Books

by Justine Waldram


Currently I am in the middle of reading way too many books. A few pages here and there is all I really fit in most days. I don’t know the precise reason but it could be a combination of: trying to find me time while being a Mom to three kids including a new baby, running my home birth practice, trying to continue my education, fuel my love of reading and keep up with new resources for my pregnant clients….among many other things. (silly emoji face)

A book I really want to check out and am curious if anyone has it or has read it is The Mama Natural Week By Week Guide to Pregnancy and Childbirth by Genevieve Howland, 2017. I’ve heard good things about it and have seen a bit of the content online. I am going to order it on Amazing Amazon and follow up to let you know how it is. But it looks like its a great up-to-date guide to pregnancy and birth. Most of the “What to Expect” books are fear based and don’t have good natural options for most pregnancy things like so I definitely feel that a book like this can be a valuable read to all pregnant mommas out there.

Here is what I’m reading now (not sure anyone cares but I’m just having fun blogging):

Rediscovering Birth by Sheila Kitzinger. Its a great source of info about birth traditions across time, cultures and the countries. You read about the mythologies of pregnancy and birth over time and how the care for pregnant women has evolved with both OBs and Midwives. It really is a great book.

Also reading

The Gift of Giving Life by Felice Austin. This takes a highly spiritual outlook on pregnancy and birth targeted toward Christian women. It focuses on how pregnancy and birth are not to be feared but treasured as joyful experiences to us closer to God as a woman and as a family. I thoroughly enjoy the reminder this book has brought to me about the spiritual beauty of birth.

And

Hold On To Your Kids by Gordon Neufield. A great read about how kids need to have a strong unbreakable attachment to their parents to combat the strong pull and often negative influence and effect peers have on our kids.

Also,

The Book of Mormon. I read this as much as possible to keep my relationship with Christ and God intact and strong. These strong relationships really help me balance all the balls I juggle on a daily basis.

Lastly,

The Gender Games. This one is just for fun. I think I’m on the third book. Its post-apocalyptic, there are two communities/cities, one is Patriarchal, run by men, the other Matriarchal. Both inhabit men and women, but the societies are completely different, and of course, they’re at war with each other. It’s kinda like a Hunger Game and Divergent type story. Pretty entertaining.


Baby Rylee

by Justine Waldram


A handful of you know that 5 years ago I thought I'd be giving birth to a baby girl named Riley, to our happy surprise, Parker was born instead. A week ago Rylee (spelled differently this time) was finally born.

A fast an furious series of events led to the wonderful birth of my third baby on June 2nd. Contractions started at 4:18pm every 2 minutes and they were stronger than I'd ever felt. Each one brought my baby closer, and each one shook my entire body. I knew that they were so strong because things were going quick. Luckily my midwife, Tiffany, showed up quickly after my labor started, I was able to get in the tub and labor for a bit in there. Floating face down on my belly was the most comfortable position during the contractions for some reason. Shortly after getting into the birth tub the urge to push overtook. It felt like the pain of the contractions lifted when I pushed and as my baby quickly shifted down my body. I told Tiffany the baby moved down. With my hand I felt my cervix fully dilate with one push and my bag of water popped with the touch of my finger. During the next push my baby's head was born. I remember feeling the soft wet hair in my palm, I rubbed the sweet head several times before pushing again.

The rest of the baby didn't come so quickly, after asking for help Tiffany eased the baby out and found the umbilical cord wrapped holding the baby down a bit. After unwrapping the cord, baby squeaked and cried, along with many of us in the room. I felt my baby's body and quickly learned I had a little girl in my arms. I announced it and everyone cheered with excitement. 

My husband brought in our kiddos, who were napping in the next room. They were slow to wake up but were very excited to finally meet the baby that grew in mommy's belly. It was such a special experience to have my mom and sister in-law, husband, and my two midwives there with me for the birth. Baby Rylee weighed 7#14, my biggest baby yet. And she is perfect. 

 


A Strong Heart

by Justine Waldram


Sometimes I have pregnant women come to me who want to birth their babies in their homes but  have some kind of medical condition that increases their risk of complications. I've had women come to me with twins, breech babies, previous cesarean section, bleeding disorders, diabetes, high blood pressure and more. With most of these, according to the restrictions of my license, I have to find them an OB that will provide them care in the hospital. For some of these women it is safer for them to birth in the hospital. 

