Posts Tagged ‘Ina May Gaskin’

A Birth Story by Catherine Amador-Locher

November 3, 2008

Excerpted from Sheri Menelli’s book Journey into Motherhood: Inspirational Stories of Natural Birth. For more stories go to https://smenelli.wordpress.com

In Her Own Time

By Catherine Amador-Locher

I only pushed twice before Lola shot into the world. After a long couple of weeks with less-than-enthusiastic contractions, my daughter suddenly decided she was in a hurry, and my active labor was quick. She didn’t come out slowly, like most babies: first the head and then the shoulders, and finally the tiny body. She came into the world all at once. It was as if she wasn’t going to let anything stop her. Not even her own cord could get in her way.

I gave birth to my first child, Jonathon, when I was in my early twenties. Throughout my first pregnancy I was scared and overwhelmed, but very excited. While Jonathon’s birth was one of the most intense and thrilling experiences of my life, laboring in the hospital was less than satisfactory. My doctor broke my water; they hooked me up to an internal fetal monitor, making it impossible for me to walk around. Fourteen hours and a routine episiotomy later, I delivered my son. Jonathon’s father cut the cord and then there he was—in my arms, my beautiful boy. I was thrilled with my new baby, but couldn’t help wondering if I’d missed out on something….

I hadn’t been emotionally comfortable in a hospital setting, and I knew there had to be a better way. Over the next few years I researched labor and delivery, reading every book I could get my hands on. I studied everything from routine hospital births to unassisted ocean births. It was when I began reading Mothering magazine that I decided to give birth at home with my next baby. I didn’t know at the time that it wouldn’t happen for another 16 years.

Jumping ahead to a new life and new marriage, I was 36 when I tried to conceive my second child. I was having ovulation problems, and had undergone fertility treatments for almost a year when my husband Jason and I decided we needed a break from the emotional roller coaster. We were both getting nervous about long-term consequences of the continuous Clomid doses, and we were both tired of being disappointed month after month. We took a breather to find our balance. We were happy raising Jonathon, and knew we were blessed even if another child wasn’t meant to be. We didn’t stop trying; we just stopped thinking about trying. Well, to be totally honest, I have to admit that I never really gave up thinking about getting pregnant; I just stopped obsessing over it and gave my emotions a break. It was nice to let go and get back to “us” for a while.

After about three months, we were mentally and emotionally prepared to begin treatments again. This time we would have my husband tested as well. I knew he was uncomfortable with the idea, but I also knew that having a baby was just as important to him as it was to me. He was willing to do whatever was needed to get some answers.

I don’t know if it was luck or relaxation… I like to believe it’s because we finally grounded ourselves, and that a precious little soul decided it was time. The day before Jason went to his doctor’s appointment, two lines on a home pregnancy test confirmed what we had barely dared to suspect—we were pregnant! We were thrilled with the news, and in shock that we actually did it. No drugs, no monitoring, just two people and a lot of love. I kept thanking the baby over and over for choosing us. I called everyone
I knew and announced that there was finally going to be a baby! Our dream was coming true.

Because of my research, we knew we wanted a home birth. I had worked in the local health food store the year before, and one of my best friends from there was able to guide us to a wonderful midwife, April. I couldn’t believe the difference it made to have her come to our home for my prenatal visits, as opposed to going to the doctor’s office. She took her time and would stay for a couple hours, talking with us about any concerns, hopes, dreams or fears we had. She gently poked and prodded my growing belly, checking both the baby and me. She carefully showed my husband and me just where our baby’s head, shoulders and butt were at each visit. After my appointments I would feel radiant with confidence that both the baby and I were doing well. I fully trusted my midwife’s assessments.

In contrast, the doctor I was seeing at the same time would come into the exam room, listen to baby’s heart, check my blood pressure and tell me he’d see me again in a few weeks. The whole thing would last ten minutes, at most. I was never reassured or comfortable. We were only seeing him because of my age, and we wanted to get the appropriate tests to make sure everything was going OK. It was a huge waste of our time.

Everyone has their own comfort levels, and every decision is personal and should be honored; but for us it was such a relief to finally separate ourselves from the doctor and rely solely on my midwife and her wisdom. My family and I formed a very close friendship with her, and we trusted her explicitly. She became family. I realized that we were in the best of hands and that it was OK to let go of my age-related concerns. I had a great pregnancy, and it was only the last couple of weeks that I felt uncomfortable.

