Tag Archive - water birth

full homebirth preparation list, plus homeopathics

With each birth I like to think I’m slightly more prepared. Below, I have two lists, one of homeopathics Midwife Vanessa has suggested I have on hand, and the other a home/water birth preparation list from the Community Midwifery Program. I have highlighted in bold the items I have yet to organise. After my recent false labour, I hope to get these things in hand soon!

 

Here is my planned homeopathic arsenal this time around:

 

Accident Cream     Arnica tablets     MediHoney     Rescue Remedy
 
Homeopathic remedies Accident Cream – relieves afterbirth pains
Arnica tablets – clear up bruising

MediHoney – helps heal perineal tears
Rescue Remedy – stress reliever

 

In addition to the above remedies, the Community Midwifery Program Western Australia provides a home birth preparation list in their Birth Book:

 
Linen 2 face cloths
2 old bed sheets for after the birth
8 old towels to catch any escaped birth pool water

Receptacles 1 large plastic sheet or plastic shower curtain
1 plastic bucket
4 plastic supermarket bags
1 x 2 litre ice cream container (for the placenta)

Heating Some form of heating for all weathers
Hot water bottle

Lighting Portable light for checking perineum (100w globe)
Candles – yes the power has failed on occasions

Mother Undies
comfortable t-shirt or pyjamas
1 packet thick maternity sanitary pads
1 packet super pads – moisten 3-5 pads (approx 2 tbsp water) and freeze
1 thermometer
1 box of tissues or a toilet roll
Natural oil for massage
High energy drinks
Food – chocolate, lollies, nuts, etc.

Baby Baby clothing
Nappies
Wipes
6-8 baby wraps (bunny rugs, old nappies, soft towels)
Warm hat

Extras Food – keep cupboards well stocked
Have at least 3 meals in the freezer (soup, spaghetti sauce, stew)
Mirror for mother to view the birth
Music of mother’s choice
Sieve
Straws
Useful supports (birth ball, beanbags, extra pillows, birth pool and pool liner)
Bag packed with essentials for mother and baby in the event of a transfer to hospital
 
 

Of course, having all these items is one thing – having them all in one place and easily accessible is another, particularly with ongoing renovations! It will be a challenge being truly ready for this birth before we have the kids moved back into their own, remodeled, room.

Vi’s birth story

Every blessing you pour out, I’ll turn back to praise.*

 

Starting around 3pm on Friday, I began to feel uncomfortable and a bit edgy, like labour was imminent. I knew Midwife Vanessa would want a heads-up on how I was doing, and soon after Ben got home I gave her a call to let her know I had been feeling uncomfortable and to perhaps expect a summons in the night. She ended the call by saying, “see you soon!”

 

Friday night is our date night, so while Ben gave Nikki and Michael their baths and tucked them in, I cooked a very mild curry to give me energy for the work I felt was ahead of me.

 

Ben and I chatted and ate while I sat on my birth ball which he chivalrously pulled up to the dining table for me. That was the extent of our date since I wanted to get the kitchen cleaned up a little and I wanted Ben to inflate the birth pool the rest of the way, put the liner on, and fill the pool with six inches of water so it would be easy to top up when it was time for me to jump in. I also asked Ben to take a picture of my 40 week + 4 day bump.

 

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I went to bed before Ben was done with the pool. My plan was to listen to the hypnotherapy tracks on my mp3 player and try to get as sound a sleep as possible – usually I drift right off to sleep while the lady reminds me to 3-2-1 Relax. Because of the contractions, I heard every single word of the hypnotherapy for the first time! The main benefit – which was a big one! – were her reminders to breathe deeply down into my abdomen.

 

In through the nose, out through the mouth. That’s how I got through the contractions as I lay on the bed conserving my energy through the night. I did get up several times to use the toilet and sip some homemade labour-aid drink. Contractions were becoming more and more intense. Eventually I got to the point where I couldn’t lie still through them anymore, no matter how deeply I was breathing or how much I reminded myself to relax.

 

When the darkness closes in, Lord, still I will say, Blessed be the name of the Lord, blessed be your name.

 

Around 4am Saturday morning, I used the toilet again. This time there was some diarrhea and a bit of blood when I wiped. Midwife Vanessa had told me to call her if there was any blood, so I woke Ben up at this point and told him to call Vanessa and tell her that I had seen some blood. She asked if she could speak with me, so I briefly described my labour to that point and she said she would come by to check on me.

