Things You May Find At Your Midwife's Office

The list below shares with you 15 wonderful things you may find during prenatal care visits with midwives, especially those who practice in relatively small group private practices, out of hospital - in free standing birthing centers and home settings across the United States. Other countries may have slightly different models, but authentic midwifery practice shares many common core philosophies of care, so I suspect there would not be much difference.  They are:

1. Time – as in actual time for connecting and developing a relationship with your midwife; so that you can ask your questions and speak about your concerns. Time for the midwife to ask you the questions she needs to make assessments about your health and wellbeing, so she can best guide and support you.

2. Continuity of care - the midwife (or one of the 1-2 partners, if in a small group practice) you see during your prenatal visits will most likely be the midwife who attends your birth.

3. A big heart - your midwife will give you every ounce of her heartfelt knowledge, expertise and care for you and your baby. You may just feel so close with your midwife after a while, she is like your best big sister or wise friend, and her office is a safe space for you to share, laugh, or cry about anything.

4. Education - your midwife will teach you and your loved ones about your body, what’s happening, what to expect along your childbearing journey, and what you can do to make it easier, healthier, more positive. This includes diagrams and models of pregnant moms and babies, placentas, umbilical cords, membranes and pelvises. Your midwife might just have a mirror for anatomy lessons of your own body if you are interested....like in seeing your cervix.

5. Tea and healthy snacks for everyone.

6. Inspirational quotes, affirmations and art about pregnancy, giving birth, breastfeeding, baby wearing and parenting.

7. Pictures of graduates on the wall and/or in photo albums.

8. A collection of thank you notes and birth stories (I call them love letters) in collages and/or scrapbooks.

9. Midwifery and holistic health text/reference books and a lending library of books and movies on pregnancy, natural childbirth, breastfeeding and newborn care.

10. Enough seating arrangements for the whole family and even some friends, as well as toys and books for the little ones.

11. Hands - your midwife’s hands are skillful both in their assessment AND the supportive touch they offer.

12. Tools - all the supplies and knowledge of how to use them, that could possibly needed for your journey. These include equipment such as blood pressure cuff and stethoscope, fetoscope, Doppler and gel for checking baby’s heart rate, scale, measuring tape for assessing the height and growth of your uterus, and lab supplies for checking your blood, urine, screening for infection and pap smear AND so much more! If she uses an exam table, the stirrups will be covered with oven mitts, and it will probably have a nice comfortable and decorative sheet and pillow on it, with a stool for climbing up and down or for the little ones to be involved.

13. A boutique, where you can buy needed items like supplements and natural remedies, books, affirmation cards, birth kits, and rent a birth tub.

14. Office and birth assistants - your midwife may also have students, apprentices, and even have a doula or two to choose from; she may have space to host childbirth classes, pregnancy and postpartum support groups, prenatal and postpartum yoga, parenting groups and all sorts of relevant helpful workshops and community events.

15. Needed medical and midwifery knowledge and clinical skills; and she will also be familiar with and use a variety of holistic, alternative and natural modalities that can help you during and after pregnancy, birth and beyond.

As you go about choosing your midwife and planning for your birth, you might want to ask yourself what is important for you from the above list. Does your midwife or obstetrician offer some of these things, or what you feel you want and need?  Start writing down your questions and your preferences now in a journal, so when you meet her - you have them handy. My online Love Your Birth course will not only help you prepare for having optimal health in pregnancy and beyond, but will also help you to hone in on your own inner calm, joy and strength, as well as empower you with ways to speak your voice, and ideally avoid unnecessary interventions, medications or surgery. It will guide you get clear on what you really want, and make informed decisions given all your available options.

Understanding Epidurals and the Benefits of a Natural Birth

We’re discussing the pros and cons of epidurals! What is their place in the medical world and should they be as commonplace as they are?

Modern medicine today encourages epidurals like water. This doesn’t make epidurals inherently bad - they are simply being misused and overused. It is time we tell the truth about epidurals. Physician, neonatologist and researcher Dr. Michael Klein, points out in his three part Science and Sensibility blog analysis of the evidence

on epidurals, “Women need to be accurately and completely informed of their choices for pain relief in labour before they can provide their true consent. No matter how well intended, epidural analgesia increases the likelihood that women will have a variety of other interventions, especially if the epidural is given without specific medical indications….When used routinely as a first line agent, epidural analgesia can create problems that could have been avoided.”

Epidurals can be literally life-saving in a dire situation when a cesarean birth or medical induction of labor is needed, and there are times when they are indeed warranted, but there are serious concerns about their use in a childbirth process that is proceeding normally and healthily - when their risks outweigh their benefits.

I will hopefully give you an enlightening look at the different sides of epidurals, including the situations when they are very necessary. You making an informed decision for yourself, is what’s important here. But do your research.

Learn more about the intricate process of labor and delivery, as well as what your mind and body are doing during each stage, the purpose of its sensations and how to best cope with them. I go into this thoroughly in my online Love Your Birth course. The more you really understand what is going on, the less you will fear it, the more you will trust and lean into it. And know your strength and capabilities. You’d be surprised at what you’re able to withstand and overcome!

It is crucial to prepare for coping with natural labor, even if you think you will want or need an epidural, as you will still have to experience parts of labor, it is not always an option depending on your health history, the anesthesiologist does not often come right away, and the epidural does not always work adequately.

How do Epidurals Work?

An epidural is an injection of a large needle in the lower back that pierces the covering of the spinal cord. Medications are injected through a tiny catheter threaded through the needle, into space surrounding the spinal cord and then they infuse the nerves nearby. These medications consist of usually a regional anesthetic and an opiate.

The anesthetic drugs temporarily block the sensory nerves which usually create the numbing and this, in turn, inevitably blocks the motor nerves with some degree of paralysis. The opiates are included because they increase the effectiveness of the anesthetic, allow for less dose required, while working to decrease the blockage of motor nerves at the same time.