Last year a wonderful couple came to me wanting a home birth and this particular mom-to-be has a bicornuate uterus.  Her uterus is heart-shaped with a partial septum in the middle starting at the top. In my years as a midwife I have not had any clients--that I know of-- that have had a bicornuate uterus. I wanted to be able to provide the opportunity for this couple to have the birth they'd always hoped for--only if it was safe of course. 

I had the couple see an OB  (Dr. Safarik) that specializes in treating high risk pregnant women. He gave her an ultrasound and cleared her to continue in my care. He educated the couple on their increased risk of preterm birth, incompetent cervix (cervix won't dilate) and miscarriage. He also told them that many women can have normal, natural births often without even knowing they have a heart shaped womb. This information definitely didn't ensure this momma would have a successful home birth. We weren't sure if she would carry to term, if her baby would grow un-inhibited, if she would have a normal labor... but this didn't stop her. We made a plan to cautiously proceed together towards her home birth. As time passed, her pregnancy progressed without any complications and her ultrasound showed her beautiful baby growing normally. Finally she passed the "pre-term window" of pregnancy and our hope grew toward her having a successful birth. 

A few days before her due date she started having contractions and quickly was in full blown labor. I went to her home cautiously early at which point she was already progressed to 5 centimeters! She was coping well, although contractions were close together and intense. Shortly after I arrived their wonderful doula came to offer her support and expertise. Within a few hours the momma was 10 centimeters and ready to birth. This powerful warrior woman pushed out her baby within an hour--her husband and my assisting midwife caught the baby together and delivered her to the arms of her mother. They quickly discovered they had a daughter and were overjoyed.

What an amazing birth!! What a powerful woman and amazingly strong heart shaped uterus. Thank goodness she put fear and doubt aside enough to pursue her desire to have an unimpeded and natural birth.  I'm so grateful I was able to support this family and witness such a wonderful birth. I hope this woman and her experience can give others faith and hope to pursue their birth plans. I hope women can find midwives, doulas and doctors that support them and help them have memorable and safe births. 

 

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Spinning a Posterior Baby

by Justine Waldram


This week I had the pleasure of attending a mom having her second baby. All births are unique and special and this one was no different. My client, Q, dilated fairly quickly to 10cm and tried to push but baby wasn't moving--with about 3 inches to go down the birth canal. I could tell by feeling the bones on baby's head that he was in a posterior or "sunny-side-up" position. Some babies come out just fine in this position--in-fact both of mine did--but in many cases babies need to be in the anterior position to be born vaginally. 

So if Q would have pushed for much longer than she had, about 30 min, baby would not have come down and she would have become exhausted. So this is what we (the amazing doula and I) did. We had Q do 10 lunges, 3 side-lying releases and to top it off, 3 forward leaning inversions. After the third inversion Q squatted on the couch she had inverted off of and had an immediate inner urge to push, so she did! I could see baby boy's head right away as she gave into that urge. A few pushes later we saw his head emerge in the anterior presentation and her husband caught their sweet and fat little baby boy. 

What happened here is the lunges and side-lying release helped loosen any tense ligaments or muscles and created extra space in the pelvis for baby to move down. What I feel was the real game changer that brought baby into the right position was the forward leaning inversions. In a nutshell, this maneuver is like downward dog off of a couch, with bum up in the air and hands on the ground. This position hangs the baby down and allows the baby's head to lift off of the cervix only a tiny bit but that tiny bit creates just enough space for their heads to spin into the right position. It truly was amazing to witness and see this easy position change result in a positive vaginal home-birth experience!  So grateful I was able to be a part of this birth and use these valuable techniques to help baby be born. 

Congrats to Q and her family :)

More info about posterior babies: https://spinningbabies.com/learn-more/baby-positions/posterior/


OB Colaboration

by Justine Waldram


This morning I participated in one of the most exciting meetings for the progress of midwifery care on the Central Coast! Tiffany Dietrich, LM , Alia Clark, Student Midwife and I met with a team of three Obstetricians and two L&D delivery nurses at the Santa Lucia Birth Center to establish the beginning of our collaborative care with Sierra Vista Regional Medical Center. What does this all mean?? These OBs, Dr. Bruce Monroy, Dr. Danny Lickness, and Dr. Angelina Malari are 3 of the 4 new hospitalist OBs available at Sierra Vista hospital at all times. On the occasion that a licensed midwife like me has to bring a patient into the hospital for some medical help in labor we will be assigned one of the doctors, who already know who we are, and we know them and they will gladly support us and our clients care. This is so exciting!! The doctors and nursed were excited to see the birth center, ask us questions about or practices and the services we offer to our clients. 

