For Better or For Worse? Childbirth in Popular Culture

After watching the live cesarean birth on the TODAY show last week and then the commercial for Jennifer Lopez’s new movie The Back-Up Plan during the Superbowl*, I’ve been thinking a lot about the way childbirth is portrayed in popular culture – on TV and in the movies – and how that influences us. In a perfect world I’d like to believe that women (and men) would learn about childbirth from reading books and websites and talking to their care provider (doctor or midwife), to a doula, to their mother, aunts and friends, but the truth is that unless ya live under a rock, women (and men) also learn about childbirth every time they are bombarded with images on TV and in the movies that depict childbirth as something scary, painful and out of control. Whether we want to believe it or not, our perceptions of birth are bound to be influenced – for better or for worse – by what we view and hear in popular culture.


Movie: The Back-Up Plan, photo credit: Jezebel

On Rixa’s blog Stand and Deliver she lists 61 film clips she compiled for a conference presentation about depictions of childbirth in cinema. That’s just movie clips. Think about all of the episodes of A Baby Story, or ER and many other TV shows where women are giving birth. Each one further reinforces popular culture’s birthing stereotypes.

Birthing Beautiful Ideas believes:

it’s pretty foolish to dismiss the effects that popular culture has on a woman’s beliefs and decisions about pregnancy and childbirth. In fact, I would venture to say that these effects are pretty widespread. Of course, I’m not saying many of us literally turn to pop culture when we’re deciding whether or not to consent to an episiotomy or to request pain medication in labor or to choose one care provider over another. That would be stupid, right? But that doesn’t mean that what we see on television or read in a (non-birth-related) book or watch in a movie has no effect at all on our thoughts about pregnancy and childbirth. Quite the contrary, in fact.

Because every time a woman reads that she “won’t be able to make it without an epidural”…

…every time she sees natural childbirth portrayed as something only for hippies and freaks…

…every time she sees a movie in which birth is a crisis or a catastrophe or a comedy of errors in which the mom is a crazed, expletive-hurling woman who is seriously out of control…

…those images and words start to affect the way she thinks about birth in general, and they may even have an effect on her specific beliefs about birth.

She goes on to give a real-life example (a positive example) of how a TV show changed her beliefs about birth. She describes an episode of Sex and the City where Miranda gives birth. Miranda asks Carrie to be there for the birth and tells her that when it’s time to push, she doesn’t want everybody getting all “cheerleader-y” on her and shouting “PUSH! PUSH! and shit like that.” She said that when she saw that scene, “it signaled a major change in the way I thought about how I was going to give birth some day.” Her birth paradigm shifted and she believes she has the ladies of Sex and the City to thank for that. She’s currently a doula and future lactation educator who’s working on a PhD in philosophy.

Not all examples of how popular culture influences women are as positive though.

Heather from A Mama’s Blog told me that watching TLC’s A Baby Story – which she described as “high drama” and ending more often than not in a c-section – “seriously warped” her view of childbirth.

The Feminist Breeder said:

When I first found myself pregnant, I was just like the vast majority of pregnant American women who never get truly informed about the birth process, and instead spend their pregnancies watching “A Baby Story” and reading Jenny McCarthy books. I got my hands on “The Girlfriend’s Guide to Pregnancy” by Vicki Iovine, which told me that Lamaze was useless, as were all other birthing classes, and what I really needed to focus on was how quickly I could get the epidural.

Yeah — I got the epidural. The epidural that only went down half my body, that caused me uncontrollable shaking, that shut down my labor, that necessitated more pitocin, which put my baby in distress, which then necessitated a nice, traumatic cesarean surgery. Yep. That epidural.

Honey B., in her post Childbirth: Hollywood’s Take, wrote that after year of watching A Baby Story, 18 Kids and Counting, Knocked Up, Four Christmases, etc., she realized how much of what she thought she knew about childbirth was based on TV. She then shares sarcastically all that Hollywood taught her about birth. (The descriptions are longer on her blog.)

Natural Birth: The choice of masochists, women who don’t shave their armpits and have children named Moon Flower, and optimistic first-time mothers who don’t know any better. (My note: Case in point, The Back-Up Plan‘s home birth scene)

Birth with Epidural: This is the smart woman’s choice. This is what she does for the second birth, after going through the above ‘Natural Birth’.

C-Section (Emergent): These are completely normal, and happen all. the. time. And the doctor always knows best.

C-Section (Planned): This is the choice of the truly enlightened woman, the Real Housewives of Orange County type who view pregnancy as an invasion of their body. (My note: Perhaps this is why, according to the most recent data available (from 2006), the United States’ c-section rate was 31.1%, ranging from 21.5% in Utah all the way up to 37.4% in New Jersey. The World Health Organization actually recommends that the cesarean section rate should not be higher than 10% to 15%. When the rate is higher than 15% there is some research which shows it results in more harm than good. But who wants to talk about that in movies?)

Mallory who blogs at Pop Culture believes, “Childbirth in Hollywood movies is from a male perspective; rarely does childbirth show angles from the female viewpoint during the actual birthing.

We show killings, bombings, shootings, rapes and torture in movies, so why not show a woman giving birth accurately? Is it really that obscene and disgusting?”

Naomi, a birth doula, wrote her top 10 suggestions for an easier birth. Number two is “Prepare for an easier birth, now!” She cautions:

Don’t watch A Baby Story! Instead (if you are interested in watching birth videos), watch movies like The Business of Being Born, Orgasmic Birth, Pregnant in America, Water Birth, Special Women, and normal birth videos on YouTube which represent birth as it usually is. TV specials on birth are designed and promoted to offer drama and attract viewers, not to support women preparing for birth.

I also want to add What Babies Want and Birth Into Being to that list.

Teba told me that her sister was there when she had a home birth two months ago. “She said after seeing birth in movies she never imagined it could be so peaceful.”

That’s just it. Birth can be peaceful. It doesn’t have to be a hysterical emergency, but as a result of popular culture, most women are never exposed to anything that suggests a peaceful birth is even a possibility.

How has popular culture affected your beliefs and decisions surrounding childbirth?
* I didn’t actually watch the Superbowl, but have Lynn to thank for telling me about The Back-Up Plan commercial.

Cross-posted on BlogHer

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Potty Learning with Patience and Praise

Like most everything related to parenting, when it comes to potty learning (or training) there is not a one size fits all approach. Just as every child is different, every family is different and what works best for one will not work for another. However, since potty learning is a hot topic in our house these days, I thought I would share what we have found to work best for us.

When it comes to potty learning and my kids, I approach it similarly to the way I approach weaning from the breast. I trust that when the time is right and the child is ready, it will happen. I know this is not a method that would work for every child or every family, but so far its been working for us.

