Friday, January 18, 2013

Why we chose a midwife

When I first got married I was far from "crunchy". I LOVED my Hormonal BC and thoughts it was the best thing for my body. If you'd have asked my mother and sister, I was the polar opposite of how I think today in so many ways.
Years have gone by (7+ to be a bit more exact) and I've learned things. My road to crunch-ville has been slow and is still ongoing. I learn more each day. I thought some might wonder how I got to where I am today. And I wanted to share. 

About 7 months before we got pregnant I started feeling really convicted about how my BC worked. I had originally gone on it before getting married due to really bad menstrual cycles. I had migraines, my body was irregular, cramps that made me cry and want to curl up and die. I am sure there are women out there that have it harder, and some who don't. We each have our own crosses to bear. This is not a competition. This is just my story.
Any who the meds made it better. My cycle was predictable and easier. My migraines where better and I felt better. Then I got married and I thought "well I don't even have to think about BC, it's taken care of! What a relief!"
So anyways I did some reading on how the meds worked. I read that they made my uterus basically "less likely" to allow an egg fertilized or otherwise to implant and grow. I also read that it made my cervical mucus thicker and harder for sperm to pass through.
There is some research that shows that due to these things an egg can't possibly get fertilized in the first place, but it's a very small amount of research. I became uneasy.

I'll be honest I do not know where life begins. And this isn't a debate on when that happens. For me Once I know I'm pregnant regardless of how small the baby is, it's a baby. It's not a fetus, or an embryo. It's a baby. A life. And I want it with my whole heart. The idea that I could have been pregnant before even if it was a slim possibility and not allowed my body to give the life a place to grow made me sick. I cried, I was very upset.
Now as a christian I believe my husband is the spiritual leader of our home. I also believe I gave my body to him when we got married. And he gave his to me. As a result of that, and because he IS my best friend and the person who's opinion matters most I had to have a discussion with him before I went "off" the BC.
It took me explaining my reading, and a lot of praying for both of us. We came to the decision together to leave BC pills behind.
We where very careful and I charted my basal body temp and charted to keep track of my fertility. And within a month of trying we got pregnant! I was so excited! I immediately called my OBGYN who'd prescribed the BC for me. I liked her. I wanted a Female DR. And at this point the only "crunchy" thing I did was go see a chiropractor for my back and migraines.
I was nervous. This is where my list comes in. 

1.) I am a person not a number
I went in and had to fill out millions of pieces of paperwork. Not just for the dr though. For the various companies that wanted to send me samples and such. Fine I like free stuff as much as the next person. And while I was planning to breastfeed for simple and pure economics I liked the bag the formula company had sitting on the counter to show what you "got" when you gave birth and headed home. 
I had to see a "pregnancy Educator" first. And she was cold and pushy. Gave me tons of pamphlets which leads to number 2. 

2.) I do not want to be pushed into interventions I don't want when other options exist
I was open to pain meds at this point. But I KNEW I did NOT want an epidural. I am scared of needles. Having one in my arm when I give blood makes my blood pressure go up, makes me nauseated, and dizzy.
I can handle anything else but NOT an Epi.
"Well they aren't really all that bad! It's not a big needle you know. And it helps SO Much. Here let me send you home with a pamphlet to read over!" </shoves pamphlet in bag of "goodies">

After waiting for what seemed like forever for an appointment that should have been 1.5 hours (took nearly 3) I was sick of it. I was fed up. That night I was reading my Birth board on What To Expect and seeing these other mom's mention how well their first appointment went made me decide something was missing.
We decided we'd switch to another OBGYN. I called my friends, Got a recommendation and was planning to make an appointment.

That weekend we went to whole foods. It's in a VERY busy area so we rarely go. But we went. I can't remember why at this point. While there I picked up a local holistic free magazine called "Awakenings". I was flipping through it and saw an add in the back for a midwife. What was special about this add was it was for a midwife I'd known very well and forgotten about. Her name is Susan Smart. And she taught a few of our classes in Co-op. (yes I was home schooled! And proud of it.) She was practicing then too and I remembered thinking it was weird but also being intrigued  Of course back then the idea of sex was gross and also weird so not really valid. lol

I decided to look into midwives. And doula's and the whole nine yards. I watched "the business of being born," I read blogs about home births, birth center births, unassisted birth. I watched videos on youtube, and anywhere else I could find. And then I found water birth. My mind was made up that's when I realized I'd been leaving a critical part of my thinking process out of this equation. 

3.) My body is not broken let me labor as I needI am fearfully and wonderfully made! My God can supply all my needs! I am not broken! And isn't he able to provide me with someone who is skilled to care for me and my baby? Isn't he the one who formed my womb? Isn't he the one who gave women the ability to give birth? I do not want to be put on a hospitals time table. I want to give birth and labor as I need. and I won't know how that is till I get there!

4.) I was created to give birth
I believe God created my Body perfectly. And that my birth would/will happen the way it should. I want to treat that body and baby's temporary home without meds and without interventions. I read that normal first births can last for DAYS! And if in a hospital Dr's will push interventions to speed the process along.
It won't be said that way OF COURSE. It will be, "You seem tired why don't we give you an epi so you can rest? Or well your waters been broken for 12 hours so your risk of infection is higher. We should do a Csection so you and baby are ok."
No thank you! Not for me. 

