Pages

Friday, June 29, 2012

Eat, Drink and Be Content - My Birth Story



The gray area of when labor starts is rarely heralded by a neat "5 min apart, lasting 1 minute, for at least 1 hour", otherwise known as 511, but, shhh, don't tell my midwifery clients.  As a midwife, I can tell it in the puffed faces of my beautiful mothers, their mental desperation and physical distress at a state that is starting to feel timeless. As a mother, I recognize it in myself when I start to burn things in the kitchen, consistently, each meal is somehow derailed, for days.  My mind is incredibly present, but not.  It is the outward manifestation of the internal contradiction, in the the invariable discomforts of late pregnancy, I somehow find myself yearning for escape though the rhythmic pain of contractions.

I have just felt three contractions in a half hour.  They squeeze my middle, forcing me to sway my hips and breathe.  The baby even pauses its passes at my ribs, seeming to wonder at the new sensations too.  I call my husband at work, wanting him to be on alert in case he has to come quick.  The kitchen is inside out with half finished projects, coconut date balls need to be rolled and dipped in coconut, salsa needs to be chopped and bottled, there's milk cooling for yogurt, beans bubbling for tonight's enchiladas, and a sink full of the evidence.  It's at least an hour or two of work, and my labors rarely last that long.  My mind is swimming between before and after. Now, I'm a pregnant mother preparing her family for her postpartum rest. After, I'm on the other side of this great battle called labor.

I've been advised by many to listen to Surah Maryam (the Chapter of Mary) during labor.  It is what fits right now.  I plug in my phone to the speakers.  "Kaf Ha Ya Ain Sad" rings out of the dainty speakers and reverberates through my entire being on such a physical level, that I  grab the counters edge and sink down to the kitchen floor.  The soothing words and rhythm continue to wash over me melding the before and after of this fragile expectant mother.  I am reminded that if I die, I am a martyr, receiving the same spiritual status as a holy warrior.  I weep for a forgiveness I didn't know needed forgiving. It feels like the shedding of a self, one that needs to yield in order for a momentous event to occur.

My son overhears the weeping and asks, "Are you having contractions?"  Yes, I answer him, noting mentally, that no, I haven't felt them since I called my husband half an hour ago, but there is no other explanation for my unraveling in the kitchen, so I do what most mothers do and opt for expediency.  I hear him tell his sister that the baby is coming.  I am once again grounded by my sweet children.  The dates need to be pitted.  I hit 'translate' on the Qur'an app on my phone.  The ayah (verse) that is playing at that moment, that pops into my phone's screen, is like a Divine answer to my misgivings, "So eat and drink and be contented".  My heart swells with belief, and I am back on the staircase weeping.  Allah is al-Hayy, the Living, I am not alone in this undertaking.  The kitchen can wait, I finish listening to the surah before resuming my work.   I imagine that this is what a soldier feels like before battle, humbled ego, and steadied heart.

After having three labors, there are some individual patterns that can be etched out.  I can now say that not only does my water break before my labors, but that it does so at the beginning of the morning prayer.  It's an odd pattern, but I like it.

I'm lying in bed as my husband is rousing for fajr, when a contraction hits me so hard, I reach out for his arm.  And then with a great release, the soothing warmth of amniotic fluid gushes between my legs, a message from the other side, my babies habitat for the past nine months revealed.  Instantly,  I am shivering and moaning through contractions.  It's odd to be a midwife and a mother in labor.  The contrast between the head and the heart is somehow clearer.  I'm noting from a distant place, that I am in transition, right now.  I tell my husband to call the midwife, but tell her not to come, the heart is wanting privacy.  I am playing that mind game that mothers in labor play.  We tell ourselves that this is only the beginning in order to have mental stamina for the end, and in some ways, labor really is only the beginning.

The morning prayers are said, and we are descending the staircase so these moans of "Ooooopppppeeennn" do not wake the sleeping children.  By the time we make it to our living room, the birth room, I am nauseous and hot.  I want a wet washcloth, and a woman's knowing touch.  My beloved midwife lives less than a mile away.  "Call her", I tell my devoted husband who is fumbling with the birth tub pump.  She answers and says, I'm already on my way, did we think she was waiting for another call?  Oh midwives, the good ones capture that difficult place between knowing and unknowing with such skill and wit.

