Green Options

On April Fools Day, I gave birth to a beautiful baby boy named, Clark. I wrote a post on how to prepare for homebirth and so when the day arrived things fell into place just as planned. The day before I gave birth I’d been experiencing a little cramping. Nothing unusual but the sense a woman gets when her monthly cycle is going to begin. I had a feeling that it was the onset of labor so I told my husband to be prepared to come home (he commutes an hour away). Just after I called him he left work because he too had a feeling. I called him in the early morning before 10AM and we spent the rest of the day taking it easy.

The cramping had subsided by late afternoon. I was 38 weeks and 4 days and ready to have a baby! I didn’t realize that he’d really come on April Fool’s day as some had predicted. That evening I went to bed at 8:30pm and woke up with surprise to what I thought was my water breaking. It turns out that I had a high leak which means that baby Clark only tore my bag of waters rather than rupture it. With my first my water broke and that was that! This time around it was a gradual process.

For women of Afghanistan, pregnancy and delivery are dangerous.  The war torn country has the “world’s second-highest death rate in women during pregnancy and childbirth”, second only to another war torn country Sierra Leone. The medical journal Lancet reports that 78% of these maternal deaths could be avoided. The New York Times reports:

For every 100,000 births, 1,600 mothers die; in wealthy countries the rates range from 1 to 12. In one remote northeastern province, Badakhshan, 6,507 mothers die for every 100,000 births, according to a 2005 report in the medical journal Lancet. In all, 26,000 Afghan women a year die while pregnant or giving birth. The main causes of these deaths are hemorrhage and obstructed labor, which can be fatal if a woman cannot obtain a Caesarean section. Even if the mother survives, obstructed labor without a Caesarean usually kills the baby.

The C-section is now the most common procedure performed in the United States. A third of American children are born through the belly instead of vaginally. Every year for the last decade, the States has set a new record for the number of C-sections.

Now that I have your attention, there is an increasing gap between the traditional Western medical community and that of midwife-delivered, woman-based care. A couple of recent articles, in Time and in the LA Times, explore this gap.

Here we are, discussing health care reform, and at the top of that discussion should be the way we bring babies into this world. One Oregonian midwife, Melissa Cheyney, has begun to examine the differences in care.

The U.S. has a limited idea of what it means to have a positive outcome at the end of a delivery. Basically it just means that everyone’s alive.

You’ve heard it, and I know I’ve said it, “You got the prize in the end!” Sure, you have the baby, but did you receive the care that was appropriate to your circumstances?

First the AMA and now Dr. Phil:  the attacks on a family’s right to chose a home birth never seem to end. As a mother who has birthed both of her children at home, neither of which were “normal” births, I find such negative campaigning disturbing and upsetting. Just as I won’t tell a woman what to do with her body after conception, I believe a woman has the right to birthing choices as well.

I’ve never been a fan of Dr. Phil.  I feel sorry for the people who are so desperate for help that they air their problems on TV, thinking a talk show host will give them the solutions. I admit, I succumbed once hoping Dr. Phil could help potty train my son and watched his show, but as each child is unique. I had to wait for my child’s readiness.  Now, Dr. Phil is seeking out guests to share home birth horror stories.

Did  you have a child at your home?

Did you want to have a soothing experience where you were in control and could bond with your child?

Did it not go the way you planned?

Do you regret having a home birth?

Do you regret using a midwife instead of going to a hospital?

Did you have your second child the traditional way in a hospital?

If you or someone you know regrets having a home birth please tell us your story below.

Guest Contributing Writer Philip Proefrock is more frequently found writing about green building and design issues at our sister blog Green Building Elements. His wife, Stacia Proefrock is a homebirth midwife, doula, and fertility consultant and is a member of the Michigan Midwives Association organizing committee for the MANA conference.

The Midwives Alliance of North America (MANA) annual conference will be held in Traverse City, Michigan later this October. MANA is a professional organization for midwives throughout North America. “MANA’s goal is to unify and strengthen the profession of midwifery, thereby improving the quality of health care for women, babies, and communities.”

You can help support the work of midwives.  MANA is working to push legislation in a number of states where the practice of midwifery and homebirth is not fully legal.  While some states have laws that support and encourage the practice of midwifery, many other states are less supportive.  MANA is also advocating for insurance companies to allow homebirth options as a safe, less-expensive and less resource consuming alternative to standard hospital births.

I was fortunate to have an amazing natural birth experience with my first-born, despite being stuck in a tiny fairly rural hospital in Mississippi. My Canadian OB-GYN was the only one in town who would let me labor without an IV, and while she arrived to catch the baby leaving me to rely heavily on my two doulas-in-training and a few clueless nurses, my daughter was born after 15 hours of extremely painful back labor.

With my son’s birth, we were living in a large metropolitan area, so I sought out my “dream” birthing scenario: a midwife with a freestanding birthing center. However, thanks to an extremely tight budget and insurance that would only pay for a hospital birth, I wasn’t able to have the birth center experience. But my visits with my midwife, the relationship with my doula, and an extremely supportive hospital staff made my son’s birth just as wonderful.

That is all two hours of the time I was actually laboring at the hospital.

