breastmilk

5 Essential Tips for Breastfeeding Newborns

Are you prepared to ‪breastfeed your baby? Here are the first 5 tips to get you started.

1) Prepare in advance with education and 2) Get support

Whether you are expecting one baby, multiples, or plan to tandem nurse, the best way to prepare to breastfeed is the same as the best way to have the most positive birth outcome: through education during pregnancy when you do not know about it! More and more mamas today approach their birth full of information and support, which is great! But many mamas do little to prepare themselves for ‪‎breastfeeding their precious little ones ‪‎before they are faced with it postpartum.  In addition, It is much easier when you are determined, surrounded by breastfeeding mamas and support - which you can seek out while pregnant, and have a natural unmedicated birth. It is harder without all that, but absolutely doable. My Love Your Birth online course goes into much more detail about breastfeeding and preparing yourself in advance with knowledge and support, the hows and whys, and what you can do to prevent potential common breastfeeding breastfeeding and set yourself up for optimal success.  

Photo of @mamacarlock is by @kindredphotographer

Photo of @mamacarlock is by @kindredphotographer

Breastfeeding is a magical experience for the entire family, and it's one I am proud to support whole heartedly - especially as it's so incredibly beneficial for mamas and babies, on many levels. I am determined to help mamas and babies get the support they need so their breastfeeding journey is a successful one. I have helped thousands of mamas on their breastfeeding journeys, and am happy to share the wisdom from my education and those experiences with you.

Breastfeeding is a natural process healthy mamas and babies know how to do. But it’s not always easy. Natural unfortunately doesn’t necessarily equal easy, especially in the beginning, and for first timers! It is a learned instinct, but once you and baby get it, it can be so easy, even pleasurable and incredibly worth it. While many do get it right away, for others there is a learning curve that takes a few weeks to get into your groove, and sometimes extra support is needed - especially if its your first experience and you are not surrounded by mamas breastfeeding, as women were throughout history since the beginning of time, and still are in many parts of the world.  It is the way all mammals naturally feed their babies. 

This mama pig is so full of the oxytocin and prolactin hormones, she is completely relaxed and in pig mama bliss. Animals just know what to do. In unusual cases, if a baby animal is having difficulty in the wild, they did not survive. And that is simply part of wildlife reality. If an animal is owned by a person, they usually help the rare little one that is having trouble. Humans who are passionate about breastfeeding but facing challenges are fortunate to have all sort of lactation support, wet nurses, donor milk banks, pumping, storage and alternative feeding methods to get babies breastmilk.

3) Start breastfeeding within the first hour postpartum, or as early as possible by 4) placing skin to skin and allowing for the breast crawl

The first hour after postpartum is an ideal time to start breastfeeding as babies are naturally wide awake, alert, and have strong suck, root and crawl reflexes - from the hormones of undisturbed childbirth.  Make sure the lights are dim and the room is quiet. Place baby skin to skin on your abdomen or chest.

Healthy babies have reflexes to actually crawl up and find their way to the breast, find the nipple and start sucking on their own. It takes patience but there is no rush - and it's truly amazing to watch. Check out movies like "The Breast Crawl."  There are plenty like this on you tube. Healthy postpartum mamas have a huge heart, the maternal instinct to love and care for their babies enhanced by the hormonal cocktail circulating in the body after undisturbed birth; and their breasts are filled with colostrum  - commonly referred to as liquid gold, that transitions in a few days to breast milk which completely meets your babies' needs at least for the first 6 months and beyond.

 

5) Make sure baby's latch is wide

It's optimal for them to be allowed and encouraged to do their crawl up to your breast, but yes, there are times when some assistance is needed. But don't give up. If baby is falling asleep and you efforts to wake baby have not worked, or baby does seem frustrated and is starting to get fussy trying to find your nipple, there are things you can do to help. You will have an easier time getting her to breastfeed before the crying starts. Sit up and get yourself comfortable with pillow support as needed, cradle hold your baby in one bent arm so his face is directly in front of your breast a tad below your nipple, leaving your other arm free. 

When your baby is held close, facing your nipple, wait for baby to open his or her mouth wide enough to get a good latch to breastfeed. A good latch includes as much of your areola as possible - the darker circular area surrounding your nipple, where the breastmilk is contained, as well as your nipple, where the milk is released into baby's mouth. Baby needs to compress and squeeze the milk out of your milk sinuses in the areola prior to sucking - which are all part of the breastfeeding process.

