For a Newly Pregnant Mamma

Recently, a lovely friend of mine shared the happy news of her pregnancy with me. This post is inspired by her news, with all good wishes and much love to all the newly pregnant Mamme near and far.

Dear Mamma Bella,

You are pregnant! Evviva! Welcome to the Wild Ride Preceding the Wild Ride That Is Having a Baby.

Before I do anything else, let me introduce you to the Very Special Ina May Gaskin. 

I pinched this photo of Ina May in the late 1970's from this article on the Guardian, the photo is by Ina May.

Ina May is a midwife who practices in Summertown, Tennessee, in a unique midwifery center. In 1971, she and about 420 other young people bought 1,064 acres of land and started an intentional community called The Farm. Wikipedia has a pretty good article on it here, but generally speaking the members of the Farm Community believed in working hard, sharing, and staying off drugs (weed being an exception. On the topic of weed, a bit randomly, I am currently in Colorado, where weed has become legal, and have come across this book for children: "It's Just a Plant." Interesting how things are changing in the U.S. - what will our children's view of what is legal and illegal be? Just the thought leaves me feeling like I know so little!) 

Anyway, back to Ina May. If I were living in the U.S. and wasn't happy with the birthing options available to me, I would definitely consider traveling to Summertown to give birth at the wonderful Midwifery Center at the Farm (I know other pregnant mothers who have gone this route and have greatly enjoyed the experience.) Why go through the trouble?, you wonder... Well, for one thing, check out the statistics of the births at the center and, if you are feeling gutsy, compare them to those of your nearest hospital. To give you an idea, emergency Cesarean rates in the U.S. are around 30% of births. Between 1970 and 2010, the Farm's Midwifery Center has had a emergency C-section rate of 1.7%. Yes, you read that correctly, 1.7%. It's not magic, just a group of women who have dedicated themselves to creating a birthing culture that takes both mother and baby into consideration.

That said, traveling to Tennessee just to give birth might not be your cup of tea. So how do you access Ina May and the Farm's Midwives from afar? Here are a few options:

Videos: 
(I will just mention a few, but there are so many on youtube, take your time to browse around a bit.)

3 "home made" videos that I love and have linked to before, starting here.

A talk given in Stockholm by Ina May, divided by topics (great for browsing!) By the way, in this talk Ina May mentions the birth of a chimpanzee at a zoo. Here is the link to the video of that birth. While an inverted position - bum in the air - might not be your ideal while helping your baby out, I love watching how in touch this primate Mamma is with her body. And how she literally touches her baby to sense what is going on. I found it very helpful in birthing Ruben. I also love that the Papa' chimpanzee is present and participating.)

"Birth Story" - watch the trailer, or you can purchase the full movie.

"Spiritual Midwifery" - this is an incredible DVD of several births that have taken place at the Farm (including a mother who gave birth to 7+lb twins without tearing!) The DVD is available directly through the Midwifery Center here. If you know a doula, she might have access to one as well.

Books: 
(You can find all of these online, and lots of used copies for very little! If you live in an English speaking country, chances are you can borrow a copy from you local library.)

"Spiritual Midwifery" - I loved immersing myself in the moving stories of the women who have given birth at the Farm over the past 40+ years. No matter whether a birth was challenging or simple, I remember reading these stories and feeling human warmth radiating from the book in my hands. The birth stories take up half of the book, and the second half discusses the approach to birth of the Farm Midwives, as well as some technical aspects of pregnancy, birth, and care of a newborn.

"Ina May's Guide to Childbirth" -Similarly to the book above, lots of great birth stories and a lot of practical advice on birth itself.

"Birth Matters: a Midwife's Manifesta' " - A great piece of political writing, filled with information about birth history, the current state of births in the U.S. and the West, and the importance of birthing and becoming a mother in the context of women's rights. A really empowering read, although not quite as practical if you are close to giving birth.

All that said, Ina May may or may not be your thing. So here are two more books that I found precious for my pregnancy.

In "Birthing From Within", Pam England and Rob Horowitz guide you as a reader to explore your feelings, expectations, fears and hopes around birth. I often wished I could attend an actual workshop ran by Pam and Rob together with D, my partner. Here is their website with more information. This book allowed me to feel free to get creative, make drawings (however simple and not "beautiful"), and go about exploring how I felt without needing to edit or judge myself, no mean feat :-)

The second book I enjoyed is "Pregnant Feelings" by Rahima Baldwin. I love that this book contains several BEAUTIFUL images of pregnancy within it (do not undervalue the power of images! I can still remember a picture in "Spiritual Midwifery" of a woman with a beatific smile on her face as he baby is crowning - really inspiring.) This is a well designed workbook that leads you through different exercises to explore your experience of pregnancy. Again, a non-judgemental approach that allows for your subjective voice and experience to be validated and articulated. So good. Not to mention, I love the vintage feel to it!