One of the things I loved about working with midwives is that each visit lasted 45 minutes. From your sex life to your diet, midwives are very thorough.  I have parallel care with an MD for blood work; however, I opted out of most testing. I never had an ultrasound or many of the other recommended tests, because I was committed to having my child, no matter what might be wrong with him/her. My good friend was also pregnant at the time, and she had a horrible pregnancy of constant worry and trips to the bay area for level 2 ultrasounds.  She was told her child might have down’s syndrome, then was told the baby only had half a kidney.  In the end, her daughter was born healthy, but I remember at the time thinking, there could be something wrong with my baby, and I wouldn’t know it. It turns out I was right.

Early in my first trimester, I got very sick with a fever (one of the hazards of being a teacher).  I went from this illness to morning sickness, and lost 12 pounds those first three months.  Again, the doctor and midwives were concerned I wouldn’t gain weight, but I did in the end, grossing 45 extra pounds.  During my sixth month, I started having contractions.  They felt a little bit more serious than Braxton-Hicks, so my midwives sentenced me to one hour of bedrest in the morning, and one hour in the afternoon.  I was convinced this baby was coming early; he was five days late.

Almost seven years ago, I gave birth to my daughter.  My pregnancy began with really bad “all day” sickness in the first trimester, where I would watch Dr. Zhivago between trips to the bathroom to puke. My second trimester was grand, as I was big enough to look pregnant and not just fat, and I felt really good. I had the glow. The third trimester was a challenge, as I gained 55 pounds overall and cried when I couldn’t squat long enough to plant my onions. Then, exactly on her due date, my daughter entered the world.

We live in a very remote region of Northern California.  Our closest hospital (that won’t do births) is an hour and half away.  Our midwives would not take the risk of a home birth at our off-the-grid homestead, nor did we feel entirely comfortable with the idea, so we decided rent a house in town for our birth.  A couple was going to Senegal for the summer, so it worked out perfectly that we could use their home for a month. It was about 15 minutes from the closest hospital, although no hospitals on the coast have an neo-natal intensive care unit.  I wanted a home birth, and this was the closest I could get to one.

Everyone feared I would go into labor in the mountains, so several days before my due date, we went to town to wait it out. I was restless and knew I would never go into labor in town, so we returned home.  I went for a long hike, and that night the real contractions began.  I was walking down our driveway as my husband pulled up, and I said, I think it is time to go.  My mother was here, but I feared her driving on the mountain roads, and we needed to take two cars for our dog to accompany us to town and fit everyone. So, I drove myself in labor two hours to the house we rented. My mother and I timed my contractions, but even though they were five minutes apart, I kept on driving (that’s how much I fear my mother’s driving!).

About 50% of pregnant women suffer from morning sickness during their first trimester. If you have suffered from the nausea and vomiting like I did throughout both of my pregnancies, you know it isn’t really “morning” sickness, but all day sickness. My midwives were wonderful at suggesting natural remedies to ease my suffering. The following suggestions for herbs, foods, and lifestyle practices are from my own personal experiences and from a great list of natural remedies posted on Mothering.

Herbs that Alleviate Morning Sickness

Ginger is well-known for its nausea reducing qualities, and many women have had success with ginger tea for relieving their morning sickness. The herb I found most useful was peppermint. I drank my own blend of herbs for a pregnancy tea (I’ll be posting that recipe soon!), and the peppermint really made me feel better. You can drink the tea cold or hot, depending on what makes you feel better. Fennel seeds also relieve queasiness, whether in tea or simply chewing on the seeds. Slippery Elm is another herb that may calm your stomach.

Ina May Gaskin is the most famous midwife in the United States. As one of of the founding members of the intentional community the Farm, Ina May and the Farm Midwives have thirty years of statistics that demonstrate the safety and benefits of natural childbirth. For example, only 1.4% of births attended by the Farm Midwives have required a Cesarean section compared to the national average of about 25%. Ina May has long been respected for advocating women’s rights, as well as changing people’s perceptions about natural childbirth. Instead of an agonizing ordeal, Ina May believes that childbirth can be an orgasmic experience.

When I first became pregnant 16 years ago, a pregnancy that ended in a miscarriage, I read Ina May’s first book Spiritual Midwifery. Not only was this book full of information on natural pregnancy and childbirth, but it was packed with images and stories of labor, in which the parents saw psychedelic colors and experienced orgasms. I thought that these hippies had done too many drugs and were just having flashbacks, but by the time I read her second book Ina May’s Guide to Childbirth before the birth of my second child, I decided to try out some of the visualizations described in the birth stories.

I did not have a doula when my children were born, because I had the loving care of two midwives attending our homebirths. If I was planning a hospital birth or wanted a little more support at home, I would definitely find a doula. What is a doula? Doulas is an ancient Greek word meaning “handmaid”.

According to Wikipedia, “A doula is an experienced, non-medical assistant who provides physical, emotional and informed choice support in prenatal care, during childbirth and during the postpartum period.” Dona International further explains:

Giving birth to a baby is so much more than a physical phenomenon; it engages parents-to-be in a transformational experience, a key life event full of emotion and meaning. A doula who accompanies a woman in labor mothers the mother, taking care of her emotional needs throughout childbirth. A doula also provides support and suggestions for partners that can enhance their experiences of birth. A postpartum doula continues that valuable emotional support and guidance, helping a family make a smooth transition into new family dynamics.