 

Vanessa arrived at 5am and by that time I was on my hands and knees in the bathroom, and very glad I could start squeezing Ben’s hand and sharing the labour with him at this point. He went down to open the door for Vanessa and brought her up to me. She listened to me through a contraction and said I could get in the pool soon, so when that contraction ended we headed down the stairs to the birth room!

 

Again I got down on my hands and knees, this time on the plastic next to the pool. I went through contractions squeezing Ben’s hand, concentrating on my breathing, and waiting for the pool to fill. When the water in the pool was deep enough, Vanessa took off my socks and she and Ben helped me into the pool. This was around 5:30am.

 

In the back of my mind, I knew labour was not progressing as quickly as it had with Michael. Also, Vanessa was a bit concerned about Baby’s heart rate since it was on the low side. After a few contractions, Vanessa asked me to get back out of the pool so she could do an internal and see what she could find out about how Baby was doing. I agreed to the internal, and she said that there was still a lip of cervix, the waters had not broken, and that she would like me to lay down through the next contractions. I did not want to have to go back upstairs, so I opted to lay down on the plastic next to the pool in the birth room. Ben and Vanessa covered me with towels for warmth.

 

I think I had maybe eight contractions laying first on one side and then on the other. It was around this time that I started making low noises as I breathed out, and it was also around then that Midwife Heather came to help Vanessa. Our friend Carrie arrived fifteen minutes after that in order to be there when Nikki and Michael woke up. Carrie told me later that Nikki and Michael woke twenty minutes after she arrived, or around 6:45am, which is normal for them.

 

My heart will choose to say, Lord blessed be your name.

 

Vanessa let me get back in the pool, and she suggested different squatting positions for me to try. I started thinking about my long labour with Nikki and all the different positions I tried before I ran out of strength and was taken to the hospital for a ventouse delivery. That would not be a convenient outcome this time around, so I asked Vanessa if I was going to be able to do this. She told me I was opening up and that I was going to birth this baby beautifully. Along with Ben’s encouragement, that was what I needed to hear.

 

I started following Vanessa’s example and holding my hand down to my perineum at this point. This is one of the strategies to protect the perineum from tearing, and I found it encouraging because I could feel myself opening as well.

 

Still, I couldn’t feel Baby’s head, and the sack of waters had not broken. Vanessa and I had a quick discussion where I asked her if we should break the waters. She said it could go either way – quicken up the labour, or if Baby wasn’t ready it could cause distress and slow down the labour, but with more painful contractions. She checked Baby’s heart rate and told me my baby was happy, so I decided that it was better Baby was happy at this point.

 

Blessed be the name of the Lord, blessed be your glorious name!

 

Two contractions later and I felt the waters break with a gush! That was an extra long contraction, and it ended with Baby’s head pressing on my perineum. Burn burn burn! Short break and then with the next contraction I birthed the baby – head, shoulders, bottom… then she floated face up through the water and I picked her up and held her to my chest. She was beautifully covered in vernix and a lovely pink color. She also started crying loudly straight away!

 

IMG_4843
 

Vi had arrived!!!

 

With our permission, Midwife Heather asked Carrie to bring Nikki and Michael in to the birth room. Michael had been standing at the banister for the past half hour looking down toward the birth room and wondering what was wrong with Mama. He hadn’t cried, just been concerned. I was happy to reassure him that all was well. Nikki reached out and gently touched her new sister’s hair. Ben made the necessary introductions.

 

IMG_4849
 

Vanessa told me that when I felt the next contraction I could just gently push the placenta out. When it came she placed it in an ice cream container and it floated in the pool, still attached to Vi. A little placenta boat. Ben clamped and cut the cord, Carrie took Nikki and Michael back upstairs, and I handed Vi to Ben.

 

IMG_4856
 

I was taken upstairs to bed and inspected. I have a small first degree tear which is healing now with bed rest and frequent applications of MediHoney.

 

I was in established labour by 1am, so we are calling this a 7 hour labour. Day two and I have taken three doses of Panadol to relieve muscle pain. I am also a big fan of Accident Cream – it eases muscle pain and smells lovely at the same time.

 

We are all getting a lot of sleep. Vi is feeding well and overall seems very peaceful and content. We are so blessed to have her join our family!

 

* lyrics :: Matt Redman

birth preparation: the birth room

After many hours spent clearing out our spare room, we recently transformed the nearly empty room into a water birth room. We filled it with just the items needed during labour, birth, and immediately post-partum.

