Montreal Doula

 
The following post was written by my sister-in-law Angie. She is a baby expert if there ever was one! She served as my doula, my lactation consultant, and one of my main support people after I became a new mom. I recently asked if she would share some of her tips on breastfeeding and so, here they are:

Breastfeeding Secrets…from the Lactation Consultant
By: Angela Grant Buechner, BA, BScN, RN, IBCLC

I am often asked what I wish every new mom could know BEFORE having their baby, to make sure breastfeeding goes well. 

Well, we know that breastfeeding is the best for moms and babies, yeah yeah….we’ve heard it all before... but why do some women stop so early, if it’s so great?  

The first few weeks of a baby’s life (while mom and baby are learning how to breastfeed) can be stressful if she doesn’t have some tricks up her sleeve for when it’s not exactly going perfectly!
So, here are 5 tips that have been proven to help moms ‘hang in there’ when things are rough, or to ensure breastfeeding is not ‘wrecked’ when baby is having a bit of trouble:

1.        Skin-to-skin…Never under-estimate the power of your skin!  Babies transition to ‘life’ better when they are allowed to be held naked-skin-to-naked-skin, as long as possible, right after they are born.  Also, if your baby is too sleepy to feed, or is having any trouble, strip that baby down (keep the diaper on!) & breastfeed while skin to skin (you’re probably half-naked while learning to breastfeed anyway…)

2.       ‘Squish & Shove’
When you’re trying to get that ‘perfect latch’ we’ve all heard about, think about eating a sandwich.  If you were putting a super-duper, triple decker club sandwich in your mouth, you wouldn’t try to put it in sideways!  You would turn it in the right direction, squish it down as much as you could, and shove it in.With breastfeeding, it’s the same.  Look which way the baby’s mouth is going (depends how you’re holding baby) and hold on to your breast (that’s your BREAST, not your nipple!!) so you can squish it down and make it a bit ‘flatter’.  When the baby opens her mouth, shove her on to the breast as FAR as you can!  This is the ‘magic’ trick that keeps the nipple safe & sound (and prevents all that scary nipple pain, cracking etc.)!

3.       Hand Expression…
If your baby is sleepy, grumpy, mucousy, stuffed up, separated from you for any reason, you are engorged, or it hurts you too much to feed - YOU have to take over!  If you are ready with a ‘PLAN’ to hand express during these potentially stressful moments, then you will be able to keep breastfeeding going (and keep feeding your baby)!

Watch this video to learn about Hand Expression, from Jane Morton at Stanford University.  This is different than using a breast pump! 

http://newborns.stanford.edu/Breastfeeding/HandExpression.html

Often, NOTHING comes out when you use a pump, and that DOESN’T mean you ‘have no milk’…   Seriously, only  VERY FEW DROPS of colostrum are needed in the first few days, so if the baby can’t get it out for some reason, YOU can express these drops, & feed it to the baby with a medicine cup or spoon, and try all over again at the next feed!

4. Compressions & Cues

If baby is able to breastfeed ‘ok’…keep going!  Try not to limit how often or much the baby sucks in the first few weeks (watch your baby’s ‘cues’, not the clock, since the baby’s feeding frequency is what tells your body how much milk to make!)… after all, the baby doesn’t know that you were trying to have a shower or eat dinner!

To keep the baby ‘drinking’ and not just sucking, try squeezing your breast while baby is sucking (for the count of 3), so more milk comes out.  This is called ‘Breast Compression’ and is very good when baby is sleepy while feeding, or slowing down at the end of a feed.

5.  ‘Stuff’ & stories…

Avoid soothers, nipples, bottles (try a cup or spoon if necessary) for the first MONTH!  These things won’t help your baby learn to breastfeed, and may instead ‘mess with’ your milk supply.  Also, be careful of other things that can interfere with normal breastfeeding (‘feeding’ apps, books trying to ‘make’ your baby do anything!, or having formula at home ‘just in case’…)

If ‘Supplements’ are recommended, use BREASTMILK!  You can breastfeed (or try) every 2-3 hours, but if you express your own milk (or colostrum) after each feed, then you can use THAT to feed to baby!  If you ‘miss’ a feeding for any reason, express so your breasts still get the stimulation they need to keep producing milk!

