Category Archives: Pregnancy

Birth In the Standing Position, by Lani Axman

By | Birth Choices, Birth Week, Pregnancy | 12 Comments

Have you wondered why so many women give birth on their backs? Do you think trying to push 7+lbs out what is usually a small opening while lying down seem to defy the laws of gravity? Then, you’ll appreciate this post today by guest, Lani Axman, the author of the well written blog, Birth Faith


Birth In the Standing Position

Lani Axman

A statement out of a recent Midwifery Today E-Newsletter reminded me of something I’ve been wanting to blog about ever since my doula training in February of ’09. Dutch midwife, Gre Keijzer, explained:

In my view, starting the second stage in a standing position can be seen as a preventive measure against the occurrence of shoulder dystocia. If it does occur, it can be easily corrected without having to perform all sorts of heroic manoeuvres.

I’ve become somewhat obsessed in the last year with giving birth in standing positions. My fascination began when my doula trainer, Mary, shared a handout adapted from an article by Jean Sutton called, “Physiological Second Stage or Birth Without Active Pushing.”
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So, You think I’m Crazy to Birth at Home…

By | Birth Choices, Birth Week, Pregnancy | 17 Comments

Tonight I saw a friend who completely disagrees with me on a topic dear to my heart, my choice to give birth at home. It’s not something we can discuss for very long because it is something she’s very passionate about and holds strong feelings against it.

An RN who holds a key position in the Obstetrics department of a local hospital, she has the education to speak to the topic in an informed manner. She also believes strongly in what medical care can offer to women who wish to birth at a hospital.

While I have chosen to birth at home, I also value the importance of an obstetrician when one is needed. After all, I had a rather dramatic miscarriage  last year that resulted in severe hemorrhaging. I am grateful that medical care was there when I needed it! I truly love and respect my friend. I simply disagree that every birth qualifies as a medical event.

However, since this friend isn’t the only person in my life who doesn’t understand why I choose to birth at home, I decided to offer a few thoughts on the matter.

I’m not going to quote a bunch of statistics about how home birth is safer than hospital birth. You can find statistics on both sides of the argument that will support whatever position you have decided to embrace.

After having a hospital birth the first time, I wanted to try something different. It wasn’t that I had terrible care, I just felt I might be more comfortable in a different environment. So, I did my research and concluded home birth to be a safe choice for our second birth. The decision was a positive one for both my husband and me. Here are a few of the reasons I love it.

I believe my female body is made to give birth safely and that birth is not an inherently dangerous or even “medical” experience most of the time. My midwife is well trained to recognize warning signs and we have a transport plan in place should we need it.

I love being comfortable in my own space.

I love that I can wear what I want – even if it is nothing.

I love being free to make noise and believe me, near the end, I do!

I love that my midwife respected my wishes not to constantly check the dilation of my cervix in order to give me progress reports that make me feel like I’m not moving fast enough. My hospital birth was very discouraging from this perspective.

I love being able to move around or be still without anyone trying to mess with me in the middle of a contraction – like checking my cervix when I really don’t want to be touched. (Are you getting that this is kind of a big deal for me?)

I love how fast my labor seemed to go at home. Second births are typically shorter but mine also felt less intense. On reflection, I think this is because I was distracted by other things I could do (and did) at home, like clean my kitchen, pick up, eat, and ask my husband to buy oranges from the store so I could make gingerbread cookies. At which point, he questioned whether I was really in labor! Did I make the cookies? Ahem. Well, I was pushing out a baby within about 2 hours of asking for the oranges so… No, silly. haha! But the thought that I was going to make them was a positive distraction.

I love that I can labor in my bathtub. In my hospital birth there were no birthing tubs but my doctor assured me the shower would do the same thing because the shower would relax my nerve endings. Well!!!! I can assure you it is NOT the same thing! Good grief. The anti-gravity affect of the bathtub was a game changer in my second birth. So relaxing. If only I’d had that in my first birth – of a 9lb 7 oz baby!

I love having my midwife in attendance the whole time, encouraging me, monitoring the baby and ensuring that everything is progressing smoothly. This is also Robert’s favorite part. He felt so much more comfortable with my midwife’s attendance at my birth than the doc at my hospital (though the doc was fine). My midwife’s 28+ years of midwife skills and impeccable record are reassuring. She and her apprentice aren’t whipping in and out of my room just to inform me whether I’m dilating fast enough. Their attention is not divided between me and the other patients in their care who may need more attention than me. My midwife and her apprentice watch me – and only me – closely to ensure I’m still feeling strong and that the baby is ok, the entire labor.

