Portrait of a Home Birthing Couple: Guest Post

I’m currently on hiatus from blogging (read more about the reasons why), but want to continue to provide interesting and insightful content on my blog in the meantime. For a while I will have guest posts from various bloggers interspersed with posts by me when I am moved to write. Thank you for your understanding. — Amy (CDG)

This guest post comes from Courtney who blogs at A Life Sustained.

Portrait of a Home Birthing Couple

If you had asked me a year ago to envision a “home birthing couple” I probably would have described a pair of long-haired back-to-the-land hippies living in a cabin in the woods and shunning any and all medical advances. That, or some sort of religious extremists. I definitely wouldn’t have described myself or my husband, we’re far too run-of-the-mill, but that’s exactly what we’ve become. As of this February we have become a home birthing couple.

I’ll fully admit that I never really gave much thought to what my birth experience might look like. I assumed that I would go to the hospital, scream a lot like they do on TV, and then be handed a swaddled little bundle o’ joy. But by the time I got around to seriously considering having a child, my life had begun to change in much larger ways. After a quarter century or so of flitting from one thing to another, never having a real job, and pretty much just coasting through life, I decided that that was no longer how I wanted to live. I was desperate for something deeper. More meaningful. I wanted to take more responsibility and make actual decisions rather than just falling into the next stage. Words like “mindful,” “sustainable,” and “deliberate” took on new and profound meanings for me. All elements of my life were suddenly under a critical lens and my plans for childbirth were no exception.

My mother was 30 years old when she gave birth to me. She wasn’t particularly planning on having a natural birth, but ended up with one because the window of opportunity for any drugs had already closed. After a very short labor, I was handed to her still covered in vernix and she had an intense urge to lick me clean. She held me to her chest, drank in my new-baby smell and was immediately ready to have another one, she said. This is the story of my birth and it has completely shaped my notions of what a “normal” birth looks like. I thought that all births looked this way.

It was at a fundraiser for my local women’s clinic that I saw the film The Business of Being Born. It didn’t necessarily convince me that I wanted to birth at home, but it did show me that I had made a lot of assumptions about attitudes and practices towards birth in the hospital setting. It also made me realize that if I thought my birth experience was an important thing, and I did, then I needed to take responsibility for that experience, educate myself, and come up with a plan.

After much, much reading and visiting with other soon-to-be-mamas, I took the easy way out. That’s right. I chose a home birth because, for me, it was the easy option. I knew that I wanted a natural water birth. I also knew that I cave easily under pressure and all it would take would be a stern word from anyone in a white coat and I would abandon my plan. Even just a “why don’t you get that epidural, honey,” I knew, would cause me to falter and I just didn’t want to deal with that pressure. I talked it over with my husband, who, although skeptical, trusted me to make an informed decision and was willing to surrender to the fact that I was the one giving birth and so I should be the one to have the final say in where that birth took place.

Not too long after I turned 30, I got pregnant. And I panicked. What should I do? Who should I call? I didn’t even know how to go about finding a midwife who would attend a home birth (Direct Entry Midwives, those who usually attend home births, cannot legally practice in my state, making finding care a bit more challenging). I did, however, remember that a friend of a friend was a doula (a word whose definition I didn’t even know a year prior). Even though I didn’t know her very well at that time and I am incredibly shy, I contacted her, shared our good news, and begged her for help. She, like most midwives and doulas that I’ve met, was incredibly kind and compassionate and she set up a time for us to meet with her and the midwife with whom she works.

We met in the warm and welcoming environment of her home and I knew immediately that these two women (well, and my husband) were the only people that I needed next to me when I went into labor. I didn’t need time to think it over. It just felt right.

Over the next nine months they provided in-depth and personalized care. There was no waiting in waiting rooms and each appointment lasted at least an hour. During this time, the midwives did all that would be done at a prenatal appointment at the hospital (check weight, blood pressure, urine, listen for fetal heart tones, etc.) plus a lot of time was spent giving full answers to our many questions. A lot of time was also spent laughing. These women were fun and they helped me to see that labor, although an intense experience, could actually be enjoyable, something to look forward to, and nothing to fear.

I should have known that I would soon be going into labor because I stereotypically cleaned my house from top to bottom. I justified this uncharacteristic behavior, however, with the fact that we had a prenatal the following day and I didn’t want the midwives to see just how lackadaisical we really were with housework. At 1:00 A.M. I woke up with contractions, although I didn’t really recognize them as such. I was more annoyed than anything because for the first time in three months I was actually comfortable and was having a fantastic night’s sleep, but then these cramps just kept waking me up.

In denial that this was it, I labored alone for three hours and let my husband sleep. When I finally needed some help coping with the contractions I woke him up. Even at that point I didn’t really think that I would be giving birth that day. My contractions were 5 minutes apart and a minute long, so we called the midwife to let her know. Normally this would be the point when things are just getting rolling, but when she heard the vocalizations I was making, she said that she would be right over.