Sometimes baby's latches are occasionally shallow in the early learning stages, which usually means baby is sucking mostly on the nipple; this not only feels painful, but also baby is not getting the proper amount of milk needed. If that happens, press down on the nipple with your finger to release baby's strong latch and try again. Until you both get the hang of it, you may need to hold your breast as this mama is doing, and slide the nipple up and down against baby's lips. This will stimulate baby to open wide and then you bring baby to your breast to feed. Practice and patience do make perfect and are well worth it. 

 

It is crucial to have lactation support available. Sometimes all you need is some wisdom from other seasoned breastfeeding moms or your local La Leche leader. Often guidance from your midwife does the trick. If not, and more extensive assistance is needed, do not hesitate to contact your local lactation consultant. Make sure to ask that needed help right away, as the earlier breastfeeding is established the better for both you and baby.  It does take a village of love. We must bring back that village. 

The newborn baby has only three (main) demands. They are warmth in the arms of its mother, food from her breasts, and security in the knowledge of her presence. Breastfeeding satisfies all three." ~ Grantly Dick-Read. 

Let Me Help You Not only Rock Your Breastfeeding, but also....Create The Happiest Birth Experience Of Your Life.

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself, letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, setsclear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom and communicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process! I’ve taken everything I’ve learned, trained and supported women with locally for over 20 years in my private practice and I’ve poured all of my love, passion, knowledge and experience into creating something truly special for you

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Get a 10% discount on your Sleepod purchases ataskrembla.com-use the code SWEETHOME to get your discount.

Get a 10% discount on your Sleepod purchases ataskrembla.com-use the code SWEETHOME to get your discount.

You are supplying your baby's complete nutrition and hydration requirements, as well as your own. It is difficult to get everything you need even from the best of whole food varied organic diet. Do you need supplements? Here are some of my favorite I recommend to mamas in my practice.

The Strength of A Woman

@mikalacatherine

@mikalacatherine

"Today, along with every day since this day, I am so proud to be a woman and a mom." wrote inspired mama @mikalacatherine. "I had the incredible opportunity and privilege to carry my little boy for almost 41 weeks. But what I am most proud of is the fact that I was able to give birth to him. It's something I think about literally every day. I did it. Women every day do it. It blows my mind because the frequency of births makes it seem common. But let me tell you, it is not common. It is quite literally the worst and best thing I have ever done. Having given birth has made me so proud of all moms because now I know what each and every mom has had to go through with pregnancy, delivery, and postpartum. None are easy. All are important and meaningful. I know I risk seeming conceded with this post, but I am so dang proud of myself for doing it. Some days I am in awe of that fact. So today, I am so proud to be a woman and to stand with other women. With all mommies and caretakers. With all moms whether they have carried their babies physically or in their hearts instead. I am honored."

I honor of the billions of strong women who have found their strength and birthed (majority at home, naturally) since the beginning of time. Billions. Something to remember in labor, to encourage and empower. 

I saw the exam table and thought what a great place for warrior - because women are warriors, period - no matter where and how they birthed, whether they had babies or not.  In all these years I have met so many amazing women, women who have faced and dealt with a range of serious life challenges, many many women who grow, birth, feed and raise little humans, and those who were unable to even get pregnant or carry their pregnancies. The warrior pose is in honor of all women who find their strength at times when it seems impossible - and those are the women I have been blessed to know and learn from. 

Warriors are not born and they are not made…Warriors create themselves through trial and error, mistakes and limitations, pain and suffering, being upside down, wide open and vulnerable – and that is strength. Warriors get up and try again in spite of all of it. “Strength doesn’t come from what you can do. It comes from overcoming the things you thought you couldn’t.” Ashley Greene. We women are stronger than we know, and we find that out when we have too. And once we tap into that power, we birth our babies, we handle the challenges, we birth ourselves...each and every day, with the little hardships and the mountains that seem impossible to climb...until we do.

Art by Catie Atkinson @spiritysol.

Art by Catie Atkinson @spiritysol.

"Behind every man stands no woman. There is no greater man than the man that can acknowledge the woman standing right next to him." ~ Rachel Wolchin. Women rock! Mothers rock! We are strong because we had to be, wiser because we learned through our powerful experiences, always doing our best with what we know, have and are faced with at the time; we are admirable warriors of honor because we stayed the course, did not give up despite the challenges and struggles, and had the courage to plow forward irregardless of fears. Our blessings are that we have a fan club - the little ones we grow within us, birth, nurture and take care of, who adore us without caring about the mess, the laundry, our to-do lists. They are the little ones we adopt or foster. They are the people we deeply care for who are not our babies. We are beautiful to them no matter how we look or dress; we are perfect to them even when we make mistakes. They want our time and loving attention more than any material gift. I would love women to be treated and to treat themselves like the goddesses they are.

