One Born Every Minute

OneBornEveryMinute

Last week, one of my HypnoBirthing mums said that she had watched One Born Every Minute and had some questions about it so I felt I should watch the episode too, having managed to miss almost 2 series of it1. It proved to be quite an eye opener! I noticed that the programme is now filmed from Southmead Hospital in Bristol and a quick look at the combined 2012/13 statistics from Birth Choice for the Central Delivery Suite and the Birth Suite show that that 16.5% of mums have a caesarean, 14.4% have a ventouse or forceps delivery whilst 69.2% have ‘no help’2. So, given that this programme features 3 births, one would expect 2 of the 3 featured births to be with ‘no help’ and 1 to have some intervention. This is what we were shown:

Firstly, I want to comment on the positive language that was used through the programme. We saw one mum, Zoe, being examined and she was 1cm dilated. The midwife said, “About 1cm dilated, so not too bad”. Zoe smiled and said, “1 cm dilated, get in there!” I later jotted down comments such as, “You’re doing brilliantly” and “You’re breathing through them so beautifully”. This is just what a mum wants to hear and I was so pleased to hear the mums being supported in this way.

Secondly, we saw the relationship between patient and anaesthetist. Patients can fixate on the surgeon, the midwife, generally the person conducting the operation. For most procedures, it is the anaesthetist that the patients can see and talk to. I recommend to all of my clients who will have an anaesthetist involved to make friends with that person and we saw in #OBEM that this anaesthetist was friendly and on the mum’s side. I’m pretty sure that one of the criteria for being an anaesthetist must be to have a friendly disposition.

The first mum, Cheryl, who was with her husband Rob, and was having an elective C-Section. Cheryl’s story and strength was inspiring but I fear for anyone watching this that has an elective C-Section booked. One fear that mums have is that the spinal block /epidural won’t work. There are some stories to be found on the internet that will tell you that they don’t always work and this happened to a friend of mine, but this is incredibly rare. On the #OBEM website there is a link explaining how epidural’s work and it says, ‘if you are having a Caesarean section and have had an epidural, CSE or spinal block, you will be checked extensively by the anaesthetist before the operation takes place to ensure you are fully anaesthetised. Often, they will ‘pinch’ the skin over your abdomen to reassure you that, even though you feel some pressure, you will not sense pain.’

So, what was Cheryl’sOne Born Every Minute experience? The spinal block did not fully work, which they knew before the procedure started but Cheryl wanted to go ahead in order to avoid a general anaesthetic which would mean that her husband would be unable to remain in theatre and see his son being born. It made for uncomfortable viewing. Cheryl was clearly in a lot of pain and looked like she was going to pass out. The anaesthetist was clearly concerned. Can you imagine watching that as a pregnant mum? The baby was born, cord cut immediately, taken to the side table cleaned up, packaged up in a blanket, and handed to dad. I felt so sad for mum and baby who could have had skin to skin and that fabulous oxytocin rush.

zoeanthonydanaOur second mum was Zoe who had had a long fertility journey before reaching the delivery suite. I enjoyed this birth mostly because of husband Anthony’s response to the birth. Zoe’s baby’s heart-rate went down and a forceps delivery was recommended. The doctor crouched down at Zoe’s height and explained it to her. I felt this was well done. The birth itself appeared to be relatively easy and it was joy to be part of their joy at meeting their long-awaited daughter, Dana.

Our third mum was Sarah who was with her husband Mark and her own mum. The birth seemed to be going well until the midwife said that the baby was unexpectedly breech. Suddenly the room was full because a breech birth is considered an emergency. Mums who have a breech diagnosed in advance will be steered towards an elective C-section which means that the average midwife and obstetrician hasn’t experienced that many breech births – which is why 6 members of staff were considered necessary for a vaginal breech birth. It was then confirmed that the baby (who has been called naughty for being breech) was in One Born Every Minutefact in the correct position and a normal birth could take place. However, poor Sarah still had 8 people packed tightly around her, most of them staring at her vulva. I can’t think of many things more likely to make my nether-regions clamp shut than having all those heads staring at me! Little Chloe was a very healthy sized baby, still covered in a thick layer of vernix which was allowed to stay on which was great to see.

So, we had seen 1 C-Section, 1 Ventouse and 1 ‘no help’ with quite an audience.

Exhausting stuff and I have to admit I shed a tear and felt inspired by those amazing mums and dads. I also had a very interesting HypnoBirthing class where we went through some of the events from this episode. We obviously see a heavily edited version of events in that programme and I expect my clients to leave with the skills and strategies to be able to direct their own birth and know what questions to ask so that they can avoid some of the pit-falls we viewed in that episode. Ultimately though we saw 3 healthy women have 3 healthy babies and that is what we ultimately want.

