Saturday, August 13, 2011

love this quote

"Scars remind us where we've been. They don't have to dictate where we're going. It's a shallow life that doesn't give a person a few scars." ~Garrison Keillor



thank you Jesus.

Tuesday, August 9, 2011

midwifery journey beginning

squeee! last friday, after nearly 2 years praying, my husband and i finally felt released for me to start my midwifery training program. so now i am enrolled in the Mercy In Action midwifery training program! (and when your husband says it's a GO even after a 50 hour birth earlier in the week, you know it's a God thing!) i will be holding off on apprenticeship for a bit longer, and hopefully starting that next summer. but so excited to be getting started! :D :D :D

Monday, August 8, 2011

crazy week, triumphant births!

whew last week was probably the craziest yet, and the births, oh so amazing! this is a long story, but a good one, i promise!

so i was hired last minute by a precious Christian couple on Saturday morning last weekend. less than 48 hours later, i'd be helping them start the fight for their amazing VBAC. but, before we get to that, Sunday evening, my other early August client calls me to let me know she thinks her water broke. no contractions yet, so we just wait.

Monday morning Aug 1st, 5am i get a call from my HBAC couple, mama C is in labor and ready for me to come. i get to them at 6am and it seems a bit early-ish, but she's definitely having strong contractions and looking like she's making progress. mama C's mom is there to take care of their older daughter, and she wakes up to see me standing in the hallway waiting for C to come out of the bathroom. she says "is it time?" i nod, "it's happening!"

9am- my first time mama K calls me, her water has definitely broke and she's starting to have some mild crampy contractions, but nothing regular. i pray i'm able to be at both places, and dear God, don't make me miss a birth this early in my doula career! (because this never happens, right? 2 mamas in labor at the same time? it just doesn't happen!)

i continue to be with mama C and labor looks to be progressing. a bit nauseous, shaky, cold, i know what that means, right? we call the midwife over around noon, and mama C is only 1-2cm dilated. stop. wait.. something is not right here. ok, let's see what happens, maybe her cervix will just soon catch up to what her body is doing. we continue laboring, and she's doing amazing.



i stay with her and we keep changing positions, drinking and eating, joking at times, resting at times between contractions. it's all peaceful. God is there and he gets all the glory.

the midwife returns at 7pm, checks her again, and sends me home for a rest. mama C is still only 2 cm. sigh. all that work and such little progress!

i've been checking in with my other client, mama K, all day. she's still not in active labor, so i keep praying one hurries up and one slows down so i can make both births. i do put my backup on notice and tell mama K there is the possibility she may get her, but i'm believing God will work it all out.

i sleep a bit and am woken at 1:55am (Aug 2nd) to come back, that things look like they may be progressing. i run an iron over my air-dried hair and jump back in the car. soon after i see sirens in my rear view mirror. oh shoot! the midwife is texting me as the cop is asking me questions. i totally pull the doula card. yep. i'm heading to a birth officer, see, the midwife is texting me right now! he lets me go with a warning. whew! praise Jesus!

i arrive back at 2:30am. mama C is having much stronger contractions now. she still manages perfectly through them, staying totally relaxed and loose. sweet mama dozes between and we keep her as comfortable as possible.

in the early morning hours we begin pulling out all the tricks in the book. pelvic floor and diaphragmatic release, chiropractic adjustments, banana position (ouch), anything we can think of. mama C is amazing, never complains, always does everything we ask her to, labors with such amazing grace. thank you Lord for every contraction that gets us closer to baby.

a check at 5:15am shows mama C is now dilated to 3-4cm. wow. almost 30 hours of labor, and only 3-4cm. i know i'm still relatively green here as far as experience goes, but this can't be just slow labor, can it?

about 8am, we let mama C get some welcomed relief in the tub. contractions space for a bit and she gets some well-needed rest. i go to check on my other client, mama K, who now appears to be in active labor (on her due date might i add, how often does that happen??) my backup doula Tonya(and dear friend) is ready to go as soon as needed. lifesaver!

