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My Gentle Birth Story by Martine de Luna

4/1/2015

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It’s been three weeks since I’ve sat down to write anything. But I don’t think I’ll forget either of my birth experiences. This one, however, was pleasantly different, because I was able to approach it with more knowledge, intention and preparation. So I’ll get right into it, alright?

Some pre-story notes, so you can follow my story with an informed point of view:

  • For this birth, I practiced hypnobirthing, had doula assistance and daily pre-natal yoga. These practices helped me to change my mindset about birth, to approach it with an empowered womanhood and intention. Combined with a lot of prayer, meditation, “fear-clearing” and relaxation, I believe these sacred pregnancy and gentle birth practices prepared me well for a natural birth in the hospital, with no medical interventions.
  • In hypnobirthing, we (I say “we” because I am now a hypnobirthing convert!)believe that a woman’s body and mind are fully enabled to give birth in a relaxed state. This ultimately relaxed state helps a birthing mother eliminate the fears that cause our bodies to react a certain way towards birth. Marie Mongan (whose book Hypnobirthing: The Mongan Method served as my guidebook along with my doula’s advice) said, “Your birthing will unfold exactly as you see it now… your birthing will happen as you have defined it.”
  • As I prepared (only during the last few weeks of the 3rd trimester!) for a gentle birth, I knew what I wanted and defined it: A natural birth, doula- and spouse-assisted hospital birth, using hypnosis for the elimination of fear and management of labor ‘surges’ (not “pain”, as we normally call them), with no or minimal medical intervention. All of my preferences were listed to the detail on my customized birth plan, which I worked on with my doula and my OB-Gyn.



Read the FULL STORY on Martine's website
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Our Daughter's Birth by Cat Juan Ledesma

4/1/2015

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Our littlest cub arrived last week. She entered this world via warm water and candlelight and was placed straight into our arms where Carl and I discovered that we now had a daughter to call our own. Her name is Nara.

Nara was allowed to enter at her own time — without any pushing, panic or fear. It was the type of gentle water birth I wanted and I am so grateful to everyone who helped make it possible.

Friends and family tell me that I must be made of tougher things because I’ve delivered both my children without any drugs, surgical intervention, or screaming. But instead of holding these up like badges of honour, I’d like to believe that many women have bodies that are capable of the same thing.

I believe that the chances of having your dream birth are only as big as the team you have supporting you and the preparations you do before your baby’s arrival. Here are some tips I can offer...

Read the FULL STORY on Cat's website

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WATER BABY by Nykó Macá

2/25/2015

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630pm, Sunday December 28th 
A slight, pulsating flutter in my abdomen I've never felt before. Could this be the beginning of the end? Because it could be any day now, and yet Cédric and I look forward to stocking up on sleep.

9pm
Coming irregularly at around 20 seconds at a time, these sensations build so gradually I’m not sure how far there is to go. I pull out the contraction timer on the BabyCenter app and track. I let Doc Martin Manahan and our doula Irina Otmakhova know we are feeling something. They ask me to keep them posted.

4am, Monday December 29th 
But I’m up again after a few hours so we get all the sleep we can, knowing this could mean something or nothing all at the same time. I get the urge to pee and groggily check the toilet before flushing, and am startled by a bit of blood. My heart jumps – baby is going to be here soon! I’m back on the app and a shot of adrenaline creeps into my system, and I manage to sleep despite it.

10am
We have a regular day like any other, stocked up on movies and checking schedules to go to the cinema so we can complete the Hobbit trilogy in one day! No better way to await a baby than being entertained. There’s a 7pm IMAX showing nearby and we plow through the first one at breakfast. Pretending to be normal feels funny, like an elephant in the room.

1pm 
I chug a green smoothie for lunch thinking of the possibilities, storing energy in my system for later and also wanting to have easy bowel movements to avoid any water accidents! My intuition was halfway between maybe and yes when I began heading to the bathroom at twice the rate and with lots to leave in the bowl! Another shot of adrenaline, because Irina mentioned this was one of the signs she had when her body pretty much vacated itself in a big way. Two clear signs!

