Lion Hearted

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"For every disease, there is a cure." 
Prophet Muhammad 

At four weeks postpartum, I was bending over cardboard boxes, deciding which books I would need for the next year, and which I could part with.  As I straightened up, I tightened the knot on the belly wrap designed to put my fragile insides back together.  To help me pare down my closet, I needed a dear friend, and the unwavering opinion of my fashion sensible midwife.  I guess plaid is out, who knew? The fragile moments of the first couple of weeks post -birth, already seemed like another lifetime's dream.  By the time my mother came to meet her newest grandchild, her only daughter was in need of some ibuprofen and a shoulder to cry on. Not to mention the help I needed washing the dingy curtains, and packing those aforementioned books. (Note to self: A Kindle is warranted until you buy a house!) It wasn't an option to take a back seat.  My husband accepted a once in a lifetime opportunity to study with a respected teacher and continue his academic studies.  One short month after meeting my son, it was LA or bust.  I was tending towards the latter. 

If this were a movie, I would roll the credits first, because without the support of family, friends, and community, none of this would have happened.  It was an outpouring of generosity like no other.  Each night I found freshly cooked food at my doorstep, or steaming from my table.  Clothes for the baby, and even my daughter arrived unbidden.  One talented and creative friend sewed bags filled with activities for the older ones, and baked the best sugar-free, grain-free snacks a gluten sensitive mama could hope for.  My son went to the zoo, and Fairy Land, with an ice cream stop to boot.  The last baby I delivered before I had mine, even made an appearance. And I would be remiss not to mention the presence of a fellow midwife, who truly midwifed me through one of the hardest days of my life.  She was born to do this work. God bless her.  It was awe inspiring and bittersweet, for soon I would be leaving this nest of community and warmth. But first, I'd have to put the Boppy aside, and pack up the entire house.

It's hard to follow your own advice, though I endeavored.  I rested in bed for two weeks, stayed warm, gave myself warm oil massages, ate the best darn food I could. Hell, I even gave myself moxa treatments.  But the looming move crept in and all of my best laid postpartum care plans shrank in response.  STRESS became  a real and unwelcome guest.  Oh, did I mention 'the shooting'?  There was one, in front of my house, at dinner time.  We had the luxury of leaving that night.  May God help and raise up those mothers who don't.  It seemed stress was everywhere I turned.

Evidence of my herbal medicine nesting!

There was however, one burst of nesting which became my postpartum savior.  In anticipation of the move,  my settled pregnant self dove into herbal medicine making.  It was a way to hedge myself against what I knew would become a harried postpartum. Sitz bath herbs, nursing teas,  arnica and St. John's Wort oils, valerian root, motherwort and echinacea tinctures were all brewed up and bottled before I delivered.  It was a gift to myself and a sure stroke of intuition, for I needed these herbs even more than I anticipated.

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The move, turned out to be a minor blip in the scheme of things.  My husband and I had to be separated, all told for over a month. (The LA rental market turned out to be less than friendly to a family of 5!)  My little ones and I lived with the most generous brother and sister in law you could ever ask for, for one month.  It was an epic postpartum I tell you.  It was going to take more than some nursing tea to get me through. It was going to take the heart of a lion.

Luckily, I had the closest thing I could get, the plant called motherwort , leonurus cardiaca, Latin for lion hearted.  Brewing this tincture many moons ago, I had anticipated using it for the afterpains.  Motherwort, or mother's herb,  is an antispasmodic and a uterine tonic.  And for those first few days, I was taking it every half hour or so to quell the crushing afterpains.  However, motherwort is more than that, it is also a nervine and sedative and often used in the treatment of stress and nerve related disorders.

This is what the respected herbalist Susan Weed has to say about this herb:

Another of motherwort’s uses is to improve fertility and reduce anxiety associated with childbirth, postpartum depression, and menopause. If used in early labor it will ease labor pains and calms the nerves after childbirth. Take motherwort only once soon after giving birth as consistent use before the uterus has clamped down may cause bleeding to continue. Use one to two times a day in the weeks following birth for easing tension and supporting a woman through the feelings that come with new mothering.

One lonely morning,  as the two year old was melting down, the baby was crying, and my poor six year old looked just plain apathetic, I found the full bottle of motherwort tincture waving at me from my  bathroom bag.  I  took two full droppersful.  My shoulders instantly dropped from my ears.  A plan of action soon formed in my mind (calm the two year old first, always!), and the overwhelm seemed to diminish.  The courage to pluck on grew in this delicate new mama heart.  Throughout the next month, motherwort became my green friend.  I took it morning and night, and whenever the two year old decided to dig in her poopy diapers (yes, you read that correctly.  A habit she developed once moving into the pristine enclave of my in laws!) Motherwort, take me away!  Two droppersful and I could exhale again, feel the ground hold me up, and march on. 


