labor & delivery | baby proofed parents

Empowering Laboring Moms :: Wednesday Wisdom

August 6, 2014 By: babyproofedparents1 Comment

Meet Wendy Howard. Wendy is the mother of two, a wife, and a Labor and Delivery Nurse with a certification in Inpatient Obstetrical Nursing at UCMB Hospital in Austin, Texas. She also has experience in Emergency Medicine, Critical Care, is a Breastfeeding Resource Nurse, and aspires to become a Certified Nurse Midwife. This is where Wendy’s unique perspective comes in – she had her first baby in a hospital setting, and her second at home with a midwife. She can truly attest, from personal experience, to the benefits and drawbacks of both birth settings. Her passion is Women’s Health, and all things related to pregnancy, labor, delivery and recovery. She strives to give each of her patients a personalized birth experience, fulfilling their hopes whenever possible. One of my favorite things about Wendy is how candid she is – she has a straightforward, honest, yet gentle way of speaking about what women can REALLY anticipate experiencing both during birth and post-nataly.

BPP: What are the biggest joys and challenges of your work as a nurse?

WH: The joys are helping a woman achieve the birth she wants. That’s what I strive for: seeing her empowered, whether that’s completely natural, drug-free with spontaneous labor, or that she tries for a vaginal delivery and winds up having a c-section. When the baby is okay and in her arms – then the outcome is positive no matter what the plan was. It’s a challenge when the plan has to change for some reason (the baby is breech or the mom is post-date or diabetic, and interventions haven’t worked). It’s also challenging when I’m advocating for the mom, but my voice isn’t heard anymore, because it’s the doctor’s call ultimately.

BPP: What are the top three things you wish women were educated on/prepared for when giving birth?

WH:

More than likely, their body knows what to do, and the majority of the time, they could have a vaginal delivery without intervention.
They have the right to refuse any service that they feel might be unnecessary for themselves or the baby.
That they should be as prepared as possible for pain, and have some emotional and mental tools for helping to manage it.

BPP: What are the top three things you wish women were educated on/prepared for post-nataly?

WH:

That a major lack of sleep will be present, and there are ways to manage that with support.
That even though an instinct is there for both mom and baby, breastfeeding education is a must because of its many facets (not all babies will latch well, all nipples aren’t the same, etc).
Your body will never be the same, in both positive and negative ways.

BPP: What are the top three myths that you find yourself dispelling with new parents?

WH:

That breastfeeding will be a breeze, and is a form of contraception: not always, and no it’s not!
That you and your parenting partner will naturally fall into a cohesive team: you have to intentionally communicate and possibly fight to become a team.
That you won’t make mistakes in every aspect of parenting: we’re human; trial, error and big mistakes are inherent to parenting, just like they are to every new role.

BPP: You had both a home birth and a hospital birth. Will you compare the two?

WH: It’s like apples and oranges. My support system (my husband and my mom) was the same for both. My psychological mind frame was different: in the hospital birth, I was unsure of so much going on around me. I had anxiety about the unknown, and had a constant feeling that an intervention like a c-section was hanging over my head. With the home birth, there was more comfort and peace, and the constant was, “I’m at home, in a safe space, it’s familiar and I can move around with no restrictions.” I had my second baby at home, and I knew I could get through the birth, which added peace of mind.

BPP: What are ways can women advocate for themselves in the hospital setting?

WH: Educate yourself before you go to the hospital. Figure out the type of birth you want, with details like whether or not you want pain medication and communicate that up front. Ask questions. Question everything, and if you don’t feel right about a decision the doctor or nurse wants to make, state your opinion and ask them to justify and explain theirs. Ideally, have a labor support person (like a doula or a good friend with an obstetric nursing background) to advocate for you.

BPP: What tips do you have for dads/parenting partners on how best to support the laboring mom?

WH: Be present, physically and with emotional support. Try to figure out with the mom what is best for her specific needs, which could be physically touching her, playing music for her, getting drinks for her, or just being there.

BPP: What advice do you have for family/friends who want to attend the birth/visit the new mom and baby in the hospital?