Every day throughout the last few weeks, I experienced contractions off and on, some Braxton-Hicks and some more painful contractions, but nothing that was leading into true labor. After a night of being sure it was time, only to have the contractions stop at
four centimeters dilation, I was getting really frustrated. Despite all the time it took to get pregnant, these last couple of weeks seemed the longest part of our journey. I knew this was normal, but I didn’t care; I was sure I was the most pregnant woman ever… and I ­wasn’t even past my due date yet! I was ready to see my baby.

We had decided on a water birth, so the birthing tub sat in our home, empty, waiting. My mom and sister had flown in to support us through the birth, and April was standing by offering words of encouragement and patience, but Lola wasn’t quite ready for her debut. My poor husband never knew if he should stay home from work or not. I was trying to be patient and to have faith in my body, but some days were harder than others.

The day after my due date, April came over to conduct a blessing ceremony and foot wash with me. The ceremony was simple; she shared a few words of blessings and washed my feet, thanking me for allowing her to participate in this sacred event and assuring me she would be there to help guide my baby into the world. It was very moving, and when she proceeded to dry my feet with her long hair, my tears started to flow. The love I was receiving from her and everyone else in the room pulled me into such a serene space, at peace with my body and our baby. I was able to let go of any impatience and discomfort, and finally find balance. I released any concept of a due date and decided to enjoy the last few days I’d have my daughter all to myself. So with this new attitude in place, I didn’t think much about it when the contractions started again—I was certain it was more false labor.

It was March 23rd, two days past my due date, and the Academy Awards were on. We had just sat down with some burritos when I started to feel crampy again. Peter O’Toole was awarded an honorary Oscar. My mom told us that the night she and my dad saw his Academy Award winning performance in Lawrence of Arabia was the night she’d gone into labor with me. She said maybe it was a good sign. We all laughed and carried on with the evening as usual. I didn’t say anything about the cramps
I was having; they were like the others I’d had all week, so I didn’t want to get everyone excited. At about 11:00 p.m. we decided to go to bed.

My husband immediately fell asleep, but I wasn’t feeling too great. I got up to use the bathroom, sure that the burritos were the cause of my discomfort. The cramps were getting stronger, so I decided to take a shower and try to relax. I let the hot water massage my lower back, knowing that if it was false labor the water would relax me enough to slow down the contractions. It felt good, and afterwards I laid down again but the cramps kept coming.

I still wouldn’t allow myself to believe this was it, so I got up and took another shower. While the water once again felt good, it wasn’t helping the discomfort as much as the first shower had. I started to get more excited. I lay down again and felt a definite change with the next contraction… it took my breath away! I reached out and squeezed Jason’s arm, unable to talk through the pain. Realizing what was happening, he got up and helped me walk through the next several contractions. He was my rock and my balance. I would wrap my arms around his neck and he would hold me up, gently stroking my back. Finally I told him we should call the midwife. By now it was almost 1:00 a.m.

While I woke up my mom and sister to tell them that April was on her way, Jason began filling the tub. Everyone was excited. The contractions were coming every 30 seconds, and getting stronger. My midwife arrived about 1:45 a.m. and checked me. I was dilated to five centimeters and fully effaced! Yay!

I was given the go ahead to get into the tub… I practically ran to it. It felt incredible to sink down into that warm water. I had been moaning throughout my contractions, and now April reminded me to visualize my cervix opening up. As my “oh’s” became a chant of “open… open…” I began thinking how relatively calm I was still feeling. I never “checked out” or got at all dreamy with my contractions. I was handling them vocally, even singing through a couple of them. I’m not saying it didn’t hurt, because it did! But they were not overwhelming me.

I was thankful to be in the water, as it was helping me handle the contractions. I was feeling very balanced, and I waited for the desperate feeling of the transition stage to hit. Since it hadn’t come yet, I figured I still had a lot of time before baby was ready to make her entrance. Almost immediately after this thought, my contractions became more demanding… within seconds I was feeling the urge to push. The time was 2:35 a.m.; I’d been in the tub for about half an hour. I asked my mom to go wake up my son so he could be present. I was happy that she and my sister could be there with us, and I was feeling so much love for everyone in the room.

The pressure was building and I told my midwife that I ­couldn’t hold back, so she checked me and said that any time I was ready I could go ahead and bear down. But I already was! My body was working just like it should. My midwife saw my unbroken bag of waters bulging and said that Lola’s head was right there too. The only thing going through my mind right then was that I had to get this baby out. So with my next push, I gave it all I had. I felt the rush of water as my bag broke and said, “Here comes the water!” At the same time, April swooped Lola up out of the tub and said, “No, here is your baby!” She came out all at once, like a bullet. The time was 2:37. The membrane from the water sac was still covering her body; she was born en caul.

