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BirthWays Newsletter

Preparations

February 29, 2012

In this issue:

- Ask the Midwife: Preparing for Pregnancy
- Our Donor: He’s One in a Million
- Honoring the Placenta
- Amera’s Birth Story

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Tips from a Midwife:
Preparing for Pregnancy

By Michelle Edgar, LM, on behalf of East Bay Home Birth Midwifery

Making the decision to start a family or add a new member to your brood is exciting. There is a lot you can do before you conceive to prepare yourself and your family for a healthy pregnancy, beautiful birth, and empowering experience.

Pregnancy, birth, and parenting an infant are intense times in our lives. Changes in identity, relationships, physical ability, and income are a few examples of what many parents navigate during this time. Before becoming pregnant is an ideal time to connect with other parents and, if you are partnered, talk with your partner about how you see yourselves working together through this amazing time. Also, talk about your preferences when it comes to testing done in pregnancy, birthplace, maternity care provider, and immunizations for your child. Become informed consumers – learn about all the options available to you. There are so many wonderful resources in the bay area for prospective parents (explore the rest of the Birthways website for some ideas).

Optimize your health now. There may be dietary or lifestyle changes you want to make before becoming pregnant such as: reducing daily stress, beginning an exercise program, or getting to an ideal body weight. OrangeOur diets and exposure to environmental toxins can have a great impact on our overall health and, in particular, on our fertility and our ability to nourish a healthy pregnancy and recover from birth. Work with your maternity care provider, naturopathic doctor, or nutritionist if you need to make some changes. In addition, studies show that taking folic acid supplements prior to becoming pregnant, as well as during your pregnancy, reduces the risk of neural tube defects in babies. So start taking a high quality food-based prenatal vitamin now.

You may also want to consider now what maternity care provider you will use for the pregnancy and birth. It is not too soon to change doctors or interview midwives to find the best fit, even before you become pregnant. If you already have a doctor or midwife, let them know of your pregnancy plans. There may be health screening you would find useful if done before pregnancy, such as: a Pap smear, communicable disease antibody testing, metabolic screening, and genetic counseling. It can be useful to chart your menstrual cycles so that you’ll be clear about when conception occurs and therefore end up with a reliable due date for the baby. This can help you avoid an unnecessary induction of labor at the end of pregnancy.

If you do not already have health insurance that covers maternity services, you should think about getting coverage before becoming pregnant, as many insurance companies consider pregnancy a pre-existing condition and may not cover care related to a current pregnancy. Depending on your income, you could qualify for MediCal or AIM (Access for Infants and Mothers) once you are pregnant. If there is an open enrollment coming up at work, you may want to consider your options and make a change between HMO and PPO. If you are considering a home birth, talk to midwives about the best insurance options.

There are so many considerations and good preparation can save you time and help you to avoid stress. You’ll be able to more fully engage in all the magic that comes with the experience of bringing a child into our world.

We wish you all the best on this amazing journey.

–The Midwives of East Bay Homebirth Midwifery

www.eastbayhomebirth.com


None of the information in this column is intended to be used for medical diagnosis or treatment. Talk with your healthcare provider about any questions you may have regarding a medical condition.

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Our Donor: He’s One in a Million

By Meghan Lewis, Ph.D.

My bio-clock struck thirty. I had just completed my doctorate with a specialization in pre and perinatal psychology. I had also just become an apprentice midwife and a preconception consultant. Fascinated with every aspect of conception, gestation, and birth coupled with the resounding tick-tock of surging pregnancy urges, I eagerly began my early imaginings about my own range of reproductive options. Who might be my family’s donor down the road or across the bridge?

Would I, by then, have a wife with whom I would discuss any likely possibilities on her side of the family? Would I ask a beloved friend to share in a lifetime of parenting? Maybe I would meet and get to know well over the years a committed gay male couple who would be delighted by the idea of co-creating a family with the explicit hope of the more (parents) the merrier.

Fast-forward five years: No wife in sight, no suitable man-friend who lives in close proximity, and no gay male couple in my inner circle. Enter stage right: The Anonymous Donor Option. But where, oh where could he be? Which bank to choose? Which one will have my lucky number out of hundreds of random donors? A truly daunting decision was at hand. Doubly daunting—I had decided to go it alone. During this five-year stretch, I had undergone a complete overhaul of my set of expectations about what it would take to turn me into a mom. It had come down to the bare essentials: my uterus; my heart; and one handy, dandy swimmer. Thanks to the help of a local sperm bank, I found my guy!