A huge gap is being bridged here. This is progress. In the small, often conservative town of San Luis Obispo, this is progressive movement toward more fluid and inclusive healthcare for all pregnant women. 

Thank you to the professionals that visited today, we look forward to working with you. 

For more info: https://www.sierravistaregional.com/our-services/birth-center/ob-hospitalist

 

 


Sometimes We Gotta Go

by Justine Waldram


We all have an idea of what our birth will be like. Some of us make a "Birth Plan". We write it down for our providers to see all the things we want and don't want done to us and our soon to be born baby. Sometimes we just talk through the options with our provider and make a verbal plan. I think its important to have a plan. A plan means you've taken the time to educate yourself and decide what it is you want. Do you want pain meds offered? Do you want to squat while you birth? Do you want to have delayed cord clamping? These are all questions I hope you've been asked or asked yourself before your birth. But we all know this simple yet hard to handle truth about plans: THEY CHANGE.

Change can be hard to deal with, especially in the often stressful situation that is labor and birth.  I think there are a couple ways to help prepare and deal with the possibility that your birth plan just may change. 

  1. Have a provider you trust. Whether its an OB or midwife I wish all women could have a provider in their pregnancy that they trust. You trust them to be honest with you about your care and your options, meaning they let you make actual choices about your care. They don't pressure you to do anything your not comfortable with. They focus on you and your desire for your care.
  2. You keep an open mind. If you never think your plan will change, and therefore don't prepare for it, the change will be a hard pill to swallow. Taking time to talk about possible outcomes, how your plans would change and what would be done to ensure that best possible outcome is crucial. Other ways to help with an open mind are exercising, meditating or taking yoga, and eating healthy. These simple lifestyle choices help lower stress on the body and release endorphins to help deal with potentially stressful situations. 

It is so easy to be disappointed when our birth plan changes. I believe having a midwife or doctor your trust and keeping an open mind will really help optimize your birth no matter how it ends up. In the end all providers strive for the same thing. We want you and your baby to be healthy after the birth. Ideally happy too but that does take a back seat when your health is on the line. The happiness comes from proper prepping and support from your provider throughout. 

I had a momma whose birth plans recently changed after 50, yes 50, hours of labor. She worked so hard to progress, and would have done anything to succeed at home. But after that long, hard labor we had to go to the hospital to get some help. Luckily her sweet and chunky baby was born happy and screaming but her plans definitely changed and disappointment set in.  I am so proud of the way she handled everything and knew that we made the right decisions for her baby. Thats what moms do right? We put our desires after the wellbeing of our kids. It will take time for her to deal with the loss of her homebirth but with support from me, her family, la leche leauge and other fourth trimester groups i can only hope she will find joy in her birth. 

Having a baby and being a mom is hard work. And it starts even before we meet these little cute people. I hope all women can have providers they trust and prepare for the unplanned. xoxo


Above all odds

by Justine Waldram


I had the pleasure of providing care for a woman having her first baby with a strong family history of preeclampsia- her mother, sister and grandmother all developed it in their first pregnancies. When preeclampsia sets in, high blood pressure endangers the woman and her baby as seizures are bound to happen until the blood pressure is stabilized with a medication given by a doctor and the baby is delivered; the exact cause of which is still unknown.

Family history can be a big indicator in what a woman's pregnancy and birth will be like. I've seen it time and again when a woman's mother had gestational diabetes, went past her due date in her pregnancies or had her water break to start her labors and the woman's labors simply followed just as her mother's births.  

This client of mine sustained normal blood pressure and health throughout her entire pregnancy. Diet? Exercise? A safe and low stress environment? Something more? I cant say what exact thing enabled this woman to overcome the odds of her family's history of this illness but I am so grateful for whatever it was!! She delivered a beautiful baby girl in her home this morning and I could not be more proud and in awe of the strength of this woman. I look forward to caring for her and her baby and for her babies in the future!      

                 

 Love them!!!

