Northeast Mississippi Birthing Project

As a local group of Birthing Project USA, the Northeast Missisippi Birthing Project [blog] has as its goal improving maternal outcomes and reducing infant mortality. By providing at-risk pregnant women with a sister-friend to help them during pregnancy, mothers and babies have better outcomes. [“At-risk” includes teen moms, single moms, moms without insurance, etc., not necessarily a medical risk.] Our primary goal is the reduction of infant mortality. For more information, click the links I’ve already given, because the work is really wonderful and the results have been astounding. If you’ve been looking for something concrete to do to help pregnant women, this is something you really should look into. There are branches all over the United States, so you may be able to find out already started; or you may be able to start one in your area. For a brief overview of what we do, please watch the video below [btw, I made it, so of course I like it! :-)] —

I laughed until I cried!

A Man’s Guide to HomeBirth on Dr. Momma [Update: it was removed from Dr. Momma, but here it is in full.]

This is hilarious! Simply hilarious. I’ll give you a taste, but you must read the whole thing:

These are the items that men need to assist in a homebirth (not in order of use by the way): a black-light, princess wand (any type of wand toy will do,) fun-house mirror, catchers mitt/fishing net/soccer gloves, pocket watch, thesaurus, gum, woman who has witnessed a live birth, six pack of beer (or favorite alcohol), shovel, bucket, 1 dozen eggs, shredded mozzarella cheese, shower shoes, swimming shorts, push-up/pull-up bars or a wheelbarrow, old table covers (plastic holiday ones are best,) 1 big steak (or other red meat,) and 1 big cliche. Most of these items are for preparing for the birth, while a few are for the actual birthing….

So when I came down the stairs and was informed that she was in labor at 9am-ish, I felt ready this time since I just slept for 10 friggin hours. Alas, after hanging around downstairs for about ten minutes, my eyes rolled into the back of my head and I went and took a nap. On a side note, this is where the doula’s biggest strength lies – they are highly trained to withstand the Hypno-Fog. It was after that nap during the Hypno-Fog stage that I discovered that women who are about to go into labor cast this area-of-effect spell that can drop a man to the floor in a matter of minutes….

Pregnancy, Prematurity and Pumping

First up — I was invited to do a guest post on the “Breastfeeding with Comfort and Joy” blog on my experience with pumping breastmilk for someone else’s baby. The post was inspired by this video, entitled “Prescription Milk,” which focuses primarily on the importance of babies — particularly premature babies — getting human milk for their nutrition.

It was so touching that the mother featured in the trailer chose to celebrate and memorialize her daughter’s brief life, by continuing to pump milk even after her own baby died, so that other babies might live.

My personal experience was that I had over-supply issues, so being able to pump extra was a blessing, instead of having to try to minimize my production. Some mothers may not be able to pump enough milk to feed their babies, but there isn’t enough donated milk to supply all the babies who need it. If you are currently pregnant or breastfeeding, or know someone who is, please look into becoming a milk donor through the Human Milk Banking Association of North America, your local hospital, some other organization, or (like I did) just giving a friend bottles or bags of milk. You have to be screened to make sure you aren’t carrying any diseases that may be transmissible through breastmilk, so get started on the process as soon as you can.

Pregnancy is the perfect time to start preparing yourself for breastfeeding. The best way to do that is to talk to women who have successfully breastfed, and watch women breastfeed. I emphasize, “successfully breastfed,” because so many women tell horror stories of how awful breastfeeding was, and how they ended up with sore, cracked, even bleeding nipples, or how they “tried to breastfeed, but I never could make enough milk,” or some other unsuccessful breastfeeding experience. You wouldn’t ask a poor man how to become a millionaire; you wouldn’t ask a teenager for tips on a successful marriage; and you definitely wouldn’t ask me for tips on how to run fast or throw a baseball. 😉 You would instead seek out someone who had been successful in whatever it is you were wanting to succeed. Likewise, don’t ask someone who had a horrible time breastfeeding for breastfeeding tips (even if the lactation person she saw at the hospital said she was doing everything right, or she is otherwise sure she did what she was supposed to do). Or if you do, don’t be surprised if you, too, have a horrible time breastfeeding! Instead, seek out those who had an easy time, who were successful, who had no pain, who nursed as long as they wanted to (and/or longer than they expected). If you don’t know anyone that fits that description, or feel awkward asking to watch them as they nurse their babies, don’t despair! There is a book filled with beautiful and intimate breastfeeding images, along with clear and simple text, to help you see what a good latch really looks like and how to achieve that.