Jason had been saying throughout our pregnancy that she would be born in her bag of water, and he was right! I looked down and saw her big eyes looking around from inside the sac, and noticed a bubble around her nose and mouth. The midwife pulled the membrane away from her face and there was my beautiful little girl, just looking up at me. She was breathing fine and already turning pink. I looked up at my husband and saw his face covered in tears. A feeling of serenity filled me. She was finally here, and she was perfect.

I was marveling at the beauty of my new daughter, oblivious to what was going on around me, when suddenly the midwife asked, “Where’s your cord?” I laughed and said I didn’t know, but then I saw real concern on her face. About four inches of umbilical cord was hanging from my daughter, and the other end was coming out of me. The tub had a lot of blood in the water. Apparently our new daughter was in such a hurry to get out that she broke her own cord! April immediately clamped Lola’s end and said I needed to get out of the tub. I asked her if Lola was OK and she reassured me that the baby was perfect; it was me she was concerned about. I felt very calm and allowed myself to be guided to the bedroom. There was no way to be sure that all the blood was from the cord, and she wanted to get me in bed to check for tears and hemorrhaging. She also wanted to get the placenta out to make sure it hadn’t pulled away from my uterus when the cord broke.

Once they got me settled the midwife clamped the cord and went to work, checking my yoni for tears and making sure I wasn’t losing any more blood. I had the smallest of nicks and we delivered a healthy placenta within 15 minutes. She concluded that the blood had in fact come from the pulsating cord and that I was in perfect health. When she measured the cord, adding the few inches from Lola’s end of it, she figured it to be around 16-18 inches in length. Although she didn’t talk to me about it at the time, she thought that if it had been extremely short, that would explain why it had snapped. Since it wasn’t too short, she could only guess at what caused it to break. She was just thankful that it didn’t pull off from Lola’s navel, or snap before she was through the birth canal, thereby cutting off her oxygen supply. In 20 years as a midwife, she had never had anything like this happen. I’m sure we caused her a few new gray hairs that night!

Through all of this I was feeling great and kept reassuring everyone that I was fine. I even exclaimed, “Let’s do this again!” causing everyone in the room to laugh. (The next day she asked me if I remembered saying that, and if I really wanted to go through it again. I told her, of course! She said that is usually not one of the first things she hears from a mom who’s just gone through labor, and she laughed again.) The adrenaline was surging through my system. I was thrilled with our gorgeous girl, and very happy that we were able to realize our dream of delivering at home, in water. I was so thankful that we were both healthy and happy. Most of all I was grateful that we had decided to trust our midwife so much. If we had given birth in the hospital, I’m sure labor would have lasted longer, and upon discovering the broken cord they would have taken Lola away while they assessed the situation. As it was, Lola never left my arms and no one panicked. April handled it with a wonderful calmness that kept everyone at ease. We will be forever grateful to her for being there with us and guiding our daughter into the world with such love and peace.

Lola weighed in at a healthy seven pounds, eight ounces, and was very alert. She knew exactly what to do when I put her on my breast, and she ate with gusto. We all felt very blessed that early morning. After a couple hours, April went home to research anything she could find on umbilical cords breaking at birth. She heard from one midwife who said she’d experienced something similar several years before, but no one else had ever gone thorough something quite like this. Thankfully there were no ramifications from it.

The balance I achieved right before giving birth is still strong, and I love every minute of being a new mom again. Lola and I went through an incredible journey together, but it was only the beginning. I love watching her learn and feeling her love. Her smiles light up a room and I realize once again that the most important things in the world are right there in that smile. Even with all this goodness, I can’t help but wonder if the details of her birth are mere hints to what we have in store as she gets older. How many cords will she snap on the road to growing up? How much symbolic blood will I lose as I guide her to adulthood? No matter what, I’m going to be there, patiently helping her through each process, experiencing all her joys as well as her sorrows, and learning some valuable lessons on staying balanced along the way.

hA Mother’s Guidance: My strongest advice for an expectant mom is to make sure that she is completely comfortable with her surroundings, and to maintain control of
her environment. Sometimes hospital personnel or family members can be intimidating, but I believe that if the mother (or her primary support person) remains in charge of the situation, it will help her relax more during labor.

Fear is probably the biggest barrier to overcome in labor. It can be especially difficult with first babies, because you don’t really know what to expect. You can read everything, but until you go through it you never really know. But trust your body. During Lola’s birth I was very aware that my body was working the way it was supposed to. I would whisper to my belly, “It’s OK Lola, we are doing this together.”