Also, try not to listen to the people who tell you that ‘your baby shouldn’t need to eat yet’, ‘you don’t have enough milk’, or that their baby ‘sleeps through the night’ at 2 weeks old.  Find someone who will support your efforts instead, and can help you make a plan!   If you need help, find a CERTIFIED Lactation Consultant (IBCLC) as soon as possible.  Issues can often be ‘fixed’ easily in the first few days, but can pose more of a challenge after a few weeks.

Quote of the day: ‘Don’t quit on your worst day!” 

Hang in there, and commit to making it through to the ‘other side’!!!

Angela Grant Buechner is a mom of two exclusively breastfed girls, is a NICU Lactation Consultant & runs Nutmeg Consulting; a private Doula/Lactation Consultant business in Toronto, Canada.



 
Coming home from the hospital or birthing center with a new baby can be slightly overwhelming. Especially for a first time mom. First, you make sure baby is properly strapped into the car seat, you adjust and readjust everything a few times to make sure it's tight but not too tight and then you take the most nerve-wracking drive home, even it's just 5 minutes, it feels like the most treacherous drive EVER. And yes- it's normal to sit in the backseat.

You finally arrive home, get baby out of the car and walk into your house, for the first time as either a new family or with a new addition.  These are the top 5 things you will probably want or need most:

1) Yummy food and beverages- quick. You have probably spent the last 2 days (or more) eating food you aren't crazy about, or wishing for something yummy and homemade. You should arrange to have made meals in advance or set yourself up with a group of well wishers who bring food to you- fresh, daily! (More about that in an upcoming post) This way, whoever is there with you; husband, mom, sister, etc can pop something into the oven, or make you a fresh meal with something nice to drink, like an herbal tea or a smoothie.

2) A shower! You will probably be so happy to see a bathroom with your products and towels, it can be a great relaxing moment to have a nice hot shower before settling in with your new baby. Someone should be there to hold the baby, (this is when they could also be making you tea!) and to lay out a fresh outfit for you to hang out in. You'll want something comfortable, like yoga clothes or even flannel PJ's. You'll still be looking pregnant and will be bleeding and possibly be in some discomfort, so you won't be hopping back into your skinny jeans - so sorry to burst your bubble.

3) Before you hop into that bed,  fresh sheets! A nurse friend of mine is adamant about having fresh sheets on her own bed at least once a week (be honest now, most of us don't) and she makes a point of changing her patients sheets to make sure they feel clean and comfortable. We all know how nice it feels to climb into a soft clean bed. (This type of thing could be done by your post-partum doula, your mother or whoever is around to help out)

4)Peace and quiet- yes we know everyone is excited to see the baby and hear about the birth and take pictures and bring gifts. That can WAIT! A new family, and especially a woman who has just given birth, need time to decompress, relax and enjoy some quiet bonding time. The first few days fly by, and it's so important that space is given.  (Visitor- If you are bringing food, you're the exception, but please just drop it off and don't expect to hold the baby. He or she will probably be breastfeeding or sleeping in Mom's arms)

5) Someone to talk to. Yes I know what #4 said, but something so important, especially in those first few weeks is for someone to just listen. Giving birth is not some small insignificant thing in a woman's life. There is much to discuss, many feelings to can come up, and the one thing every single mom needs is someone she can unload on. Breastfeeding difficulties, birth trauma, stitches, sleeplessness, baby blues- these are all things that can be overwhelming for you after having a baby and knowing someone is there to say "it's going to be ok. You're doing an amazing job." can really change the way things look. On the other hand, sometimes you will just want to spend hours rehashing every moment of the labor and birth and the amazing feeling you get looking at your new baby.  Working as a doula I get to hear all of these stories, the good, the bad, the sad, the amazed, the proud- it's all part of the process.

These aren't the only things you (or the new mom in your life) might need- but it's quite basic. Some pampering, some rest, some reassurance, and some help around the house.

I recommend to my clients that they line up some support for after the baby is born. I don't mean, "oh, we have tons of friends who can't wait to come over and see the baby, I'm sure they'll know not to stay too long". Most new moms need some help with housework, some meal preparation to make sure they are eating and drinking enough, someone to help with diaper changes and to hold the baby while they shower or have a nap. It can be so beneficial to the new family, so they can rest and bond, and it makes the transition to parenthood so much smoother.