My oldest Ava was completely out of diapers (including at night) somewhere between ages 2 1/2 and 3. Julian became interested in using the potty earlier than Ava, but the transition to using the potty full time has been much more gradual. He’s currently 3 years and 2 months and mostly potty learned during the day, but not for the occasional nap or at night.

While I say, “it (potty learning) will happen,” that’s not to say I (and my husband) don’t do things to encourage the kids. The process is not left entirely up to them, but I do let them take the lead and guide how fast or slow the transition takes.


Photo courtesy of juhansonin

Here are some of the techniques I used with my kids to facilitate potty learning

Naked “Training”
One of the first things I like to do that helps them get more familiar with their body and elimination sensations is allow them to be naked from the waist down while at home. If it’s particularly cold, I’d suggest the kiddo wear BabyLegs or something similar on his/her legs, though my kids don’t seem to mind the cold at all.

Another benefit of being pant-less is that they can run to the potty and use it without having to worry about getting clothes out of the way first.

Since I’m at home with my kids this technique has worked well for us. Obviously though, isn’t for everyone.

Amber from Strocel uses the naked time technique as well. “During toilet training I … allow lots, and lots, and lots of naked time. Because it’s much more obvious to both you and the kid that they’re peeing when they aren’t in a diaper.”

Annie from PhD in Parenting said, “Being naked helped him (her son) to feel what was going on, it felt different from having a diaper on, it saved on laundry significantly, and it also made it quicker when he did rush off to the potty because there were no snaps and zippers and things to deal with.”

Keep a potty (or two or three) nearby
I try to keep a potty in the room wherever the child is playing. In our house that’s usually in the living room. I think having the potty where they can see it and have easy access to it helped my kids learn to use it. When they move off into another room and the potty isn’t right there, that’s usually when the accidents happen. (If you can invest in a few potties to scatter around the house, all the better.)

Once they have mastered using the potty in the living room, I would either move it into the bathroom or just encourage them to transition from the potty to using the actual toilet.

Praise, praise and more praise
My husband and I offer a lot of praise when our child uses the potty or toilet. In fact, in the beginning there’s often a lot of cheering, clapping hands, silly dances, etc. to encourage the new behavior.

Read books about going potty
The book I loved for helping my kids learn more about their bodies and using the potty was “Once Upon A Potty” by Alona Frankel. There are two versions of the book – one for boys featuring Joshua and one for girls featuring Prudence. I have to confess, one of the reasons I loved this book so much was the way Ava would say “Pwudence.” So cute.

There are many books available on this subject.

Patience
If my child didn’t seem to be ready for using the potty, we’d take a break and come back to it another time.

I remember having a success or two with Ava and the potty at a young age and I thought, “Yes! This is it!” But then she didn’t do it again so I figured it wasn’t the opportune time for her and we tried again in a few months.

Julian, who turned 3 in November, has been going through the motions of potty learning for over a year now. When naked and at home, he would use the potty or toilet about 90% of the time. It wasn’t until just the past couple months though that he would start asking to go potty while we were out of the house (and this was while wearing a diaper or a pull-up). Now he is using the toilet consistently when he is awake. If he’s napping or asleep at night, that’s not always the case and he wears a diaper or pull-up during those times. I’m not in the hurry to get him night “trained,” but trust that it will happen when he’s ready.

In Annie’s post about potty learning, she references a potty training readiness quiz by author Elizabeth Pantley, which is a great place to start if you are contemplating potty learning. Ask Dr Sears also has a wealth of toilet training information – from tips to know before you start to helping the child who won’t go to traveling while training.

Going commando
I have to admit that Julian isn’t in underwear full time during the day yet. He still either wears a pull-up or, if at home and is not half naked, goes commando under his pants. I think we are getting to the point where he could wear underwear regularly and be fine, but it’s just recently that we’ve gotten to that point. It seems like if he has pants on but no underwear, he is more easily able to feel when he has to pee.

With regard to poop
Once I noticed my kids’ pooping cues – both either went into a corner or behind a couch, it was easy to transition from pooping in a diaper to pooping on the potty. Thankfully neither of them had any poop resistance (where kids refuse to poop unless in a diaper), but I know that is common for many kids. Annie wrote a bit about how they overcame poop resistance with her son.

Potty learning at night
When the kiddo starts consistently waking up in the morning dry (i.e. you check their diaper as soon as they wake up and encourage using the potty), that’s a good indication they are ready to go all night in underwear.

It took a while of Ava waking up dry before I felt ready to take the plunge and let her go overnight without a diaper, but she was obviously ready and did well with it.

Techniques other parents swear by

The reward method
We never tried the reward method (yet?), but I know others who have had success with offering an M&M or something similar for each successful trip to the potty.

EcoMeg is currently using the M&M system for potty training her son.

Much More Than a Mom has also been using the reward system (chocolate chips or stickers) to help with potty learning her son.

Elimination communication
Hilary Stamper wrote an informative post explaining how elimination communication (EC) – the process of observing one’s baby’s signs and signals and providing cue sounds and elimination-place associations – worked for her and her baby.

Hobo Mama also has a great post chock full of information about using elimination communication with tips from her experience with her child, but also many links to other sites about EC.

Related links:
Angela at Breastfeeding 1-2-3 wrote Potty Training the Easy Way. She describes her method as somewhere between Potty Training and Elimination Communication. “The ‘easy way’ in my mind does not mean the fastest way or the least messy way. It’s an investment of time that respectfully helps my child learn to use the toilet.”

Previously mentioned, but very informative is Dr. Sears section on toilet training.

How did you go about toilet learning/training with your kiddo(s)? If you have any tips to share, we’d love to hear ’em.

Cross-posted on BlogHer

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Got breast milk to spare? Denver milk bank is in desperate need.

The freezers are nearly empty at a Denver milk bank, which is experiencing its lowest supply ever in the bank’s 25-year history. The Mother’s Milk Bank at Presbyterian St. Luke’s hospital is one of only 10 milk banks in the country that collects breast milk from mothers across the country and delivers it to sick and premature babies. The shortage has been due in part to a rough flu season and an increased need from hospitals and parents seeking breast milk.

If you are wondering in this day and age, with formula readily available, why milk banks are so important, there’s information in this Breastfeeding.com article, Banking on Breast milk. The majority of milk from the milk banks goes to babies who are sick or need milk because of medical conditions such as formula intolerance or feeding issues related to prematurity. Unlike formula, breast milk contains immunologic properties to help fight infection and illness.

Milk banks exist because many babies will not thrive without human milk. Infants with failure to thrive (FTT), formula intolerance, allergies and certain other medical conditions may require real human milk for health and even for survival.