Finally, make sure you have 100% trust in whoever you have chosen to be with you in the birthing room. This includes any and all doctors, family members and friends. If you don’t like your doctor while you are pregnant, it will be that much more difficult to deliver. A woman has every right to change practitioners, and should never be made to feel guilty or intimidated into staying with someone she doesn’t completely trust. The same goes for family and friends who want to be with her. If she just wants her partner, then she needs to be able to say that. My sister just had her first baby, and during labor she had her husband’s entire family in the labor room with them. She wasn’t progressing, and she finally looked around and realized that she couldn’t relax because of everyone in the room. So they kicked everyone out, and an hour later had a beautiful little boy. I was comfortable having my mother, sister and son with us, but I had also set down some guidelines on what my needs were and how each one could help them be met. It was a wonderful and empowering experience.

I did not take any classes to prepare for this birth. Although I learned Lamaze techniques before my son’s birth, I found that the breathing wasn’t really helpful for me. With my second pregnancy I did a lot of meditation, and found Robert Bradley’s book Husband Coached Childbirth to be very helpful. The relaxation techniques were great; I especially liked the suggestion that if you relax your
face, the rest of you will follow. I also read Birthing from Within by Pam England and Rob Horowitz, and The Birth Book by William and Martha Sears. I would highly recommend both of these books. Spiritual Midwifery by Ina May Gaskin was also a very good resource for me.

I also stayed active during my pregnancy. The last month I was still swimming three times a week with my husband on his lunch breaks.

My midwife taught me that by opening my mouth and chanting or moaning, I would help my cervix open. During the last phase, when the contractions were almost on top of each other, I would focus on a picture we have hanging on the wall and chant, “Open, open…” while imagining my cervix opening up. That was the biggest help of all in handling the pain.

Additional Thoughts: The blessing ceremony, which
has gained tremendous popularity, is a non-de­nom­inational tradition that nurtures, honors and celebrates a woman’s transition into motherhood as a rite of passage. Friends and family come together to give love, wisdom and support that will empower the mother to face the labor and birth ahead. It is a positive and powerful ritual, and sets the tone for a wonderful birth experience.

Another great tool that Catherine used is a warm shower. Warm water on the breasts and stomach can really get labor going, as well as relax the mom. Visualizing the cervix opening is also very helpful, and the image of rose or lotus flower opening is often used. Visualizing the opening of the hips, as well as the cervix, can also help labor progress, as tension and fear tends to accumulate in that area.

It is rare for a baby to be born “en caul,” meaning in the amniotic sac. In some cultures, a baby born this way is believed to have psychic gifts.

Catherine Amador-Locher is a stay-at-home mom who loves art, writing, music and her family. She is currently studying to become a certified doula. Her husband Jason is an architectural draftsman at a small architectural firm that designs custom homes. Both Jason and Catherine attended Humboldt State University in Arcata, California. They currently live in Kailua Kona, Hawaii, with their son Jonathon, daughter Lola, dog Rita, and their two cats, Elvis and Alobar.

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A story from the book …

October 28, 2008

I thought I’d post one of the first stories in the book. Actually, I’m planning on giving the book away as a PDF.

Yes, give it away! I know it sounds crazy but I’m out to get rid of the fear of birth.

Like Thunder Rumbling Through

by KELLY CAMDEN

Being pregnant brought me renewed vitality, but as every mother knows, there comes a time when you have had enough of being pregnant. Maybe it’s your body’s way of preparing for the separation that is about to occur. In addition to your own anticipation, there are the questions, the phone calls, and people dropping by with hopes of seeing you in labor. Your hormones are shifting and everyone wants to know, “HAVE YOU HAD THE BABY YET?” Maybe these social annoyances are nature’s way of conditioning us for the patience we will need as parents.

It was August and hot, of course. I was pitting the forty pounds of cherries that I had picked from my favorite orchard. I needed a project to pass the time, because I was nine-and-a-half months pregnant. As I finished laying the fruit in the dryers, I began early labor. I had the typical stream of emotions. Mostly I felt excitement: it’s finally happening! I had prepared our living room for the birth a month before with a birth kit, birth stool, and a variety of other things we would need.

Home birth is a common occurrence in rural areas of Colorado and many women hire a licensed midwife. My midwives, Suzanne and Jeanette, gave me such special care and attention throughout my pregnancy; I knew I could rely on them during my birth. In the last weeks, we had been in contact every day, either by phone or by home visits. When I called to tell them the good news, they assured me that they were prepared to come at any time.