Thanks for reading, Megan

 
Since becoming a doula I have been very privileged to see amazing births where mom and her partner were so connected and unbelievably in sync, I couldn't resist writing something to highlight the benefits of having a partner's support at the birth.
First a brief history- Men have not always been seen as or expected to be integral members of the birth support team. In some societies and cultures they are still not present during labor or at the time of birth. The difference in these cases is that these women are generally very well supported by female relatives, local midwives or traditional birth attendants. In our current birthing culture, women are separated from their usual support system, most of their family members have not attended or seen any births other than the delivery of their own children, and almost all babies are born in the hospital.
In the 1970's men started demanding to be present in the birthing room, instead of being placed in the waiting room while their wives gave birth. There was suddenly lots of pressure on a husband to be The Birth Coach. To be the unwavering, strong and supportive person for the laboring woman. This is a tremendous amount of pressure to put on anyone- but especially someone who has probably NEVER witnessed a birth, has surely NEVER given birth, and has probably has NO experience with birth at all. So, the husbands made it into the room- but, once they got there- what exactly were they supposed to be doing?!?
This is a really common question that I'm asked by couples and is one of the main reasons, I think, women want to hire a doula.They want and need the support of their partner, but neither one knows how their partner can be helpful. Seeing eager faces looking for suggestions and tips on how to help their partner is one of the perks of being a doula. Often the dads seem to have more questions and are so willing and excited to be supporting their partner for the birth of their baby.
The partner needs just as much encouragement and information as the mom. The main thing I focus on is to offer the partner different techniques for massage, encouraging words to say during labor, positions to help support mom and simply empowering them to feel they will be able to lovingly and confidently support their laboring partner.
There is still, after educating the partner on how to best support mom, a lot of pressure placed on this role. Not every person is comfortable to massage, may not feel they know what to say or do in the moment, and sometimes the length of labor or the actual reality of having their loved one in pain and not being able to "make it better" can be overwhelming. This is where having a doula can be so helpful. Sometimes, a small suggestion can change the course of a labor, and the couple will find their groove and start sailing through the contractions together. Other times, just giving dad a rest and getting him a snack can give him the time and energy he needs to continue supporting his partner.
In my experience as a doula so far, some of my fondest memories have been moments where partners have really connected and you can see they are truly working together to get their baby born. At a birth I attended recently, mom was having trouble coping with her very strong contractions during transition and was becoming slightly panicky. She really needed to focus on her breath, but at the same time needed strong hands to massage her back. Dad sat very close, they stared into each others' eyes, breathing through each contraction while I rhythmically rubbed mom's back. This was exactly what she needed to relax and soon after was 10cm dilated!
I've also seen partners lean in very close and quietly speak  to each other, with dads offering encouragement and loving words to help mom relax and rest. Another time a partner vocalized with mom through all her contractions. It helped him feel that he was taking an active role and being helpful and he later told me that he wanted to make sure his wife didn't feel embarrassed to be loud during her contractions.
In each scenario the partner is doing what comes naturally. Not something that has been preplanned or written out as an expectation of him in advance. You can't plan how a birth will go. Just as women can't predict the positions they will assume in labor, the sounds they will make while giving birth, or the possible roadblocks thrown at them during their pregnancy or birth- partners cannot plan out how they will act or react to labor. The best they can do is prepare, think about hiring a support person to help with suggestions and to offer a second set of hands, and -most importantly- go into the place of birth with love and support for their powerful birthing partner.