So we made an appointment with Mrs. Smart. After talking with her on the phone and learning the difference between a midwife and a doula and knowing I couldn't have a water birth in the hospital (to much risk to their insurance companies) I knew what I wanted. And hubby was on board.
We toured the birth center she works with, Discussed likely hood of complications, common tests, how treatment at home works, etc. 

5.) I wanted natural methods for treating common pregnancy ailments
I'm not crunchy at this point. But am one who knows that anything done to mom's body can affect baby. As such I don't even paint my nails or color my hair during pregnancy. I feel extremely guilty if I wear makeup or drink a caffeinated beverage (even though studies show a tiny bit is ok and can even be calming!)
So when my midwife told me that I could use papaya for my heartburn, (and it tasted like candy) and B6 for my nausea (and they worked) I was so excited! Something that was good for my body and helped!

6.) Cost !$$$$
I am a thrifty Cheapskate at heart. This is a major part of why I wanted to breastfeed. All the perks for mom and baby where just plus sides. And though my view on that has changed now that's why I wanted to originally. And I also wanted to Cloth Diaper for the same reason.
When I learned that in many cases a NORMAL uncomplicated Vaginal birth in the hospital with no epi's or anything fancy can be over 10,000.00 I was shocked! Then add in the epi, anesthesiologist, doctor's fees, and oh what if something does go wrong? Then what? More cost.
I"m young and Healthy and as long as tests show I stay that way there was no reason not to have a home birth. 

7.) Safer than a hospital birth
My midwife showed us a printout form a study that the British Medical Journal did and it was way safer. Mostly because, there are no big "interventions" to speed the process up.
Now that is not true for everyone. 

8.)  Trained in normal childbirth
There are certain cases where home birth isn't safer. Such as if the mom has Pre E, or GD, or is VERY VERY past due or VERY early.
The midwife herself can make a huge difference too. In my area there is one midwife that I do not know many people who recommend  Her rate of transfers to the hospital are alarming and simply put, if she'd not taken the patient or done things different when signs of complication arose this might not be the case. 
It can also depend on your midwives experience and if she works with an OBGYN.
My Midwife works with an OB form North Carolina who comes down to check her and the others she works with to basically provide peer reviews. If he recommends a change they listen because he is wise. Peer reviews happen in Mental health practice and in my opinion should happen in all forms of medicine but that's another story.
So tests are preformed at every checkup. The midwife has you weigh yourself, takes a urine sample, and asks questions about your eating habits. and overall health and state. You do a GD test, and can opt for ultrasounds, or not, Group be Strep or Not, And if you want the other tests preformed in utero they can write a order for you to have them at the hospital.
A good midwife carry's oxygen, And some meds and herbs with her to help with common ailments like hemorrhaging  and tearing. I was given pitocin after birth as a precaution to prevent post pardum hemorrhage. And an herb to help deliver the placenta quickly. 


9.) Sharing my faith
I remember being very upset and nervous about one test. And my Midwife could tell I was upset. She asked me what was wrong and if I needed to talk about anything. (common for our visits as midwifes treat the whole person not just the pregnancy) I shared my fears with her and broke down in tears. (YEAH hormones) She listened then asked me softly, "would you like me to pray with you about it?"
There are midwives in all faiths, or even atheists. Just like Doctors. Finding one who Meshes with you and your beliefs is so important. Asking little question like what faith do you practice? And how do you encourage mom in labor can make all the difference in a home birth. You have to trust your midwife completely.
I remember all my doubts and fears melting away with those simple words. And that was it. It was ok. 

10.) Bedside manor (is not having a rotating OBGYN)
This reason is small but something that bothers me about many OBGYN practices. I don't like the fact that I am building up a relationship with mostly one person but he/she might not be working when my baby is born. So guess what doctor B, C or D, might deliver your baby instead. So you have to rotate which doctor you see t the practice.
Maybe you choose Dr A because they share your ideals about birth but Dr D doesn't. What happens if he is on call when you give birth. Maybe Dr B makes you nervous, or you plain don't like Dr C. Sorry they're on call to deliver your wonderful bundle of joy.
with a midwife you have that one person, and her helper/s. That's it. You develop a relationship. they work their hardest to give you the birth you want so long as baby is safe. And while you might not get to deliver in the water like you wanted (Me) baby is born with the person you wanted there. 


These are just a few of the reasons we choose a midwife. I'm sure hubs will remind me of other's later. But I wanted to share since some might wonder how I came down my crunchy path. :) I can't wait to have our next one and do it all over again! 

Thursday, December 27, 2012

Breastfeeding Do's and Dont's

Now that my DD is nearly 16 months old I thought I'd share some of the "Dos and Don'ts"  That have helped me through my relationship with her. For us it was relatively easy and we are so glad it has been. However some things have been really hard like night weaning and nursing in public. Not because of anyone else but because those are my own personal hurdles.