Because I was at home I was able to move around as I wanted. I spent most of my time in a half bend over a waist-high dresser, but also spent some time on the floor and kneeling on the bed. I felt completely free to make as much noise as I needed to (which turned out to be quite a bit) without feeling self-conscious. I believe both of these things were really key in how quickly and easily I dilated. I felt safe and my body took that as permission to do what it needed to do.

My water broke three hours later after which I got into the tub and after two hours of pushing my son was born and laid naked on my chest. He was perfect and I was without words. I’m pretty sure the first thing I said was, “it’s a baby!” and of course, I cried.

Throughout most of the labor my midwives mostly just stayed out of my way. They offered constant reassurance and support, but they let me move and proceed as instinct dictated, offering gentle suggestions on how to modify what I was already doing to make it more effective. They monitored the safety of the situation, intermittently checking fetal heart tones and came prepared with emergency equipment. At no point did I ever feel that this wasn’t a safe decision. I was confident, and I still am, that birth is a natural process that our bodies are perfectly designed to cope with.

For the 90% of pregnancies that are low risk, like mine, birthing at home is such an opportunity. It was an opportunity for me to find out how strong I am. To share an intimate experience with my husband. To bring my son into the world in a manner that was calm, gentle, safe, warm, and loving. After we were all cleaned up, the midwives tucked the three of us into bed, made us breakfast, and started a load of laundry. They came back to the house to check on us (Housecalls! I didn’t have to figure out how to transport a newborn to the doctor’s office in the dead of winter!) the next day and again at one week, two weeks, and six weeks.

Our home birth was such a positive experience, but it was also so…normal. When people ask us about it, I think they expect to hear some long nail-biting tale in which we “almost didn’t make it” or for me to start talking about what a moon goddess that I am. They are always surprised by how simple and straightforward the whole thing was; exactly as it should be.

Courtney is a Midwestern mama who is striving to create a home that is simple, mindful, and full of nature and beauty. She is passionate about treading lightly on the Earth, supporting local craftspeople, and all things natural and handmade. She blogs about her transition to living a more sustainable life as well as her transition to motherhood at A Life Sustained.

Don’t miss a single CDG post, subscribe to my blog.

Stress of Parenthood: Guest Post

I’ve decided to take a little break from blogging (read more about the reasons why), but wanted to continue to provide interesting and insightful content on my blog in the meantime. I asked for help and my tribe answered my call, so for a while I will have guest posts from various bloggers interspersed with posts by me when I am moved to write. Thank you for your understanding. — Amy (CDG)

Today’s guest post is from Nancy Massotto, the founder and executive director of the Holistic Moms Network.

Stress of Parenthood

You startle awake in the middle of a deep sleep. Your heart pounds. You listen closely. You hear motion, coughing, maybe a cry for help. Or nothing at all, but your body is on alert. Perhaps you listen for your teen arriving home safely. Your mind races. Anxiety attack? Insomnia? No, just another night of parenthood. Yes, parenthood. Ever notice how parenting can put your body into a state of stress or crisis? Perhaps the noise volume in your home leads to a tension headache. Sleepless nights provoke adrenal overdrive. A tantrum-prone two year old leads to seriously frayed nerves.

Being a parent is no easy job. In fact, having a baby has been ranked as high as sixth out of 102 stressful life events (Dohrenwend et al. 1978). And it can make you feel like you’re in state of crisis. It can provoke a physiological stress response that throws your body out of equilibrium, physically and emotionally. Chronic parenthood stress differs from acute traumatic stress from sudden disasters, accidents, or crimes but impacts the body in powerful ways nonetheless.

As Melanie Merola O’Donnell of the National Organization for Victim Assistance explains, “Chronic stress is one that occurs over and over again – each time pushing the individual toward the edge of his or her state of equilibrium, or beyond.” Scientists have long believed that when your body experiences stress, you react with a “Flight-or-Flight” response designed to mobilize your body into actions. During this time, your adrenalin pumps, your physical senses become more acute, your heart rate increases, and your breathing patterns may change. If this stress is prolonged, exhaustion and burnout are inevitable.

Interestingly, though, newer research shows that men and women tend to experience stress responses differently. The classic “Flight-or-Fight” response appears to be prevalent among men, while women react to stress with what researcher Shelly Taylor et.al. of UCLA describes as a “tend-and-befriend” response. As Taylor states, “Tending involves nurturant activities designed to protect the self and offspring that promote safety and reduce distress; befriending is the creation and maintenance of social networks that may aid in this process.” As such, women gravitate towards social support, characterized by tending to young children and allying with those around them to increase their likelihood of survival and success in stressful situations.

The benefits of social support are huge, both for those experiencing acute, ongoing stress and those in traumatic crises. Having a strong social support network can help you through the difficult times, as well as strengthening your day-to-day coping mechanisms that empower you to manage routine challenges. In addition to building emotional support, love, trust, and understanding, social support groups embrace communication and create a space where people can share experiences and ideas on a personal level and can begin to integrate them. Social support networks, like the Holistic Moms Network, can offer emotional, informational, and instrumental support, and can open up an opportunity for reassurance and to make awareness raising more sustainable – ideas are reinforced and validated. Participation in social support is – in and of itself – also linked to lower rates of depression and psychological distress.

