door with a tiny little person who wasn't there when we departed just hours earlier.
Welcome to the world, little Oliver! Your parents and big brother couldn't love you any more if we tried.
Showing posts with label birth. Show all posts
Showing posts with label birth. Show all posts
Monday, September 26, 2016
the birth of Oliver William
Labels:
Arlo,
baby,
birth,
birth story,
birthing center,
Erik,
Oliver,
pregnancy
Friday, August 26, 2016
Meet Oliver William!
It's a BOY!!!
Introducing Oliver William B.!
August 23, 2016 5:41am
7 lbs. 6 oz.
19 1/4" long
birth story coming soon!
Labels:
announcement,
baby,
birth,
birthing center,
Oliver
Wednesday, January 15, 2014
Smoothie anyone?
Please note, this post is not meant to be read while you are eating food of any kind. Also, if you have a weak stomach, skip this post. Consider yourself warned!
So midway through the pregnancy I learned something that I thought was pretty gross at the time. New mothers were consuming their placentas after childbirth. My immediate reaction was one of disgust. Who would want to eat that?! It looks like an oversized liver and is filled with and covered in blood, who could possibly get past all that and actually eat it??
Well, in our birthing class we really got into the benefits of placentophagy. We learned that consuming the placenta in the immediate post-partum period can:
These things got my attention. I also learned around this same time that humans are the only mammals on the planet that don't consume their placentas after birth of their offspring. That little fact really got me thinking. What do all the animals know that humans don't? There must be some benefit for them, otherwise what reason would they have for doing it? In case you haven't learned this about me yet, I am a big believer in doing things the natural way. There is something to be said about observing nature and natural processes and following that lead. So, follow I did.
Probably the most popular way for women to consume their placentas is by placenta encapsulation. This process is usually performed by someone knowledgeable about encapsulation, and involves cleaning the placenta to remove external clots, dehydrating it, and then grinding it down into powder form and placing it into easy to swallow capsules. Sometimes it is steamed prior to dehydration. This idea sounded all fine and dandy until I realized the cost. Now, I have mentioned before that I am a prettycheap frugal person. The idea of spending nearly $200 for placenta pills had me pretty quickly changing my mind about encapsulation. There had to be another way for me to obtain the benefits without having to drop that kind of money for something that I essentially already owned.
Enter the placenta smoothie. Eating the placenta in it's raw form was another way I read that it could be consumed. Perhaps the most hard core, and definitely not for the faint of heart. My logic was that I could get past the grossness of eating raw placenta if it meant I could save us $200. I read a few recipes and testimonials from the raw placenta eaters and they swore up and down that the placenta could not be tasted at all when added to a fruit smoothie. I figured I would give it a whirl (pun intended) and if I just couldn't do it then, well at least I had tried.
At the birthing center I had the midwife save the placenta after delivery. It was written as such in our birthing plan and we had brought a container to take it home in. They put it in the fridge for me until we left, and we kept it in our fridge when we got home. The day after the birth, I decided it was time for my first smoothie.
This is where things get pretty icky. Don't say you haven't been warned (twice) now!
The hardest part of the whole process was actually "processing" the placenta into usable pieces. My intention was to cut it into cubes and freeze them, and then just throw them into my daily smoothie. Well, when I dumped out that giant, slimy lump onto our cutting board I started to slightly regret my decision. It was covered in blood and needed to be rinsed off. I also had to cut away some parts that didn't look like they would be helpful, including what was left of the umbilical cord. Now, let me remind you that I have been a vegan for nearly seven years now, and I am grossed out by even the idea of cutting up cooked meat. This whole raw, bloody placenta was way over my head. Somehow though, I got through it. I tried to put on my nursing cap and pretend that I was conducting a medical experiment and meanwhile attempted to shut out the idea that I was going to be eating this very gross thing I was cutting up. Finally, I was finished. I had the whole thing cut up neatly into nine cubes, each approximately 1 1/2" square. Placed on parchment paper for easy removal I covered the cubes with foil so Erik wouldn't have to see it in the freezer (he supported me 100% in this process, but is far too squeamish to even look at the frozen cubes).
I made my first smoothie that night, and I was completely shocked to realize that you can't at all taste the placenta. Had I been able to detect even a hint of something odd in the drink, I think it would have shut down the whole operation. Fortunately, it tasted like a regular fruit smoothie and when I got past the idea of what I was drinking, it went down pretty easily. That being said, I always used a straw and sucked it down in as little time as I possibly could. No need to sit around and try to "enjoy" it!
In case you are interested in serving placenta smoothies at your next house party, here is the recipe I came up with:
Ingredients:
Add all the ingredients to your blender and blend. I mean, really blend. You don't want any, ahem, "pieces" unprocessed in your drink. I used our vitamix and blended for at least 1-2 minutes. *For the berries I used a blend of cherries, raspberries, blueberries, and blackberries. Think red berries here - you want something to hide the color of the placenta.
Now, the part you are probably wondering about. Did it help me in the post-partum period? I really believe that it did. Now, I don't really have anything to compare it to. I have never given birth before to know if I would have suffered from post-partum depression. However, I will give you this little nugget of info and you can do with it what you wish: I made my smoothies at night before bed. The first few days, I felt amazing. Lot's of energy, breastmilk came in as scheduled without issue, and everything seemed to be going great. But on the fifth day I decided I was too tired to make my smoothie that night and skipped it. Now, this could just be a coincidence - I am really not sure. But the next day I felt awful. I was suddenly overcome with such anxiety I spent a good part of the afternoon crying hysterically. I had these terrible feelings that something awful was going to happen to the baby. Erik tried to comfort me but nothing he said really helped, I just couldn't shake the awful anxious feelings I was having. That night, I went back to the smoothie. Wouldn't you know, the next day I felt fine and gone were the tears and anxiety. Coincidence? Maybe. But I think I am now forever a believer in the power of the placenta.
I finished the rest of the placenta somewhere around 10 days post-partum. I was worried that when it was gone the anxious feelings would return. Fortunately, they never did and (despite being quite sleep deprived) I am still feeling pretty darn good. Although, I might never look at a fruit smoothie the same way again...
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So midway through the pregnancy I learned something that I thought was pretty gross at the time. New mothers were consuming their placentas after childbirth. My immediate reaction was one of disgust. Who would want to eat that?! It looks like an oversized liver and is filled with and covered in blood, who could possibly get past all that and actually eat it??
Well, in our birthing class we really got into the benefits of placentophagy. We learned that consuming the placenta in the immediate post-partum period can:
- Help to balance your hormones
- Replenish depleted iron levels
- Assist the uterus to return to its pre-pregnancy state
- Reduce post-natal bleeding
- Increase milk production – this has been proven in a study
- Make for a happier, more enjoyable post-natal period
- Increase your energy levels
These things got my attention. I also learned around this same time that humans are the only mammals on the planet that don't consume their placentas after birth of their offspring. That little fact really got me thinking. What do all the animals know that humans don't? There must be some benefit for them, otherwise what reason would they have for doing it? In case you haven't learned this about me yet, I am a big believer in doing things the natural way. There is something to be said about observing nature and natural processes and following that lead. So, follow I did.