A typical candidate for donor breast milk might be a formula-fed infant that exhibits prolonged episodes of inconsolable crying, ongoing vomiting and classic allergy signs such as purple or black circles under the eyes, pallor, skin inflammation, lethargy and frequent or bloody stools. Another typical candidate might be a premature infant whose mother cannot (or cannot yet) supply breast milk.

All donors to Human Milk Banking Association of North America (HMBANA) member milk banks undergo a screening process that begins with a short phone interview. Donor mothers are women who are currently lactating and have surplus milk. Donor mothers must be:

  • In good general health
  • Willing to undergo a blood test (at the milk bank’s expense)
  • Not regularly using medication or herbal supplements (with the exception of progestin-only birth control pills or injections, Synthroid, insulin, pre-natal vitamins; for other exceptions, please contact a milk bank for more information)
  • Willing to donate at least 100 ounces of milk; some banks have a higher minimum

The Denver milk bank welcomes donors both local and out of state
For donating mothers who don’t live near Denver, the milk bank ships supplies and a box with dry ice to mail the milk. Mothers are not paid for donating. Also, the HMBANA milk banks will often loan pumps to donor moms if they don’t have one of their own.

I donated milk to the Denver milk bank when my son Julian was a baby and had previously donated to a local mom directly when Ava was a baby. I’ve been blessed with a plentiful supply and was happy to do what I could to help others. Although I wasn’t able to collect as much as I had hoped, it all adds up.

Brandie also pumped her milk for the Iowa milk bank. She describes the process she went through when she donated nearly 400 oz.(!!) to the milk bank in 2003. As she packed up the cooler to mail her milk in, she couldn’t help but get emotional.

I was sending a piece of myself off in that cooler. Lots of hours of pumping (or at least what felt like lots of hours). I cried. As silly as that sounds, I did. I thought about how that milk might go to feed another baby and help another family – who for whatever reasons needed breast milk for their baby and couldn’t provide it themselves. I thought about how when so many around me thought breastfeeding your own baby was gross, disgusting, something only to be done behind closed doors where no one would have to actually see it, there were people out there who so firmly believed in it that they would use my milk to feed their babies.

Jodi, Milk Donor Mama, and Cate Nelson have all been milk donors too.

Emily from Et Cetera recently found herself with a surplus of pumped milk. As her freezer stash grew, she began to get concerned that it would expire before it was consumed. That’s when she learned about breast milk banking. She’s signed up to be a donor and encourages others to as well. “Why let your extra breast milk go to waste? Share it with a baby who desperately needs it. And even if you can’t donate, you can get involved. The more people know about milk banks, the more babies will thrive.”

A doctor’s prescription is required to receive breast milk from a HMBANA milk bank.

Deanne Walker of Colorado Springs received donor milk from Mother’s Milk Bank at Presbyterian St. Luke’s hospital for her twin boys who were born 10 weeks premature. In addition to the babies being born early, Deanne had several infections which dramatically affected her milk supply. I spoke with Deanne via email where she pointed out the importance of breast milk for preemie babies.

When babies are born prematurely the mother’s milk is different – it’s called super preemie milk loaded with even more protein, antibodies and dense nutrition than regular breast milk. Preemies need the extra nutrition because their digestive tracts are not fully developed, they are so small and need to grow more rapidly, and also because they are so much more prone to infections in those early weeks. Formula just cannot deliver the nutrition and antibodies provided by nature.

Deanne is thankful for the donor milk her now thriving 3 1/2 year old sons received until her supply was established enough to provide full feedings for them, but wishes it was covered by her insurance like formula was. (Note: Medical insurance sometimes covers the cost of donor milk when there is a demonstrated medical need for the milk on the part of the infant.) She and her husband had to cash in their retirement account to pay for the milk. The cost of breast milk from the Denver milk bank is currently $3.50 per ounce (which covers the donor screening, processing of the milk, etc.), which adds up very quickly especially when feeding more than one baby.

Please see the information below if you have breast milk to spare and would like to help babies in need. Or if you are looking for a worthy place for your tax-deductible donation, please consider making a donation to a milk bank. The HMBANA milk banks are non-profit organizations and depend on community and private donations to keep the doors open.

Information on donating or receiving breast milk:

Edited on 1/26/10 to add:
This morning the United States Breastfeeding Committee released a statement and urgent call for human breast milk for premature infants in Haiti. The first shipment is getting ready to go out to the U.S. Navy ship Comfort. You can read the entire statement and find out how you can donate by reading Give Them Roots blog about it: URGENT: Milk Donations for Haiti Infants. Thank you!

Cross-posted on BlogHer.

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Is there more to the Christmas “miracle” mom & baby “mystery?”

In what’s being called a Christmas “miracle,” a mother suffered cardiac arrest and died while in labor on Christmas eve 2009, her lifeless baby was born after an emergency cesarean section, and then “inexplicably, astonishingly” both suddenly came back to life. At least, that is the picture that was first painted by ABC News.


Photo credit: ABC News

Tracy Hermanstorfer of Colorado was without a heartbeat for four to five minutes while her husband Mike undoubtedly stood by in shock. “‘Half of my family was lying there right in front of me — there’s no other way to say it — dead,’ Mike Hermanstorfer told ABC News’ Colorado affiliate KRDO. ‘I lost all feeling. Once her heartbeat stopped, I felt like mine did too.'”

First I must say that I’m so very thankful that Tracy and her son Coltyn were revived and both are doing very well. I can’t imagine what her husband Mike must have gone through in those moments. I wish the Hermanstorfer family a happy, healthy and uneventful new year.

While the story of a Christmas miracle such as this warms one’s heart, many people, myself included, thought there must be more to the story than the media was reporting. Dr. Stephanie Martin, the doctor who responded to the Code Blue and performed the emergency c-section, said she cannot explain the mother’s cardiac arrest or the recovery. “We did a thorough evaluation and can’t find anything that explains why this happened,” she said. In the video linked above Diane Sawyer says, “To Tracy’s doctors, the events are still a complete mystery.” A complete mystery? Really?

If you watch the ABC News interview (below) with Tracy and Mike Hermanstorfer and Dr. Stephanie Martin it looks like the “mystery” may have been solved after all and there could be a very valid explanation for why Tracy went into cardiac arrest – the epidural. Cardiac arrest is a very rare, but very real possible complication of epidurals.

Tracy was pregnant with her third child and had given birth to the previous two without an epidural. However, after her membranes ruptured (water broke), she went to Memorial Hospital in Colorado Springs and was given pitocin to speed up her labor. She found the contractions were “a lot harder” than she remembered so she opted for the epidural. It was not long after she received the epidural that Mike noticed Tracy’s hand was cold, her fingertips were blue and a nurse noticed the color in Tracy’s face was completely gone.

Henci Goer, “an acknowledged expert on evidence-based maternity care” and blogger at Science and Sensibility, transcribed the relevant parts of the ABC interview.