It's been three months since then.  Ya Sin is four months old, just rolling over, and charming us all with his easy going grin. My 8 ounces of motherwort tincture is long gone.  There are many mornings or mid afternoons, where I could still use it to be sure, but I find myself brewing that nursing mother's tea now. "For every disease there is a cure", said the Prophet Muhammad.  While my postpartum was not a disease,  it was excessive and warranted a cure of its own.  I believe in medicine of all kinds.  Each tupperware filled box cooked for us was medicine.  Every phone call or text message to see how I was, was medicine.  For everyone who joined me on my couch and listened, I healed.  These were all cures for my state.  But motherwort certainly lived up to its name as a mother's herb.  It was the cure for this mother during a less than ideal postpartum. 

I once heard that the medicine you need, is always with you, you just have to be open to it.   That was certainly the case with me and motherwort.  May you always find the medicine you need, when you need it.  Thanks for your patience.  Want to know how I made these tinctures without alchohol?  Stay tuned, I have a post coming up!!

The Prophet Muhammad as a Baby

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In honor of the Islamic lunar month of Shaban, traditionally touted as the month of the Prophet (peace be upon him), I am sharing some really sweet notes on the development of the Prophet Muhammad as a baby.   These notes are from a class I attended about six months ago with  Ustadha Eiman Sidky.  I wish I could find the book from which she took these pearls, but alas, my notes are lacking the text. If anyone knows, please leave it in the comments, so I can add it! They detail his development from turning over to talking, and as always he was exemplary and above the curve.  I love thinking of his blessed babyhood, and how he was as an infant.  Enjoy!

• At two months of age he was rolling over already.
• By four months he was cruising, as in cruising along tables, and other furniture to move from one place to another.
• He was walking at five months. Can you imagine!?
• At nine months he was speaking Fus'ha, the elegant and elevated form of Classical Arabic. It is the form that the Qur'an was revealed in. 
• At ten months, he was able to accurately shoot a bow and arrow, a sign of his piercing intelligence and unwavering focus. May Allah bless him!!
• And always, before he touched anything, even as an infant, he would utter a 'Bismillah"

Enjoy this month, may it bring you closer to the Prophet and prepare your heart for Ramadan!  Remember all the babies of the ummah in your du'a!

Wendell Berry on Birthing Lambs!

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 “When you are new at sheep-raising and your ewe has a lamb, your impulse is to stay there and help it nurse and see to it and all. After a while you know that the best thing you can do is walk out of the barn.” -Wendell Berry as quoted in a recent NYT article.

This quote couldn't describe midwifery more elegantly.  Most of the time the hardest part of our job really is to just "walk out of the barn".  Birth works, babies are born, mamas give birth, just like the moon rises at night and stars set in the morning.  The intense, powerful energies at birth are often contagious and we just want to jump in and soak it up, but it is not meant for us.  Center stage is for the family, we must quietly exit stage left. Unless of course we are needed, but mostly, we can take five, and mother and baby are more than fine.  I love this post at Progressive Parenting about three things we need to stop doing to newborns. Here's a clue, stop Hatting, stop Patting, and stop Chatting! I mean look at that sheep mama above, does she need any help raising her adorable lamb?  It looks like she's got it under control to me!

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.

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.

The Big Stretch - A Film Review

The Big Stretch, an Australian DVD, has done what many other childbirth DVD's fail to do - it has given the voice and authority of women, to women rather than experts. Twelve mothers tell how pregnancy, labor and postpartum 'stretched' them physically, emotionally, and spiritually. As a mother myself, I found most of their insights incredibly apt and useful. There are first time mothers, sixth time mothers and everything in between. Although all of them used midwives and had home births (but one, who tells with raw emotion what a hospital transfer was like for her), that is not the point of the video, in fact home birth is never directly mentioned or promoted.

From conception to operating on little sleep, mothering is a reworking of most of our internal structures, literally and metaphorically. It takes a lot of you to welcome another being into the world. As one woman said in the film, " I feel like I just went from being a girl to being a woman." That's a beautiful and desirous thing. For it's straight talk on labor pains, breastfeeding, and postpartum emotions, I recommend this for first time moms. For the real anxieties associated with subsequent mothering (will I be able to do it?, how will the other kids cope?), I recommend this for experienced moms.

The setting is lush, green and tropical, fertile actually - an appropriate setting for a film on birthing women! There is a lot of nudity in the film, nudity that doesn't have to do with birthing women. I'm not sure the reason for this, maybe the tropical environment. Or maybe it was to push the limits of the viewer, to 'stretch' our boundaries so to speak, which is something this film does quite well. The Big Stretch forces women to step into the shoes of mothers and walk with them for a spell, listen to their fears and triumphs, laugh and marvel at what they become, and in so doing, honor what we as mother's can also become; stretched, still ourselves, but larger, languid, and less rigid.

