Tampilkan postingan dengan label fear during labor. Tampilkan semua postingan
Tampilkan postingan dengan label fear during labor. Tampilkan semua postingan

Minggu, 18 Januari 2009

What a calm, peaceful birth can look like

Here's the link to a wonderful video of a woman chanting throughout her labor. The lights are dimmed, candles are lit & the mother chants "Ommmm" & "Wowwwww" throughout her labor. This is an example of calmness by using your breath & voice to keep your body relaxed, loose, limp & open. In HypnoBirthing, we teach moms to use their breath to keep their body relaxed & limp. I always encourage moms to use their voice if they need to but to be sure it's a low voice. This video shows exactly what I'm talking about. This mother shows no signs of fear & truly embraces labor. She moves her hips, squats, & chants. I'll be showing my kids this video (along with the HypnoBirthing videos) someday so they can see what birth can look like.

http://www.dailymotion.com/video/x7yo8v_naitreenchantee_lifestyle

Enjoy!

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Selasa, 06 Januari 2009

An interesting & surprising birth

This birth story came from another HypnoBirthing practitioner...thanks Anita!

I simply MUST share this little story with you, as it is an example of how sometimes certain clients just don't fall into our categories.
In my series that concluded in October, I had a couple in their early 30s, expecting their first. She hired me as her doula because she was admittedly fearful of the unknown, but in her heart, she wanted to believe in birth. She just felt she would need that extra support. Since my doula services include HypnoBirthing, they took the class. They participated fully, did the relaxation exercises, and everything. Then came class #4, where we do the Birth Companion's Deepening Practice and I go around the room doing the wrist-drop on each mom. When I lifted this mom's arm, it felt like it was literally spring-loaded! I was shocked! I stayed with her for several minutes, saying, "Let me do all the work, soft and loose and limp..." several times. NEVER before have I felt such resistence to relaxing!
I finished the "round," and ended the class by emphasizing how important their daily practice is, and that the goal is to "go deeper, faster." I didn't want to call attention to my "discovery" during the exercise, and decided to address it privately with them when I did their prenatal home visit.
Well, when I got to the prenatal home visit, the husband told me how he discovered her "spring-loaded arm" in their practices together after the classes ended, and how he kept trying to get her to relax. She was starting to worry, based on his insistence that she wasn't relaxing, that she "couldn't do it right." I worked with her for several minutes in her home, trying several different little tricks (alternately tensing and relaxing, light touch, etc.), and still - never got to the point where her arms was "heavy-limp-relaxed."
But in our conversation, I heard no residual fear or tension around birth. She was really looking forward to it with great anticipation. The only "problem" now was her worry that she wasn't "doing it right." So, I didn't want to continue down that road. I turned it around, saying that I noticed how very cooperative she is in everything: she always did the reading, practiced her relaxation, listened to everyone, and even on the arm-drop, at a subconscious level, wanted to "cooperate" with whomever was leading the exercise. So I told her, "With that kind of cooperation, I'm sure your body will cooperate in the same way when you're in labor and breathing your baby out. When labor intensifies, remember that, and focus on cooperating with the force of your labor..." or words to that effect. I was going purely on instinct, and hoping it was right!
My first labor call came at 3:20 on Thursday afternoon. It was her husband, saying she'd been having a lot of surges through the day, and she just got home from having her hair done (I LOVE it when women have their priorities in order!), and now they were about 7-10 minutes apart. I told him this may or may not be "it," and for her to drink some water, have a snack and try to get some rest. I'd be on the "short leash" for them whenever they needed me. When they didn't call back, I sent a text message at about 6:30, not wanting to disturb them if they were resting. The next call came at about 10:20p.m. It was the husband, saying they went to the hospital to be checked (I immediately thought "aaah, damn - here we go..."), and...she's at EIGHT CENTIMETERS!
So I did a quick change, jumped in my car and headed to their hospital. When I got there, she told me she was afraid she was only going to be at maybe four, so she didn't want to bother me! And, if she was only at four, she was going to "scrap" the birth plan and get an epidural, because she couldn't imagine how much more intensity it would take to get to complete. But when she heard "eight," she decided she could wait for me:-). Baby was born at 1:24a.m. Friday. Beautiful birth, impressed the entire staff, and new family bonding and enjoying "baby-heaven."
Life is full of surprises...
Anita Butler, IBCLC,, HBCE, CD(DONA)
Support for the childbearing year
anita@kbutler.com
(916)524-1080

www.AWellLivedLife.Net
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Senin, 29 September 2008

HypnoBirthing & Interventions

This is from another HypnoBirthing practitioner from the UK. I thought it was worth sharing...