I love the constant presence and support I receive at home from people I know well and actually love. For me, nearly a year of meeting with my midwife and her apprentice formed a bond between us that was more than that of a caretaker. That bond helped my midwife to know when I needed that extra encouragement to finish the work ahead of me, “You know, when you decide to get serious about pushing, that baby is going to come right out!” and I trusted her enough to listen. And you know what? She was right!

I love that my baby and I are not exposed to super-germs at home that are often present in the hospital.

I love that no one is pushing me to take drugs to hurry things along or just to prove that I’m not trying to be a hero.

I love knowing that my body has the strength to introduce a new life to the world, without drugs. Regarding people who think women who birth without drugs trying to prove their “heroism”, I have no illusions on this point. Just ask friends who’ve known me for years and remember me losing consciousness whenever I experience something acutely or surprisingly painful (like getting my ears pierced, hitting my elbow on a locker or getting my measles booster shot). I am not joking. I have naturally low blood pressure, so I faint in these situations. It’s always been a source of embarrassment for me! Birth is different because it’s not an acute or sudden pain but more like waves of pressure that increase gradually, making the pain bearable.

I love how fast I recovered from my drug-free delivery. So different from the first time when I felt so disconnected from my baby and almost a little nuts after my epidural. Narcotics and me – Not a good combination!

So, those are a few of the reasons home birth works for me.

Based on my research, I believe there are times that hospital births put babies at higher risk because of unnecessary interventions. That doesn’t mean they can’t be safe. There are also many times OB’s and L&D nurses provide optimum care for their patients and save lives.

In either birthing environment, we can do our best to make wise, informed choices but in the end, the outcome isn’t really in our hands as mothers (or anyone else’s). My own faith in the divine leads me to believe that the best plan is to do the research, commit to a course of action with a care provider who shares our vision and move forward in confidence and without regret.

So friends – if you’re looking for a sermon on home birth from me or you want to feel guilty about your birth choice, you’re not gonna find it here!

How did you make choices about your birth?

Recovering from Miscarriage, 9 months and counting

By | Miscarriage, Parenting, Pregnancy | 4 Comments

It’s been 9 months since I had a life-threatening miscarriage due to hemorrhage in February 2011.  At the time, I promised to share a little from time to time about healing after miscarriage. So here are some glimpses into the past – almost year.

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April 2011

My moon-cycle (period, monthly etc) started today. I’ve been feeling grumpy, bloated, snarly, feeling giant and everything that sometimes accompanies that time of the month. When I saw that red today, I felt raw and vulnerable. Everywhere I turn I see pregnant women. Even my four year old notices it. As we watched another family walk into the store with three kids she remarked sadly, “You know, I really wanted us to have three kids in our family, Mom.” I gulped and said, “Me too, baby. We still may.”

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May 2011

This month one of my dearest friends, who shared both my early pregnancy journeys, came for a visit from out of state. It was both healing and heartbreaking. I loved seeing our kids together, playing happily. As I held her youngest and third little one, I squeezed his sweet, chubby rolls close to me and breathed in his perfect baby scent. And my heart felt squeezed a little too as tears rolled down my cheeks without my permission. I couldn’t help but think about the baby I should have been heavy with by this point.

I don’t begrudge her the joy of her baby, of course. I just wish mine could be here too.

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June 2011

The “real” bills are starting to arrive regularly and the dollars are adding up. At first, it felt like insult added to injury. Not only did I not bring my baby home, a miscarriage cost more than a live birth! I’ve decided instead of dreading those little square envelopes, I’m going to say a little prayer of thanks every time I open one. After all, if it weren’t for the ambulance service, hospital and doctors who are sending bills, I wouldn’t be here to worry about paying them!

postscript: YES!! Due to our being on a single income, we discovered that not one but TWO of our largest bills were completely forgiven. I spent an afternoon in happy tears and feeling gratitude for unexpected blessings.

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July 2011

I find myself thinking of my little one more and more as my due date approaches. Was the baby a girl or a boy? It doesn’t really  matter, I suppose. But seeing pregnant women who are just about the stage I would have been at this month sometimes brings a stab of pain to my heart. In my more tired, vulnerable moments, I find tears coming to my eyes.