There is a lot more for you to discover out there, and as usual: only pursue material that feels right. I mean it. If you find yourself scoffing at what you are reading or feeling uneasy with a video, let it go. Find ways to become informed that resonate with who you are and make you feel good. As I mentioned before, I also found online resources that I trusted and could refer to for more information. As much as possible, seek out evidence based resources and professionals who know their stuff (versus well meaning "experts" who might just share their own experience while passing it as wisdom.) 

Finally, most importantly, begin to explore your community and see if you can find people to connect to that seem aligned with your views. For me, that meant looking for breastfeeding mothers who wanted to wear their children (in slings) and try a baby led parenting style. This translated into showing up at La Leche League meetings (it's a great, INTERNATIONAL organization, so there is likely a group that meets up not too far from you) and connecting to the Oxford Sling Meet. It also meant showing up at a baby led potty training meeting while my baby was still on a wonderfully efficient system inside my belly and diaper changing was merely a concept. 

As my mentor Doula Maddie McMahon put it recently: "Find. Your. Tribe."  (This was in reference to this article on the Huffington Post.) Your tribe might be a single woman who lives in your same area, or a group of mothers who meet monthly. Depending on where you live, you might find a doula that you truly connect to, a midwife that you want to keep close to you for the journey ahead, a good friend or a family member. Move slowly, and give yourself time to connect with people around you as the Little Person inside you begins to take up more room in the world. Your community will become invaluable once the Little One arrives, whether for sharing stories, laughter, tears, or just a moment of craziness.

All right dear New Mamma. This is already more than you can probably manage all at once :-) Sending you and all other Pregnant Mothers out there my Love and Respect - it's a wild ride!

With good wishes from Colorado, until the next time, be well.

Bed Sharing and Not So NICE Guidelines

A couple of days ago I was leisurely leafing through the newspaper while having breakfast (for the first time since... well, I can't even remember!) when I came across this article in The Guardian. Basically, the National Institute for Health and Care Excellence (NICE) here in the UK has drafted guidelines against co-sleeping in the first year of a baby's life (an increase from their 2006 guidelines), claiming that bed sharing increases the risk of Sudden Infant Death Syndrome (SIDS).

I found this beautiful image online but couldn't find the artist's name -
please let me know if you have more information.

Before going any further, you should know that Ruben has maybe used his Arms Reach Co-sleeper twice since he was born. D and I actually bought a king size bed when we moved into our current place with the thought that we hoped to fill it with children. So yes, we co-sleep with our son. Early on, I  also learned to feed Ruben in the side lying position and I haven't looked back ever since. (Again, I am grateful to Kate Evans and her other wonderful book for showing me the way: "The Food of Love: Your Formula for Successful Breastfeeding.") Sleeping with Ruben and knowing how to breastfeed while side lying has meant a lot more resting, cuddling, and general well being for our whole family. It's also meant that D and I have gotten creative with our "sexy time," which has been fun (more on that in this article by the Analytical Armadillo, which I have quoted in the past.)

OK, with that in mind, you won't be surprised to hear that I was outraged by NICE's guideline to avoid co-sleeping in the first year - I just wanted to scream out the windows that they were wrong! Luckily there are more centered and better informed people around me who have taken the time to respond to the new guidelines with equal passion, minus the crazy screaming out of the windows. One of the most compelling arguments has been that mothers all around the world will end up bed sharing at some point, and the most important thing is that this is done intelligently, knowing what the potential risk factors are to the baby (surprisingly, falling off the bed is not the major one!)

For all those of you who are interested in the topic, or are worried by the suggested new guidelines, here is a selection of my favorite articles, posts, studies and leaflets on co-sleeping ...


Blog Posts and Articles:

The Hackney Doula: "Lessons in Co-Sleeping."
A personal account mixed with lots of good links and research on co-sleeping.

The Newubury Doula: "10 Things I Wish NICE Would Say."
10 core pieces of information on co-sleeping in an easy to read format.

Sarah Ockwell-Smith: "Bedsharing and SIDS - Why We Have It All Wrong."
In which she calls the Carpenter et al study a "scaremongering piece of 'science'." This is the study which has heavily influenced the NICE draft according to the Hackney Doula.

Milli Hill: "Co-sleeping: Are New Mums Being Given the Right Advice?"
A great piece on the problems with the underlying assumptions behind co-sleeping.


Online resources:

NCT: "NCT response to NICE draft recommendations to tackle Sudden Infant Death Syndrome."

ISISonline - for evidence based information on infant sleep.

UNICEF - "Caring for Your Baby Leaflet" and the study on breastfeeding and co-sleeping.