 
Let me just start this post by saying baby wearing saved my sanity during the first few months after having my son. Being able to put my son in his carrier and head out for a walk in the evenings, or when I couldn't put him down for a nap, or if I wanted to run some errands or even get things done around the house- having a baby-carrier was an absolute must for me. I think the same thing can be said for many mothers (and fathers too!). The benefits are many and the huge variety of baby-wearing options out there means that pretty much anyone who wants to find a carrier for their baby can find the one that's right for them. Even if you're not sure you're the baby-wearing type, or maybe it's never crossed your mind to wear your baby, trust me- once you find a good one you are converted for life.
As we all know, babies love to be close to mom and/or dad. The warmth of our bodies, our heartbeat next to theirs- babies simply know from the start that being close to their parents is where they belong. It's a continuation of how they felt being in the womb. Snuggled, warm, and the movements that they feel being carried around are exactly the same as those they felt while being waddled around by mom for 9 months. Historically speaking, baby wearing has been around for as long as we have been bipeds (walking on 2 legs, as opposed to 4), because for as long as we have been carrying babies in our arms there has been a need to have a hands-free option. Many sling-type carriers look almost exactly how original baby-wearing options would have looked- a long piece of fabric fashioned to be worn tied around the shoulders, waist and/or back so baby is securely and snugly carried. In some cultures women wear their babies almost the entire day as they are working, walking, socializing etc. For something to withstand generations of parenting without much change to the original prototype means they got something right pretty early on, I would say.
Numerous studies have been done showing the benefits on baby-wearing; some have shown that babies who are carried for minimum 2 hours a day cry over 50% less during the fussy evening hours than those who are not carried. Um- yes please! I don't know of any new mom who would turn down the possibility of a quieter evening with a newborn. Babies can be placed skin-to skin in a sling or wrap against mom or dads chest and instantly feel calm, relaxed and generally will be asleep within a few minutes. They really are the equivalent of a sleeping pill for babies.
The benefits carry on long after the newborn phase as well. There are certain baby-carriers that can be used up to or even over 40 lbs! (We'll get into the options a little later on.) Going for a hike? No need for a huge bulky all-terrain stroller. Want to go shopping somewhere with tons of stairs or sub-basement shops with no access? We've all been there before, but haha! Those of us who carry our babies just take the stairs and are SO glad we brought the carrier. Ever been to crowded outdoor concert or fair? Baby wearing means you don't need to maneuver your stroller through the crowds of people or get stuck on wires or roll over peoples' toes.(Although, strollers can totally come in handy in many different situations as well!) Sometimes kids just like to be carried. And who can blame them? I'd love to be carried around some days, able to sleep when I feel like it, enjoy the scenery from a comfy little spot next to someone I love. Studies have shown that children will have a more secure attachment to their caregivers if they've been carried during the first 3 months of life and that mothers tend to be more responsive to their child's needs if they are a baby-wearing mom. Research has also shown that "sling babies", as Dr.Sears calls them, show more enhanced visual and auditory alertness. This is because baby spends more time in a quiet alert state. There are many more studies that show babies who are worn are more attentive and can learn more as they are more "involved" in what the carrying parent is doing.
Whatever the reason for choosing baby-wearing, there are definitely a myriad of benefits which can be seen and not heard(!) literally minutes after baby is put into a sling or carrier. And who doesn't like smelling the top of a baby's head? No really. That smell should be bottled.

Here are some different types of carriers. There is a carrier out there for everyone, I promise. This is definitely not an exhaustive list, by the way, just an overview of what's out there.

Sling- Generally a piece of fabric sewn into a tubular shape, worn around the shoulder, baby is placed into the hammock area. Great for smaller babies and very comfy- you can also nurse while carrying!
The photo below shows a ring sling, basically the same idea, except the fabric is sewn into a ring on one end and the other end wraps into the ring to tighten the fabric. Cozy!





Wraps- Wraps are great because they can be worn by many different members of the family and no adjustment is needed because the wrap is tied on each time by the person carrying the baby and you don't need to buy a specific size. The fabric is generally stretchy and soft and there are many different ways to tie the fabric so baby can be worn in a variety of positions (back, front, hip, facing out, facing in, etc) Newborns heads can be safely held by the fabric and again, nursing in public can be discreetly done if you want while carrying baby in the wrap.



Soft Structured Carriers- These look similar to a mei-tai type carrier but use buckles to attach the carrier. This limits the variety of ways you can carry baby (generally just front facing in, or on your back facing in) but women love these carriers! Most have a pocket to carry extra stuff, a sleep/sun hood and toddler foot rests. I myself have loved my Ergo carrier for months. No back pain from carrying around 20+ lbs and because you use buckles to attach baby in there is no loosening of fabric at all.



Mei-tai- This is similar to the carrier shown above, but doesn't  use buckles to attach baby in, instead there are ties (mei-tai- similar to Me Tie? Hmm.....sorry, lame joke). Some women find this to be their favorite carrier because you have the same support as a soft structured carrier but the ability to adjust the straps and tie the carrier in different ways for your comfort.



So there you have it. My take on baby wearing, the benefits along with a little intro for those of you who haven't heard of or seen many different types of carriers. There are so many brands on the market, with so many great designs it's hard to choose just one. Most women don't. :) As your baby's needs change so will your carrier. A newborn will generally not be carried the same way as a toddler, and every baby is different. Like I said, once you find a good one you are a baby-wearing convert for life!

