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Midwives?

HappyMomof4

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I'm pregnant (one month) and considering going to a midwife. One reason is I hate being in a hospital for such a special event, and the other is that I deliver so fast that I usually can't get an epidural anyway. I have a strong fear of delivering in the back seat of the car. My last baby took 35 minutes from start to finish! No kidding...from first contraction to birth.
Does anyone have any insight to share about midwives? I've heard that they come to your house and you deliver at home. I think that sounds kind of cool.
 

alaskamolly

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I love them, love them, love them, love them!


I've had one hospital/doctor birth,
one midwife/birthing-center birth (so I could try a water birth),
and two midwife/home births.

I have to say, having that baby at home is just plain AWESOME!!!!!!! Labor is SOOOOOOOOOO fast (because you're so relaxed and comfy and nobody is poking you or prodding you!)...and it's just SO wonderful to be able to rest in your OWN bed afterwards with your new little sweetheart...

There is just something amazingly spiritual about it, I kid you not. My dad, who was downstairs during one of our homebirths (while I was giving birth upstairs) kept repeating over and over after the birth, "The presence of God was in this house--it was so strong! The presence of God was just all over this place!" (And he is NOT a charismatic type of Believer!^_^ )...

I'm pregnant again, and I think we're going to do a midwife/birthing-center birth again. I have some possible complications now, and we live out in the woods...whereas the birthing center is a couple minutes away from the hospital (just in case). I'm glad, partly, because having a baby in their big huge tub is really nice!!!!!! :)

I guess the key is just getting a good midwife--somebody who you just *feel* is right, and who has some good experience. A lousy midwife (and I have had a bit of that experience once) can make the whole thing almost as annoying as having a baby in the hospital is. So do make sure you shop around and check out all your options first.


As for me, I had my first midwife appt. a couple weeks ago, and I left it feeling like I'd been to a SPA! They just care about you so much, pamper you, have all sorts of natural remedies to help with any problems you may be having, are so women-friendly and baby-centered...

They treat giving birth as a natural normal healthy thing, whereas the Doc's and the Hospitals treat it as if it was (or is likely to be) a medical problem.

There is the real difference, right there. Comparing my prenatal appts to my Doc-prenatal appts is like a joke (even though I really liked the doc!)... It is just a treat to go to the midwife!!!!!!!!! :)

Blessings,
Molly
 
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mojorising

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happymomof3 said:
I'm pregnant (one month) and considering going to a midwife. One reason is I hate being in a hospital for such a special event, and the other is that I deliver so fast that I usually can't get an epidural anyway. I have a strong fear of delivering in the back seat of the car. My last baby took 35 minutes from start to finish! No kidding...from first contraction to birth.
Does anyone have any insight to share about midwives? I've heard that they come to your house and you deliver at home. I think that sounds kind of cool.
WOW! 35 minutes?? EEP!
I'd say whatever you are comfortable with.:thumbsup:
I felt best about a hospital for my wife and son, in case something "went wrong", like if I passed out and cracked my head!:D

Bless you both! and be healthy.

mojo
 
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katelyn

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It depends on what state you live in. In my state, certified nurse-midwives are not authorized to assist in home births. You can have a home birth with a non-certified midwife, but you would probably have to find one by word of mouth from what I've heard. But your state may have different laws. You can do a search for midwives near you at www.midwife.org/find/. I tried to find where I had seen the laws for each state about midwives, but I'm not finding it.

I'm seeing a team of midwives, and will deliver at the birthing center at the hospital. I haven't done the tour yet, but I've heard nice things about the birthing center. Plus, if there are any complications, there are doctors right there. But with your short labor, I can understand why you would like to stay at home.
 
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HappyMomof4

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What are specific differences between midwives and obstetricians? Do you have appointments as frequently? How is the delivery experience different with a midwife?

Alaskamolly, that's so cool that you had your baby at home! Did you deliver in your bed? Did your bed get messed up? (I mean delivery is, well, bloody) And you also delivered in a tub of water? I've heard of that...does that make you feel less pain, or is it designed to be more comfortable for the baby?