Feed Play Love - Free Teleconference

Feed, Play, Love, a free teleconference on parenting touching on the feeding, playing, and loving of children. I have just listened to Kim John Payne's lecture. His advice includes that when in difficulty, or feeling overwhelmed with our children, we should think back to the pregnant pause, the third trimester and the still, slow first few weeks of their birth to conjure once again, all of the dreams and possibilities we imagined for our family. Birth is the beginning of parenting. There are other great lectures from Sharifa Oppenheimer on the Essential Necessity of Play, and Dr Heather Manley, a naturopath, who outlines an Imaginative Adventure Through the Immune System - a way to talk to children about health. Enjoy!!

Prenatal Qi (Chi)

Qi (pronounced CH-EE) is often translated as 'life force', a sort of subtle energy that penetrates and influences each person in myriad ways. Qi permeates the universe, it can be seen in the rising of the sun, the flowering of the bud, and in the buzz of bee's wings. There are different types of qi, but the one that fascinates me, is prenatal qi.

Inherited from our parents, prenatal qi is sort of like the Western concept of the genetics we inherit from our parents, this is what we nourish throughout our life. Similar to genetics, prenatal qi can thrive with a good quality diet, air, water, and without it it can wither, or flare and cause problems. Given a good dose of strong, healthy prenatal qi, babies and children thrive in their childhood and beyond.

Other types of qi, such as lung qi, spleen qi, etc... can be improved upon, but prenatal qi is like a seed that cannot be replaced, it can only be nourished. Mothers however, can improve the quality of their health, thereby improving the prenatal qi that they pass on to their children. Dr Randall Neustaedter, says in his book, The Holistic Baby Guide, " In Chinese terms, a deficiency of Prenatal Qi is one of the primary causes of immune-system weakness and susceptibility to external pathogens. A mother who seeks out the care of a Chinese herbalist before and during her pregnancy is more likely to have a robust and healthy baby." He says that according to Chinese Medicine, a Prenatal Qi deficiency is one of the leading causes of asthma in children.

Gestating, delivering and nursing a child depletes the prenatal qi that the mother has available to pass on to the next child. Practitioners of Chinese Medicine believe that the different qualities and quantities of Prenatal Qi passed from mother to child account for the sometimes vast differences of energy and health between siblings. In order to avoid passing on any deficiencies to her baby, between and during subsequent pregnancies, it would behoove mothers to nourish and replenish these spent stores. Here are some great ways to do that:

• See an acupuncturist. Regularly. This is an excellent way to nourish yourself as a mother. Often they prescribe herbs that also replenish and build qi stores. If the cost of acupuncture is prohibitive, look for local clinics that provide these services in a group setting at a reduced rate. Such as this. If you are local, here's my beloved acupuncturist.
  
• Eat a whole foods diet. Eat real food. Broths, fermented foods, grass fed meats, organic fruits and veggies, and unpasteurized dairy, heal and nourish a body better than most things. Nutrient dense food is also great for mothers who often have no time to eat, or if pregnant, can't eat much at one sitting. Make each bite pack a nutritive punch.
• Eat lots of fish, or bump up your Omega 3's through supplements. This essential nutrient becomes especially depleted through nursing children.
  
• Drink herbs. Nettle, red raspberry leaf, oatstraw, lavender, chamomile. Drinking an herbal cup of tea each day is also a calming, relaxing way to nurture oneself.
  
• Exercise. Get some fresh air, swim, hike, yoga and strength building exercises can all be important in regaining vitality and building health. As a busy woman who doesn't have time for a yoga studio, I love Yogaglo for home practice.
• Take time for yourself. Don't let motherhood deplete you. Let it be your path to nurturing and health, for you and your family.
  

Newborn Needs

When my son was about four weeks old, one of my favorite uncles came to visit. I was feeling stronger and excited to show off my new bonny boy! I took him to one of my favorite Afghan restaurants. What a mistake, it was so loud, bright, and busy in there! I had never noticed this before and my son was not having it. He screamed at the top of his little lungs until I walked him outside back and forth, back and forth, weaving lullabies into the cool night air. Meanwhile, my husband and uncle were talking about all sorts of interesting topics, undisturbed by the heavy handed kitchen staff, or the glare of the overhead lights. This was the first of a slow learned lesson, restaurants and our baby did not mix.

