Alice's blog...

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  1. A home-from-home birth environment helps mothers to relax, get in the zone and release her baby...

    Here are our birth locations in Cornwall... Have a think about what birth partners could bring in with them to create a familiar nest-like space. Consider all of your senses.

    It's especially important that homebirth parents make these back-up plans too ;)

    cornwall birth centres treliske penrice helston

  2. Be open to whatever path your birth journey takes... Well done Stephanie, who gave birth to beautiful Noah last month 

    "Hi Alice,

    Just thought I'd let you know our baby boy arrived yesterday. 
    I was so confident and looking forward to birth thanks to hypnobirthing. Although we didn't manage to make it to Penrice and ended up having an unexpected home birth, it was a lovely experience. Breathing techniques helped and it felt like my body took over and pushed him out for me!

    Just wanted to say thank you for being part of making this a different experience for me. I really am very grateful for the help you gave and changing my way of thinking. It was such a positive experience and happy to know that I had the chance to have a birth like that to complete our family"

  3. A little thing (not even worth recounting) happened on the school run this morning, that got me to thinking about how - unless we're mindful of this - other people's 'stuff' can affect us.

    When I was a 19 year old psychology & counselling student, we were doing some sort of group exercise in class. In response to something long forgotten, my teacher - a formidable woman - said to me:-

    "Don't give away your power".

    Perhaps I was doing that very British thing of apologising or giving way unnecessarily - I can't really remember. But the phrase stuck with me.

    I wrapped "don't give anyone your power" around myself this morning... But I wondered how it could be worded positively, and in the 1st person, as an affirmation...

    'I keep my power' ?

    'My power is mine' ?

    In childbirth one often enters into systems of healthcare that are historically patriarchal in nature.

    A mother from Italy recently contacted me to say that her midwives repeatedly asked her to remove the headphones she was using for hypnobirthing (for seemingly no good reason) and she felt very disrupted.

    Why do we give away our power?

    The instinct to comply with the instructions of a doctor, midwife or nurse is part of western culture, I suppose. We're told to be good patients, to do what we're told - they're the experts. They hold the power. This is why phrases like "we don't let you", "we don't allow you to..." persist.

    Yet it is OUR birth, not THEIR birth. They have their own 'stuff' to deal with (pressures from managers, risk management, sometimes low staff morale, burnout and bullying), but we can decide to hold onto our own power.

    Denying us our autonomy puts us in a vulnerable position. It is not good care. Caregivers should always take as much time as possible to carefully listen to us, understand our needs, explain our options and set out our choices in a neutral, unbiased way.

    It is this good standard of care that can make the difference, however a baby is born.

    Holding onto your power doesn't mean ignoring professional opinion. It just means insisting on being treated respectfully. During birth, good midwives and birth partners (possibly including a doula) can 'hold the space' for you - making sure that you have an active (rather than passive) birth experience, no matter what path your journey takes.

    It is your birth. Keep your power.


    hypnobirthing affirmations 2

  4. "As soon as she was born it was amazing"

    Birth story just in! New mum Jo gave birth last November, with a few surprises along the way... Well done Jo & Ant, welcome Astraya :)

    "I was 41 weeks + 4 days when my waters broke at 4.30am. I woke my husband up (who was overjoyed to not have to go in to work that day), got back in to bed with a packet of chocolate digestives and waited. Nothing was really happening by about 6.30am, so, perched on a big pile of towels (I was still losing quite a lot of fluid), we went to Mcdonalds to pick up some breakfast and fill up on calories.

    I visited the midwife at about 11.30am, who just confirmed my waters had broken and that my blood pressure was slightly elevated. She contacted the midwife on call who said she would come to us once things were progressing.

    It wasn't until about 1.30pm that the contractions started, but there was no slow build up or 'niggles' that you hear of. They started really strong and regular - only about 3 minutes apart.

    By the time the midwife turned up at about 6.30pm, I was struggling to cope and nothing really helped. The speed and ferocity of the contractions convinced me that I must be pretty well dilated, and was disappointed to find out I was only 3cm when she examined me and "not even in labour!"

    On top of that my blood pressure was way too high, so she had to call an ambulance to transfer me to Treliske. She was really apologetic and felt terrible I couldn't stay at home as planned, but I was relieved in a way as I knew I was going to need some pain relief.

    They gave me some gas and air in the ambulance which helped for a couple of contractions but then the sensations changed. The intensity went up to a whole new level in the ambulance. This is apparently when I "went into labour", and the gas and air did nothing at all.

    I'm guessing because I was only 3cm at home, they thought there wouldn't be much happening for a while. They didn't examine me when I got to hospital, but the midwife when I arrived on delivery suite commented on the strength of the contractions.

