"The only real valuable thing is intuition" - Albert Einstein

Oh...the remaining three babies...I never talked about them... Sorry! Here it is...

It's interesting how women often have a sense of how their labour will go, even weeks before the due date. Some women have dreams of a spider web (baby wrapped in cord) or a rock climber (cord again) or a square peg in a round hole (positioning problem.) Are these premonitions or self-fulfilling prophecies? I don't know. I like to think that the body is giving the woman a clue about what is currently happening, and that these dreams are reality-based, not fear-based.

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Expectation (ek'spek-ta'shn)

n.
1. a. The act of expecting. b. Eager anticipation: eyes shining with expectation.
4. Statistics b. The mean of a random variable.

Hmmm... I love the various meanings. It suits labour and birth, doesn't it? People even say, “She’s expecting...” when a woman is pregnant.

So, is expectation a positive or a negative thought process? Does it help us to realistically anticipate the event? Or can it set us up for the possibility of failure and guilt?

One thing that I discuss with clients are their anticipated “roles and expectations” - of themselves, of each other, and of their caregivers. Clients share their dreams for birth, however varied. Then we compare their expectations to the many potential realities.

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Room 8

Was it just this week that I attended two labours in Room 8 at BC Women’s? Was it just this week that my daughter came with me for the first time to attend a birth?

Midnight on New Year’s Eve came while we were in the assessment room, during a contraction. Nurses blew horns while my client laboured. The nurses station was laid out with food. It was surreal.

Throughout the labour, my daughter held the space like women did a long time ago - knitting, crossed-legged, low to the ground - bearing witness to this sacred event.

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George, Entropy (and the Second Law of Thermodynamics)

I always say that we can only hope for the best on the day of labour - that the baby is the wonderful and unpredictable 'wildcard.' So, we must trust our body and our baby to give us strong clues about what needs to happen, then make the best choices on that particular day, with the support of those around us...

Here’s George, introduced by his mother:

“George was born Feb 16th - I had the induced labour that didn’t progress well and a cesarean - and he turned out to be 11 pounds! Remember us? These women who labour in the park, cooking turkey dinners...well, humbug. Not at all how mine went, although it was totally great in its own way.”

Here’s my memory:

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We wrestle angels

On my way to see a client the other day, I drove past the beach, and watched the sailboarders fly through the October waves. Last night, the image returned as I listened to Michael Symmons Roberts on the radio, reading from his own poem about observing sailboarders:

"These men wrestle angels. Each now sits on / an enormous wing waiting for the winds to rise"

For me, it always comes back to labour. For, in labour, we wrestle angels. We struggle to blend reality with expectation. We skim the ecstatic knife edge between pleasure and pain. We emerge, changed utterly.

Thanks to Deb, Elaine, Sheena and Betty - the four midwives who helped me wrestle the angels

Searching the past for ritual

Over the years, I have been a witness to many birth rituals. Often, these are rituals drawn from different cultures. Those that spring to mind...

A Tibetan woman had a long labour, followed by a cesarean birth. Outside the operating room waited two beaming monks, their robes a bright contrast to the hospital walls. After the baby was born, the father asked that the first piece of cloth to touch the baby was a silk fuschia prayer shawl that had been blessed by the Dalai Lama. There, in the operating room, was one spark of colour. The birth shifted from medical to spiritual.

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Groaning Cake


In a book club meeting, we discussed The Birth House, by Ami McKay. We ate groaning cake, talked about birth, the medicalization of women's bodies at this most natural time, history, social change, and our own lives. We were strengthened by the stories of these women at the turn of the century in Canada, their sisterhood, and the quiet yet bold way in which they kept their commmunity together. I hope you read this book.

The tradition of the groaning cake at a birth is an ancient one. Wives' tales say that the scent of a groaning cake being baked in the birth house helps to ease the mother's pain. Some say if a mother breaks the eggs while she's aching, her labour won't last as long. Others say that if a family wants prosperity and fertility, the father must pass pieces of the cake to friends and family the first time the mother and baby goes to a public gathering.

2 1/2 cups flour
3 eggs
2 t. baking powder
1/2 cup oil
1 t. baking soda
1/2 cup orange juice
2 t. cinnamon
1/4 cup molasses
1/2 t. ground cloves
1 1/3 cups sugar
1 1/2 cups grated apple
1 t. almond extract

Sift dry ingredients together. Add apple. Beat eggs. Add oil, orange juice, molasses and sugar. Add to dry ingredients. Mix well. Add almond extract. Bake at 350F. for 35-40 minutes. Makes two 9x5 loaves or 18 muffins.

Taking Stock (or living in a bubble)

It’s good to take stock of things every once in a while. Change happens so gradually that you often don’t notice until you stand back and observe the differences. Strangers are often the first to notice changes in our children. When did my daughter change from looking like her father, to looking like me? When did my son get taller than his sister who is almost four years older than him? Somehow I missed seeing the changes in the moment.

It’s the same regarding birth practices.

When I started working as a doula, shaves and enemas were still routine. Women were given IVs, and continuous monitoring was deemed necessary. Women still had to write militant-sounding birth plans in order to achieve their goals during birth. Informed consent and family-centred maternity care was a goal, not the norm.