 

birth_room
 

The Community Midwifery Program provides a helpful home birth preparation checklist, reproduced below:

 
Linen 2 face cloths
2 old bed sheets for after the birth
8 old towels to catch any escaped birth pool water

Receptacles 1 large plastic sheet or plastic shower curtain
1 plastic bucket
4 plastic supermarket bags
1 x 2 litre ice cream container (for the placenta)

Heating Some form of heating for all weathers
hot water bottle

Lighting Portable light for checking perineum (100w globe)
Candles – yes the power has failed on occasions

Mother Undies
Comfortable t-shirt or pyjamas
1 packet thick maternity sanitary pads
1 packet super pads – moisten 3-5 pads (approx 2 tbsp water) and freeze
1 thermometer
1 box of tissues or a toilet roll
Natural oil for massage
High energy drinks (glucose, honey, herb tea, apple juice, glucose tablets)
Food (chocolate, loolies, nuts, etc.)

Baby Baby clothing, jumpsuits, singlets etc
Nappies
Wipes
6-8 baby wraps (bunny rugs, old nappies, soft towels)
Warm hat

Extras Food – keep cupboards well stocked and organise a food roster with friends

birth preparation: “Our Water Baby” by Amy Maclean and Jan Nesbitt

Michael is a water baby, and we are planning another home water birth for baby three.

 

IMG_4709
 

A favourite book in our house during the final weeks before a new baby arrives is Our Water Baby. The illustrations are lovely, and the text is both accurate and child-friendly.

 

In the video below, Nikki quotes a sample page.

 

 

[Note that in the book, the boy's name is "Oliver" rather than "Gulliver." Also, the text states that the mother's stomach is getting "bigger and bigger, and rounder and rounder" rather than just, well, endlessly bigger.]

 

I think Nikki is excited about welcoming another sibling!

week 35: midwife Nikki

Nikki has been paying attention during midwife Vanessa’s visits to our house!

 

IMG_3920
 

This week I had a routine blood test to check my iron levels in case I need to supplement prior to the birth.

 

Starting next week, week 36, I will have weekly midwife visits up until I deliver. Vanessa’s backup midwife, Michelle, will come to my house for the week 36 visit.

 

Then, as I reach full-term at week 37, Vanessa will bring the birth pool with her for us to have on hand, ready to fill with water when I go into labour!

 

In between the CMP midwife visits, I am being monitored diligently by the lovely, and gentle, midwife Nikki:

 

 

I’m not in any rush, and I would be just as happy to go to 42 weeks as I would be to deliver a couple weeks from now. Baby will let us know when the time comes!

Michael’s birth story

My God shall supply all my needs, according to His riches in glory.

On 7 February at around 1130am, I started feeling cramping pains. Nothing particularly regular or painful, though I did have to breathe through a couple of them. I continued as normal, but I asked Ben to help me pack a hospital bag before we went to bed.

At 2am 8 February, my waters broke, waking me from sleep. I woke Ben at that point, and then again a half hour later because I was pretty sure I was having contractions. Ben moved furniture and started inflating the birth pool. Ben also called my amazing doula, Nicky Wesson, and she agreed to come straight away. My contractions were around 2 minutes apart.

At 3am I woke Ramona, a friend licensed as a midwife in the US who was staying with us, to give her Nikki’s baby monitor as Ben and I were both labour-focused at this point. Ben called the Birth Centre. Both of my assigned midwives, Emma and Tanisha, were with women in active labour, but they would send two other midwives. And they told Ben to call the paramedics if I started feeling like pushing.

At around 0330 I threw up. My mind told me this was transition, so I asked Ben to get Ramona. I asked her to tell me what was going on since I had just thrown up. She told me that it is often a sign of transition, but it was really quick, so it could just be a sign of labour. The next contraction came and I was pushing. She asked if I felt that down low; I said ‘yes.’

Ben had just filled the birth pool to the minimum, and Ramona said I could get in, ‘because this is definitely not early labour.’ She and Ben managed to pull my socks off between contractions, and I was immediately more comfortable in the water. Nicky arrived soon after I entered the birth pool.

At 0345, midwives Caroline Flint and Sangeeta Freeman arrived. Sangeeta checked the baby’s heart tones which were excellent and my blood pressure which was also good. Labour was extremely intense, and neither Ben nor Nicky left me for a moment. Ramona brought hot water to top up the pool, and she also managed to take some photos. Here I am at a pause between contractions, with Sangeeta, Nicky, and Ben.



At 0502, Michael arrived and I picked him up out of the water.



He will give His angels charge over me.