    One contraction was massive and pushed down really strongly. The midwife asked if I wanted to push and I said yes, but it wasn't a matter of having the urge to push, my body was just doing it.

    She said she was just going to have a quick check, and was surprised to find the baby's head pretty much ready to come out. So I pushed and there she was... Astraya Willow Speed. I was in labour for about 1 hour 45 mins. No tearing!!!!

    As soon as she was born it was amazing. I felt like nothing had happened - no pain, no exhaustion, just got right up and had some tea and toast and a bath. The midwives were amazed. It was less traumatic then ASDA on a Saturday afternoon, haha. And even the next day, after what my body had done, I would of expected some muscle pain but nothing. Amazing!

    I'm pretty sure that my relaxed attitude leading up to the birth and my mindset must of been to thank for the quick birth. I honestly didn't have anything to do with it. My body just got right on with things and I let it. I do believe I'd conditioned my mind to let my body take over and I'm sure that's why it was so quick.

    I thought they were great at Treliske and I wasn't disappointed that I'd had her in hospital. It was still in the end what I thought to be a totally natural, non-traumatic birth, and she was completely alert but calm when she was born.

    I would definitely recommend yourself and hypnobirthing to people in the future.

    Astraya was diagnosed with a duodenal atresia several days later (malformation of a tube between the stomach and bowel), and was rushed to Bristol for major surgery. She spent the next month in hospital. However she made an amazing recovery and after 3 weeks of nil by mouth, took to breastfeeding straight away. I'm still feeding her now at 6 months."

  5. Birth is a journey. Different rhythms at different times.

    Transition is that point where your body prepares to push your baby down the birth canal. Adrenaline-type hormones are suddenly released to bring on increasingly expulsive contractions.

    As a side effect, it's normal, normal, normal for most mothers to feel some degree of self-doubt at this point - even if they've been breathing and relaxing effectively thus far.

    It can sometimes feel like a 'top-of-the-rollercoaster' moment. Depending on how YOU get on with adrenaline, you may feel suddenly frightened, or indeed excited and exhilarated.

    A mother's eyes might suddenly open widely, alert and dark, dilated pupils. They can say odd things out of the blue, for example:-

    "I want to go home"

    "I can't do this anymore"

    Or in one of my favourite Janet Balaskas birth videos -

    "YESSSSSSS! Come on baby"!

    Birth partners should be aware of transition - reassure and remind Mum that she's doing a great job - these feelings mean that you'll be meeting your baby real soon.

    For mothers - use whatever sounds, positions and breathing styles that feel right, when you're contemplating and shooting down that rollercoaster 

    Klaire, Cornwall:-

    "My contractions were strong and I began to become fearful of how I would cope [Klaire then chose to have a large glass of Zinfandel].... Ahhh that was a well deserved glass of wine, and really helped me to loosen up. I was laughing between the contractions and relaxing more and refocusing on the task ahead."

    Vicky, Cornwall:-

    "By about 2am the surges were getting really strong but still not painful just really intense. I start vocalising instinctively on the out breath and find it really helps to release the tension. I am then sick during a strong surge and think I’m probably in transition – woo hoo! I start feeling pressure but the contractions aren’t expulsive yet. It doesn’t take long before I start grunting and feel my body pushing. I ask DH to get in the pool and he comforts me."

    Judith, Cornwall:-

    "The hypnobirthing breathing was absolutely essential as I moved towards transition and the contractions got really fast. Just when I doubted my ability to cope, the midwife brought gas and air at just the right time. The delivery suite was still full and I couldn't go upstairs! I think the midwives doubted how well I was progressing, until I got on the toilet and felt the urge to push! Then I was rushed upstairs very quickly and into the delivery suite. It was quite exhilarating then, as the pushing sensation wasn't nearly as painful as the contractions, I quite enjoyed it with the gas and air!"

    Donna, Cornwall:-

    "As we arrived at the hospital the surges were very strong and as we were walking through the corridors I began to have doubts and become fearful. I believe now this may have been transition. I managed to focus myself back into it and after being quickly admitted to a delivery room and being examined by a midwife, I was declared to be 8-9cm dilated."

    Lucy, Cornwall:-

    "I genuinely thought I was dying in transition! I’m annoyed with myself for not realising at the time. My doulas kept saying “it’s ok you’re in transition” but I don’t remember this at all! I also took all my clothes off and drank 2 pints of water in one go because of a sudden I was so hot and thirsty!"

    Harriet, Cornwall:-

    "My husband was so incredible during the transition, he remembered exactly what to say. I had coped amazingly, breathing through my contractions but when the transition came I felt like I was losing all control. All my husband did was touch my shoulder and say ‘relax, release’ and it took me back to ‘the zone’ I will be forever grateful. He was the best birthing partner! Pushing felt like heaven after that! 