Social connection, both formally and informally, can create physiological well-being and enhance our quality of life. The more diverse one’s social networks, the greater the benefits. Social support can range from an impromptu coffee break with a friend to a formal meeting of a social group or hobby club that you participate in. Connecting on many levels, with friends, co-workers, family members, and individuals who share a specific cause or passion, increases your well-being and reduces stress. Making such connections a priority will help stave off long-term chronic stress exhaustion and help you to regain your equilibrium.

Our guest post today is by Nancy Massotto, the Founder and Executive Director of the Holistic Moms Network, and mother to two boys. She holds three graduate degrees, including a Ph.D. in political science, specializing in gender studies and feminist theory.  Before founding the Holistic Moms Network, Dr. Massotto spent several years working for non-profit research institutes, including the Women’s Research and Education Institute (WREI) and the International Center for Research on Women (ICRW), while residing in the Washington, D.C. area.  She is passionate about empowering women, supporting mothers, and raising her two sons as naturally and sustainably as she can.

Photo credit: Flickr English106

Don’t miss a single CDG post, subscribe to my blog.

The Last Time I Breastfed: Guest Post

I’ve decided to take a little break from blogging (read more about the reasons why), but wanted to continue to provide interesting and insightful content on my blog in the meantime. I asked for help and my tribe answered my call, so for a while I will have guest posts from various bloggers interspersed with posts by me when I am moved to write. Thank you for your understanding. — Amy (CDG)

Today’s guest post comes from Amber who blogs at Strocel.com.

The Last Time I Breastfed

Every morning, now, I look at the calendar and take note of the date. Because every day could be the last day I ever breastfeed my son Jacob. And maybe the last day that I ever breastfeed for the rest of my life. My second-born is weaning, and while I have pangs, there aren’t any more babies on the horizon for me right now.

I breastfed Jacob’s big sister, Hannah, until she was almost three years old. A whole lot of factors led to her weaning, including my desire to conceive again (I wasn’t having much luck), my increasing physical discomfort as my milk supply dwindled, and my belief that Hannah was ready to move on. I took a fairly active role in the process, which happened over a number of months.

I still remember the last time that I nursed Hannah. It was December 22, 2007. Some part of me likes that I know that date, and remember the occasion. Breastfeeding played a big part in my relationship with my daughter in her early years, and it feels fitting that I marked its conclusion, as well as its beginning. I want to do the same thing with my son. I don’t want breastfeeding to pass away without notice, even though that’s exactly what seems to be happening.

Having a snack at the midwives picnic
Breastfeeding my daughter Hannah at a picnic

Jacob is 31 months old, right now – three full months younger than Hannah was the last time that she breastfed. I didn’t expect I would be here so soon with my son, to be honest. Most of my friends and acquaintances nursed their second babies as long or longer than their first. I’m not trying to get pregnant right now, and I have less angst in general over the state of my breastfeeding relationship with Jacob. I thought I would nurse him until his third birthday, at least.

But Jacob, as it turns out, is a different person altogether than Hannah. He’s gradually decreased his nursing all on his own. When he asks to nurse and it’s not a good time, he’s much faster to accept an alternative like a drink of water or a cuddle. There are no tears when I decline his request, no existential anguish bubbling to the surface. He’s a pretty easygoing kid, and he’s moving on to the next phase of his life without a lot of fuss.

I’ve breastfed for the past 6 years, with a break of a little under eight months during my second pregnancy. As I contemplate the potential conclusion of my nursing career, I feel a little wistful. Can it really be possible that I’m not pregnant or breastfeeding? That I am no longer the mother of a nursling? Is this the last gasp of babyhood leaving my family? I’m not sure I’m ready to close this chapter in my life.

Jacob nursing
Nursing Jacob as a baby

And yet, when I consider Jacob’s imminent weaning, I don’t feel sad. I feel remarkably content. For him and for me, this feels like a fitting end to our breastfeeding relationship. We’re both moving towards it in our own way, and at our own pace. He’s ready, and I’m ready. I’m ready to have my body entirely to myself for the first time since I conceived my daughter almost seven years ago. I’m confident that I have given my son the best start I could, and that he has gotten what he needed out of breastfeeding. I don’t feel a need to encourage him back to the breast or prolong our time as a nursing pair.

And so, again today, I looked at the calendar. He nursed once, and I tried to remember the details. Where were we? What was it like? Will this be the last time? I memorize as much as I can, in case Jacob doesn’t breastfeed tomorrow, or the next day, or ever again. If this is the last time, I don’t want to forget it.

I’d love to hear about your own weaning experience. What was it like for you? Do you remember the last time you nursed, or not? Were you happy with how things ended? Please share!

