Saturday, March 17, 2012

When birth doesn't go the way you planned

This month, we discussed what to do when birth doesn't go the way you plan.  Here are my notes.  As always, these are sort of a rough draft, as I can never predict what way the discussion will go.  The input I get from the other amazing women attending is absolutely invaluable, so THANK YOU!!!  :)


It's OK. You did the best you could at the time with the information and the situation that you had. I think we forget that. I think a lot of times in the natural birth community we get so caught up in the idea of a “better birth” meaning natural, intervention and drug free, that we completely miss that all of us, as mothers, need support. We need to hear that if we didn't have the picture perfect birth that it's OK. We still love our babies. We still did the very best we could. It's really OK.

In the same vein, allow yourself to grieve the birth that you didn't have. I know when I had a traumatic birth with my first child, and a c section with my third, and was disappointed, I heard a lot of “At least you got a healthy baby. That's what matters.” Honestly, that's bull. Of course, the desired outcome is a healthy baby. That shouldn't even be the issue. We're talking here about the health of the mother. When momma isn't healthy, either physically or emotionally, it's terribly difficult for her properly take care of the baby. The birth experience DOES matter, tremendously. The following are quotes from mothers hearing the phrase “At least you had a healthy baby”

“I heard those words after my unnecessary cesarean- they cut like a knife. It was like I owed credit to my doctor that my child was alive and well, instead of I had a healthy baby because I did my best to make sure I had a healthy pregnancy. My cesarean was traumatizing, and recovery was tough and I felt guilty enough for being so gullible in letting the c-section happen in the 1st place because it wasn’t a peaceful birth for my daughter either- those words just piled on more guilt.”
“(it makes me feel) like my feelings don’t count…like I am just a baby machine and I should take everything bad that happened and put it in a box and forget it…its something someone that has never experinced birth trauma would say.”
“I was induced for medical reasons on my due date with my middle baby. I still am upset with that birth experience…. I mean I am happy she is healthy but she was not ready to meet the world yet. I feel like I didn’t give her the start in life that she deserved.”
“As a second class citizen. I had all my babies in hospitals, I didn’t know I had a choice. I would have loved to had them all at home. My first three were mostly uneventful, really my second and third daughters. My first daughter was traumatic due to induction, episiotomy . My last was a c-section, it was AWFUL, the recovery was horrible, I had a giant hemotoma under my incision, etc. I only wish I had known I could have a birth at home with a midwife, I would have.”
“I felt like I was put in a box. I felt like I couldn’t possibly rejoice and breathe a sigh of relief that- in spite of all of the trauma my baby was healthy- and at the same time grieve and mourn the very real physical, mental and emotional trauma I had been through.”
When a woman’s wedding cake tastes like crap, if she didn’t land the part, if a relative passed or is going through a hard break-up, her closest friends and family members don’t say, “tough shit.” At least the good ones don’t.
Rather, a good friend lends a listening ear. A good friend gives hugs, sympathetic cards and flowers, they do not say “get over it.” And the one who is feeling low gets to vent, thus encouraging feelings of acknowledgment, validity and ultimately, relief.

Talk about it with anyone who will lend a sympathetic ear. That's what this group is for. We love to talk about birth! I don't think I've held a single meeting where every single mother attending didn't have at least one disappointing experience. The facebook page is always open for comments or questions. There's also groups like ICAN for cesarean support. Talk about it with your ob or midwife. I don't mean be ugly or anything like that, but expressing your disappointment can be very cathartic. If your experience was negative because of something your care provider did, addressing it with them could lead to a change in policy or practise. Regardless, you put your trust in that person, and if they broke it in some way, it will help you process the disappointment just by simple discussion.

Get help. There's no shame in going to a counselor or taking antidepressants for a period of time. Be sure to let your doctor know if your breastfeeding, so they can give you a medication that's compatible with nursing, and if they tell you they can't, FIND ANOTHER DOCTOR!

Write it down. I blog, and just writing it down helped to process my feelings immensely.

Spend some time on yourself. I know that as a mom, it's easy to forget about YOU. I have a particularly difficult time getting away without the kids, but it's good for you. Sometimes, even momma needs a break. Go out with a girlfriend, get a massage, or just go grocery shopping all by yourself.

Exercise. I always find that when I take some time to do something good for myself like take a walk or do some yoga, I have a more positive outlook.

Learn to appreciate the present. Go snuggle that baby, because baby snuggles always make you feel better!

Look to the future. Get a copy of your medial records, and go over them to find out what went wrong, and make a plan of action to avoid, if at all possible, the same situation.

http://www.pregnancyandbaby.com/pregnancy/articles/945729/overcoming-a-traumatic-or-disappointing-childbirth-experience

http://bringbirthhome.com/birth-experience/birth-experience-matters/

Friday, January 20, 2012

100 "Likes" giveaway number three!

