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July 29, 2010

Cesarean vs. VBAC

Filed under: Birth Videos,Education,Health,Pregnancy and Birth — Tags: , , , , — laurafields @ 6:00 am

I came across this video on Facebook recently.  It really shows the stark difference for moms, dads, and babies when comparing cesareans to vaginal births.  The mother in this video has two cesareans, then a homebirth.  The video is very emotional to watch.  It’s amazing to see the differences in her experiences, and also her husband’s reactions during her natural birth.

Cesarean vs. VBAC: A Dramatic Difference from Alexandra Orchard on Vimeo.

The American College of Obstetricians and Gynecologists recently released a new statement about VBAC, which you can read here.  If you’ve had a previous cesarean section, that doesn’t mean you’re automatically forced to have cesareans for future births as well.  If you’d like to learn more about VBAC, contact us, and join our local ICAN message board.

Baby Steps offers natural and prepared childbirth classes, breastfeeding classes and support, and doula services in the metro Atlanta area.  Current locations include East Point, Douglasville, Marietta, Kennesaw, Buckhead, Sandy Springs, Lawrenceville, and Decatur.  If these locations are not convenient for you we also offer private, in-home classes on your schedule.  Contact us for more information.  babysteps@babystepsonline.net

July 2, 2010

Does Baby Steps push (homebirth, unassisted birth, not vaccinating…fill in the blank)

Filed under: Classes,Education,Pregnancy and Birth — Tags: , , — laurafields @ 11:41 am

Anytime a company or person becomes semi-well known, there will be rumors about them.  It’s just the way of the world, and something we must all accept as an unpleasant side effect of being successful.  Mostly, when I hear things about Baby Steps, I hear that our classes are thorough, that we present information and support individual choice.  Occasionally, I hear (usually from people who have never observed or taken one of our classes), “You know, they really push ___________________.”  The blank might be homebirth, unassisted birth, not vaccinating, or whatever.

I understand how these rumors start.  I’m one of the founders of Baby Steps, and my 2nd child was born at home unassisted.   Yep, we planned it that way.  I loved that birth experience and wouldn’t do it any other way at this point.  I’m not afraid to share my birth story with people who are interested in reading it (it’s in our birth stories section if you’re one of those people).  In our Intuitive Birth class, we discuss homebirth as a valid, safe option.  That is, homebirth attended by a trained midwife.  In our class, we do not include planned unassisted birth in the curriculum at any point.  Were we to have a student planning one, we would be supportive, just as we’re supportive of the 80% or so of our students planning hospital births.  The only time unassisted birth comes up in our class is when we talk about what to do in the very unlikely instance that your labor goes so fast that you don’t make it to your birth place (or, if you’re planning a homebirth, your midwife doesn’t make it to your house).  If ever there is a study done on unassisted birth that proves it to be safe, maybe we’ll consider an addition to our curriculum.  However, our goal is to provide evidence-based information.  The evidence supports the safety of homebirth with a skilled birth attendant, so that is the information we provide.

In the United States, 99% of births take place in the hospital.  Studies on homebirth have shown that for low risk women, it’s just as safe as the hospital but with fewer interventions.  Almost all women who take our Intuitive Birth class are planning a natural birth and want few interventions.  We want them to think about birth place and birth attendant very carefully.  That is, we don’t want them to choose hospital birth by default.  Therefore, we provide information about homebirth so that they can make a conscious choice.  We also discuss birth attendant in great detail, since too often we pick an OB off an insurance list based on proximity to our houses, without giving much thought to whether that OB (or midwife) will support us in the kind of birth we hope to have.  Sometimes, we have students decide to plan a homebirth after our class.  Sometimes, they decide to stay with the hospital.  We don’t care which they choose – we’re just happy to know that when they chose, they had all the information they needed to decide what was best for them.  We only want the best for our students, and we know that the ONLY person who can define “best” is the individual woman who will be giving birth, with input from her partner.

As a group, doulas and childbirth educators tend to be pro-homebirth, anti-circumcision, pro-attachment parenting, pro-breastfeeding.  And sure, there will be a handful who push their preferences on others.  For the most part, though, what we hope for is a world where parents are able to make their own choices with the full support of us (their childbirth educators & labor support), their birth attendants, and their pediatricians.  For us it’s not about what the parents choose, but THAT THEY GET TO CHOOSE FOR THEMSELVES.

So if you hear that Baby Steps pushes _________________, don’t believe it.  If you’re a pregnant woman, come take our class and find out for yourself.  If you’re a doula, you’re welcome to observe a series as long as there’s space.  We try to be supportive of other childbirth educators and doulas.  We believe wholeheartedly that we’re all working towards a common goal: to improve the lives of families.  We see this not as a competition, but as a collaboration.  Above all else, we believe in the absolute necessity of supporting women and their partners in making their own decisions for their families, based on a thorough understanding of all the relevant facts.

June 1, 2010

Natural birth story with amazing pictures

Filed under: Parenting,Pregnancy and Birth — Tags: , , , , , — laurafields @ 6:34 am

Someone on our local ICAN group posted this story, and I loved it so much I emailed the mom to ask if I could repost it in our blog.  They got some really amazing pictures of the birth!  Enjoy.

May 3, 2010

Being the birth partner – what do you need to know?