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Educate and inspire yourself, ready your body, ready your mind, ready your heart with my list of TOP BOOKS of every category you can imagine listed  - with links on where to get them as books, listen on audio, or read them on kindle. The better prepared we are for a situation, the better the outcome will be. I feel passionate about empowering and educating women to get the most out of their womanhood, pregnancy, birth, postpartum, breastfeeding, mama, yoga and life journeys!

I am excited about this course is by a best selling author whose personal story, insights and life changes after recovery from terminal cancer and a near death experience are beyond inspiring and riveting. Not only is it such a testimony to her strength, I feel it can help moms with many of the physical, emotional and psychological challenges associated with pregnancy, postpartum and beyond, also help all women and the professionals who serve them, and really every human being....to find their strength that is already within them.

Birth Story: When Things Did Not Go As Planned

Usually births do not go as planned, and the unexpected happens. I encourage pregnant mamas to actually expect the unexpected, make birth references known and fully prepare for the birth they want, choose their provider and birth team wisely, then be very present, flexible and surrender to and actually embrace whatever happens each moment as meant to be because it did happen (a higher level would be to know it happened for your benefit - but that is a spiritual perspective); I do what I can to help them know that they did their absolute best - there is no judgement, no place for shame and blame, while acknowledging their feelings and telling them it will take time and support to process. Most of the time the unexpected is innocuous and could simply mean you birthed in your bed when you wanted a waterbirth, you told your mom to take your kids out when you previously wanted them there, or you wanted your partner to help catch your baby when he ended up holding you in a standing squat and you told him not to move as baby was crowning. Sometimes it could mean medical intervention was needed in any setting; sometimes, less commonly, it means transfer to the hospital from a freestanding birth center or home, when being there is no longer safe or appropriate because of complications, and sometimes that could even mean surgical birth. This mama @holisticnutritionandme loved her birth and was extremely grateful for her care and the outcome, because she had excellent, personalized, compassionate, sensitive and respectful care and because of her attitude and mindset. She know she did her absolute best and interventions were needed. She writes her beautiful birth story in spite of the challenges. #BirthWithoutFear  

"My baby girl, Liliana Dylan, was born on July 5th at 41+2 weeks pregnant, weighing 7lbs 13oz and 21" long. I was in active labour at home for 12+ hours with my midwives, doula, husband (Daniel) and mom. I got through contractions by alternating between using a birth pool, my exercise ball, walking and moving around. Staying still intensified the pain for me. My#midwife broke my water and I reached 6cm dilation. For hours my contractions continued to get longer and stronger but I wasn't dilating further than 6cm. My baby was posterior which made it harder for her to drop and gave me excruciating back pain. My #midwives recommended we transfer to the hospital for an epidural and pitocin due to lack of progression. So Daniel and mom drove me to the hospital while I was on all 4s in the back seat trying to make it through my contractions. Another 19 hours of labour at the hospital and 2 hours of pushing and my baby finally arrived! Although I didn't get the natural home birth I had planned for, I'm so grateful for the way everything turned out. Birth plans are great to have, but ultimately you have to roll with whatever you're served with when the time comes. Getting my baby out safely was always my one and only priority. My midwives and #doula were warriors and cared for me from start to finish. Daniel and mom were my rocks and did everything to make me as comfortable as they could. I couldn't have done it without every member of my birth team. Liliana has been doing great, she nurses like a champion and is the light of my life." What an inspiring #BirthStory and outlook to learn from @holisticnutritionandme. It is also an ideal model of supportive home to hospital transfer for the compassionate use of epidural and needed interventions that enabled mama to have a deeply positive birth experience despite the challenges, despite her #homebirth not proceeding as planned, despite hospital care that became necessary.  All#BirthIsBeautiful and #WomenAreAmazing.

 I compiled a list of my favorite reads on the journey from birth to birth and postpartum, that also include inspirational books about being in the now and embracing what is - all with links on where to get them. Below is one for LIFE, as most of it does not go as planned and we all inevitably face unexpected challenges. I hope this helps!! 