Michelle Wardwell, you are one lucky momma tonight, because you won the bag, too!  It must have known you had something tasty to go inside!  :)

The third and final giveaway is a super cute Thirty-One thermal tote donated by Samantha Allison, and a Trust Birth wrist band.

To enter this giveaway, you must:
Like Trust Birth North Dallas on facebook
Follow Trust Birth North Dallas on Blogger
Check out Samantha's Thirty-One website, and leave a comment on this post telling me what you would buy from a Thirty-One party!
Winner will be chosen via Random.org at 10:00 PM CST Sunday, January 22.
Official rules in their entirety can be found here.

100 "Likes" giveaway number two!

Kristina R.  You are the lucky winner of these gorgeous prefolds and wipe tester!  Please contact me at marjerie.martin@gmail.com with your info.


Prize number two:
A set of three hand dyed, diaper quality prefolds from Hip Green Baby a tester of wipe solution from Gingerbread Cottage, and a Trust Birth wrist band

I cannot rave enough about these prefolds!  I have some for my boy and love, love, love them.  Funny, no matter what kind of fancy-dancy diapers I buy, I always end up going back to prefolds.  Don't cloth diaper?  No problem!  These also make great burp cloths!

Be one of the first to try this wipe solution from the amazingly talented Ginger of Gingerbread Cottage!

To enter this giveaway, you must:
Like Trust Birth North Dallas on facebook
Like Hip Green Baby on facebook
Like Gingerbread Cottage on facebook
Follow Trust Birth North Dallas on Blogger
Comment on this post
Winner will be chosen via Random.org at 10:00 PM CST Sunday, January 22.
Official rules in their entirety can be found here.

100 "Likes" giveaway number one

Michelle Wardwell!  You are the lucky winner!  Please contact me at marjerie.martin@gmail.com with your contact info so I can get you your cookies and tea!


I'm so excited to see our group growing!  My next goal is to do more with the blog, but for now...  Let's have a party!  I have three prizes to giveaway!

Prize number one:
One dozen oatmeal chocolate chip lactation cookies generously donated by Cookies by Jesi, a box of Earth Mama Angel Baby organic Milkmaid tea, and a Trust Birth wrist band.

Lactation cookies help boost milk supply naturally, but aren't just for nursing mommies.  I've shared with my teenage daughter, and even my nursling (who is 15 months old) and I promise no one has lactated but me.  Shhh!  Don't tell my husband!  I don't want to share.  ;)

I've never tried anything Earth Mama Angel Baby that I haven't liked, and this tea is no exception.  Be advised though, that Milkmaid tea is not recommended for pregnant mamas.

To enter this giveaway, you must:
Like Trust Birth North Dallas on facebook
Like Cookies by Jesi Shop on facebook
Follow Trust Birth North Dallas on Blogger
Comment on this post
Winner will be chosen via Random.org at 10:00 PM CST Sunday, January 22.
Official rules in their entirety can be found here.

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Administrator is an independent judging organization whose decisions as to the administration and operation of the Promotion and the selection of potential winners are final and binding in all matters related to the Promotion. Administrator will randomly select the potential Sweepstakes winner, from all eligible entries through the use of Random.org Random Integer Generator on or around the end date specified for the Promotion Period.

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Friday, December 23, 2011

So how DO you tell your family you're home birthing?

"Do what you feel in your heart to be right- for you'll be criticized anyway. You'll be damned if you do, and damned if you don't."  ~Eleanor Roosevelt

I promised tips on how to tell your family that you're going to be having a birth center or home birth.  In researching this topic, I asked on several message boards how other mothers had told their families and got overwhelmingly the same response...  They didn't.  Not exactly the answer I was hoping for.   About the most helpful advice anyone had was to have your family watch The Business of Being Born or Pregnant in America on Netflix.

Whether or not you choose to tell your family is, of course, entirely up to you.  If you should choose to do so, understand that it is not your job to change their minds about birth.  Try not to get your feelings hurt if they're upset and repeat after me - "My body.  My baby.  My birth." 

In the event that your family decides to  do a little research of their own, they're bound to run into "Doctor" Amy Tuteur.  Henci Goer says it best:
"Ahh, I see you have run across Amy Tuteur, our very own Bill O’Reilley of the birth world. Like him, her intent is to steamroller you; any overlap with the facts in her rants is strictly coincidental."
Dr. Amy's goal in life is to trash homebirth.  There is actually some question (read quite a lot of discussion) about whether or not all the things posted by "Dr. Amy" are actually made by her.  Regardless, her medical license expired in 2003, so she is no longer a doctor.

