Amnah's Birth Story

Amnah has written up a beautiful birth story, one I was blessed to midwife.   She was a pleasure to serve, always excited, reinvigorating my commitment to midwifery with her enthusiasm at each visit.  It was a pleasure to experience her hospitality and friendship, as well as her delicious baking at each visit.   Check out her blog as well, the recipes are a sure hit with your family! Here is my favorite line from her birth story:



Head. “Ring of fire”.  Shoulders. Body. Bottom. Legs. Umbilical cord.  I felt it all.  And then I felt no pain.  ”Which of the favors of your Lord do you then deny?” {Qur’an 55:13} My baby was here.

Isn't birth like that, simple, yet  otherworldly all at once?! Welcome baby Z.

Reflections of a Midwife in Ramadan

"And comparing the expanse of the world into which a man enters on death is like comparing the spaciousness of the world to the womb; only it is wider and greater"
-Al-Ghazili in The Book of Patience and Thankfulness

It's always a blessing to witness a birth, but as with everything in Ramadan, this blessing becomes manifold. This has been the year of precious Ramadan babies. They've all come with ease and grace, and many lessons to teach their midwife. In the quote above al-Ghazali says that this birth is a simile for the birth we will experience when pulled from our graves. A mother is earth, her flesh a portal transformed for another life. In tears, sweat, and joy she surrenders to life's calling and purpose; a new soul to traverse the earth.

It is an impossible thing birth. Even as I watch mothers over and over again, I am always amazed that this is how human life begins. The act of birth is a great sign from God. What we would logically call impossible, in each moment of labor becomes more and more possible. At first we see a quarter size of the head, with each contraction we see more, but then it too disappears back into the womb. This is the two-steps-forward-one-step-back dance of the second stage. Allah's power manifests itself clearly now as each witness is silently contemplating the possibility of a human emerging from such a small space. Even the mother needs a 'you can do it' at this point. Once we've given up, only then do we move forward.

Soon the prince or princess is crowning, emerging from one consciousness to the next. The attendants watch in wonder as the miracle that is about to occur pauses. With the next contraction the head spirals into Earth's pull. A graceful exhale is warranted. The mother is in awe. The midwife is honored to be of the first to lay hands on the world's newest member. It must be done with intention and clear spirit, for these new beings are impressionable. The shoulders and body emerge and a slippery body is placed on a heaving mothers chest.

The midwife can sit back now and watch from the corner. The room is still and seems to be full of angels, at least two more have just been called to duty. It took so long, yet went so fast. What we were once anticipating for months and months is now here in a matter of moments. The eyes of a child just born reveal all we need to know, aware, watchful, and knowing. As he takes in his surroundings, I wonder how we will take in our surroundings at the next phase of life. Will it be as astonishing and grand? Will there be joy or grief? What I now cannot fathom, a grave, bones, and a resurrection, will it all seem so obvious after the fact? Will I know who I am and will there be familiar souls to accompany me?

I'm not certain and apprehensive of the answers to these questions. But I do know that my perch in the birthing room again and again increases my certainty that creation is continually happening, and as uncertain as a new life after the grave may seem, each birth brings me closer to the fact that for the Creator, it is possible. It is just as possible as young mother stepping into a birth tub by herself, and emerging from it with another life. We dry them off and tuck them into bed. An ordinary miracle on a sunny Ramadan day.

Home Birth on ABC News

A surprising and refreshing look at home birth from the mainstream news outlet ABC. With home births increasing by 20% in the four year period between 2004-2008, it's no wonder that mainstream news outlets are approaching home birth with some respect, even reverence. The hostess says she was born at home in San Francisco in the 70's, "but that was a different time". Well, if that's the case, the times they are a changin' once again, because thirty years from now, I bet there will be a newscaster or two who was born at home herself! Enjoy the video!

Ramdan - Fasting with Child (ren)

Ramadan's many lights and gifts will be here in a matter of weeks. One of the questions I am often asked by pregnant and nursing women is whether or not they should fast in Ramadan. This post is not meant to encourage or discourage women from fasting, rather it is to provide information that can help mothers stay healthy if they decide to undertake even a few days of fasting.

Many women say that they would rather fast when everyone else is fasting instead of making their fasts up later. If you are one of those women, I hope this can help prepare you physically for the fast of Ramadan. Studies conducted about pregnant women fasting in Ramadan have found no adverse outcomes in the baby's birth weights, length, and head circumference. The fast of Ramadan also has not been found to adversely effect milk supply in lactating women, although it can alter the content of breast milk, but without affecting infant growth.

Pregnancy can be a challenging time to fast depending on when the fast falls in your gestation. Nina Planck, a real food expert and author, has written a wonderful book called Real Food for Mothers and Babies that breaks up pregnancy's nutritional needs by trimester. Planck says that in the first trimester, when the organs of your baby are developing, your embryo needs minerals to become a strong fetus. The bones and muscles are doing most of the growing in the second trimester, so your baby needs calcium and protein rich foods. In the third trimester, the eyes, brain, and nervous system are rapidly developing; fats high in Omega 3's will aid this growth.