Since everything was ready for the birth, I decided to go out to dinner. I was hungry and I figured this was my last chance to just sit and eat. Besides, my baby’s grandparents had just pulled into town and I wanted to visit with them. It was sort of nice, but my meal and conversation were continuously interrupted. I would be in the middle of a sentence and suddenly trail off… losing my train of thought; another contraction. I was surprised that they kept coming so regularly. The grandparents, seasoned in childbirth, understood my incoherence, but I felt awkward when I couldn’t carry on a conversation.

After dinner I walked home, and put everything and everyone else aside. I labored through the night, sweating, moaning and even vomiting at times. During my pregnancy I had read every book on childbirth that I could find, watched lots of videos and talked with nearly every mother in town. I understood the physiology of childbirth, and part of my coping mechanism was to rationalize each sensation I felt. When there was immense pressure in my lower back, I told myself, “OK, the baby is against my back and I can counteract this pressure.” Luckily, the baby shifted positions after a few contractions, so that feeling didn’t last long.

My midwife came over and spent the night with us. Although her presence was comforting, I knew that I was the only person who could give birth. I retreated to the deepest parts of my mind, reviewing scenes from my childhood like an old film. Every spoken word, whether or not it was directed to me, became a distraction. I wanted silence. I just sat there, letting my body do its work. I didn’t want to move or be touched, just to be still. Contractions came and went, and in between I would drift off, resting without sleeping.

Unlike the hospital setting, where a classroom-sized clock is staring at you from across the bed, I had a tiny clock placed strategically behind me. But in the childbirth time warp, the hours, minutes and seconds didn’t hold any meaning. Soon the sunlight was shining softly into the room. My labor was changing. I felt the baby moving, like thunder rumbling through me, and I had to surrender. I pulled together every bit of strength I had left. Suddenly I was re-energized, as if I had slept through the night. For every bit of pushing, I had to do just as much letting go. I could not hold on to the fact that I was totally naked in front of a room full of people, or consider the sounds I would hear coming from my mouth. I understood why they call it the “urge to push”—I remember asking Suzanne, “Do I have to wait for another contraction?”

Finally, at 9:03 on a Monday morning, my son was born. The midwife immediately put him in my arms. I was stunned—the sight and sensation of holding your own child for the first time is not truly conceivable before it happens. He did not cry or breathe right away, and it seemed everything was in slow motion. I was speechless and holding my own breath. My midwife said, “Talk to your baby!” as she suctioned his airways and he began to breathe.

I felt as if we were calling his soul into his body. My words were probably a jumble, but in my heart I said, “I’m so glad that you’re here!” I watched him fill with oxygen and a rosy color spread through him. He was aware, but silent, and we watched each other closely. I felt that I was looking at a stranger, and gazing into the eyes of an old friend. Maybe, as he gazed back with a slightly wrinkled brow, he felt the same way. I barely noticed when our physical tie, a purple and shockingly rope-like cord, was severed. We had completed the journey and evolved into two individuals. With some practice I was able to nurse him, and we reconnected. Afterwards I began to cry. I was sobbing, not only tears of joy, but also relief and gratefulness. I realized the fullness of my being. Every muscle, every hormone and every action of my body was nature. I had experienced the completion of one cycle, and the beginning of another.

A Mother’s Guidance: I did not take any birth classes. Instead, I read midwifery books and spoke with women who had faith in the birth process. Some of the books that I read were Spiritual Midwifery by Ina May Gaskin, Heart & Hands: A Midwife’s Guide to Pregnancy & Birth by Elizabeth Davis, Birth without Violence by Fredrick Leboyer, and Immaculate Deception and Seasons of Change, both by Suzanne Arms. I read everything that my midwife had in her office, and anything in the library that supported normal birth.

The secret to having a great birth is… hire a midwife! Finding a midwife for your hospital or home birth is the best thing that you can do for yourself and your baby! The midwifery model of care encourages freedom of movement, use of water during labor, and no separation of mother and baby. Midwifery care is very respectful of the process that mother and baby are experiencing.

Additional Thoughts: Kelly mentions that she strate­gically placed her clock behind her. You will find that it is much easier to labor if you are not concentrating on how long it’s taking. If you are giving birth at a hospital, drape a towel over the clock or take it off the wall.

Kelly Camden is the mother of two boys, both born at home. She has worked with families as a labor support and postpartum doula since 1999. Kelly facilitated the creation of the Albuquerque Birth Network (www.abqbirthnet.org), an organization that educates the community about options for healthy pregnancy and birth, and advocates for evidence-based care.