Probably the most popular way for women to consume their placentas is by placenta encapsulation. This process is usually performed by someone knowledgeable about encapsulation, and involves cleaning the placenta to remove external clots, dehydrating it, and then grinding it down into powder form and placing it into easy to swallow capsules. Sometimes it is steamed prior to dehydration. This idea sounded all fine and dandy until I realized the cost. Now, I have mentioned before that I am a pretty
Enter the placenta smoothie. Eating the placenta in it's raw form was another way I read that it could be consumed. Perhaps the most hard core, and definitely not for the faint of heart. My logic was that I could get past the grossness of eating raw placenta if it meant I could save us $200. I read a few recipes and testimonials from the raw placenta eaters and they swore up and down that the placenta could not be tasted at all when added to a fruit smoothie. I figured I would give it a whirl (pun intended) and if I just couldn't do it then, well at least I had tried.
At the birthing center I had the midwife save the placenta after delivery. It was written as such in our birthing plan and we had brought a container to take it home in. They put it in the fridge for me until we left, and we kept it in our fridge when we got home. The day after the birth, I decided it was time for my first smoothie.
This is where things get pretty icky. Don't say you haven't been warned (twice) now!
The hardest part of the whole process was actually "processing" the placenta into usable pieces. My intention was to cut it into cubes and freeze them, and then just throw them into my daily smoothie. Well, when I dumped out that giant, slimy lump onto our cutting board I started to slightly regret my decision. It was covered in blood and needed to be rinsed off. I also had to cut away some parts that didn't look like they would be helpful, including what was left of the umbilical cord. Now, let me remind you that I have been a vegan for nearly seven years now, and I am grossed out by even the idea of cutting up cooked meat. This whole raw, bloody placenta was way over my head. Somehow though, I got through it. I tried to put on my nursing cap and pretend that I was conducting a medical experiment and meanwhile attempted to shut out the idea that I was going to be eating this very gross thing I was cutting up. Finally, I was finished. I had the whole thing cut up neatly into nine cubes, each approximately 1 1/2" square. Placed on parchment paper for easy removal I covered the cubes with foil so Erik wouldn't have to see it in the freezer (he supported me 100% in this process, but is far too squeamish to even look at the frozen cubes).
I made my first smoothie that night, and I was completely shocked to realize that you can't at all taste the placenta. Had I been able to detect even a hint of something odd in the drink, I think it would have shut down the whole operation. Fortunately, it tasted like a regular fruit smoothie and when I got past the idea of what I was drinking, it went down pretty easily. That being said, I always used a straw and sucked it down in as little time as I possibly could. No need to sit around and try to "enjoy" it!
In case you are interested in serving placenta smoothies at your next house party, here is the recipe I came up with:
Ingredients:
- 1/2-3/4 cup frozen berries*
- 1/2 banana
- 1 cup non-dairy milk (I used soy for extra protein)
- 1 piece of raw plaenta
Add all the ingredients to your blender and blend. I mean, really blend. You don't want any, ahem, "pieces" unprocessed in your drink. I used our vitamix and blended for at least 1-2 minutes. *For the berries I used a blend of cherries, raspberries, blueberries, and blackberries. Think red berries here - you want something to hide the color of the placenta.
Now, the part you are probably wondering about. Did it help me in the post-partum period? I really believe that it did. Now, I don't really have anything to compare it to. I have never given birth before to know if I would have suffered from post-partum depression. However, I will give you this little nugget of info and you can do with it what you wish: I made my smoothies at night before bed. The first few days, I felt amazing. Lot's of energy, breastmilk came in as scheduled without issue, and everything seemed to be going great. But on the fifth day I decided I was too tired to make my smoothie that night and skipped it. Now, this could just be a coincidence - I am really not sure. But the next day I felt awful. I was suddenly overcome with such anxiety I spent a good part of the afternoon crying hysterically. I had these terrible feelings that something awful was going to happen to the baby. Erik tried to comfort me but nothing he said really helped, I just couldn't shake the awful anxious feelings I was having. That night, I went back to the smoothie. Wouldn't you know, the next day I felt fine and gone were the tears and anxiety. Coincidence? Maybe. But I think I am now forever a believer in the power of the placenta.
I finished the rest of the placenta somewhere around 10 days post-partum. I was worried that when it was gone the anxious feelings would return. Fortunately, they never did and (despite being quite sleep deprived) I am still feeling pretty darn good. Although, I might never look at a fruit smoothie the same way again...
Monday, January 6, 2014
The birth of Arlo Cameron B.
For two years now I have been completely obsessed with reading birth stories. Anywhere I could find one - books, blogs, birthing websites... I read home birth stories, hospital births stories, c-sections, stories on multiples, babies who came early and babies who came late. There were stories about babies born in cars, on sidewalks, toilets, and in elevators. I have been waiting to have my own story to share, and I now finally do. Here is the birth story of Arlo Cameron B.
Arlo was born on Tuesday, December 31st, 2013. Thinking back to when my labor started, I can't really pinpoint an exact time. I had been having mild contractions for a few days, but nothing that really felt like it could be the start of something more. I was told by the midwives and knew from our Bradley birthing class that those contractions (and the bloody show I was having) could last for days or even a week or two. I didn't get too excited about them, and honestly was hoping I had a few more days before he came. For 16 days prior to giving birth, I had been very, very sick. First with the flu and an ear infection, and eventually suspected pneumonia. In fact, the day prior to having Arlo, Erik had taken me in to our primary doctors office to be evaluated for the high fevers, chills, and fatigue that had returned over the weekend. I was started on antibiotics and a strong cough medicine and was told to just rest until the birth. Everyone knew how exhausted and weak I had been for over two weeks, and I think we all shared the same fear that I was going to be in trouble if labor started before I was well again. Little did we all know that Arlo had his own plans, he was coming out and was going to do it on his schedule, whether I was ready or not.
Monday night before going to bed I fortunately started to feel much better that I had been. The fever was finally gone and antibiotics seemed to be working. I took my cough medicine as instructed and was glad I did. The entire night I had regular contractions every 10-30 minutes. They were strong enough to wake me up but thanks to the medicine on board I was able to sleep between every one. It still felt like a long night waking up so frequently, but at least when I got up for the day I had a collective seven or so hours of sleep in me. Erik and I got up together at 6am, he was headed off to work and I couldn't sleep through the contractions any longer. I told him about the night I had, but neither one of us thought this could be the "real thing". We had breakfast together and still the moderate contractions continued, but seemed to be in an irregular pattern. We decided Erik could head off to work, his office is only a mile away and he is able to be home in minutes if needed. As well, being it was New Years Eve his office was closing early for the day, and he would be home mid afternoon. Before he left though, he became extremely motivated to make sure our birth bags were packed and waiting by the door, just in case this turned into something more. He went into work an hour late so he could help me finish getting my bag together and pack his own. Everything was ready to go and by the back door when he left for work.
After he left, I decided to do a few last minute things on my "birthing to do list". I spent a good hour transferring music and relaxation tracks onto my iPod so it was ready for the birth. I talked to my Mom somewhere around 10am to update her, but said it would probably be a few days yet before anything really happened. I remember I had to set down the phone twice during the short conversation, just to get through the contractions I had while talking to her. At 11am, I decided to relax on the couch and watch The Price is Right (after all, being sick at home the last couple of weeks had got me hooked on it!) I barely remember the show starting, and this is when things started to heat up. The contractions were getting stronger and definitely closer together. If I had to say, this was really the start of active labor. I went into the bathroom and was having a lot of trouble emptying my bladder, there was so much pelvic pressure and well, a baby head in the way. I remember leaning against the wall during those contractions, and eventually made my way back to the living room floor where I had what felt like a 4-5 minute long contraction. I was starting to lost my composure a little bit and finally decided to ask Erik to come home. At 11:51am I sent a text that said exactly "Needyou polease." His reply one minute later was "ok, be there soon."