    Natasha, Cornwall:-

    "
    I did start slapping myself all over my face and mouth which was probably some natural distraction thing, LOL"

    Midwife Ina May Gaskin, Ina May's Guide to Childbirth:-

    “The strangest request I have encountered was that of a first-time mother who - just before pushing - asked her husband for a jar of peanut butter and proceeded to eat two heaping table-spoonfuls. She then washed the peanut butter down with nearly a quart of raspberry leaf tea and pushed her baby out. I was impressed.”

    Transition hypnobirthing

  6. If you've gone over your 40 week 'estimated due date', take heart 

    The majority of mums do so. Your baby is on time, your body is working perfectly. There is nothing you need to do now, except focus on relaxation.

    Natural induction methods don't work. Don't stress yourself out trying. Honestly. Birth will most likely begin when you're feeling calm and happy.

    When your body and baby are both 100% ready, AND you're feeling calm, happy and positive - it'll happen.

    You are in control. Build a calm bubble around yourself.

    If you'd like info on your choices and statistics approaching 42 weeks, visit my 'What If?' guide to going over your due date

     

    hypnobirthing affirmations 11

  7. I hope you all have a beautiful day... If you're expecting, it's a great day to listen to your bonding track :)


    Hypnobirthing mother's day

  8. Ok... We're not advising medical coma as the best way to give birth, but vaginal childbirth whilst in a coma can, and does happen, as the stories below attest...

    coma childbirth limbic
    The parts of our brain and nervous system in control of the birth process are primitive, instinctive and automatic. Our bodies usually know how to get our babies out, all by themselves.

    During birth, our cervix ripens, our uterus muscles gather up rhythmically and the neck of the womb begins to open. Our babies inch down and down as the muscle fibres in the womb shorten, then the powerful muscles of the uterus begin to actively push babies down the birth canal - a powerful expulsive reflex that does not require a mother's conscious assistance from the muscles of her abdomen (although she may feel very much like going with those strong urges!)

    When our neocortex is quietened (that part of our brain that analyses, overthinks and worries), our innate instincts take over, our bodies simply flow through the birth process, rather than forcing or indeed fighting it. People call this optimal mental state the 'birth zone'.

    All (non-comatose) mammals require certain conditions to be met in order for this primitive physiology to kick in... that is - feeling relaxed before birth commences, and having a very quiet, warm, safe space where we feel loved, supported and free to do what feels good from one contraction to the next.

    "One cannot actively 'help' a woman to give birth naturally. The goal is to avoid disturbing her unnecessarily" Michel Odent, surgeon & childbirth expert

    Examples of women giving birth in a comatose or 'vegetative state' (what a horrible term!) are a stark reminder of how birth is essentially an automatic physical process, requiring little or no conscious input, even when the body is in crisis. Thankfully all of the following birth stories have happy endings, with the mothers waking up...

    Emma, UK...

    Emma fell into a coma after contracting pneumonia at 27 weeks of pregnancy. She went into labour prematurely two weeks later, and gave birth to a healthy daughter named Amy (3lbs 5oz). Nurses only noticed that Amy was on her way when her head emerged! Emma regained consciousness a further two weeks later, and was well enough to be discharged home after another two weeks. She says of her birth:

    "It seemed incredible to think that I had given birth naturally whilst I was still in a coma. I hadn’t consciously pushed or experienced a single contraction, yet my little girl was here and she was healthy. It just seemed like a miracle. It’s amazing to think how Amy came into the world. Even when I was unconscious, my body knew what to do. I’d love to be able to remember giving birth to her, but I’m just grateful that we are both alive and healthy now."


    Chastity, USA...

    Chastity became comatose after a car accident in 2001. It was discovered upon admission that she was just two weeks pregnant. She carried her baby to full term whilst in a semi-conscious state. Chastity could sometimes look at people when they spoke to her, but could not move or speak. Her doctors decided to induce her, so as to ensure close monitoring of the process. Chastity gave birth vaginally to Alexis Michelle (7lbs, 7oz) in just four hours. Dr Baha Sibai, chief of the department of obstetrics and gynecology at University Hospital in Cincinnati, said Mrs. Cooper "surprised everybody" with a quick delivery and the obstacles she overcame. Her husband believes that she smiled at her baby daughter following her birth, and Chastity's amazing recovery continued over the subsequent years, regaining her cognitive functions, movement and speech. Her son Aaron said in 2013 "She is now doing great... we just hope her next move is getting out of her wheelchair..."

    Abby, USA...

    Abby was put into an induced coma after fainting on New Year's Eve. She had been fighting the H1N1 virus which had developed into pneumonia. Abby went into labour naturally at 34 weeks of pregnancy. Doctors reported how she had progressed through the natural stages of birth and, her Grandmother says, her body "actually pushed". Waking up several days later, Abby descibes her son Douglas' birth as a 'miracle', exclaiming "How many people give birth when they're in a coma?!"