Love them!!!


Welcome Londyn

by Justine Waldram


I was so lucky to be a part of the birth of baby Londyn a couple weeks ago. I was covering another midwife's practice and her client Nikita was overdue and ready to go! Her labor progressed very smoothly and quickly and she had a wonderful home birth with the support of her husband.  Nikita showed her strength and became a powerful mother as she brought her chunky adorable baby earth side, it was a honor to witness. 

Thank you Nikita for allowing me to be a part of welcoming Londyn into your family!

 


Welcome Carmella!

by Justine Waldram


I had the honor of being part of a wonderful birth last Friday. My client RM was preparing to have her second baby. Her first was born at a birth center, she had a wonderful and quick first birth experience and delivered a 10 pound baby. We knew this baby would be a nice healthy size too and we expected this labor to be just as quick if not quicker. One thing RM did not hope for was to go 2 entire weeks past her due date this time! 

Her due date came, on a Thursday, and she alerted me of some bloody show she noticed around 6 in the morning. She wasn't having an strong contractions but felt like she was having some Braxton hicks every now and then. I met her at the birth center later that day and we decided things felt a little early still. I recommended rest, but she wanted to walk and get this thing going! (I always empathize with my clients when they feel DONE and just flat out ready to have their baby when their due date rolls around-because I've been there!)

OK, so RM went on a walk with her hubby and then to bed when the contractions were not strong enough to indicate labor was quite kicking in yet. Friday early morning RM requested a home visit, still her body was not quite in labor but she wanted it so bad. I recommended rest and reassured her she would indeed go into labor when her body and baby were ready. Later that day she notified me contractions were picking up again, about every 6-10 minutes and not super strong yet. I recommended some abdominal lift and tucks (thank you SPINNING BABIES!!!) to help encourage her baby to drop and allow contractions to become efficient. This was about 3 in the after noon when she started these abdominal lifts. She called me around 4 report that after doing 10 lifts with 10 contractions her contractions changed and were now right on top of each other  and that she was feeling lots of pressure. YAY! At 5pm her husband called to tell. me they were both ready for me to be there. I got to their home in Los Osos around 6 and labor was in full swing; RM was in her birth tub being supported by her husband and her parents and her daughter were in the room as well. RM was focused and working hard during her contractions to relax and breathe deep, and her hubby and mom would offer her encouragement and water in-between contractions. What a dream team! 

I set up all my midwifery gear and before long RM started to push, and within 30 minutes of pushing her sweet little girl was born in the water, at 7:09pm. RM pulled Carmella up and she was pink and chubby and perfect. 

Prodromal or false labor or pre-labor contractions can be hard and discouraging. In the case of this labor, it could have been days or longer before little Carmella engaged enough to start active labor. I'm so grateful for the information and different techniques offered through Spinning Babies to help mom's just like this progress and push through the hard and confusing stages of labor and birth. 

Congratulations RM! You are a strong and powerful woman and you have accomplished so much for your family by bringing Carmella earth-side. Thank you for letting me be a part of this journey with you! xoxo

 


To have an epidural or to not...that is the question!

by Justine Waldram


For some it is any easy choice, either for or against getting an epidural as a means of pain relief during labor and birth. For others it is not so easy. Some women choose to wait and see how the labor goes and they decide in the moment whether or not they need the epidural. Others spend some time researching the pros and cons and make a decision and plan before labor and birth start. 

There is no RIGHT or WRONG way to do it. Everyone has their own reasons for the kind of pain relief they seek during labor and birth. I do feel like its so important to know what the options of pain relief are and what the costs and benefits of each are as well. 

An epidural is widely known as the best method of pain relief during labor and birth. Nearly 60% of women use one for their birth. Have you ever wondered--what is an epidural? Well, just incase, it is an anesthesia placed in the epidural space, right next to your spinal cord. The epidural space is about 4mm wide ___ about the size of that line I just typed... and thats where the needle and medication need to be placed. After the needle is in the right place a small catheter replaces the needle. This only takes about 10 minutes. Once you have an epidural you'll most likely have a bladder catheter, a blood pressure cuff and continuous fetal monitoring. Although there are such things as "walking epidurals", they aren't super common so you'll most likely be confined to you bed for numerous hours once the epidural is in. 

Woah. Lots of info. 

