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.
“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)
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…)
This has been a hot topic in the doula world for a while.
(Click link above to watch the video on EBB website regarding dates and labor!)
In today’s Q & A, part of our Natural Induction Series, we’re going to talk about eating the date fruit or Phoenix dactylifera to induce labor naturally. The date fruit contains a high percentage of carbohydrates and fats and also includes 15 different types of salts and minerals, proteins and vitamins, such as riboflavin, thiamine, biotin, folic acid, and ascorbic acid. Some Islamic scholars interpret verses in the Quran to mean that dates are one of the best foods to eat for childbirth. There have been three smaller randomized control trials on eating dates to induce labor and one observational study that asked women about how often they eat dates to induce labor.
In this video, you will learn:
About the studies that have been conducted on eating date fruit to find out whether it can improve birth outcomes with:
The use of labor induction/augmentation with oxytocin
Many expectant mothers worry about the physical pain that accompanies labor and childbirth. New research suggests that including mindfulness skills in childbirth education can help first-time mothers cope with their fear.
(click link to read this great post on NY Times website)
Don’t make a birth plan, it’s pointless, because birth is completely unpredictable.
If I had a pound for every time I’ve heard a woman being given this crappy nugget of pseudo-wisdom, I’d be rich enough to start my own luxury birth centre in St Lucia.
It’s fabulously convenient to tell women this, actually, because not only does it totally discourage them from researching their birth options, making a plan and thus becoming one of those ‘tricky customers’ in the birth room who knows what she wants and isn’t afraid to ask.
But also, once birth is over, if the birth was difficult or even downright unpleasant, you can ask her, “Did you make a birth plan?”, and if she says yes you can shake your head and say, “Oh dear”, in a way that basically implies, “I told you so”, and bingo, the whole sorry mess is her fault and everyone else is off the hook.
Actually, making a birth plan is one of the very best moves a pregnant woman can make.
Dr. Stuart Fischbein chuckled when he read the title of the press release: “Women with a fear of childbirth endure a longer labor.”
The release was promoting a study published this week in BJOG: An International Journal of Obstetrics and Gynecology. Researchers at Akershus University Hospital in Norway found women who feared giving birth were in labor for 1 hour and 32 minutes longer, on average, than those who had no fear.
“I’m glad there’s now evidence to say that,” Fischbein said, “but it’s obvious.”
For those of us who aren’t OB/GYNs, it may seem more like a cruel joke. Women who are afraid of the pain and the possible medical complications associated with giving birth have to suffer through it longer?