If we base our Ramadan diet on Planck's demarcations, what are the best foods to nourish you and baby in each trimester? Fasting in Ramadan offers us only a few exchanges with food, so we need to make each of these encounters nutrient dense and filled with what our growing babes need. You will notice a theme throughout my recommendations and that is good fats and protein. Good fats include, coconut oils, olive oils, fish oils, butter, and tallow. Your baby's development needs cholesterol. You need good fats and protein to support this. This duo also supports mother's in their health and well being through pregnancy, therefore you will see multiple mentions of healthy fats and proteins.

In the first trimester many women often need to eat constantly to keep nausea at bay. Others do better with no food. Either way, your baby has to grow. If you choose to fast during this time, I really like a few foods to help you out. Much of nausea comes from hunger. When you eat, eat foods filled with protein and good, healthy fats. For the suhoor, the morning meal before dawn, try any of the following:

• Smoothies with egg yolks, coconut oil, milk, and yogurt and lots of fresh fruit. The fruit will give you plenty of the micro-nutrients which your baby's organs need and the yolks, oils, and yogurt will give you good fats and proteins for fuel throughout the fast.
  
• Eggs are a great suhoor meal for pregnant women. Make an omelette with lots of vegetables -- again this will give you a mix of micro-nutrients and protein.
  
• Oatmeal with lots of butter, cream, milk, or coconut milk. Add nuts and fruits for a complete suhoor.
• I do recommend eating at least three times a day in Ramadan, the suhoor meal, an iftar meal, and then again about an hour before going to bed. This still provides the same caloric intake, albeit not at the regular times you usually eat.
  

The first trimester is a big adjustment. Take it easy and don't push yourself to exhaustion. Read my post on the first trimester, where you will find many tips that you can do while fasting. I personally think essential oils, like lavender, ginger, and geranium go a long way in helping with nausea, fasting or not. Also, fresh air can alleviate nausea for many women. Get out and go for a walk right before you break the fast.

When Ramadan falls in the second trimester, it is perhaps the easiest time for you to fast while pregnant; the nausea has mostly passed, and you have regained some of your energy but don't yet feel uncomfortable from the weight of your baby. Here are some general tips for fasting and breaking your fast in the second trimester.

• If you can, try to switch your nights and days. During the day, stay inactive and rest as much as you can. If you need to do anything active, like clean or cook, wait until shortly before the sun sets so that you can eat and drink soon after.
• Try fasting every other day.
• Do gentle exercises like yoga, tai chi, or walking shortly before the sun sets.
  
• Don't skimp out on sleep! This is hard in Ramadan, especially during the summer months, but try your best not to exhaust yourself.
• Because protein and calcium are important this trimester, be sure to include lots of protein rich foods in your meals. Meats, broths, eggs, and lentils are wonderful and healthy choices.
  
• Calcium rich snacks can be eaten between iftar and bedtime. Almonds, warmed milk with cinnamon, ginger and a pinch of sugar, yogurt with fruit.
• Dates, the traditional food to break the fast with, are an excellent way of revitalizing the body after a day of fasting. High in potassium, iron, anti-oxidants, and other minerals, they are also perfect as a second trimester treat.
  

The third trimester is perhaps the trickiest time to fast. There have been studies that have found that fasting in late pregnancy causes a state of 'accelerated starvation.' We should know that our bodies are working hard during this time; the baby's nervous system is developing connections between neurons, its brain folds are forming rapidly, and its gaining more and more motor control each day. All this while it is packing on half a pound every week. All of this requires an enormous amount of caloric input, so it makes sense that this trimester would be a difficult time to abstain from food. Also, labor could begin at any moment in this trimester. Beginning labor with a caloric deficit is adding an extra challenge to the challenging physical task of labor. Despite that, some women will fast. Whether or not you fast, here are foods that help build healthy brains for your baby:

• Try eating fish when you break your fast. Fish is easy to prepare and full of healthy fats well suited for growing noggins. Check out Seafood Watch for more information on which fish is best for you and the environment.
• I love herbal infusions in pregnancy. They are especially great for women facing the great task of birth, and subsequent mothering. Alfalfa, red raspberry leaf, nettles, and oatstraw are wonderful third trimester choices. Drink them mixed or separately. They contain an amazing amount of minerals and micro-nutrients, all of which saturate your tissues and muscles with nutrients that help them work efficiently in labor.
• Egg yolks, butter, whole fat milk, and all other foods rich in cholesterol can be considered brain food. So go ahead and have eggs and toast with lots of butter for suhoor. Your baby will be smarter;)!
  

Staying hydrated is actually a bigger concern than caloric intake for fasting pregnant and nursing women. Abstaining from water all day can be a real challenge while pregnant and/or nursing. I suggest that when you eat in the morning and in the evening, drink an electrolyte drink, preferably not Gatorade as it has tons of sugar and other undesirable preservatives. Try this mixed in your water. Coconut water is another refreshing way to replenish your electrolytes. Vitamin Water and Re-Charge are also good choices. Electrolytes help the water replenish and hydrate you. Without them it often seems that the water just rushes through you!