ABC: Code Blue was declared, a scary thing in any hospital. [Dr. Martin arrives in response.]

Dr. Martin: . . . When I ran into the room, the anesthesiologist had already started breathing for Tracy. There were preparations already being made to start a resuscitation should her heart stop. About 35 to 40 seconds after I got in the room, her heart did stop and we started making preparations to do an emergency cesarean delivery right there in the room in the event that we were not successful in bringing Tracy back. Unfortunately, in most of these situations, despite the best efforts of the team, Mom is often not able to be revived, so we anticipated that possibility and when it became clear that Tracy was not responding to all the work that the team was doing on her, we had to make that difficult decision to do the cesarean section, primarily in an effort to give Coltyn the best chance at a normal survival and also hoping that it would allow us to do a more effective resuscitation on Tracy, and fortunately, she cooperated and we got a heartbeat back immediately after delivering Coltyn.

Henci explains her assessment of the situation:

So, according to Dr. Martin, Tracy is an example of how things can go suddenly and horribly wrong for no discernible reason in a healthy woman having a normal labor. All I can say is that Dr. Martin must have slept through the class on epidural complications. Tracy’s story is the classic sequence that follows what anesthesiologists term an “unexpectedly high blockade,” meaning the anesthesiologist injected the epidural anesthetic into the wrong space and it migrated upward, paralyzing breathing muscles and in some cases, stopping the heart. High blockade happens rarely… It does happen, though, and I am willing to bet that high blockade and its sequelae happened to Tracy.

The moral of the print version would be: have your baby in a hospital where you can be saved should this happen to you. The video interview, however, reveals a different picture. The real moral of the tale is that the safest and healthiest births will be achieved by avoiding medical intervention whenever possible.

Danielle from Momotics asks, “Why was there a need for pitocin? Because no one wants to be sitting around waiting to deliver a baby on Christmas eve?” She also wants to know why the possible correlation between the epidural and the cardiac arrest isn’t being talked about in the media. “Why is the mainstream media not reporting these things? Mass hysteria? Loss of money for the pharmaceutical companies that make pitocin and these anesthesia drugs?”

Jasmine who writes for The Examiner offered up her own take on the situation:

Knowing the side effects of both pitocin and the epidural, Hermanstorfer’s history of having unmedicated births, she probably experienced a dropped heartrate from the pitocin which may have caused her cardiac arrest upon administering the epidural. We all like the story of hearing “miracles” and they do happen, however, we have to know a little more about modern medicine and the side effects and dangers of modern drugs.

Nicole from It’s Your Birth Right speculates a few possibilities of what may have gone wrong. She admits that there is no way for her to say for sure what happened in Tracy’s case, but she wants people to know that having an epidural does carry risks.:

I just want it to be clear that Epidurals can indeed cause cardiac problems and can also stop a woman’s breathing immediately after administration. Does it always happen? NO. Does it usually happen? NO. Can it happen? YES. And did the media completely ignore the possibility of the epidural having anything to do with the cardiac arrest? YES.

Nicole adds:

Often when I tell people I don’t want an epidural they don’t understand why. THIS is why. The risks in my humble opinion are high for a procedure that is considered elective.

Often when I tell people epidurals carry risks that are not discussed with women resulting in misinformed consent for a procedure they know little about, I am considered an extremist. PLEASE if you want an epidural, that’s your choice but get INFORMED!!!

Here are the reported side effects of epidurals on both mother and baby.

Conspiracy theories aside, I think one of the reasons the possible cause of Tracy’s cardiac arrest wasn’t reported by the media is because it diminishes the feel-good Christmas miracle aspect of it. I think the media sensationalized the story to draw as much attention to it as possible. They succeeded.

The truth is we may never know what caused Tracy Hermanstorfer’s heart to stop beating, but it seems likely that the sequence of events – pitocin, epidural, lying on her back (which can cause “problems with backaches, breathing, digestive system, hemorrhoids, low blood pressure and decrease in circulation to your heart and your baby. This is a result of your abdomen resting on your intestines and major blood vessels (the aorta and vena cava).”) may have had something to do with it. While this story had a very happy ending, most like it do not. What can we learn from this? Educate yourself, learn about the risks of common interventions, and hire a doula.

Once again, I wish Tracy and Mike Hermanstorfer and their family all the best. 🙂

Cross-posted on BlogHer

Joy Szabo Travels 350 Miles for Vaginal Birth

Joy Szabo recently drew nationwide attention when she refused to have a repeat cesarean section at her local Page, Arizona, hospital. Instead, Joy and her husband Jeff decided that Joy (alone) would move 350 miles from home to Phoenix where they could, according to CNN, get “the birth they wanted” – a vaginal birth after cesarean (VBAC). Many are calling Joy’s vaginal birth a victory, but Jenn at Knitted in the Womb acknowledges that while on one level getting the VBAC is a victory, on a larger scale she wonders was it really a victory?

Photo courtesy CNN
Photo courtesy CNN

Here’s a little history. While seven months pregnant with her fourth child, Joy Szabo was told by her local hospital that she would be required to have a repeat cesarean section rather than allow her to have the birth she wanted, a VBAC. It didn’t matter that she had already had one VBAC at this hospital, the policy had changed and VBACs were no longer permitted there.

VBACs carry a less-than-1-percent increased risk of a uterine rupture, which could cause brain damage in the baby or even death, according to the American College of Obstetrics and Gynecologists.”

According to CNN:

After their discussion with their doctor, the Szabos made an appointment to speak with Page Hospital’s CEO, Sandy Haryasz. When the couple told her about their desire for a vaginal birth, they say Haryasz would not budge, even telling them she would get a court order if necessary to ensure Joy delivered via C-section.

The Szabos thought that seemed extreme and rather than succumb to the hospital’s new policy, a few weeks before her due date Joy moved into a Phoenix apartment 350 miles away from her husband and three children while she waited to go into labor. At the Phoenix hospital Joy gave birth to her fourth son Marcus Anthony in an “uncomplicated vaginal delivery.”

Emily from Laundry and Lullabies said, “Joy, you’re an inspiration. Thank you for standing up for yourself, for bringing attention to the state of maternity care in America, and for making it just a bit easier for other women to follow your example.”

Danielle who blogs at Birth, Babies & Everything In Between believes VBAC is much safer for healthy, low risk women than elective repeat cesareans. She likes to use the example of Michelle Duggar to demonstrate the safety of VBAC. Michelle has had four c-sections and 13 VBACs and recommends the organization International Cesarean Awareness Network (ICAN) for those wishing to gain information about VBAC.

On the Duggar’s website, Michelle describes how things have changed from her first pregnancy to her 18th.