The benefits of cultivating a regular yoga and simple meditation or spiritual practice are huge, when it comes to staying present, calming yourself, and embracing all of life - even when things happen that we do not want. To create your own home sanctuary, a place where you can practice, here are the supplies I use and recommend. Yogaglo.com has wonderful online classes and here are some great prenatal and postnatal yoga classes on my favorite list of movies - when you can not get to a local class.

Enjoy radio shows from some of the world’s greatest teachers in spirituality, health, and wellness. Begin your journey of personal growth and healing now by listening to HayHouseRadio.com – radio for your soul.

Educate and inspire yourself, ready your body, ready your mind, ready your heart with my list of TOP BOOKS of every category you can imagine listed  - with links on where to get them as books, listen on audio, or read them on kindle. The better prepared we are for a situation, the better the outcome will be. I feel passionate about empowering and educating women to get the most out of their womanhood, pregnancy, birth, postpartum, breastfeeding, mama, yoga and life journeys!

The Estimated Due Date and Preventing "Being Late"

Photo by Melissa Oosting

Photo by Melissa Oosting

VIDEO CAN BE SEEN HERE.

Most mamas like to count baby's toes and fingers. The amount of creases in the baby's feet are simply one of several signs this healthy baby is "post term", born in the weeks past estimated due date, when this baby was ready to be born. It is one of the assessments we use to calculate the new baby's gestational age (how many weeks baby was in utero). I marvel how this calculation often differs from pregnancy dating. I had a mama in my practice who came to me with her last 4 pregnancies. She told me her first 4 babies were born 4 weeks past her estimated due date, but they were all evaluated as term at birth, without any indications of being "late." Her last 4 babies were also born 4 weeks after her estimated due date, had I calculated it based on the first day of her last period alone; but they actually arrived at just the right time, all evaluated to be term - as I used a variety of other assessments, including past history, cycle characteristics, and when she had intercourse, to get a more accurate dating for her pregnancy.

Art by Catie Atkinson @spiritysol.

Art by Catie Atkinson @spiritysol.

What is this due date and how can you more accurately help calculate it to prevent false diagnosis of postdates and its associated risks of induction? The estimated due date is just that - an estimate of when mom and baby of a healthy pregnancy will go into labor; it is an estimate of how many weeks old your fetus is at any stage of your pregnancy - which is important to know, as this impacts your maternity care and the well-being of you and your baby. If you go into labor, it would be important to know that your baby is term and there are no issues with the baby's gestational age. For example, if you go into labor at a certain point before your estimated due date, it's important to know if it is too early for your baby to be born, your preterm baby would be at increased risk and need intensive care, so efforts would be made to try to stop it. Likewise, if you are past your given due date, in many modern obstetrical practices, in an attempt to avoid small risk of postdates for babies that increase after 42 weeks, there is a cascade of interventions from frequent testing of fetal well-being to induction when you are not really due or ready to labor yet; this can lead to increased stress, more painful harder labor, anesthesia and other unnecessary interventions that may culminate in an unplanned cesarean birth. Actually, only 5% of women give birth on their due date, even with the most accurately assessed pregnancy dating.  I like to use the language due month, as most babies come a few weeks before or after that date - more commonly a week or more after it for first time mamas.

@yogawithalanna

@yogawithalanna

 

So, when speaking about due dates and postdates, I like to start with education and prevention during preconception, before a women gets pregnant. And even if pregnant, we can still do some detective work and might come up with helpful information that may impact your pregnancy dating. I advise women to know their fascinating bodies and menstrual cycles, to track how often their periods come, when they have signs of ovulation and when they had or did not have intercourse.

Art by Catie Atkinson @spiritysol.

Art by Catie Atkinson @spiritysol.

With this knowledge, mamas can TAKE CHARGE OF THEIR FERTILITY to either prevent pregnancy, or try to become pregnant, learn when they conceived and even when they are pregnant before a positive pregnancy test. This is one of my favorite books on the subject.

Mamas who know their date of conception, more details about their cycles, and their past pregnancy histories (when they went into labor previously and what the gestational age assessment was of each of their babies), have a much more accurate due date than basing it on first date of last period alone. This is one of many ways mamas can become empowered and proactive.