HB and Interventions


We teach our couples to negotiate and accept any 'necessary medical intervention', so I believe to describe a 'good/bad' HypnoBirth or refer to births as 'not a real HypnoBirth' is arrogant and bad psychology for our mums. It is nonetheless a HypnoBirth because HB at its best covers almost every eventuality.
In my early teaching days I was suitably evangelical and the 'p' words -pain & pushing - had no place in my vocabulary or my classes; the visualisations were exclusively of the 'perfect' HypnoBirth. When the inevitable 'necessary' interventions occurred - from a forceps delivery to elective c-section and emergency c-section - mums reported back to me that the lack of preparation for those eventualities had left them a bit lost at the time of their decisions to agree to the interventions and a sense of failure that they'd somehow done something wrong or 'failed' their HypnoBirthing 'final' - and leaving me wondering if I'd omitted something essential.


My own cousin had an amazing HypnoBirth - following a whole series of 'interventions' throughout her very difficult pregnancy. She had wanted a homebirth - massive fibroids made that inadvisable. Her baby was stubbornly breech, despite every turning technique and baby appeared to be doing his best to turn. My cousin was a vaginal breech herself; she changed consultant at 37 weeks to one who agreed to support a vaginal breech. At 41 weeks, the same consultant gently asked her to consider elective c-section. She took herself deep into self-hypnosis and following a dialogue with her body and her baby (ALL very valid HypnoBirthing skills) decided her baby needed help to be safely born. Her consultant at all times stressed that he would support whatever decision she came to - he respected her knowledge and ability to make informed decisions . . . which came purely from HypnoBirthing . . . and he would still support a vaginal birth if that was her decision.


She accepted the offer of the c-section, remaining calm, focusing love and good hormones - and oxygenated blood - down to her birthing body and her baby all the way and requesting lights/sounds/voices, etc. be considered for as gentle a delivery as possible. She adjusted her visualisations to include a gentle delivery and good recovery for herself and baby. This was an adjustment - a negotiated intervention, based on an informed decision (made possible by HypnoBirthing training), not a capitulation or, horrible word - failure.


Again, her surgeon did his best to give her a HypnoBirth. Baby was to go skin to skin with dad while she was 'busy' after the procedure and not to be taken to another room. As soon as possible, baby was to go to the breast. They modified their birthing preferences to take the changes into account - again, making their own informed decisions with every change that occurred. All good use of HypnoBirthing skills.


At the time of Jack's birth it was discovered the cord was twice around his neck, quite tight and thus and very short - which explained why he seemed to be making his best effort to turn and not quite making it. A vaginal breech could have been a bad decision.


As far as mum is concerned, HypnoBirthing worked for her and she's my greatest advocate. Without HypnoBirthing, she would have had no control or choices whatsoever - it would all have been taken over and become a totally medical procedure. As it was, she and her husband used all their HypnoBirthing knowledge and skills to effect the very best birthing experience they could in the ever changing circumstances surrounding Jack's birth day.


Jack - now 10 months old - is an amazing little boy - a glowing example of what we describe as a HypnoBaby, successfully and exclusively breastfed and the most blissful parents you could wish for.


So yes, HypnoBirthing works - DESPITE any circumstances that prevail. HypnoBirthing works - if the parents have total confidence in their ability to make informed decisions. Continuing calm and relaxed, breathing down and communicating with baby exactly as for a vaginal delivery - explaining to her body what is happening and visualising healing afterwards - as hypnotherapists, exactly what we would do to prepare for surgery, ensuring no post-op shock and good recovery.


My teaching now includes mention of this - and urges parents to adjust to any change in circumstances without disturbing the calm focus and continuing with their HypnoBirthing breathing until baby is in their arms.


With Birthing Preferences - they will make a few notes under an 'EVEN IF' section, then put them out of sight. I use the words "EVEN IF" in response to parents' question of "WHAT IF?" It suggests a smoother process and an acceptance that nature's way isn't always the quick and easy way, but HypnoBirthing will still be there for them - working away "as if by magic". Knowing the contingency is there reassures them of continuing control and keeps the fear away.


This is a long post - but this minor emphasis has changed things for my mums who do accept necessary intervention. They still feel empowered and, just as importantly, that HypnoBirthing didn't let them down when it counted.