since mama K is only about 2 miles away, i rush over there. she's definitely in labor, but she's shivering under a blanket. ::cocks head to side:: this isn't right either. i call her midwife, and she tell me to take mama K's temp. and it's elevated. palm to forehead. i leave her instructions to down 2 bottles of h2o to rule out dehydration and rush back to my other laboring client. my backup and the midwife are both on the way to her. Jesus, you were supposed to work this out for me?

about an hour or so later, i hear back from Tonya, that mama K is 3-4cm dilated and definitely running a temp, so they are heading to the hospital since this could be an infection. she wasn't able to drink the fluids i had told her to, but they will give her an IV when she gets there, and her fever quickly went down.

back at mama C's house, she is now 5cm and contractions are 2 minutes apart. 2 midwives check her, and we think the baby is positioned OT (occiput transverse, meaning baby is head down but facing mama's hipbone instead of mama's spine).
we do more pelvic floor releases and get her adjusted for the 3rd time.

by 3:30pm, mama C still has no further change, and baby is still high, like -2 station, not engaged. her midwife (who is amazing by the way) talks options with them very tenderly. they decide at this point its best to get ready to transport. i stay close to mom so dad can pack a bag. it's a sober time, mom is giving up her dream of homebirth again, but trusting God that he still has a good plan. sweet mama, she's just precious. we worship you Lord Jesus, and we trust you!

we are about to leave and i look back toward the birth pool and see my rebozo hanging on the chair. in a weird moment i say to myself, i may need that! i grab it and carry it out with me.


at 5:30 pm, we arrive at the hospital. my other client is in the ROOM NEXT DOOR. wow, thank you Jesus! while they get settled, i pop in to check on my amazing mama K and see how everything is going. she's doing GREAT! thanks so much Tonya, you are a rockstar doula and a great friend!

the on-call doctor is heading up to check mama C, but as soon as she arrives at the hospital, she's re-routed to mama K's room, who is now complete and ready to push her baby! she's labored beautifully and completely drug-free, and is such a strong woman! i go next door and help her push out her baby, wow i'm so blessed to get to be there too! mama K has 2 doulas, and Jesus, you did work that out, didn't you? just not the way i thought, but wow that's pretty cool how you did that! ;-)

so cool, both of these clients' babies were surprises. welcome baby Emily, you are so sweet and so loved!! mama K is a rockstar!!

by 9:00pm Dr D comes to check on mama C. she's still 5cm and baby still seems to be OT, and still pretty high. it's been 45 hours since labor started. i go into the hallway and pray. Jesus, this mama is not getting another c-section. you made her body in your image, and created her to birth babies. Jesus, move that baby.

i ask a friend to bring me some coffee. she arrives just after 10pm and i meet her in the parking lot. oh, in the car, my rebozo. the things God uses to make you think of things. don't know why i didn't think of that sooner. i wonder if i should try that crazy trick that other midwife showed me that time... Jesus?

i go back in and mention it to the other midwife. i go back out and get that rebozo. could this really work?

having mama lie flat on her back with the rebozo underneath, i stand on her hospital bed (ha!) and gently lift and sift sift sift, then pop! that baby around. over and over till my shoulders and arms are on fire. not sure if it's moving baby or not. thank God no nurse walked in then, it would have been a crazy sight! eventually my arms are giving out and the midwife and i do it together, standing next to the bed. then with conviction, the midwife says, lets get her on hands and knees. i wasn't sure if this was a God-thing at that point (although in hindsight i definitely do), but i knew she said that with conviction, so that's exactly what we did. and things started to take off.



about 30min later, the nurse checks mom and she is now 7cm!! praise Jesus, could it have moved baby just enough?? i dare think so!!! praise goes up from that hospital room!

a little bit later mom is checked again and is a solid 8. wow this is happening now. we get her in the bathroom and put her on the toilet for a while. she labors with such grace, even 49 hours later!! we can tell she is flying through transition. so fast, like a steam engine, these contractions have like 10seconds break between them and they are strong!

after getting her back to the bed, the doctor comes back in, mama C is complete and baby is already at +2 to +3 station! she pushes pushes pushes her baby into this world, reach down honey, touch your baby's head, baby is almost here! Dr D says grab a pair of gloves dad, help catch your baby! baby BOY goes right to mamas chest and the look on her face has been seared in my memory and on my heart forever.