    Becky, USA...

    Becky was also put into a medically induced coma after contracting H1N1. Her doctor Dr. Asad Sheikh said "She was actually on the ventilator. So really the labor process itself was one that, by and large, occurred with her body responding going into labor on its own." Chase was born and did well in the NICU. Becky was brought out of her coma five weeks later, to meet her son. Becky said "I always thought it was the next day.. I didn't know it was weeks later so it was like - 'Oh, well what happened?"

  9. My full set of rainbow hypnobirthing affirmations are now available to download or print (via step 10 of the online hypnobirthing course)

    Absorbing positive affirmations regularly can help you feel more positive about your upcoming birth.

    If you're writing your own, make sure they are worded in the present tense, and positively.

    e.g. "I relax and release with each surge, I cope with the natural sensations" is better than "I will release tension".

    Display your positive hypnobirthing affirmations in places you will see them regularly, or perhaps as your mobile / laptop wallpaper.


    hypnobirthing affirmations online

  10. online hypnobirthing classes

    I'm really pleased about how successful my online hypnobirthing course has been. Subscriptions have been rising month on month since it launched in September 2013, and I'm now able to donate £1 from each purchase to the charity Birthrights.


    Most people seem to be based in the UK and America, with some accessing it from Canada, Australia and a smattering of other countries in Europe, Asia and Africa. It's available pretty much anywhere with a wifi connection!

    I think that everyone who wants to access hypnobirthing should be able to do so easily and quickly. Folks can often begin their practice within mere minutes of purchase, even from thousands of miles away.

    When I first trained in birth hypnosis, hypnobirthing was only available as part of face-to-face antenatal classes. What I love about delivering my hypnobirthing course online via distance learning, is that I can reach a much bigger audience - both geographically, and also financially... For many, £30 is a lot more affordable than £200.

    In terms of outcomes, they're pretty good too. My recent postnatal mini survey showed that there was only one emergency caesarean birth out of almost 70 spontaneous births, 90% of mums birthing naturally do so with no medical pain relief, and most babies are born within 6 hours of the first stage. My survey is ongoing and I hope to bring more data to you soon...

    Hypnobirthing home study / distance learning can be a great way to prepare for your baby's birth during pregnancy. I'm always on hand to answer your queries too.

    For more information and to sign up visit my hypnobirthing online course page :)


  11. 20141124_211627
    "I just wanted to drop you line to let you know that our gorgeous daughter Amara Elizabeth was born on the 24th Nov (only 2 days overdue) and weighed in at 7lb 3oz. I went to Treliske at 1pm for a labour assessment as I was having contractions, but not sure if they were real or practice. I had been suffering with a harsh cough and my coughing bouts also bought on contractions (or so it seemed to me) so we wanted to be clear if this was it. They confirmed that I was indeed in labour and 3cm dilated, but as I had practiced hypnobirthing, they said best for me to go home and put into practice what I had learnt and to come back in the evening when contractions would be closer together 1 min on, 1 min off!

    However, we were not at home for long and by 4pm, we were back at Treliske as contractions much more frequent and powerful. They examined me and I was 8cm dilated and transferred straight to a delivery room. Amara was born just before 7pm with the assistance of gas and air only and in her waters - amazing!!

    The midwife commented on how relaxed and calm I was throughout and that no doubt contributed to the quick and straightforward delivery. This of course is all down to the hypnobirthing techniques. We had the music playing, lights dimmed and throughout the whole thing I kept thinking of relaxing, releasing, breathing through each sensation and ultimately listening to my body. As you mentioned during the course, I did avoid watching any films/TV programmes of people giving birth as I didn't want any preconceptions about how I should act/how it should be and I think this really worked. I found my primal instincts just took over and I went with what they were telling me!

    Thanks so much for introducing us to hypnobirthing, I do strongly feel this contributed greatly to our straightforward, quick and easy birth, so I cannot thank you enough for that!"

  12. A lovely doula testimonial, just in today! Well done to Lian, Paul and little Sebastian - have a safe trip back to Zimbabwe :)

    "We came home from Zimbabwe to have our first child as we wanted to be somewhere we felt safe and supported. Our hope, should all go well, was to have a water birth at home but whatever happened we decided we wanted to have the support of a doula to either facilitate the most natural birth possible or to help us navigate 'the system' should anything go awry.

    From day one (week 35 for us!) Alice was reassuring and supportive, she provided the hypnobirthing course as part of her doula services and this really helped with our relaxation and mindset especially in the weeks to come!