The Cons

The true downturns of using an epidural occur in a birth that is perfectly healthy and normal are many, according to the research. This will then lead to a cascade of other risky and dangerous interventions just by taking a drug in which there was no need in the first place. In fact, epidurals increase the risk of requiring a C-section, especially when given too early - but there are plenty of other reasons for this.

According to Dr. Kelly Brogan’s research, there’s been a 60% rise of C-sections since 1996. A study has shown that a prolonged second stage of labor is the main reason for most C-sections. This prolongation can be directly linked to the use of epidurals, for many reasons, including a mom’s decreased ability to push effectively and her needing to be in supine positions that make birthing more difficult, as it goes against gravity and pelvic capacity is at its smaller dimensions.

Related: The Unnecesarean Birth Story - How It Might Have Been Prevented

What happens after this prolonged stage? A myriad of interventions to “help” induce the birth: “food and drink restriction, immobilization, IV fluids, bladder catheter, medications to augment labor, and continuous monitoring.” All of these will only encourage the need for even more intervention, like vacuums, forceps, episiotomy and increased probability of more severe perineal tearing into the anal sphincter and rectum, or major abdominal surgery. All medications, invasive interventions and operative deliveries risks birth trauma and injury to the baby as well as the mother.

Epidurals prolong all stages of labor. They increase the incidence of fever for mom, which leads to IV antibiotics in case of infection that most likely is non-existent. Antibiotics disrupt the microbiome and lead to all the associated health risks of interfering with the healthy balance of bacteria within the body for both mom and baby. It can also lead to signs of fetal distress, which then lead to other interventions from needing oxygen to emergency surgical delivery.

This drug administration does upset the normal hormonal balance during labor. While the very nature of an epidural is to alleviate at least some of the pain and so easing a good chunk of stress, some stress during labor is actually quite good for both mother and baby.

Cortisol (the stress hormone), for example, lessens mom’s exhaustion; it gives the mother energy to push, and heightens her euphoria and sense of excitement—a big part of the natural birth experience which we’ll get into a bit later—and this euphoria actually increases bonding with the baby. For the baby, the healthy “stress” of being born turns many biological processes on during the whole birthing process, like the breathing instinct at birth, which eases transition to adjusting to life outside the womb. No surprise that babies may need more assistance to breathe.

There are so many effects that also take place in the aftermath of the birth since an epidural is a narcotic that’ll pass from mother’s circulation, through the placenta into the baby’s bloodstream.

Evidence supports risks to the baby from epidurals, that include reduced muscle tone, poor feeding, jaundice, withdrawal, and sensorimotor impairment. Epidurals have been linked to failure to establish breastfeeding and this is not to be taken lightly, as breastfed babies have much healthier outcomes and less health risks than formula fed babies. Newborns also can get a fever and increased heart rate from the epidural, without having an infection, but separation from mom and extensive work-up in the neonatal intensive care unit ensues for evaluation, including blood tests, spinal tap, and precautionary IV antibiotics.  Renowned childbirth educator Penny Simkin highlights that “epidurals can result in short - term subtle neurobehavioral effects, such as irritability and inconsolability and decreased ability to track an object visually or to shut out noise, bright light. There are no data on potential long-term effects....Decreased infant responsiveness may lead to long-term consequences for the parent-infant relationship... (risking) labels of “difficult child” or “incompetent mother” (self imposed or by others).” 

The mother can experience some annoying but distressing side effects - mostly from the medications entering her bloodstream and/or administration error, like itching, nausea, shivering, spinal headache, residual numbness, tingling and weakness, backache, as well as alarming side effects, like difficulty swallowing and breathing, rare permanent nerve damage, convulsions, respiratory paralysis, cardiac arrest, and even death. Evidence based care expert Henci Goer points out in her ongoing evaluation of risks and benefits of maternity care, that epidurals cause, “Somewhere between 1 in 1,400 and 1 in 4,400 women to experience a life-threatening complication.”

This is some very scary stuff! And yet, epidurals aren’t so much the problem as are our society’s tendencies to consider them such a benign and advised common practice for the majority of laboring women.

Epidurals necessitate hospital birth, and eliminate the home and birth center option, which are associated with better health outcomes physically and emotionally for mom and baby, when it comes to low risk healthy childbirth. Dr. Klein poignantly elaborates on the concerns that epidurals have medicalized birth so much so, that they increase the demand on the nurse to pay greater attention to the technology of all the resulting interventions, and consequently have less time, experience and skill to provide needed hands-on and emotional support for the laboring woman.

Disruption of the normal hormones of labor with epidural use can cause the laboring mom to feel detached from her own childbirth process and to becomes more of an observer than a participant. Studies indicate that women who had an epidural may have had less pain, but were most dissatisfied with their experience even up to a year later. The provider and nurse can no longer assess labor progress by observing the mother and must rely on the monitor - which makes the experience more impersonal - and vaginal exams - which are invasive and increase risk of infection. Use of epidurals and the anesthesiologist alone raise the cost of care, and it increases exponentially with the cascade of hospital interventions that result.

So, when are epidurals medically appropriate? In an urgent or concerning health situation when there are serious complications, but not in a normal, healthy, natural birth. They can be also psychologically appropriate, in individual cases.

The Pros

One of my founding philosophies in helping women to have a safe, healthy and transcending birth experience is that a birth (of any kind, in all settings!) isn’t a medical procedure—it’s a natural and miraculous process of life. It’s not in and of itself a dangerous crisis.

That being said, I’d like to affirm that an epidural has its place in childbirth.