AMAZING. simply amazing. tears and the thick presence of God, being praised for his faithfulness and goodness and strength.

welcome baby David Amado, born 2:10am, August 3rd, after 50 hours 10 minutes of labor!

hands down the most rewarding day of my life as a doula, and probably will be for years and years to come. i'm so blessed to have gotten to be a part of this. just incredible.

the amazing Lynsey Stone was photographing mama C's birth and here's a link to baby David's pics. love that one of me standing on mama C's bed. ;-)

Tuesday, July 26, 2011

amazing triumphant birth story, 1 year ago

a year ago this week i was facebook stalking another special scars mama, as she gave us the play by play on her labor and birth over facebook, from the other side of the world where her husband was stationed in Korea.
i learned so much from her birth. it changed my perception of what 'normal' is, and gave me an all-new appreciation for the wonderment of our bodies' capabilities.
lessons i gleaned:
a mama can stay 10cm for a full 24 hours before delivering (sure, why not? lol!), give her time, as long a mama and baby are fine, we don't need to be jumping to any FTP/CPD conclusions, the body is wise!
our bodies heal *amazingly* well, her inverted T scar held perfectly through over a day of transition strength contractions!
a placenta sure can take a longgg time to detach, and everything still be fine. with some mamas, everything just takes time! 29 hours sure is a long time, but sure enough, it detached and birthed on its own!
some doctors respect birth and know when to keep their hands off. (shocking, huh?) this mama had a *great* team of Korean midwives and a doctor for her homebirth, along with a couple of supportive doulas. they all worked together and that doctor certainly has mastered the art of sitting on his hands!
i know i will carry her story in my heart and remember this when i become a midwife, and it's an awesome privilege to serve with her on the Special Scars non-profit board.
here's a link to her story: Amy's VBAC after inverted T.

my website!

my website it finally live! it's super simple and i really need a logo, but nevertheless, something is there filling my domain space! :D

www.triumphantbirth.com

Friday, July 15, 2011

Hospital vs Out of Hospital, A Tale of Two Births

On the fence about where to have your baby?

Another local doula shared this with me yesterday, and it was such an amazing illustration of the difference between birth in or out of a hospital, I just could not keep it to myself. So, with her permission, and with all names and birth places removed for HIPPA reasons, here is her story.

Hi, All,

I posted a cryptic note on Facebook. Someone asked for my stories . . . Sharing here. With great disappointment for Mom “P”, and relief and joy for Mom “S”.

I can’t post this on Facebook — because I don’t want one of the moms to see my experience and feel bad about hers. I would never want to take her birth from her. She chose it. But, she has NO IDEA what she chose. I have rarely (if EVER) seen such a clear linear comparison between birth choices.

2 moms. . . Both due 7/7 with 2nd baby. Both have a 2-1/2 year old son born in a hospital.
“S” was concerned about getting the birth she wanted in the hospital the 2nd time around, so transferred to a midwife at the BC [birth center]. (Very cool in and of itself because Dad is an MD resident in OB at the hospital where she would be birthing.) Saturated with medical mindset, never seen a midwifery birth. Open and participating because it’s what S wanted.

S went into labor spontaneously at noon. Called me as she went to BC. She was 7 cm when she got there. Climbed in hot tub, then moved to the labor ball. On hands and knees on the bed when her water broke. Followed shortly by an urge to push. Encouraged to stay how she was, not necessary to check dilation, allow her body to release the baby when the baby was ready. Baby emerged between her legs, with dad’s hands on it. Dad handed baby up to mom. Baby was a bit floppy and did not breathe for what felt like an eternity. Midwife did appropriate observing and stimulation, but baby was pinking up even without apparent breathing. Midwife pointed out that the umbilical cord is still pulsing. Baby is getting all the oxygen she needs. She will breathe . . . Soon. Our goal is to let her hear mom’s heart, have her back and feet rubbed, and make sure her heart is doing it’s part. It was. She’s pinking up, just not breathing. 1min 45sec later baby begins weakly crying. Cord is still pulsing. Placenta still attached. Baby is nuzzling breast. 30 minutes after birth baby is breathing fine, has cried a couple of times but not vigorously. Baby self-attached [to the breast]. (a miracle because older brother struggled for WEEKS to nurse and it was agony for mom). 45 minutes after birth, placenta finally detaches and emerges. Clamp & cut by dad. Herbal tea bath and quiet time as a sweet family. Back to the room to swaddle perfectly organized baby who goes to sleep on bed when a meal is brought in for mom and dad to enjoy sitting on the bed together. Older brother comes to meet baby sister. Whole family is home before bedtime happy and content on every level.