4pm 
I can’t even track on the app without fumbling the buttons now…and can only half-concentrate on the 2nd Hobbit installment. I squirm on the seat and close my eyes. At this rate we don’t look like we’re making it to the end of the trilogy, I say to my husband. He looks at me somewhat in doubt and says, “You think so? Isn’t it too early for the baby to come?” I check with my body intuitively and it says, “baby is DEFINITELY coming.” I don’t need a sign anymore. I shake my head and look in his eyes, excited and scared all at the same time, and we manage to stay home as long as we can while making plans and checking our bags packed from weeks ago. It’s very calm and nervous, this air.

7pm
We ask Irina to meet us at the hospital at 10pm, and we let Doc Manahan know we are on our way tonight. Part of us wants to make sure we get the water birth suite since it’s the only one and on first-come, first-served basis, haha. Cédric deilberately eats a big pasta dinner to load up on energy which makes the tension even more palpable.

10pm
I fiddle with a bunch of outfits and despite having packed everything pack yet another bag of stuff and end up with loads of extra stuff…my nerves letting strees out on the preparation. We get in the car and all I can think is “THIS IS REALLY IT!” – a familiar route and a ritual we practiced mentally over and over again, now it was really happening! I waltz through the scenario with Cédric as if it were a dream, I even spot the handicapped parking at St. Luke’s which I ask him to take, we have a slight mental buzz from excitement mixed with anticipation and bated breath. We walk in like we have a big secret that we want to tell, and it’s written all over my belly.

We are greeted by a smiling Irina who hugs us. She has already given our birth plan to the staff who have seen us on multiple occasions asking our nosy, detailed questions about their services, haha. So we act as normally as we can while we book the rooms and go through the motions, but in between it all I can’t even speak during contractions. They do an IE and the resident OB announces I’m 5cm, which is a great mental marker for me. I’m halfway there! I’m going to see my son soon!

11pm 
The staff draw up a bath in this gorgeous suite of 3 rooms all together and I get the urge to crawl into the tub right away. The warm water is immediately my best friend, like a great big hand comforting me all over! Yet little do I know I will be there for another 7 hours. Cédric and Irina are on active duty, alternating between pouring water over my back and reciting Hypnobabies scripts to calm me. Doc comes in after midnight to the sounds of Reggae music and in between drifting in and out of consciousness I greet him, he’s in a cool mood and his voice is awesome in the huge tiled bathroom. They check the baby’s heartbeat through a handheld monitor and the rhythmic thumping is the most beautiful, comforting thing I have ever heard in my life.

1-3am Tuesday, December 30th 
I go to the toilet beside the tub and Cédric helps me in and out. I feel a slithering mass come out of me and scoop up what I know now was my mucus plug, which I ask him to show our doula. It’s freaky and cool all at the same time, and after I get back in, at one point I feel a great gush of water between my legs in the tub, and I know my water has broken. Closer and closer to my baby in my arms, I recite mentally, to stay focused.

As we go through our tools (listening to scripts on Hypnobabies shared by my friend Aisa, shifting positions in water, Cédric in and out of the water with me), I gradually succumb to the exhaustion and begin to float in and out of consciousness. I knew this was going to be challenging, and I begin to feel like I’d been in an extremely long race. My body is suddenly soooo heavy and I can’t feel so many other parts of me anymore. All I know is there is this center of pulsating energy, taking all my strength to accept the pain and not resist. Somehow, I understood that the only way through is to embrace it fully, because the more my head said “Ouch! I don’t want this anymore!” the harder my body would buck from within in retaliation. I would moan, groan and shudder in the water to the peak of the pressure, really like a wave! Then open up and surrender to the calm after it, allowing my body to ease open. That was the only way to feel better. At the time I had no idea where and when this was happening, it just felt like a blur of sensations and took all my concentration just to process the feelings in my belly.

Irina offers me some aromatherapy which was great earlier that evening, and all of a sudden it’s disgusting to me! Cédric kisses me all over which was wonderful earlier, but in a matter of minutes I can’t have him touch me at all. Despite my huge appetite I can't stomach anything I brought to keep my strength up. I’m confused by all of this and wondering how much longer it’ll take, I worry I may not have enough energy to carry through. Everything blurs into everything.

4am
My husband reassures me immensely while I alternate between loving and hating his kisses and touch, nearly cramping up from holding my head out of the water as the tub is so high and he has nowhere to sit. I suddenly look at Irina and say “Push!” out of nowhere, possessed! She looks at me, wide-eyed with understanding, and calls the doctor to have a look. Doc comes in and does another IE, saying we are at 8.5cm and some part of the cervical lip was swollen which is why it’s taking more time.