Katelyn, is seeing a team of midwives much different from seeing a group of doctors?

Thanks for all your replies!:)
 
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fluffy_rainbow

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You will also want to check whether or not your insurance provider covers pre-natal care, labor, and birth with a midwife. Alot of times, medical insurance only covers labor and birth in the hospital, particularly one that honors your medical insurance. Midwives can be expensive, but I've heard the experience at home is like none other.
 
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katelyn

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The reason I see a team of midwives (there are four of them) is because they take turns being on call. I've never seen a team of doctors, so I don't know if that's the same type of thing. But the reason I have my prenatal visits with all of them is so that I know and feel comfortable with all of them, so that no matter who I get for the labor & delivery it's a pleasant experience.

I go for prenatal visits once a month, and that will be once a week at the very end. The visits are less intrusive than doctor visits from what I understand. For example, I only had to get the pelvic exam at my first visit. That was also the only time they took blood. I give a urine sample at each visit and they check for the baby's heartbeat, and I weigh in and they take my blood pressure. Unless I have any other concerns or questions, that's about all that happens at each visit. I did get an ultrasound, and I had the option of getting the screening test that tells you how likely your baby is to have certain defects. Oh, and I will be taking the glucose test in the next month or two.
 
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alaskamolly

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What are specific differences between midwives and obstetricians? Do you have appointments as frequently? How is the delivery experience different with a midwife?

Alaskamolly, that's so cool that you had your baby at home! Did you deliver in your bed? Did your bed get messed up? (I mean delivery is, well, bloody) And you also delivered in a tub of water? I've heard of that...does that make you feel less pain, or is it designed to be more comfortable for the baby?


Your appts are just as frequent.

The delivery experience is WAY cooler!!!!!!!!!!!!! I can't even even even begin to describe the difference. One is a medical procedure in a hospital. Doesn't matter how sweet the Doc is, it's still a medical procedure in a hospital. How relaxed can you be in an environment like that????

The other is a natural normal occurance in a comfortable environment, where somebody is speaking soothing womanly words to you of encouragement and helping you slowly ease that baby out, rubbing your perenium and massaging it with healthful oils to faciliate stretching, and allowing you to take whatever position you like, whatever feels good, whatever works for you.


Your bed doesn't get messed up--your midwife preps you on how to prepare for a homebirth. It's really fun, actually. You just put a set of sheets on your bed, then a waterproof matress cover over the top, and then another set of sheets (that you don't mind getting stained, possibly). Then, after baby is born, you can whisk off the first set of sheets and the mattress cover, and you've got a nice fresh set waiting for you underneath. :)

When they come out, they bring lots of pads and stuff too, cover your floor up and all of that, in case you want to deliver out of bed. They'll explain all of that to ya--there's a list of basic things you need to have on hand and prepared.

When I went into labor the first time, one of the things they had my husband do is fill a crock pot with folded wet washcloths and turn it on high. Then, when I was having the baby and the head was coming down, they'd put a hot washcloth on my stretching perenium (when they weren't massaging it, that is) and it felt SOOOOOOOOOOOOOO good!

Delivering in the tub was really cool, because I had a lot of scar tissue that time (from a surgery) and was worried about tearing right up that big scar line. Being in the water really helped my perenium stretch, and baby came out with my perenium staying in tact! I think I only had one or two stitches, and considering the huge scar, that's saying something!

The warm water is really comfy--very soothing. My second baby I spent labor in my tub at home (but got out to have her at the end). It was totally PAIN FREE, and I think a big part of that was the fact that I was so at "home" in my own tub, and was able to totally relax. That labor was only an hour and a half, and I longed for it to last LONGER, because it was such an awesome experience!!!! Talk about a total high...being able to feel your body having a baby, and enjoying evey second of it! Just toss a cup of sea salt into the water--that kills any germs that might be in there while laboring, and makes it safe for baby. :) But whether it ends up being pain free or not, it really takes the edge off the pain.