I would say the greatest change that I have seen in the field of obstetrics, and I might add that it is very troubling to me, is the idea that once you’ve had a C-section you must have a C-section for any other pregnancy. It is much healthier for mom and baby to avoid major surgery and all the complications that go along with a C-section if possible. Granted, there are health situations that would warrant such, but for years obstetrics encouraged TOL (Trial Of Labor after previous C-section) with many successful healthy vaginal births. It was quite alarming to be told that I could no longer have a vaginal birth due to hospital or insurance companies regulations. It appears that what is best for the patient is not the priority with this decision. I feel our health care is being jeopardized by this unhealthy approach. Doctors are having to tell their patients that they no longer offer VBAC assistance due to hospital regulations and some might even state to the patient that they are not safe so as to avoid confrontation. Statistics prove much differently. For the many women that find themselves in this situation, ICAN is an organization that is very helpful in gaining more information on this topic.

Jenn at Knitted in the Womb, who I mentioned above and questions the “victory” aspect, says:

I am glad that Joy got a vaginal birth, and on that level the birth was a victory. But on the larger scale level…the extreme hoops she had to go through make it less than that. The “victory” that I see missing is an acknowledgment by the Page Hospital administration that A) VBAC is safe and B) even if they disagree with “A,” they have no right to force a person to have surgery. For a woman who does not have the financial means to do what Joy did – move away from her home for over a month – surgery is still a forced situation.

…this could easily be used by hospital administrators as “precedent.” “You want a VBAC? So sorry, we don’t offer that here. Do what Ms. Szabo did, go move to be near ‘hospital X.’”

I agree with Jenn in that the CNN article headline, “Mom fights, gets the delivery she wants” is misleading. When I first read it, I expected that Joy Szabo had fought the Page hospital and had her VBAC there. I wasn’t expecting that she had to move six hours from her home, leaving her children and husband, to get a VBAC at another hospital.

Yes, the fact that she got a vaginal birth is a victory, but this story also shows that birth advocates still have a lot of work ahead of them. As more hospitals ban VBACs, there will be more and more cases of women who are forced to make difficult choices.

The fact that this situation got the national attention that it did, that CNN covered it and posted “some tips for what to ask your doctor (or midwife) in the delivery room if the suggestion is made that it’s time to give up on a vaginal birth and head to the operating room” is a step in the right direction. It might not be the big victory that many of us are hoping for, but it’s a small victory and that counts too.

Related posts:

Cross-posted on BlogHer.

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Time magazine advocates “tough love” approach to infant sleep

Time magazine recently published a section called The Year in Health, A to Z in the Dec. 7, 2009 issue. The letter B is for Babies and what Time advised regarding babies, “tough love” and sleep has many people shaking their heads in disagreement.

The article states:

When a baby has repeated problems falling asleep, Mom and Dad may need to show some tough love. Lingering with cranky babies too long or bringing them into the parents’ bedroom can make them likelier to become poor sleepers, according to psychologist Jodi Mindell, who gathered data on nearly 30,000 kids up to 3 years old in 17 countries. “If you’re rocked to sleep at bedtime, you’re going to need that every time you wake up,” she notes. Her advice: have children fall asleep 3 ft. away. “If they’re slightly separated, they sleep much better,” she says.

Parents, pediatricians and proponents of attachment parenting strongly disagree with Time’s advice.

On Attachment Parenting International, Samantha Gray, executive director of Attachment Parenting International, and Barbara Nicholson and Lysa Parker, founders of API, published the letter to the editor they wrote in response. Here is a bit of it:

Contrary to the very unfortunate and detrimental advice on sleep in Time magazine, API’s Principle outlines the need to be responsive to children during the night and not to brush aside their needs as inconsequential to them or to their development in the name of “tough love.” The magazine and this proponents’ advice is framed in such a way to alarm parents into unfounded fears about their children being poor sleepers if they respond in loving ways such as rocking their child, breastfeeding, or lying down with the child. We know, in fact, that these practices are not only healthy for the child, but, for the very short period of a child’s life that needs are met in this way, parent and child benefit.

Science indicates that a comforting nighttime approach helps children achieve healthy sleep habits. Research and the experience of parents throughout the ages have proven that effective nighttime parenting includes prompt, calm response, as well as holding, cuddling and soothing touch.

We pray no one takes to heart this advice you have quite surprisingly chosen to publish, all the more in the midst of the availability of substantial quality parenting information. This advice goes against parents’ good instincts to care for their very young child in the ways their inner knowing tells them to.

We implore Time to urgently correct this harmful information in such a way to command even greater attention than received by the original article. Our children are worth it, and so are their parents.

At the time of this posting, Time had not responded to API nor published any sort of correction.

Pediatrician, father of eight, and author of numerous parenting books Dr. William Sears suggests in his own letter to the editor to Time:

Rather than issuing rules or cautions about being “over attached” concerning nighttime parenting we should be encouraging parents to sleep safely and closely with their babies. In my experience and that of others who have thoroughly researched the issue of co-sleeping, namely Dr. James McKenna, babies who sleep close to their parents sleep physiologically healthier and a mutual trust develops between parents and child.

Remember, we have an epidemic of insomnia in this country necessitating a mushrooming of sleep disorder clinics. When babies start out life with a healthy sleep attitude, that sleep is a pleasant state to enter and a fear-less state to remain in they’re more likely to grow up with a healthy sleep attitude and both children and their parents will sleep better later on.

On his website, Dr. Sears has 8 Infant Sleep Facts Every Parent Should Know including:

  • babies have shorter sleep cycles than adults
  • there are developmental and survival benefits of nightwaking
  • and as babies grow, they achieve “sleep maturity.”

Kayris who blogs at The Great Walls of Baltimore said, “considering the amount of adults who suffer from sleep problems or use sleep aid medications, I’m truly surprised at the amount of people who expect sleep to also be easy for children.”

Micki AKA ADDHousewife is one of those people who has trouble sleeping and said in response to the Time article, “That’s pure crazy. Some kids are just lousy sleepers. Plain and simple. I am still a bad sleeper!”

Hannah Gaiten, owner of Natural Choices, had this response to Time’s article:

That type of position is based on what is perceived to be best for parents, not taking into account what is truly best for the kids, in my opinion. Heaven forbid a child need to nurse to sleep…why is it regarded as such a “problem?” We do it everyday, every time my daughter needs to sleep, she needs to nurse. Sure, it’s not the most convenient at times, but if I were looking for convenience, then perhaps being a parent wasn’t the best road to take.

To make a blanket statement like, “If they’re slightly separated, they sleep much better” is unwise, in my opinion – each child is different and instead of this author telling parents how to parent their child, they should give unbiased information and encourage the parents to do what is best for their family (not just what is in the best interest of the parents).