Michael had not yet realised that he was no longer in the womb and that he needed to take his first breath. So the midwives took him, rubbed him with a towel, removed mucus from his mouth, and administered a couple puffs of air. Ramona called the paramedics just in case, but Michael was breathing on his own before she was off the phone with them. You can see from the photo that he was pretty un-phased by the drama.



Jehovah Jireh cares for me.

My daughter, Nikki, woke at 0600, and Ramona brought her in to meet her brother. Nikki and Michael met over a breakfast of breast milk.



After Nikki finished nursing, Ramona took her to begin her morning routine. This is a picture of Nikki with Ramona just before Ramona left the next day.



We were glad Ramona was here for the labour and in the hours immediately after, when she spent time with Nikki and gave Ben and me a chance to bond with our son.

   

birth plan

We’re 38 weeks and 4 days into this pregnancy based on my new due date of the 17th. About time for a

Birth Plan
planned Home Birth of second child

Birth Team
  • Ben – birth partner
  • Nicky – doula – call in early labour
  • Tanisha – midwife – call in active labour
  • Emma – midwife – call in active labour
  • Ramona – Nikki’s carer if Nikki is awake

Pain Relief

  • TENS – early labour
  • water/Birth
    Pool in a Box – when midwife advises I can enter the pool, all the way
    through birth if I feel like staying in the pool
  • change positions – doula and midwives to advise if I need ideas, especially if I ask

General Guidance

  • Ben,
    Nicky and I to be in master bedroom, midwives to come and go as needed
    for checks or quiet observation, Nikki to be brought in by Ramona if
    I request
  • minimise intrusions: no unnecessary internal exams (especially if water breaks early), minimise fetal heart rate checks as possible
  • unplug home phone
  • dim lights and candles in bedroom, use torch for checks
  • appreciate sincere encouragement (regular but not constant)
  • need reminders to drink and wee

Early Labour

  • call Nicky – day or night
  • fill birth pool at least to minimum
  • put shower curtain and extra sheets on bed
  • TENS machine applied
  • snacks/drinks
  • Ramona to take charge of Nikki – if at night, baby monitor; if during the day, out to Kew Gardens


Active First Stage Labour

  • call midwives
  • get in birth pool as soon as it won’t slow labour
  • use different positions

Second Stage Labour

  • wait until strong pushing urge before pushing
  • push in different positions, whatever feels best
  • coaching at the end to help avoid tearing
  • if land birth (not in water), support of perineum with warm wet cloth and maybe olive oil would be nice to try
  • possibly water birth if I feel like being in the water at that point
  • Ramona to bring Nikki in close to time of birth if all is well
  • would like either me or Ben to ‘catch’ the baby, with coaching as needed

Third Stage Labour

  • physiological third stage
  • cord not cut until after it stops pulsating
  • midwife to cut cord
  • probably leave the water before birthing the placenta

After the Birth

  • breastfeeding and immediate skin-to-skin contact
  • want suturing of all but the tiniest of tears
  • take a bath with the baby, then lay down on the bed
  • delay weighing and exam of baby until at least one hour after birth, to facilitate bonding
  • oral vitamin K drops for baby
  • no eye treatments for baby
  • no circumcision
  • placenta to Ramona for her art work
  • Ben and E to have “babymoon” at home with our two children after the birth (privacy except for very limited visits)

In Case of Hospital Transfer

  • no IV unless absolutely necessary
  • no episiotomy
  • no nursery for the baby
  • no supplements for the baby
  • encourage breastfeeding
  • if C/S, want to be awake, immediate skin-to-skin contact (or if not awake, immediate skin-to-skin contact with Ben)
  • no procedure, intervention, or medication without full explanation and our consent, except in case of true emergency
  • midwife to be our advocate to make clear our wishes for the most natural way and fully informed choice
  • as short of a stay in the hospital as possible

Note to Hospital
We
are well-educated regarding childbirth issues. We place a high value on
taking responsibility for decisions affecting care of mum and baby. We
appreciate your expertise and wish to discuss and decide the elements
of care at each step.

Questions for Each Proposed Intervention

  • What is involved in this particular course of action?
  • Are there any special considerations for my specific situation?
  • What benefits do you believe the recommended care offers?
  • What potential problems or disadvantages could there be?
  • What are the pros and cons of the alternative route?

every day a Kew day

We’ve settled into a pleasant routine here in Kew as we await our second child’s entrance into this world.

Ben continues to work Sunday through Thursday in order to best coordinate with his team in Egypt. We go to church Sunday morning, and he works the rest of the day from home. He goes into the office two or three times per week and works the other days from home, allowing me to sleep in a bit on the days he is here with Nikki and me.