I later came across a possible explanation. Ayurveda believes that mothers are in a state of psycho-physiological transition for six weeks after the birth of their child. That after pregnancy, birth, and lactating, the first six weeks their system is transitioning back to a new normal. It is such a rapid and profound time of growth and change, that nothing really matches it. Except the rate of growth and change in a newborn. When I experienced the loudness, brightness and bustle of the restaurant, something that had not occurred to me before (and to be fair, not after my kids are older either), I was simply in tune with my baby. Newborns need stillness, quiet, softness, love. Restaurants might offer the latter, but rarely any of the rest.

It is important for both mother and baby to honor this need for stillness, rest, and beauty. It can be done in all birth settings. Recently, I came across a beautiful example of a mother going to extraordinary lengths to create this for her newborn. Meg, of the Sew Liberated blog, knew that her second son Lachlan was going to be born with a heart condition that would require nearly immediate surgery upon birth. It would require him to be in the NICU (neo-natal intensive care unit) and separated physically from her. Well, this crafty and beauty loving mama, did not let that stop her. She hatched a plan to bring softness, black and white prints, breezy mobiles, and warmth to her son. You can read about her post, Every Baby Deserves Beauty -Thoughts of a Heart Mom, and then check out the lovely Lachlan, surrounded by softness and warmth here. Having spent my fair share of time in NICU's with babies, I know that all of this effort must have muffled much of the noise and beeping that incessantly happens in these units. The babies who need the most quiet to grow and thrive get the least of it. I hope Meg's example inspires others to take control of their baby's surroundings from day one!

The following quote from Cynthia Aldinger founder of LifeWays North America powerfully sums up the needs of a newborn. By taking care of newborns in this way, we will be meeting the needs of ourselves as mothers as well. Say no to the restaurants, the trip to Target, the mall, wherever. Bring sunlight and nature into your space. Celebrate your baby's stillness and tranquility, in stillness and tranquility.

" However, I do want to say something about the first three months. Some refer to it as the fourth trimester, and I feel it is worth noting that it is a time that is completely different from the development we see taking place in the months following. If it were possible to wrap an extra layer of care around these little newborns, that would be wonderful. As a kangaroo mother keeps the newborn in her pouch, I wish we could provide more protection around the child from birth to three months. If you have ever been in a situation where you have had to adjust to an abrupt change in your life, perhaps that experience can build compassion for the newborn’s adjustment from womb life to outer life. Even more than the adjustment from womb to world, I feel it behooves us to consider the transition the individual is making from spirit to matter. Imagine being pure spirit, held in the arms of the angels, so to speak, surrounded by heavenly sounds, then being tucked into the womb for nine months with its own special sounds and warming rhythms, then emerging into the mechanistic, materialistic, ever-moving and somewhat cold and loud world of modern life. Certainly nurses, midwives and many parents know that swaddling helps to mitigate the dramatic change in physical existence for the newborn. If we could imagine taking similar protective measures in regards to the type of lighting, the sounds, and the activities to which they are exposed, most particularly in the first six weeks, gradually expanding their worldly experience over time, that would be a real gift."

Hakima Midwifery is Expanding Services!!

I'm so excited to announce that I am now offering two new services at Hakima Midwifery. In July I took a grueling exam, passed, and am now officially an IBCLC, or an International Board Certified Lactation Consultant!! I am so excited to be working with moms and babes to help cement their breastfeeding relationship. I do in home lactation consultations as well as Skype visits. Skype visits are great for women overseas, or in areas where lactation consultations are not available. They are also great for follow up visits. Here is more information about the visits.

After having my second water birth, I am an even bigger water birth aficionado. So much so, that I have decided to rent out birth tubs. And not just any birth tubs, eco birth tubs! They are the same tub I delivered my little girl in, and they are just so amazing. There is no harmful plastics, no off gassing, and the sides are so firm, offering the laboring mama wonderful support. Here is the link with tons more information.

Thanks all for your support. Please contact me with any questions and spread the good word!

Dua (Supplications) for Pregnancy, Labor and Conception

This has been going around lately, but I thought some of you might benefit. Unfortunately, I'm not sure who put it together so I can't give credit where it's due. For those of you who don't know the Arabic terms, apologies! I should probably put a glossary on here somewhere, but for now if you have any questions just ask. Enjoy!


Bismillahir Rahmanir Raheem



Here is a brief list of various things that we were told to recite and do during pregnancy and labour.



Please pass it on for anyone who you feel may benefit from it.








