There is hope…
Two weeks ago I came back home to South Africa after a full and busy tour of teaching and presenting in various countries in Europe. I don’t think I quite realised what I had signed myself up for when I said yes to all the commitments I had made but for three weeks I ended up either teaching or travelling every single day. This was my itinerary: 14-15 May, Additional Skills and Information Session Weekend for Doulas at DO-UM in Istanbul, Turkey 17-18 May, Helping Babies Breathe and other obstetric emergencies for home birth at Da a Luz, in the Alpujarras, Spain 20-24 May, An Introductory Course to Midwifery at Vale dos Homens, Portugal 26-31 May, book launch of Italian translation of my book, The Basic Needs of a Woman in Labour, in Rome and various towns on the island of Sardinia. I flew to Istanbul mid May to teach doulas and student doulas at DO-UM, a space run by Nur (the first ever doula in Turkey) and Sima. These two doulas are pioneering and bearing the torch of birth through education and birth attendance in Turkey. Turkey has a rising caesarian rate which matches our own here in the private sector in South Africa. The majority of births are attended by doctors and most end in caesarans. But DO-UM and other places are trying to shift this by offering doula courses, as well as childbirth classes for expectant couples. Then I went on to Spain where I spent two days teaching the last workshop of Da a Luz Midwifery School’s second year in operation. The school, is the vision and idea of Vanessa Brooks, a British home birth midwife residing in Spain. It is still a work in progress but what I have seen in visiting the place twice in the last two years, is that it is coming together very nicely, and growing as a course which supports women in choosing the path to true midwifery. Students sign up for a year’s apprenticeship and have the added challenge of having to provide completely for themselves in terms of accommodation (living in tents, vans, yurts, caravans, and one student even building herself a little cob hut), living off the grid and living communally. The school building, is slowly being built and has gone from being a pile of stones to taking on a majestic presence of its own. I look forward to seeing it when it is done but for now, classes still take place mainly outdoors, on rugs, on the grass, under the olive tree. I am very inspired by what Vanessa is doing at Da a Luz because we all know that there is something lacking in midwifery training nowadays, and that is often a lack of trust of the birthing process. Da a Luz aims to instil a sense of confidence and faith in birth. Last year I taught the Helping Babies Breathe course to a group of doulas in Portugal. After that course, there were numerous requests to build on that and for me to provide a longer, more detailed course, exploring some of the skills of midwifery. Hence,An Introductory Course to Midwifery was born. At the beautiful venue at Vale dos Homens we spent five days discussing, exploring and mostly laughing our way through basic midwifery skills, sharing birth stories and discussing what birth and midwifery meant to us. You can see more pictures from the course on the True Midwifery FaceBook page. After the course in Portugal I had to catch a plane to Rome where the Italian translation of my book, The Basic Needs of a Woman...
Read MoreAdvanced 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 MoreUnder the Shade of an Olive Tree, Midwives Gather in Spain
Firstly, it’s bloody hot here at Da-a-Luz. That I have to say. Dry, sweltering heat that leaves you sweating at the slightest movement once the sun is up. Yummy food sourced mainly from the local gardens and surrounding farms, goat’s milk, cheeses, honey, pears, aubergines, watermelons, zucchini, olives and olive oil. So good. I sit, writing this by candlelight in the caravan I am staying in…the sun has finally set and with it a bit of cool and the sounds of the crickets descend. I have just returned from collecting water from the spring with midwife Fiona and student midwives Hannah and Jennifer…we also cooled our feet after a long day of neonatal resuscitation training. For the past week, midwives and student midwives have gathered on cushions under the shade of an olive tree, sharing their stories, fears, hopes, dreams and hopes of births for the women they serve. And themselves. One thing is clear: midwives are frustrated at the state of how births are run in this world. They are shocked and angry at the soaring caesarean and intervention rates. When was it that institutions became the places to manage and control this mostly straightforward and holy life event? What I have learned is this: – get a bunch of midwives together and they will find endless birth related things to talk about, debate and discuss, from the complicated to the ecstatic, from the outrageous to the most undemanding. Sharing techniques, pearls of wisdom and skills. And midwives do not seem to grow weary of this subject either. But midwives and midwifery students feel tired and defeated too. Innately, they believe in women’s ability to give birth to their babies, but many midwives are tired of fighting against the systems that constantly claim this right. But there is something truly magical and inspiring that happens when midwives are given the time to get together and share and support one another in this time old profession they hold so dear. It is as though the little spark of hope that sometimes feels that it may be dying is fanned by the love and strength of other birth keepers. If there is anything I can recommend, it is for midwives to regularly gather to share in a non-judgemental setting. At the end of the day, we all want the same thing. Safe, empowering, beautiful births for the mothers and babies we serve....
Read MoreMidwifery in Spain
For the next ten days, I will be teaching at De La Luz in Spain. So far I have met and gotten to know the two midwives Fiona (from the UK) and Nina (from Germany) who reside here, as well as the Dutch student midwife Anne – who has built a beautiful clay home for herself already in the less than one year she has been here. They have all been living here for close to a year attending the course that has been taking place here. I have not yet met the three student midwives who are traveling from the UK for their ten-day placement. It is very hot at the moment and it is light until late at night. De La Luz is made up of ramshackle homes – caravans, tents, trucks, busses, domes, yurts, etc. The picture here is the school they are busy building…it seems much bigger when you actually see it. And quite beautiful. As you can see, it is still unfinished. They are busy raising funds to complete it. So for now, classes take place on a circle of cushions under the shade of an olive tree. Will keep you...
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