Get the book now, while you’re still pregnant, read the text, study the pictures, take it with you to the hospital (or just keep it at your bed-side table if you’re having a home birth), and start breastfeeding off not just correctly but confidently. As World Breastfeeding Week draws to a close, let’s not just celebrate breastfeeding, but help support women as they breastfeed, and remove hindrances that would keep them from success.

~*~

Update — I just noticed that WP has added a “like” feature to posts — that’s cool! 🙂

Kegels don’t do squat?

If there is one mantra, dogma, or axiomatic belief among women “in the know” when it comes to birth and babies, it’s that Kegels are wonderful, necessary, beneficial, etc. Now, someone is challenging that assertion. In short, the way the pelvic floor is understood is wrong, and needs to be changed. Tighter doesn’t necessarily mean better; it just means tighter, which may actually lead to a worsening of the problem. You need to read the whole article, because I’m skipping a lot (or else I’d be tempted to copy and paste most of it, but that wouldn’t be nice), but basically, squatting is what she recommends for incontinence and other things that Kegels are supposed to help.

If she just said that Kegels don’t work, I might be a tad suspicious that rather than being a lone voice of reason, she’s a lone voice for a reason [sorry, couldn’t help the chiasmus there :-)], although I’ve read enough from people who say that most women don’t do them right, and doing them “wrong” is worse than not doing any at all to know that there are many people who share her opinion at least to an extent. However, it was her suggestion of doing squats rather than Kegels which resonated with me.

Squatting is natural; doing Kegels is not, really. For most of human history, women (and men too) had to do a lot of physically demanding work, including a lot of squatting — tending the fire, garden, children, etc. Even in the absence of work, squatting was a natural way to rest and relax, if a chair was not available for whatever reason. Squatting is a normal part of life except for (primarily Western) adults who view squatting as either menial or childish. It’s not really a normal part of life to try to stop and hold the Kegel muscles, is it?

So, I’ll add this to my mental list of reasons to squat more regularly. What do you think of this article?

Pure-breds vs. Mongrels

Nope, not dogs, cats, horses, or any other animal. I’m talking about humans. Sorry if the term “mongrel” offends you, but I’m including myself in this group, and it seems a handy term to identify people of mixed genetic background. This is not necessarily so-called “mixed race” offspring, but anything that is not “pure-bred” (or shall I say “inbred”? — My dad was 100% Dutch — we can trace all of his ancestors back to Holland in the 1860s, and some of his ancestors all the way back to the 1500s or 1600s; so when I talk about inbreeding, I’m including him and all the other “genetically pure” or “ethnically pure” people like that). I kinda like to say “inbred” because “pure” sounds so hoity-toity and “holier than thou,” while “inbred” has negative connotations. Using terms like inbred and mongrel kinda puts us all on equal footing [“all men are created equal,” after all], even if these terms are negative sounding. I’m not intending to be offensive; I’m typing this with an amused smirk on my face, and hope you all can see the humor in it. You see, America is a great “melting pot”; although apparently some groups haven’t “melted” as much as others. When I lived in Chicago, one of my husband’s friends (a Jamaican) was married to a Polish woman who I believe was native-born American. She was pure-bred [inbred? ;-)] Polish, and she and her parents and extended family all spoke Polish to each other, but spoke English to others. It was actually pretty humorous — we went to their child’s birthday party, and because I was white, all her Polish friends and family thought I must be Polish too, so they started off talking to me in Polish. Needless to say, I got on better with the Jamaican grandmother because we both spoke English, than with the Polish grandmother, although those who were bilingual spoke English to me. Many big American cities have neighborhoods called “Little Italy” and “Chinatown” and so forth, because people from one country or another tended to congregate in one spot and maintain their ethnic identity, rather than truly “melt” together. This is also how my dad was able to be pure Dutch, though all his ancestors left Holland a few generations before he was even born — they all settled in a very “Dutch” part of the country, and continued the tradition of Dutch marrying Dutch (see why I call it “inbreeding”?)… until my dad met my mom who has a who-knows-what genetic background.