It also helps to connect with nature, and your connection with it - your body is nature, has its own biological clock, and you might want to look into how it relates to the moon cycles (a very interesting study). It helps to connect with the rest of who you are - your heart, your gut, your spirit, and get out of the busy overthinking, worrying, calculating mind that has become way too dependent on manmade, digital precision of industrialized time, stay present in each precious moment, the only place where life exists, surrender to what you can not control of the natural world anyway, and learn ways to self relax and tap into a state of inner calm (why I love yoga and mindfulness so much). As a midwife, I certainly have other date assessment skills I use, and other suggestions to help each mama on a more personal level, but these are great places mamas can start. But no obstetrical provider or any human, can predict when a mama will go into labor. So one of the great lessons of pregnancy is being ok with not knowing. Might as well enjoy the journey, as this is as real as life gets.

Art by Catie Atkinson @spiritysol.

Art by Catie Atkinson @spiritysol.

But in today's times,  I do feel compelled to debunk some myths. As I indicated above, the due date is not written in stone. It is an estimate around an average time of when mamas go into labor, plus or minus a few weeks on either side. Although I like referring to the 'due month', that has not taken hold in the modern obstetric community, obsessed with measurements. At least we can use it between us and with your extended families, who tend to call you every day after your estimated due date, to find out if you had your baby yet. Yes, now we have ultrasound that, if done in the first trimester by a practitioner with expertise in pregnancy dating, the accuracy of the estimated due date increases a bit. But not all mamas want a sonogram. Again, only about 5% of babies are born on their estimated due dates anyway. And it is often miscalculated, if based alone on the first date of the last menstrual period. That date calculation only applies if a mama’s cycle comes every 28 days, assuming she ovulated day 14, and that still could mean baby could be born on average between 37 and 42 weeks. Healthy term babies can also be born before or after this time frame.

 

This is my pregnancy dating wheel that has been with me as long as I can remember. Now its online. I like the ones that take cycle length and date of conception into consideration. Most women having regular cycles have variation, with sometimes as much as 21-45 days between them. And that is normal. There are many factors such as stress, illness & travel, that can prolong the time between last period and next ovulation, but once a women ovulates, the next period comes close to 14 days later - unless she conceived shortly before or at ovulation.

As a nurse since 1985 and a midwife for over 20 years, I meet many women who are well informed and know their bodies and histories, and many who are not familiar but are very eager to get empowered and learn more. I have had plenty of women know their exact date of conception from fertility treatments and go into labor weeks before or after their due dates. I have had women who knew exactly when they conceived as they were keeping track, only had intercourse at or before ovulation once as for example they were or partner were busy or not together. And they give birth close to estimated due date. Each mama and story is different. And I have had women not have a clue about their cycles or when they got pregnant. But more often than realized, modern medicine does not know nearly as much as people might expect. Women can empower themselves with some knowledge and they have more wisdom than they think; too much trust is often placed in technology and 'experts' over themselves. I question the value of of having to be so accurate with exact calculations when it comes to healthy women experiencing healthy pregnancies. These are illusions, manmade constructs, industrialized time applied to horticultural biological time that no human can control or predict. This is a fascinating study and discussion if one has an open mind to consider other perspectives, and the more I practice the humbler I become, the more awe I have in a process that has far more wisdom and power than any human being, no matter what their training and background. 

Oh the journey of waiting and not knowing when, has been a journey traveled by billions of women since the beginning of time - it's part of the sacred wonder and surprises along the way. Welcome to the Tribe De Mama where we get more and more familiar with nature's own clock, realize there is so much we can not control, and get comfortable with not knowing.

This gorgeous shot of @heidijohnson13 was captured by darling mama's sister @sarahandthewave.

This gorgeous shot of @heidijohnson13 was captured by darling mama's sister @sarahandthewave.

For personal questions and need for individual guidance you can schedule an online consultation with me- this is one of passions and areas of expertise. Many mamas ask to consult with me about their fears of going past their due date, & want to know what they can do, as they don't want to be medically induced & have the barrage of testing which can cause much angst, and the subsequent interventions which increase risk of cesarean. I love helping mamas in person, and now with this global IG community, via Skype or phone conversation. You can also take my unique online ROCK and LOVE YOUR BIRTH course, which basically guides you through your pregnancy to birth and postpartum journey, as I guide the families in my midwifery practice - without the hands on care, to prepare and plan for an experience of their dreams.

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Do you need supplements for preconception and pregnancy? Here are some of my favorite I recommend to mamas in my practice.