Through complete grace I was spared cycle after cycle of waiting, wondering, and doubting if ever, if ever I would one day conceive. Shortly into my second trimester I contacted the bank to find out, if possible, about any other families who had selected the same donor. I quickly found out that there was a woman in San Francisco nearly due, and she also was interested in contacting me. As chance had it, when I received her e-mail I was delightfully surprised to find I had already met her and had even congratulated her on her pregnancy months before when our paths crossed at the Michigan Womyn’s Music Festival. Small world!

She had shared with me that she had had told the sperm bank director that she was interested in meeting the donor before the birth of her baby. At this sperm bank, the donors sign a contract agreeing to be anonymous until the birth parent reports her newborn’s arrival, at which point she receives his name and contact information. In our case, our donor also was open to meeting any recipients during their pregnancies. Prospective parents are also reassured that donors sign a contract that clearly states that they do not have any financial obligations or legal rights to the child.

After learning of his name through the bank with the donor’s thumbs up, I contacted him to arrange a time to meet. Beforehand, I did a little online research and came across a photo of him on a website of a couple’s wedding that he had attended. As I scrolled through the photos, I saw a picture of the woman who officiated the wedding. Unbelievable! It was a picture of my housemate at the time. “What is with these uncanny layers of connection?” I kept wondering to myself. Even smaller world – it all began to feel oddly auspicious!

Meeting our donor, Shum, and Mike – his partner/husband of now 19 years – was a fabulous occasion filled with wonder, excitement, and great gratitude! I enjoyed their warmth, their humor, and their genuine enthusiasm immensely. I felt additionally fortunate that they were sincerely interested in participating in my soon-to-be newborn’s life. Had I met them a few years earlier, I could imagine that I likely would have picked them as the couple to whom I would have popped the donor question!

Though it all may seem somewhat easy thus far, the path from selecting a sperm bank to picking a donor to actually meeting him and his extended family has been, and still is, loaded with many practical considerations and tremendous amounts of soul searching. What do healthy genes look like on a sperm bank medical form? How am I contributing to the evolution of the culture of family? These questions and more weighed heavily on my mind.

Choosing anonymous, donor-assisted, intentional fertilization as a queer solo parent-to-be also has raised such questions in my mind as: “Who will I look to as my role models?” and, “What would I need in order to possibly ameliorate the potential isolation that could arise in the face of the predominant, heterosexually-coupled parenting paradigm?” Additionally, in what ways would my status as a parent be regarded? Would I have to contend with any social ramifications or political injustices that stigmatize and scrutinize not only those who are categorized as single mothers, but doubly so as those who are perceived to breed queer spawn? How would my connections with various communities expand or contract? Who would be there for me, and most importantly, for my child?

Dwelling on these questions, especially during a time of phenomenal hormonal upheaval, could have tampered with my sense of inherent excitement. Over time these questions – essentially steeped in concerns regarding personal, psychological, and sociological safety – morphed into the background of my mind. The true heart of the matter took precedence as I indulged more in the maternal pride of procreation; I was pregnant and it was clearly meant to be!

At long, long last, midsummer arrived. Cancer gave way to Leo. And with an otherworldly exuberance and unparalleled joy, I finally held my beautiful, beloved Bennett in my arms for the very first time. I was thrilled to share in the celebration of his birth with friends and family and equally so with our donor and his husband.

As my son grew, so did his love for Shum and Mike and theirs for him. Their continued presence and engagement in Bennett’s life has been amazingly unwavering and generous beyond compare. They all visit with each other at minimum weekly, including pickups from school and occasional overnights, trips to museums, playgrounds, and birthday parties. They have arranged gatherings with extended family living out of state and also have maintained close connections with the two other donor-related families – the one previously mentioned and another living on the other side of the country. It is a rare and blessed experience to have two committed, loving, smart, responsible, dedicated, and creative men hold my son’s well-being deeply in their hearts.

Throughout the last three or so years, exploration and clarification regarding the outward face of our family constellation has become more important to my son as he literally and figuratively comes to new terms with and incorporates its real and perceived parameters. Understanding the everyday meaning of our family donor to the mind of my preschooler had once seemed simple as, “it takes a seed to grow a garden.” Today I hear far different rhetoric from the more self-aware and socially perceptive inquiries of a six-year-old.

We all have discussed a range of ways to share with others, from friends and teachers at school to new acquaintances and their parents at the playground, how it came to be that our family does not include a dad and who Shum and Mike are to us. Originally such expressions as our donor and his husband or friends of the family or family helpers sufficed in describing our relationship to others in various contexts. Today the term godfathers – without religious connotation – aptly applies.