    As our due-date came and went and the days ticked by there was a creeping realisation that we may not be getting the homebirth we were hoping for. At term + 12 we were asked to consider an induction... Alice came straight to our house when we called and helped us discuss our options - we really felt that there was no judgement but having her there as a knowledgeable and impartial facilitator enabled us to be happy with our decision to go in for monitoring but not automatically agree to an induction at that point.

    Unfortunately a scan at term +15 indicated that fluid levels were very low and so with this added risk factor we agreed to an induction. Alice agreed to attend us in hospital as the syntocinon drip was set up and at this point it was wonderful to have a familiar face amidst a sea of strangers (I have to note that the care we received at Treliske from the antenatal and delivery teams was nothing but wonderful).

    Sebastian was born, happy and healthy, but with a rather large accompaniment of meconium on the 30th May at term + 18!

    In the hospital environment, in what became a highly medicalised birth, we felt that Alice's continued presence during labour was not necessary, although we were able to use the hypnobirthing techniques she had taught us to help remain calm and positive about what was happening.

    But in the days that followed, including a somewhat stressful time on the postnatal ward (we felt rather 'bullied' and then neglected by the staff there, with the exception of a wonderful maternity support worker), we relied very heavily on her continued support. She was available to us on the phone at all times and visited us twice once we returned home. To 'de-brief' with her was invaluable and I think, alongside the wonderful support of our family, was responsible for such an easy time adjusting to life with a newborn - 3 weeks in and we seem to have escaped the 'baby blues' completely!

    We already know that all being well we'd like another member of our family quite soon - we would definitely return to Cornwall to have another baby and would be calling on Alice yet again! It would be wonderful if no.2 comes of their own accord and we get the natural home birth we would like, but nothing in this world can really be planned and especially not labour - being well supported by Alice through the journey made coming to terms with a change of plan so much easier."

  13. It's been a busy few weeks of doula appointments and teaching hypnobirthing home workshops here in Cornwall...

    I was also asked by a new mummy to encapsulate her baby's placenta for consumption!

    placenta encapsulation in CornwallHere's the finished product after being steamed, dehydrated, ground and popped into vegetarian capsules. Around 80-150 pills are normally yielded. This placenta was quite wee, but there's 62 capsules in there - enough for at least 10 days postpartum.

    There's a lack of clinical research controlling for the placebo effect, but anecdotally many mums swear by this... Believing the pills to increase milk supply and keep them balanced and upbeat
    . Mum says:


    "My milk's going really good after 5 days and baby being 8 weeks early. I really feel its helping yay! 😊"

  14. hypnobirthing amazon mp3


    I've just checked out if I have any reviews for my 'Positive Birth Preparation' MP3 on Amazon. Since they started selling it in September last year I've had 63 sales and three reviews... All five star!


    "This is a Great track to take you through labour from start to finish . I would recommend it to any woman preparing for labour."

    "Great track and for a small price under a pound! Can't really go wrong with the relaxation techniques. Yet to use it through actual birthing, only on prep so far."

    "My friend recommended this to me as she said it always helped her to sleep and she was always asleep before it had finished. She was right. I have real trouble sleeping and obviously with pregnancy this is exacerbated. I find this really helps. Made me a little emotional at first if I'm honest but really does do the trick and I'm very glad I got it and for the price, well it's amazing."



  15. After a birth I attended recently where a well-meaning midwife exclaimed to my mum:

    "You did so well, you didn't need a doula!"

    I felt compelled to add the following to my doula page...

    "It's a challenge to exactly conceptualise a doula's role... and just like you, we're all different! Some believe in 'mothering the mother', others believe in teaching and empowering parents to 'do it themselves'. But wherever a doula finds herself along that continuum (and she's adaptable depending on your needs), she offers neutral information, guidance and non-judgemental support to the whole family, at all times, no matter how your baby is born.

    I like to work with you and your chosen birth partner extensively during the antenatal period. I offer highly regarded hypnobirthing tuition and resources, and we fully explore the birth process, your rights, choices, how to communicate effectively with care-providers, early baby care and more. I've been described by parents as their 'go-to person'.

    Subsequently, by the time of the birth my families are very well prepared, relaxed, confident and require little (if any) intensive 'hand-holding'. I work alongside your birth partner in maintaining an optimal space and ensuring that your care remains woman-centred. If you're coping well my presence is simply familiar, reassuring, quietly encouraging and low-key.


    "The guide is self-effacing and scanty of words. When her task is accomplished and things have been completed, the people say "We ourselves have achieved it!"

    (Tao Teh Ching)


  16. Much in the news today about recent British Medical Journal published research on homebirth safety for mothers.

    The study sample included 150,000 low-risk women who gave birth in the Netherlands between 2004-2006.