When a labor isn’t proceeding normally, when there’s a prolonged or arrested labor or the mother is experiencing exhaustion, extreme pain and/or anxiety, the compassionate use of an epidural could be the answer, and can enable her to relax, rest and progress to vaginal delivery. There could be a real medical need for medications to help induce or augment labor, which make labor sensations much more painful.  As a last resort, an epidural can help relieve the pain and stress from an emergency situation.

A woman suffering from preeclampsia, for example, who receives an epidural anesthetic, will likely not have a prolonged second stage of labor. Epidural tends to lower blood pressure, which is a benefit in cases of hypertension.

An epidural could also be an advantage during a major operation like a cesarean;  in most cases, it carries much less risk than general anesthesia and is a great alternative to being unconscious from the high doses of those medications.

Epidurals can provide relief or reduction of pain without impacting mother’s mental state. Since birth by C-section is still a birth, an epidural can help the mom stay fully alert and pain-free during this operation. She’ll be involved, fully capable of holding and bonding with her baby even after a C-section operation, as opposed to being put out from a general anesthetic.

Keep in mind that I’m speaking of C-sections that are necessary because of endangering complications and serious issues. This is not the same as C-sections that are caused by epidurals themselves like we spoke about before. Cesareans in and of themselves are supposed to be the last resort, and indicated for serious life threatening health problems —the fact that we have them more and more often in America and that they are treated as a normal procedure during a labor is a sore reflection of our society’s ideas of pregnancy and birth.

Related: How to Plan, Have, and Rock Your VBAC

How do You Prepare for an Epidural-Free Birth?

Photo by @senhoritasfotografia

Not only is a natural birth the healthiest way to go but science is more and more discovering ancient truths about birth.

The women who come to me want to have their pregnancy and labor in their own way and they don’t want to numb themselves to the healthy and normal sensations of giving birth. It is, in fact, your own birthright as a woman to have this right of passage into motherhood. The women I work with want to feel that empowerment and the high of successfully bringing their child into the world on their own.

Understanding what your body is capable of can begin to give you the confidence you need to begin planning your natural birth. My Love Your Birth course can help you prepare for the entire process from beginning to end. You’ll equally learn how to cope with and handle labor pains...so much so that you can love your experience no matter how challenging. The right preparation really begins with a shift in mindset, not just about labor but in what your body is capable of doing.

“In labor, such high-levels [of beta-endorphins] are released and help the laboring woman to transcend pain, as she enters the altered state of consciousness that characterizes an undisturbed birth. In the hours after birth, elevated beta-endorphin levels reward and reinforce mother-baby interactions, including physical contact and breastfeeding as well as contributing to intensely pleasurable, even ecstatic, feelings for both.” -Sarah Buckley, MD.

Photo by @senhoritasfotografia

My rate of successful women having natural births is 93%--the other 7% of cases had complications that required medical attention or surgical intervention. But, in over two decades practice as a homebirth midwife, I’ve never once had  transfer a mother to the hospital for an epidural or any other pain medication because she couldn’t cope with sensations of normal labor. Never once! It is not that women who come to me have different bodies. It has more to do with how well they prepare themselves in advance, their attitudes and mindset, and how they are cared for and supported during birth.

Women are able to do what comes naturally when they are prepared, supported and encouraged to follow their own desires for their birth. Women have been giving birth naturally around the world since the beginning of time. Today we interfere more with it, and sometimes we get in our own way. Have faith that your body and nature both have your back—they were designed to know what to do! We just need to step aside. That takes advance preparation in the modern world, as well as care providers and settings that will have the same philosophy and expertise.

The physicality that is required to give birth has been compared to the performance of an endurance athlete! There’s an inherent strength in every woman to go beyond what she knows herself to be capable of. And when she does that, she is darn proud of herself; she has discovered her strength and capacity she can draw on for the rest of her life.

Learn as much as you can about what that is, about yourself and your body. The pride and joy that a woman experiences after giving birth naturally is overwhelming. So many mommas are overcome with their own capability to bring their child into the world.

Don’t deprive yourself of the sensations and transcending experience. You are able and you are supported!

I have a holistic approach to life, including healing after pregnancy and birthing. Nothing replaces abdominal toning and exercise for restoring muscle strength and tone - which I encourage for all mamas as soon as they feel up to it postpartum. Nothing replaces touch, slow deep abdominal breathing, and a 'love your postpartum body' perspective that I promote.  But I have found many mamas simply feel comforted by this support garment, especially early postpartum and temporarily as needed....to be used without forfeiting abdominal toning and strengthening exercise, breathing well and touch. I have found Bellefit supportive garments to help like they use belly binding around the world such as in Indonesia. They do aid in early postpartum healing and provide support many mamas feel comforted by. I deal with human beings and the reality is many postpartum mom's struggle with body image, feel frustrated that getting back to themselves takes longer than expected. Being into holistic health and healing includes being sensitive to real human struggles - the mind, body, heart and soul of each person and their unique situation. Having helped countless women with these issues after having a baby as a midwife, I have found many still love that binding and feel better with this support, and ability to fit into their pre-pregnancy clothes comfortably and sooner than they would if they went through a C-section or natural childbirth recovery without it - especially when they have to dress up and fit into a certain favorite outfit for a special occasion or wedding not long after having a baby. For more info on the Bellefit girdle, check out my blog about it here. Have a Great Postpartum Recovery (with a little help from Bellefit)!

How to Prevent and Heal Birth Trauma in Babies

In part two of birth trauma in babies, we’ll be looking at how to prevent birth trauma in the first place for your little one. We’ll also look at how to help your baby heal from trauma, if it did already happen.

Your baby will learn about care, love, and healing; it’ll benefit him or her for life!

How to Prevent Birth Trauma in Babies

In terms of prevention, a healthy pregnancy and beautiful natural birth are sure ways of encouraging healthy outcome and without birth trauma for you or your baby.