Dr. Sears - "Safe Co-sleeping Habits."

Emotional Honesty

There are some days when it's all smooth sailing: Ruben doesn't wake up crying from a trapped burp in his throat, there are plenty of smiles and loving looks at different times of the day, I catch lots of Ruben's pees and poos (if you have no idea what I mean by that, check out elimination communication or read Christine Gross-Loh's "Diaper Free Baby"), Ruben shows delight in the food I offer him (again, a little bit differently from popular 20th century Western practices, we are doing baby led weaning), I manage to nap for at least an hour in the afternoon, and the sun shines on the UK. These are wonderful days, when I feel so in love with both my baby and my partner. These are the days when I manage to make dinner with relative ease and when Ruben falls asleep just shy of his bed time so that I have a few, extra, precious minutes to write on this blog.

On these days, I sometimes think back on the days that are very challenging. The days when I wonder  if what I am doing as a mother is working or if it's "right". Doubt about my ability as a mother creeps up slowly, fed by the tiredness of the one hour long nap that I missed, the pees and poos that ended up on the living room carpet, the hurried meals which mean Ruben only got to chew on a piece of cucumber for dinner. On these days, the day moves in a weird rhythm and Ruben's cries of frustration and unhappiness leave me feeling disconnected. On these days, hearing that another baby goes to sleep at 7.30 in the evening can almost bring me to tears. This is not so much because Ruben has embraced the sun's rhythm (in the British summer, this means that he goes to sleep around 10p and wakes up with the first rays of sunshine, around 5.30a). Rather, I find myself wondering if I am making the right choices, if maybe, in a parallel universe, there is a mother B who has got it figured out with her son R, who goes to sleep at 7.30p every evening, who never wakes up crying in pain from a burp, and who is, of course, generally better off.

As I write this, I realize what a good day this has been, as I am actually capable of some self-irony. The truth is, though, that some days can be very hard. When Ruben's poos turned a bright green when he was three weeks old, I spent all my "extra" time/energy doing research, trying to figure out how to make things better (anything from block feeding because of a forceful let-down reflex to dietary changes, particularly by removing diary in my diet.) Now that Ruben is almost 9 months, a lot of the toughest bits have eased up, yet there are still times when I feel the pressure of being his mother very strongly and feel myself wondering if I'm doing all right. 

I write about all this because I have been reading a wonderful book by Sue Gerhardt, "Why Love Matters: How Affection Shapes A Baby's Brain." First of all, Gerhardt is one of the co-founders of OXPIP (Oxford Parent Infant Project.) Check it out, it's a great organization that helps parents to connect with their babies because, as they say, "being a parent isn't easy." 

Gerhardt is a psychoanalytic psychotherapist and in her book she looks at how love affects the development of a newborn's nervous system, especially through the first couple of years of their life. There is lots to learn in this accessible book, as Gerhardt reviews and expands on a range of recent research in neuroscience, psychology, psychoanalysis and biochemistry. It's a wonderful book that covers many different topics and I generally recommend it (even if you don't have children, to get an interesting perspective on your own brain and parents - maybe not an "easy read".)

Personally, however, something I read just the other night really struck a chord. In the second part of her book, Gerhardt looks at how shaky foundations in early relationships between parents and babies can lead to negative consequences. Gerhardt discusses how people learn to hide their feelings as young babies: as parents push for independence, babies sense early on "that their dependence and neediness is unwelcome, so they learn to hide their feelings" (Gerhardt, 93.)  In this section of Gerhardt's book I recognized my own tendency to put on a smile and not share the tougher parts of my life, apart from when I feel very safe and supported. I also recognized that if I want to be emotionally available for Ruben as a parent, one of my many challenges is to be more connected with myself and more willing to feel, even those very bad days. Maybe especially those bad days.

I entitled this post emotional honesty. I think of this as my practice as a parent, to try and remain in touch with how I feel, to make room for the more difficult emotions (like anger, jealousy, loneliness, sadness). My wish is that I can learn more about emotional honesty thanks to and with Ruben, so that as he encounters tough times ahead, I can be present with him without carrying a big back load of my own unexpressed, bottled up, unrecognized feelings. 

Today I write this in the hope that others might read and share the ways in which they try to stay connected, not just on those wonderful days when the sun shines, but on the days when things feel heavy and complicated. I know that meeting up with other parents has been incredibly helpful for me. I look forward to the monthly La Leche League meeting for mothers and babies with much gratitude for its existance. Lately, too, I have taken more initiative to meet with other parents in informal settings. Hearing how another baby is struggling with their teeth coming out, or how tired the mother of a crawling little girl is feeling, helps me feel part of a greater parenting network, in which we are all doing our best to take care of the amazing little creatures that are our children. What makes you feel better on your more difficult days?

As always, thank you for reading.