Amber is a crunchy granola mama who lives in suburban Vancouver with her husband and two children. She blogs at Strocel.com, and she runs an online course for moms about living with intention and passion at Crafting my Life.

Don’t miss a single CDG post, subscribe to my blog.

Emerging from the fog of depression

“It is better to light one small candle than to curse the darkness.”
— Eleanor Roosevelt

It’s been six weeks since I last blogged. Six. Weeks.

I’d like to say I spent the last six weeks doing something terribly exciting or productive – like taking a European vacation or building a chicken coop or perhaps an entire barn – but the reality is I didn’t do much at all.

I was tired.
I slept. A lot.
I couldn’t focus.
I existed.
I stayed afloat.
But most importantly, I began to wonder if something might be wrong with me.

I’ve been living with generalized anxiety disorder for a couple years now (at least since I was diagnosed), but I’ve never been diagnosed with any other mental illness. I may have had some situational depression in the past, but I muddled through and it always passed.

Although I’ve been seeing a therapist regularly for a while now — especially since my sister died — it wasn’t until I started talking with some friends that I realized I might be depressed. At my worst, I slept in four hours past when my kids got up because I just. couldn’t. get. out. of. bed. I took a nap one day while they played in the backyard. Yes, we have a fence and they were safe, but if something would have happened I would’ve been clueless. Despite thinking about this as I laid in bed about to fall sleep, I didn’t care. It was that feeling of being so tired I honestly didn’t care about my kids’ well-being that triggered something in my brain to think perhaps something was amiss. I’m not generally the type of parent who just “doesn’t care.” Sure I have my “bad” days like anyone else, but this was more than a bad day. I honestly was neglecting my kids on a regular basis and I didn’t feel I had the ability to do anything to change it. I felt lazy and like a failure.

I began to think perhaps I had anemia again since I felt so tired. As I did some online research, I began to look at possible reasons for excessive sleep. Depression popped up. Although I had several factors in my life that could contribute to me being depressed — my sister dying, my dog’s failing health for two weeks which culminated in having to euthanize her, and several other things that I’m not able to blog about — I figured since I wasn’t crying all the time, I wasn’t depressed. After taking a quiz from WebMD and receiving the results, “Your answers are similar to what individuals suffering from major depression usually provide,” I decided to talk to some friends about it.

“Take the first step, no more, no less, and the next will be revealed.”
— Ken Roberts

My friends — who’ve had experience with depression themselves — encouraged me to call my therapist and tell her what was going on — the sooner the better. I decided to email her and told her the same things I told my friends and that my friends thought I should contact her. She spoke with my doctor and they agreed that I was having classic signs of depression and suggested I increase my anxiety medication (Zoloft) by 50 milligrams. I was hesitant to increase it that much and told her I prefer to take an additional 25 mgs first for a few days and then do 50. She said she talked to the doctor and he didn’t think I would have any side effects since I already had the drug in my system and it would only help me start to feel better.

The next morning, which was March 21, I took my new dose. I also had acupuncture that morning (another thing I’ve been doing regularly to try to combat my migraines). I began to feel an almost immediate improvement in my mood. I was no longer tired all the time. I wanted to plan things to do with my kids. Over the course of the next week, I got out in the yard and did a bunch of clean-up work. I signed the kids up for swimming lessons. I began caring about my blog again. I got my hair cut (it had been more than four months since my last cut). I have the motivation to start exercising again, to cook dinner more regularly, to plan a family vacation, to think and care about the future.

I’m not sure when the depression started — it was definitely a gradual buildup starting after my sister died — but I feel so very fortunate I was able to recognize some of the signs and connect the dots with the help of my friends and my therapist. It had really gotten to the point where it was no longer manageable. Now that I’m on the right dose of medication for me for right now, there’s a light at the end of the tunnel. I don’t feel hopeless or simply disconnected from my life. I can live it again.

I’ve worried in the past about “needing” to take medication to treat my anxiety. It was absolutely not my first choice, but after trying many other things I realized it was the right choice for right now. I don’t know that I will ever go off medication for anxiety/depression, but that’s not something I have to worry about right now. Right now I know that it’s helping me be a functional person and an attentive parent and that’s good enough for me.

In the past week I’ve noticed a significant improvement in how I feel and am able to function. My days aren’t perfect now, but I’m not shooting for perfection. I am hopeful. I am finding more joy in my life. I am excited to do things with my kids again. I am excited for spring and gardening and baby chickens! I still miss my sister like crazy. I don’t think that will ever change. But I’m able to live. To quote Robert Frost, “In three words I can sum up everything I’ve learned about life. It goes on.”

I’ve added the symptoms of depression below. If you think you may have depression, I strongly encourage you to talk to your doctor.

And now for a bit of bloggy housekeeping:
Moving forward on my blog, I will have some guest posts from various wonderful bloggers while I continue to blog as I can. Just wanted to give you a heads up that it won’t be all Amy all the time, or as has been the case for the past six weeks, NO Amy all the time. 😉 I am grateful these bloggers have chosen to share their posts with me. If you have a post you think would work well on my blog, feel free to email me: crunchydomesticgoddess AT gmail DOT com. Thank you.

