Royal Baby News

CORRECTION:

I love that Kensington Palace weren’t exactly honest with us. We were told that she went to hospital in ‘early labour ‘at 6am when I’m guessing that, given that she had her Baby Girl at 8.34am, the birth process was some hours in. Good for them for keeping a bit of it to themselves.

The Duchess of Cambridge was admitted to hospital this morning in the early stages of labour. After my initial sense of excitement – obviously I love it when I hear that someone is about to have a baby – I felt rather sorry for her for having the pressure on her that she has.

william catherine

There have been reports that Catherine used HypnoBirthing during the birth of Prince George. She’d have been advised to keep things as normal as possible and to stay at home during the early stages, perhaps distracting herself with normal life. However, for Catherine, the best thing to do was to go in at 6am. A lot of parents do this to avoid traffic but I imagine Catherine wanted to avoid the Press. I wouldn’t want to be almost fully dilated, sat in a car with a cameraman recording it for prosperity.

Private Lindo Wing At St. Mary's Hospital

The BBC tells us that that with her in her room are a consultant obstetrician and a surgeon-gynaecologist. Can you imagine having 2 male doctors in the room gawping at you in the early stages of labour? I can’t imagine that this would be conducive to letting one’s body open up but then I also can’t really imagine that there are 2 doctors in the room with her at this point. I’m sure that they are in the hospital with no other patients to look after today but I don’t think they are actually observing events – well I hope not anyway. I’d actually expect that Catherine’s main caregiver is a female midwife who isn’t being named.

I was speaking to an expectant couple last week and they said that they wouldn’t tell their family that the birth had started as they would be bombarded with calls and texts asking for an update. Poor Catherine, she has hundreds of people waiting outside wanting to know how far things have progressed. Just a little pressure for her there then!

Prince-William-and-Kate

So, I wish Catherine and William an easy calm birth with as little pressure as possible. They are so fortunate to be meeting their brand new baby in the next day or so. How exciting for them – and what a welcome relief from the General Election for the rest of us!

Advertisements

New NICE Guidleines for Co-sleeping / Bed Sharing

Do you bed-share with your baby?

Would you happily admit it in public?

Are you doing it safely?

baby-sleeping-120402

During my Baby Sleep Workshops, the subject of bed-sharing invariably comes up (I’m using the term bed-sharing as co-sleeping refers to simply sharing a room with your baby). If I ask a group of mums whether they have ever bed shared I can pretty much predict that everyone will raise their hand. In fact all but one parent I have ever asked has said that at some point they have slept with their baby in their bed.

Today, the media is awash with articles about bed sharing – apparently it’s very dangerous and we shouldn’t do it with our babies. This news derives from the publication of draft revised guidelines from the National Institute for Health & Care Excellence (“NICE”) in relation to bed sharing.

The recommendations, relevant for infants from birth until 1 year of age,  say that midwives, GPs and health visitors should ensure parents and carers are told of the link between co-sleeping (falling asleep with a baby in a bed, or on a sofa or armchair) and Sudden Infant Death Syndrome (“SIDS”).

They also ask healthcare professionals to:

– Advise parents and carers that the association between co-sleeping and SIDS is likely to be greater when they, or their partner, smoke.

– Inform parents and carers that the association between co-sleeping and SIDS potentially increases if they have used drugs and/or recently drunk alcohol.

– Tell parents and carers that the association between co-sleeping and SIDS potentially increases if their child had a low birth weight or was born prematurely.

So, this all looks pretty reasonable, as the location of sleep is being considered, as is whether the parent is under the influence of any narcotics.  However, these guidelines derive from the findings of Carpenter et al that were published in May 2013. Unfortunately, journalists with tight deadlines didn’t have time to check the data and came up with headlines that said all bedsharing is dangerous but used as their case studies incidents when babies had been suffocated by their parents whilst sleeping on sofas not beds. They also managed to illustrate their articles with babies sleeping with parents in an unsafe way e.g. babies laying on plump pillows. Fortunately,  a few experts, including Sarah Ockwell Smith, did check the data and they summarised some of the failings of the report with this table:

Is it safe to bedshare cosleep with your baby

The reality going forward is most probably that healthcare professionals will advise that all bed-sharing is dangerous whilst parents will at some point bed share for a variety of reasons. There are factors that make bed sharing riskier and there are a lot of things you can do to make the environment safer, so isn’t it better that we have that discussion and provide parents with information that helps them to make safer decisions, rather than exasperated, information-poor, middle of the night decisions?

If you think that at some point you might find yourself bed sharing with your baby, and would like to know more about some of the risk factors, come to one of my BabyCalm courses or workshops to find out more.

The next FREE Baby Sleep Hour is at Beanies tomorrow, Friday 4th July.

The next 3 hour BabyCalm Sleep Workshop is Friday 11th July.