Erik made it in the door in what felt like less than 10 minutes, although he says that it took him around 30 to finish what he was doing at work and come home. He took one look at me having a contraction on the couch and wide-eyed asked if I had called the midwife yet. I tried to explain there was no possible way that I could, and he grabbed my phone and called the Birthing Center immediately. Erik seemed a little confused as to why I hadn't been timing the most recent contractions and again I tried to say there was just no way I could do anything at that point besides what I was doing. The midwife told Erik to time them for 30 minutes and call them back. We were both surprised to learn that the contractions were coming just 3 minutes apart and lasting a minute or longer every time. I still remember telling him at this point (a little tearfully) that I was worried this was still early labor and that "I just wasn't very good at this." He assured me I was doing great and with contractions spaced this close together, it was criteria to go in. Between the contractions, realizing we would probably be leaving soon, Erik made us lunch, and I inhaled a veggie burger and 1/2 an avocado. During this time I also remember looking at Erik and telling him that even though it looked like I wasn't doing well, that I really was okay and said firmly "I don't want any drugs! I can handle this." He reassured me that I could, and kept telling me what a great job I was doing. After 30 minutes went by he called back the midwife and gave her the numbers. Upon hearing the information, and my loud moans in the background, she told us to leave right away.
Erik was urgently trying to get me in the car but I told him I had to change my pants, brush my teeth, and that I wanted to shower. He said no way to the shower but if I brushed my teeth fast I could do it before we left. He told me I didn't need to change out of my PJ pants but I insisted. He put on my track-style pants and immediately I told him they were too tight around my belly and took them off again. After the contraction that I was experiencing finished I looked around the room, decided there were no better pants to wear, and put the track pants back on. Erik said it was really time to go, I needed to get in the car, and now.
For some reason I had no problem taking my time getting my purse and last minute things together. Erik was quickly cleaning out the back of his Volvo wagon so I had the entire back to lay down in. There was no way on earth I was sitting in the front seat, and the back seat was taken up mostly by the car seat (which I was so insistent he install just days earlier!) I climbed in the back and was so happy I had thought to grab my pillow. I ended up in some crazy position with my arm draped over the back seat groping for any belt or buckle I could hang onto, and buried my face in my pillow during the five contractions I had on the 14 minute drive to the birthing center. I told Erik to pull over during contractions cause I couldn't handle the bumps and he did, but after the second one I told him to just keep driving. This was a mistake, driving through the contraction was just too much to handle. Erik was still timing them, so just before I was due for the next he pulled off the road and waited for it to pass, and for this I was so grateful. The last one was just as we pulled in the parking lot. Erik helped me out of the car and said he would come back for our things, which at the time sounded fine - in my mind I wasn't even sure if we would be staying. I was still at this point worried I wasn't even 4cm dilated and they might send me home.
Our arrival time to the birthing center was around 2pm. As we walked in the door, the midwife Allison and nurse Cheryl were standing there waiting for me. I felt a contraction coming on and asked them "where do I go?!" They asked if I had a birthing suite that I preferred. "Anyplace with a tub!" I said. They told me that all four rooms had tubs and then I think I started loudly vocalizing my need for a bed - and now. They pointed me to a room and I jumped on the bed and buried my face in the pillows for the next contraction. Allison and Cheryl followed us in the room and immediately started filling the tub. Erik tried to quietly tell Allison that our birthing instructor had recommended that we wait until the end of labor to utilize the tub for pain relief. She half smiled and said "based on the way she is acting this is the end." Erik was clearly surprised, and I was still not even sure I was really in active labor - ha! Allison asked me if she could do a cervical check and I told her yes, but to please be gentle as there was so much pelvic pressure already. "Kendra!" she said half laughing and half surprised. "You are 9cm!" Erik was shocked and so happy, and for the first time I had the realization that not only was I really in labor, but this baby was coming, and soon.
While the tub was filling I told them I really needed to empty my bladder and had been having difficulty doing so at home. They helped me get to the bathroom and I still couldn't go. Allison suggested that I get in the tub and see if the warm water helped. I asked her "I can pee in the tub?" And she said "of course!" I have to say, we were so lucky Allison was the midwife for the birth. The birthing center has several that work on rotating on-call shifts, so it was luck of the draw for who would be present for the birth. Allison had been one of our favorites during our prenatal care, and it must have been fate because she was also also the midwife who I saw the most frequently during our visits. She is very experienced as a midwife, and has even owned her own practice in the past. Of all the midwives in the birthing center, she is by far the most calm and laid-back, and I think it would take a lot to get her excited or nervous about anything. Exactly the personality you want for someone who works in this field. Anyway, back to the story.
When the tub was ready I took off everything I was wearing and got in. The warm water felt amazing. I remember looking around and noticed that Allison and Cheryl were reviewing our birth plan we had brought in during our last appointment, and Erik was setting up the video camera. For about 5 minutes I was feeling content and the first contraction or two didn't seem too unbearable. But then things changed. The intensity of the contractions that followed were almost indescribable. It was at this point where my mind started to go to the dark place. I doubted by ability to continue and said things like "I can't do this anymore" and at the beginning of contractions started moaning "no, no, no" as if that might make it stop. Erik told me that I was in transition and it would be over soon and kept reminding me that it wouldn't be long now until we met our little boy. He was amazing, kneeling by the tub the entire time saying all the right things. Eventually I told them I wanted out of the tub but Allison said that most of the time women want to get right back in, so I stayed put. Well sort of stayed put. I went from hands and knees to draping myself over the edge of the tub grabbing Erik's hand and then back to hands and knees, trying to find something to bring relief. At this point I felt like there was no way out, and even had the thought (although I never said it out loud) that our next baby would be in a hospital where they could give me drugs to completely knock me out and then somehow painlessly extract the baby from my body. Ha! The mind does some wild things during transition.
After about 45 min or an hour in the tub Cheryl mentioned that I still hadn't emptied my bladder and they talked about putting in a temporary catheter to drain it. I was very much in favor of this. I knew ahead of time it was likely since I was having difficulty with that in the beginning and the pelvic pressure was only increasing at this point. I knew a full bladder wouldn't let the baby descend and I didn't want anything to prolong this process! Even though as a nurse I knew that I needed to get out of the tub for this, I still asked in my irrational state if they could just do the catheter in the tub. Looking back, this was a hilarious thing for me to even think since I know it is a sterile procedure, but again I just wasn't my usual right minded self. They helped me to the bed and drained 250cc of urine from me. This isn't a lot for most people, but in my pregnant state it was probably maximum capacity for my bladder so it was a good thing they helped me get it out.
I stayed on the bed for the rest of the labor. Again, I tried different positions trying to bring relief for the contractions which were now coming one right after the next, giving me very short breaks between them. My preferred position was hands and knees but Allison started to suggest I try different things to help bring the baby down. She had encouraged me while I was in the tub to reach inside and feel the baby's head, and I could feel both the bag of waters and his head just behind it. I reached down several times to feel this as it was the best motivation I had to keep doing the very hard work I was doing. The bag of waters felt like a small water balloon and his head felt really hard in comparison. I think she said he was at zero or +1 station around the time I got on the bed, so he still had to move down the birth canal a bit. Allison checked me again at some point and said anytime I had the urge I was clear to start pushing. I reminded her I didn't want to push until my body told me to, and she said that was fine but we should start trying things like squatting to encourage him to move down. In my birth plan, I had put that I preferred to push in a squatting position and thought I might even deliver on the birthing stool. In reality, I hated squatting and felt like it increased the pressure to a level I couldn't handle. Allison brought in the birthing ball and put it on the bed and they supported me while I draped myself over the ball and labored a bit like that. I soon after went back to hands and knees because that was the only thing that felt tolerable to me.