A favourite activity for Nikki here in Kew is looking out the window. We are on the second floor (third floor in the US), near at least three schools and just down the street from a Tube station . Lots of fun traffic and pedestrians to look at, with endless commentary along the lines of, ‘blue car, sliver car, big red bus, white van, birds!, silver car, little red car, woman walking with white shoes’ (Ben’s version is more advanced, providing tutelage on makes and models : ‘ BMW X5 ‘, ‘ Peugeot 206 .’) Today as I sat expounding the sights to her, Nikki reached over, put her arm around my neck and gave me kisses. She continued to do this at intervals as I provided what was clearly a much appreciated running commentary on the world outside.

Although Nikki is not talking, it is clear that she comprehends a vast amount. New sign language since we have moved to Kew includes ‘bird,’ blowing/wind/steam (all symbolised by her making cute blowing sounds), ‘shoes,’ and ‘water.’ She combs her own hair. She makes cow sounds and elephant sounds. She prompts us to brush her teeth and wash her hair during her bath time. She can identify the following animals: bird, butterfly, cat, caterpillar, cow, dog, elephant, ladybug, and zebra. She matches puzzle pieces together with their mates ( two-piece puzzles ) and also with their pictures on the outside of the puzzle box. She knows that there is a baby in my belly, a fact we discovered when she pointed to her own belly upon seeing a picture of a baby.

We are gently preparing Nikki for the birth of her little brother. She sees one of my Birth Centre midwives each week, with Emma and Tanisha alternating weeks they come and visit us at home. I explain that the new baby will cry and sleep a lot, and that he’ll also be very smart like Nikki and enjoy eating ‘numnums,’ as we’ve dubbed breastmilk, and that there will be plenty of numnums for both the baby and his big sister.

Nikki also helped us with a test run of the Birth Pool in a Box the other day to make sure it inflated properly and that it didn’t fall through the floor once it was filled. Now she loves to point out the pictures in Our Water Baby and show us she recognises the pool.


multi-media birth preparation

Ramona has been watching a lot of birth videos on YouTube as part of her continuing education as a midwife. From cesarean to home birth on land and hospital birth in water , there is something for everyone. (Be aware before you click on any of the above links that the videos are graphic.)

I plan to labour in water but I am not sure whether I want to give birth in water or not. My choice will depend on how I feel at the time. Watching online videos is a way to prepare that I had not previously considered, and for me they have to be taken in small quantities. The home birth video in particular makes me cry because it brings back so many memories of labouring with Nikki! Good memories, but very emotional.

On a lighter note, I have also been looking up tips for photographing newborns, both individually and with an older sibling . It has been fun to peruse the many gorgeous newborn photos available online in order to get ideas.

Nikki had fun opening her Christmas gift from her Grandparents P. You can see the sequence as she unwraps and then recognises that the item is… a book! The packing peanuts have been a big hit. Nikki will hand a peanut to either Ben or me and then make a blowing noise: her request to see us blow handfuls of peanuts around the room.


happy new year

Yea! My sister is feeling much better .

 

Last night before dropping off to sleep, Ben and I listened to and watched between three and five fireworks displays visible from our bedroom window. In England, unlike America, there are no laws restricting fireworks within city limits, and we fully enjoyed the show as Londoners exercised their freedom.

 

New things for Nikki in the new year… today for the first time she pointed to a picture of a cow and made a mooing sound! We asked her later on during a stroll through Kew Gardens with no cows in sight what sound a cow makes and she repeated her cute little moo.

 

Also, we have moved Nikki up to the next size in cloth diapers. At the end of 2007 we were having difficulty fastening her size small Ella’s House hemp nappies . Now she has graduated to the smallest setting on the large size. The small size is set aside and ready for her little brother!

 

In further birth / after-birth preparation, I have done quite a bit of online shopping since we’ve arrived in England, and I think I’m finally done!

 

Birth Pool
Birth Pool in a Box Eco Regular with Pattern
Extra large and comfy clothes for hospital transfer (if needed) and after the birth
Yoga trousers
Long-sleeved t-shirt
Cloth diaper covers in prints suitable for a boy, and also larger size wraps for Nikki
Nature Babies – aplix wrap
Tots Bots – Tots wrap – aplix fastening – with leg gussets
Baby carriers
Gauze Calin Bleu wrap in Chocolate
Mei Tai Baby adjustable carrier with
headrest
black straps
three interchangeable fabric panels
black floral brocade ,
stained glass dragonfly , and
cloisonne butterfly