Advanced Doula Workshop in Portugal
Alex and I connected for the first time around nine years ago and the reason we connected was around birth and midwifery. We are not quite sure where and when it was that we first heard of one another but I do remember hearing via various whispered sources about this brave young French woman who was living very simply on a very isolated farm in the Eastern Cape, South Africa, and who had chosen to give give birth unassisted to her first baby. (You can read the story of Alex’s second birth, also a free birth, outdoors in the Eastern Cape, here). Alex and I first chatted online. I was pregnant with my third child. We discussed our births and shared our dreams of one day becoming midwives. Alex was the first person to ever tell me about Lotus Birth and highly recommended I try this for my next birth. I imagined birthing in a room filled with scented flowers, visualising myself opening like a flower for the sun to birth my baby. I have to admit, I was slightly disappointed to find out that all a Lotus Birth required was not cutting the cord of the baby and waiting the 5-7 days for the cord to naturally fall off. Alex, along with her husband Yan, and their good friend Ole, pioneered the intentional community Khula Dhamma, initially founded on Vipassana principles. Over the years, our families met regularly, both in Cape Town and at Khula Dhamma and needless to say, Alex and my conversation would steer towards birth and midwifery. We shared our stories and experiences and always, we strongly resonated regarding birth and our implicit trust in women’s abilities to unlock (when given the opportunity) something deep and powerful within themselves. Four years ago, Alex and her family left South Africa and lived in Brazil for two years before finally settling in Portugal. Alex has been inviting me to come and visit for a long time and when she heard I was going to teach in Spain she invited me to come and teach some of the doulas in her area too. So after my ten-day teaching stint at De-a-luz in Spain, I traveled on three busses to the Algarve in Portugal. So this last weekend, doulas from Portugal came and we discussed mostly our experience of birth(amazing how birth-y people never seem to tire of this subject!), spoke about creating the optimal environment for a a fetus ejection reflex and physiological birth, and learned some skills around resuscitating babies as well as some basic but essential obstetric emergency skills. The question was asked as to why these would be skills a doula should learn since a doula’s role is to provide non-medical support to the mother. The answer is quite simple: The World Health Organisation states that one million babies die each year from birth asphyxia (an inability to breathe at birth) and recommends that every birth have an attendant skilled in neonatal resuscitation. If you are attending births regularly, you may find yourself in a situation where a baby is not breathing, or where a mother is bleeding more than usual, or has a prolapsed cord…You may be alone with her, or you may be at a home birth with a midwife, or driving in a car, or even be in a hospital. You may be the only one who can deal with that situation right then and there before the mother and baby can be transported to hospital, or you may need to assist, or you may just need to support a mother and her family during...
Read MoreMichel Odent Reviews my Book…
I asked Michel Odent to review my book, The Basic Needs of a Woman in Labour. Who is Michel Odent? Dr. Odent started his medical career as a surgeon and became involved in birth when he was put in charge of a hospital in Pithiviers, outside Paris. He soon realised that hospitals were not conducive to a woman in labour. They were too bright, sterile and uncomfortable and lacked privacy. He was the first person to introduce low beds (easier for a labouring woman to climb in and out of), dim lighting, beautiful home-like rooms, and eventually water as a form of pain relief, in a hospital setting. The hospital in Pithiviers was so successful that many people came specially to have their babies there. Dr. Odent was there from 1962 to 1985. He worked with six midwives and oversaw approximately 1000 births per year. The hospital’s maternity section had excellent statistics with low rates of intervention. He eventually moved to London and became a home birth midwife there. Again, he was able to make many interesting observations through his experience there. Later he founded the Primal Health Research Centre He works with a doula called Liliana Lammers. Together they run the Paramana Doula course in London. Liliana is a quiet and unassuming woman who holds an incredible strength in doing very little at a birth. She is able to hold a space with her presence alone, a quiet strength. She must make a woman feel very safe in labour. Through his many years (more than half a century) of attending births (around 15 000 births) in both hospitals and at home, Dr. Odent has come to the conclusion that a labouring woman needs not much more than to be left alone, simply to be attended to by a quiet, non-invasive and low profile midwife. The little 24 page booklet I wrote is a summary of what I have learned from attending Michel Odent and Liliana Lammer’s course in December 2010, by reading Michel’s books, and from my own experience and work with pregnant and labouring women. I received his feedback a few days ago…I am honoured and humbled by his feedback and it took me a few days to process the immensity of his review before I could bring myself to share it. Here it is: There are two important published documents about birth physiology and the basic needs of labouring women. The first one is an enormous book written thousands of years ago. In the very first pages of this bestseller, there are some lines suggesting an association between the consumption of the fruit of the tree of knowledge (translate knowing too much or having developed a powerful neocortex) and the difficulties of human birth. At the end of this book, we can read about the birth of a legendary man whose mission was to promote love. His mother found a strategy to overcome the human handicap: with humility she gave birth among non-human mammals, in a stable. The second document is the opposite of the first one in terms of size. It is a booklet by Ruth Ehrhrardt. To bring together what is important in such a small number of pages is a feat. I hope that, on the five continents, all pregnant women, midwives, doulas, doctors, etc. will take the time to assimilate the contents of this chef d’oeuvre: it will be a turning point in the history of childbirth and therefore in the history of mankind. – Michel Odent...
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