The only monitoring they did of the baby during the entire labor was intermittent with the handheld doppler. I hated when they checked, not that it hurt but I felt like it took me out of my zone a little bit. His checks were fine until I had been on the bed about 30 minutes or so. They realized his heart rate was a bit low in the 110's and he was having a little trouble recovering after contractions, likely to do his position on the cord. They never got excited, but Allison said at this time it was better that he come out sooner than later. I asked her if she broke my water if that would speed things along. She said it might, but knew it was in our birth plan not to have an artificial rupture of membranes and I feel like she wanted to respect our wishes. I knew at this point it wouldn't matter if they were broke by her or naturally, he was coming soon and nothing was going to stop that. I remember getting a bit frustrated and saying something like "geez this is really a strong bag of waters I have!" and Allison said that meant I was well nourished. I thought about it for a moment and then asked her to go ahead and break them for me. I think there was some discussion between her and Erik at this time to make sure everyone was okay with this intervention, and finally I said "yes, do it!" She broke the water but nothing came out at the time. She said with the next push it would. At some point his heart rate was rechecked and they said he must of moved off the cord and everything was normal again. I was curious to see the amniotic fluid come out so I gave a little push. Still on my hands and knees, I looked down between my legs to see a small waterfall of light brown fluid come out. All I could say was "it's brown" but I knew that meant he had passed meconium which could indicate fetal distress. Neither Allison or Cheryl got excited or nervous, or if they were they certainly didn't show it. But I knew it was time to get him out and the only way to do that was really start pushing.
I had read in so many birth stories and books that pushing often felt good to women, it was a way to relive some of the pain from the contractions and was often a welcome phase at the end of labor. I can't say this was my experience. I was having so much rectal pressure at this time I said at one point that it felt like something inside of me was going to break. Allison assured me with a little laugh that "that usually doesn't happen." Our birthing instructor had described this feeling as the urge to "poop out a cantaloupe" and I have to say that is a pretty accurate description. Allison said the only way to make that feeling go away was to push him out. They had me move from my hands and knees position to a right side laying position and held up my left leg during contractions. I gave a couple of good, grunting, red faced pushes and suddenly felt his head low in the birth canal. The sensation of this was so intense that the motivation to push him out became stronger than the contractions themselves.
With his head so low in the birth canal, I guess they could really see things happening down below. I wasn't sure how Erik was going to respond to this phase of the labor. He is pretty squeamish with blood and body fluids and I had envisioned him hanging out near my head, away from the action. Boy was I wrong. He was standing with the midwife, offering encouraging comments to me but also saying things like "wow, you have to see this, this is amazing!" He grabbed the mirror nearby and tried to show me what they were seeing. I couldn't really figure out what I was looking at with the quick glance I took in the mirror but took their word for it. Unable to stand the pressure of the head in it's current spot, I used the next contraction to push with everything I had. I felt something come out, and felt the infamous "ring of fire" although it lasted about a half second. If I hadn't been waiting for it I might not even have noticed. "Is he out?" I asked. "Just the head" Allison told me. My next thought was "well I am gonna fix that quick!" and still using the power of the contraction I was having gave one more giant push. Out the rest of him came onto the bed and into the hands of Allison. Erik said he came out so fast that Allison tried to put her hands out to slow him down. I had written in the birth plan that I wanted slow, gentle pushing and warm massage oil for lubrication. The nurse Cheryl was still in the process of getting the oil when Arlo came rushing out into the world. He wasn't waiting and neither was I! Arlo was born at 4:16pm, just over two hours after we arrived at the birthing center.
Allison immediately placed Arlo up on my belly. His cord was a little short to come all the way up to my chest so he stayed there for a while as I had requested delayed cord clamping to allow him to receive all the blood in the cord. I couldn't believe he had arrived. I told him I loved him already and how cute he was, even though I couldn't even really see him very well! I asked Erik if the baby "looked like an Arlo" and Erik said yes. We had kept the name a surprise to everyone, even our parents, until he was born, and had wanted to make sure he fit the name. Erik at this point was by my side with the biggest smile on his face. We were both in a little state of shock, everything seemed to happen so fast and suddenly here we were looking at our little boy. Erik came around and laid with me on the bed while we waited to cut the cord. When the time came, Allison asked Erik if he wanted to do it and even though initially he thought he might pass on that, happily took the opportunity to be the one to separate us. Arlo was dried off and I couldn't believe how clean he looked. Not a speck of vernix on him, which is rare since he arrived 8 days earlier than he was scheduled. He didn't cry too much right away, but made a few small whimpers and they listened to him and said his lungs were clear. He pinked up pretty quickly with the exception of his little hands which stayed purple for a bit. They told me this was normal and not to worry.
Between the burning sensation I was starting to feel down below, the fact that Arlo was born with his hand over his face, and the knowledge that a short pushing phase alone can cause tearing, I started to think that some serious damage had been done. Allison took a look and said that I didn't have any big tears, just what she called "skid marks" and I didn't require stitches or anything. I was happy to hear that, but still had no problem accepting some topical lidocaine ointment that Allison offered. She told me if I "kept my legs together" post-partum that it would help with healing. Erik used this opportunity to make a joke and said "well if she does that then this won't happen again!" Ha! The placenta was delivered naturally a short time later. It detached on its own and came out with a very small push. I don't remember any pain or discomfort with the placenta delivery. I do remember it being a weird sensation and felt so empty when it came out. I actually said "that felt good!" after it was delivered.
Once Arlo and I were both checked over with him on my chest, we were left alone to bond and admire our new baby. Allison and Cheryl left and closed the door, and for an hour or so it was just the three of us. Eventually Cheryl came back in to help me try and breastfeed for the first time. Arlo was a bit sleepy at the time and didn't want to latch on right away. However, we tried again a bit later and after a few attempts he started to get the hang of it. He was so quiet and mellow right from the start, but was wide eyed and alert most of the first couple of hours. After our bonding and breastfeeding time, Arlo was weighed and measured. He weighed in at a whopping 6 pounds 3 ounces, and measured 19 inches long. I knew he was going to be small, but was surprised he was that tiny!
Arlo was given to Erik so they could enjoy some skin-to-skin time together, and Cheryl helped me up to the bathroom and back to the bed. I was very surprised at how good I was feeling post-partum. I had a protein bar, a big bowl of noodle soup, and then another granola bar - I was starving. And so thirsty... I think I drank over a liter of water in a short time following the birth. I kept having Erik fill my water bottle with diluted lemonade, I couldn't get enough. After I ate I took a shower in the tub which felt wonderful. Clean and fed with a new little baby in my arms, I felt absolutely amazing and sat on the bed, completely in awe of what a great experience the past few hours had been.