Geraldine Vinall

Essex UK



Thank you Geraldine for your insight & wisdom...I feel it is our job as HypnoBirthing practitioners to educate our clients to have true informed consent & to empower our clients to have the best birth they can have. Your words ring true...



http://www.awelllivedlife.net/

http://www.awelllivedlife.blogspot.com/

Rabu, 20 Agustus 2008

Childbirth after Previous Birth Trauma

Here is some information about a new Study on PTSD (Post Traumatic Stress Disorder):

Subsequent Childbirth after Previous Birth Trauma:
In order to help clinicians provide better care to mothers who are having a subsequent childbirth after suffering through a previous traumatic birth, Cheryl Beck (Professor at the University of Connecticut) and Sue Watson (chairperson of TABS) are now conducting a research study on this topic.

Women who have had another child after having experienced birth trauma are invited to participate in this research study. Just like Professor Beck's previous studies on birth trauma and PTSD after childbirth, this study will be conducted over the Internet. Mothers will be asked to describe their experiences during pregnancy, and labor and delivery after having suffered a previous traumatic childbirth.

If you are interested in participating in this research or wish to find out more about this study, please contact Professor Cheryl Beck directly at the University of Connecticut. Her email address is Cheryl.Beck@uconn.edu.

http://www.awelllivedlife.net/
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Minggu, 22 Juni 2008

A HypnoBirthing testimonial

Hi Carol:

I want to take a few minutes and share with you that I, like many, had a misconception about hypno-experiences, as the idea of being out of control or susceptible to outer influences was a turn-off. I found that in Yoga classes I had too much mental chatter, for example I would make note list of all of the errands I needed to do; either that, or I would be in the back of the class cutting jokes and not entering “the zone” or finding the opportunity even remotely Zen-like. The other students seemed to find a peace and sense of surrender that I envied.

It was not until preparing to give birth that I came to realize that it is that exact type of experience that would enable me to have the most miraculous day of my entire life! Being alert, receptive, and non-sedated during every moment of the childbirth experience contributed to making my first day as Mom even a greater personal achievement. My husband, right at my side, was my coach (trained partner), and the exercises we had practiced helped us focus, block out pain, and most importantly, keep me calm! My commitment to learning the skills in the classes prepared me for a total drug-free experience; my reward being a brand-new human being that literally crawled across my body in her first minutes. Fully present, I watched her latch right on to the “leche mobile”. It was pure heaven!

There is absolutely nothing that has been a more rewarding/organic experience as the morning my firstborn entered this world. Without the skills that are instructed in HypnoBirthing, I would not have been so sure of my commitment to going totally natural, nor would I have had the discipline to stick with the initial pains of nursing. My surrender to a more healthful, less risky approach was a form of empowerment that has made me a stronger person, and to this day I use the same skills to get through physical pain, as well as to find calm during those days I wish I could just bury my head in the sand. I might need a HypnoLiving course (if there is such a course) soon, as a little refresher, though!

I praise you, Carol, for your gift that you offer the community and am happy to share my story. The money and time is an investment that will be life-altering to many. What a bargain!

Thank you,

Stacey Ross
San Diego Bargain Mama~For Moms Who Love to Find Deals
www.SanDiegoBargainMama.com

www.AWellLivedLife.Net
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Rabu, 20 Februari 2008

The Chemistry of the First Breastfeed

The Chemistry of the 1st Breastfeed
Falling in Love: The chemistry of the first breastfeed
There are many different types of love: sexual, romantic, platonic, filial, maternal, paternal, spiritual, love of self, love of country, love of possessions to name a few. Love for our mother, our first love, could be the pivotal love around which we build our ability to love in every other way.

This paper will look at the chemistry that is involved in the baby's first opportunity to love at that crucial time surrounding birth and the consequences of denying that opportunity. Love is as important to the individual as it is to their society and our world.

At the time of birth, and for about an hour following birthing, the mother and her newborn baby are swamped in a cocktail of hormones. This time is a crucial time for the mother and baby to bond, to become attached to fall in love.

A baby born after a normal, unmedicated birth and immediately dried and placed in his mother's arms on her bare chest gives an initial cry but quickly becomes quiet and alert, seeking visual contact with her. He rests for awhile, looking at his mother intermittently. This is followed by lip-smacking, and mouthing of the fingers begins, with an outpouring of saliva onto the baby's chin. Then the baby begins to inch forward with his legs to push strongly into the mother's lower abdomen. His hands reach from his mouth out to her chest and breasts, moistening her nipples with his wet fingers. When he reaches the tip of the sternum, he bounces his head into her chest. While moving up, he often turns his head from side to side. As he comes close to the nipple, he opens his mouth widely and, after several attempts, makes a perfect placement on the areola of the nipple and begins suckling.

The baby's heart rate and respiratory rate are rapidly stabilised, oxygen saturation remains normal and thermoregulation is rapidly achieved. There are no signs of stress.This species-specific set of innate behaviours is governed by and responsible for the release of the neurotransmitters that will influence the baby's and mother's relationship for a lifetime.