Daily

- Surah Inshiqaq (Surah 84) – to be recited daily throughout the pregnancy

- Surah Luqman (Surah 31) – to be recited daily during the 1st trimester when the baby’s brain, mental faculties and nervous system are developing

- Surah Yusuf (Surah 12) – to be recited in the 2nd trimester when the child’s physical appearance is forming

- Surah Maryam (Surah 19) – to be recited in the 3rd trimester as labour approaches

- “Ya Lateef” – to be recited 129 times every morning and evening









7th month only

- The husband should recite Surah Inshirah (Surah 94) 152 times on the baby









Labour

- The first ayat of Surah al-Fath’ (Surah 48)

- “Ya Lateef”

- Surah Maryam (Surah 19)

- Surah Inshirah (Surah 94)

- “As salaam Alaikum ayuha-nabee wa rahmatullahi wa barakatu”









General advice

- Shaykh Muhammad Ba Shu’ayb once advised, for the sake of any children we are to have to recite all our adhkar and awrad everyday and to ensure that we pray as many prayers in congregation with our spouse.

- Read as much Quran as possible.

- Try and do as much salawat on the Prophet (saw) as possible – in particular Salat al-Tunjina’ and “As salaam Alaikum ayuha-nabee wa rahmatullahi wa barakatu”

- As babies are said to be able to recognise certain sounds and music from their time in the womb, reading certain texts such as the “Book of Assistance” by Imam al-Haddad, is advised in order to bring about recognition.

- One of the Habaib advised pregnant women to look at pictures of the Ka’aba when she was too tired to actively engage in ibada.









For those trying to conceive children

Habib Umar has recommended…

- Recite Surah Fatiha (Surah 1) 41 times in between the sunnah and fard of Fajr prayer.

- Recite verse 38 of Surah Imran (Surah 3) as many times a day as possible.

Another Homebirth Video

The Homebirth of Lucia Mae from Sara Janssen on Vimeo.

This video has some darling , colorful pictures. I love the portrayal of the daughter's role in her sister's birth. It is also a testimony to the family's affection for their midwife, she's like a part of the family! To read more on the lasting impression a midwife makes through a woman's lifetime (i.e. beyond the childbearing years), check this out, Midwifery Care: Reflections of Midwifery Clients. Be sure to download the full text.

Right Side Up - Breech Babies

The women in the above photo are trying to right a baby. This directionally challenged baby is coming bottom first. The method they are using to try to turn the baby, hard to decipher in this photo, is called moxibustion. Moxa, or mugwort, is heated and, like acupuncture, used over certain pressure points to induce heat to the region, and thereby blood flow. It works incredibly well for turning babies upside down, exactly where they need to be in order to be born.

Four percent of all babies present breech at term, or 37 weeks of gestation and beyond. How do you imagine that those four percent are born? Does the doctor or midwife, pull them out by their feet? What is the danger of a breech birth? Why do we never hear of babies born breech anymore?

A recent study in Tel Aviv has challenged the wisdom of late that breech babies should be born via Cesarean section. In the 'old days' the skills to deliver a baby coming breech, feet or butt first, were taught in medical school. After 2000, this was no longer the case. The Term Breech Study, the largest of its kind on breech births, found that breech babies delivered vaginally had a 1% increase of death in the first six weeks of life. The study also found that for mothers there were more benefits to a vaginal birth. From then on, the only doctors to attempt breeches were the old school doctors who had learned from experience that babies born breech, stubbornly do just as well as their head first counterparts. There were many issues with the 2000 Term Breech Study including research bias, and the fact that it's near impossible to randomize such a study.

The Tel Aviv study is urging medical schools to reintroduce the skills of delivering breech babies. Their research shows that there is no increase risk to a baby born breech vaginally and that mothers do better with morbidity and mortality when delivered vaginally. Professor Glezerman, a researcher on the trial, states that a C-section is no minor event in a woman's reproductive life, that it impacts future pregnancies, uterine health, and subsequent labors.
Although, not mentioned in the study, increasingly the research is pointing towards health effects of babies born by C-section as well. In one of the more recent findings, babies born by Cesarean section are at a higher risk of developing celiac disease. Another reason to avoid unnecessary surgery, who would want to assign anyone to a diet that prohibits bread, pasta, cookies!! Poor baby.

So how do you reconcile the lack of skill of the current docs with a pending breech birth? Look at the photo above for some inspiration - you make all efforts to turn the baby before delivery. Here are some tips to get you started:

• Acupuncture/moxibustion is a powerful tool for breech babies. Do the moxa each day while squatting and making figure eights with your hips. I'm not kidding! One time I had an acupuncturist for a client, with a persistent breech presentation. She tried everything under the sun, before turning to her chosen profession, to turn her little girl. Two nights of these contortions and the babe turned!

• Pulsatilla 200C one time. My little girl was breech until about 35 weeks. I never resorted to this, but I was ready to. It was suggested to make it a one time event, and to do it consciously. Light some candles, pour some tea, put your hips up, and take the pulsatilla. Engage with your baby, visualize his little head snuggled tight in your pelvis. This can be a really powerful way to turn a baby.