The hours after birth flew by at record speed. I have been told that labor is a time warp but I felt it continued until we got home that evening. Before we left, a different nurse came in (Cheryl had left for the day) and provided our discharge teaching and paperwork. We were ready to head home around 10pm (just about 6 hours after the birth) but Arlo decided he wanted to try to feed again at that time so we stayed until 11pm, and had what I would consider our first really successful feeding session. Finally dressed and loaded into the infant car seat which looked way too big for his tiny body, we were ready to head home.
Coming in the door with Arlo felt surreal, I didn't really think when we left the house that afternoon we would soon be returning home with him outside my body. One of the first things I did when I got home was eat another meal - I was still so hungry! We put the car seat on the floor in the living room floor and sat next to him admiring his sweet, sleepy self. Our dog, Lucy, was going nuts trying to smell him and figure out this new little addition to the family. When we let her near Arlo, she used her nose to try and push his blanket over him. I am not sure if she was being motherly or trying to cover him up as if to say "nope, don't like it, take him away!" We had turned on the TV to watch the New Years Eve shows, and the next thing I knew I was listening to the countdown for the ball drop. I couldn't imagine a better way to have rung in the new year!
The whole birthing experience for me was quite possibly the very best experience of my life. I feel so lucky that I was able to have the natural birth experience that we had prepared and planned for. We spent two hours a week for the 12 weeks prior to the delivery taking the Bradley Method birthing classes, supplemented that knowledge with additional books and videos, and went into the birth well-educated about the process. I know a lot of unexpected things can happen during labor, and while we were confident in our choice to have a birth at a freestanding birthing center, we knew there was always the possibility of an unexpected emergency which would require a hospital transfer. We had a separate page in our birthing plan for things we desired in the event of a transfer, and even our wishes should a ceserian section become necessary. Fortunately, we didn't need to use that part of our birth plan, and for the most part, it was followed as written.
Not to knock a hospital birth, we all need to make the choices that are best for each one of us, but I can't say enough good things about having an out-of-hospital birth. There was no registration upon arrival to the birthing center. No paperwork to fill out. No armband placed on my wrist, the midwife knew Erik and I well as we had met her several times during prenatal appointments. There was no IV fluids or pitocin, and even no heplock. There was no changing into a hospital gown, they encourage you to wear your own clothes to be comfortable during the birth (in my case I was pretty much naked from the time I arrived to the time I left!) There was no hooking up to a monitor upon arrival, just intermittent monitoring with the handheld doppler. There was no one checking my vital signs all the time, in fact they forgot to get a baseline set until I had already settled into the tub. There was a second set taken after delivery and that was it. There was no hospital bed or medical equipment in sight (everything is hidden in the dresser or under the queen size bed in the room). The lights were dim and room was quiet as we had requested. There were no strangers coming in and out of the room, it was just Allison, Cheryl, and Erik present for the entire birth (and luckily we were the only ones there so they could focus on just us). There was no one telling me which position to be in, or where I could labor. I could have delivered in the tub if I had desired. Not once was I offered pain medication, nor did I request it (or even have the thought cross my mind). There was no epidural or sedation of any kind, both Arlo and I were alert and awake immediately following the birth. When it came time for delivery, there was no bright lights and no gathering of the medical team. No one telling me how or when to push. There were no stirrups and I certainly wasn't placed flat on my back (which makes it much harder for baby to come out). No one took my baby when he came out, he was placed directly on my chest and only the minimum amount of assessment was done immediately after delivery. He never left my sight the entire time we were there. No one cut the cord immediately, it was delayed to allow Arlo to receive as much blood as possible from the placenta. Speaking of which, there was no manual traction applied to the placenta (which can cause hemorrhage in the mother after birth) and no routine pitocin injection given. There were no newborn procedures of any kind. No eye ointment, no hep B vaccine, and no bath. He wasn't suctioned immediately after birth because he didn't need it (90% of vaginally born babies don't). We declined the vitamin K injection (it contains aluminum and other preservatives and the dose is 20,000 times more than a newborn needs) and instead opted for the oral form of vitamin K which we bought and administered ourselves. We were not required to stay at the birthing center for 24 hours, in fact they allow you to leave after four hours if you are ready. We stayed about seven hours after the delivery and felt ready to leave even a little before that. That night, we slept together as a family, at home, in our own bed.
I am still in awe of the natural process that labor and birth really is. Left alone without intervention, it unfolds as a truly magical process. The female body knows how to have a baby, and is designed to do so. Raw, intense, and powerful? Yes. Beautiful and natural? Absolutely.
I can't wait to do it again. :)
Arlo was born on Tuesday, December 31st, 2013. Thinking back to when my labor started, I can't really pinpoint an exact time. I had been having mild contractions for a few days, but nothing that really felt like it could be the start of something more. I was told by the midwives and knew from our Bradley birthing class that those contractions (and the bloody show I was having) could last for days or even a week or two. I didn't get too excited about them, and honestly was hoping I had a few more days before he came. For 16 days prior to giving birth, I had been very, very sick. First with the flu and an ear infection, and eventually suspected pneumonia. In fact, the day prior to having Arlo, Erik had taken me in to our primary doctors office to be evaluated for the high fevers, chills, and fatigue that had returned over the weekend. I was started on antibiotics and a strong cough medicine and was told to just rest until the birth. Everyone knew how exhausted and weak I had been for over two weeks, and I think we all shared the same fear that I was going to be in trouble if labor started before I was well again. Little did we all know that Arlo had his own plans, he was coming out and was going to do it on his schedule, whether I was ready or not.
Monday night before going to bed I fortunately started to feel much better that I had been. The fever was finally gone and antibiotics seemed to be working. I took my cough medicine as instructed and was glad I did. The entire night I had regular contractions every 10-30 minutes. They were strong enough to wake me up but thanks to the medicine on board I was able to sleep between every one. It still felt like a long night waking up so frequently, but at least when I got up for the day I had a collective seven or so hours of sleep in me. Erik and I got up together at 6am, he was headed off to work and I couldn't sleep through the contractions any longer. I told him about the night I had, but neither one of us thought this could be the "real thing". We had breakfast together and still the moderate contractions continued, but seemed to be in an irregular pattern. We decided Erik could head off to work, his office is only a mile away and he is able to be home in minutes if needed. As well, being it was New Years Eve his office was closing early for the day, and he would be home mid afternoon. Before he left though, he became extremely motivated to make sure our birth bags were packed and waiting by the door, just in case this turned into something more. He went into work an hour late so he could help me finish getting my bag together and pack his own. Everything was ready to go and by the back door when he left for work.
After he left, I decided to do a few last minute things on my "birthing to do list". I spent a good hour transferring music and relaxation tracks onto my iPod so it was ready for the birth. I talked to my Mom somewhere around 10am to update her, but said it would probably be a few days yet before anything really happened. I remember I had to set down the phone twice during the short conversation, just to get through the contractions I had while talking to her. At 11am, I decided to relax on the couch and watch The Price is Right (after all, being sick at home the last couple of weeks had got me hooked on it!) I barely remember the show starting, and this is when things started to heat up. The contractions were getting stronger and definitely closer together. If I had to say, this was really the start of active labor. I went into the bathroom and was having a lot of trouble emptying my bladder, there was so much pelvic pressure and well, a baby head in the way. I remember leaning against the wall during those contractions, and eventually made my way back to the living room floor where I had what felt like a 4-5 minute long contraction. I was starting to lost my composure a little bit and finally decided to ask Erik to come home. At 11:51am I sent a text that said exactly "Needyou polease." His reply one minute later was "ok, be there soon."