The hormones (neurotransmitters) involved: Interesting studies have been conducted on voles. The prairie vole, or prairie dog, is one of only a few mammals that are monogamous - they mate for life with one partner. Both parents nurture their young and the adult pair spend most of their time together. The montane vole, a close cousin of the prairie vole, on the other hand, is very promiscuous; its life being filled with one-night-stands and is uncommitted to either a partner or their own offspring. Very little genetically separates these two animals...only the presence of receptor sites for oxytocin in the area of the brain responsible for reward and pleasure, the limbic system, being one that the prairie vole has but the montane vole does not.

All of the neurotransmitters, the chemical messengers, that are involved in love and loving, care and being cared for and our emotional state arise from the Limbic System. This is an 'old' part of the brain, sometimes referred to as the 'mammalian' brain. Responses that arise from this part of our brain are not under the control of our 'thinking' brain, or the neocortex. Oxytocin is produced in the hypothalamus, a part of the Limbic System, and sequestered in the posterior pituitary gland to be released in a pulsatile manner when stimulated. This stimulation could occur from sharing a meal with friends; in response to a hug from a friend; while making love; during birthing and immediately after birth; and it is an integral part of breastfeeding. Oxytocin is described as the 'hormone of love' because it is consistently involved in all forms of love.

All of these releases of oxytocin occur during a form of love. The hormones present at the same time as the oxytocin release determine how this love is directed. For example, during a shared meal with friends, oxytocin causes sociability; during romantic love oxytocin in the presence of high levels of dopamine and low levels of serotonin stimulates a desire for caring love making. When high levels of testosterone are present it causes sexual lust. In the presence of prolactin, the love is directed at nurturing and"mothering", and sexual desire is suppressed. Oxytocin also causes a reduction in stress and later stress-related diseases. For oxytocin to have an effect on behaviour it must be available to the brain and for the brain to have receptors for it. Oxytocin cannot pass from the peripheral blood stream back into the brain - ie, artificially administered oxytocin cannot enter the brain and cause behavioural effects.

Around the time of birth oestrogen, progesterone, and prolactin blood levels are reaching all time highs in the mother, and circulating into the fetus. Beta-endorphin has also been steadily rising throughout pregnancy peaking at high levels during labor in response to the pain felt, and is also generated by the fetus. Oxytocin is released in a pulsatile manner periodically throughout the pregnancy by both mother and fetus, while labor is characterised by strong pulses of oxytocin that cause uterine contractions. After birthing Matthiesen et al (2001) reported a significant rise in maternal oxytocin in response to the massaging movements as well as the suckling of the newborn baby. During the last contractions before the baby is birthed, adrenalin blood levels peak. Each of these hormones has its own characteristic effects, and in combination they are dynamite!

Beta-endorphin is a naturally occurring opiate that, like other opiates, acts as an analgesic, inducing feelings of pleasure, euphoria, and dependency or, with a partner, mutual dependency. Beta-endorphin is found in high concentration in pregnancy and increases throughout labor when levels of beta-endorphin reach those found in male endurance athletes during maximal exercise on a treadmill. It influences the beginning of attachment between mother and baby. Beta-endorphin is also found in colostrum - the neonate receiving it from his mother transplacentally prior to birth and more as soon as he starts to suckle, as well as his own endogenous production.

Prolactin is the 'mothering' hormone, regulating maternal behaviour and suppressing sexual desire. Oxytocin and prolactin together in high concentrations after the birth of the baby cause the mother's love to be directed toward her baby. The innate behaviours exhibited by the baby when placed on his mother's chest combine to increase oxytocin and prolactin levels in his mother - you could think the baby is pre-programmed to make his mother love him. Adrenalin is the stress hormone - not usually associated with oxytocin! However, in normal birthing it only appears during the last couple of contractions prior to birth. The action can be seen in the mother as she gains energy, focus, strength, and alertness and may complain of thirst. The baby also gets a burst of adrenalin - being born alert, wide-open eyes and dilated pupils. The mother is fascinated by the newborn's eyes - returning the gaze like star-struck lovers. The scene is set for a dependent baby who wants and needs love and protection, born to a mother who is primed to love strongly and protectively.