Ok, so why do women want epidurals. Lets name the reasons: Typically provides complete pain relief. When it works, it works well. You can sleep and relax through labor. It can allow a tense woman to relax and her labor to move along. 

Thats all pretty straight forward I think. Sounds pretty good right?

Ok. So then why not? Some women don't want them because: For some it doesn't work well or at all. Side effects can be serious and possibly long lasting. They want to be able to move during their labor and birth. They don't want to lay in bed. It makes them feel trapped/stuck. They don't want the baby to get the drugs. Other interventions are more likely.

OK. Not so straight forward. May need a few facts to back that info up right...? Here:

Epidural fail rate is 12% (6). Often the anesthesiologist can fix the problem but not always.

Possible side effects: for you- Anxiety, nausea, vomiting, chills, fever (2), fluid overload from IV, increased vaginal tearing, temporary urinary incontinence, nerve injury, muscle weakness, dangerous drop in blood pressure, long term back problems (7), spinal headache (7), seizures, heart attack or respiratory distress. For baby- drops in heart rate (distress), low oxygen to baby, injury from forceps or vacuum, low muscle tone (limp when born), more likely to need NICU stay. 

Statistically epidurals do increase the chances of a cesarean (3). Babies are less likely able to do their normal rotation down the birth canal (1). Babies are more likely to be stressed out--their heart rates drop (4/5)--leading to emergency surgery. 

From the manufacturer's packaging of bupivacaine, the most common epidural drug: "Local anesthetics rapidly cross the placenta and...can cause varying degrees of maternal, fetal, and neonatal toxicity...Adverse reactions in the parturient [woman], fetus, and neonate involve alterations of the nervous system [brain damage], peripheral vascular tone [blood vessel damage], and cardiac function." 

Other interventions such as a need for pitocin (1), episiotomy--being cut from vagina to anus (yup I said anus)--or forceps or vacuum extraction (3). 

Movement in labor is a key component to helping the baby move down, rotate and dilate the cervix the way it is all meant to happen. 

The choice is yours or course. Epidural or not, home birth, hospital birth, circumcise, vaccinate... these are all choices we get to make. I know so many women that love using epidurals for their birth and I support them in their choice! For some women, it is what they need to have the birth they want. The purpose of this blog is to help women know more about the choices they make. I want all women to have good and memorable birth experiences. Thanks for reading :)

 

 

(1) Howell, CJ (2000)     (2) Lieberman, E. et al. (1997)    (3) Thorp, JA and Breedlove, G. (1996)   (4) Ramin, SM et al. (1995)  (5) Thorp, JA et al (1993)       (6) Pan, PH et al. (2004)   (7) MacArthur, C. Lewis, M., and Knox, EG. (1992)


Take Charge

by Justine Waldram


No surprise to most of you, I love hearing the exciting news when a woman is pregnant. The best though is when I learn of a woman, friend or not, that had been trying for sometime to conceive and finally is pregnant! We all know people that have struggled with infertility.  Toni Weschler wrote a book, Taking Charge of Your Fertility, to help women understand their bodies and achieve or prevent pregnancy.  Of all the women I know that have successfully used this book, it took as long as 6 months to get pregnant, and as short as 1 month! 

Taking Charge of Your Fertility has information it in that I want to yell off my roof top! I want every woman of childbearing age to have as much control of her fertility as she can - whether you want to prevent a pregnancy or get pregnant. It's time for women to take charge of their fertility! Understand when you are the most fertile, understand when is the best time to get pregnant, and NO it is not just 14 days after you have your period. That is just an average. Most women ovulate between 11 and 21 days after their period starts. You can know exactly the day you ovulate just by tracking a couple very simple parts of your every day life. 
Basically, you can predict your ovulation every month by tracking your temperature right when you wake up in the morning (basal temperature) along with your cervical fluid (most people call this discharge). You can know if your hormones are stable enough to maintain a pregnancy. You can know if you have an anovulatory (no ovulation) month. You can know you're pregnant before a pregnancy test does.

Education is power! Time to take charge. Knowing your own body, is underrated. 

If you have questions please ask. Otherwise check out Taking Charge of Your Fertility. You can buy it on Amazon and a bunch of other places. Its awesome. 


Of course this is not a one size fits all method. IVF is a wonderful advancement in medicine, BUT I am a huge believer in this method of tracking your cycle to achieve pregnancy. It works. And I think its a bummer when IVF is used as a first means of intervention. 