WH: Respect the sanctity and possible need for space of the new family, and know that needs/preferences look so different for people. When I was in the hospital after my first, I wanted no visitors until we were postpartum or ideally, at home. Don’t take it personally if the new parents want time and space with their new baby.

BPP: If you had to give one sanity-saving tip to new parents, what would it be?

WH: Take care of yourself, whether that’s going to get a massage, exercising, getting a pedicure, going on a date with your partner – take time away to rejuvenate, so you can give your entire self to your baby.

Thank you, Wendy, for devoting yourself to advocacy for new moms, and sharing your beautifully faceted wisdom with us. Any new mom would be lucky to have you on her team.

Cheryl & Kirsten ♥

What’s Your Story? :: Monday Musing

July 21, 2014 By: babyproofedparentscomment

Until I had a baby, I had no idea how important it would be to tell my birth story. I understood the educational component of tv shows on the subject, and noticed how passionately new moms talked about their experiences, but I didn’t really get it. Now, if anyone seems even remotely interested in hearing about the births of my two, I can feel heat rise in my cheeks and hear my voice getting louder. My habit of talking with my hands goes nuts as I become more traffic director than story teller.

I’m certain you’re intrigued, so here’s the cliff notes version: my daughter arrived in a little under 3 hours, which is rare for a first time mom. None of us were prepared for this, including my midwife, who had just enough time to slip on a pair of surgical gloves as she ran from our front door to our bathtub, catching our baby after my last push 4 minutes later. I wouldn’t change anything, but at the time, I was terrified to the point of emotionally leaving my body – it was as if I was watching myself go through it from somewhere near the bathroom ceiling, as J did his very best to keep us both on the ground.

A difficult emotional component of many new moms’ experiences is the massive, abrupt attention shift from her pregnancy and needs to the needs of the new baby. The birth is often skipped over, even though it is the most formative and insane process imaginable for first time parents. Suddenly the baby is here. Everything changes. And there is precious little time to emotionally catch up to the here and now, let alone fully assimilate what has just happened physically.

Kirsten and I use the word “processing” constantly. Processing is more than just chatting. It’s talking with intention, venting things out, sifting through messy feelings and patterns we don’t fully understand. The result? Lightness. Both in having emptied out burdens, and actual light being shed on things that weren’t quite clear. And if anything warrants some intense processing, it’s a birth.

One of my favorite moments of birth processing happened with my friend Shannon. She listened attentively to my story, asked tons of questions, and identified with me. When I was finished, she shared hers. It was awesome, especially her description of the part of her labor when she felt like a cow trying to push out a calf. She actually got down on all fours and demonstrated the lowing sounds she had made. We laughed and cried and just sat there reflecting on what a crazy experience it is. We decided that someday, we will host a birth recreation experience for moms. Wine and a stage and an invitation to get up there and process-perform their labor. Audience members are invited to cheer, “Go, Mama!!!” We shall call it, “This Shit HAPPENED To ME.”

If you’re a new mom, and you haven’t told your birth story to someone who is hanging on every word, see if you can make that happen. Even if it means a nice long phone conversation with a best friend who doesn’t live here. Share with your partner, as he or she needs to process too, and you were likely tuned into completely different details. I used to ask J, “Will you tell me the part about when you thought I was a total badass again?” If your birth story was traumatic or a complete departure from what you’d hoped for, consider sharing your experience with a therapist. Some things change us forever, and if we don’t assimilate the past, parts of us get left behind. Scoop all that up and bring it. Terrible or amazing, it has refined you, which renders it beautiful.

Here’s To Sanity and Processing,

Cheryl

Three Times A Dad :: Wednesday Wisdom

February 25, 2014 By: babyproofedparents4 Comments

The Lee Family

Meet Lloyd Lee. Lloyd is an awesome dad with a unique perspective – he has coached his wife, Chelese, through three different births in two different settings. And they have three sweet daughters to show for it. When not spending time at home with “the girls”, this native Texan is working hard at his green construction & solar business, Native, or enjoying BBQ and quality craft-beers at his family-owned micro-brewery, Smoke’n Hops.