Susan, who blogs at Two Hands Two Feet agrees, “I hate it when ‘experts’ tell parents what is best for them and their kids. You need to do what is right for your family, not what an expert says. This stuff caused me a lot of grief when my girls were tiny. I read books because I didn’t feel like I knew what I was doing. But what I really should have done was just gone with my instincts.”

Suzanne at The Joyful Chaos who co-sleeps, but also says she’s “not actually an advocate for co-sleeping,” drives the point home that you have to do what works best for your family in her post The Cosleeping Edition of my Attachment Parenting Freako-ness and sometimes that may very well differ from child to child.

A Mother In Israel Hannah asks in her post Sleep Training at the 92nd St. Y:

Are our babies robots? Or dogs that we need to train? No, they are very small people who can’t understand why everyone ignores them once the sun goes down, even when they cry hard enough to throw up. A baby’s cry is intended to be disturbing. If we train ourselves to ignore it, we lose our instinctive rachmanut (compassion). And a baby whose cries are ignored learns that his feelings don’t count for much. Eventually he will give up and go to sleep, but pay a steep price.

Who are we to say that our need for a solid eight hours (which we usually don’t get anyway for all kinds of trivial reasons) trumps the baby’s needs? Adults can learn to cope with less sleep and babies need concern and sympathy no matter when they are in distress. Trust your baby; she will tell you when s/he is developmentally ready to fall asleep without your help.

As for my opinion, I think it’s very irresponsible for Time to make a blanket statement like that, especially when there is evidence that proves the contrary is true. I do believe it is up to each family to decide what works best for them and their children. While I don’t think it’s for everyone, co-sleeping worked for my family for years. Nowadays my children are still co-sleeping with each other at age 3 and 5 and sleep side by side in a room together. Just as they have different personalities, they are very different sleepers. My daughter has a harder time falling asleep than my son, but both are parented to sleep in a way that works best for them.

There’s nothing that is convenient about being a parent. It is a physically, emotionally and mentally taxing job. Parenting doesn’t end just because the sun sets. It’s a 24/7 365 days of the year job.

Instead of trying to put more distance between parents and their children, I think Time should be encouraging more connections. The time that our children are infants and toddlers is so fleeting in the grand scheme of things, we should be embracing them, not pushing them away.

Jan Hunt, director of The Natural Child, points out, “As the writer John Holt put it so eloquently, having feelings of love and safety in early life, far from ‘spoiling’ a child, is like ‘money in the bank’: a fund of trust, self-esteem and inner security they can draw on throughout life’s challenges.

Children may be small in size, but they are as fully human as we are, and as deserving as we are to be trusted to know what they need, and to have their voices heard.”

There is a wealth of information about infant sleep on Attachment Parenting International’s Baby Sleep Strategies page, including infant sleep safety, co-sleeping, nighttime parenting and more.

Annie at PhD in Parenting also has an informational post Gentle Baby and Toddler Sleep Tips that “provides tips for sleep deprived parents that want their babies to sleep better and… do not want to use the cry it out approach.”

If you’d like to respond to Time about “B” for Babies, please do so online using their letter to the editor web form or snail mail to:
TIME Magazine Letters
Time & Life Building
New York, N.Y. 10020
“Letters should include the writer’s full name, address and home telephone and may be edited for purposes of clarity and space.”

Cross-posted at BlogHer.

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Eco-friendly upcycled holiday crafts for kids

Green or eco-friendly crafts for children using recycled or upcycled (repurposing a waste material into a product of higher quality materials) are plentiful this holiday season. In addition to being better for the environment, crafting from items found around the house has the added benefit of being economical.

No Time for Flashcards is one of my favorite blogs for finding activities to do with young children. No all posts are green, but three posts that do fit that category include recycled Christmas tree using paper from an old catalog, A “Bow”tiful Christmas tree made out of a grocery bag and misshapen present bows, and a Bell Christmas ornament made from an Easter egg. All three are great crafts for toddlers and preschoolers. My kids, ages 3 and 5, and I made some of the recycled Christmas trees using magazine pages earlier this week.

Photo credit: No Time for Flashcards

For little ones who like to paint, why not try painting holiday cards or making your own wrapping paper using paints made from berries and beets! The Green Art Project has a tutorial for making your own natural paints using fruits and vegetables you may already have in the house.

Over at This and That, there’s another idea for making your own gift wrap. Money Saving Mom also suggests having the kids help make homemade wrapping paper.

Here’s a beautiful and easy craft from Maya*Made to hang on the tree – a “snow”-covered pinecone ornament.

Photo credit:Maya*Made

There are a lot of fun ornaments that can be made with a burnt-out incandescent light bulb. It’s upcycling at it’s finest! There’s a snowman face ornament, Rudolph the recycled light bulb, the light bulb penguin, and there are some more cute ideas over at Keep’n the SunnySide. You could also keep it simple and let your child paint and glue whatever they want on the light bulb.

Photo credit: Crafts by Amanda

Summer at Wired for Noise suggests embroidering pictures on old pillow cases and had fun teaching her son the handicraft.

Another craft idea that we’ve tried in our house is transforming old, broken crayons into new crayons. The Red, White and Green says you don’t need to spend $30 on a Crayola Crayon Maker (made of nearly four pounds of plastic) to do it either. If you want to make holiday-themed crayons, you just need some holiday candy molds. Zakka Life has a tutorial on how to recycle old crayons into new crayons using candy molds. You can also just use muffin tins for round crayons. Raising Maine also suggests making the recycled crayons into ornaments.

Photo credit: Raising Maine

Older children may enjoy stringing popcorn or cranberries on wire or thread as garland to be hung on the Christmas tree. When the tree is taken down, the edible garland can be strung outside for the birds or put into your compost bin.

Another fun idea for a craft and/or gift for older children from Little Birdie Secrets is felted soap. “You cover a bar of soap with this fabulous wool fiber, then felt it, and you have a soap and washcloth in one!”

Photo credit: Little Birdie Secrets

Celebrate Green Blog recently came across some eco-friendly holiday crafts from Family Fun magazine using upcycled materials, including retro ornaments made from toilet paper rolls, Christmas carolers made from toilet paper rolls, holey socks and old sheet music, and a Flame-free menorah.

Photo credit: Family Fun

Lastly, there are some creative recycled craft ideas over at Monkey See Monkey Do including a milk carton nativity or Christmas village and a mop-head Santa, as well as coat hanger snowmen and reindeer and a trash bag wreath.

Looking for more green craft ideas? Check out Books make great gifts for green crafters over at Crafting a Green World. She suggests Green Crafts for Children: 35 Step-by-Step Projects Using Natural, Recycled, And Found Materials by Emma Hardy especially for green mamas and their green girls.

Have more eco-friendly holiday craft ideas for kids? Please share them in the comments.

Cross-posted on BlogHer.

