Wednesday, June 27, 2012

Birth Plans for C-Sections

Yes, you need a birth plan, even if you are having a scheduled C-section! There are so many options available to you that should be thought through ahead of time so that you will have the most beautiful birth possible!

Some options you have (depending on your care provider and hospital policy):
*Who will be with you? Many hospitals will allow two support people in the OR. Will you have a doula (yes, doulas are valuable even in this situation!)? Will you have a birth photographer? Family members?
*Music playing during delivery. What songs do you want playing when your baby enters this world?
*Are there certain words that you want spoken as your baby is born? Who will say them?
*Who will reveal the gender of the baby?
*If your baby needs to go to the nursery, will your partner go with him? Will your partner stay with you? Will you have someone else to stay there with you?
*Can you have skin to skin time with your baby in the OR as they finish the surgery?
*Will you have someone there to write down important things that happen and the words that are said as your baby is born? Who will have that role?
*Do you want pictures of the birth? What pictures are important to you? Who will take them?
*Would you like the screen dropped as baby emerges so that you can see?




A doula will play a huge role in a scheduled C-section. She will talk with you as you plan the birth, explaining your options and helping you to develop your plan. She will be with you before the procedure as you are prepped, encouraging you, giving you massage, providing support to your partner. She will keep a timeline of events that happen and things that are said, which will be turned into your birth story. She will help you with breastfeeding, so that you can find a position that is comfortable with your incision. She will have resources for the postpartum period and ideas to make recovery as easy as possible. She will take pictures for you during the birth so that your partner can be focused on you and the baby.

As you can see, doulas play an important role in EVERY kind of birth!

Saturday, June 16, 2012

Doula Baby!




It was an honor and a privilege to serve this family as they welcomed their baby girl into the world last month. It was a hard labor with a posterior baby, but mama was a superstar. What a beautiful baby girl she is!

Thursday, May 31, 2012

A Third Option - On Choosing a Birth Location

Most women believe there are two choices when choosing a care provider: an OB in a hospital or a midwife out of the hospital.

I am here today to tell you that there is another option!

I understand that many women feel most comfortable delivering their babies in a hospital setting Unfortunately, most women do not realize that they can receive excellent midwifery care even while planning a hospital birth.

The Midwives' Model of Care focuses on the woman as a whole, addressing not only the physical changes that go on in pregnancy, but also addressing the emotional and even spiritual things that happen with a woman while she is pregnant. Midwives typically spend more time with their patients, getting to know them as a person instead of just as a patient. Midwives also tend to intervene in the natural process less, believing in the ability of a woman's body to give birth. For more information on the Midwives' Model of Care look here.

In the Fort Worth area women are lucky to have the UNT midwives that work out of Harris Downtown and JPS Downtown as well as Rachel Zimmer who has privileges at Irving MacArthur and Texas Health HEB.

CNMs working in a hospital setting can be a great option for women who feel most comfortable in the hospital but still desire to be cared for by a midwife.

What to Reject When You're Expecting

Found this great article on Yahoo! Health yesterday. There have been several articles like this that have been spread around the web in the past few weeks. My hope is that women will read the information, take it to heart and be empowered to make decisions in their own birth. Read the Yahoo! article here.

Tuesday, May 29, 2012

Ten Tips for a Normal Birth

Click here for Lamaze International's Ten Tips for a Normal Birth. They are great suggestions.

Tuesday, May 22, 2012

Breastfeeding and Adoption (Guest Post)

YOU DID WHAT?!?

That’s typically the first reaction I hear when people find out I breast fed our daughter Z. 
Apparently it is kind of weird to see a stark white woman sit down and start putting a brown baby to her breast : )  Also the idea of nursing a baby that did not physically come out of you is a concept few people even realize is possible.   That is why adoptive breastfeeding is a topic I love encouraging other women in and I will try to share our journey without too much rambling. Here I will basically try to answer the ‘why’ and the ‘how’, as those are usually the questions that come up. 
WHY?
Our oldest daughter, B, was born to us biologically and I ended up nursing her for 15 months.  I believe the experience as a whole was really positive for both of us.  It forced me to sit down, to focus on her, and it gave her wholesome (and free!) nutrition.   She in return relied on me to meet her needs, which I believe is crucial for attachment.
 All of these factors played a role when we began the process of adopting our second daughter.   My greatest concern with adopting a new baby was attachment.  I remembered how part of my initial bonding to B was feeling her grow inside of me.  That feeling only grew when I began to nurse her after she was born.  I was concerned about how attachment with our new baby would go since I wouldn’t be able to do either of those things –or so I thought.  Of course I would not be able to feel our daughter grow inside of me, but I got connected with another woman from our adoption agency who breastfed both of her adopted children successfully.  She was such a wealth of information and support.  Now for the fun stuff…

HOW?
1.   I prayed and prayed that the Lord would allow my body to do this. 
2.   Get an electric pump.  This is crucial!!  A manual pump will not provide a strong enough suction for adequate stimulation for milk production.  They can be expensive, but check with your local Le Leche League.  Sometimes they rent them out or let you borrow them for free.  I ended up borrowing a friend’s pump and just paying for new suction cups and tubing.
3.   Get some lanolin because dry pumping before you make any milk is not pleasant.
4.   The more time you have before your baby is due to arrive, the better.  The technical process of trying to start making milk is called induced lactation.  There is actually something called the Lactation Induction Protocol that can give you protocols based on how long you have before the baby is born. 
And don’t worry- if your baby is born tomorrow or even already here there is a process called the accelerated protocol for just such an occasion.  Truly, anyone can attempt this. 
5.   I took the herbs Fenugreek, Blessed Thistle and a medication called Domperidone. The first two can be found at stores like Sprouts and Whole Foods.  Domperidone is a drug whose side effect is increase prolactin (hormone that promotes milk supply).  It can be prescribed by your MD but I found it cheaper at an online pharmacy. 
6.   I pumped 8-12 times a day for 20-30 minutes.  This included pumping in the middle of the night.  I read that prolactin levels are highest between 2 and 4 am so pumping at this time encouraged the most milk production.   It was not easy, but it helped prepare me for newborn life and those middle of the night feedings!
7.   I started pumping about 6 weeks before Z was born.  I actually thought I had more time but she came about 5 weeks earlier than we had expected.  When we got the call she was here, I was producing drops of milk.  I think what helped my production the most was when she actually started nursing at my breast.  That stimulation helped twice as much as a pump did.
8.   Unless you are following the Induction Protocol that includes using birth control pills, the milk you make from inducing is not like mature milk that comes in right after you give birth. The fat content usually isn't high enough for a newborn and will probably need to be supplemented.  Every woman’s milk will be different so please make sure your pediatrician knows you are breastfeeding so they can monitor your baby’s weight appropriately.  You can also still nurse while giving formula.  I used the Supplemental Nursing System by Medela. You can use one of these even if you never make a drop of milk.  Your baby will still get the benefit of recognizing that you are the one that provides his/her needs plus will get that all important skin to skin time. 

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About Lindy:
Hi everyone!  I am a 20 something stay at home mommy to two sweet girls.  Our 4 year old came to us biologically and our 1 year old came to us the day she was born through the miracle of adoption.   I love adoption and love using my crafting hobby to help support our many friends who are adopting.  You can find my ETSY site here. 
            

Thursday, May 17, 2012

Welcome Baby Girl!

It was an honor and joy to assist in the birth of baby girl born yesterday. Her momma worked hard and did an incredible job. The hospital staff could not have been better. They were extremely supportive and tried their hardest to give this momma the birth she dreamed of. Things didn't go exactly as planned, but it was a beautiful birth, full of love and power.