So, let’s quickly look at what you can do to promote a healthful and deeply fulfilling experience, while preventing any need for intervention that can lead to traumatic experiences.

Having a Natural Birth

So, what can you do to put in place the kind of birth that will support you and your baby to come into the world as nature intended?

Begin with preparation in pregnancy.

Attend my webinar on preventing birth trauma.

In it, I go over crucial tips that’ll help you develop a comprehensive plan and prepare for a natural birth. You must prepare well in advance, like you would for running the 26 mile marathon, or your own wedding.  If you want to succeed in getting what you want - rocking and loving your experience and have a healthy outcome physically and psychologically - you can not afford to just wing it. Not in today's world. 

Yes, your body knows how to give birth, when we get our modern minds out of the way and we are with people and in settings that support it and do not disturb it when everything is normal and healthy. 

Look for a midwife or doctor and birth setting setting with high rates of successful natural births, without routine unnecessary interventions, that completely allows you to have your voice, and respects and supports your decisions.

You may need to learn a complete mindset shift, especially if you do not know anything about natural birth, or have not been around it as women were throughout history; this is extremely important if you don't feel confident, have lots of fear and do not feel supported.  Although underestimated, preparing your mindset is also a powerful and a foundational place to begin when creating your birth plan and getting ready for your birth. When you set your intentions for your experience, you’re more likely to manifest what you want. 

The mindset plays a huge role in the success of famous athletes, performers, as well as business men and women - they all have coaches to help them with that so they become the rockstars they are. You do not need to be famous or perform. But you do need to take back your birth so you can have a healthy one that you love, and without trauma. Your ability to do this rests in your attitude and mindset, that needs to transform and be different than the herd mentality.

And do hire a doula - who can be your coach for your big day. It is another must.

Do any of the following situations apply to you?

• It is your first baby,

• It’s your first time planning a natural birth,

• You want a vaginal birth after cesarean birth, or

• You already had a traumatic birth and want to plan for a much better, and completely different, experience next time around.

If you answered yes to any of the above, then I recommend you take my online Love Your Birth  course as it goes over all of this in much greater depth. I literally teach you how to transform your mindset so that it serves you on this journey of a lifetime.

The lessons in the course come from my extensive experience guiding and and empowering women and their families in my practice. They’ve led to the awesome birth experiences that I have been honored to witness for over 20 years.

All mamas who have been through it benefited from it immensely. Take a look.

What to Do During and After the Birth

Babies are way more capable than we give them credit! Your unborn baby—when he or she is ready—is naturally inclined, with the help of your body's labor, to move through the birth canal of their own will and effort, when given the opportunity. 

Photo by @senhoritasfotografia.

In part one of this birth trauma in babies blog series I discussed how babies are actually more alert, cognizant and sensitive than we realize. If we interrupt the birthing and postpartum process when all is well, with any kind of medical or surgical procedures, testing and interventions, the baby will feel terrified, unsafe, their own agency taken away, their space violated and threatened. Then the trauma reaction ensues! Interventions that can cause trauma can include drugs, internal electrodes on their head, forceps, vacuum, cesarean, immediate cord clamping, suctioning their airway, rough handling, or separation from mom. All the more so when there are complications and interventions are truly needed. 

We need to be sensitive to the baby’s psychological experience when giving care during and after the process of delivery. In the womb and certainly as a newborn, baby is fully aware and conscious and is even more vulnerable to trauma than an adult, as baby's nervous system is still developing.

In addition to the prevention mentioned above, we can help minimize risk of birth trauma by creating a homey and private atmosphere for both mom and baby - in all settings.

That includes dim, soft lighting, and a quiet, peaceful, slow paced environment.  Also, if a mom feels loved, honored, supported and cared for, if she feels calm, safe, intimate and sensual, she’ll not only labor real well, but also will have yummy hormones that pass over to baby, so baby is bathed in them and feels this as well.  Check out my birth trauma series about mothers for more on how we can prevent and heal trauma in moms.

When I talk about gentle care, I’m talking about gentle handling, soothing reassuring voice and touch, eye contact, being held, breastfeeding, and a lot of skin-to-skin contact with mom or partner —this should begin after birth.

Photo by @sehorhitasfotografia.

Don’t cut the cord immediately either. That is baby's life line to oxygen, blood volume and essential nutrients and immunity to help baby transition to life outside the womb. Clamp it only after the pulsing stops or the placenta is birthed. 

Babies also love relaxing music and bath water - and who wouldn't like flower petals floating around, the ambiance of real or electric candles, and a delicious light scent of lavender or citrus?  If you have a water birth, watch them open up, move their arms and legs, and look around when held in the birthing pool. 

This is a sacred time for meeting, connecting to and bonding with each other, so unplug from your phone and computer, and have someone else in charge of spreading the exciting news and taking pictures.

If a cesarean birth is needed, it can be gentle, to simulate a family-centered, natural birth as much as possible, so it feels like a huge personal celebration rather than an operation. These same concepts apply however baby comes into the world.

Furthermore, any procedures or exams that need to happen after the baby’s birthed can be done at mom’s bedside while she’s holding and soothing her baby, explaining what’s going on if something is being done to either of them. A healthy baby needs to stay with parents at all times and not be rolled away in an isolate crib, taken to the noisy and brightly lit nursery of strangers for any examination or intervention. 

How Can Babies Heal from Birth Trauma

In today’s technological world, there are more stressful, scary, drug-induced labors and surgical births than ever before, especially here in the United States. Healthy birth has become an impersonal medical and/or surgical event, a potential crisis waiting to happen in an intensive care like setting in many hospitals; is not a normal, beautiful part of life, the humane, cozy, family-centered celebration it once was.