The main dif. between a midwife and a doc is that the doc can do C-sections and has hospital privegales, whereas most midwive's do not, unless they parter with a doctor and work under his authority (so as to get his insurance). It's too bad, but it's because of malpractice insurance costs--midwives can't afford that kind of money (heck, doc's barely can!)...

You will find that midwives in general have a WAY better safety record than hospitals and docs. Of course, much of that is probably because the kind of women who go to a midwife are the type who are very active participants in their pregnancies, work to be healthy as possible, and aren't terribly fearful of labor. So that probably helps the stats be so high in the midwives favor, because doc's have to handle everybody--the involved women and the ones who are deathly afraid or have various complications.


I have had nurse-midwives thus far, but this time am going with one who is not a nurse (she's a couple other things, though...naturopath doc or something like that???). I love her, am very satisfied with her record, and her care. She is AWESOME, and I love her partners too! :)

Nurse-midwives can be great, as they have more medical knowlege, but I've had bad experiences too. Sometimes simply BECAUSE of the medical knowlege, they are more inclined to be more hospital-prone than otherwise. One I knew was a nervous wreck--shipped most of her home births off to the hospital if they went over 12 hours in labor, just because of the fear of getting sued if something was going wrong!

So, as with most things, you want to pick your midwife based on HER, not merely her credentials. Trust me--you will *know* it's her, the one you want to choose, when you meet her. Women's intuition, I think... I have always had a few midwives to choose from, but always just *knew* the one I felt totally comfortable with. That's what you want--one who makes you feel "at home" with her. :)

As for midwives being more expensive, it's actually the complete opposite. Most hospital births (for a mere 12 hour stay, no drugs, and NO complications of any sort) are going to run you at LEAST $10,000, and that is JUST for the delivery (doesn't count your prenatal appts). A midwife will cost you somewhere between $3,000-4,500, and that is including EVERYTHING, from the first prenatal appt to the very last 2 wk post partum check up.

We paid by cash for our first birth (my awesome man worked THREE jobs while finishing up Bible school!!!), and have been covered for the rest. Our coverage pays for the midwife, but does not pay for the actual midwife birth--whether it's a home birth or birthing center. So we have to come up with $750 to cover that part, but everything else is covered.



Anyways, hope this helps some!
Blessings,
Molly
 
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Katydid

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happymom,
I know how you feel. My daughter was 2 hours from first contraction until I was in my room with her. I am scared for when I have my next one. But, I am military and we would have to come out of pocket for any of that. I hope you are able to get a midwife to come to your home. I will be praying for you.
 
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megjesfai

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it scares me to hear how gung-ho everyone is about midwives and birthing centers.
I just gave birth to a beautiful baby girl about a month and a half ago. I was planning on going to a birthing center but b/c i had heard some bad things about the birthing center i decided not to go there. Praise God that i didn't. I ended up having severe hemmoraging. Even though i had a certified nurses midwife they had to call doctors in to help me after i delivered the placenta. they had 3 doctors and 4-5 nurses in the operating room while they scrapped my uterus. they thought they were going to have to give me a historectomy to save my life. and it was by the grace of God that i survived with out having to have one or that i survived period. let me ask y'all one thing--was your midwife capable at your home to give a historectomy? no one forsaw my complications and if i would have gone to the birthing center i would be dead right now. the time that it would have taken to drive me to a hospital would have been too long. i woul dhave died. Is loosing your life and having your baby grow up with out a mother worth having some pretty little experience at a birthing center or at home? i really don't think so. and it upsets me horribly to hear people promote midwives, homebirths and things of the such. because it owuld be horrible to have a pregnant woman that you promote those things to end up dying in child birth because she did not go to the hospital. frankly seeing my daughter for the first time would have been an amazing experience where ever i was! and yeah it wasn't fun or comfortable being at the hospital but i praise the Lord that i made the descion to go to a hospital not a birthing center. because if i would have gone to a birthing center i would be dead right now.
i'm glad y'all had great experiences with midwives and home births and what not. thats your choice. but it is much safer for the mother and the child to have the baby be born at a hospital. and frankly my childs life and my own life is to precious to me to risk it. the ride to the hospital might just be a few minutes to long.
 