I am sending each contraction into circles of movement, from hips to cervix.  I can't imagine not circling my hips. "Ya Latif", O Gentle One, I mutter weaving this sentiment into these circles.  I am connected to my Muslim sisters from Afghanistan to Senegal, who have uttered this Divine name through their contractions for centuries.  They become my companions through these giant, urgent waves.  I can do this too.

The birth tub is inflated, but dry, as I am feeling the first urges to push.  There is no time to fill it.  I have never done this without the tub and I am nervous.   How do I push outside of the tub?   The answer soon becomes clear, you just do.  Twenty minutes later, my nine pound baby boy is born.  We have named him Ya Sin, a name without direct meaning, yet fraught with Divine mysteries and meanings.  It is what I felt throughout this pregnancy, and the earliest twinges of  labor, a knowing beneath the surface, that if trusted and sought, will open up worlds of understanding.  May Allah bless him, and all babies and mothers everywhere. Our children truly are here to teach us, from their conception, to adulthood.  I am grateful to learn.

Post Note: We wanted to say a special thank you to our other stellar midwife Lael, who not only made the birth hours before leaving on vacation, but brought us a dozen eggs from her chicken to nourish us and continue the cycle.



Sunday, June 24, 2012

The Prophet Muhammad as a Baby

Photo Credit







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!

Saturday, June 2, 2012

What Gets the Baby In...A Birth Story

"What gets the baby in, gets the baby out"
-Ina May Gaskin - founder of modern American midwifery

"...sexuality is a whole.  The same hormones are involved in the different episodes of sexual life such as intercourse, childbirth, and lactation....The final phase of each sexual event is always an 'ejection reflex': sperm ejection reflex, foetus ejection reflex, milk ejection reflex. 
-Michel Odent from The Farmer and the Obstetrician

I was awoken at around 2 am by a phone call from Kim (you can read her awesome rendition of giving birth here)  Expecting her second baby any day, I was waiting for her phone call.  

"I couldn't sleep so I had sex.  After we were done, my contractions started coming every five minutes.  I swear, I wasn't trying to bring on labor!"  Kim laughingly told me. I listened through a couple of contractions then told her to change positions, maybe try a shower and call me in half an hour to see if things slowed down, or picked up, or what.  I was thinking that things would peter out after her hormones calmed down.  Oh, how I love to be proven wrong.

My somewhat rule is that if the dad calls you during labor, it's go time.  About twenty minutes later, the phone rang.  Mike's Irish lilt turning serious told me that things were picking up and it looked like labor.  I could hear Kim moaning through a contraction in the background. Wonderful!  I told him to call the doula, and that I would get myself and my things together and head over.   

As  I was approaching the lights and wonder that is crossing the Bay Bridge in the wee hours, the doula called.  My other somewhat rule (because can birth really have rules?) is that if the doula calls, I better step on it.  Britt informed me that Kim was indeed active and that they just wanted to make sure that I was on my way.  Yes, I was, ten minutes I said.  I went as fast as feels safe over a bridge and through city streets.  

It was a lovely night to be born, a chill, crisp March evening.  Entering Kim's birth space was truly magical.  Kim is an artist. She makes each and every thing she does an act of beauty, creation, and meaning.  From our first visit her birth space and how it looked was of utmost importance to her and her husband.  She came through.  The tub had been moved into their living space. Candles, with inspiring collages and quotes from Kim's myriad friends, filled the room with love and light.  Music, which I never would have pegged as birth music, but suited the moment perfectly livened the mood.  Kim was on the bed hands and knees.  I threw my things down to say hello and have a quick listen.  As soon as I did that Kim let out a deep, sonorous yet guttural sound signalling that the power of birth was moving through her. My midwife ears heard it and I peeked at her perineum, indeed it was bulging with a soul determined to take it's place in the family, and soon!  

Kim made it clear that she wanted in the tub.  She was so relaxed and in control, yet totally surrendered. She had a vision of her birth, and she was going to make it happen if at all possible.  We moved her into the tub with the head sooo low! It was the perfect ending to a whirlwind labor.  The contractions slowed a wee bit, just in time to wake big sister.  Kim moved to hands and knees in the water.  With a couple of pushes, her son's head was out, witnessed by all in attendance, including her two year old pajama footed daughter.  I reached down to help with the body and sweep him through to mama's waiting arms.

