Holding Death as Birthkeepers
“…if you are a birth keeper, you must also be a death midwife. If you support people to enter the earth realm, you must also become a midwife for those who pass on.” – Dr Mmatshilo Motsei The first time I ever saw a dead body it was a baby. I was 9 years old and we had very recently made the move to the farm. The little girl had been born on the drive to the hospital after her mother had gone into labour on Christmas Eve. She had emerged whilst the bakkie (the pick up truck) was winding down Gydo pass, to the town of Ceres. She had lain, wet and alone, at her mother’s feet and had begun to grow cold. By the time they had reached the hospital she was no longer breathing. (You can read AN’NOOI’S BIRTH STORY here) At the funeral, which was held in the bushman graveyard on the farm, her father unscrewed her little coffin for us to all see. The coffin was no bigger than a shoe box. She was perfect. Beautiful. Angelic. I will never forget her face and her little fingers. Her little body dressed and swathed in silken white. She looked like she was asleep… There was something so pure, so innocent about this death. Her mother sobbed at her graveside whilst the rest of us looked on not knowing what to say. My mother had been asked to oversee the funeral, she wore a big sun hat and read from the Bible. The women began to sing as the tiny coffin was covered in sad and red clay soil. Assie verlossers huis toe gaan Assie verlossers huis toe gaan Oh Here help my dat ek kan saam gaan Assie verlossers huis toe gaan (When the saviours return home When the saviours return home Oh Lord help me, that I may return with them When the saviours return home) ——————————————- Birth should be about life shouldn’t it? And yet, as Mmatshilo’s quote illustrates, we cannot work in the realm of birth without knowing that death walks along this life giving force as well. “We come from spirit, come from light, shining in the stars at night” – Martyn John Taylor (SHINE) The fact that birth and death carry a similar energy became evident to me after I experienced the massive loss of having my mother, my sister and my step father wrenched from this life. Whilst I grieved, I also noticed the familiar tenderness that comes with the thinning of the veils, the sensitivity, the vulnerability, the same openness that I had carried after giving birth. BIRTH AND DEATH ARE INFINITELY INTERTWINED It is very difficult to talk about and face death when it accompanies birth. And yet it is a conversation that needs to be had. How do we hold Death as birth attendants, birthkeepers, as space holders for birth? I am not sure that I have the answers … but I do my best to initiate conversations and to create safe spaces for us to explore these topics that are so emotive and important in this work. The following True Midwifery online offerings will explore this topic in depth and from different perspectives, in a safe and held container and within a beautiful community: 25 July 2024 – STUDY SPIRAL: Holding Grief and Loss in Pregnancy and Childbirth with Nadia Maheter 4 September 2024 – 15 January 2025 – Birth First Aid for Mother and Baby 14 November 2024 – 13 November 2025 – Silent Birthkeeper: One Year Immersion into True...
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The First Time I Ever Resuscitated a Baby on my own I remember the first time I had to resuscitate a baby on my own. It had been a fairly average first labour. It started in the middle of the night and trotted along into the new day. The mother was surprised at the intensity of the surges but she rode them quietly and stoically. The emergence of the baby was slow and as her mother crouched, she was born gently onto the floor onto a soft pile of towels. Some mothers scoop their babies up immediately, while others take their time, looking, smelling, and touching. Still, others need to take their time, first processing the enormity of the event before being able to look and engage. As long as the space is warm and the mother and baby are left undisturbed all are variations of normal. In this case, the mother was slow to interact with her baby, I believe she was initially taken aback at the sight of her newborn. It became evident that this baby was not responding after being born, not showing much muscle tone and not breathing. Helping Babies Breathe I had recently been trained in the Helping Babies Breathe (HBB) programme as a facilitator through Operation Smile and worked as a volunteer for some of their educational missions in Africa. What I love about this programme is its simplicity: its focus on normal birth, preparedness, its understanding for working in low-resourced and out-of-hospital settings, as well as the all important MotherBaby needs like skin-to-skin and not cutting the umbilical cord. As a skilled birth attendant, you make a difference In the HBB programme, we are taught that the majority of babies are totally fine at birth and require little more than skin-to-skin contact with their mother – but that around 10% require gentle assistance in transitioning from womb life. These are some of the skills we will be focusing on in the upcoming Birth First Aid series of workshops that I will be offering for the month of November. Extreme neonatal resuscitation is rare in healthy pregnancies and births and usually is an indicator of some other underlying issue. Why Birth First Aid? If we are attending births on a regular basis, especially when a birth is left to unfold as it should, we come into contact with the beauty and simplicity that is birth and we receive the regular imprint that birth works and that birth is safe. But every once in a while, nature throws us a curve ball, and in the same way as we expect someone who works with children to be prepared if a child chokes, we want to be prepared for those rare times when a mother or baby does require assistance. In the case of the birth I was describing at the beginning of this post/letter – it felt clear that this baby was struggling. Muscle memory from my HBB training kicked in, and with her cord still attached and intact, between her mother’s legs on the floor, we worked together to gently remind her that she needed to breathe. And she did… I invite you to join us We will be gathering weekly for the month of November on these dates: 2, 9, 16, and 23 November 2022 via zoom from 11am – 2pm SAST (GMT+2) COST: 130 Euro / 130 USD / 1250 ZAR All sessions will be recorded and made available to you for one month after the call For more information or to book your place please email me at truemidwife@gmail.com What we will cover over...
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