Nursing and fasting is often more difficult than pregnant while fasting. That is simply because while nursing, you also have to change diapers, push the stroller, and carry and nurse the baby. There is more work involved! All of the above recommendations can apply to nursing women. Along with a few of these:

• Add one tablespoon of coconut oil a day. You can eat it directly off the spoon. Lauric acid is the main ingredient in coconut oil. Lauric acid is a medium chain fatty acid, the primary component in breast milk. This can help keep your breast milk full of the nutrients your baby deserves.
• Focus on hydration. You will feel thirsty due to the hormones of breastfeeding, primarily prolactin. When you are not fasting, always keep a bottle of water with you and electrolytes are a must. The above mentioned studies have found that lactating women hydrate more than non-lactating women in Ramadan. Remember that and drink to thirst.
• Stay away from the fried offerings always so present at iftar gatherings. Often they are fried in unhealthy fats full of trans-fats. Trans-fats are easily transferred to breast milk. Be mindful of healthy fats and fulfill your fat cravings in other healthier ways such as butter, meats, fish, and eggs.

Ramadan, however, is not only about the physical fast. Fasting also takes place on the spiritual plane. Fast from the fast-paced world for your baby's sake. Slow down and retreat deep into the stillness of spiritual practices and a beautiful remembrance. This more than anything is what nourishes mothers and babies, whether or not they fast during Ramadan. I pray you all have a blessed month full of vast openings and a renewed closeness to God. Please remember me in your prayers.

Six is It - The Birth

Someone just sent me this webisode of a family of six, having a home birth with their '6th'! I really love how real it all is. The mother does a great job of expressing why even though this was her most difficult birth, it actually has sustained her in times of difficulty when mothering six! It's also so nice to see families outside of the dominant culture birth theirs at home. Enjoy!

Six is It- Episode 6 (The Birth) from Sixisit Episodes on Vimeo.

The Healing Hour

No matter what type of birth you have, the first hour after birth is meant to be savored. Both mother and baby have made it. The hard work is over and the instinctual acts of attachment and bonding are about to begin. Baby has so much work to do, learn to breathe, digest, find the food, etc..but these lessons have not begun yet. Think of this hour as an exhale, a big exhale after the bated breath of labor. No one needs to intervene, weigh, assess, or even show the baby where he is to get his nourishment from. Mom and baby know exactly what they are doing, it is a state of expansion after the contraction(s) of labor.

Recently, a fellow midwife deemed this hour, 'the healing hour'. Labor is a huge event, mother and child each feeling the grandness, and difficulty of it, well, they just need a moment to catch their breaths. An hour is not an exact measurement, but I find it nice to really try to guard that sixty minutes closely. Today's world moves fast enough, it impinges on every area of our life as it is, birth should be an exemption. For one hour, no visitors, no texts, no phone calls. Take advantage of the biological imperatives so firing in these moments, the baby's alert state, her large searching eyes, mother's oxytocin level the highest it will be in her life, take these and so many other reasons and fall in love. It is a love that cannot be weighed, swaddled, assessed, but one that in the moments after birth is begging to happen.

If this isn't enough reason to keep antsy nurses and fidgety midwives at bay, here are some more by the legendary Michel Odent. I have summed them up and clarified in certain instances. The full article can be found here.

1. Baby needs to breathe. Who is a better teacher of this, mom or incubator?

2. A short but crucial period, that will never be repeated. Ethologists have observed this period in birds and mammals and have concluded that it should never be disturbed. Why do we disturb it?

3. The first hour as the beginning of lactation. Babies have instincts too. Place them tummy to tummy between mom's breasts and watch them find their own nourishment. Also skin to skin has been shown to increase success in breastfeeding.


4. Metabolic adaptation. Babies use less of their precious glucose and fat when on mother. They use more when screaming from across the room, or being passed around to relatives. They can enter hour 2.


5. Thermoregulation. Babies stay warmer on mom, and they also learn how to keep themselves warm when sleeping near her. The womb didn't have great temperature variations, so they must adapt to the extremes on the outside and it takes awhile for them to be able to do that.

6. The bacteria. When placed skin to skin baby starts to colonize mom's bacteria, the bacteria he/she will be living with, and already has antibodies to from it's time in the womb. This is extremely important for babies future health.


7. "The greater the social need for aggression and an ability to destroy life, the more intrusive the rituals and beliefs are in the period surrounding birth." Wow! No comment!


I keenly remember each of my children in this first hour, both unique and different, yet I still see it in them now. These moments you can't have back. Talk to your midwife or doctor about this hour before you deliver. Tell them you want to postpone the weighing and measuring and any assessments until afterwards. Have a no cell phone rule in this hour. Everyone can wait, but your baby is present now, and he is looking for his mother, he is looking for home.

Pitta and Pregnancy

Hello and happy summer! Please check out my article in Rhythm of the Home about pregnancy in the summer months, and let me know what you think. There are a couple of cooling drink recipes, such as nettle iced tea! If you have been directed here from there, welcome!! Hope everyone is enjoying a cool summer!