And just like that, it was done, a circle of love completed.  Truly Kim's birth was an illustration that birth is not separate from sexuality, that it draws from it, and intimately relies on it.   It was an honor to see, and a privilege to so clearly observe a truth about women's bodies and their hormones, we are indeed vessels of love. 

Sunday, May 20, 2012

Wendell Berry on Birthing Lambs!

Photo Credit
 “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!













Saturday, April 21, 2012

Secret Weapon(s) against Thrush



There it is, my secret weapon against thrush, particularly thrush diaper rash. A spray bottle, some water, and some tea tree, or sometimes called melaleuca, essential oil.  Spray it on after wiping and let it soak in. It is naturally anti fungal and works wonders.  I use about 5 drops to 1 cup of filtered water.  This would also work for nipples infected with thrush, just spray it on after feeding and let air dry.  Reapply as needed.  

If only thrush really were combated with a spray bottle! Thrush is a fungus that doesn't seem to want to relocate once established.  It just wants to take up more and more space.  Thrush, or yeast, is often an under diagnosed reason for sore nipples. If you have sore nipples despite good milk transfer, and a comfortable latch, try looking at some of the remedies below, it just might cure those ouchy nipples!If your baby has a diaper rash that won't go away despite preventative measures, and looks more like red raised bumps than just redness, your baby could have a diaper rash caused by yeast.  Infants can get yeast in their mouth as well.  This is identified by white, plaque-like spots that don't go away when wiped off. If your baby is struggling with either of those, try the list below and see if it doesn't help. 

Photo Credit
  • Dietary changes are the first line of defense, namely, cutting out all sugars and refined carbs.  When you are nursing it can be hard to eat good, wholesome food all of the time. Sometimes sugar seems like the quickest way to acquire energy to get the next thing done, but it never pays off.  Yeast thrives off of sugar and will continue to prosper in a body fed with sugar.  Sugar substitutes are often okay during the time you are killing off the yeast, also known as candida.  Maple syrup, honey, raw agave nectar, and coconut palm sugar can be okay for some women, but use your common sense and listen to your body. You will usually notice a flair up almost immediately if you are taking in too much sugar. Babies too, must cut out sugar in their diet while attempting to kill any yeast.  For them this would be no fruits or grains if they are on solids, if not, they will benefit from your new found sugar freedom!
  • Probiotics are beneficial bacteria that crowd out the yeast in your system.  They can be taken in supplemental form, which if the situation is chronic, is warranted, or in food form.  Either way increase your intake. Yogurt, kefir, sauerkraut, lactofermented vegetables, fermented pickles (see picture, yum!) and kombucha, all contain yeast fighting probiotic strains. Saccharomyces boulardii is a particular probiotic strain that excels at fighting yeast.  As a nursing mother battling with yeast, I highly recommend adding this to your regimen. If not a broader spectrum probiotic will do too.  Infants and babies can also benefit from probiotic supplements.
  • Diluted grapefruit seed extract on your nipple, and/or baby's diaper rash, s is also a great way to beat thrush. Check out this article for more detailed information on how exactly to dilute the grapefruit seed extract, how to apply, and what type is most effective. 
  • The homeopathic remedy Borax is another way to ward off yeast.  It can be given to both mother and baby.  The best way to take it is to dissolve a couple of pellets in a glass of water.  Sip on this water throughout the day.  It's also the easiest way to give it to babies. If they are young enough you can put it in an eyedropper for them.  
  • Yin Care is a blend of Chinese herbs that are a powerhouse of antifungal, antimicrobial plants.  This can be used anywhere candida lurks. It also can heal sore nipples caused by bacteria as well.  Yin Care is excellent for tons of skin conditions from eczema to hives.  I highly recommend keeping a bottle in your house. A little bottle goes along way as it has to be diluted before use.  It can be applied with a spray bottle, a cotton ball, or a gauze pad. 
  • Finally, thyme essential oil is a great anti-fungal.  Dilute a few drops in a teaspoon of oil and apply to nipples or diaper rash (just use one or two drops for the diaper rash as it is powerful stuff). 
This is by no means a comprehensive list, but a few effective measures you can take in your battle against yeast.  Arm yourself with a spray bottle, cut out sugar, and be firm, you will come out victorious!!