As a child I was truly fortunate to have very involved in my life a young gay godfather and a wise crone goddessmother – most caring and creative people – with whom I spent a tremendous amount of fun-filled, fond memory-making time. They will always be incredibly near and dear to my heart as I hope and imagine Shum and Mike will be to Bennett’s. As his godfathers, I believe they acknowledge they are inextricably woven into the fabric of our family, emphatically adding a rainbow of colors, if you will, to our yellow, black, and red Scottish tartan. Who knew the day I picked out an anonymous donor at the bank, he’d be truly one in million and then some?


Meghan Lewis, PhD, CMT, offers perinatal bodymind therapy in her offices in Oakland and Walnut Creek.  With over 15 years of experience working in maternal mental health, Meghan brings unconditional support to her clients exploring a range of preconception, pregnancy, postpartum, and parenting issues. Her approach is influenced by her interests in embodied mindfulness, transpersonal and ecofeminist theory, art therapy, and integrative health care practices. Meghan also has professional training and experience in perinatal bodywork and as an apprentice midwife and birth doula. She is the mother of a 6 year old son and is a member of the BirthWays Board of Directors.

MeghanLewis

For more information, please visit www.meghanlewisphd.com.

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Honoring the Placenta

By Sarah Brick

We all marvel at the miracle of birth, and most of us are monitoring fetal development throughout our pregnancies. We often fail to look at the miraculous organ known as the placenta. It grows from the time of conception, eventually takes over the production of hormones needed to sustain the pregnancy at around 12 weeks gestation, and is the baby’s nutritional lifeline. It is the only organ that serves a vital function in the body and then becomes obsolete.

I too marveled at the miracle of birth and as my due date approached I decided to have my placenta encapsulated. Personally, I was amazed at the amount of energy I experienced immediately after taking a placenta capsule, and the supply lasted throughout my fourth trimester. I felt calm, happy, healthy, and balanced. I am sure that ingesting my placenta assisted me with a smooth transition into motherhood. My incredible experience inspired me to learn more about this amazing organ.

The placenta is revered in many cultures as a rich source of nutrients, considered a gift from the baby also known as the tree of life or the first mother. For example, the Nepalese people think of the placenta as a friend of the baby. The M?ori people of New Zealand traditionally bury the placenta to emphasize the relationship between humans and the earth.

There are a few ways we can honor the placenta. Some people choose to bury the placenta as the M?ori have done, and have a special spot in the garden where it can nourish a seedling from its nutrients. Others choose to create art from it and make a paper imprint of the placenta, for example. With all of the nutritional benefits, more and more women are choosing to ingest their placenta as medicine. Classical Chinese medicine has used the placenta, called Zi-He-Che, for its medicinal benefits for thousands of years. Classical texts describe the medicine as, “a substance that tonifies the dual deficiency of yin and yang, with the ability to restore the root and return to the body’s primal Qi – Life-energy.”

Full of Qi (pronounced Ch-ee) or life energy, the placenta aids in postpartum wellness by replenishing your system. It supplies the mother with natural iron, protein and helps reintroduce essential hormones back into her system. After giving birth many new mothers experience blood loss, fatigue and a drop in high pregnancy hormones. All of these factors are thought of as key triggers in the development of the baby blues and postpartum depression.

The following is a list of the known hormones within the placenta and their healing properties:

  • Gonadotrophin functions as the precursor to estrogen, progesterone, and testosterone.
  • Prolactin promotes lactation.
  • Oxytocin, often referred to as the love hormone, relieves pain and promotes bonding. Oxytocin is produced during breastfeeding and facilitates bonding between mother and infant. In its pharmaceutical form, this is a very addictive drug because it promotes a feeling of connectedness with others.
  • Interferon stimulates the immune system to protect against infection.
  • Thyroid stimulating hormone boosts energy and helps recover from stressful events.
  • Cortisone combats stress and unlocks stores of energy.
  • Prostaglandins are anti-inflammatory agents.
  • Hemoglobin replenishes iron deficiency and anemia.
  • Gammaglobulin is an immune booster that helps protect against postpartum infections.
  • Urokinase Inhibiting Factor & Factor XIII stops bleeding and enhances wound healing.