At least there are some improvements happening here and there, such as:

• Fetuses are not exposed to toxic X-rays,

• Women's pubic hair is no longer shaved,

• They are not forced to take an enema,

• They are not strapped down and given drugs that made them act psychotic, prevent memory of their birth and endangered their babies,

• Partners and newborn babies are allowed in the room with mom, and

• Babies are not forced to have formula instead of breastfeeding.

Needless to say, a lot of healing needs to take place in the last several generations, once birth was moved to hospitals in the early part of the 1900s!

Let’s take a look at some of the things we can do to help heal birth trauma in babies.

After the Traumatic Birth

In working with traumatized babies and infants, the most important thing in giving care is love. This may seem obvious but don’t take this parental superpower for granted!

As a parent, lead with your heart. It is full of wisdom and does not lie, but rather sends you in the right direction.

When interacting with your baby, always have tenderness, comfort and compassion in mind—for yourself and your baby! The more compassion you have for yourself, the easier you can extend it to others in abundance.

Practice Kangaroo Care - while in the hospital, if intensive care is needed, and definitely at home. This simply involves holding baby (clothed in a diaper only) against your skin and cover yourselves with a blanket. Its benefits are well documented and can be done safely despite baby's attachment to medical devices in the NICU, depending on baby's condition. Basic closeness, touch and attention improve their health and healing immensely.  

Your baby needs to know that even when life gets difficult—because it will—there’ll always be love. You can provide ongoing reassurance you are there for your baby. Talk to your baby in a soothing manner, and allow them to tell their story with their body and in the nonverbal way that they do. They have much to say without the ability to talk. 

Their excessive crying or “fussiness” is not simply difficult baby behavior—they’re trying to tell us something. Validate their scary experience and let them know that they’re safe now. Sing to them. Rock them. Calm them.

Take a look at renowned midwife Karen Strange’s resources on baby trauma healing. She is an expert and international educator in neonatal resuscitation and works fully from the baby’s perspective. You can begin using these incredible tools of connecting with baby in pregnancy. 

Working with a Therapist

In treating traumatized babies, Dr. Graham Kennedy tells us that a therapist will be observing and interacting with the affected baby through movement as well as through “hands-on palpation using craniosacral therapy.”  Therapists skilled in somatic experience and cutting edge trauma healing modalities for babies are ideal. You can find a list of some wonderful ones here. 

Usually, the movements the baby begins to make are similar to those he or she made in the womb during labor, but this time giving us the story of what happened to them.

“Working with babies involves holding a space in which they feel supported enough to begin to tell us the story of what happened to them, what they experienced and where it became difficult or even traumatic.” (Graham Kennedy, November 2008)

This reenactment can have a profound change on the baby’s brain, rewiring them to experience what they would have experienced in labor were they to have had a stress-free and intervention-free experience.

There are many possible imprints and effects of birth trauma, but they can all be healed. This is well backed by much literature, science and research, especially as we are growing in our understanding of trauma, its impact and how to heal from it when we get stuck in trauma responses. 

For example, down the line, you may notice your infant or young child having trouble starting or completing tasks (or both!). This may be an effect of their birth having been interrupted—this may have caused your baby trauma, it is stored in their bodies, and now they’ve learned to carry with them a certain passivity.

Babies born by forceps, vacuum or cesarean may later on feel they have to be rescued, can't do it alone, support is painful, get angry with authority, being controlled or manipulated, or they may not want to be here at all - and that can impact every aspect of their lives.

Babies who were drugged from their moms getting pain medication, may suppress their aliveness, have issues with addiction, feel spacey, out of it and trouble being conscious in their own lives.

Babies who spent time in an incubator away from their parents, feel separate and alone, have deep longing for connection and touch, develop a psychic wall of protection, and are easily triggered by abandonment.

In later childhood through adult years, this can be completely resolved with Clarity Breathwork - I do sessions locally in my practice, and online for the global community. 

The trauma response is an important part of our lives and it is our brain’s and body's way of protecting us at the time of perceived danger. It is a normal instinctual reaction in animals, including humans of all ages, and does not become a disorder unless it is interfered with and suppressed.

It does however, need to be treated with expertise for complete effective healing. If there is a traumatic response dysfunction, it is not a life sentence. You don’t have to hold on to those scripts anymore and neither does your baby. Full recovery is possible.

Healing birth trauma in babies is one of the most caring and giving things we can do for our children. 

Do you want to heal from trauma, inner stress and emotional pain that is negatively impacting your life? Let me help you! Read my book Trauma Release Formula available on Amazon.

My Two Books Pre-launched #1 Bestsellers

I have some exciting news to share with you! I have officially published my first two books on Amazon today...and they both became #1 International Bestsellers! The titles are below. 

I am forever grateful of your support and would love for you to share this with any of your friends or family that you think would enjoy this as well! 

Trauma Release Formula: The Revolutionary Step by Step Program for Eliminating Effects of Childhood Abuse, Trauma, Emotional Pain and Crippling Inner Stress, to Living in Joy without Drugs or Therapy Kindle Edition 

by Anne Margolis CNM, MSN, Yoga Teacher, Clarity Breathwork Practitioner (Author)

If you’ve experienced intense stress, emotional pain or any type of trauma, this program is a must - it represents true hope that saved my life and the lives of countless others. Once you know the key that unlocks the emotional pain, suffering, your ongoing personal life, work and relationship issues, and ongoing stress related physical symptoms and illness, and how to unlock it all, you experience such a powerful healing. 

For the last 22 years I have worked as a holistic nurse midwife, then with the added expertise as a yoga teacher, advanced grad and volunteer staff of Mama Gena’s School of Womanly Arts, and Clarity Breathwork practitioner. I have shared the most intimate experiences with women and their families as they move through young adulthood through and beyond menopause, and as they have their babies. I have held space for the huge powerful transformation of birth – that involves challenging situations of extreme intensity and vulnerability, pain of all degrees, facing enormous fears head on, surrendering to a process far greater than all of us…as well as great joy, love, and miracles. There is no pain – physical or emotional – that scares me – I am comfortable with it all; I have either felt it myself, heard about it, witnessed it, and helped others move through and heal from it. Over many years, the women in my practice, their partners, extended families and friends have shared with me and sought my guidance for their deepest darkest sufferings.