So here's my short list of do's and don'ts that got me through:

1.) DO find a peer group of positive Breastfeeding moms. If you can't find a support group locally, find one online. Here are a few of my favorites:
http://www.mothering.com/community/f/23/breastfeeding
http://www.facebook.com/groups/kellymamas/?fref=ts

Also if you are a member of an online community like what to expect, or baby center, then ask if the due date club has a breastfeeding group on facebook or otherwise. My DDC's support group was awesome and having mom's in it who where new to it like me, and who where experienced was awesome.

2.) DO Set goals. For some long term goals are better(me) for others short term. Some mom's set goals for a month, then two months later, and so forth till they get to their end goal.
Having a goal gives you something to work towards and feel accomplished about when you are done.

3.) DON'T worry about pumping for the first few weeks unless you are planning to return to work and will need to be feeding a bottle. In that case wait at least a few days.
Pumping doesn't give your body the necessary stimulation needed to produce milk like the baby does. Many women respond to the pump but others simply do not. That doesn't mean that your body isn't producing milk. And pumping output does not equal how much baby is getting when they nurse! Pumping or not doesn't mean you can't breastfeed.
Some women can still breastfeed part time, only at night, before they leave for work and after they get home, etc. So not pumping isn't the end of the world.

4.) DO Chart your cycles once they return. Breastfeeding alone is NOT a means of contraception. Knowing when you will ovulate is the BEST way to avoid pregnancy. I know SO many mom's who get very upset that they are preggers a few months after giving birth and if your body isn't ready, or you're not ready it's fairly easy to avoid even if you don't use birth control, or condoms, or IUD's. There are free apps and websites to track your cycle. Popular among my mom friends is:
www.myfertilityfriend.com
And my favorite is a free app for iphone or andriod called "My Period Tracker":
https://play.google.com/store/apps/details?id=com.period.tracker.lite&feature=search_result#?t=W251bGwsMSwxLDEsImNvbS5wZXJpb2QudHJhY2tlci5saXRlIl0.

5.) DON'T exclude dad. During the early weeks and months, dads can feel alienated from their new baby and wife. Baby's nurse a LOT (almost constantly it feels like) in the first few weeks and months. And dad can feel like baby doesn't like him, know who he is, and like he has nothing to do with the baby aside from change diapers.
Empower him by giving him jobs or having him help. Newborns are floppy and hard to position on ones own. Dad can help! Have him get you water, have him become a burping expert(my hubs was way better at this than I was.), Have him remind you of different positions to try, Teach him about breastfeeding and make him an expert! My hubby encourages many new dad's now about how awesome Breastfeeding is and how to help their wives. A little love an knowledge goes a LONG way!

6.) DO remember that all the bad things are only for a season. Breastfeeding can be hard sometimes. It's not possible to adjust to less sleep ahead of time. It's hard to wake up and cluster feed every 45 minutes at night when all your addled brain wants is some ZZzzzz's. Sometimes baby might not latch good. Or ALWAYS fall asleep on the boob, or spit up, or have reflux, or allergies, or you might get yeast, or mastitis.
All things are only for a short time. Baby's are only little for a short time. They only need mom 100% of the time for a very short time. You will eventually sleep again. You will eventually get through the dark spot and over the hump.

7.) DO be stubborn. Don't give up! Honestly it can be hard sometimes but being stubborn and refusing to say you're "trying" means you only have to options. To fail or succeed. If you failed the last time, then know you CAN succeed the next time if you want! Every baby is different and while the first might not have latched the next might be a perfect nurser.

8.) DON'T sell yourself short! You're a mom! That makes you a superhero! You grew a person in your body. Or you adopted a special little one, or fostered one someone else couldn't take care of. No mater how you came into motherhood you are a superhero now. There are people you couldn't pay to have your job and people who would pay all the money in the world to have it. It's a blessing. And you are amazing!
Remind yourself of all the amazing things about yourself when you are struggling emotionally.

9.) DON'T be afraid to seek help if you have problems. It doesn't make you a failure. It doesn't mean you did anything wrong! Breastfeeding though natural isn't easy and some babies and mom's need a little help. It's ok and the sooner you get it either in person or through your support groups the sooner you can move on and have an awesome breastfeeding relationship.

10.) DON'T Listen to those who say to offer formula as a solution to every problem. Or to those who tell you to add rice cereal to bottles to get more sleep. Those bits or "advice" or "booby traps" are unsafe, inaccurate, old fashioned advice.
Educate yourself:
http://www.drmomma.org/2010/10/virgin-gut.html
Also no pediatrician no matter how experienced she may be as a nursing mom, is a  breastfeeding expert. If you have a problem ask a Lactation Consultant, or better yet a International Board Certified Lactation Consultant! Most hospitals have one on call that you can phone and talk to or set up appointments with.

11.) DO nurse however you feel comfortable! If you feel better with a nursing cover then use one, if it makes your baby and your nursing relationship more of a hassle don't use it. If you feel better "popping" a breast over your shirt neckline then do it! If you feel better using a nursing shirt, and no cover do it! It's your baby and your body. Know your state laws and don't apologize or make excuses as to why you nurse the way you do. It's what works for you and baby and that's all that matters.