And for kicks and to show you all that dads can babywear as well, here's a shot of a great dad I know (wink, wink) carrying a sweet sleeping baby:



Anything to add? Got a great carrier people should know about? Any questions about babywearing? Feel free to post a comment!
And, as always, thanks for reading,
Megan

 
Dylan’s Birth Story- June 1st, 2011

Today my baby turns 1. One. A whole year I have been a mother. This may not seem like much to some of you, those who have been mothers for decades, or raised 3 or 4 or 8 children even. But becoming a mother is definitely the most life changing experience, rather, right of passage I have ever been through. There were some days that my patience and belief in myself was so strained and I thought surely this was some test I would have to explain the results of later in life. The sleep deprivation, oh how I missed my sleep some days!, coupled with handling new tasks every moment, of being responsible for a small human carrying my genes, my smile and quite possibly- my stubbornness- was often too much to handle. And then there were days of waking up to snuggle in bed with a smiling little body crawling over me, and watching this little person experience new tastes and sights and sounds, while at the same time – needing me. Needing ME to comfort and reassure and encourage, there is no other feeling like it. Seeing a pair of beautiful blue eyes that look just like his fathers, looking up with so much unconditional love is what makes this ride so, so SO worthwhile.

Here is Dylan’s Birth Day Story.

Everyone is told as a first time mother, “Don’t tell anyone your due date! Lie and say it’s a week later, that way people won’t be calling you, harassing you about the baby.” You are expected to be late, your doctor or midwife will probably even tell you, as mine did, that they don’t expect first time mothers to be in labour until around 41 weeks. And they will be probably be right, while you'll expect to give birth 3 weeks earlier...

I was huffing and puffing my way around Montreal in the middle of a seriously hot month of May and boy, was I ready to give birth. My official due date was Sunday, May 23rd but I knew to expect a late baby and based on MY dates I figured at least 5 days later was my actual due date. So, the 23rd came and went as we all expected it would and I continued walking around in my long blue flowery dress, the only piece of clothing I had that still fit. Sort of. The room was ready, clothes folded, cloth diapers placed in piles waiting to be peed and pooped in. I was raring to go.

I had a midwife appointment scheduled for Friday the 28th and when I went in my midwife confirmed that I was 3 cm dilated and my cervix was fully ripe. If baby wasn’t born before Monday I was to go to the hospital for an ultrasound and non-stress test to check up on the baby, which is standard practice for all past dates babies, she said. But, because of how things were looking she told me she expected to hear from me that weekend. We had big smiles as I left and I practically skipped home. The baby was coming! My husband had a few work commitments that weekend, but I told him to go ahead as he wouldn’t be too far from home and if needed he could be back within 15 minutes. Of course, wouldn’t you know- I was still pregnant come Monday morning. Womp womp. I sulkily got myself dressed and my husband and I headed over to the hospital for the NST. Things looked great when we got there, I pushed the button when baby kicked and the nurse, a lovely older lady, said our baby seemed great in there. I wasn’t having any contractions; he really did not want to go anywhere. Great news! Healthy baby, I was doing well- everything you would wish for. But with an induction looming over my head for Friday though, this was not exactly the news I wanted to hear. We headed over for an ultrasound and after the technician checked her measurements she got up and advised us that she had to go get a doctor to double check her work because the baby seemed to be measuring 10 lbs 4 oz. (Quick background- my sister has delivered 2 babies- first one was 10 lbs 5 oz and the second at 9 lbs 12oz. My mother’s 3 babies were all over 8 lbs. So this didn’t come as a shock, or worry me much. We tend to have larger than average babies in our family.) The doctor double-checked and yep- there was a 10 lb baby in my belly. I was then advised of all the dangers of trying for a vaginal birth, as I was with midwives this was my plan-obviously, the doctor also tried to scare me with “your baby’s shoulder could get stuck and you could cause your baby to have permanent damage.” Hmmm, wonderful- thanks Doc!

 Because I was so dead-set on having the birth that I wanted I really did not want to hear the fear tactics the doctor was trying to sell. This may have persuaded another woman to check herself in for the c-section that THEY ADVISED I SCHEDULE! But, not me. No way. Obviously, it is recommended to at least consider your doctor’s recommendations, but I wanted to hear what my midwife thought. So- off to the midwife we went. She then confirmed some of these facts and said, that yes- I would be scheduled for an induction on Friday because if I went longer I could no longer be followed by the midwives. It would be at the hospital or at home unassisted at that point . She suggested a few homeopathic remedies, a good walk, some sex, and to relax a bit.