This post was featured in Healthy Home Economist's Monday Mania.


Friday, April 13, 2012

Pregnancy Workouts - A Round Up!

Photo Credit


Many mothers can find it difficult to sneak in a work out routine, pregnant or not.  The fatigue and other physical discomforts of pregnancy can make this even harder.   When working out, I advise women to start nothing new, except possibly prenatal yoga with a teacher, and no contact sports. I have had clients who rode their horses and skied until weeks before delivery. I have to admit, this always makes me a tad nervous, but I trusted their trust in their bodies and intuition.  Remember to drink some water every fifteen minutes, and go with what your body is signaling to you, whether that's to push yourself harder, or to slow down, follow it's lead.  Exercise in pregnancy has a plethora of benefits.  Studies have found that yoga during pregnancy decreases discomforts, sleep issues and even preterm labor. Aerobic exercise has also been shown to improve depressive symptoms.  It has also been shown to improve fetal outcomes as well, including improved stress tolerance, which is basically another way of saying, it preps baby for labor!   Here are some ideas to get you started, most of which can be done from the comfort of your living room, and some are free of charge.  Enjoy!!


  • I love yoga. It's a gentle, yet effective form of exercise. Breathing through challenging physical postures is a wonderful way to prepare body and mind for the contortions of labor!  I really love YogaGlo. They have a prenatal/postpartum section that will keep you busy your entire pregnancy. The classes range from 15 min to 60 min.  Modifications are given for beginners, but classes are challenging for the seasoned pregnant yogi as well. After a fifteen day free trial, it's $18/month, the price of one yoga class!  The unlimited access and ease of use makes it perfect for busy moms.  You can continue your membership and stay fit throughout raising children!! There are hundreds of classes to choose from.
  • Dancing is another form of movement that feels great in pregnancy. I highly recommend Dance of the Womb by Maha al-Musa. It's intuitive and soulful.  You can read my interview with her here.  If you are in the Bay Area there is a class called Healing Pregnancy Movement and Labor Dance  taught by doula and midwifery student Gingi Allen,  that looks phenomenal.
  • YouTube is a great resource for pregnant mothers, especially those work outside the home mamas, and those work inside the home mamas.  Here are a couple of my favorites.
  •  
     


So these should keep you busy for awhile!  Get out there and move that wonderful belly brimming with life.  Your hips, back, shoulders, and baby will thank you.

Thursday, March 29, 2012

Mother's Milk Tonic




Photo Credit

Ayurvedic medicine believes that most mothers after giving birth to a baby have an aggravated vata dosha, an element that relates to air and wind.  There are things that aggravate vata, here is a list; irregular routine, staying up late, irregular meals, cold, dry weather, excessive mental work, too much bitter, astringent or pungent food, traveling, and/or injury.   If you ask me, the first three could relate to all mothers, pregnant, postpartum, nursing and beyond!  I have found this Ayurvedically inspired milk tonic to be wonderful, not to mention delicious, in grounding and warming me.

1 cup of whole milk (preferably raw)
5 cardamom pods
4 cloves
1 2-3 inch cinnamon stick
pinch of ground ginger
pinch of nutmeg
1-2 tsp ghee
honey to taste


Add the spices to the milk.  (My husband swears that you have to bite the cardamom pods until the crack in order for them to taste authentic.  So if you want "authentic", bite away.... ) Heat the milk on the stove until it forms bubbles. Take the milk off the stove and strain into a mug.  Add the ghee. The ghee makes it even hotter somehow.  Wait to taste it until it cools slightly.  Add the honey to taste.

The oiliness, warmth, and gentle spices all team up to tame vata imbalances. It is wonderful as a night cap, its spices lingering in your mouth as you drift off, infusing your dreams.  For pregnancy, it is a great source of calcium and healthy fats.  It is wonderful for pregnancy induced insomnia or stress.  For postpartum, it gently  ignites, or shall I say, reignites, the digestive fires while nourishing new mothers.  It is also great for nursing mothers as the spices can be calming to the digestive system and can help cranky  babies.  For mothers with grown babies, or between children, it is a wonderful way to nourish yourself after a long day of raising those babies! 


This post is a part of Monday Mania!