A few quick facts about childbirth in America that you could point out - Maternity care in the US is abysmal.  In the World Health Organisation 2010 World Health Statistics report, the US ranked 34th in maternity mortality, 38th in neonatal mortality and 41st in infant mortality.  The average price tag to have a baby was significantly higher than in all other countries reporting.  Every country reporting better maternal and infant outcomes have a higher percentage of births attended by midwives as opposed to obstetricians.  If that isn't reason enough not to birth at a hospital, I don't know what is.

Monday, November 28, 2011

All about VBAC

I'm slow getting the notes up this month.  SO sorry!  We had our biggest group ever at the meeting this month and four VBAC moms shared their stories.  Thank you so much to everyone who came, and a very special thanks to those willing to give encouragement to future VBAC moms!


For hospital c-section rates and VBAC stats, check out The Unnecesarean.
In 2008 Texas had a VBAC State rate of 5.96 DFW is slightly lower at 5.32.

John Peter Smith Hospital in Fort Worth had the best VBAC rate at 18%.
Hospitals on the west side of DFW seem to have better VBAC rates ranging from 1.92 at Denton Regional Medical Center to 18 at John Peter Smith in Fort Worth.
Dr. Cummings at Texas Health Presbyterian Hospital in Denton (17.83% hospital VBAC rate) is noted for his support of VBAC moms.
Where the east side of DFW ranged from negligible at Dallas Regional Medical Center in Mesquite, to 12.4 at Methodist Dallas Medical Center.
*UPDATED* I received a comment from one of our moms regarding Dallas Regional Medical Center in Mesquite informing me that they have closed their L&D department.  While, according to the numbers reported to the CDC, 15 cesareans and <5 VBACs did occur at the hospital, they no longer accept planned deliveries there, which accounts for the negligible number of VBACs there.  The next lowest in the list on the east side of DFW is Texas Health Persbyterian Rockwall with 0%.
Dr. Downey at Methodist Richardson Med Ctr (19.1% hospital VBAC rate) or Plano Medical Center (6.68% hospital VBAC rate) is also noted for his support of VBAC moms.


The results of a 10 year study of uterine rupture.
Out of 114,933 deliveries, there were 39 total ruptures (.o34%), with 36 of them having a previous cesarean (.031%). Complete ruptures counted for 18 of those (.016% chance of complete uterine rupture). No mother deaths.
2 infant deaths (2 0f 114,933 deliveries is a 0.0017%). One of the deaths the mother had a previous cesarean, one had no previous cesarean.
According to the American College of Obstetricians and Gynecologists (ACOG), if you had a previous cesarean with a low transverse incision, the risk of uterine rupture in a vaginal delivery is .2 to 1.5%, which is approximately 1 in 500. - These numbers include labours that have been induced or augmented, which will increase risk.
RCS risks:
Usual risks of a surgical procedure (excessive blood loss, reaction to anesthesia
Hospital stay of approximately 4 days
Development of an infection in the uterus, bladder, or skin incision
Injury to the bladder, bowel, or adjacent organs (including the uterus which could result in the need for a partial or complete hysterectomy)
Development of blood clots in the legs or pelvis after the operation
On-going pain & discomfort around incision
Small chance that the baby will have respiratory problems – could be due to miscalculation of due date, also due to the fact that during a vaginal delivery, baby's lungs are compressed, helping to expel amniotic fluid from their lungs.)
Increased rick of asthma
Chance of baby being cut when the incision is made
Increased risks with each subsequent surgery - After you have two C-section scars, each added scar in the uterus raises the risk of placenta problems in a later pregnancy. These problems include placenta previa and placenta accreta, which raise the risk of problems for the baby and your risk of needing a hysterectomy to stop bleeding.
Baby doesn't get the advantages of mom's good bacteria coming down through the birth canal.
Increased chance of PPD
Challenges breastfeeding


VBAC risks
Less than 1% chance of uterine rupture. If uterine rupture occurs you have risks of blood loss, hysterectomy, damage to bladder, infection, & blood clots
Best research suggests that about 1.9 more babies die due to problems with the scar in every 10,000 VBAC labors, compared with planned c-section deliveries. Thus, about 5,200 women would need to experience risks of surgical birth to prevent the death of 1 baby from scar problems during VBAC.
Hospital stay of approximately 2 days (or none at all with a birth centre or home birth)
Risk of infection doubles if vaginal delivery is attempted but results in cesarean
Possibility of tearing or episiotomy
Temporary pain and discomfort around vagina
Urinary or bowel incontinence (about 3 in 100 still have a problem 1 year after birth)