Erik made it in the door in what felt like less than 10 minutes, although he says that it took him around 30 to finish what he was doing at work and come home. He took one look at me having a contraction on the couch and wide-eyed asked if I had called the midwife yet. I tried to explain there was no possible way that I could, and he grabbed my phone and called the Birthing Center immediately. Erik seemed a little confused as to why I hadn't been timing the most recent contractions and again I tried to say there was just no way I could do anything at that point besides what I was doing. The midwife told Erik to time them for 30 minutes and call them back. We were both surprised to learn that the contractions were coming just 3 minutes apart and lasting a minute or longer every time. I still remember telling him at this point (a little tearfully) that I was worried this was still early labor and that "I just wasn't very good at this." He assured me I was doing great and with contractions spaced this close together, it was criteria to go in. Between the contractions, realizing we would probably be leaving soon, Erik made us lunch, and I inhaled a veggie burger and 1/2 an avocado. During this time I also remember looking at Erik and telling him that even though it looked like I wasn't doing well, that I really was okay and said firmly "I don't want any drugs! I can handle this." He reassured me that I could, and kept telling me what a great job I was doing. After 30 minutes went by he called back the midwife and gave her the numbers. Upon hearing the information, and my loud moans in the background, she told us to leave right away.
Erik was urgently trying to get me in the car but I told him I had to change my pants, brush my teeth, and that I wanted to shower. He said no way to the shower but if I brushed my teeth fast I could do it before we left. He told me I didn't need to change out of my PJ pants but I insisted. He put on my track-style pants and immediately I told him they were too tight around my belly and took them off again. After the contraction that I was experiencing finished I looked around the room, decided there were no better pants to wear, and put the track pants back on. Erik said it was really time to go, I needed to get in the car, and now.
For some reason I had no problem taking my time getting my purse and last minute things together. Erik was quickly cleaning out the back of his Volvo wagon so I had the entire back to lay down in. There was no way on earth I was sitting in the front seat, and the back seat was taken up mostly by the car seat (which I was so insistent he install just days earlier!) I climbed in the back and was so happy I had thought to grab my pillow. I ended up in some crazy position with my arm draped over the back seat groping for any belt or buckle I could hang onto, and buried my face in my pillow during the five contractions I had on the 14 minute drive to the birthing center. I told Erik to pull over during contractions cause I couldn't handle the bumps and he did, but after the second one I told him to just keep driving. This was a mistake, driving through the contraction was just too much to handle. Erik was still timing them, so just before I was due for the next he pulled off the road and waited for it to pass, and for this I was so grateful. The last one was just as we pulled in the parking lot. Erik helped me out of the car and said he would come back for our things, which at the time sounded fine - in my mind I wasn't even sure if we would be staying. I was still at this point worried I wasn't even 4cm dilated and they might send me home.
Our arrival time to the birthing center was around 2pm. As we walked in the door, the midwife Allison and nurse Cheryl were standing there waiting for me. I felt a contraction coming on and asked them "where do I go?!" They asked if I had a birthing suite that I preferred. "Anyplace with a tub!" I said. They told me that all four rooms had tubs and then I think I started loudly vocalizing my need for a bed - and now. They pointed me to a room and I jumped on the bed and buried my face in the pillows for the next contraction. Allison and Cheryl followed us in the room and immediately started filling the tub. Erik tried to quietly tell Allison that our birthing instructor had recommended that we wait until the end of labor to utilize the tub for pain relief. She half smiled and said "based on the way she is acting this is the end." Erik was clearly surprised, and I was still not even sure I was really in active labor - ha! Allison asked me if she could do a cervical check and I told her yes, but to please be gentle as there was so much pelvic pressure already. "Kendra!" she said half laughing and half surprised. "You are 9cm!" Erik was shocked and so happy, and for the first time I had the realization that not only was I really in labor, but this baby was coming, and soon.
While the tub was filling I told them I really needed to empty my bladder and had been having difficulty doing so at home. They helped me get to the bathroom and I still couldn't go. Allison suggested that I get in the tub and see if the warm water helped. I asked her "I can pee in the tub?" And she said "of course!" I have to say, we were so lucky Allison was the midwife for the birth. The birthing center has several that work on rotating on-call shifts, so it was luck of the draw for who would be present for the birth. Allison had been one of our favorites during our prenatal care, and it must have been fate because she was also also the midwife who I saw the most frequently during our visits. She is very experienced as a midwife, and has even owned her own practice in the past. Of all the midwives in the birthing center, she is by far the most calm and laid-back, and I think it would take a lot to get her excited or nervous about anything. Exactly the personality you want for someone who works in this field. Anyway, back to the story.
When the tub was ready I took off everything I was wearing and got in. The warm water felt amazing. I remember looking around and noticed that Allison and Cheryl were reviewing our birth plan we had brought in during our last appointment, and Erik was setting up the video camera. For about 5 minutes I was feeling content and the first contraction or two didn't seem too unbearable. But then things changed. The intensity of the contractions that followed were almost indescribable. It was at this point where my mind started to go to the dark place. I doubted by ability to continue and said things like "I can't do this anymore" and at the beginning of contractions started moaning "no, no, no" as if that might make it stop. Erik told me that I was in transition and it would be over soon and kept reminding me that it wouldn't be long now until we met our little boy. He was amazing, kneeling by the tub the entire time saying all the right things. Eventually I told them I wanted out of the tub but Allison said that most of the time women want to get right back in, so I stayed put. Well sort of stayed put. I went from hands and knees to draping myself over the edge of the tub grabbing Erik's hand and then back to hands and knees, trying to find something to bring relief. At this point I felt like there was no way out, and even had the thought (although I never said it out loud) that our next baby would be in a hospital where they could give me drugs to completely knock me out and then somehow painlessly extract the baby from my body. Ha! The mind does some wild things during transition.
After about 45 min or an hour in the tub Cheryl mentioned that I still hadn't emptied my bladder and they talked about putting in a temporary catheter to drain it. I was very much in favor of this. I knew ahead of time it was likely since I was having difficulty with that in the beginning and the pelvic pressure was only increasing at this point. I knew a full bladder wouldn't let the baby descend and I didn't want anything to prolong this process! Even though as a nurse I knew that I needed to get out of the tub for this, I still asked in my irrational state if they could just do the catheter in the tub. Looking back, this was a hilarious thing for me to even think since I know it is a sterile procedure, but again I just wasn't my usual right minded self. They helped me to the bed and drained 250cc of urine from me. This isn't a lot for most people, but in my pregnant state it was probably maximum capacity for my bladder so it was a good thing they helped me get it out.
I stayed on the bed for the rest of the labor. Again, I tried different positions trying to bring relief for the contractions which were now coming one right after the next, giving me very short breaks between them. My preferred position was hands and knees but Allison started to suggest I try different things to help bring the baby down. She had encouraged me while I was in the tub to reach inside and feel the baby's head, and I could feel both the bag of waters and his head just behind it. I reached down several times to feel this as it was the best motivation I had to keep doing the very hard work I was doing. The bag of waters felt like a small water balloon and his head felt really hard in comparison. I think she said he was at zero or +1 station around the time I got on the bed, so he still had to move down the birth canal a bit. Allison checked me again at some point and said anytime I had the urge I was clear to start pushing. I reminded her I didn't want to push until my body told me to, and she said that was fine but we should start trying things like squatting to encourage him to move down. In my birth plan, I had put that I preferred to push in a squatting position and thought I might even deliver on the birthing stool. In reality, I hated squatting and felt like it increased the pressure to a level I couldn't handle. Allison brought in the birthing ball and put it on the bed and they supported me while I draped myself over the ball and labored a bit like that. I soon after went back to hands and knees because that was the only thing that felt tolerable to me.