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alaskamolly

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Well, your experience certainly is of the sort that would make you want to have your babies in a medical environment!!!!!!!! I'm glad you made it! :)


As for me, I've actually hemmoraged twice after birthing--both times I think because of the cord being so short that it yanked out the placenta before it detached, but they didn't know that at first. Midwives can actually do a LOT about hemorraging--among other things, they are allowed to give you drugs (pitocin, etc) to help your uterus contract (and hopefully then clamp up those blood vessels, etc). There are plenty of other things that can be done, too.

You can bleed for a while before you'll bleed to death, and so if you do start hemmoraging, a quick rush to the hospital (if you are close) will find you still perfectly alive. And then, once you know you are at risk for hemmoraging, you simply have hospital births from there on out (most midwives would refuse to take you after that point, anyway). :)

(I have a friend who lived 15 minutes from the hospital, a die-hard home-birther, who had a serious hemorrage--this was at her 6th birth-- and was rushed to the hospital after giving birth, and she's still here and feisty as ever--actually, she's got 10 children, now--heeheehee!)


My doctor told me that it takes our hospital staff about 30 minutes to assemble for an emergency C-section, and therefore having a baby in a birthing center 2 blocks from the hospital (which is where ours is located) isn't really that big of a deal--by the time I was rushed there, the C-section team still wouldn't be totally ready for me, anyhow! :)


But a big part of the picture is simply PRAYING ABOUT IT. We always make it a point to pray hard about where (and with whom) we are supposed to have our babies. And that makes a huge difference. Because God knows what kind of experience you are going to have--if you're going to be one of the few who do have serious complications, or one of the vast majority who have a perfectly normal birthing experience--and if we're tuned into His voice and seriously asking for His leading, He's going to give us good Fatherly direction.



You know, I have a good friend who was at a playground with her 2 year old and some 11 year old jumps off a slide (from the top of it) and landed on her daughter. He actually broke her neck (which he didn't know, because he ran off in a panic) and by the grace of God, she is still walking--it was a close call for a while there!

But I don't say, "My children will never play at a playground because of that terrible experience!" One dangerous situation does not rule out a thing altogether. Children get hurt on playgrounds...yet every summer, you'll find us visiting playgrounds!

I guess what I am trying to say is that... A thing can still be perfectly GOOD, but have some potential dangers attached. Almost everything is like that...you take a risk doing anything--including sleeping!

There are potential dangers attached to having hospital births, without a doubt. It's the number one place your baby will get Hepatitus B--that's why they give them the vaccine! You can only get Hep B if you are a drug user or sexually promiscuous...or in a hospital! Yet the hospital is a life-saving place for most people. Some dangerous possibilities do not rule out the MANY positive aspects.


:)

Many Blessings,
Molly
 
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megjesfai

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alaskamolly said:
Well, your experience certainly is of the sort that would make you want to have your babies in a medical environment!!!!!!!! I'm glad you made it! :)


As for me, I've actually hemmoraged twice after birthing--both times I think because of the cord being so short that it yanked out the placenta before it detached, but they didn't know that at first. Midwives can actually do a LOT about hemorraging--among other things, they are allowed to give you drugs (pitocin, etc) to help your uterus contract (and hopefully then clamp up those blood vessels, etc). There are plenty of other things that can be done, too.

You can bleed for a while before you'll bleed to death, and so if you do start hemmoraging, a quick rush to the hospital (if you are close) will find you still perfectly alive. And then, once you know you are at risk for hemmoraging, you simply have hospital births from there on out (most midwives would refuse to take you after that point, anyway). :)

(I have a friend who lived 15 minutes from the hospital, a die-hard home-birther, who had a serious hemorrage--this was at her 6th birth-- and was rushed to the hospital after giving birth, and she's still here and feisty as ever--actually, she's got 10 children, now--heeheehee!)


