This Above All:
to thine own self be true, And it must follow, as the night the day, Thou canst not then be false to any man (or woman). From Shakespeare – my words of wisdom for today. In the thick of preparing for the Cape Town Midwifery and Birth Conference so not getting much chance to write this week. If you are in Cape Town you should come – it is an awesome conference. Hope to see you there....
Read MoreBungie Jumping Baby
It was her third baby and first home birth and she had created a beautiful warm cave for herself in her bedroom. Dim lights. Birth pool. Candles. Lovely burning oils. Hypnobirthing cd playing in the background. Safe and warm and cosy. But labour had slowed down since she had gotten to fully dilated and we waited patiently for labour to pick up again. And it just didn’t. And so the difficult decision was made to move to the nearby hospital to seek assistance. I packed the car while Marianne stayed with the labouring mother and once we were ready to go, we made the slow shuffle across the much colder and starker open plan kitchen/dining area/sitting room to the front door. The slow shuffle of a labouring woman. A few slow steps forward and then stop to swing her hips as a contraction surges through her. After a few steps, the baby’s head was suddenly on her perineum. BOOM! Plans changed…baby was going to be born on the kitchen floor. I ran to get our equipment out of the car again and then knelt down behind the mother who was standing and rocking her hips. Marianne and I sat, to the back and either side of the mother, averting our eyes so as not to make the mother feel observed, waiting for the head to emerge. But then out of the corner of my eye I saw the entire baby shoot out of her mother in one big push. Reflexes I didn’t know I had dived to catch the baby, centimetres before she hit the floor. Old classmates will attest to the fact that I was no good at catching balls at school. But catching babies…well…I think this particular birth was certainly an initiation of...
Read MoreMy Mother was the First one to Touch my Baby
Thursday 11 October 2001 I fell pregnant when I was 20 after returning from a hitchhiking session through Europe with my younger sister, Kate. I came back home to pack up and move to Ireland to study drama but when I realised the constant nausea was morning sickness, I made plans to move to a nearby farm community. I wanted my child to be born into the world in a natural setting. I had grown up on a farm North West of Ceres and my mother while not trained to, had fallen into the role of being the farm labourers’ midwife. When I was expecting my first baby, I saw no reason why my mother should not be the person to support and assist me. I wrote the following two years later when I was expecting my second child. * I woke up with a desperate urge to shit at about one in the morning. I went to the toilet, came back to bed again and lay down again. I tried to sleep. Again, I wanted to poo, so again I went to the toilet, relieved myself and came back to bed. I tried to snuggle up to Nolan but my boep* was in the way, so I turned around and tried to sleep. Again, I needed to poo, so off I went, but this time only dribbles of shit came out. My abdomen cramped. I went back to bed. The cramps kept on coming. Building up…building up…building up…ebbing away…ebbing away…ebbing away… I sat up. I put on the bedside light. I sat and felt the pains come and go…not sure. Scared to wake Nolan up. Eventually I did. He sat up immediately… I phoned my mother. She was at a friend’s house. She told me to time the contractions. If they were less than a minute apart, she said, I would have to go into hospital because she wouldn’t able to get to me on time. My mother was going to go and fetch my sister Kate and then would be on her way. I timed the contractions. 1 minute and 35 seconds apart. 1 minute and 20 seconds apart. 1 minute and 40 seconds apart. They felt fast and hard. I panicked. I didn’t want to go into hospital. I was set on a home birth. The night before I had read (funnily enough) that to relax and slow down labour, a warm bath would help. Nolan ran a bath while I tried desperately to breathe through the rushes of pain. Breathing was impossible and painful, unbearable. Easier to grit my teeth, not breathe and bear it. Once in the bath, great relief flooded my body. I relaxed in the pink hue of the candlelight. I could begin to breathe with the pain. I phoned my best friend Nikki (who was studying in Jo´burg) from the bath. Nikki phoned me back from her dad’s cell phone. So good to speak to her, wished she was there, so far away. Nolan had been instructed by my mother to line the bed with black bags. To get all our towels and sheets together. To put a pot of water, with a pair of scissors and a string in it, on to boil I ate a paw-paw in the bath. After an hour in the bath, I got out, wrapped in a white towelling bathrobe. The starkness of the light in the kitchen brought on the pain tenfold. It slammed into me. At that moment, my mother arrived in a rented car. I hung on her. Hello Mom. Back in the...
Read MoreThe Fetus Ejection Reflex
One cannot help an involuntary process, the point is not to disturb it… If the labouring mother has had her basic needs met during the first stages of her labour, her body will prepare itself for something called the Fetus Ejection Reflex. What are the basic needs of a woman in labour? To feel safe To leave the thinking brain (the neo-cortex) switched off Silence Darkness or low lights Warmth Not feeling observed No adrenaline It is very important that the labouring mother has utmost privacy during this time, otherwise the fetus ejection reflex will not take place. How does it occur? When a fetus ejection reflex is about to take place, the mother will suddenly become fearful and will say things like: “I want to die!” or “Kill me!” It would be a mistake at this point to try to soothe or placate the mother with reassuring words. Soon after this there will be some very strong contractions. The labouring mother will suddenly be full of energy and she will want to be upright. The baby will be expelled in a few strong contractions. The Fetus Ejection Reflex is different from what we know as the second stage of labour, which is when the mother has to actively push the baby out. When a true fetus ejection reflex takes place, the likelihood of the mother tearing is very low and the placenta should only take a few minutes to separate. A fetus ejection reflex cannot take place if the basic needs of a woman in labour have not been met. Read more on the Fetus Ejection Reflex...
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