Fear creeps in, I am SO F*ING TIRED. What if something goes wrong? How can I push the baby out? What if I tear, or bleed, or pass out, or chicken out? What if he’s not ok inside me? Despair hits and my heart stops for a splitsecond until I catch myself mentally and say “We got this far. We can do this! Everyone is here for this and for me, and baby is going to be here now!” Besides, I think, I have no choice! I know the hardest part is yet to come while I feel that I have very little left to give. The reality of this is terrifying and challenging all at once. Oddly enough I am blowing bubbles in the water as it’s the only way to control my breathing, and I feel it calm me down through the contractions. I go to the toilet twice again and each time worse than the last, shivering from the cold air and unable to even stand, I lean completely on Cédric who just becomes my rock, his strength seeping into me as I collapse on him. Despite the pain, I remember being engulfed in an immense love for this amazing man who is watching me be a sorry mass of yucky and ouchy. Completely sexy not-sexy.

5am
My moans begin to change and evolve into a deep, earthy groan coming from deep within me. All of a sudden I wake up from a contraction to the Doc in medical garb strapping on gloves, and my mind floods with relief – “It’s nearly over!” This gives me another huge adrenalin rush, and I hear them urging me on. “Anytime you’re ready, you can push. You’re at 10cm now, fully dilated, and imagine you are going to the bathroom for a really, really big poop.” I’m sitting with my legs spread and it feels so oddly difficult despite having seen this repeatedly in movies and videos, clamping my abs down from within feels like I’m going to implode. I try it again and I can feel the people in the room watching me expectantly, they are all tired and yet here is the hardest part. I know I’m only going to hurt myself or someone else and I mentally shake my head. All the sounds I make are horrible to me, like a dying animal as they resonate in the hollow bathroom with those excellent acoustics amplifying my noise. UGH.

I suddenly am very afraid. I know that if I push, the size of this thing is larger than the opening and it’s going to hurt. A lot. But I also know there’s no backing out and once he’s in my canal, pushing is only up to me, and no one else. Surrendering, I begin to pray and thank the universe, the water. I thank my body, my baby, and plead with it to please come on out and be alright. My husband laughs in recollection and says “I knew the baby was coming because you began to speak in Portuguese.”

I get into a squat, go on all fours, and suddenly say, “the baby is coming out this way”. Doc has never caught a baby like this in a tub yet while Irina assures him all the water births she’s witnessed have been in this position, which calms us all. I feel this massive pressure in my birth canal and have no idea how the heck to explain, until Doc exclaims “the baby is crowning already! Now take a deep breath, hold it, and push.” I push so hard I get acid reflux, scaring the crap out of my husband who thinks I might have bled. He wipes my mouth with some water and doc urges me on saying “I can see the head already, he has hair!” This is the best news I’ve heard so far, and I feel a rush of power as I give a supreme push which explodes from only God-knows-where, like I am jumping out of my own body. A bandmate once described music like your body splitting apart and your real self growing out of it, and this is that, TIMES ONE HUNDRED.

And the most glorious feeling after this incredible pain, the head pushes through and the body comes sliding out of me – it’s as if I could see his arms, trunk and legs slip past in a millisecond. Really, a blink of an eye, all that, for the blink of an eye, and triumphant cries from us all. The joy in the room erupts palpably from the tension, and the funniest part of all is Doc holding the baby behind me and saying “you’ll have to pass your leg over him” since the umbilical cord was still attached. Cédric and I met in Capoeira, and before I could hold my baby, I had to pass my leg over his cord, like giving him a Capoeira kick (a queixada) first. I laugh in my head while on the outside am just so exhausted I only manage to say “Meu amor!” (my love). Our son’s robust cry is reassuring to me, hearing his voice for the first time. I clutch him to my chest and he takes a bit to get his bearings, eventually nursing contentedly. He is gorgeous, red-faced, all scrunched up in crying, and gorgeous nevertheless to my motherly eyes.

We deliver the placenta about 15 minutes after with Doc helping. The pool is dark with blood which freaks me out so I wanna leave and get up right away. Little do I know this is completely normal, but I’m just so waterlogged I wanna get out. They wash us up, and baby is whisked away with his Papa, Doc even carries me to the bed, my legs don’t work at all. Cédric cuts the cord an hour later to allow baby Gabriel to get the most from his placenta, which we keep and eventually Irina makes into capsules for postpartum recovery.