My doctor told me that it takes our hospital staff about 30 minutes to assemble for an emergency C-section, and therefore having a baby in a birthing center 2 blocks from the hospital (which is where ours is located) isn't really that big of a deal--by the time I was rushed there, the C-section team still wouldn't be totally ready for me, anyhow! :)


But a big part of the picture is simply PRAYING ABOUT IT. We always make it a point to pray hard about where (and with whom) we are supposed to have our babies. And that makes a huge difference. Because God knows what kind of experience you are going to have--if you're going to be one of the few who do have serious complications, or one of the vast majority who have a perfectly normal birthing experience--and if we're tuned into His voice and seriously asking for His leading, He's going to give us good Fatherly direction.



You know, I have a good friend who was at a playground with her 2 year old and some 11 year old jumps off a slide (from the top of it) and landed on her daughter. He actually broke her neck (which he didn't know, because he ran off in a panic) and by the grace of God, she is still walking--it was a close call for a while there!

But I don't say, "My children will never play at a playground because of that terrible experience!" One dangerous situation does not rule out a thing altogether. Children get hurt on playgrounds...yet every summer, you'll find us visiting playgrounds!

I guess what I am trying to say is that... A thing can still be perfectly GOOD, but have some potential dangers attached. Almost everything is like that...you take a risk doing anything--including sleeping!

There are potential dangers attached to having hospital births, without a doubt. It's the number one place your baby will get Hepatitus B--that's why they give them the vaccine! You can only get Hep B if you are a drug user or sexually promiscuous...or in a hospital! Yet the hospital is a life-saving place for most people. Some dangerous possibilities do not rule out the MANY positive aspects.


:)

Many Blessings,
Molly
i live 50 mins from a hospital where they will even deliver babies. or where anyone has half a brain.
the birthing center (which is also 50 mins away) is a half an hour away from a hospital that delivers babys. when my friend needed to have a c-section they had her and her husband DRIVE THEMSELVES to the hospital. the doctors said that if she would have started pushing she would have ruptured and could have died.
I personally will never change my view that at least for the baby's sake the mother should have the chlid at the hospital. just in case of complicaitons. plus there are reasons why OB/GYNs are paid 188,000 dollars a year. its because they are fully equipped to deal with any sort of child birthing complications. unlike a midwife. I detest midwives for risking lives like they do. i could have died and two of my friends could have died b/c midwives are IDIOTS. they don't know as much as OB/GYNS do. so they should either go back to school to be OB/GYNs or find another profession.
I should have been told to have a c-section. but my midwife was too much of an idiot to know that or just felt like risking my life so she could make the $$ delivering the baby. now i am terrified of having more children.
 
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Katydid

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Blue,

yours and mine both were. My midwife, immediately handed me over to a doctor after my water broke and there was merconium(sp?) in it. He had me in labor for 18 more hours, then finally had to use forceps after my son's heart stopped beating. My son was born with no heartbeat and not breathing. It took them 5 minutes to get anything.

megjasfai, we are not trying to gang up on you, it is just important to realize that many women have gone through complications and had bad treatment by people of all different professions, from a midwife, doctor, nurse, or orderly. You cannot discount an entire profession on the basis of one person in that profession. I don't count out all doctors because of this one, or all midwives because mine couldn't help me, or all nurses because one of them yelled at me. That would be wrong. I hope that you can learn to see past your fears and know that most midwives, doctors, and all people involved in medicine are trying to the best they can to help us all.
 
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katelyn

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meg, I'm sorry you had a bad experience. I'm glad that the birthing center I'm going to is in a hospital because of the slight chance of something happening where I would need a doctor. But, I'm still glad that I'm going to a midwife. I like the idea of someone other than the nurses, someone I trust and recognize, being there for more than just the last few minutes or so.

Also, my mother had fast labors, so with a doctor it could be more likely that they do not get there in time (as doctors tend to count on a long labor, especially for the first birth). I know not all doctors take there time getting to the hospital (just like not all midwives have poor judgment), but I do think it happens more often in a bigger city like where I live. I have a friend whose first birth the doctor missed and second birth the doctor took their time, to where she was more than ready to push, but the nurses forced her to close her legs because the doctor wasn't there yet.

Again, I'm not saying that all doctors do that, because I know for example that my mother had a great doctor who delivered me and my siblings. But given where I live and what I know about the midwife program I'm attending, I feel that it is the right decision for me.
 