BPP: As we can see in your photo, you are surrounded by lovely ladies. Be honest – what’s it like to be the only male in a family of five?

LL: I’ve learned that although many people make emotionally-based decisions which they later rationalize with logic, the women in my life are content with just the first part of this decision making process. Besides this, there is a great deal more glitter, random singing, dressing up, and hugging than the primarily male household in which I grew up.

BPP: Your wife, Chelese, gave birth to your first little girl over seven years ago. Can you remember what that moment was like?

LL: Definitely. It was a mixture of pride in Chelese, astonishment that her body could do what I was witnessing, relief that the baby was healthy, and an immediate sense of heightened responsibility.

BPP: You have had the unique experience of coaching Chelese through two hospital births and one midwife-assisted birth in a birthing center. Can you share with us the key differences that you noticed between the two settings?

LL: The hospital births felt like a well-rehearsed process. Not so much for us, but for the numerous staff members who had been through this countless times. They knew and followed the process and if things weren’t going accordingly, changes were made to bring it back within bounds. The birthing center was a completely different experience. They approach each birth as a unique experience and allow the mother and baby to dictate the rules vs. having preconceived notions of what it should be like. This fundamental difference empowers the mother to focus on the job at hand and not worry about missing a deadline for progress, which will result in intervention.

BPP: Since you are now a childbirth veteran, any suggestions for dads or birth partners on how to support the woman who is laboring and delivering?

LL: Know your partner and how they want to be supported. Support comes in lots of forms and not everyone responds to it the same way. My wife appreciated verbal support, physical contact, and reminders of how the birth was progressing. Try to stick to the birth plan and act as the liaison between the mother and hospital staff. Without this, the mother may make decisions to expedite delivery that may leave her feeling defeated later.

BPP: Without getting too graphic, can you share what it is like to be at the other end of the labor and delivery experience? Oh, what the heck, you can get graphic if you would like.

LL: Pretty amazing. I never fully appreciated why it’s referred to as labor until witnessing it myself. The “miracle” of childbirth does not involve pixie dust or magic. It’s laden with blood, sweat, and tears. Nothing reminds you that we are another animal roaming this planet like the instant that your baby’s head pops out.

BPP: Any suggestions on how birth partners can communicate with the nurse, doctors, doulas and/or midwives?

LL: I would just recommend communicating desires related to how you’d like the birth to go. It doesn’t guarantee it will go as planned, but having a plan helps all parties understand expectations.

BPP: After each baby was born, how did you support Chelese as she recovered from the delivery?

LL: The biggest area of support is to let the mother sleep. Laboring and giving birth are exhausting and having a new baby that relies on its mother for food makes for limited sleep. Also, it sometimes takes the baby a little while to get the hang of breastfeeding. Being supportive through this process is important because it can be stressful for the mother.

BPP: What was it like for you the first few days and weeks after bringing your new babies home?

LL: It’s amazing how quickly you forget the size of a newborn. I spend the first few days marveling at the tiny-ness of the new addition to the family.

BPP: : If you had to give one sanity-saving tip to expecting or new parents, what would it be?

LL: It’s cliche that kids change your lives, which is absolutely true, but I think it’s important to not let your kids change how you live. We try to do most of the same things we used to do before kids, with them in tow. Kids are resilient and keeping them isolated to the house doesn’t help them or the new parents.

Lloyd’s Sanity Savers:

When acting as a birth partner, know your partner’s wishes and the birth plan before heading into the delivery room. You will be functioning as a support person, advocate and liaison for the woman that is giving birth. That’s a big job to take on!
After baby is born, mom will continue to need emotional support and time to rest while she recovers from the delivery and adjusts to breast-feeding.
Witnessing the birth of a child is amazing and inspiring – savor the experience and don’t let the adventure stop there. Your children will benefit if you continue to live your life to the fullest, with them along for the ride.

Thanks for sharing the often untold story of what it is like on other side of the delivery experience, Lloyd. We appreciate your insights and perspective! – C & K ♥