Detecting Depression from WebMD

According to the National Institute of Mental Health, symptoms of depression may include the following:

  • difficulty concentrating, remembering details, and making decisions
  • fatigue and decreased energy
  • feelings of guilt, worthlessness, and/or helplessness
  • feelings of hopelessness and/or pessimism
  • insomnia, early-morning wakefulness, or excessive sleeping
  • irritability, restlessness
  • loss of interest in activities or hobbies once pleasurable, including sex
  • overeating or appetite loss
  • persistent aches or pains, headaches, cramps, or digestive problems that do not ease even with treatment
  • persistent sad, anxious, or “empty” feelings
  • thoughts of suicide, suicide attempts

Depression carries a high risk of suicide. Anybody who expresses suicidal thoughts or intentions should be taken very, very seriously. Do not hesitate to call your local suicide hotline immediately. Call 1-800-SUICIDE (1-800-784-2433) or 1-800-273-TALK (1-800-273-8255) — or the deaf hotline at 1-800-799-4TTY (1-800-799-4889).

Photo credit: Flickr: jronaldlee and aidanmorgan

If you enjoyed this post, please subscribe to my mailing list.

* indicates required



Women in Control of Epidural During Labor Use 30% Less Anesthesia


Epidurals have become the “drug of choice” in maternity wards across the United States. As of 1997, “nearly two-thirds of all women who give birth in hospitals with high-volume obstetric units had an epidural during labor. In many hospitals, epidural analgesia is routine and is provided to more than 90 percent of all women who are in labor in that hospital.” Yet epidurals are not without potential risks for both mother and baby, which is part of the reason the findings from a new study on laboring women are so promising.

new study reports laboring women given control over their epidural anesthesia resulted in a 30 percent reduction of the amount of anesthesia used and were “basically as comfortable” as women on a continuous dose. Researchers also report a trend toward fewer deliveries that required instrument assistance, such as forceps, in the patient-controlled group.

Dr. Peter Benstein, a professor of clinical obstetrics and gynecology and women’s health at Montefiore Medical Center and Albert Einstein College of Medicine in New York City, said:

“My personal belief is that epidurals tend to slow labor down. So, if you can get away with less medication with patient-controlled analgesia, I think it’s a wonderful thing.”

“And, it’s not a surprise to me that women used less anesthesia. If you can titrate your own medication, you’re probably not going to give yourself a lot. An anesthesiologist will tend to give you a little bit more because they want to make sure there’s no pain.”

The author of the study is Dr. Michael Haydon, a perinatologist at Long Beach Memorial Medical Center in California.

Generally, epidural anesthesia is given on a continuous basis, according to Haydon. But patient-controlled devices that can control delivery of the anesthesia are widely available, he added. Patients are given a button to push when they feel they need more medication. The devices are programmed to only provide a specific amount of medication for specific time periods to ensure that people don’t give themselves too much.

The study randomly selected first-time mothers for one of three groups: “the standard dose given as a continuous infusion; a continuous infusion with an additional patient-controlled option; and patient-controlled anesthesia only.” The first group used an average of 74.9 mg of anesthesia during labor. The second group used an average of 95.9 mg, while the patient-controlled group used the least anesthesia of all, an average of 52.8 mg, according to the study.

Women in the patient-controlled group did report slightly higher pain scores when they got to the pushing part of the delivery, but also reported being satisfied with their pain relief overall.

Women’s Views On News says:

This is good news because epidurals, despite having made labor more bearable for scores of women, have their pitfalls: they can lead to prolonged labor and an increase in vacuum and forceps deliveries. They can also result in more C-sections, which is far from ideal.

Rebecca on Babble writes:

Less meds with the same level of relief? What’s not to like here? A lower dose of medication with adequate pain management would benefit both moms and babies. I find this study so exciting because it opens up new possibilities for women as active participants, not just passive patients, in hospital births. It’s ideas like these that may help us progress toward a hospital birth model that takes into account the needs of both babies and the mothers who give birth to them.

Laura Nelson at Think Baby writes about the study’s findings and how they might impact maternity care in the United Kingdom.

Patient-controlled epidural analgesia is currently only available in one-fifth of hospitals in the UK due to the expensive costs of the equipment needed. Experts are now looking into whether the positive effects outweigh the costs.??“The technique reduces the need for anaesthetic which in turn reduces the need for forceps delivery – and it gives women a feeling of control. The question is whether the small clinical advantages are enough to justify the cost of new equipment and staff training,” Dr Elizabeth McGrady, a honorary clinical lecturer in anaesthetics at Glasgow University said to the BBC.

Personally I’m all for empowering women to be, as Rebecca said, “active participants” in hospital births. Although I did not have an epidural with either my daughter’s hospital birth or my son’s home birth, there was a point during my induced labor with my daughter that an option like this would have appealed to me (had I not had complications including low platelets that prevented me from getting an epidural anyway). I hope this study leads to hospitals adopting patient-controlled epidurals as standard practice for women who choose to have epidurals.