    For women expecting their first babies, their risk of being admitted to intensive care or needing a large blood transfusion was pretty similar for planned homebirths vs planned hospital births:

    2.3 per 1000 vs 3.1 per 1000 (respective safety 99.77% vs 99.69%)

    For women who had given birth before, their risk of postpartum haemorrhage was significantly less following planned homebirths vs planned hospital births:

    19.6 per 1000 vs 37.6 per 1000 (respective safety 98.04% vs 96.24%)

    Ank de Jonge, midwife and senior researcher on the study said:

    "This comes from a good risk selection system, good transport in place and well-trained midwives."

    In response, Dr Tony Falconer, President of the Royal College of Obstetricians and Gynaecologists said:

    "The rate of home birth in the UK is low (2.4%) in comparison to the Netherlands (20%) where the proximity to specialist services with short transfer times is the norm.

    "The same advantages are not always available across the UK, so the safety of home birth has to be considered in the context of the availability of local services."

    In contrast, Cathy Warwick, chief executive of the Royal College of Midwives welcomed the research, saying that the choice of homebirth should be promoted and available to all low-risk women, but often low staffing levels mean many women who wanted a homebirth are denied that right.

    The Birthplace in England study published 2011 also found benefits of homebirth for mothers, namely a reduced 10% risk of having medical interventions for those who planned a homebirth, compared to a 40% risk of such for those who planned a hospital birth.

    I've certainly known of families who have, when told on the phone that "there are no midwives available for your homebirth" have insisted upon midwives attending, for personal preference and also valid safety reasons, e.g.

    "I will not be putting myself and my baby at increased risk of giving birth in hospital"

    - and, sure enough, midwives are 'found' somehow... But not everyone knows that they can decline transfer or would feel comfortable doing so.

    But this research is good news :)

  17. Feel free to copy or adapt the following for your birth preferences document if you'e planning a caesarean birth. There are no right or wrong choices, but the following is provided as food for thought. You can totally own this birth!

    Your preferences should be fully discussed with your care providers during pregnancy, and this plan also serves to remind them on the day.

    Some expectant parents who are planning vaginal births choose to staple a 'just in case' caesarean plan to their birth preferences too...


    Birth Preferences...

    Thanks for being part of our baby's birth! The following preferences assume that all is well. If anything changes please keep me fully informed. I plan to be an active participant in my baby's birth:

    • IV to be placed in my left arm (non-dominant side)
    • Our own birth music to be played in theatre
    • Please help us to have a calm, quiet, respectful atmosphere
    • Gown and ECG to be arranged to allow for skin-to-skin
    • Ask me if I'd like the drapes lowered to see my baby being born
    • Please birth my baby from my body as slowly and calmly as possible
    • Please wait for my baby to begin breathing before clamping the cord
    • Place my baby on my chest ASAP
    • At any times I am not holding my baby, my birth partner will do so
    • Do not announce our baby's gender- we want to discover this ourselves
    • Our baby is to receive oral / injection of vitamin K
    • We will / will not be keeping our baby's placenta


    Positive caesarean tips


    Positive c-section

    These photographs are from the birth of our youngest Oska who was born via c-section in July 2010. The one on the right is a photograph Jay took of me watching Oska being checked over and wrapped up before being brought back for our first snuggles. This was such a huge moment for me as we lost a baby before getting pregnant with Oska and I spent the whole pregnancy in fear ... Seeing him out of me, hearing him crying was the most blissfully relaxing moment, just complete and utter joy. The photo on the left I took of Jay having his first cuddle with Oska whilst I was still being stitched up ... I'm pretty sure the mws/OBs thought I had lost my mind ... still worth every odd look to see forever how tenderly your partner is even after being a seasoned daddy of four! :)

    Bekkie, Bambino Art Photography
    , UK Birth Photographer,

     



  18. Limitations... This is a small sample of women who chose to practice hypnobirthing. Data is included from all women who judged themselves to have practiced 'enough' or 'extensively' by the onset of labour. Women practiced in different ways. Data is excluded from those experiencing rare complications that typically affect just 0.5% to 3% of babies nationally.

    Results... The following bar charts display results as percentages

     Hypnobirthing outcomes Cornwall
    vbac rate hypnobirthing
     hypnobirthing pain relief statistics

    *If births involving syntocinon for induction or augmentation are excluded, the epidural rate was 0%

    homebirth rate hypnobirthingu
    hypnobirthing results Cornwall



  19. I walk along holding your 2-year-old hand, basking in
    the glow of our magical relationship.

    Suddenly I feel a kick from within, as if to remind me
    that our time alone is limited. And I wonder: how
    could I ever love another child as I love you?

    Then he is born, and I watch you. I watch the pain you
    feel at having to share me as you've never shared me
    before. I hear you telling me in your own way, Please
    love only me. And I hear myself telling you in
    mine, I can't, knowing, in fact, that I never can
    again.