There are different ways you can choose to ingest your placenta for healing. It can be ingested raw; even a small piece can stop hemorrhaging. Some women choose to make a smoothie with a small piece. Others sauté it with eggs and greens as a powerful first meal after giving birth. The preferred method by most women is to have their placenta encapsulated. The organ can be prepared raw; simply dehydrated and ground. However, most people opt to have it prepared using the traditional Chinese method where the placenta is lightly steamed with warming herbs, thinly sliced, and put in an oven or dehydrator. The Chinese philosophy of yin and yang considers giving birth cooling, and as such, heating the placenta balances the healing process.

By using encapsulation, the powerful benefits can be spread out over time. The capsules may be taken each day or as needed. Each placenta’s hormonal composition is completely unique to each mother. No prescription, vitamin, or herbal supplement can supply you with what your own placenta capsule can.

Some powerful benefits of ingesting the placenta include:

  • May help to prevent postpartum depression
  • Increasing postpartum iron levels and combating fatigue
  • Encouraging lactation for breastfeeding
  • Assisting the uterus in a return to its original size
  • Balancing hormones and increasing immunity
  • Decreasing post-natal bleeding time
  • Accelerating the healing process from physical trauma

It is a shame that in Western Medicine the standard procedure is to dispose of the placenta as medical waste. Although scientific research on placentophagy is still in its infancy, there are thousands of women that will tell you, without a doubt, that ingesting their placenta was a powerful experience. The placenta helps mothers immeasurably when coping with a newborn and everyday challenges.

Further Reading:

  1. Enning, Cornelia. Placenta: The Gift Of Life. Motherbaby Press, 2007. (Available through www.midwiferytoday.com.)
  2. Visit www.placentabenefits.org. This site also contains articles and scientific research on placentophagy.
  3. Visit http://en.wikipedia.org/wiki/Placenta.

Sarah Brick studied holistic nutrition at Bauman College and founded LivingNutrition.net at the beginning of 2011. She specializes in nutritional support for pregnant women, postpartum recovery, and families. Services Sarah provides for families around the Bay Area include: cultivating healthy mealtimes through cooking classes in your own home, introducing solid food to babies, market shopping trips, pantry restocks, and placenta encapsulation. She is a member of the NANP – National Association Of Nutrition Professionals.

Sarah Brick

 

You can contact her by phone, email, or web:
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Amera’s Birth Story

By Bonnie Clark

The morning of November 26th I noticed things were changing. My due date was in two days on the 28th. I had mild contractions throughout the day and I thought, “This is good. The more work my body does leading up to labor the less I’ll have to do when it happens.” I prayed that I would go into labor in the morning after a good nights rest but I should have known better as I went into labor at 6:00 pm with both Andre and Selah. At 6pm I was Christmas shopping with Keenan at Target. I was having one to two contractions an hour and waddling around the store while people gave me sympathetic and concerned looks. I stopped getting the what-a-cute-pregnant-girl looks over a month before. I wondered of they could tell I was in labor. When we left the store I remember looking at the beautiful sunset and commenting to Keenan that this may be the last time I see the sun before Amera is born.

My mom was already at my house watching the kids while Keenan and I were shopping. When we got home I told her I thought, “This was it.” She was excited and helped me put the kids to bed. It was emotional kissing them goodnight and knowing their little lives would be forever changed when they woke up. Looking back it was so primal and perfect that I went into labor at night. My kids were asleep and it was a quiet, safe time to give birth. My mom helped me time my contractions around 9:00 pm. Then the dreaded call to my midwife. Dreaded because I’m not sure if I’m terrible at timing contractions, or if I’m just regularly irregular, but it was like déjà vu when my midwife Charlotte told me my contractions should be a little longer and to call her back in a half hour. The same thing happened with the other two! In the meantime she said to fill the birth tub. This is when my hero, I mean husband, saved me for the first time that night. He called Charlotte back and told her to come immediately. He recognized all the signs by now and was afraid that if she waited too long he was going to have to deliver the baby himself.

Maureen, my doula/photographer/best friend/cheerleader, came over right away and filled the room with joy. Even though she isn’t a trained doula I had asked her to be with me during the birth because she’s passionate about birth, has had two natural deliveries of her own, and is a dear friend whom I love. My mom, who had been a little nervous at the births of my other kids, was surprisingly calm and amazingly supportive – especially since her baby was having a home birth! Between Maureen and my mom and Keenan, I had the perfect birthing trio to help me. They were filling me with love and positive energy. Charlotte arrived around 10:15 pm and upon hearing that my contractions were longer and closer together she went into warp speed setting up for the birth.