I would say just about everyone has baggage, past trauma of some sort, emotional pain and inner stress that is part of being human. Or it comes out as physical problems. Even if there is no apparent history of physical, sexual or verbal abuse unfortunately occurring at staggering rates (beyond 1:3 what is reported), most -people tell me they are one or more of the following:

Natural Birth Secrets: An Insiders Guide How To Give Birth Holistically, Healthfully and Safely, and Love the Experience! Kindle Edition

by Anne Margolis CNM, MSN, Yoga Teacher, Clarity Breathwork Practitioner (Author)

A Doctor and Midwife Recommended, Guide For Pregnancy To Postpartum Bliss Whether Birthing At Home, Hospital or Birth Center- even if this is not your first baby! 

This is a unique approach on how to have a deeply positive, empowered, and joyful journey through pregnancy, birth, and becoming a mom postpartum. Whether you have visions of a cozy home water birth, giving birth in a birth center free of pain meds and intervention, or a hospital birth with the latest technology and emergency care access just in case, this is the ultimate pregnancy to postpartum training so you can be prepared from an emotional, physical, and spiritual perspective to relax into birth and momma-hood with excitement and ease.

This comprehensive training will help you find your center and feel balanced, strong, relaxed, and calm within yourself during this special rite of passage into momma-hood- in the midst of all the chaos of life along the way. It will help you tune into your deepest desires and create joy and pleasure in your pregnancy, birth, an life as a mom - to take you and your family higher.

I’ve taken everything I’ve learned, trained and supported thousands of women, babies and their families with for over twenty years in my private practice locally and around the world, to create this book and do my part in improving maternity and newborn care and experiences, by empowering women and their families to speak up. These are my insiders secrets to increase your likelihood of avoiding high rates of risky medical and surgical interventions, serious complications including birth trauma for you and your baby, and having the birth of your dreams.

- stressed out, worried and anxious,

- overwhelmed, overworked and depleted, burned out, taking care of everyone but themselves

- filled with resentment, anger, rage

- irritable, cranky, and reactive

- unhappy, uninspired, unfulfilled, sad or downright depressed – do not feel joy

- addicted to harmful habits and do not do much to take care of themselves

- embarrassed or ashamed by some part of their body or not liking the way they look

- struggling with eating disorders,

- stuck and can’t make decisions

- disconnected from themselves and others

- shut down, powerless without a voice

- longing for something more and better, but don’t even know what they want, or thinking something outside of them will rescue them and make them happy

- plagued with self loathing, self doubt, not feeling valued, worthy or good enough, like a failure

- filled with shame, blame or a sense of being wrong

- lonely and isolated – without community, or even within their circle of friends and family

- sensually and sexually shut down and turned off

- troubled by relationship issues (immediate, extended, friends and/or professional)

- battling  career and work problems

- suffering with ongoing physical symptoms or chronic health conditions from body aches and pains, to migraines, intestinal issues, acid reflux, trouble sleeping, high blood pressure, heart disease, autoimmune disorders, cancer …the list goes on. If you can relate or have some of these feelings or issues, you are in the right place.

I want to thank my mentor Mike Koenigs for guiding me to prelaunch two books on my two passions for helping people!!! Both are available on Amazon already! Will be released on kindle in March and paperback in April!! 

How to Plan, Have, and Rock Your VBAC

How to Plan, Have, and Rock Your VBAC

Photo by @senhoritasfotografia

Didn’t think you could have a successful VBAC or vaginal birth after Cesarean? Keep reading to discover what’s possible for you.

If you’re a momma who has previously undergone a C-section birth, I want you to know that having a vaginal birth in the future is totally possible.

VBACs are more attainable and beneficial than you might think. While C-sections are absolutely appropriate in life-threatening situations, they do not (and, should not) have to become a routine.

There are some practical steps you can take to not only determine if VBAC is right for you, but also prepare for having a deeply positive vaginal birth experience that will have you feeling empowered in your own capabilities.

Hopefully, these practical tips give you the confidence to know that you too can have a wonderful VBAC.

How to Research When Planning a Successful VBAC

Why do You Want Your VBAC?

The first step, in any major decision, really, is to know and believe that you have a voice.

Take full responsibility for your pregnancy, and do not surrender it to others, especially to your health care provider and the hospital.

Don’t simply assume that a doctor or midwife knows what’s best for you. Only you can truly understand what you’re feeling and experiencing physically, emotionally, and spiritually.

Don’t skip this first step or even take it lightly. It’s the most important step and sets up the foundation for the rest of your VBAC journey.

So, how do you get started with your foundation? Ask yourself this simple (albeit, difficult) question, “What do I want, and why?”

This is your opportunity to educate and empower yourself.

The more you know, the more likely you are to make better decisions. The more you know about yourself, the more likely you are to make more harmonious decisions that coincide with who you are.

This is feeding your soul, your deepest truth!

Know the Real Pros and Cons of Both a VBAC and a Cesarean Section

The next step includes understanding the nature of both VBACs and C-section birth. Then, you should probably tackle their pros and cons.

A Cesarean section (or C-section) is a major abdominal operation in which the baby is delivered through a surgical incision in the mother’s abdomen and uterus while under anesthesia.

This is usually an epidural or spinal anesthesia, inserted via a needle and catheter into the space around your spinal cord, which attempts to numb you from the waist down. General anesthesia is medication given so you are completely out. Depending on the situation, you may be given such a high dose, you will need a tube inserted into your airway so that a machine can breath for you. It is is more often the method of choice in severe emergencies where time is of the essence.