    You cry. I cry with you. I almost see our new baby as
    an intruder on the precious relationship we once
    shared. A relationship we can never quite have again.

    But then, barely noticing, I find myself attached to
    that new being, and feeling almost guilty. I'm afraid
    to let you see me enjoying him - as though I am
    betraying you.

    But then I notice your resentment change, first to
    curiosity, then to protectiveness, finally to genuine
    affection.

    More days pass, and we are settling into a new
    routine. The memory of days with just the two of us is
    fading fast. But something else is replacing those
    wonderful times we shared, just we two.

    There are new times - only now, we are three.

    I watch the love between you grow, the way you look at
    each other, touch each other. I watch how he adores
    you - as I have for so long. I see how excited you are
    by each of his new accomplishments.

    And I begin to realise that I haven't taken something
    from you, I've given something to you. I notice that I
    am no longer afraid to share my love openly with both
    of you.

    I find that my love for each of you is as different as
    you are, but equally strong.

    And my question is finally answered, to my amazement.
    Yes, I can love another child as much as I love you -
    only differently.

    And although I realise that you may have to share my
    time, I now know you'll never share my love. There's
    enough of that for both of you - you each have your
    own supply.

    I love you - both.
    And I thank you both for blessing my life.


    Author unknown
  20. The Hospital Episode Statistics Maternity data set for 2011/12 was released a couple of days ago. Royal Cornwall Hospitals NHS Trust seems to perform better than other England trusts on average:

    • 18.6% total caesarean rate vs 25%
    • 8.3% elective caesarean rate vs 10%
    • 10.3% emergency caesarean rate vs 15%
    • 12% ventouse/forceps delivery rate vs 13%
    • 19.1% of women delivered their babies in an entirely midwifery-led setting vs 10.7%
    • 51.2% of women gave birth 'unassisted' (meaning without medical intervention) vs 45.5%
  21. Nobody really knows the origin or meaning behind Sheela-Na-Gig figures. They've been discovered all over Europe, usually in places like churches and castles.

    There's a theory that some may have been used as 'birthing stones' by women in labour... Perhaps for visualisation and affirmation!

    Maybe I could make some...


    sheela-na-gig

  22. For the next twenty years the seaside town of Ilfracombe will play host to 'Verity', Damien Hirst's 70 foot statue of a pregnant woman brandishing a sword. Half her torso is presented in an anatomical style revealing her sleeping baby within. Verity, meaning 'truth' in Italian, represents a  “modern allegory of truth and justice."

    damienhirtsveritystatueproposalinengland1_0

    hirstverity_0


    The local council has received 100 plus complaints from local residents, brandishing the statue outrageous, immoral, bizarre, obscene, offensive, disgusting, distasteful, embarrassing, grotesque, disrespectful, insensitive, inappropriate, a monstrosity, tasteless, ugly, vulgar and not in good taste.


    How divorced are we as a society from the realities of being human?! My favourite comment on Verity, on a Facebook thread, simply says:

    "She is a fertility Goddess. Oh we forgot about her. We thought cars were more important. She is awesome."


    Verity reminds me of something written in a Guardian article I was sent by a friend and former client yesterday. Frances Harrison, on the relationship between being a mother and war correspondant, contemplates how:

    "As a mother, I found it harder to fathom the extraordinary cruelty otherwise gentle people are capable of in wars. At night in Sri Lanka, I would sit under the ceiling fan and rock my tiny baby to sleep in my arms, haunted by the stories I reported by day: tales of torture, mass graves and the agony of the missing fighters' mothers who never received a corpse to mourn. Both sides reeled out casualty statistics like cricket scores, forgetting the people they talked about were once someone's baby, loved and protected. It made it hard to get excited about the military hardware side of war – it didn't matter much if it was a T56 or AK-47 that did the killing. In the male-dominated world of foreign reporting I never admitted it, but motherhood did bring a new perspective to the story."



    Verity also reminds me that as childbearing women we are powerful, amazing and strong. How striking is the contrast between this and the mainstream perception of pregnant women as delicate, vulnerable and stupid? Similar to Marianne Williamson's poem:

    "Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness that most frightens us. We ask ourselves, Who am I to be brilliant, gorgeous, talented, fabulous? Actually, who are you not to be?..."

  23. In the year 2009/2010, 8.3% of women giving birth at Royal Cornwall Hospital (Treliske) had an elective caesarean section (NHS Information Centre).

    The reasons for choosing a caesarean are varied. For those experiencing a 'low risk' pregnancy and labour, intervention-free, vaginal birth is normally the most advantageous way for a baby to be born (Enkin 2000).