How could this go wrong? Easy - introduce both to the technological world of birthing. A mother who doesn't understand or trust her body puts her fate and that of her baby into the hands of a paternalistic system where birthing interventions are the norm. The chemical cocktail gets shaken, not stirred! Fear early in labor causes the labouring woman to release stress hormones, which inhibit oxytocin release and therefore contractions. So begins the cascade of interventions that start with an exogenous source of oxytocin that is unable to reach the brain to cause desirable behavioural responses, but increases labor pain levels to such an extent that analgesia or anaesthesia will be necessary. This in turn increases the incidence of birth complications, inhibits the release of beta-endorphin, and makes both mother and baby drowsy and less-responsive to each other. Baby is quickly separated from his mother for resuscitation.

A baby separated from his mother is stressed! Stress and love are mutually exclusive! Picture the newborns contorted facial expression, the exaggerated body movements, the crying, and know that there are undesirable changes in heart rate, respiratory rate, blood pressure, oxygen saturation, vagal tone and plasma cortisol. These are the signs and symptoms of stress. Raine, et al (1997) studied criminals at 18 years of age, and the same cohort at 34 years of age. In both studies these researchers were able to predict which ones committed a violent crime (ie rape, murder, robbery, domestic violence and assault) by studying their birth records. The violent offenders were the ones who experienced a complication during their birth (eg. forceps delivery, breech delivery, cord prolapse, preeclampsia, or long birth duration) and experienced maternal rejection. Odent (1999) describes this as the ultimate form of an inability to love - no love for self or others or society. There are other studies, particularly in the psychological literature, describing the effects of birth trauma and a failure to love or be loved at birth and long-term psychological and psychiatric defect. The number of children reported to authorities in Australia as suffering some form of abuse in 2003/4 totalled 146,562. The age group most affected were babies less than 12 months old.

With increasing medicalisation of birthing and thoughtless separation of mother and baby the picture is not pretty, but we can do something very basic, very quickly, with minimal cost . and it starts with empowering women to trust and care for their bodies and trust in normal childbirth. After a natural birth it is a natural response to put the newly born baby into his mother's arms to be held against her bare chest, but essential that this is done after a birth where there was any intervention. When birthing has been disturbed, the mother and her health carers must work extra hard over the next few hours and days to re-create an environment that will cause oxytocin and prolactin and beta endorphin to flow naturally in both mother and baby, giving them every chance to fall in love with a love that will last the baby a lifetime.

Bibliography:
Australian Institute of Health and Welfare. Child Protection Australia2003-04. Retrieved 11/2/05 from:http://www.aihw.gov.au/childyouth/childprotection/index.cfm
Buckley, S. (2002). Ecstatic Birth: The hormonal blueprint of labor.Mothering Issue 111. Retrieved 30/3/05 from:http://www.mothering.com/articles/pregnancy_birth/birth_preparation/ecstatic.htmlEconomist, Science and Technology. The Science of Love. I get a kick out of you. Published 12 Feb 2004, retrieved 11 Feb, 2005 fromhttp://www.economist.com/printedition/PrinterFriendly.cfm?Story_ID=2424049Fisher HE, Aron A, Mashek D, Li H, Brown LL., 2002. Defining the brainsystems of lust, romantic attraction, and attachment. Arch SexBehav;31(5):413-9.Lewis T, Amini F, Lannon R. (2000). A General Theory of Love. Vintage House,NY.Matthiesen AS, Ransjo-Arvidson AB, Nissen E, Uvnas-Moberg K. (2001).Postpartum maternal oxytocin release by newborns: Effect of infant hand massage and sucking. Birth; 28(1):13-9.Odent M. 1999. The Scientification of Love. Free Association Books, London.Odent M, Preventing Violence or Developing the Capacity to Love: WhichPerspective? Which Investment? Retrieved 11/2/05 from:http://www.birthpsychology.com/violence/odent1.htmlPorter FL, Grunau RE, Anand KJ. (1999) Long term effects of pain in infants. J Dev Behav Pediatr.;20(4):253-61Raine A, Brennan P, Mednick SA. (1997) Interaction between birthcomplications and early maternal rejection in predisposing individuals to adult violence: specificity to serious, early-onset violence. Am J Psychiatry; 154:1265-1271Rand ML. As It Was In The Beginning: The Significance of Infant Bonding in the Development of Self and Relationships. Retrieved 11/2/05 from: http://www.birthpsychology.com/birthscene/ppic2.html#asitwasZanardo V; Nicolussi S; Carlo G; Marzari F; Faggian D; Favaro F; Plebani M.(2001) Labor Pain Effects on Colostral Milk Beta-Endorphin Concentrations of Lactating Mothers. Biology of the Neonate; 79:87-90Paper presented at the Australian Breastfeeding Association "HealthyChildren, Families and Communities" Workshop in Canberra, ACT. 17 March,2005.Last revised: 30 March, 2005.

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