            


Welcome Dandy

by Justine Waldram


Five days after her due date, Baby Dandeliana was born on Sept 9th at home into her dad's hands. Here is her story, (with permission):

At first, Dandy's mother was planning to have an unassisted birth. She came to me with questions and concerns, mostly from members of her family, about the safety of birth at home. She had her three babies in the hospital, one via cesarean section, and desired to have a different experience with her fourth. She ultimately decided it was the best decision for her, and her entire family for her to receive prenatal care and to have me attend her birth. 

The birth was definitely hard work for momma, as all births are, but so rewarding and personal. The couple was able to have at the birth the mother, sisters and grandmother from her husband's family, while her mother and other family members watched and encouraged her via FaceTime. It was a very supportive group of women that helped make the mother comfortable and at ease. 

She dilated quickly to seven cm and was pushing shortly after that. The father of the baby wanted to catch her as she was born. I guided him and ensured mom and baby were doing well and dad did a wonderful job. He was the first to touch and hold his little girl and immediately passed her to mom after the birth. The other three children appeared minutes later and greeted their new sister. It was a very sweet moment when their elderly grandmother remarked about how special she felt to be able to attend the birth of her great grandbaby. 

After all was done, at one of her postpartum visits, Dandy's mom expressed her happiness with how everything turned out. I was honored to be a part of this woman's experience bringing her fourth baby into the world into the safety of her home. 


Spinning Babies World Conference

by Justine Waldram


I had the pleasure of being able to attend the very first Spinning Babies World Conference. 

Spinning Babies is an organization created by a midwife in Minnesota. It focuses on the importance of the position of the baby during pregnancy to help optimize labor and birth. Balance, Gravity and Movement in pregnancy will lead to optimal position of the baby. 

Gravity is exactly what it sounds like and in pregnancy and labor and birth we should let it help our babies get into the right position. Head down is great, but there is more to it. The mother's body is designed to birth in the upright position! 

Movement of the hips, legs and entire body in pregnancy, labor and birth are used to relax muscles and open the pelvis into a larger diameter as the baby moves down. 

 How do we obtain balance in pregnancy? And what does that mean? Balance, according to Spinning Babies means "not too tight and not too loose". It is obtained by doing multiple things such as exercising, having good posture (also avoiding bad posture), taking time for yourself to reduce stress and mentally relax, and doing certain daily stretches to soften and lengthen the muscles supporting the uterus. 

It is crucial to do all we can to help our babies be in the best position throughout pregnancy. Also, there are techniques that Gail teaches to help babies move into the right position in labor. (Although, it is not a great idea to just wait til labor to try these out!) When babies are breech, posterior, high in the pelvis, etc, there are different positions and maneuvers that can be done to help baby move down and into the correct/easiest position. 

There were dozens of speakers at the conference. Gail is truly a visionary. She is teaching OBs in the hospitals in Minnesota to deliver vaginal breeches-in the hospitals!! Its amazing and ground breaking work that excites me just to know about! There was an OB from Germany that is publishing a study about the diameters of the pelvis and how they change when the mother changes into the hands and knees position-directly related to breech birth in the hands and knees position.

Another speaker I loved was a midwife and craniosacral theraptist, Deb E. McLaughlin. She taught about 4 different complaints in pregnancy, how to diagnose and then how to treat them. I am so happy and excited to have the tools now to treat pubic bone pain! I don't know many women that do not suffer from pubic bone pain, especially near the end of pregnancy. Also I now am confident to help diagnose and treat sacral pain and pressure, pendulous bellies and round ligament pain.

I could go on and on. 

I am so grateful I had the opportunity to attend this conference, to meet dozens of wonderfully talented, passionate and experienced doulas, midwives and other educators. Now I hope to bless the lives of my clients and friends with the knowledge and skills I've gained!