    For those who require help - for either physical or unresolved psychological reasons, scheduled caesarean birth from 39 weeks can also be a low risk option, according to Dr Anthony Falconer, Royal College of Obstetrics and Gynaecology President:

    "Recent advances in medical science have made the procedure much safer and for most women the complications of this operation are low" (press statement 2011).


    Pregnant women should be offered evidence-based information and support to enable them to make informed decisions about childbirth.

    Recently updated NICE guidelines state that women who haven't had any problems in their pregnancy, having a first, planned caesarean birth, may be at an increased risk of experiencing the following, compared to if they had a planned vaginal birth:


      - baby admitted to neonatal intensive care: 13.9% vs 6.3%
      - hysterectomy caused by postpartum haemorrhage: 0.03% vs 0.01%
      - cardiac arrest: 0.19% vs 0.03%
      - longer hospital stay: 3.96 days vs 2.56 days


    (Nice clinical guideline 132, published November 2011)

  24.  

    Location  Type
    Births per year

    Normal birth rate* Induction rate

    Caesarean rate

    Instrumental delivery rate Epidural available? Birth pool provided?
    Royal Cornwall Hospital (Treliske) Consultant-led 3700 38.5% 22.4% 22.2% 13.5% Yes No
    Penrice Birthing Centre Midwifery-led 350 95.9% <2%     No Yes
    Helston Birth Unit Midwifery-led 60 >91%       No Yes
    St Mary's Hospital (Isles of Scilly) Midwifery-led 4         No No
    Homebirth Midwifery-led 182         No No buy/hire


    *A normal birth is one that avoids the following, according to the Maternity Care Working Party:

    • induction of labour (with prostaglandins, oxytocics or ARM)
    • epidural or spinal
    • general anaesthetic
    • forceps or ventouse
    • caesarean section
    • episiotomy


    The table doesn't cover local data on the intervention rates (induction, instrumental delivery, caesarean etc) of births that transferred into hospital from a midwifery-led setting.
    However, recent data from all NHS trusts in England found that women planning a birth in a freestanding MLU experienced a 17% intervention rate, and women planning a homebirth experienced a 10% intervention rate (compared to those who planned a hospital birth, who experienced an average 40% intervention rate).


    2011 data provided by Birth Choice UK, Dr Foster Health and the Birthplace in England study

  25. A large study published in 2011 compared death and injury rates for the babies of 64,538 low risk women giving birth in a variety of settings in England between April 2008 and April 2010.

    The women planned births either at home or in midwifery-led birth units (like Penrice / Helston) or in consultant-led hospitals (like Treliske).

    • Birth was found to be very safe with over 99% of babies having good outcomes wherever their mothers planned to give birth

    • For women not expecting their first baby, there was no difference in outcomes wherever they planned to give birth

    • For first time mothers, births planned at hospital were safe for babies 99.57% of the time, and births planned at home were safe for babies 99.07% of the time. The authors state this small difference is unexplained, but asserted that homebirth is still safe for first time mothers

    • It's also interesting to note that women planning a hospital birth experienced a 40% medical intervention rate (e.g caesarean, forceps, ventouse) compared to those who planned births at a freestanding midwifery-led unit (17%) and those who planned a homebirth (10%)

     

    Treliske labour wardResearch link:

    Perinatal and maternal outcomes by planned place of birth for healthy women with low risk pregnancies: the Birthplace in England national prospective cohort study BMJ 2011;343:d7400

  26. 'Active Birth' posters adorn many a labour room wall. Labouring women are featured in standing, squatting and kneeling positions. The idea is that lying down flat on your back is counterproductive to the normal birth process.

    Few women instinctively choose this position if they are confident and informed about birth physiology... But despite many improvements in most areas in recent decades (particularly since the 1993 government report Changing Childbirth), the bed still plays a central role in many hospital births, and is a powerful psychological trigger for encouraging a passive, 'patient' mindset.

    The concept of Active Birth doesn't just mean walking around in labour and giving birth off of your back. It most importantly means that the woman is in control of her own labour, assisted by her birth partner and midwife as her advocates. This means being enabled to make fully informed choices, having time and space to labour on her own terms, and in whatever way feels right, no matter how she has her baby.

    Many of us birthworkers in Cornwall have been trained by Active Birth founder Janet Balaskas. Active birth principles are interwoven within my Cornwall hypnobirthing classes

    A rally led by Janet Balaskas 30 years ago paved the way for women to choose active birth to bear their children.

    "The head obstetrician at the hospital said active birth was animalistic behaviour, and that humans were not animals and should lie down to give birth," 

    BBC World Service speaks to the founder of the movement:

    Active Birth hypnobirthing in Cornwall

    Click here to visit the article featuring Active Birth founder Janet Balaskas

    Left: Sharon (Nature's Mother) at Helston Birth Unit in west Cornwall