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Reducing holiday stress for your kids

The holidays are supposed to be “the most wonderful time of the year,” yet for many people they might as well be known as “the most stressful time of the year.” We often think of stress as something that only affects adults, but it can play a significant role in the lives of children as well, especially around the holidays.

There are a lot of changes to children’s routines during the holidays, from visits from unfamiliar relatives to traveling, from an influx of sweets to over-scheduled days and late bedtimes. All of these things can take a toll on the wee ones.

Rather than accept that tears, tantrums and troubles (which are all normal child reactions to stress) are a necessary evil of the holidays, you can follow some tips to keep your kids (and yourself) feeling a bit more carefree. I can’t guarantee there won’t be any tears or tantrums, but it will be less likely to be from stress and more likely to be your typical childhood tears and tantrums.

10 Ways to Reduce Kids’ Stress has some helpful tips such as:

  • Stick with the routine as much as possible. Keep stressful holiday shopping and eating out to a minimum; start preparing for Christmas early to avoid holiday anxiety.
  • Talk to your children about traditions and spirituality. If you believe in Christ, focus on the real meaning of Christmas – and trusting God. If you have traditions, explain why they’ve stayed in your family.
  • Bring a favorite blanket or stuffed animal if you’re staying with family over the holidays. A bit of home will reduce your child’s holiday anxiety.

Another tip they add that I think is really important (and often difficult to do) is:

  • Give ’em time – Allow lots of time so you don’t have to rush from point A to point B, unnecessarily stressing everyone out. Allow time for potty breaks, diaper changes, unexpected car sickness, getting out to stretch, etc.
  • Keep ’em fed – Pack lots of healthy snacks for the kids to eat while you drive/fly.
  • Keep ’em entertained – Pack a variety of toys, games, books, coloring books, markers (Crayola Color Wonder markers and books are great for travel because the color only shows up on the special paper). You can even wrap small presents for the child to unwrap on the way. You might also consider investing in a portable DVD player so the child(ren) can watch a movie here and there.
  • Keep a good attitude and your sense of humor and your children will likely follow suit.

There are more Tips for Airplane Travel with Small Children at Mother Words.

Another tip that I really like is to learn relaxation techniques with your children. This will serve you both well during the holidays and throughout the year. The article Holiday Stress! Are children affected? states:

Colds are contagious and so is stress. Children are affected by stress of their own and pick up on family stresses. This includes holiday stress. So how do we promote calmness in our family and increase our chances of staying healthy during the holidays?

The Mental Health Association recommends counteracting stress by maintaining a positive outlook, focusing on activities that take your mind off your worries and taking time to relax.

Instead of telling your child to go “calm down” this holiday season, I invite you to give them the tools they need to manage stress and anxiety. Introduce your children to breathing, visualizations and affirmations during this holiday season.

All you need to do is read a relaxation book to your child that shows them how to manage their own energy, stress and anxiety. Play a guided imagery CD that’s creates calming images. Sit down and write affirmations with your child. Make it fun by hiding your positive, calm statements in your pockets or under your pillows. Take time to look in your children’s eyes as they speak to you. Try it for 10 minutes a day. Sit still and hold their hand as you listen to holiday music. Watch the ripple effect of calmness as it makes its way through your family.

In Midwest Moms’ post How to Avoid Thanksgiving Stress, she has some suggestions on how to make introductions between your kids and unfamiliar relatives a little less stressful for the kids.

I have found it is best to give children a chance to “make friends” with new relatives in whatever way they are most comfortable. Sometimes that means that it will take time to warm up to someone new.

When you are introducing someone to your child, do so in a way that reveals important information about the new adult — not potentially embarrassing information about your child. Saying, “Aunt Doris used to fly airplanes!” can intrigue your child and get them to ask questions.

We usually make the introductions easier on our kids in two ways. We arrive early, so they’re meeting people one-at-a-time. And we arrange to meet relatives we know well and all walk in together. It can be a lot less intimidating to meet people when you are already surrounded by friends.

In Jolene Park‘s recent guest post on Mile High Mamas called Beat the Holiday Stress, she suggests the use of Rescue Remedy both for adults and kids (and even pets). Jolene notes, “Rescue Remedy is part of the Bach Flower essences, which are extracts from flowers and used to balance emotions. They can be purchased in any health food store.” Personally, I’ve used Rescue Remedy for both myself and my children and highly recommend it.

No matter what your plans are this holiday season, try to remember to keep your own stress level down and your sense of humor up and your kids will benefit as much as you will.

Cross-posted on BlogHer.

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Birth plan? Doula? Natural birth? Not here you don’t.

A sign posted at the Aspen OB/GYN Women’s Center in Provo, Utah has many women up in arms. What’s so offensive? Read for yourself.

The sign reads as follows:

Because the Physicians at Aspen Women’s Center care about the quality of their patient’s deliveries and are very concerned about the welfare and health of your unborn child, we will not participate in a “Birth Contract”, a Doulah Assisted, or a Bradley Method delivery. For those patients who are interested in such methods, please notify the nurse so we may arrange transfer of your care.

I first learned of this sign from Naomi, the Denver Doula, who posted it on Facebook. Being a doula (which is misspelled on the sign) herself, she took a particular interest in it. When she called the Center and inquired with the receptionist as to why the sign was posted she was told, “in case there is an emergency we don’t want anyone to get in the way of the doctor doing what he has to do.”

Annie from PhD in Parenting was inspired by the sign to write How Not To Have a Natural Birth and believes the center might as well have said:

Because Physicians at Aspen Women’s Center care only about doing things their own way and making as much money as possible from unnecessary birth interventions, even if it poses greater risks to the welfare and health your baby, we will not participate in a “Birth Contract”, a doula-assisted, or a Bradley Method delivery. For all patients who have done any research into having the safest birth possible, please notify the nurse so that we can transfer you to a facility that cares less about control and money.

Annie added, “I guess we can at least credit them with warning women in advance. Many hospitals with the same attitude don’t have a sign hanging out front.”

Amber responded, “I always thought the big ‘trust birth’ poster in my midwives office was a little cheesy. Now that I’ve seen the alternative, I think it’s truly marvelous. Really.”

Miriam Zoila Pérez of Radical Doula wrote a post called Signs You Don’t Want to See at Your OB-GYN’s Office. She believes the sign could be translated to say:

We don’t care at all what you want as a parent, or a person in labor. We want a patient who will sit quiet and do what we say–no matter what. Oh and if you have a partner you want involved, tough. Your desires don’t matter.

Miriam adds, “They should change the name of the center to the ‘Unborn Children Center’ since they don’t seem to care too much about the women involved.”