Well, this seemed to be the end of my thoroughly planned out, envisioned so many times I could almost see it in front of me birth- but now it was slipping away. I know now that holding on to such expectations is dangerous. To fixate on a certain image of how birth will go, each movement, the steps it will take to unfold, can create disappointment if it doesn’t follow the “plan”. To this day, I thank my lucky stars things went they way they did, mostly because I still don’t know how I would have gotten over it.

That evening I followed each step the midwife advised. We stomped around Westmount Park, we made love, I took the homeopathic pills, moaned on the phone to my mother and sister and then finally, settled onto the couch and accepted my fate. Induction on Friday. Fine. So be it. I guess. *&%^%$$@^!!!!!

Around 2 am (we were night owls at the time because of ours jobs and of course, NOT HAVING ANY KIDS YET!) I turned off the horrible movie I was watching and got ready for bed. I’d been feeling crampy but figured it was because of the stretch and sweep the midwife had done that day to help get things moving. I lay down, asked my husband to rub my back and drifted off to sleep. Or so I thought! Probably 10 seconds after I closed my eyes I felt a pop! And then a gush of liquid between my legs. HUH? Did I just pee? This, of course, is exactly what I said to hubby, who in turn replied “No, Megan. Your water broke.” AHHHH! But, but, but I was supposed to be induced on Friday?! This was, of course, in the back of my head. I’m seriously in labour, after all that, now I’m in labour?? It was like I needed to have my plans pulled away from me, for me to accept that things could go differently, to then be given them right back and be told- get ready! Here we go!

 Now, most labours, probably 85-90%, do not begin with a dramatic movie-style gush of water. Another thing all first time mothers are told. Generally, waters will get broken by a doctor or will break naturally later on in labour. So, there I was like a chicken running around with it’s head cut off, grabbing towels, laying down, getting up, running to the bathroom at 2 am. Just 12 hours after my midwife appointment. I literally was in shock. We called our doula first, my sister-in-law, who lives in Toronto. She had checked all travel schedules in order to take the fastest way to get to us. She packed her bag and headed for the airport. I had a few contractions, like strong menstrual cramps, within the next 30 minutes. At 2:30 am we called our midwife who was just finishing up a very fast birth across town. She said she would head over to the Maison de Naissance and that we should call her in an hour and let her know how things were going. At this point, I was on the toilet, moaning, rocking, and my body was “preparing for birth” in many ways, shall we say. Just great. I felt like crap. I was not expecting half an hour of labour to feel like this. Was I really that weak? What about my birth CD? How would I have time to burn the songs onto a disc feeling like this? Sh*t. I had a strong urge to vomit and after I finished doing that I said to my husband, I don’t think we should wait for an hour to go by. We need to call the midwife now! I wanna go now! Once she heard it was Peter on the phone and not me, she knew things were really cooking. She said she’d meet us outside the birth center in about 20 minutes. I managed to do one thing between each contraction. Put on my flowery blue dress. Contraction. Scream at Pete to pack the camera. Contraction. Waddle to the car. Contraction. When we finally arrived I remember looking at the clock in the car. 4:08am. If I was still 3 cm dilated after all this, I was going to cry. When we unloaded the car and got to the stairs outside our midwife was waiting for us. She laughed as I knelt on the stairs having a contraction and said, “You wanted labour, honey. You got it.” I managed a small laugh and she helped me to my room. I was checked and told I was 6 cm. Hurray! I wasn’t faking it after all! Pretty soon after the bath was filled. I had chosen the room with a nice big tub, knowing that that’s where I liked to hang out whenever I was sick or in pain. As soon as I climbed in I proclaimed to my husband “Wow, all of a sudden it’s like I’m on a Club Med vacation!” The jets bubbling, the juice being offered to my mouth with a straw, it was heaven! For about 5 minutes. Then labour was back in full force and I spent the next 4 hours in the tub. I didn’t really want anyone talking to me; I would shush Pete if he tried to whisper in my ear. I was completely focused on my thoughts. I visualised moments where I felt free, riding my bike as a child, or times when I felt powerful and in control. That helped me to focus and to remind myself that I had been through so much to get myself there and I could do this. It was mind over matter at that point.