The only monitoring they did of the baby during the entire labor was intermittent with the handheld doppler. I hated when they checked, not that it hurt but I felt like it took me out of my zone a little bit. His checks were fine until I had been on the bed about 30 minutes or so. They realized his heart rate was a bit low in the 110's and he was having a little trouble recovering after contractions, likely to do his position on the cord. They never got excited, but Allison said at this time it was better that he come out sooner than later. I asked her if she broke my water if that would speed things along. She said it might, but knew it was in our birth plan not to have an artificial rupture of membranes and I feel like she wanted to respect our wishes. I knew at this point it wouldn't matter if they were broke by her or naturally, he was coming soon and nothing was going to stop that. I remember getting a bit frustrated and saying something like "geez this is really a strong bag of waters I have!" and Allison said that meant I was well nourished. I thought about it for a moment and then asked her to go ahead and break them for me. I think there was some discussion between her and Erik at this time to make sure everyone was okay with this intervention, and finally I said "yes, do it!" She broke the water but nothing came out at the time. She said with the next push it would. At some point his heart rate was rechecked and they said he must of moved off the cord and everything was normal again. I was curious to see the amniotic fluid come out so I gave a little push. Still on my hands and knees, I looked down between my legs to see a small waterfall of light brown fluid come out. All I could say was "it's brown" but I knew that meant he had passed meconium which could indicate fetal distress. Neither Allison or Cheryl got excited or nervous, or if they were they certainly didn't show it. But I knew it was time to get him out and the only way to do that was really start pushing.
I had read in so many birth stories and books that pushing often felt good to women, it was a way to relive some of the pain from the contractions and was often a welcome phase at the end of labor. I can't say this was my experience. I was having so much rectal pressure at this time I said at one point that it felt like something inside of me was going to break. Allison assured me with a little laugh that "that usually doesn't happen." Our birthing instructor had described this feeling as the urge to "poop out a cantaloupe" and I have to say that is a pretty accurate description. Allison said the only way to make that feeling go away was to push him out. They had me move from my hands and knees position to a right side laying position and held up my left leg during contractions. I gave a couple of good, grunting, red faced pushes and suddenly felt his head low in the birth canal. The sensation of this was so intense that the motivation to push him out became stronger than the contractions themselves.
With his head so low in the birth canal, I guess they could really see things happening down below. I wasn't sure how Erik was going to respond to this phase of the labor. He is pretty squeamish with blood and body fluids and I had envisioned him hanging out near my head, away from the action. Boy was I wrong. He was standing with the midwife, offering encouraging comments to me but also saying things like "wow, you have to see this, this is amazing!" He grabbed the mirror nearby and tried to show me what they were seeing. I couldn't really figure out what I was looking at with the quick glance I took in the mirror but took their word for it. Unable to stand the pressure of the head in it's current spot, I used the next contraction to push with everything I had. I felt something come out, and felt the infamous "ring of fire" although it lasted about a half second. If I hadn't been waiting for it I might not even have noticed. "Is he out?" I asked. "Just the head" Allison told me. My next thought was "well I am gonna fix that quick!" and still using the power of the contraction I was having gave one more giant push. Out the rest of him came onto the bed and into the hands of Allison. Erik said he came out so fast that Allison tried to put her hands out to slow him down. I had written in the birth plan that I wanted slow, gentle pushing and warm massage oil for lubrication. The nurse Cheryl was still in the process of getting the oil when Arlo came rushing out into the world. He wasn't waiting and neither was I! Arlo was born at 4:16pm, just over two hours after we arrived at the birthing center.
Allison immediately placed Arlo up on my belly. His cord was a little short to come all the way up to my chest so he stayed there for a while as I had requested delayed cord clamping to allow him to receive all the blood in the cord. I couldn't believe he had arrived. I told him I loved him already and how cute he was, even though I couldn't even really see him very well! I asked Erik if the baby "looked like an Arlo" and Erik said yes. We had kept the name a surprise to everyone, even our parents, until he was born, and had wanted to make sure he fit the name. Erik at this point was by my side with the biggest smile on his face. We were both in a little state of shock, everything seemed to happen so fast and suddenly here we were looking at our little boy. Erik came around and laid with me on the bed while we waited to cut the cord. When the time came, Allison asked Erik if he wanted to do it and even though initially he thought he might pass on that, happily took the opportunity to be the one to separate us. Arlo was dried off and I couldn't believe how clean he looked. Not a speck of vernix on him, which is rare since he arrived 8 days earlier than he was scheduled. He didn't cry too much right away, but made a few small whimpers and they listened to him and said his lungs were clear. He pinked up pretty quickly with the exception of his little hands which stayed purple for a bit. They told me this was normal and not to worry.
Once Arlo and I were both checked over with him on my chest, we were left alone to bond and admire our new baby. Allison and Cheryl left and closed the door, and for an hour or so it was just the three of us. Eventually Cheryl came back in to help me try and breastfeed for the first time. Arlo was a bit sleepy at the time and didn't want to latch on right away. However, we tried again a bit later and after a few attempts he started to get the hang of it. He was so quiet and mellow right from the start, but was wide eyed and alert most of the first couple of hours. After our bonding and breastfeeding time, Arlo was weighed and measured. He weighed in at a whopping 6 pounds 3 ounces, and measured 19 inches long. I knew he was going to be small, but was surprised he was that tiny!
Arlo was given to Erik so they could enjoy some skin-to-skin time together, and Cheryl helped me up to the bathroom and back to the bed. I was very surprised at how good I was feeling post-partum. I had a protein bar, a big bowl of noodle soup, and then another granola bar - I was starving. And so thirsty... I think I drank over a liter of water in a short time following the birth. I kept having Erik fill my water bottle with diluted lemonade, I couldn't get enough. After I ate I took a shower in the tub which felt wonderful. Clean and fed with a new little baby in my arms, I felt absolutely amazing and sat on the bed, completely in awe of what a great experience the past few hours had been.
The hours after birth flew by at record speed. I have been told that labor is a time warp but I felt it continued until we got home that evening. Before we left, a different nurse came in (Cheryl had left for the day) and provided our discharge teaching and paperwork. We were ready to head home around 10pm (just about 6 hours after the birth) but Arlo decided he wanted to try to feed again at that time so we stayed until 11pm, and had what I would consider our first really successful feeding session. Finally dressed and loaded into the infant car seat which looked way too big for his tiny body, we were ready to head home.
Coming in the door with Arlo felt surreal, I didn't really think when we left the house that afternoon we would soon be returning home with him outside my body. One of the first things I did when I got home was eat another meal - I was still so hungry! We put the car seat on the floor in the living room floor and sat next to him admiring his sweet, sleepy self. Our dog, Lucy, was going nuts trying to smell him and figure out this new little addition to the family. When we let her near Arlo, she used her nose to try and push his blanket over him. I am not sure if she was being motherly or trying to cover him up as if to say "nope, don't like it, take him away!" We had turned on the TV to watch the New Years Eve shows, and the next thing I knew I was listening to the countdown for the ball drop. I couldn't imagine a better way to have rung in the new year!
