Showing posts with label Birth Plans. Show all posts
Showing posts with label Birth Plans. Show all posts

Monday, May 3, 2010

Parturient Relations: PR for Dads

Remember these "Five PR's"--the most helpful things you can provide for your partner while she labors...

1. Presence
  • Sometimes all she needs is your loving physical presence.
    • Be “Rock Steady”—the familiar, strong, soothing rock she can hold on to.
  • Be “present” in every way—don’t let your fatigue or fear take your attention away from her emotional and physical needs.
  • Do NOT fall asleep (unless she’s asleep).
  • Do NOT leave her alone unless she demands it. 
    • Some women prefer to be alone while they labor. (But don't go too far!)
2. Protection
  • Be a buffer between your wife and the rest of the world. 
  • You can’t protect her from the intensity of childbirth or from unexpected complications, but you can protect her personal space and surround her with peace and calm.
    • Close doors.
    • Turn off/down the lights.
    • Take over answering questions so she can keep her energy focused on her hard work.  If someone tries to talk to her mid-contraction, gently ask for them to wait or stand between them and your wife until her contraction is over signaling with your hands for them to wait a moment.
    • No matter what happens or how much stress may arise, ensure that she always feels safe and secure.  Remember Jesus Christ’s calm in the storm that frightened his disciples:  “Peace, be still.”
3. Pressure
  • One of the most helpful hands-on ways to help with the most difficult contractions is counter-pressure.
    • Use your hands to provide firm, strong, steady pressure.  
      • Lower back/pelvis
      • Double hip squeeze
      • Knees while sitting with something against her back
      • Hip while side-lying
    • Do not let up until the contraction ends!  (You will probably get tired.)
4. Prompts
  • Your wife will likely not be in a position to remember all of the ways to increase her comfort, so your job is to prompt her.
  • Remember PURRR
    • P Position: Is she changing position every half hour?
    • U Urination: Is she using the bathroom every hour?  (And drinking lots of fluids?)
    • R Relaxation: Is she as relaxed as possible?
    • R Respiration: Is she breathing evenly and as calmly as possible?
    • R Rest: Is she resting between contractions?
5. Praise
  • All of your words must instill her with hope, confidence, peace, comfort, pride, and power.
  • Think of it as your job to help her get to the “finish line” without giving up.
    • "You are so amazing right now!"
    • "I am so proud of you!"
    • “You are doing so well!”
    • Kissing counts! (Some women find kissing very helpful.)
    • When she says, "I can't do it!" reply with, "You are doing it."
    • When she’s reached the point when she thinks she can’t do it anymore, that usually means she’s almost finished, so shower her with praise, encouragement, and lots of statements like: “You are so close!”  “You’re almost there!”  “The baby is almost here!”
    See also:  Emotional Signposts of Labor

Friday, April 2, 2010

Dolphins and Birth Plans

While I was in California a few weeks ago, we hit the beach. Almost as soon as we got there, we saw something swimming several yards out in the water. At first I didn't know what it was and sort of screamed (thinking shark), "There's an animal!" Once it became clear it was a pod of dolphins, I had to smile to myself, reminiscing.

I used to be mildly (or... very) obsessed with dolphins as an adolescent. I had dolphin figurines, dolphin stuffed animals, dolphin posters, dolphin videos, dolphin stationary, dolphin everything. I did book reports about them, dreamed of swimming with them, toyed with becoming a marine biologist because of them, etc.

I was reminded of that adolescent dolphin fascination again this morning.

Years ago, my sister saw Marsden Wagner's Creating Your Birth Plan at Overstock.com for cheap and, knowing my passion for all things birth-related, she told me about it. I had never heard of the book itself, but I knew simply because it had Marsden Wagner's name on it that it was a book worth having. So I ordered it, and it has basically been collecting dust on my bookshelf ever since.

About 2 weeks ago we got word that my sister-in-law is pregnant after years of infertility. I'm ecstatic for them. And, naturally, I'm feeling protective of her and wanting to do all I can to ensure that she has the best birth experience possible. So I was perusing the birth books on my shelves about a week ago, contemplating which one(s) I should lend to her first, and I pulled out Creating Your Birth Plan, thinking it might be a good one to start with (especially since it has an M.D. in the by-line). As I flipped through the book, however, I realized that I'd probably better read it before I lend it out to anyone, just so I know what I'm sharing with people.

(I lent her Penny Simkin's Pregnancy, Childbirth, and the Newborn and The Birth Partner instead. Her husband's currently in physical therapy school, so it seemed fitting to start them off with the words of a fellow PT.)

So I've been skimming through Creating Your Birth Plan off and on over the past week or so. This morning I lingered on p. 176 where Dr. Wagner shares some fascinating details about dolphin birthing. Here's an excerpt:
At its physical and emotional best, support for women in labor has always reminded me of dolphin birth. When a dolphin gives birth to a calf, several female dolphins swim in a circle close to the laboring mother. Slightly farther away, another larger group of all the remaining females in the pod circle around the laboring dolphin. Then, even farther away, all the male dolphins in the pod circle around her. The entire collective comes together to protect the laboring dolphin and her emerging calf from intrusion and harm. A woman giving birth to a baby thrives when she's at the center of a circle of love.
This prompted me to do a google search and discovered that there are actually places where women give birth in the water "assisted" by dolphins.

A Russian male midwife, Igor Charkovsky, says this about the practice: "Dolphins have an affinity with the baby in the womb and are automatically attracted to pregnant women. They sense when a woman is about to give birth and gather round. They give both the mother and child a sense of protection and safety" (source).

I've been mulling over the topic of birth partners in preparation for writing something for the book, so this dolphin stuff feels relevant. And it has reminded me, yet again, how crucial it is for women to have supportive people around them as they give birth. The people we invite or allow to be with us can make or break our birth experiences. I recently encountered a 2005 study indicating that there is a strong correlation between patient satisfaction with care provider and lower cesarean rates. And Penny Simkin's research has demonstrated that the women with the highest long-term levels of satisfaction with their birth experiences were the women who had positive memories of the way they were treated by their care providers. Which brings me back to birth plans.

I think writing a birth plan is a helpful exercise. But I think most women do it too late in the game. A birth plan will do little to help you if the care provider and place of birth you have chosen have a practice style totally incompatible with it. In my opinion, the time to write your birth plan is before you ever choose a doctor or midwife (which is why I toyed with giving my sister-in-law Marsden Wagner's book now). I can't stress enough how important it is to choose the right provider--someone who will support and respect your birth preferences and shares your personal philosophy of birthing. You'll know you've found the right provider when you know you don't need to give them a copy of your birth plan when they arrive to catch your baby. Birth plans, at their best, aren't for labor day, they're for doctor/midwife interviews. Unfortunately, most women don't approach the doctor/midwife selection process this way. Hence, there are far too many battles in the labor room where peace and joy should prevail and far too many cruel jokes among doctors and nurses about "those women" with birth plans. Alas.

Given how protective I feel of my pregnant and laboring loved ones, I suppose it's no surprise I grew up with such an affinity for dolphins. I wish I could circle protectively around them throughout their pregnancies and births as the dolphins do. Maybe if I ever start an official doula business, I'll have a dolphin logo? That would be cool.