Related links:

  • Over at Women’s Health and Pregnancy, there’s an informative post with diagrams and pictures about how an epidural is given, as well as the pros and the cons.
  • At Anticipation and Beyond, there’s another informative post about the dangers of epidurals. The author writes, “This blog isn’t to insult those who have made this choice, but to increase your knowledge, so you can make informed choices for the future.”

Photo credit: Women Health and Pregnancy

Cross-posted at BlogHer

Don’t miss a single CDG post, subscribe to my blog.

Booby Traps Set Up Breastfeeding Moms for Failure

Many mothers start out with the best of intentions when it comes to breastfeeding. Health experts agree that “breast is best” and the benefits of breastfeeding for both the baby and the mother are numerous. Yet while a lot of people give lip service to the importance of breastfeeding, there isn’t a lot of support for women once they make the decision to breastfeed. In fact, our society offers very little support to breastfeeding moms and often sabotages breastfeeding altogether.

How many times have you heard about a mom being told to cover up her nursing child on an airplane or at an amusement park or at a store or at a restaurant or even asked to leave or had the police called on her? How many times have you seen formula ads in parenting magazines and on television? How many times have you read a magazine article giving incorrect breastfeeding advice (or should I say formula advice) or heard of a well-intentioned pediatrician giving parenting advice that compromises the breastfeeding relationship? Has a can of unwanted infant formula ever mysteriously appeared at your doorstep?

The examples above all have one thing in common – they are Breastfeeding Booby Traps. Best For Babes (a non-profit that believes “ALL moms deserve to make an informed feeding decision and to be cheered on, coached and celebrated without pressure, judgment or guilt, whether they breastfeed for 2 days, 2 months 2 years, or not at all”) describes Breastfeeding Booby Traps asthe cultural and institutional barriers that prevent moms from achieving their personal breastfeeding goals.”

Some Booby Traps include:

  • sending moms home from the hospital with a “gift bag” of formula,
  • having family and/or friends who are uncomfortable with you nursing and ask when you are going to give the baby a bottle,
  • or having a pediatrician who is unable to answer your questions about breastfeeding.

This post is not to debate breastfeeding vs. formula-feeding. Parents have the right to decide how to feed their baby. But they also have the right to be presented with factual information and the right to not have their feeding decisions undermined. Best For Babes is working to help accomplish that.

Here are some more Booby Traps that have set the blogosphere abuzz.

Amber from Speak Her Truth wrote Marketing and Breastfeeding, Who Hasn’t Been Duped? and said she is not going “to join in on this back and forth bashing of breastfeeding vs formula feeding mothers.”

As long as we fight amongst ourselves on this one symptom we cannot unite against the disease. The disease of markets that profit solely on the belief that our bodies are not good enough, not good enough to be sexually attractive, not good enough to give birth and not good enough to nourish our babies afterwards. A simple statement that could bring down this entire empire of insecurity: “Not only are we good enough, we are better just the way we are.”

Maya from Musings of a Marfan Mom wrote about Babble’s partnership with Similac – in which Similac sponsors Babble’s Breastfeeding Guide – after first reading about it on PhD in Parenting. Maya said:

You might ask why I care whether a formula company sponsors a breastfeeding portion of a website. I care, because I want women to have a choice in how they feed their children. I care, because women aren’t being given proper information on nursing, which sabotages the attempts of women who want to breastfeed. I care because, believe it or not, formula advertising has been shown over and over again to have a negative effect on breastfeeding relationships. Formula advertising not only affects women’s choices in how to feed their children, whether they are conscious of it or not, but it results in drastically higher costs for families who choose to feed their children formula (who do you think ends up paying for the “free” samples given at the hospital and sent in the mail, as well as all those commercials and Internet ads?). That affects their choice as well.

Tumbling Boobs pointed out its not just parenting websites promoting Similac’s latest marketing ploy and included screen captures of a few medical providers that are actively promoting Similac’s feeding hotline to moms seeking breastfeeding help.

Annie from PhD in Parenting also pointed out that even WebMD’s breastfeeding guide is sponsored by Gerber (which is owned by Nestle). There are six Gerber ads on the page that is supposed to help mothers with breastfeeding! Annie, who said, “There has to be a way to stop this incredibly unethical and predatory infant formula marketing on websites pretending to offer breastfeeding support,” urges her readers to take action and lists a few ways to get involved.

Jem wrote a review of the book The Politics of Breastfeeding (which I will be adding to my must read list). She believes the book should be read not only by nursing moms, but by all women.

Reading the book frustrated me on so many levels. I’ve talked before about Nestle’s marketing practices before, but it goes beyond that. The origins of formula; unnecessary death of babies in both developed and ‘third world’ countries; the undermining of women because we’re “not good enough”/”not reliable enough” to maintain life; the supplementing with formula without permission from mums; the strange habit of separating babies from their mums in hospital, etc.