Congratulations to those mums and good luck to all those having their baby soon. x

1 I don’t recommend that the people coming to my class watch One Born Every Minute as it shows birth to be disproportionately traumatic. This will not help a mum to know that her body is perfectly designed to birth a baby.

2Figures do not add up to 100 due to rounding.

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Why I’m not pro-natural birth…

I’m a HypnoBirthing Practitioner so it’s obvious that I am pro-natural birth, right?

Well actually, wrong!

Croydon Hypnobirthing birth pregnancy

If I’m pro-natural birth, I’m by default saying that those parents that do not have a natural birth must be less in some way… and that is just not the case.

If I’m pro-natural birth, I’m effectively saying that parents who do not have a natural birth must have made some poor choices.

If I’m pro-natural birth, it could be interpreted by parents who do not have a natural birth that they did something wrong, that perhaps the mum’s body wasn’t quite up to the job.

If I’m pro-natural birth, I’m telling the midwives and doctors who are there for an assisted birth that they have not assisted effectively.

And all these things would be wrong.

The reality is that most of my HypnoBirthing clients do have wholly natural births. They haven’t felt extreme pain, their babies have birthed relatively quickly and the first moments with their baby have been easy because no one is exhausted. And this pleases me greatly.

One of my favourite birth reports came from a couple who had had a previous negative birth experience. They needed the second birth to be a good one to get closure on the first one and they did everything to achieve it including planning a home water birth with an independent midwife. I was so looking forward to their birth story and it was a truly great one (brought a tear to my eye as it happens). They felt empowered, they were in control, they made all of the decisions and reflected on it extremely positively; they had their closure. They also happened to have a C-Section. It wasn’t natural, it wasn’t how they planned it, but it was the best decision in the circumstances on the day.

So, I’m not ‘pro-natural birth’. I’m ‘pro-a positive birth experience’.

I support the parents that I work with to have a birth experience that they are happy with, that they can look back on and smile. You can own the birth process however it plays out and that helps in achieving a positive birth experience.

Happy New Year Baby!

HypnoBirthing Croydon

Another year has passed and I have been reflecting on what 2012 has brought with it – it has been quite  a year both professionally and personally for me, with lots of people helping me along the way, usually without even realising that they are helping me. I have been blessed to encounter so many lovely people who I have enjoyed working and studying with.

In my HypnoBirthing™ I have worked with:

  • couples who have had babies in the breech position and HypnoBirthing™ has helped the baby turn;
  • cynical dads (you know who you are!) who have really embraced HypnoBirthing™, realising that it is actually based on common sense and I’m not the hippy that they feared;
  • mums who thought an elective caesarean section might be the easier option only to end up looking forward to a natural birth after using HypnoBirthing™;Croydon HypnoBirthing
  • couples who haven’t had ‘text-book births’ but who have raved about how great their experience was because HypnoBirthing™ helped them to ‘own’ the decision making process;
  • mums who have been hospitalised during pregnancy so the HypnoBirthing™ sessions have taken place at hospital;
  • a mum who birthed her baby on 10/11/12!
  • lectured to student and registered midwives on how HypnoBirthing™ can facilitate a ‘normal birth’ and helped midwives to understand how they can best help HypnoBirthing parents.

In my BabyCalm™ work I have worked with:

  • Expectant first time parents who were nervous about what on earth wouldhow to calm a baby happen when their baby was born who went on to have lovely early days with their newborn;
  • New parents who thought that they were getting this parenting-lark wrong but actually when we talked about it in the Colic & Crying Workshop realised they were doing a great job;
  • New first-time mums who made great new friends in the Mother & Baby classes;
  • New second-time around mums who wanted to do things differently this time

Of course, bullet-pointing it like this doesn’t give scope to tell you how much I’ve enjoyed working with parents this year – with them typically arriving a little uncertain and leaving with raised self-confidence.

I’ve spent another year studying and attending some great events:

  • At the Royal College of Medicine Hypnosis in Childbirth Seminar I heard how HypnoBirthing™ is being used in the NHS and about the research being conducted by Professor Soo Downe (watch this space!)
  • At the BabyCalm Conference in London I met Michel Odent who spoke on the importance of Oxytocin in the post-natal bonding process, Naomi Stadlen who spoke on ‘What Mothers Do’ and Oliver James who spoke on ‘Love Bombing’. All very thought provoking.
  • At the HypnoBirthing™ Institute Study Day in London I heard the founder of HypnoBirthing™, Mickey Mongan, speak about the improvements being made to the HypnoBirthing™ course.
  • Exhibited at the NCT Baby Show at Trinity School, Croydon, meeting lots of expectant and new parents and meeting lots of other birth and baby professionals
  • Exhibited at the Mothercare Baby & Me Event, again meeting a cross-section of expectant parents.