One of the things that people often say about America and our birth outcomes is that we are of mixed genetic heritage — good ol’ melting pot, with many people claiming ancestry in half-a-dozen different European countries, and others combining genetics from entirely different continents. I think that’s great; but there is a theoretical problem with this mixing, if, for example, a woman with a genetically small pelvis, thanks to generations of inbreeding (for example, Koreans marrying only Koreans and giving birth to Koreans for millennia), marrying a man with a genetically large head (like, apparently, the Dutch, judging by my dad’s family photos), and then ending up with a theoretical baby that has a head too big to fit through the mother’s pelvis. I say “theoretical” because I don’t know if it’s been proven. [Also, it seems to be at least an equal chance that the baby would end up with the mother’s small head and body, so it’s really being prejudicial to say that a hypothetical child would definitely be too big to be born vaginally.] I remember reading about (and I blogged about it previously) a study in which Asian women married to white men had C-sections at a higher rate than white women married to Asian men. However, I wonder how much of the C-section rate was due to the doctor’s prejudicial decision that the baby would be too big for the woman’s pelvis, so was quicker to call for a C-section than he would have otherwise. And I also think of that one “Baby Story” I watched with a short woman and a big and tall husband, and she was induced because the doctors feared that with her husband being that big, the baby would be too big if she went to her due date. Birthweight? Six pounds and change. Um, yeah; that’s big. [Sarcasm]

So, are America’s high C-section rate, and poor rates of things like maternal and infant mortality due to us being a genetic melting pot? Or is it possibly something else?

What got me thinking on this topic again was this article I read, about a New Yorker living in Japan (married to a Japanese man, having lived there for years), trying to have a home-birth. In the article, the woman said that 1 out of 10 couples in Tokyo is “mixed” — I wonder if that would be a better place for a study into the theoretical problem of mixed genetics leading to “unbirthable” babies. We could look retrospectively at birth records of the three groups: “pure bred” Japanese mothers and fathers; Japanese mothers and foreign fathers; and foreign mothers and Japanese fathers; and see what if any differences there are in the C-section rate and birth outcomes of the three groups. It wouldn’t totally do away with provider bias, but it seems more likely to me that Japanese doctors would be less likely to stamp a Japanese pelvis with “FAIL” than American doctors might be — nationalistic pride, if nothing else, perhaps?

At the least, it would be interesting to see if the C-section rate for Japanese mothers and gaijin fathers would be similar to that of the American study.

Skin-to-Skin in the O.R. after a C-section

Being born vaginally is good for babies, in part because it colonizes them with the mother’s good bacteria, setting them on the road to health; a C-section bypasses this normal process and may be part of the reason why babies born by Cesarean have higher rates of things like asthma. But putting the baby skin-to-skin with the mom, especially after a Cesarean, can restore some of this good colonization; otherwise, the baby will be colonized only with hospital bacteria. Skin-to-skin contact is also beneficial in facilitating breastfeeding. Typically, when babies are born, they have an innate ability and desire to get to the breast and self-attach; wrapping babies up in a blanket like a burrito prevents this. All too often, whether the baby is born vaginally or by C-section, babies are only briefly shown to the mom right after birth, and then are taken across the room for the newborn assessment and procedures, before finally being returned to their mothers securely swaddled in a hospital blanket. Then, many times, babies are taken to the nursery soon after birth for a bath, then kept in the nursery under the warmer for a few hours to warm back up, and then finally taken back to their mothers… just in time for them to fall asleep for a few hours. But it doesn’t have to be that way. Healthy babies can — and should — be placed skin-to-skin with their mothers immediately after birth, even with a C-section.

Update: Here’s a video showing skin-to-skin after a C-section


If you had a C-section, were you able to have your baby put skin-to-skin in the operating room? Did you even know that was a possibility? If you are a nurse or midwife, do you ever put babies skin-to-skin on their moms, even if they have a C-section?

Weigh in on this topic on the Breastfeeding with Comfort and Joy fan page [currently, it’s the most recent post, dated May 28]. Laura Keegan, the author of Breastfeeding with Comfort and Joy, will be giving Grand Rounds in June/July, so will have the opportunity to talk about this important topic to attending physicians, L&D nurses, and residents in OB, pediatrics, and family practice. She would love to have input from women about their experiences with skin-to-skin contact (or the lack thereof) after both vaginal and Cesarean births, to pass along to the doctors, nurses, and doctors-in-training. What did it mean to you to be able to hold your baby with nothing between you, and just a blanket put over both of you? What did it mean to you to be denied this? Please comment on the fan page post, and also spread the word (blog, share on facebook, Tweet about it, etc.), so that doctors and nurses can find out from you and other women what they otherwise might not hear.

Aww, how *sweet*!

If this doesn’t make you go into emotional sugar-shock… there’s just something wrong with you!

Deaf baby hears his mother’s voice for the first time, after a cochlear implant.