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Autonomy

Well, the newly renovated Holly LDRP (labour delivery recovery and postpartum) rooms have opened at BC Women’s. Fresh, clean, great glass tiles, most with windows...(ok - avoid Room 18 if you want to sleep - the lovely sunshine streaming through the skylights can be a bit startling in labour.) Now there are close to 30 birthing rooms at this hospital.

However, on any given day, there is still the possibility of being diverted to another hospital. There is either an unexpected baby boom in Vancouver, or every labouring woman is trying to get into the BC Women’s birthing suite. Soon there will be a campaign to alert Lower Mainland women to the joys (and quietude) of other hospitals. Admittance to the hospital will be like the old days when you had to prove that you lived within Vancouver city limits. So, if you live in Burnaby or New Westminster, consider the option of local hospitals, which are closer, and much less crowded.

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Birth is a challenge of the mind, not the body

Think of all the challenges that you have faced in your life - physical, emotional, and intellectual. You have been preparing for this for all your life. You will need to draw on all your life lessons to make it through labour. You don’t need to have experienced extraordinary pain - this isn’t like breaking a leg, or undergoing surgery. All you need is to have lived, faced difficult times, and struggled through to the other side.

Have you ever walked out of your house, and been amazed that everyone is walking about, laughing, doing their shopping, unaware of the challenges that you are facing? You have been facing such a trial that you have stepped out of space and time for a while. You ask yourself, “When will things go back to normal?” This happens in labour.

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Helping mothers open the door to life

Journalism students at Langara College produced eight weekly issues of The Voice newspaper. As a final test of endurance the pressure was ramped up and in the ninth week they produced four daily newspapers. Adam Johnson's submission made the top story in "The Best of the Dailies!"

“A 65-year-old midwife held my foot and she didn't move. Then she would look up and she'd smile. And I thought, obviously things are okay.”

“I just said, I need to do this.”

The deep kindness in her eyes grows determined as Jacquie Munro, 45, describes the day she found her calling. She was inspired by her second birth to share this positive experience with others. That was 18 years ago.

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“You say you want a revolution/Well, you know/We all want to change the world"

“Crisp and non-preachy” is how John Lennon’s Revolution was described on the radio today. After almost 40 years the form of the message is still unmatched. What would John Lennon have said about the social and political climate in 2005?

I think I’m pretty clear on what he might have said about George Bush and Iraq. But what would he have thought about the “Britney Spears School” of birth? Would he have commented on the “Too Posh to Push” scene? Would he have questioned why women seem to be so scared of their bodies?

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Intuition, Trust and Red Flags

It’s funny how, over the years, I’ve only been given the births that I can handle. Each birth prepares me for the challenges of the next. What amazing gifts these women give to each other.

When I began my life as a doula, I was still breastfeeding my one-year-old son. I knew that I could only manage six hours away from him. For me - I couldn’t stand the breastmilk backlog! For him - hey, he needed me. For the first year, the births were amazing. I was never needed for more than six hours. I was only faced with long births once my son was able to go longer between feeds. Though I do remember pumping midway through long births for a few years...

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Full in the hand / Heavy with ripeness

For Maddox

To feel a baby's head for the first time
full in the hand
heavy with ripeness
is a sacred act

To feel the vernix slick
the fontanelles molded
the marble-hardness
the heat of it all

The sensation remains in my hands still
more than twelve hours later

Necessity made me reach down
to slow this baby's arrival
to make him come gently

I called for her to touch her baby next
and she did
but she should have been
the first
to feel her baby touch the air

a sacred first

I will guard this feeling

the baby's wisdom remaining
on my fingertips

“Full in the hand/heavy with ripeness” are two lines from a Marge Piercy poem. I have always loved these lines, and thought that they could also refer to a newborn at birth. But I had never fully experienced that connection until I held Maddox’s head in my hands. Until then... I was never moved enough to spill the remaining lines of my own onto the page. 

“Wow! If you had forceps last time, the next one will just FALL OUT!” (or, crazy predictions and expectations about second births)

I’ve attended so many second births recently, and I have 8 previous clients pregnant at the moment. So, I wanted to convey some of the joy and excitement of working with these second-time clients. I also wanted to talk about predictions and expectations surrounding second births.

So, today, for inspiration, I called a very special client whose little one is now about 18 months old. She picked up the phone and we both started grinning from ear to ear. “I’ve been thinking about you all this week!” she laughed. That’s the joy borne out of spending such an intense and sacred time together during her labour in 2004.

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Bountiful Beautiful Blissful

 

While you're pregnant, I hope you take some time to browse the shelves at Banyen Books. My favorite book of 2005 is "Bountiful, Beautiful, Blissful", by Gurmukh. Don't be scared off by thinking it may be too flakey - it's not, and incorporates many of the words and concepts that I use when working with pregnant and labouring women (I even sang "Row, row, row your boat" to myself during my second labour in 1987). When I read Gurmukh's book I feel as if she and I know each other intimately, and have been using each other's phrases for years. So, have a good read!

"Mi muchacha salvaje" My wild girl

Birth is something you know. Can you imagine arriving at the age of 30, and having your body throwing you an entirely new experience - something without a reference point? It’s just not that nasty.

Birthing is a lot like lovemaking...and Buddhist teachings, for that matter. It involves surrender, letting go, release, acceptance, and total trust. It also involves passion and power, which, for some, can be overwhelming. For others, it can be a process of awakening, change and growth.

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