We find out later that Gabriel is born 8.95 lbs (4kg) and Doc is wide-eyed, saying this is the 2nd largest water birth baby he’s delivered. He’s so happy he even says it’s the most serene birth he’s witnessed, despite how it felt and sounded in my head. Irina makes sure we are all ok, graciously congratulates us and squeezes me goodbye, as she whisks away Gabriel’s cord to make a dreamcatcher.

Cédric and I are in tears! The happiest crying I’ve ever experienced in my life, our hearts have exploded with love and gratitude for this magnificent moment. The relief, the joy, the exhaustion are all just too much to take. So many things could have gone wrong, yet everything went our way. The rest of the time is a blur, family and friends stream in and despite being so weak the giddy beauty of it all has us wired. Lolo and Lola are overjoyed and we Skype to share it with our family in France. We manage some exhausted sleep and are out one day later, I’m even walking out of the hospital like I walked in, with our baby in tow. On our way home, we can’t help but tear up in tandem again from thankfulness for this magical, gentle birth. We say a silent prayer for all the people, synchronicity, and divine help that were part of this incredible, empowering experience.

As we walk into our home, it is changed forever in the best way imaginable. A warm, delicious ecstasy wraps every movement, every gesture. This tiny blessing of a creature is our love wrapped in a blanket! The best holiday season, ever, in 34 years. And the most exciting, truly happy, new year coming up.

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What is a gentle birth and how to have one

11/17/2014

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This article is originally written for Glam-O-Mamas Blog
PicturePhoto courtesy of Jenny Medina
Recently a member of Gentle Birth in the Philippines community posted a question asking if her birth could be still considered gentle even if she used an epidural anesthesia during labor and was feeling respected and supported in her choice to do so. This question is a great starting point for a discussion on the meaning of gentle birth and what needs to be considered if a mother chooses to have one.

If you look at birth practices there is a huge spectrum of possible experiences a mother can choose from ranging all way from unassisted births “in the wild” to midwife attended (water) home births to fully medicated births under a strict supervision of a medical team in the hospital. Aside from the location factor what matters is who else is there to support the mother and what kind of approach (and mood!) they bring into birth, as in all these settings birth can be potentially either the most exhilarating and empowering event in a mother’s life or it can turn out to be a manifestation of obstetric violence (yes, there is such a thing).  

Research shows that 1 in 4 women are feeling haunted by their birth experience describing the event as traumatic.  According to a 1995 study by dr. William Emerson, 95% of all births in the United States are considered traumatic, 50% rated as "moderate," and 45% as "severe" trauma. It affects all of us. The trend is very similar in the rest of the world, especially in the countries that derive inspiration from the US medical system.

It is rarely talked about but the childbirth trauma and the consequent lingering Post Traumatic Stress Disorder (PTSD) even in its mildest form is a very common problem in cultures where birth is recognized as a potentially dangerous event. This caution may seem unwarranted if access to the state of the art medical care is available. But as it turns out that living in a high-tech society is no guarantee you won’t have a traumatic childbirth. When deliveries are difficult and medical staff disrespectful, negative memories of birth can cast a shadow over the postnatal period.

Getting back to the question of what makes a gentle birth and taking into account the perspective of the human rights of a birthing mother, the birth can be gentle when the mother’s rights are respected and her birth preferences are met by her birth attendants. Her birth plan may include the details on the kind of interventions she chooses to have (or not to have any at all!) and who she would like to have by her side as a support team.

However, this is not all. There is one major piece of life puzzle that revolves around birth and is crucially important to understand and consider for the sake of our next generations. Namely, that there is a direct correlation between the way we were born and the subconscious behavioral and emotional patterns in our adult lives. This is due to the mechanism called “limbic imprint”

The excerpt from the article by Elena Toletti-Vladimirova explains wonderfully this mechanism at work: 


“Limbic imprinting happens in that part of the brain, which is not directly connected with the cortex, responsible for cognitive memory. During gestation, birth and early childhood, the limbic system registers all of our sensations and feelings, without translating it into the language of cortex, simply because it's not developed yet. That memory lives in the body throughout the rest of our life whether we know of it or not.


We come into this world wide-open to receive love. When we do receive it, as our first primal experience, our nervous system is limbically imprinted – "programmed" with the undeniable rightness of being. Being held in the mother's loving arms, feeding from her breast and seeing the great joy in father's eyes, provides us with the natural sense of bliss and security; it sets the world as the right place for us to be in. 


