Monday, May 27, 2013

Help! I want to avoid Induction


Email:
Hello Gail,

I appreciate that you probably receive many emails and completely understand that you do not have the time to respond directly to everybody.  Even if you don't get the chance to respond I would like to thank you for the highly informative detail on your website, which has already provided me with some hope for the coming week.

I am currently 41 weeks and 4 days pregnant, and have the time pressure of an impeding induction.  My dates are accurate and match up with the ultrasound dates.

My baby has been almost always ROP throughout my pregnancy, at 38 weeks [baby] changed to ROA and at the same time engaged to 1/5 down, [baby] stayed ROA for next 3 weeks and continued to drop to 2/5 down. 

However, in my appointment today the baby has moved back to ROP and is now her head is not in my pelvis at all.  In fact her head is above the pubic bone.  I am 1cm dilated with no signs of impeding labour (no cramps, show etc. etc.).  This is my first baby.

From reading your website I wonder if the change in her position has resulted in her head coming out of the pelvis.  I have been advised to do a lot of walking and rotations on the gym ball etc. to try and bring her head down as much as possible before Thursday. Although I am wondering if I should be working on exercised to get her more LOA rather so that she engages naturally. 

I realise I have little time but want to try what I can ... as I am terrified that I will end up having to have a C-section. 

Your website is very clear on the exercises to be used to encourage engagement and to move from a posteria position - I suppose I am just wondering considering the time restraints which is the best option for me both over the next few days and also whilst in labour after they have applied the gel.

Thank you.

Response:


Dear [Pregnant Mama],
Thank you for imbuing your email with sweetness and understanding about time! But its your time, too, and your baby's!
So,
Please try the sidelying release on both sides, using the instructions carefully. 

I agree, if your baby came up higher it may be because the baby is trying to rotate to LOA/T
or,
Your baby found Less room below as your lower uterine segment may have reduced space there due to muscle tension or a short ligament.
Likely both are true as the lower uterine segment gets "crowded," babies come up and would like to rotate if the round ligaments in front allow room to do it.

Getting the baby to engage now in ROP may or may not address your goals. 
If you are a first time mother (and you are) engagement in ROP isn't ideal for labor progress later. If you have given birth easily before (for some of our readers), especially during 2nd stage, engagement in a posterior position may not prevent vaginal birth or even a slow down, esp when your body is balanced. But for some women engaging a posterior baby isn't a good thing. 

But, then how to you get labor to start on its own by 42 weeks? Add balance, seek to help baby to the left. 

Labor contractions may be the necessary ingredient to get baby to rotate.
That is more common today that it was 5 years ago, perhaps due to soil depletion? I don't know, more sitting and driving in our society?

Body work is often useful as can be professional Chinese acupuncture. 

Homeopathics can also be effective, you may need to consult a homeopath such as Homeopathic Medicines for Pregnancy and Childbirth
as well as find a good homeopathic Pregnancy practitioner.

I suppose you found the "Induction?" page on my site and have read what is in Start/InPregnancy and Start/InLabor  

On the other hand, I've been with many induced women and there is a way to take it slow, add massage, calm music, touch, and laughter, a rebozo sifting, and have a "natural" labor in other ways, meaning no need for an epidural for many, but not all, of these women. Motivation and the best response to the Pitocin are part of making it through without other meds. A doula is key, a doula who has lots of experience with "natural" comfort measures during inductions. 

So much love to you and your baby. I hope you keep a perspective of love and practicality through this. 

Peace is an action,
Gail Tully

Tuesday, May 14, 2013

Labor isn't starting or starts and stops?

Baby is engaged - dipped into pelvis

To begin, we have to help the baby into the pelvis to get effective contractions:
http://www.spinningbabies.com/more-info/for-pregnancy/38-weeks-is-baby-engaged-yet (info)
http://www.spinningbabies.com/more-info/in-labor/helping-baby-engage-in-labor (what to do)





For everyone in a leisurely start of labor:





Perhaps quite useful:






If you feel little kicks and wiggles in front:












And suggested for all to do, in this order:


DO NOT DO ANY INVERSION IF YOU HAVE HIGH BLOOD PRESSURE or the risk of a stroke, or a loose womb and your water is broke with out baby being engaged at the time of the inversion. See instructions.


Monday, May 6, 2013

Cut, Stapled, and Mended - Gail's review

Dear Roanna, 

I'm three-fourths way through your book. I've laughed out loud so many times at your brilliant descriptions of small business, family bed, nursing, alternative healing, and more. 
Your descriptions of your birth journey astonishes me again and again, not in that you are concise and insightful about the trauma and challenges you went through, of course not, your intelligence and experience are immediately evident. The astonishment is that in the journey of three children the words you choose to describe the impact and the words you choose contain all the wisdom of the entire birth movement! All woven without lecture or pomp, but in an edge of the seat birth-suspense. 
Your self-discovery is delivered with a surgical truth, that though cuts to the core of the mispractice of modern birth is given with the deepest compassion and universal inclusion which is so freeing, perhaps you in the writing, but also the reader to address what's wrong without losing the hope of overcoming.  Your honesty is the key for the reader's transformation. 
My only grief is that the book is so thin, that I am missing you already before I finish the book! I want to keep reading your words! Please write another book! 
Last night I'd fall asleep reading and wake and read more. I was your little nursling reader not able to get enough of the milk of your story. 
 Its added fun because I've just met Veege and Laura and the midwives of Ashland at Jenn Head's arrangement of my Spinning Babies Workshop on March 22, 2013. I can't wait to read the rest of your book tonight. 
 Oh, you might think, who is this woman saying she is my nursling! I've been a homebirth midwife offering support to VBAC women since the 1980s. There is a special Light about the VBAC journey, maybe because the dark is so low. Its an honor to read your book, Roanna. Truly, Cut, Stapled, and Mended is the best birth autobiography I've read since the stories in Ina May Gaskin's Spiritual Midwifery and Lynn Baptisti Richard's Very Brave and Courageous. Cut, Stapled, and Mended may be the best new birth book of this century. In fact, I'm so excited about it, may I post the contents of my email to you on my blog?

  Dearest Gail, 
 Thank you for reaching out to me and honoring my journey. CSM, as small as it is, took over 5 years to birth. When I think of writing another book, I wonder what it would be about. Will anything as incredible as birth ever happen to me again? 

 I do know of you and your important work. I would be delighted to find even a brief mention of CSM there. A review such as what you've written might make it difficult to keep my ego in check. Thats okay; I'll manage ;-) 

 My publisher has asked me to let people know that consumer reviews on amazon, Barnes and noble, good reads, and other sites that are positioned to reach the general public are also greatly appreciated and an important step in reaching beyond "the choir." Finally, if you think your platform might like learning of an opportunity to receive more than $800 in gifts when they buy CSM, feel free to share this link and/or link to it in your blogpost. http://www.cutstapledandmended.com/gifts/ 
 Much love, Roanna

Changing the Earth by supporting Birth

Mothers bring forth life; medical corporations do not. Birth can be simple, powerful and loving. Fetal positioning, natural birthing and practical help for normal birth.