Make your Red Raspberry Leaf and Nettle herbal infusion.....rich in needed nutrients and specifically nourishing for pregnancy, birth and postpartum. Place 1 oz of dried red raspberry leaf, 1 oz of dried nettle leaf in a quart-sized glass canning jar with strainer, fill it with boiling water, cover and steep for at least 2 -4 hours at room temperature. Strain and place in a covered pitcher. You can make it in larger quantities and store in the fridge. For taste, dilute with water or steep for less time (but no less than half an hour), add lemon or lime juice, mint leaves or a teaspoon of honey. Drink 1-4 cups daily hot or cold.

VBAC - A Hot Topic

PHOTO CREDIT - THE UNISON PHOTO CNM

Correction - ACOG is the American College of Obstetricians and Gynecologists; ICAN is the International Cesarean Awareness Network

VIDEO IS NOW HOSTED ON MY LOVE YOUR BIRTH ONLINE COURSE

What is a VBAC?

A VBAC is a vaginal birth after cesarean.

If a woman has had a cesarean and wants to plan a vaginal birth for her next, it would be considered a VBAC.

Cesarean Surgery

Cesarean section is major abdominal surgery that involves serious potential risks for both a mother and her baby.

When medically necessary, it can be life-saving. I am very grateful for this. And it is still of course a birth to celebrate.

Unfortunately, cesareans have become so routine. I believe women are not given the opportunity to explore all their options and are not offered education and empowerment to have a vaginal delivery after a previous cesarean, other than a repeat cesarean birth, if that is their choice.

Statistically, the United States ranks among the highest in the world among cesarean rates. It’s approximately 30% and rising.

It’s as high as 40-50% in some areas near to where I live, and this is absolutely unacceptable.

Benefits of a VBAC

There are many benefits to a VBAC. These are physical, emotional, mental, and spiritual.

These are only a few important benefits on the long list:

  • No risks from major abdominal surgery. This is huge.  Unfortunately, a cesarean can lead to trauma to the internal organs or reproductive tract, risk of hemorrhage, complications with scar tissue, long term post operative pain, wound infection, blood clots, stroke, and possible respiratory problems for the baby. High rates of cesarean section contribute to high rates ofmorbidity and mortality – and this is occurring in modern countries such as the US, which ranks among the bottom of them in terms of outcome stats.

  • Easier postpartum healing and recovery.

  • Baby receives needed bacteria for optimal health, from mother when passing through the vaginal birth canal.

  • Breastfeeding may be more successful

  • No potential harm to future fertility.

  • Feeling more positive about the birth experience

  • Increased sense of empowerment.

  • More involvement of family and support people.

  • Less risk of postpartum depression and emotional birth trauma.

Image by midwife @lindseymeehleis after mama's triumphant and healing VBAC.

Image by midwife @lindseymeehleis after mama's triumphant and healing VBAC.

Major Health Care Regulators and Advisory Organization Support VBACS

Most major health care regulators and advisory organizations like the World Health Organization encourage VBACS.

“The World Health Organization recommends that the caesarean section rate should not be higher than 10% to 15%. According to the Society of Obstetricians and Gynecologists of Canada (SOGC), vaginal delivery represents the safest route for the fetus and newborn in the first and subsequent pregnancies” – World Health Organization website, http://www.who.int/bulletin/volumes/85/10/06-039289/en/ This is generous, as when cesarean section was originally implemented, it was intended to serve 5% of the birthing population – those with serious complications who really needed surgical intervention.

Also encouraging of VBACS are the American College of Obstetricians and Gynecologists (ACOG) (link to their website: http://www.acog.org/ , The National Guideline Clearinghouse https://www.guideline.gov/  ,  Agency for Healthcare Research and Quality, and the American College of Nurse Midwives

No words can describe this amazing mama's feelings after her VBAC, captured by @skyla_walton

No words can describe this amazing mama's feelings after her VBAC, captured by @skyla_walton

“The AAFP strongly recommends that clinicians inform women who have had a prior vaginal birth, either before or after a prior cesarean birth, that they have a high likelihood of VBAC. Unless there are specific contraindications to a vaginal birth, these women should be encouraged to plan a labor and VBAC and should be offered referral to clinicians and facilities capable of providing this service, if it is not available locally. (Quality of Evidence: High)” – Source: The National Guidelines Clearinghouse website https://www.guideline.gov/summaries/summary/49115/clinical-practice-guideline-planning-for-labor-and-vaginal-birth-after-cesarean?q=vbacs

In most cases, a VBAC is a safe option.

I share the opinion of many concerned with improving maternity care and reducing our rising rates of maternal and newborn death and serious health consequences from the interventions in childbirth, that a woman should not be forced to have a major surgery against her will, rather provided research and empowered to make her own decision, considering she is having a healthy pregnancy.