• The breech tilt. This is an old recommendation, but really useful. The idea is to elevate your hips higher than your pelvis, to disengage the baby so that when you stand up, the baby will realign itself the proper way. You can do this by laying an ironing board angled against a coach and laying down, with your feet up and head on the floor. Or you can make a stack of pillows and put your hips atop the pillows. Do these for at least 15 minutes twice a day. Talk with your baby and shine a flashlight starting at the top and moving to the pelvis, "For now and always baby, follow the light."

• Webster's Technique is a chiropractic technique that is often employed to help turn breech babies. It's not really 'turning' the baby, it's addressing tightness and torsion, among other issues in the mother's pelvis. Let's be fair after all, there are two players at work here, it's not just the baby choosing to be breech. Fibroids, cysts, and other issues in the mother's pelvic can force the baby into a breech position. Webster's technique can address some of these problems.

• One of the interesting theories about why babies are breech is not a physical reason. There is a theory that babies who are breech do so out of a need to get their mother's attention. It's as if they are saying, "Hello, remember me, I need you to pay attention." It could be this lack of attention that is causing them to swim close to mama's heart, a gentle pull on it's strings, those tiny fingers dialing your number before you've even heard them cry. It's a sweet thought and one I found bore a lot of fruit for women who were breech beyond 35 weeks. It tended to happen to women who worked, worked, worked right up until the end, women undergoing a lot of stress, and women who maybe had some hesitancy about becoming a mother. Overall tension also produces lots of tension in the pelvic region, which can be a culprit in breech presentation. If you are breech these themes are worth exploring through journaling, art, conversation, etc...

• If none of that works, there is always frozen peas. Put a pack of frozen veggies on your babies bum. They won't much like it and will soon get the picture that that's not where they should be hanging out and will head to, uh, warmer regions!

The most important thing with breech delivery is the skill and experience of the practitioner. If none of the above work, seek out someone experienced with breech births. These tend to be the older male obstetricians and older midwives. Trust your instincts, as always. And encourage medical schools to teach the skills of delivering babies who for some reason, want to land in this world, feet first.

Good Bacteria

This article came out a few months back, but time has not diminished my amazement! Of the myriad species specific qualities that breastmilk possesses, one of the more fascinating is the 'probiotic' qualities. A newborn, born with a very sterile gut, lands in a world full of bacteria, good and bad. The probiotic qualities of breastmilk, or the good bacteria in breastmilk, sufficiently protect newborns from a host of sometimes lethal gastrointestinal diseases. The recently discovered, bifidobacterium longus, passes through breastmilk to the infant, and on its way out, coats the babies intestine with a protective coating, thereby serving the role of stomach acid, a substance babies don't yet possess much of. This coating acts as a decoy to potential bacteria and viruses, coaxing it to bypass the baby's gut.

Dr. E. Stephen Buescher, a pediatrician and scholar of breastmilk's many anti-infective and ant-inflammatory qualities, has an interesting theory as to why this protective coating not only benefits the gut, but also may contribute to the dramatic reduction in ear infections in breastfed infants. He had an exclusively breastfed son who spit up, a lot. After watching a plethora of spit up episodes, ones that sometimes exited the nasal orifices, he reasoned that the breastmilk when spit up was coating the upper respiratory tract with all of it's soothing and protective qualities, just like it coats the intestine. Embrace the spit up. It's better than an ear infection!

Scientists are beginning to understanding that breastmilk can serve as a lesson plan for how to nourish and protect the human body against pathogens, not just in babies. It is after all a food, specifically designed for humans, and the most vulnerable, swiftest growing of humans. The researchers aren't sure what happens, or where these bifidobacterium bacteria hide out in adults. But probiotic supplementation in America is a booming business, sales of it tripled between 1994 and 2003. Perhaps we could save our children some money in their future, by breastfeeding them now. As one of the researchers so eloquently summed it up, "It’s all there for a purpose, though we’re still figuring out what that purpose is,” Dr. Mills said. “So for God’s sake, please breast-feed.”

Nursing on Both Sides

And because I love this life

I know I shall love death as well.

The child cries out when

From the right breast the mother

Takes it away, in the very next moment

To find in the left one

Its consolation.


-Rabindranath Tagore
from Gitanjali

Mother Roasting

Please check out my article entitled, "Mother Roasting" at Rhythm of the Home's fabulous and inspiring online parenting/craft magazine. My article contains a how-to on preparing a nurturing postpartum gift basket, or experience for you or a friend. It also speaks a bit about postpartum practices worldwide, where warmth and nourishing of new mothers and babies is an art form.