While being a life-saving surgery, C-sections are meant to only be performed in cases of serious complications and emergency in which the mother and/or baby are in real danger.

Another advantage of repeat cesarean is that, if planned, it can take less of an emotional toll for some moms. A mom, for example, who’s very anxious about a past emergency or planned vaginal birth that did not work out, is extremely afraid of vaginal birth, or has a history of unresolved sexual abuse trauma can feel reassured by her perceived sense of predictability and controlled surgical procedure in having a C-section.

The trouble with C-sections is that they are, nowadays, becoming more and more commonplace, putting moms and babies at a significantly increased risk of poor physical and psychological health.

In fact, the USA is ranked among the highest in the world for cesarean sections at 30% and counting. In my area, some hospitals have a 40-50% C-section rate.

This is a lot considering the fact that C-sections are supposed to be rare! It is unacceptable, malpractice, and explains our country’s horrid outcome stats. We rank near the bottom as compared to other developed countries in terms of mothers and babies becoming seriously ill or dying during or soon after childbirth.

We have soaring rates of birth trauma for both mother and baby, which significantly impacts their lives in the short and long term. My cesarean section rate is 5% which is comparable to most homebirth midwives, within the ideal range of percentage rates of performed Cesareans.

Here’s the scary long list of risks that come with having a cesarean section: injuries to other organs during surgery, bowel obstruction, infection, hemorrhaging, having an emergency hysterectomy, blood clots, stroke, and maternal death.

You also run the risk of having pain if the anesthetic doesn’t work completely.

There’s prolonged, more intense pain postpartum, a longer hospital stay, readmission to the hospital, an upsetting or emotionally traumatic birth experience, less early contact and connection with the baby, depression and mental health problems, low self-esteem, relationship issues, difficulty functioning and doing usual daily activities postpartum, chronic pelvic pain from scar tissue, problems with and discontinuing breastfeeding - along with the associated risks to mom and baby of not breastfeeding.

There can be accidental cuts to the baby during the surgery,  lung and breathing problems, including asthma for the baby. There could be future reproductive health problems like reduced fertility, infertility, negative feelings about childbirth and having another baby, higher risk for life-threatening complications in future pregnancies, including placenta previa, accreta or abruption, ectopic pregnancy, mild separation to frank rupture of previous uterine scar, fetal malformation or central nervous system injury, stillbirth and newborn death. The baby could also be born prematurely or with a low birth weight.

(Whoo!)

VBAC, or vaginal birth after Cesarean, on the other hand, is exactly what it sounds like. Having had a C-section in the past doesn’t mean that you’re required to have C-sections for every subsequent birth.

In fact, when all is well and healthy, the benefits of having a VBAC are quite numerous and significant. The risks of repeat cesarean birth far outweigh the risks of VBAC.

First of all, avoiding major surgery is a crucial health benefit in and of itself - it avoids all of the above-mentioned risks of cesarean. Almost all other surgeries that were once major are now done laparoscopically with much smaller incisions to minimize risk.

Also, you significantly increase the chances of having a more positive birth and postpartum experience. Healing and recovery are much easier, and there are fewer chances of enduring postpartum depression and emotional birth trauma. There are shorter hospital stays, fewer readmissions, and the increased opportunity for earlier and more prolonged contact and bonding with your baby. There’s more likely to be success with breastfeeding, especially after a natural birth.

But, as with everything, there are risks with a VBAC. The main risk of concern is the partial or complete separation of your previous surgery’s scar that may or may not have any impact on you or your baby. The numbers are about 2 in every 1,000 VBACs, but this risk doesn’t have any effect on the health of the mother or baby, as it refers to partial or slight disruption of the prior incision without clinical significance.

A significant uterine rupture which would, in this case, be a life-threatening risk is actually even less likely to happen. These numbers are less than 1%.

There are also risks of some vaginal pain or tearing that takes a few weeks or few months to fully heal (a much shorter time than it takes for for the cesarean wound to heal), a slight increase in urinary and rarely anal incontinence, and birth injury to baby from the uncommon complication of shoulder dystocia.

As a midwife, I fully support a momma’s choice to have a VBAC. But, there are many important reasons why you could find yourself in a condition to have either a scheduled or an unplanned repeat C-section birth.

For example, your baby may be in a transverse position (lying in the uterus across your abdomen), or you may be nearing your term and have placenta previa - especially if the placenta is completely or partially covering your cervix. Read up on these situations to further understand what truly are indications for undergoing a C-section.

Once you’ve learned and weighed the pros and cons of both a VBAC and a C-section, complement your research with the knowledge and experience of your trusted doctor and/or midwife.

Find the Right Health Provider for You

After you’ve gathered your information and have made a few decisions as to what you’d like to do, it’s time to find the provider that will work with you toward your vision of a successful vaginal birth.

Ask various providers their VBAC rates as compared to their repeat Cesarean rates. This is important—look for, of course, the providers with whom their VBAC rates are higher than the repeat C-sections. They should not have a VBAC rate lower than 70-80%, if you want to maximize your chances of vaginal birth.

If you’re planning on having the birth of your baby in a hospital, then you can equally research your local hospitals and get their VBAC rates as well, gauging in the same way.

It is worth mentioning that a natural birth gives you your highest chances of having a successful vaginal birth after Cesarean. Just know that while many wonderful obstetricians have high rates of VBAC, they are highly skilled surgeons who specialize in higher risk complications.

They can look for them, diagnose and treat them medically and/or surgically. Going to a surgeon and having a natural vaginal birth may be extremely challenging in many cases.