A commenter named Janna responded saying, “That’s what bothered me most about this hateful little sign–not once is the “welfare and health” of the MOTHER mentioned, just the “welfare and health” of the “unborn child” and the “quality” of the “deliveries.” Who would want to give birth in a place where they’re the lowest priority on their caregiver’s list? I hope women in this area have other options and the opportunity to have safe, healthy, supportive births.”

Does no doula, Bradley Method birth or birth “contract” equal no women’s rights?

Summer who writes at Wired for Noise says signs like this one and stories like the lack of choice with regard to our reproductive health and doctors’ personal “birth plans” make her sometimes think Doctors Hate Women.

What does it say when women have to escape, have to run away in order to do something as normal as give birth? What does it say when women are treated like children, talked down to, insulted, lied to, and handed letters telling them what the god-head doctor will allow or not allow. When all you want to do is give birth and you’re doctor is more concerned with telling you to sit down and shut up, what is that if not hatred?

I have to agree with Annie that at least some doctors are upfront with what they will and won’t “allow” as part of their practice. Kudos to them for being honest. Hopefully that will allow women to look for another care provider while she’s still early in her pregnancy.

Rest assured if the OB/GYN I had at my daughter’s birth would have given me a piece of paper with her “rules” or had a sign posted like that at the Aspen Women’s Clinic, I would have found another care provider pronto. Instead, however, she paid me lip service and acted like she cared about my birth plan (though she didn’t act very well and that should have been a big clue for me) and said we could “try” Hypnobirthing, etc. However, when push came to shove (no pun intended), it was her way or the highway. I had my healthy baby girl at the end of it and for that I am truly thankful, but I also got a lot more than I bargained for (and not in a good way). Then again it was that experience lead me to pursue a home birth for my second child and become a home birth advocate.

Although I admire the Aspen Women’s Center’s honesty, I find it truly offensive that they imply that if a woman wants a doula, natural birth, or has a birth plan, she is not concerned with the welfare and health of her baby (so much more personal than “unborn child” don’t you think?) or is even putting her baby’s life at risk. Studies have shown that when doulas attend birth, labors are shorter with fewer complications, babies are healthier and they breastfeed more easily. And how exactly is choosing a Bradley birth not good for the health or welfare of the baby? “Bradley® classes teach families how to have natural births. The techniques are simple and effective. They are based on information about how the human body works during labor. Couples are taught how they can work with their bodies to reduce pain and make their labors more efficient.” What about a birth plan or “contract?” Is that harmful to the “unborn child?” The American Pregnancy Association suggests, “Creating a birth plan can help you have a more positive birth experience.”

There are other things I find offensive as well, like Janna mentioned above, the mother does not seem to be included in the equation at all. Is there any concern for her “welfare and health?”

Who’s time money welfare are they really concerned with? I’ll let you draw your own conclusions. I’ve obviously already drawn mine.

Cross-posted on BlogHer.

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Running and Recovery – Just for Today

About eight months ago I had a turning point in my life. Instead of hiding from and burying my fears – a trait I’d gotten very good at over the years – I began to learn to face them head on. In addition to therapy and medication, I recently discovered two more things I want and need to do to take better care of myself – the first is getting regular exercise and the second is attending a 12-step program (for friends and families of problem drinkers).

Photo courtesy of chriskoning_gr
Photo courtesy of chriskoning_gr

Knowing that exercise would be beneficial to both my physical and mental health, I decided to start the Couch to 5k program – walking/running sessions of 20 to 30 minutes three times a week, which allow you to work up to running a 5K at the end of two months. (I figure if I write about it I’ll be more likely to follow through with it, accountability and all that.)

I should stop here to say I am not a runner. I’ve never been very fond of running and recall dreading having to run “the mile” in gym class my freshman year of high school. I developed a pretty nasty case of shin splints (probably from running in Keds, but c’est la vie). However, recently I’ve been inspired by several of my friends, also in their 30s, who have taken up running. Heather and Nicole both just ran their first 5k – The Race for the Cure. Alison has also taken up running. Julie recently confessed her “drug” of choice in dealing with depression – exercise – and she ran a half marathon this past weekend. Then there’s Sonja my triathlete friend who’s ran, biked and swam in more races than I can count.

While running isn’t something I usually enjoy, I want to give this a try, a real try.

I did my first session early Sunday morning – a five minute brisk walk followed by alternating between running for 60 seconds and walking for 90 seconds for 20 minutes. The weather was about perfect, sunny and warm, but not too warm, and it felt good to get out of the house alone, doing something good for myself. It wasn’t easy, but it wasn’t impossible.

As I ran my thoughts wandered to the 12-step meeting I recently attended. I thought about the parallels between running and recovery – both my recovery from Generalized Anxiety Disorder and my recovery of being an adult child of a dysfunctional family and the relationships I’ve had with addicts over the years. Both running and recovery require patience. Both running and recovery require perseverance. Both running and recovery can be overwhelming at times, but you have to focus on one day at a time, one run at a time, even if it’s just for 60 seconds.

I did my second running session on Wednesday morning. It was the complete opposite of Sunday, rainy and cold. I wore my jacket with the hood up and gloves on to keep my hands warm. I stayed pretty toasty except for my legs, which froze. (I’ve since learned of base layer tights which I am going to have to buy, especially if I’m going to be running through the winter.) My glasses were covered in rain drops and fogged up as my body temperature rose. There were lots of fallen wet leaves and branches on my path. Again, it made me think about my road to recovery. Some days the sun is shining and the path is clear and everything seems right on target and other days there are clouds and fog, it’s cold and the obstacles on my path make it easy to lose my footing.

Whether I am running or working on bettering myself mentally and emotionally, the challenges will always be there. It’s not always easy. It’s often hard work. I can’t prepare for every obstacle, but I can learn to let go of my desire to control everything. I can go with the flow. I can do my best.

When I’m running, I try to concentrate only on getting through that particular 60 seconds of running. I don’t think about running a 5k in a few months. I don’t think about running for 10 minutes at a time or even 5 minutes at a time. I do my best to stay in the moment and focus on those 60 seconds. (It reminds me a lot of labor and giving birth actually.) Just like in my life, I can’t wonder what the future will hold, but I can live in the now.

There’s a daily meditation that’s part of the 12-step programs that begins “Just for today I will try to live through this day only, and not tackle all my problems at once. I can do something for twelve hours that would appall me if I felt that I had to keep it up for a lifetime.” I’ve been thinking about that a lot lately (and in the past it would seem) and it really sums it all up for me. Yes, I want to be able to run a 5k someday, but just for today I will focus on getting through those 60 second intervals at a time. Yes, I want to be healthy emotionally and mentally someday and perhaps not need therapy or medication, but just for today I will stay present and do my best. Slow and steady wins the race.

Other women who have done or are working on the Couch to 5k (C25k):

Cross-posted on BlogHer

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