There are some intriguing articles and craft tutorials from this season's edition that I can't wait to dive into. If you've been directed here from Rhythm of the Home, welcome and thanks for visiting!

Born into Ramadan

"Metabolically and internally, Ramadan knocks the stuffing out of us. Like all the basic practices of our religion, it is an idea as simple as it is shattering. The body and spirit respond at their deepest level. The ego squeals with pain. To the extent that we are still babies, we cry and cry.

There are some elemental human experiences where the body, detecting its limits, transforms the spirit. Making love, famously, is one example. But there are others. Once, walking in the Alps, I passed a lake as blue as cobalt, formed from the meltwater of a glacier which towered over it. No-one was in sight, so I stripped off and ran straight in. The shock of that freezing water around me was staggering, and I could feel my heart straining. Coming out, shivering uncontrollably, I felt like a king. All of life seemed to be shivering around me, and the world seemed to have become strangely sharp and bright.

The experience of being born must be similar. From a comfort zone we experience the pain of delivery, and the outrage of new existence in an external world of bright lights and strange sounds. The baby screams, but its pain is its first experience of true life. Spiritually, it has begun its career.

The fast blasts us, and exhausts us. We feel the laughable flab melting away, and start to remember the important fact that we are alive. Life is a symbiosis between our bodies and the world. We are alive when we feel that interaction and dependency at work."

-RAMADAN TRAVELOGUE No. 1

By Sh. Abdal-Hakim Murad

Please consider donating to the Cambridge Mosque, the first fully eco-friendly mosque in Europe, of which Shaykh Abdal Hakim Murad is a part of.

Photo by The Alpine by kern.justin

The Frog Leg Position

Sling Baby by N.R.


Dear readers, I'm so sorry for my absence these days! I am in the midst of studying for a big exam, not to mention being mama to my new babe! I hope you are enjoying the hot summer. My exam is over at the end of the month, so in the meantime, a little tidbit on baby wearing. Enjoy!

Soon after my daughter was born I received this sling as a gift. Besides being a phenomenal (and pretty!) way to carry your baby, it comes with a slew of information on the benefits and justifications for baby wearing. One of the most fascinating arguments for why babies should be carried is simply physical. They title it, The Frog Leg Position. The idea is that babies physical bodies are a sign to us that they should be carried, rather than bumped around in their car seat all day. And, that their frog legs are developmentally geared towards being carried. Their rounded backs, frog legs, and palmar grasp reflex, are cues to us clueless parents, "Carry me!"

To quote from the Didymos booklet, "....infants are especially adapted to being carried on and against our body. Thus, it is possible to make a statement about the carrying position: with widespread flexed legs, slightly rounded back and oriented towards the carrying adult." This is a good proof to me that babies were created to be carried. Ever try stuffing a baby in their car seat, they don't fit so well. And they don't like it!

Recently, there have been a spate of sling recalls. Mothering magazine addressed the issue in an hour long podcast found here. Slings are becoming increasingly popular in America and with that popularity, there has been an increase in sling manufacturers. Most of the slings recalled are the slings newer to the baby wearing market, the slings that have not withstood the test of time.

There are so many benefits to wearing your baby. I recall being in Senegal, where women wear their babies on their backs constantly, starting from the day they leave the birthing clinic until they are about two, and not being able to hear a baby cry at all. In the middle of the rural Senegalese street, you couldn't hear a pin drop, much less a baby cry. I would attribute much of this to the ubiquitous baby wearing. Strollers and car seats would be greeted with riotous laughter there. Here are some more great benefits that result from baby wearing. This is a picture of my son as a babe, being carried by one of the midwives, Khadija, in Senegal. See how much he liked it!! I hope you and your babies enjoy lots of baby wearing, those days go so fast. Here's a good website with lots of different types of slings, and the pros and cons of each. I'll be back regularly in a couple of weeks. Thanks!!

VBAC & VBA2C

Zoe's Delivery by Mwesigwa

VBAC (Vaginal Birth After Cesarean), or lack of it, is one of the major reasons for America's steadily (or should I say, alarmingly) rising Cesarean rate - currently a whopping 32.8% of all Amercan births end with an incision. Recently Richard Waldman MD, the president of the powerhouse medical organization, the American College of Obstetricians and Gynecologists, made a powerful statement concerning his colleagues quick jump to surgery. This year, at their annual conference he said:

"In 2008 the cesarean delivery rate reached another record high—32.8% of all births. There is a community not far from my home in which 45% of the newborns are delivered via an abdominal incision. [...] Liability dampens our spirits but unfortunately, it is also starting to define our specialty. [...] Let us recommit to do everything in our power to perform surgery only when necessary. Let us recommit to induce only when indicated and let us vow to never electively induce or perform an elective cesarean prior to 39 weeks. Any time we are tempted to take the safe path but not the righteous path, we should all say, “not on my shift."