I was managing my contractions pretty well up until that point, but I was looking forward to getting in the birthing tub. I was breathing, praying, listening to my music, and speaking positive affirmations. AmeraBonTubPartnerI kept saying, “This is going to be fast” and, “open up.” Charlotte told me I could get in the water at 5cm and when she checked me around 10:45 pm I was 5cm! I was so excited! I labored in the hospital tub with Selah and it was so much better than my labor with Andre (a terrible, long story). The tub was a bit disappointing because the water wasn’t very warm. I crawled in and got on my knees with my head hanging over the edge of the tub. This was not premeditated; it was the position my body wanted to be in at the time. I was only slightly distracted by the temperature of the water because all of a sudden I had a huge contraction. I wasn’t able to breathe through it and I remember thinking, “Wow. This shouldn’t be this hard already.” That is when I looked up and into Keenan’s eyes. They are a beautiful ocean green color. Looking into his eyes made me feel calm, so I decided to stare into his eyes during every contraction.

The calm definitely preceded the storm because another hard contraction hit me and it was all I could do to stare in his eyes. When it was over I remember telling myself to completely relax every muscle in my body. AmeraBonSideTubI like this picture because it was, believe it or not, the hardest part of my labor. I felt in control and on another planet all at the same time. Later Keenan told me that although I was looking in his eyes, it seemed that I was looking straight through him. He kept telling me he loved me and he was proud of me. We kissed a couple of times. The third, or maybe fourth hard contraction hit and suddenly I felt like I had to go to the bathroom. Yes, I’ve heard that when you feel like you have to go to the bathroom it’s time to push, but I really thought I had to go to the bathroom – numbers 1, 2, 3, and 4! I had only been in the tub 15 minutes! I told Charlotte I had to go and I started getting out of the tub. I didn’t feel an urge to push. I felt an obligation! She told me to not get out of the tub until she checked me and I remember thinking, “Something is about to come out and there is nothing I can do about it.”

Then I felt her head come out. I knew what it was but I couldn’t believe it. Wasn’t I just 5 cm 15 minutes ago? Charlotte told me her head was turning a little blue and to go ahead and push her out. So I did. I didn’t make a sound during the pushing, so no one but Charlotte and me knew she was out. Her hand was beside her head, “on the phone” as Charlotte described it, and the cord was wrapped around her neck, torso, and leg. Keenan helped turn me over so Charlotte could get a better look and she quickly untangled her while she floated in the water.

When Charlotte pulled her out of the water and gave her to me she was crying, and everyone cheered and gasped in amazement. It happened so fast! Amera Elizabeth was born at 11:00pm. I was still on another planet as I held my new daughter for the first time. I didn’t cry or even speak. My heart was filled with joy, love and relief as I kissed the top of her head. Keenan said, “You did it baby!” and I rested my head on the edge of the tub. I did it. She was here and she was perfect.

AmeraBonKiss

Keenan cut the cord and I held my baby, trying to process everything in my head. I couldn’t believe how everything happened and that it was over. Charlotte and her assistant helped me into my bed and checked Amera over. Both of us were good.

It was an amazing feeling to be in my bed, skin to skin with my new baby. In the hospital they would have taken her away to check, bathe, weigh her, etc. I was able to hold my baby immediately and for as long as I wanted. Keenan got in the bed with us and it was such a special moment for me to be with my husband and welcome our new daughter into our lives and into our home. Another special moment was when Andre and Selah woke up the next morning and got to meet their new little sister.

I know that home-birth isn’t for everyone, but it was the right decision for our family, and I will forever treasure the memory. I truly believe that birth is transformative for a woman. I feel like I was reborn with the birth of each of my children. Through each experience – one bad hospital experience, one good hospital experience, and one home birth – I have learned so much. I’ve learned that while childbirth may not be pain free, it can be fear free. I’ve learned that toughness gets you nowhere; you have to surrender. I’ve learned that God created an amazing body and a powerful mind. Childbirth has made me more confident in myself as a woman, wife, and mother. I hope that every woman can experience birth the way she wants to so she can carry the memories in her heart as a gift. When I watched Amera’s birth video for the first time I noticed that the song Blackbird sung by Sarah McLachlan was playing when she was born. I have a feeling Amera will hear that song often when I sing to her at night…”all your life, you were only waiting for this moment to arise.”


Bonnie Clark is a full-time, stay-at-home wife and mother of three; and a part-time blogger and runner. She graduated from Georgia Tech completely underqualified for the hardest job of her life: motherhood. With three different birth stories, she is passionate about encouraging women to have the positive birth experience they desire.

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