Most midwives whether they practice in or outside of hospitals have some of the best VBAC to repeat C-section ratios. You might have to dig a little deeper in your research, however, to find midwives who practice in-hospital. Sometimes, their hands are tied by limiting obstetrical or hospital policies and malpractice insurance companies. But they still tend to have higher VBAC rates than most OB/GYNs.

Related article: Can All Women Have a Homebirth?

Prepare to Rock Your VBAC

How to Deal with Emotional Trauma From Previous Cesarean?

Now, that you’ve done your research and you’ve decided that you’re going to have a VBAC, it’s time to prepare yourself, mind, body, and spirit.

This is particularly important if you’ve previously had a traumatic experience with a C-section birth.

There are actually therapists whose specialty is to help women overcome the trauma of the last upsetting unplanned cesarean birth.

Photo by midwife @lindseymeehleis after her VBAC

That is what I do for the women in my local practice and online via Skype or Zoom for the global community. I work with you not only to heal, but also help you to approach your next childbirth experience with positivity, confidence and joy. Also, that is a main focus of my comprehensive online course, Love Your Birth, in addition to helping you achieve optimal health of the mind, the heart, the body, and spirit along the entire journey from pregnancy to birth and mamahood.

I have personally found the most effective form of trauma healing to be: Clarity Breathwork - it is so much more powerful than most any other modality, including medication and talk therapy alone. I tried just about anything, and nothing worked. I had such profound healing using Clarity Breathwork, I became a practitioner who provides private and group Clarity Breathwork sessions and assists at larger workshops, to help others experience the huge healing and transformation I did and witnessed in so many others. Additional incredibly effective methods of trauma healing include Somatic Experience and Organic Intelligence.

My goal is to create for you the springboard you need to heal fully, then create for yourself the deeply connected, positive, and empowering experience that childbirth truly can be.

Your VBAC Community

Another very important component to preparing for your VBAC is to gather around you a community of women who are on the same wavelength as you in terms of mindset and experience.

It is actually easier than you think to find women who’ve gone through what you’re going through, given the high rates of cesarean birth in our country.

Do a bit of research on ICAN, a nonprofit organization whose goal it is to educate and support women through their Cesarean recovery. They also seek to support families in their communities advocating for vaginal births after Cesareans.

This is a time to work closely with your midwife or obstetrician on bringing to life the successful birth you’ve envisioned for yourself.

Make your needs and goals very clear (your midwife or I can even help you to hone in on what those needs and goals might be), so that all you have to focus on is delivering your baby when the time comes.

Surround Yourself with Positivity and Joy

Lastly, be on the lookout for positive VBAC stories of healing, beauty, and empowerment to encourage you. We always seem to envision these horrific and traumatic scenes when it comes to birth.

Fill your mind with positive birth stories, and what’s possible for you instead of what you fear might happen.

I have collected my favorite resources for mamas in my course. It contains 200 of the best supplies, books and movies I use personally and professionally with my clients, family, and friends. Even diving into a fraction of this list will have you feeling empowered and prepared for conception, pregnancy, postpartum and parenting!

Draw, journal, meditate, visualize, play sensual music and let yourself freestyle dance to it—these things help you to heighten and easily tap into the intuitive, feminine self. This is your heart and gut, your truth, your wisdom, the part of you that knows what you most deeply desire and the part of you that knows exactly how to give birth.

With easier access to this huge part of your being, you will more easily determine what it is that you want and need. This creates more confidence and assuredness in the decisions that you make, no matter what the rest of the world might be telling you.

Now that you know where to begin, take responsibility for your pregnancy and childbirth. This is the most empowering thing you can do for you and your baby. It is also the healthiest, and will bring you a deep sense of inner peace and joy.

You’ll find that there are actually many resources and communities that can help you to have the kind of birth that you envision for yourself.

Know what you want and why you want it. Find healthcare providers as well as other women who support you in your decisions and who can help you on your journey. Hire a doula and learn why this is so important especially if you are planning a VBAC and you do not have that kind of calm mothering support for the big day.

A woman’s childbirth is her own and she should have the freedom to experience the full power of what she is capable of.

A glowing vaginal birth after Cesarean is possible for every momma.

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Your many questions may be more common than you think! Subscribe to my monthly Ask the Midwife Newsletter where I answer common questions in written or video format.

I have a holistic approach to life, including healing after pregnancy and birthing. Nothing replaces abdominal toning and exercise for restoring muscle strength and tone - which I encourage for all mamas as soon as they feel up to it postpartum. Nothing replaces touch, slow deep abdominal breathing, and a 'love your postpartum body' perspective that I promote.  But I have found many mamas simply feel comforted by this support garment, especially early postpartum and temporarily as needed....to be used without forfeiting abdominal toning and strengthening exercise, breathing well and touch. I have found Bellefit supportive garments to help like they use belly binding around the world such as in Indonesia. They do aid in early postpartum healing and provide support many mamas feel comforted by. I deal with human beings and the reality is many postpartum mom's struggle with body image, feel frustrated that getting back to themselves takes longer than expected. Being into holistic health and healing includes being sensitive to real human struggles - the mind, body, heart and soul of each person and their unique situation. Having helped countless women with these issues after having a baby as a midwife, I have found many still love that binding and feel better with this support, and ability to fit into their pre-pregnancy clothes comfortably and sooner than they would if they went through a C-section or natural childbirth recovery without it - especially when they have to dress up and fit into a certain favorite outfit for a special occasion or wedding not long after having a baby. For more info on the Bellefit girdle, check out my blog about it here. Have a Great Postpartum Recovery (with a little help from Bellefit).

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, planning a VBAC

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 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!

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. 

It’s wonderful alone, a great refresher or adjunct to any other course!

“Forget your childbirth class, and take steps to your most empowering experience. If you are thinking about conception, pregnant, or love someone who is, take it from me that her wisdom is life-changing.
Yours in the truth

— Kelly Brogan, MD