I was also awarded the Gold Seal by the HypnoBirthing Institute and the HypnoBirthing UK Advisory Board nominated me as the Regional Liaison for South London.

Croydon HypnoBirthingPhew! What a year! On top of all this, I took up running this time last year (not a New Year Resolution, just happened to find a fantastic pair of running shoes) and went from being able to run about 100m (I kid you not!) to running the Croydon 10K in October in 7 minutes less than I anticipated with the 2 best supporters in the world cheering me on!

I wonder how 2013 will top that!

Safe Babywearing

One of the easiest ways to keep your baby happy through the day whilst getting on with the things you need to do is to ‘babywear’ – in other words to carry your baby in a carrier / sling / wrap. Your baby gets to feel snuggled up to its favourite person, listening to your breathing and your heart-beating whilst being rocked as you move along. When you think about it, it’s really reminiscent for your baby of being in the womb, which let’s face it, was a really nice place for him/her to be.

There are loads of Babywearing products on the market and I’m not going to tell you which to buy (whispers: the Moby Wrap is my favourite) but what I can do is give you a few pointers on what to look for. The primary thing we are looking to avoid is an occurrence of hip dysplasia or dislocation.

After birth, it takes several months for your baby’s hip and knee joints to stretch out naturally, perhaps even longer for a Frank Breech baby. The hip-joint is a ball and socket joint. During the first few months of life the ball is more likely to be loose within the socket because babies are naturally flexible and because the edges of the socket are made of soft cartilage. If the hips are forced into a stretched-out position too early, the ball is at risk of permanently deforming the edges of the cup-shaped socket (hip dysplasia) or gradually slipping out of the socket altogether (hip dislocation).

So what does this have to do with Babywearing? Well, quite a lot of carriers, especially those available on the High Street, don’t hold the child in a helpful way. What you’re ideally looking for is for your baby’s legs to be held in a frog-like pose so that the hips are held correctly. Here are some great pictures from the International Hip Dysplasia Institute:

This first picture shows a typical, well-marketed carrier. The ball of the hip joint is pushed out, risking hip dysplasia/dislocation.

 

 

 

 

 

 

 

 

This second picture shows a well-designed carrier; it holds the baby’s hip joint in the correct position. Consider these images when choosing the carrier for you and your baby. Basically, look for ‘froggy-style’ legs rather than a ‘crotch-dangler’.

5 TICKS to safety:

To ensure your baby remains safe – just remember TICKS:

T – TIGHT – The carrier should be tight enough to hug your baby close to you as this will be most comfortable for you both. If it is too loose, your baby will slump down in the carrier which can hinder their breathing and pull on your back.

I – IN VIEW – You should always be able to see your baby’s face by simply glancing down without having to move any fabric. In a cradle position your baby should face upwards rather than turned in towards your body.

C – CLOSE ENOUGH TO KISS – your baby’s head should be as close to your chin as is comfortable. By tipping your head forward you should be able to kiss your baby on the head or forehead.

K- KEEP CHIN OFF THE CHEST – If your baby’s chin is on their chest, their breathing  could be restricted. Ensure there is always a space of at least a finger width under your baby’s chin.

S- SUPPORTED BACK – in an upright carry, a baby should be held comfortably close to the wearer so their back is supported in its natural position and their tummy and chest are against you. A good rule of thumb is to place a hand on your baby’s back and pressing gently – they should not uncurl or move closer to you. A baby in a cradle carry in a pouch or ring sling should be positioned carefully with their bottom in the deepest part so the sling does not fold.

If you’d like to find a range of safe carriers, take a look at the shop here

If you want more information on Hip Dysplasia, take a look here

HypnoBirthing and Breech Babies

I had the best news today. I worked with a lovely couple before Christmas who were preparing for the birth of their February baby. It was their second baby and the first birth had not turned out as planned; it was supposed to be a home waterbirth but ended up being a hospital birth.

Last month the mum contacted me to say that the baby was in a breech position but she wasn’t overly worried because she knew that HypnoBirthing could help. I visited her at home a week later to use hypnosis to turn the baby. Less than a week later she was able to confirm that the baby had turned and a home waterbirth was still possible.

I have spent this week wondering when I would hear what happened – despite not being that old I do a great impression of an expectant grandmother! I was delighted today to hear that she did indeed have her home waterbirth and that HypnoBirthing had been a great support… and here is the little cutie himself:

When I say to parents that their course fee includes any support they need between the end of the course and the birth of their baby, I really do mean it. I want the parents I work with to have a great birth experience and I feel chuffed to bits to have been able to help in this small way.