To learn more please check out SpinningBabies.com

 

 

 


Lots to learn

by Justine Waldram


Women's bodies are not as mysterious as we think they are, most of the time.  As women it is so important for us to know our bodies, starting with anatomy and most importantly it's functions. When am I most fertile? Can I get pregnant on my period? What is this discharge coming out of me? We have all asked ourselves this, or at least have a friend that has. The information is out there. Lets learn it, if we haven't, and make sure to teach our daughters. 

http://www.huffingtonpost.ca/ruth-miller/girls-sex-ed_b_7531704.html

 

justine

 


VBACs

by Justine Waldram


A great friend of mine is pregnant with her second baby! She hoped to have a natural birth with her first in a hospital and was disappointed when she was induced and ended up with a C-section. I am more than excited and honored to be able to help her have the natural birth of her dreams this time around!! I have been a part of several VBACs and am so excited to help my friend and many women in the future heal from the scars of their first birth.

CLICK HERE for some VBAC info for all wondering about the safety of VBACs, especially at home.

 

justine

 


Welcome Sadie

by Justine Waldram


Here is the lengthy story of the birth of my second baby, Sadie.

It really was everything I hoped it to be, everything I asked and prayed for, but that doesn't mean it wasn't overwhelming and difficult, because it was.

My due date (from conception) was August 27th, from my LMP it was the 22nd. On Tuesday the 25th I took my usual yoga class and my awesome teacher worked me hard. She was definitely trying to help my baby come out, she knew I was ready. After that class I felt achy and sore in my back and low belly, and I had a little bloody show too! Then we went swimming at my girlfriends house, the pool was really nice but I definitely felt like something was going on. Jeff and I went walking on the beach that night with some friends but only a few contractions came of it so we went about our night as usual and went to bed. 

Wednesday morning at 4:50am I woke up having a contraction, which was not at all abnormal at this point, I had contractions during the night for about a week to this point. I got up to pee, laid back down and had two more contractions, 10 minutes apart.  At this point I was excited and wanted to see if the pattern was going to stick around. I got out of bed, leaving Parker and Jeff asleep and timed my contractions for an hour.  Around 6 I called my mom to tell her to get on the road, she wanted to be at my birth and had a 3.5 hour drive ahead of her. The contractions were bouncing around from every eight minutes to every two minutes, until at 6:30 they were every two minutes consistently. That's when I woke up Jeff, "I think I am in labor babe!" He got up and we tried to figure out if this was the real thing, I was in denial for some reason. I have seen several contraction patterns phase away as the sun comes up, so I guess I was waiting to see if that was going to happen to me. It didn't. 

I texted Tiffany, my wonderful midwife, around 8am, she said she'd come whenever I needed her. She had just delivered three babies between Sunday and Monday so I wanted to save her energy, especially if this was just going to go away. I had my awesome midwife friend Mary come around 8:00, she checked my dilation and I was 3cm, which I had been the week before too! That was discouraging news, but the contractions continued on and Mary was awesome at reassuring me that she felt this was the real thing. About an hour later I was 4cm, and the contractions picked up. I got in the birth tub my sweet husband set up to try to stay comfortable. I threw up a few minutes later, that's one of the beautiful techniques I use to cope with pain. And that is when we all knew it was show time. I told Jeff to call Tiffany, didn't need her missing the action! 

Contractions from then on were increasingly intense and every two minutes. I felt my baby's head getting lower with a few of them. And a crazy part of this whole experience was that in between contractions I was totally present and normal. I was chatting and smiling and then with each contraction I would go into the zone, and then I was back! Around 10:20 I was feeling some pressure and asked Tiff to check me, I was 8cm. That was such good news!! After hearing I hadn't hardly dilated from 5am-9am and now I was an 8! Almost done! But my mom had not arrived yet, and I really wanted her to be there this time. With each contraction I thought of her and told my body to wait till she made it. She was only 15 minutes away, I knew I could wait. I squeezed Jeff's hand with each contraction after that to try to focus and wait. 

She came rushing in and I cried for joy that she was there and also because I knew now I could be done. I moved in the tub from floating on my back to squatting against the side facing Tiff and Jeff. I told Tiffany I was going to push and break my water and that "this is going to suck". I just knew that the ultimate intensity was about to come after my water broke. Tiff said "You're going to break your water? Ok!?" With the next few contractions I pushed, my water broke, clear and perfect, and with the next I pushed, and pushed and pushed and my sweet baby's head was born. It definitely didn't feel sweet in the moment and I definitely was not silent as this occurred. The intensity and pain that overtakes your body as your baby comes out is like no other, a couple "ow"s and yelps are definitely warranted. The rest of her body was born seconds later and Tiffany brought her up onto my belly. (The video of the birth clearly shows she came out posterior, so did little Parker, I guess that's just how they fit best in me!) Oh and I can't forget to mention that Tiffany came swimming in the birth tub to catch my baby. I was pulling away as I pushed her out and Tiff got pretty wet! 