2 days later, P went into spontaneous labor at noon. Called me to come to the house. She was clearly laboring so we headed to [hospital] and arrived there at 2 pm. Mom has to stand at admissions desk for 15 minutes, doubled over, getting hip squeeze from me while dad-in-a-panic signs paperwork and stress wafts over to mom while I squeeze squeeze squeeze. Tried to make her sit in a wheel chair. Too uncomfortable. Standing and walking to the LDR [labor delivery room]. Require her to change into hospital gown. She can’t do it herself, so nurse does “skin the bunny” and takes her clothes off of her. Mom asks if she can PLEASE check her without getting in bed. No, that’s impossible. Mom is checked — 7 cm. Bounces up out of bed to labor standing up again. Nurse screams “I need a delivery cart. Get the doctor. Have to get the IV and lab work done stat.” Room fills with busy nurses bustling and requring dad and me to dance around them. Stress level in room raises. No time for soft music, massage, etc. Mom’s water breaks with a splash all over the floor. Mom is clearly grunting, and ready to push. NO, don’t push. Wait till we check you. Mom’s back in bed and they confirm baby is visible. Nurse pulls out stirrups. Mom says no, don’t move me, I want to sit up and push sitting. I start to raise the head of the bed and am commanded to not move the bed, she must lay down. Mom begs please let me sit up. Doctor tells the nurse to disassemble the bed. Nurses grab mom’s legs while she says no, and force her legs in the stirrups. Baby is emerging. Doctor catches, immediately clamps the cord and cuts it. Baby is floppy and stunned from a short labor and fast birth. NICU team is called. Nurse confirms baby’s heart is beating. Is pink and strong pulse. But, too limp for their comfort. Suction aggressively. Then, bag mask.

Dad is pacing with hands in his hair. Mom is crying. 2 minutes after birth, baby is crying and pink as any other newborn. But, “not transitioned smoothly enough to be reassuring.” This is what happened to Baby A [their first child] who had to go to NICU. “Apparently, this is how our babies just behave at birth.” NICU doctor tells mom & dad that he wants to be able to look in their eyes and tell them baby will be ok, but he can’t do that right now. HE needs to take the baby to NICU for minimum of 6 hours. Baby may not breastfeed because it’s too stressful for babies to breastfeed when they are having difficulty with transition breathing. Mom gets to give baby peck on the cheek and baby goes to NICU. I offered to come back to help breastfeed and take photos of siblings meeting. No thanks. I can go.

Side by side in my mind . . . Nearly identical in every way. Even the size of the babies, gender, gestational age, multip, etc. Clamp and cut vs. gentle birth.

I NEVER want to do a hospital birth again. The nurses and doctors (and parents) are left with the sensation that it was the technology that saved the baby’s life. THIS, (in their mind) confirms their deep belief that birth is fraught with danger, and hospitals are the best place to birth. I am going to pursue CPM not CNM as my future career. It is crystal clear to me . . . I do not want to work in that setting.

Best,
M


Sunday, June 19, 2011

for crying out loud

ok Christian mamas, how is it that as Christian women, we have bought into the lie that our bodies are basically inept garbage, rarely birth safely, and need all this medical intervention and the 30+% c-section rate to birth? i mean, aren't we, after all, created in the image of our *amazing* God, who made our bodies for this very purpose, to grow and birth babies? ladies we've bought into deception and we need to rise up and challenge this, and reclaim an incredible essence of our womanhood, that God designed to be a beautiful, empowering, life-changing experience!
#rantoverfortonight


disclosure-- yes, i concede there are times when things go wonky, we do live in a fallen world. but these are the exceptions, not the norm, and God made the body incredibly to overcome all kinds of things... we are fearfully and wonderfully made! just sayin'! <3