But most of the time, I trust that my baby was just not meant to come for some reason. I am starting to recognize how different that pregnancy was from my first two. I wasn’t very sick – and I was wretched with my first two. I just felt different last time.

Fears about getting pregnant again definitely surfaced this month since I am at a point physically where I’m healthy enough to get pregnant. My cycle was regular within a month of the miscarriage but I wanted to build my system back up again after the severe blood loss. This month, I have to admit I’m completely back to myself. But, the thought of getting pregnant and possibly losing another baby or almost dying again really gives me pause. I spent about a week before my cycle was due reliving the experience, feeling that faintness and seeing blood everywhere. Maybe it’s kind of like PTSD?

Then, I reminded myself that one of the primary lessons I learned from almost not being here – was to BE HERE. I am determined to experience life to the fullest and not let fear hold me back. So, I put those thoughts out of my mind and decided I’d cross that bridge when I come to it.

August 2011 – November 2011

While I still miss my little one and always will, I am not morbidly depressed or constantly in mourning. This may be because I already have two children to keep me busy. I want to grieve in a healthy way but still stay engaged in life.

I am learning to speak of my baby – not only here but in “real” life too. I am open about admitting I have had a miscarriage when it is appropriate and I’m not afraid to stretch the realms of what is appropriate either. I hope that kind of honesty from me and others will open the door for us as parents, family and friends to mourn miscarriage loss as legitimately as the loss of  loved ones we have had a chance to meet and love in person.

Lastly, most of you know that we are again expecting a little one sometime next year. I hope this encourages those of you who’ve had a miscarriage – whether or not it was as physically dramatic as mine. There IS life and hope after grief and loss!

Please keep commenting and sending me your stories. My hope is that women searching for hope and encouragement will find this blog and your comments and know they are not alone.

Recovering Physically from Miscarriage & Hemorrhage

Recovering Spiritually from Miscarriage & Hemorrhage

Please pass this on if you know of someone who it might encourage.

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Pregnancy after Miscarriage

By | Miscarriage, Pregnancy | 2 Comments

Being pregnant after a miscarriage is very different from just “being pregnant”. In my first two pregnancies, I knew there was always a possibility of a miscarriage but I pushed it from my mind and chose to believe my babies would be healthy. After a miscarriage, that kind of mental discipline is a little harder to find.

There have been times on and off throughout my current pregnancy when I’ve particularly struggled. In my last pregnancy, I was about 11.5 weeks when I miscarried. In this pregnancy, that week just happened to fall during the week my miscarried baby would have been due. Talk about emotional! Other difficult moments happened between nausea and the time when I actually felt the baby moving.

After my initial week of terror at the thought of pregnancy after a scary miscarriage, I settled into an uneasy acceptance of my pregnancy. I chose to push aside terror but found that niggling doubts about the baby’s health still plagued me.

For example, I was reticent to be excited when people asked me about the pregnancy. What if I miscarried this baby too? Should I wait to announce it? Did I really want to have to talk about it if this baby didn’t make it? Were my pregnancy signs strong enough?

Early on, I asked Robert if I seemed different this time than in the miscarried pregnancy. He was unfailingly reassuring. “Oh babe, you are SO emotional this time – like you were with our other kids!” He sounded enthused as he says it. When I doubted that I was nauseous enough, he laughed “You’ve been really sick!” Again with the enthusiasm – over nausea! But, I appreciate his encouragement and love and I am glad to know that sign is so strong. Though, it is hard to think straight or get anything done when I’m nauseous 24/7.

In my doubt, I also reverted to my faith in friendship. We all need friends around us in the good times, the bad times and the in between times. Moments of doubt are the times I need friends to remind me to have faith and enjoy life even when it’s uncertain. That’s why I’m choosing to be honest with you, friends, about how this pregnancy has felt.

I don’t have a neat, tied-up-in-a-bow kind of reassurance for you today. If you’re pregnant after a miscarriage, it’s likely that there will be moments of fear and doubt in the midst of the joy. That’s ok. Pain and doubt are just as much as part of life as joy and certainty. The question is, will we let ourselves be crippled by doubt or hold on to hope in the midst of it?

For today, I will wrap myself in your friendship and choose hope.

I share my story in the hope that it will make you feel less alone. Please pass it on if you know of someone who it might encourage.

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