This book has changed the way I look at so many aspects of birth and infant care.

Taking a more light-hearted approach to the subject is Dou-la-la who’s humorous, but also disturbing post Breast is Best, Sponsored by Simfamil: Don Draper Explains It All For Us is sure to be enjoyed by many a Mad Men fan. Heck, I thought it was awesome and I’ve only watched about 15 minutes of Mad Men.

What is the solution? How do we stop undermining breastfeeding moms?
I think the best start is if formula companies would start following the World Health Organization’s International Code of Marketing Breast-Milk Substitutes. We all know formula exists. We all know where we can get some (even for free), if we so desire. The marketing and the deceit need to stop. If you are upset about the Babble/Similac partnership or the WebMD/Gerber/Nestle partnership, follow Annie’s lead and take action. Let the companies know you disagree with their choices and why and then spread the word.

“Never doubt that a small group of thoughtful, committed citizens can change the world. Indeed, it is the only thing that ever has.” — Margaret Mead

More Breastfeeding Booby Trap Posts:

Photo by benklocek via Flickr

Cross-posted on BlogHer

Don’t miss a single CDG post, subscribe to my blog.

Mom follows her instincts, revives ‘dead’ preemie with Kangaroo Care

After Australian mom Kate Ogg gave birth to premature twins at 27 weeks gestation, her doctor gave her the news no mother wants to hear. One of the twins – a boy – didn’t make it, but that’s just the beginning of this heartwarming story. The doctor – who struggled for 20 minutes to save the infant before declaring him dead – gave the 2-pound lifeless baby to Kate and her husband David to say their goodbyes. Kate instinctively placed her naked newborn son, named Jamie, on her bare chest.

As the grieving parents embraced and talked to Jamie for two hours, he began gasping for air. At first the doctors dismissed it as a reflex. However, the gasps continued more frequently and he began showing other signs of life. Kate gave Jamie some breastmilk on her finger. Amazingly, he took it and began to breathe normally. Kate recalled, “A short time later he opened his eyes. It was a miracle. Then he held out his hand and grabbed my finger. He opened his eyes and moved his head from side to side. The doctor kept shaking his head saying, ‘I don’t believe it, I don’t believe it.'”

The technique which Kate Ogg used to revive her baby – placing the infant skin-to-skin with the mother or father – is known as Kangaroo Care or Kangaroo Mother Care, a practice endorsed by the World Health Organization for use with premature infants. Pre-term and low birth-weight babies treated with the skin-to-skin method have been shown to have lower infection rates, less severe illness, improved sleep patterns and are at reduced risk of hypothermia.

The March of Dimes has a section on their web site called Parenting in the NICU: Holding Your Baby Close: Kangaroo Care, which describes the benefits of the practice.

Kangaroo care is the practice of holding your diapered baby on your bare chest (if you’re the father) or between your breasts (if you’re the mother), with a blanket draped over your baby’s back. This skin-to-skin contact benefits both you and your baby.

Kangaroo care can help your baby:

  • Maintain his body warmth
  • Regulate his heart and breathing rates
  • Gain weight
  • Spend more time in deep sleep
  • Spend more time being quiet and alert and less time crying
  • Have a better chance of successful breastfeeding (kangaroo care can improve the mother’s breastmilk production)

Dr. Jack Newman believes Kangaroo care benefits all babies and believes the “vast majority of babies” should have skin-to-skin contact with the mother “immediately after birth for at least an hour. Hospital routines, such as weighing the baby, should not take precedence.” In his article The Importance of Skin-to-Skin Contact, Dr. Newman states:

There are now a multitude of studies that show that mothers and babies should be together, skin to skin (baby naked, not wrapped in a blanket) immediately after birth, as well as later. The baby is happier, the baby’s temperature is more stable and more normal, the baby’s heart and breathing rates are more stable and more normal, and the baby’s blood sugar is more elevated. Not only that, skin to skin contact immediately after birth allows the baby to be colonized by the same bacteria as the mother. This, plus breastfeeding, are thought to be important in the prevention of allergic diseases. When a baby is put into an incubator, his skin and gut are often colonized by bacteria different from his mother’s.

On About.com, Pamela Prindle Fierro shared that her doctor prescribed Kangaroo care for one of her twins born at 36 weeks when the infant was having trouble regulating her body temperature. She mentions that, “Doctors seem a little bit leery of confirming that kangaroo care is a miraculous cure, but the [Jamie Ogg] story is bringing attention to the practice of kangaroo care. It’s one of those rare medical treatments that has no drawbacks or side-effects and is actually pleasurable.”

On the Informed Parenting blog, Danielle Arnold-McKenny said, “The mind boggles when you read stories like this. A mother instinctively caring for her baby by keeping him skin to skin, even when all hope is lost… and a baby responding to his mothers warmth and touch and voice.”