If our first impressions of being in the body are anything less than loving (painful, frightening, lonely...), then that "anything" imprints as a valid experience of love. It is immediately coded into our nervous system as a "comfort zone," acting as a surrogate for the love and nurturing, regardless of how painful, frustrating and undesirable it actually was.”
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This is why the greatest birth keepers on Earth such as Ibu Robin Lim, Ina May Gaskin and Jeannine Parvati Baker have as their mantra these simple and profound words of wisdom “Peace on Earth begins with birth”. 

How to ensure a gentle birth for the child? 

The answer to this is also very straightforward – not to mess up with the natural physiological process of birth. No medical intervention passes without consequences, especially when they are done routinely without a true indication. Birthing gently means to choose a birth practice that aligns to the maximum with what nature intended for the mother and child to go through in the birthing process reserving medical interventions to the cases when they are truly needed. 


What points to consider when planning a gentle birth? 


1.       Get inspired.  Read real life accounts of gentle birth stories and professional reflections written by the champions of natural birth. Ina May’s Guide to Childbirth is a long time favorite and on the top of the list of natural birth books. Also check out the titles by Sarah Buckley, Michel Odent, Pam England, Sheila Kitzinger and Carl Jones. 

2.       Refrain from watching mainstream media birth shows. Their portrayal of birth is highly inaccurate and honestly quite distressing. Usually a birth is presented as an emergency waiting to happen and birthing women are to be immediately rescued from their own bodies. This is absurd. It is high time to start changing this erroneous perception of female bodies!

3.       Instead equip yourself with knowledge! Open up to new sources of information. Get access and watch films such as Orgasmic Birth, Birth as We Know It, The Business of Being Born and Microbirth The whole new world of pleasurable, ecstatic, sensual and joyful birthing will open up for you!

4.       Know well the physiology of labour and birth. Study a menu of multiple procedures done in the hospitals and learn their pros and cons. Be empowered with facts, particularly on the cons! Taking a natural birth preparation class will take you there.  Check out the childbirth preparation classes run by Birth Times and Birthing is a Blessing.  

5.       Find a care-provider that will listen to you and support your wishes. This is very important! A supportive care-provider is 90% of your success to have a natural and gentle birth, your body will do the rest.  Ask your care-provider critical questions. Listen carefully. If you see any red flags, switch ASAP. It is never too late! It is your birth and you do not owe it to anyone except to yourself.  

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Doula offering back pain relief measures
6.       Form a supportive birth team. Hire a doula! Doula is a trained birth professional who provides continuous physical, emotional and informational support to the mother before, during and just after birth. Multiple studies from around the world have concluded that a doula’s support is more effective than hospital staff, friends or family in achieving successful natural birth. 

7.       Have a birth plan and stick to it! A doula will help you to have your birth preferences respected.  

8.       Trust your body and refrain from medical interventions unless they are truly necessary. Go all way natural. No unnecessary ultrasounds, cervical exams, continuous fetal monitoring, epidural etc. One intervention leads to another once you start on that winding path. Having an epidural doubles the chance of having a C-section for labour dystocia.

9.       If you are to have a surgical delivery via C-section for certain reasons or due to circumstances insist on the protocol that support a gentle Cesarean birth. 

10.   Have a firm plan for postnatal procedures. Ensure your baby is immediately placed on your chest skin to skin and stays there for an extended period of time.  Exercise delayed cord clamping, ideally do not touch it for at least one hour. Consider doing a lotus or semi-lotus birth. By all means breastfeed your baby. 

I hope this is helpful and will inspire you to envision and work towards a gentle birth that you deserve. To conclude I would like to once again go back to the word of wisdom, the most powerful birth mantra – “Peace begins at birth”. One peaceful gentle birth at a time creates a lifetime of peace.
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    Author

    Irina is a birth keeper, mother and an advocate. As a certified Childbirth  Doula and Hypno-Doula she accompanies mothers through pregnancy, birth and postpartum to ensure a joyful, balanced and pleasurable experience. It is her greatest joy to see mothers to come out of birth feeling empowered, proud and honored.  

    When Irina is not by a mother's side, she can be found with her family exploring nature's treasures, attending seminars on wholesome living and writing her PhD dissertation on conscious birthing.  


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