It is a refreshing statement, one I hope holds up to the testing grounds of hectic and busy maternity wards. In our modern world it often seems that Cesarean is the only "choice" women have in the hospital to keep them and their babies safe. But our bodies have not changed since 1975 when the US Cesarean rate was 10.4%, obstetric training and practice has. Midwives have always been on the side of women and their bodies, learning and studying normal physiological birth in order to safely deliver women, and even now are often the only option for women who desire a chance at vaginal birth.

VBA2C refers to Vaginal Birth After 2 Cesareans. It is an unfortunate fact of life that many women now are in the situation of having had more than one Cesarean, but still long for a vaginal birth with a subsequent pregnancy. ACOG has in its guidelines on VBAC, allowed for a trial of labor with 2 or more Cesareans if a woman has had a vaginal birth before. Now a recent study has shown that even if a woman has not delivered vaginally before, she should still be allowed a trial of labor, even if she's had 2 prior surgical deliveries. In their findings VBAC in these cases, was successful 71.1% of the time. Uterine rupture, of course the sole reason for not allowing for VBACs, increased to 1.36%, which is roughly double what it would be in a woman who has had one prior surgery. But the tone of the researchers was encouraging and prompted practitioners to also caution their patients about the risks of a third repeat cesarean, in the light of these findings. Now that's informed consent.

This is great news for many women. Check out the video below to truly see the joy a successful VBAC can bring to a mother's face. If you want more information on VBACs in general check out this enlightening Cesarean fact sheet.

A Noisy Postpartum

crying-baby by bbuanach



After I had my daughter, my midwife checked both of us out, and satisfied with the health of me and my girl, tucked us snuggly into bed to rest. She then walked down to our local coffee shop and picked everyone up a latte. I got freshly picked wildflowers in lieu of the caffeine. We then proceeded to snack on fresh berries, cheese and crackers while chatting. There was a soft morning breeze blowing through my window and I could hear the pigeons cooing.

That was after my home birth. If I had had a hospital birth, it would've not only looked different, but it would have sounded different. My labor would have been accompanied by at the very least, the thumping rhythm of the fetal monitor, the beep of aforementioned monitor when the paper ran out, and the constant introductions of nurses, doctors, and pediatricians. My postpartum room most likely would have been shared with another mother, who may or may not have had a slew of visitors, and who may or may not have had a penchant for television watching. And again, there would be a new face and name introducing itself, at least every 12 hours or so. The coffee would have been terrible, and the flowers an elevator's ride away.

That's to mention nothing of the cries of not only my baby, but possibly my roommates baby too. Recent findings are now claiming that the noise of the hospital can be detrimental to health, not to mention recovery from birth. Take a look at this brilliant study and analysis of the decibel level of labor and delivery, and postpartum units in American hospitals. I love her idea of a postpartum lounge for new mothers to congregate in after they birth their babies. Although, I think even this might be a bit much for new mothers - it takes a considerable amount of energy to interact with strangers, especially in the precious moments after one has a baby. Still, I think that her nod towards other postpartum cultural practices, and their strict emphasis on calm, quiet, and rest for the new mother and baby, is an important and lacking one here in America. For most women here, it's back to 'normal' at about seven days postpartum. In contrast look at these practices from around the world.

• In Sudan mothers are treated to 40 days of rest, and beautification, treatment very similar to what a new bride in Sudan receives. They are served a fenugreek pudding, believed to encourage breast milk production and make one fat, something desired in Sudan! The treatment is thought to allow them to exit their 40 days feeling beautiful and rested.
• In Indonesia, the mother does not enter the kitchen or wash until the umbilical cord has shriveled and fallen. This ensures rest for her. The husband does not sleep for three days as he must guard the mother and baby. How about that for a taste of sleep deprivation for the partner!
• In India trained women come to the house and perform warm oil massages for mother and baby. It is believed to reduce colic in infants and preserve a woman's life long health. They also believe in resting for 40 days. Their are many special foods associated with the postpartum period.
• It is Holland I believe, who takes the cake for postpartum care. There a women receives a kraamverpleegsters, a postpartum nurse, who comes to the house all day long for eight days. This is paid for by the government. She helps with everything from breastfeeding, advising on infant care, to laundry and cooking! She even manages the flow of visitors.

With all of this care, I'd be surprised if a baby ever cried in these countries! I hope that hospital administrators and anyone involved with postpartum mothers, would look at the above examples for inspiration and guidance on how mothers should be valued. Ask any mother what she wants, and I hedge that a good portion of them would say, "Some peace and quiet". Wishing that for you and yours!