The whole birthing experience for me was quite possibly the very best experience of my life. I feel so lucky that I was able to have the natural birth experience that we had prepared and planned for. We spent two hours a week for the 12 weeks prior to the delivery taking the Bradley Method birthing classes, supplemented that knowledge with additional books and videos, and went into the birth well-educated about the process. I know a lot of unexpected things can happen during labor, and while we were confident in our choice to have a birth at a freestanding birthing center, we knew there was always the possibility of an unexpected emergency which would require a hospital transfer. We had a separate page in our birthing plan for things we desired in the event of a transfer, and even our wishes should a ceserian section become necessary. Fortunately, we didn't need to use that part of our birth plan, and for the most part, it was followed as written.
Not to knock a hospital birth, we all need to make the choices that are best for each one of us, but I can't say enough good things about having an out-of-hospital birth. There was no registration upon arrival to the birthing center. No paperwork to fill out. No armband placed on my wrist, the midwife knew Erik and I well as we had met her several times during prenatal appointments. There was no IV fluids or pitocin, and even no heplock. There was no changing into a hospital gown, they encourage you to wear your own clothes to be comfortable during the birth (in my case I was pretty much naked from the time I arrived to the time I left!) There was no hooking up to a monitor upon arrival, just intermittent monitoring with the handheld doppler. There was no one checking my vital signs all the time, in fact they forgot to get a baseline set until I had already settled into the tub. There was a second set taken after delivery and that was it. There was no hospital bed or medical equipment in sight (everything is hidden in the dresser or under the queen size bed in the room). The lights were dim and room was quiet as we had requested. There were no strangers coming in and out of the room, it was just Allison, Cheryl, and Erik present for the entire birth (and luckily we were the only ones there so they could focus on just us). There was no one telling me which position to be in, or where I could labor. I could have delivered in the tub if I had desired. Not once was I offered pain medication, nor did I request it (or even have the thought cross my mind). There was no epidural or sedation of any kind, both Arlo and I were alert and awake immediately following the birth. When it came time for delivery, there was no bright lights and no gathering of the medical team. No one telling me how or when to push. There were no stirrups and I certainly wasn't placed flat on my back (which makes it much harder for baby to come out). No one took my baby when he came out, he was placed directly on my chest and only the minimum amount of assessment was done immediately after delivery. He never left my sight the entire time we were there. No one cut the cord immediately, it was delayed to allow Arlo to receive as much blood as possible from the placenta. Speaking of which, there was no manual traction applied to the placenta (which can cause hemorrhage in the mother after birth) and no routine pitocin injection given. There were no newborn procedures of any kind. No eye ointment, no hep B vaccine, and no bath. He wasn't suctioned immediately after birth because he didn't need it (90% of vaginally born babies don't). We declined the vitamin K injection (it contains aluminum and other preservatives and the dose is 20,000 times more than a newborn needs) and instead opted for the oral form of vitamin K which we bought and administered ourselves. We were not required to stay at the birthing center for 24 hours, in fact they allow you to leave after four hours if you are ready. We stayed about seven hours after the delivery and felt ready to leave even a little before that. That night, we slept together as a family, at home, in our own bed.
I am still in awe of the natural process that labor and birth really is. Left alone without intervention, it unfolds as a truly magical process. The female body knows how to have a baby, and is designed to do so. Raw, intense, and powerful? Yes. Beautiful and natural? Absolutely.
I can't wait to do it again. :)
If you are interested in reading our birth plan, you can do so below...
Birth
Plan for Baby B.
Kendra
& Erik B.
To
our healthcare provider,
Thank
you so much for helping us have a natural, unmedicated, childbirth
that is safe and viable for mom and baby. We
understand that
unexpected things may arise which require deviations from our plan.
In such cases, we trust our providers will communicate with us and
allow us to be part of the shared
decision making.
We
have completed a 12 week Bradley Childbirth Class series, and would
like to have the opportunity to use the methods we learned in class
to help us achieve the natural birth we have prepared for. Please
feel free to offer additional support, suggestions for natural pain
control, or anything else you think may help. We trust your
knowledge and experience!
Labor:
- Erik will be present at all times as the birth coach, and we plan to have no other family or visitors present for the birth.
- We will be using natural pain relief measures: relaxation, positioning, tub/shower, birthing ball, massage, etc.
- Please do not offer any medication. (Please also know that I am extremely sensitive to medications and have not done well with narcotics in past experiences.)
- We prefer to have a the room quiet with soft lighting for the labor and birth.
- Unless it becomes medically necessary, I would like to avoid all vaginal examinations including cervical checks. I would prefer not to know dilation status during labor.
- We would prefer to let the bag of waters break naturally.
- In the event of a stalled labor, please suggest natural augmentation methods such as nipple stimulation, homeopathic remedies, accupressure, etc.
Delivery/Birth:
- We would like to keep our options open when it comes to birthing positions. I am interested in birthing in the tub if it feels good at the time, or in a squatting position, or hands and knees. I would prefer not to birth laying down.
- I would like to wait until I naturally have the urge to push, and not be instructed to do so. I will not mind a cervical check at that time to ensure that I am fully dilated and it is safe to start pushing. I would like to follow my body's instincts when it comes to pushing, and receive as little coaching as possible.
- I would like the opportunity to feel the baby crowning and given the option to see him in a mirror.
- I prefer to tear naturally during delivery. Please encourage gentle pushing at the end to allow the head to come out slowly. Please also use perineal support measures such as massage, oil, and a warm compress.
- We request delayed cord clamping and for baby to be placed immediately on my chest for bonding and breastfeeding.
- Please give Erik the option to cut the cord when the time comes.
- We are declining active 3rd stage management. I would like to deliver the placenta unassisted and avoid the Pitocin injection after birth.
- Please do not suction baby unless deemed medically necessary.
- Please save the placenta! We will be taking it home for consumption and will provide a container to do so.
- Please allow us 2-3 hours to bond with baby before he is weighed, measured, etc.
Newborn
Procedures:
- We are declining the administration of eye ointment.
- We are declining the Vitamin K injection and have in our possession the oral Vitamin K we plan to use as an alternative.
- We decline the Hepatitis B vaccine.
- We prefer to give baby his first bath at home to retain the protective vernix covering his skin at birth.
If
Hospital Transfer becomes necessary, please
follow instructions in birth plan above. In addition::
- If IV is deemed necessary, please use a heplock that I can move around and walk as needed. I do not wish to have IV fluids and will keep myself hydrated orally.
- Intermittent fetal monitoring, not continuous.
- Please no internal fetal monitoring unless emergency arises.
- Vaginal exams only upon consent and as few as possible to avoid rupture of membranes
- Please no pitocin or breaking of water unless deemed medically necessary
- No analgesia or anesthesia
- Freedom to move and walk during labor
- Freedom to eat and drink in labor
- Quiet room, no excess staff please
- Breastfeeding only: no bottles, pacifiers, artificial nipples, formula, or water
- No suctioning of baby unless necessary
- To have the PKU heel poke screening of baby delayed until the 2 week checkup
- No Vitamin K, eye ointment, vaccinations, bath or other routine treatments of baby
- No
circumcision
In
the event of an emergency Cesarean Section, we would prefer:
- For Erik to be preset at all times
- To remain conscious and given as little anesthesia as possible
- To have immediate contact with baby if he is in good health
- To breastfeed as soon as possible
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