I was immediately overwhelmed with the intensity of such a quick birth that I cried out a few times as I held this amazing baby for the first time. The next item of business though was to determine whether we had a girl or boy. As I started laboring in the tub I told Jeff my final bet was that our baby was going to be a boy. So when we all looked down at this new baby in my arms and moved the umbilical cord to the side, Jeff announced we had a girl and I literally shouted for joy! What a sweet surprise that was! 

Every thing after that was cake, relatively so. The placenta came out minutes later and then the after pains took over. Ibuprofen became my friend every 4 hours. No tear, thank goodness. 

Little Sadie Elizabeth had joined our family and she was perfect. Seven pounds and four ounces. She nursed so well and hardly made a peep. She looks so much like her big brother Parker. We can't wait to see who she grows up to be. Parker came to meet her minutes after she was born, it was very sweet to see the look on his face as he touched her and heard me say she was his sister. He is definitely getting used to her being here, slowly but surely.  

Birth is shock to my system. I make intense amounts of colostrum and milk in the first few days, Sadie weighed seven pounds fifteen ounces a week after she was born. My little chunk. I think my body needs extra time to catch up with having such a quick birth and making so much milk because I got mastitis yesterday (so not fun). So now I am laid up in bed trying to recover. I have wonderful helpers and friends taking care of me though. 

I am so grateful how everything turned out and for everyone that was at my birth. It was perfect.

justine


Welcome Naiya

by Justine Waldram


A little darling named Naiya entered the world Wednesday. It was so wonderful to be a part of her entrance and her mother's birth experience. Kristy did such a wonderful job though her labor and birth, I am so proud of her! We watched at least an hour of Jim Gaffigan in-between contractions and in no time at all, Kristy got in her birth tub and her baby was here very shortly after. Thank you Kristy for being such an example of how normal, beautiful and peaceful birth is. 

And of course, Mary ONeill is the best midwife-assist I could ask for! 

See a picture of Naiya 

justine

 


The Dreaded "Due Date"

by Justine Waldram


When we get pregnant, one of the first things midwife, our OB or we figure out is our due date. When in the next 9-ish months is my baby going to be born? The main thing I hate....or dislike.....about the due date is that once its passed we freak out!! We've been told that there is a higher chance of stillbirth once you've passed the magical Due Date and that drugs need to be used for induction. Well.... that is not exactly true.

From Midwifery today- (a journal written by midwives about the science and evidence behind out of hospital birth) "Postdates, by itself, is not associated with poor pregnancy outcome. Extreme postdates (passed 43 weeks) or postdates in conjunction with poor fetal growth or developmental abnormalities does show an increased risk of stillbirth. But if growth restriction and birth defects are removed, there is no statistical increase in risk until a pregnancy reaches 42 weeks and no significant risk until past 43 weeks. The primary "evidence" of a sharp rise in stillbirth after 40 weeks seems to come from one study based on data collected in 1958.(1)

Modern statistics show an almost flat rate of stillbirth from 40 weeks to 42, with a slight rise at 43 weeks (all numbers being close to 1/1000).(2)" 

Now its up to you to decide if this is true; to decide whether or not to read the data from the studies-both recent and outdated. I decided to read them. It's true. Being passed your due date, "late", or postdates is not dangerous--when other factors like the baby's growth and placenta function are good, and from my (semi-limited) experience most of the time babies do just fine between 40 and 42 weeks. We use ultrasound to determine if the pregnancy is still healthy and well to decide to carry on without drugs or surgery to deliver the baby. 

The laws that govern what midwives can/can’t do are currently changing, for better and worse. In relation to this topic, licensed midwives like me are only supposed to deliver babies between 37-42 weeks. Just a bit of info...

What I’m really trying to say here is once your due date comes and goes, try not to panic (even if your OB is).  As long as your baby is growing and there are no other complications, continuing to be pregnant is actually the best thing for your baby. Hopefully knowing this will help us be patient as our babies decide when they are ready to be born, instead of deciding for them.

Reference this Midwifery Today article at:  http://www.midwiferytoday.com/articles/timely.asp

justine