This is a great article with some rules for birth partners to follow.  Yes, daddies-to-be, that means you.  This is a great starting point for learning how to support your partner during her labor.  Another great source is The Birth Partner, Second Edition by Penny Simkin.  It’s very important that you understand the process of labor and birth, that you have some general ideas about how you might offer your partner comfort during labor, and that you know her wishes for her birth experience extremely well.  A comprehensive childbirth class can make a huge difference in how both you and your partner experience labor together, and hiring a doula will give you an extra set of hands and the benefit of someone experienced to help you when the going gets rough.  You can find several doulas on the Baby Steps website, as well as through the Georgia Birth Network.

February 18, 2010

Why hospital birthers should care about homebirth

Filed under: Education,Pregnancy and Birth — Tags: , , — laurafields @ 7:40 am

In Georgia, midwives are unable to be licensed to attend homebirths.  This means that Medicaid and insurance companies typically will not reimburse for homebirths, so couples must pay out of pocket.  It also means that every time a midwife attends a homebirth, she risks being prosecuted for practicing medicine without a license, and that midwives often have a hard time establishing a really smooth transfer protocol to an obstetrician at a hospital, for those instances where a mother needs to go into the hospital during the course of labor.  This can make transfers stressful for midwives and families.

The studies on homebirth all say the same thing: homebirth is just as safe as hospital birth for both mothers and babies, with much, much lower rates of every intervention you can think of.  Outcomes are as good or better (when you consider morbidity as well as mortality), and women and babies are treated with the utmost respect, and labor intervened with only when truly necessary.  When safety is not an issue, why should the government be involved in telling women where to give birth?

If you are a hospital birther, you may be asking yourself what this has to do with you.  You have no interest in homebirth for yourself.  But think for just moment about what it means for the government to restrict ANY birth choice.  What if, instead, the government determined that since nearly one third of women who give birth in the hospital are put through surgery to do it, that hospital birth is clearly riskier than homebirth?  What if they said that even if you want a hospital birth, you must give birth at home?  What if they decide that since epidurals can result in paralysis or death, they are unsafe and you’re not allowed to have one?

If this were to happen, homebirth advocates would be just as vocal against it as we are about fully legalizing homebirth.  We support a woman’s absolute right to make the choices for her birth that she feels the most comfortable with.  You would have us on your side, because we believe that if you want an epidural, it is 100% within your rights to get one.  We would never dream of trying to force someone to give birth at home, and we would be outraged by a government pronouncement to that effect.

The only way we will see the licensing of homebirth midwives is if our politicians start to hear about homebirth from large numbers of people.  Only 1% of American women choose to give birth at home, and no matter how loud we are, the politicians just don’t care about 1%.  We need your help for our cause.  This is not just about homebirth; it’s about protecting the birth autonomy of ALL women.  Please contact your government representatives and let them know that this issue matters to more than just 1%.  We would do it for you.

December 30, 2009

Wordless Wednesday

Filed under: Birth Videos,Pregnancy and Birth — Tags: , , , — mcasserly @ 1:48 pm

The Birth of Amerlyn Grace

This is a really lovely birth slide show.

December 4, 2009

Is an epidural right for your labor?

Filed under: Classes,Pregnancy and Birth — Tags: , , , , , , , , , , — laurafields @ 11:25 am

The majority of American women choose to have an epidural during labor and birth.  Like most interventions, an epidural can be an important tool when used judiciously.  Occasionally, it can help prevent other complications.  However, an epidural has its own risks, and women should be aware of these risks to themselves and their babies well before labor begins.  These risks include:

  • Alteration of labor hormones and the entire course of a natural labor, often necessitating other interventions, like Pitocin to speed labor up, which have their own risks
  • Sudden drop in blood pressure
  • A need for catheterization
  • Itching
  • Nausea and vomiting
  • Breathing difficulties
  • Increased risk of postpartum hemorrhage
  • Severe headache
  • Rare, life-threatening complications for the mother
  • Changes in the baby’s heart rate, sometimes making a c-section necessary
  • Maternal fever, which can cause low Apgar scores in the baby, poor muscle tone, and in increased need for resuscitation, as well as prolonged hospital stays.

There are no long-term studies of the neurological effects of epidurals on infants.  Links have been found between epidurals and neurological issues and breastfeeding problems.  This article by Sarah J. Buckley has a thorough discussion of the risks of epidurals, complete with citations.

Some women choose to get an epidural because of fear of labor pain.  This is a normal response in our culture, which does not place value on experiencing labor.  Hospitals are often set up in a way that makes labor uncomfortable for women who are not medicated.  But there are many things you can do to have a comfortable, safe birth without medication:

  • Take a comprehensive childbirth class.
  • Hire a doula!  Doulas have proven statistical benefits.
  • Choose your birth attendant very carefully.  Your birth attendant should be comfortable attending natural births, and 100% supportive of natural birth.
  • Avoid induction without medical cause, which makes labor more painful and increases the risk to your baby.
  • Consider having a homebirth, which has been proven to be just as safe as hospital birth, with lower intervention rates and higher maternal satisfaction.

December 3, 2009

Thoughtful Thursday

Filed under: Parenting,Pregnancy and Birth — Tags: , , , , — mcasserly @ 9:58 pm

‘To know the way ahead, ask those coming back’ – Chinese Proverb

This is a profound and simple quote; especially apropos of childbirth. It’s been the quote on our MySpace page for the last few years because I believe this says it all. We are surrounded by experienced mothers who are experts in their own rights. There is so much to be learned from every birth experience.

The simplicity of the quote also reflects the simplicity of birth. Regardless of how many experts we consult, how many doctor visits, how many books we read or that looming due date – birth happens and birth is safe. There are so many women available to keep you company and hold your hand on your journey to motherhood – and we’re happy to do it.

Millions and millions have gone before you – all you need to do is ask.