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AAOG removed the previous unreasonable restriction requiring immediate availability of a surgical staff for an emergency cesarean, as most hospitals around the country, let alone free standing birth centers and home settings, do not meet this criteria. Most hospitals are not able to have a surgical staff at all times and cannot perform an emergency cesarean in under 30 minutes.

Despite this, research is showing that far too many obstetricians do not offer VBACS. They routinely recommend repeat cesareans because they may fear law suits, succumb to scheduling pressures, have restrictive hospital or malpractice insurance policies, and/or feel pressured to uphold certain standards among their colleagues who are not supportive of VBAC. The hands of a midwife whose collaborative obstetrician and hospital do not support VBAC can often be unnecessarily tied as well for these reasons. Most repeat cesareans are not actually medically necessary, and are commonly recommended due to various non-medical reasons. This is very concerning.

What also concerns me is that the risks of a VBAC are magnified in conversation with women, while the risks of a repeat cesarean are downplayed, so women may feel forced, afraid and powerless.

I want women to feel like they have a voice.

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Some women who want to VBAC have limited options and local doctors in the area are only offering cesareans. Some feel they have no option other than having an unattended homebirth, or labor alone at home until the last minute without any monitoring, or not be truthful with their providers about their previous cesarean birth – all of which can increase the risks for her and her baby.

A trained and experienced midwife who is continuously with the woman in active labor, can detect concerning signs and symptoms before they can become a crisis, and she be transferred and treated in time to save her and her baby’s life and heath.  A midwife wears many hats, one of which is protecting the space so the natural process of birth can proceed with ease and grace, and another is a lifeguard – to know when and how to intervene to prevent problems or manage emergencies.  There are many wonderful obstetricians supportive of VBAC who have this training and style of practice as well; they are just harder to find.

What are the chances of having a successful VBAC and who is a good candidate for a VBAC?

The stats range that 60-80% of women, who have had previous cesareans, are candidates for a successful VBAC. In actuality, most healthy pregnant women carrying healthy babies are candidates.

The chances of a successful VBAC are higher if a woman is using a midwife, even higher in free standing birthing centers and home settings.

Above photos of rockstar mama's VBAC are by @karinariveraphotographer

Above photos of rockstar mama's VBAC are by @karinariveraphotographer

Going to a hospital and working with an OB/GYN with high cesarean rates, will increase the likelihood that a woman will have another cesarean.

In some hospitals, there are a lot of restrictive procedures, like continuous electronic fetal monitoring, confining a laboring woman to lay in bed, not allowing her to eat or drink, routine IVs and time limits, which increase the risk of a cesarean.

What is the main risk of a VBAC?

The risk of separation of the prior uterine scar is approximately 2 in 1000 VBACs, but often it is a mild superficial dehiscence (slight separation of some layers of the surgical wound) that has no clinical significance and does not impact the health of mom or baby. The risk of severe life-threatening emergency from a partial or complete uterine rupture of all the scar layers is significantly lower – a highly unlikely occurrence, significantly less than 1 %.  The main risk is of a VBAC is this rare catastrophic rupture of the previous uterine incision. This rare total disruption of the uterine scar risks both the mother and her baby, and can lead to catastrophic outcomes. It cannot be ignored and must be monitored for appropriately; but it cannot be exaggerated or make the risk of repeat cesarean less alarming.

Although every decision has risks, a VBAC is a reasonable, appropriate and safe option. If a woman panning a VBAC decides to give birth at home, I highly recommend working with a well trained and experienced midwife and consider the distance to a hospital (30 minutes or less driving time is ideal).

There are risks and benefits to every kind of birth and in every setting. I provide women with evidence based information, encourage each family to dig deep and look at the pros and cons to having a VBAC in a hospital setting, free standing birthing center or home, vs a routine cesarean and have informed consent for her birth.

Are there benefits to a cesarean?

A planned cesarean is in a controlled environment, and some women find great comfort in that knowing. Perhaps a woman has had a previous traumatic, long labor the first time and they just don’t want to go through that experience again. Some women are very anxious about that and they just feel safer knowing they will have another cesarean.

I take that seriously, because she won’t labor well if she doesn’t feel safe.

Like I mentioned before, the serious risks for a VBAC can be often prevented, treated or transferred to surgical care in time, with a skilled midwife or obstetrician who is attending to the laboring women, aware and mindful of the symptoms that lead up to that.