Because they knew the baby was going to be quite large, the midwives didn’t want me to deliver in the water. They wanted to see everything that was happening and make sure they could assist in case any part of the baby got stuck on the way out. I chose a moment to climb out onto the bed and began feeling the need to push. This went on for quite some time, but I never once looked at the clock after seeing it in the car at 4:08, so I had no clue how long I had been doing this. I noticed the sun come up while I was in the tub so I knew it was early morning when I began pushing. I tried a few different positions; squatting (I totally suck at that), on the birthing stool, on my side, but ultimately the best for me was completely flat on my back. Odd, yes, as most women are fighting to avoid that position, but I was so tired and able to rest so well in between contractions that way. My doula and husband each rubbed one of my legs and I could talk in between contractions, stopping to push whenever I felt the need. After a while, someone told me the baby’s head was there. Everyone was very excited and told me to touch the head. I expected an entire head, but all I felt was a sliver. Not as motivating as I expected it to be. But, still I kept going even though I thought surely I wouldn’t be able to push one more time. Finally, one more push and Dylan’s head came out. Sweet relief! The room seemed to fill with more energy then as everyone made sure that the rest of him came out as easily. The midwife assisted in getting his shoulders out and someone cried out, “Take your baby!” I made a feeble attempt to reach for him, but it seemed like 4 sets of hands placed him onto my belly. He was HUGE. It was like the blue ribbon fish at the Annual Great Lakes fishing contest had been plopped onto my belly. I couldn’t believe this was my baby! I started laughing, and then crying, and then laughing again. I couldn’t believe I had done it, and at the same time I was so happy to be done with all the pushing. It was over, he was here and he was all ours.

After a few minutes I asked what time it was. I was so confused; it could have been 5 pm for all I knew. “He was born at 10:00 exactly”, someone said. 8 hours? From start to finish my first baby was born in 8 hours!? In a funny way, I felt like an even bigger superhero than I did before. They attempted to weigh him after we’d had an hour or so of cuddling and some breastfeeding, but he was too big for the traditional midwife scale. They brought him to the scale they use to weigh older babies and he weighed in at 11lbs 2oz and was 22 inches long.

I had some tearing that needed to be stitched up, but I was so pumped full of hormones I felt like I could have done it all over again. I called my mother, who was fully expecting to hear me moaning about still being pregnant, to tell her while she was sleeping her 3rd grandchild had been born. My husband called his father to tell him that his first grandson had been born and on his 70th birthday to boot.

 What an amazing morning that was. I was treated so well at the birthing center, everyone was so lovely. All of the people there who helped welcome Dylan: my doula Angie, my husband Peter, the great midwives, a midwifery student and the aide-natal made it so wonderful. I was fed French toast, fresh fruit and juice for breakfast and we got to lie around all day enjoying the huge, yet tiny and fragile boy we had created. What an amazing way to welcome our baby into the world.

Dylan: You literally light up my heart. You have made me into a more passionate person. You’ve taught me to be kinder, gentler and given me a new sense of wonder about the world. We love you Little Dill.
 

I'm sure many of you have heard the analogy of natural birth being the equivalent to running a marathon- I'd like to quote the source of this little gem I've copied below but I can't remember where it came from- if you know please comment :)