Danielle mentions that she’s read several stories over the years like this one and linked to a similar story from December 2007, Parents ‘Last Good Bye’ Saved Their Baby’s LifeCarolyn Isbister was given her tiny 20 oz. dying baby to say good-bye. Carolyn instinctively put her baby girl to her chest to warm her up and again, using the Kangaroo Care method, ended up saving her life. “I’m just so glad I trusted my instinct and picked her up when I did. Otherwise she wouldn’t be here today.”

David Ogg said something very similar of his wife Kate’s response to baby Jamie. “Luckily I’ve got a very strong, very smart wife. She instinctively did what she did. If she hadn’t done that, Jamie probably wouldn’t be here.”

Little Jamie and his twin sister Emily are 5 months old now and doing well.

Related Links:

Photo by [lauren nelson] via Flickr.

Cross-posted on BlogHer.

Edited to add: After posting this, I learned that the Oggs, with babies Jamie and Emily in tow, were on the TODAY show this morning telling their story. I chose not to post about it here, but Kate and David spoke on the TODAY show about the trouble they had getting the doctor to come back and check on Jamie after they were fairly sure he was not dead or dying. They eventually had to lie to get the doctor to return. You can read or hear more about that on the TODAY article and video.

Don’t miss a single CDG post, subscribe to my blog.

Raising Awareness about Nestle’s Unethical Business Practices

This isn’t the first time I’ve blogged about Nestle and is likely not going to be the last. I wrote about the company when I first learned about the Nestle boycott. And again when the Nestle Family Twitter-storm took place in 2009. I wrote about Nestle when I compiled an updated list of all of the many, many brands Nestle owns (for people who choose to boycott them). And most recently, I wrote about Nestle when I discovered that they (well, two of their brands – Stouffer’s and Butterfinger) would be one of about 80 sponsors at this year’s BlogHer Conference in New York City.

My goal – throughout all of this – has never been to tell people what they should or should not do. That’s not my place. My goal has always simply been to raise awareness. There will be people who hear about the Nestle boycott and their unethical business practices and they won’t care one way or the other. Or perhaps they just won’t have time to look into it further. I know that and that’s fine. However, there will also be people who haven’t heard about what Nestle is doing and will want to learn more and find out what they can do and that’s where I like to think I can help. I’m a big fan of providing people with information and arming them with knowledge and letting them make their own choices.

So let’s get to it, shall we?

First thing’s first. Yes, I am going to BlogHer this year even though it is, in part, being sponsored by Nestle. I struggled with my decision for days and days, but in the end I decided to use this as another opportunity to raise awareness by blogging about Nestle, talk with people at BlogHer (who express an interest) about Nestle, and encourage BlogHer to adopt ethical sponsorship guidelines for future conferences. I also didn’t feel like letting Nestle control my life. I’m not saying that the people who choose to boycott BlogHer because of Nestle are doing that (one of my best friends is boycotting the conference though will still be in NYC and rooming with me – yay!)  – I wholeheartedly support the women who are boycotting – but it didn’t feel like the right choice for me. I’ve also made a donation to Best for Babes and will make another one after BlogHer. Best for Babes is a non-profit who’s mission is to help moms beat the Booby Traps–the cultural & institutional barriers that prevent moms from achieving their personal breastfeeding goals, and to give breastfeeding a makeover so it is accepted and embraced by the general public. Best for Babes’ Credo is that ALL moms deserve to make an informed feeding decision, & to be cheered on, coached and celebrated without pressure, judgment or guilt, whether they breastfeed for 2 days, 2 months 2 years, or not at all.  ALL breastfeeding moms deserve to succeed & have a positive breastfeeding experience without being “booby trapped!”

Now onto Nestle and just what it is that makes them so unethical. The following two sections are from a post by Annie of PhD in Parenting.

Overview of Nestlé’s Unethical Business Practices

Nestlé is accused by experts of unethical business practices such as:

Nestlé defends its unethical business practices and uses doublespeak, denials and deception in an attempt to cover up or justify those practices. When laws don’t exist or fail to hold Nestlé to account, it takes public action to force Nestlé to change. Public action can take on many forms, including boycotting Nestlé brands, helping to spread the word about Nestlé’s unethical business practices, and putting pressure on the government to pass legislation that would prevent Nestlé from doing things that put people, animals and the environment at risk.

Want to boycott Nestle?

The Nestlé boycott has been going on for more than 30 years and Nestlé is still one of the three most boycotted companies in Britain. Although Nestlé officials would like to claim that the boycott has ended, it is still very much alive. But it needs to get bigger in order to have a greater impact. Nestlé owns a lot of brands and is the biggest food company in the world, so people wishing to boycott their brands need to do a bit of homework first to familiarize themselves with the brand names to avoid in the stores.

If you disagree with Nestle’s business practices, I hope you will join Annie, me and others in raising awareness by Tweeting with the hashtag #noNestle. Let people know that you do not support Nestlé’s unethical business practices. Tweet your message to Nestlé and to others using the hashtag #noNestle. Spread the word.

If you feel so inclined, you might also want to make a donation to an organization that supports breastfeeding, such as La Leche League or Best for Babes.

Tweet your support! Blog your message! