OBs play very influential roles in women’s lives during pregnancy, childbirth, and postpartum. Having the right or wrong person at your birth can make or break your vagina. Literally. Unfortunately, sometimes the doctor or midwife a woman chooses in the first trimester turns out not to be such a great fit as pregnancy progresses. But how should you know when it’s time to fire your OB or midwife? Glad you asked.
(Click link at top to read on Mother Rising blog)
If there’s one thing the experts agree is guaranteed about pregnancy and birth, it is that “it will likely be very different from whatever you might be imagining.” This is Julia Bower, a CNM (certified nurse midwife) in Austin, Texas. Bower has delivered over 800 babies in her over her twenty-plus-year career. In case you are unfamiliar, certified nurse midwives like Bower are health care professionals who have a graduate degree in midwifery and have passed a certifying exam. Certified nurse midwives (as well as certified professional midwives, though they don’t necessarily have a degree) are licensed by their state* to provide much of the same care as ob-gyns and are experts in low-risk births.
We asked Bower to give us her unfiltered play-by-play of childbirth.
(click to read on goop.com)
“THE notion that nothing good happens after midnight does not seem to apply to times of birth. Around the world the peak hours for vaginal births that have not been induced by drugs fall between 1am and 7am; the numbers then dwindle throughout the rest of the day. This has led many scientists to believe that giving birth during the early morning offers some sort of evolutionary advantage, perhaps gained long ago when hunter-gatherer mothers and their infants would benefit from having their group reunited during the small hours to help with care and to defend them against any predators.
The problem with this theory is that almost all the information on the timing of human births comes from modern, urban settings, such as clinics and hospitals, which could produce artificial conditions that skew the variation in timings. Not so, it turns out. As Carlye Chaney of Yale University shows in the American Journal of Physical Anthropology, early-morning births are common to communities with both modern and traditional lifestyles.”
(click link at top to read this fascinating article on economist.com)
For more than 60 years, it has been the standard of care to try to speed up childbirth with drugs, or to perform a cesarean section if labor was seen as progressing too slowly.
Now a new set of recommendations is changing the game.
In February, the World Health Organization released a set of 56 recommendations in a report called Intrapartum Care for a Positive Childbirth Experience. One key recommendation is to allow a slow labor to continue without trying to hurry the birth along with drugs or other medical interventions. The paper cites studies showing that a long, slow labor — when the mother and baby are doing well — is not necessarily dangerous.
A little history is required to understand the importance of that one recommendation, says Dr. Aaron Caughey, chair of the Department of Obstetrics and Gynecology at Oregon Health & Science University, who did not work on the report. In 1955, Dr. Emanuel Friedman studied 500 women and concluded that labor is normal when, during the intense phase of contractions, the cervix opens at a rate of at least one centimeter (about 0.4 inches) an hour. “Dr. Friedman showed that 95 percent of women progressed” at this rate, says Caughey. “And that became the standard of care.”
(click to read on npr.org)
Women struggling in labour should be given bicarbonate of soda to boost their chances of a safe and natural birth, a study suggests.
British researchers say the commonly available chemical, given in drink form, rectifies acidity around the womb and could significantly reduce the number of women forced to undergo emergency caesarean sections.
(click link to read about this new study)
Despite prodromal labor not being mentioned in the most common pregnancy books, you’ll still hear it frequently being discussed among friends, with care providers and in online communities. Because of this discrepancy, it makes sense that there is confusion and frustration surrounding the topic. In this post I hope to define prodromal labor, but more importantly offer onlutions and encouragement if you find yourself experiencing this frustrating phenomenon.
The reason why prodromal labor is not mentioned in pregnancy books is because it is more commonly known as pre-labor or even misnamed as false labor. It seems as if our birthing culture uses these three terms interchangeably – prodromal labor, pre-labor and false labor. This is so confusing! If this has confused me, I bet I’m not the only one wondering what’s going on.
(click link above to read on MotherRisingBirth.com, an amazing resource…)
A conversation with Erica Chidi Cohen feels like one big pep talk. A doula, author and co-founder of LOOM (a education hub for pregnancy and parenting in L.A.), Erica has attended more than 300 births. “You’d think after so many years I’ve had my fill of babies,” she says. “But I’m always overwhelmed by the pure joy that fills the room. It’s a beautiful thing to watch a mother and child take each other in for the first time.” Her guidebook, Nurture, comes out tomorrow, and here Erica shares 10 things she tells new mothers…
Solid interview with my friend Erica Chidi Cohen. Click link at top to read on cupofjo.com, and order her book Nurture on amazon.com while you’re at it! 🙂