Let me know if you would like to attend either session.

x

One Born Every Minute – aka A Dad’s Role in HypnoBirthing

I usually advise couples that I work with to not watch Channel 4’s One Born Every Minute (“OBEM”). It’s often fear that prevents a woman’s body from getting on with the job of easily birthing a baby and I reckon that OBEM with its dramatic births probably adds to that fear.

HypnoBirthing Croydon

So, there I am last night, on my way home from a HypnoBirthing class, and my phone is pinging away. It seems that various people want me to know that HypnoBirthing is on OBEM. My husband is very surprised that the first thing I do when I get home is click on C4+1 to watch last night’s programme.

It was obvious from the very first scene featuring Kate & Ollie that they were HypnoBirthing. As they approached the labour ward reception, it was Ollie who spoke to the receptionist, it was Ollie arranging the environment and it was Ollie who was managing the situation to meet his wife’s needs. This was, perhaps unfairly, contrasted with the situation next door where the birthing mother was having to take care of her partner who didn’t seem to know what to do with himself.

Croydon HypnoBirthing

I love how Kate and Ollie made the room their’s. They moved the furniture around and laid mats on the floor so that they could settle down together. Ollie helped to guide Kate through her breathing and tended to her needs. As she calmly went through the first stage of labour, her midwife spent much of her time in the staff room. Kate then became away that the baby’s head was reached the perineum and was ready to be born. Kate chose to be on all fours and the baby was born easily. Kate had lots of skin-to-skin time with Baby India who was then passed to Ollie for more skin-to-skin time whilst Kate birthed the placenta.

HypnoBirthng Croydon

I am so pleased that OBEM chose to show a good birth – a birth where mum was calm, dad had a role that he relished, the baby arrived gently to skin-to-skin time with mummy and daddy whilst the midwife had little to do.  I’m not sure that you can ask for more than that. Thank you OBEM for showing this birth and thank you to Kate and Ollie for letting so many expectant mums see the birth. I hope that this will be the start of showing births that help expectant mums to look forward to a calmer easier birth.

What’s the APGAR Score?

During HypnoBirthing Sessions we discuss what happens once your baby is born. One of the first things that happens is that your midwife will give your baby an APGAR score.

The APGAR Test was designed by Virginia Apgar, an American anaesthesiologist, to quickly evaluate a newborn’s physical condition and to determine whether any extra medical help is required.  Conveniently for midwifery students, the word Apgar makes a handy mnemonic detailing the signs to be assessed: Appearance, Pulse, Grimace, Activity, and Respiration.

The Apgar Score is usually assessed twice: once at 1 minute after birth, and again at 5 minutes after birth. Sometimes, if there are concerns about the baby’s condition or the score at 5 minutes is low, the test may be scored for a third time at 10 minutes after birth.

Five factors are used to evaluate the baby’s condition and each factor is scored on a scale of 0 to 2, with 2 being the best score:

  1. appearance (skin coloration)
  2. pulse (heart rate)
  3. grimace response (medically known as “reflex irritability”)
  4. activity and muscle tone
  5. respiration (breathing rate and effort)

You midwife will give each of these signs a score from 0 to 2 and total them up to give your baby a score out of 10, with 10 being the best score.

HypnoBirthing Croydon Surrey London

Most mums who have had an easy calm birth and who have a clearly healthy newborn baby will want to have immediate skin to skin contact; it can be a good idea to mention on your birth preferences that you would like the APGAR score to be assessed whilst your baby remains on your chest, rather than being whisked away to a table that you can’t necessarily see. Of course instinctively, everyone is assessing whether your baby is a ‘clearly healthy newborn baby’ by looking at the signs that make up the APGAR score.

Here’s hoping your baby gets a high score in the first test of their lives!

 

 

 

The Next Beanies’ Baby Sleep Expert Hour

Last week I told you that the wonderful ladies at Beanies* in Croydon had asked me to host their Sleep Expert Hour on Friday 2nd May.Beanies

Well I can report back that I had a ball. We had a lovely group of mums of under 1’s who asked me a range of questions about Baby Sleep and how there could be more of it at there house! We had a diverse range of mums, babies and situations and I think the mums learned a lot from each other too.

The upshot is that we are going to do it all again this coming Friday, 9th May at 11am. Do come along if you want to know more about Baby Sleep. We also have a 3 hour BabyCalm Sleep Workshop scheduled for Friday 16th which I’m already taking bookings for so if you are interested in this, do let me know as soon as possible.

For more information about Baby Sleep, take a look HERE

*Beanies’ address is: 3-7 Middle Road, Croydon, CR0 1RE.

Sleep Expert Hour

The wonderful ladies at Beanies* in Croydon have asked me to host their Sleep Expert Hour this Friday, May 2nd. Do come along for a coffee and chat. This will be your chance to ask whatever you want to ask about baby sleep.

The FREE Sleep Expert Hour is from 11am to 12 noon this Friday. Do come along and bombard me with questions. Let me know if you’re coming!

Beanies

 

For more information about Baby Sleep, take a look HERE

*Beanies’ address is: 3-7 Middle Road, Croydon, CR0 1RE.

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.