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HappyMomof4

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alaskamolly said:
The warm water is really comfy--very soothing. My second baby I spent labor in my tub at home (but got out to have her at the end). It was totally PAIN FREE,
Are you serious? No pain at all?
It sounds like you had a wonderful experience! I'm still going back and forth with this. I know this might sound silly, but I really want an epidural! But then again if it's only a half-hour, I can handle that, right? I've given birth 4 times so far (I had a baby at a young unmarried age and placed him for adoption--before I met my husband). I've had 2 naturally and 2 with epidurals. But I'm telling you I screamed like an animal without an epidural. I just don't know...
 
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PegasusOnFire

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I go to an OB/GYN, only because my insurance doesn't cover midwives, and the OB that I saw with my m/c was wonderful and very nice. He had me go in for a D&C because he didn't want me to go through the pain of the dispelling of the fetus. He told us everything that it would entail and has been great. We are still going to him for this baby and have had nothing but good luck with him. I also know several women who use him as well, so I had a good feeling going into this.
 
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megjesfai

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no pain?!i'm sorry but are you an alien? j/k that was the worst pain i ever felt in my entire life. i warned the nurses--you will hear worse things out of my mouth then you will see come out of my crotch. they didn't believe me. but well it would depend i guesson what the person found offensive b/c after i delivered the placenta there was so much blood all over that room--all over the curtains and everything that my hsuband said it was pretty disgusting. they had to switch rooms and everything thats how much blood there was.

i'm sorry i was rude about midwives.i'm sure some of yall have had great expereinces with them. mine didn't even really talk to me much and she wasn't even in the room until the last minute. the nurses and my husband helped hold my legs while i pushed. she probaly just hated me as much as it feels like the rest of the world does. i didn't even go to my six week check up b/c i just feel so retarded. like there must be something wrong with me. why she didn't tell me the placenta was too low. it really makes me angry that this woman could have killed me. My placenta was over my cervix as of 5 months. then i got another ultra sound and she said it had moved and it was safe for me to have the baby natural. it didn't move much though and was still prety low on the unteran wall. she didn't even recommend that i go to a OB/GYN or anything. her ignorance could have killed me and the ignorance of the midwives at a near by birthing center could have killed a girl from my church and one of my husbands's friends sisters.
 
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alaskamolly

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For "no-pain," read the classic,

"Childbirth Without Fear" by Dr. Grantley Dick-Reed (I think that's the name).

Seriously, I read it with my first, didn't do what he recommended and had pain (could handle it, but it still hurt). Second birth: I figured, what the heck, I'll try it: and NO PAIN, just like he'd said would happen!

It's very simple--the basic premise is that you have to totally (totally! even your FACE) totally relax ALL your muscles when you are in labor. You go totally LIMP. And when you do that, you allow your uterus to get all the blood it needs...which means it operates at full capacity, instead of your body stealing it's blood because you are pumped full of adrenaline and going on "fight or flight" syndrome.

Think about it--a contraction comes, it hurts like crazy, and so you tense up under it--and tense up for the next one, and the next one. It is AGAINST our natural reaction to go limp when we experience pain, to go completely floppy! We want to fight it.

Well, if you resist that natural urge and go totally limp instead (this includes the muscles in your face, even!), the pain will go away...by the next couple contractions, it won't be there at all! It is so crazy, but it really does work!

I think the big key is practice practice practice, becuase you have to DRILL it in yourself to go limp...since it is NOT going to be your first natural reaction when the labor starts. Find a place to sit or lay comfortably (a reclined sitting position is best) and practice for 15 minutes a day, going totally limpo. I usually just concentrate on getting my face totally limp, because I've noticed the rest of my body follows suit. Seriously--open that mouth and drool, you're so limp. :)

It's helpful in the last trimester when you have Braxton-Hicks contractions, because you can use those for practice.


Anyways, the book is better than I am at explaining why this works, from an anatomy/physiology perspective, but...it really does work!


Ok, gotta run!
Love,
Molly
 
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