You will hear many women say they are going to “try” to have an unmedicated birth. To me, “trying” connotes sheer effort and endurance. What I hear women say when they say “try” is that they are just going to see how long they can stand the pain. My dictionary defines “to try” as “to make an attempt or effort”. What happens when you try something? Either you can succeed or fail.  There’s a lot of derisive talk out there about birth plans and women who “plan” an unmedicated birth – or really plan anything about their birth at all. There is a lot of finger-waving about how birth is unpredictable and you can’t PLAN anything. After seeing a lot of births, I have to say I agree. My dictionary says to plan is to “decide on and arrange in advance” – you can’t really do that with your birth. What happens when you plan something? Maybe your plans work out, and maybe they don’t.  What I wish more women would say, and take ownership of, is that they are preparing for an unmedicated birth. My dictionary says ” to prepare” is “to make ready or able to do or deal with something”.This sounds just about right! Someone who is prepared does not fail or have plans not work out – they meet what comes with their goal in mind. They have made themselves ready to handle birth and any twists and turns they might meet on the way.   I encourage women to think of birth as a marathon – it is long, challenging, sometimes painful, sometimes exciting, and can be very rewarding. Many people regard having run a marathon as difficult, but very rewarding and a huge achievement. However, if you knew someone who told you that on Saturday they were going to “try” to run a marathon, you’d probably look at them a little askance. You’d start asking questions: “Have you practiced? Did you read up about marathons and long-distance running? Do you know anything about the route?”   What would you think if they said, “I’m just going to start running and see how long I can stand it. There will be people along the way to tell me where to go.” You might have some more questions for them. “Don’t you think that at some point you’re going to get exhausted and want to quit? If you haven’t prepared, how will you have the resources to keep going? Wouldn’t you like to know something about the course – where the steep hills are, where to save your energy, where to expect things will be tough?”  If this person then tried to run a marathon, and dropped out at mile 10, or had a miserable time, and then told their friends how horrible marathons were and how stupid someone would have to be to go through that awful experience just to prove they were “tough”…wouldn’t you be skeptical about their opinion? And yet that’s where we’re at in a lot of ways. Many women see unmedicated birth as some kind of test that you pass via sheer endurance and “feminist masochism”, as one doctor in “The Business of Being Born” puts it. There’s often a vague, generalized perception that drug-free is “better”, but without much clear understanding of the actual risks of drugs. If you “try” to have the unmedicated birth and “fail”, then you have a lot invested in trying to convince people that this “test” is silly and has no bearing on your strength, motherhood, or womanhood (a position I agree with completely). I think many of the birth horror stories and dismissive “just take the epidural, honey, you’re gonna need it” comments that pregnant women hear come from that place.  On the other hand, if you approach natural birth with the mindset that this is a rare and challenging event that you would like to fully experience, with interventions available whose risks you’d prefer to avoid, you can prepare for it. You can take classes, read, and find good coaches and support systems. You can remain flexible and open to changes in the situation. Let’s ditch this whole “trying” thing and switch to “preparing”.

I wholeheartedly agree with this! Let me just say-  I despise jogging/running, I would collapse into a heap even in elementary school when made to run cross country every fall and have never found anything enjoyable about the activity. But, if motivated to, or challenged perhaps, to a serious long distance run such as a marathon, you'd better believe I would be prepping for this. Would I be scared? Hell yes! Nervous that I might not make it to the end? Um, believe it! Willing to show up hungover on the day of with a never worn pair of sneakers to give it a go? NOPE.
I started reading about pregnancy and birth choices a few months before actively trying to get pregnant. Thankfully I stumbled upon a post that mentioned how difficult it was to get into the Montreal birthing centres, so I knew in advance to call before the pee on my pregnancy stick had dried. I definitely feel that being in a place where I felt comfortable and where there were people supporting my choices (and of course, no epidural unless I wanted to transfer to the hospital!) helped tremendously in my having the natural birth that I wanted. Not everyone is able to make that choice- of giving birth where they feel best- or they are not comfortable with the alternatives that are out there. That is a whole other issue that needs to be discussed in another post. But, the place of birth is only one aspect that can contribute to or take away from the birth experience. I WILL take credit for the reading, researching, soul-searching, talking to my fellow women and natural birthers and gathering a support system of people who would help me with my vision. I knew that even if things didn't not go "according to plan" that I was still going to look back and know that I did everything I could. Just like a runner who trains for months and then in the end, doesn't run their best time, or has to stop because of a pulled muscle or falls into a pothole and sprains their ankle (?!) at least they know they tried, and prepared and used every resource out there to achieve their goal. 
Personally, it just wasn't really an option for me. Once I took it out of the equation for myself, the idea of drugs during labour never really crossed my mind.( Ok, maybe for like one tiny half second when I was in transition I remember saying, "I can't do this! If I were at the hospital right now I can totally see why someone would take the epidural!" ) But, really, other than that moment it just wasn't part of my thought-process. I understand that everyone has a diffierent  "plan" for their birth, and for some, this means letting the idea of an epidural hang around in the back of their mind throughout pregnancy and early labour or even putting at the top of their List of Ways I Will Deal With Pain. But, if you want a natural birth, if you really truly WANT a natural birth- then preparation for it might be the best place to start, don't you think?
Thanks for reading.
Megan

Here's a link to a great post by my teacher and mentor Lesley, who inspired this post:http://motherwitdoula.blogspot.com/2011/05/mental-toughness-approaching-natural.html