Thankfully some hospitals are now at least allowing more time for baby to get the cord blood from the placenta, skin to skin bonding, and her partner or main support person in the operating room. Some hospitals and providers are performing “gentle cesareans” – cesareans that are family and woman centered, and try to provide the environment of a natural birth as much as possible. This is a wonderful attempt to restore humanity to birthing in the operating room.

Last tips:

If a woman knows she wants to have another baby, I would start with research and education. Ask yourself: “What do I want and why?”

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A woman should get the support she needs. Most women who have had a prior cesarean have issues they need to discuss. There are therapists who specialize in this.  One of my dedications and areas of expertise is creating space so a mom can debrief, process and heal from her previous upsetting or traumatic birth experience, as well as plan for a better one next time around. Schedule a consult with me here. http://homesweethomebirth.com/chat-with-anne/.

I tell mamas to do what they can to educate and empower themselves, and know they do have a voice, build their circle of support, and include in their birth team advocates to speak for them when they are in the heat of labor. I tell them to prepare for a vaginal birth. The mind, body, heart and spirit can prepare for a vaginal birth - and a deeply positive, beautiful and empowering one. This is one of my passions and main focus of my online childbirth course.

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PHOTO CREDIT – THE UNISON PHOTO

A woman is more likely to have a vaginal birth if she has a natural birth. Although this is not in all cases, a woman who is educated, empowered and prepared for a natural birth has a greater chance for having one.

Things a woman can do to prepare for a vaginal birth:

  • Take an excellent childbirth course! My online LOVE YOUR BIRTH course is available here. 

  • Check out www.vbacfinder.com to find VBAC rates for local hospitals.

  • Check out ICAN (http://www.ican-online.org) for more information; seek out VBAC groups in your community, on Instagram and on Facebook, to connect with other women who have had successful VBACS.

  • Watch movies of women who have had VBACS… inspiring stories of healing, beauty and empowerment.

  • Create your tribe, in your pregnancy, of like minded women who have gone through what you’re going through.

  • Interview providers, and choose one that aligns with you the most – one that has high rates of VBAC and low rates of repeat cesarean. It is very important to ask them their rates, and if you are planning a hospital birth, research the hospital rates here (link to http://www.cesareanrates.org/2015/01/what-is-my-hospitals-cesarean-rate.html

     Most midwives, especially those who practice out of hospital settings, have the highest rates of VBAC and the lowest rate of repeat cesarean, but plenty of hospital midwives and obstetricians have similar stats – they just may take some work on your part to seek them out.

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I also recommend hiring an awesome doula, as those who have a doula are less likely to have a cesarean.

A doula is amazing because they offer the mothering comfort and support that our ancestors had.  When women would give birth in their tribe or village, and they were surrounded by mothers, aunts, sisters, grandmothers, and the other women of their community, they received that mothering support by women who were comfortable with birth and relaxed around it. Fear has no place in birth, and a doula provides needed calm and loving support.

Lastly, I recommend drawing and journaling , mediation and visualization – which tap more deeply into her intuitive self. A woman can imagine how she’d do it differently or what she wants for herself. And she can face her fears head on, which often lessens them, or she can be with them and plow forward with courage in spite of them.

Remember, In the end it’s not in our control, and we let go and surrender,

If you do all of these things and end up having a cesarean, it’s not a failure. There is no failure in birth. It is a birth, a belly birth, and it’s the birth of your baby and you as a mother. It is the birth of your family and your partner as a parent. Stay present, stay involved and keep a positive mindset. Focus on the blessing, that you did all that you could, and thankful for modern medicine, which saved you and your baby’s life and preserved health. Also, you can ask for a gentle cesarean, which restores humanity to the operating room by doing such things as allowing your support people in with you, enabling baby to emerge from the incision simulating as much as possible a vaginal birth to help baby clear his/her own lungs, enabling you to participate by lowering the drapes so you can see your birth, giving you sterile gloves to receive your baby, delaying the umbilical cord clamping so baby can benefit from the cord blood, encouraging immediate skin to skin bonding and early breastfeeding.  

Image by angiebeehotz

Image by angiebeehotz

Healing can occur afterwards, and may take time and lots of support. But there is no place for shame and negative self judgement here.

Image by Megan Hancock Photography

Image by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

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In the end, how a woman births is her personal decision and the more informed she is and empowered to play a large role, the greater the likelihood is she will have a positive birth experience.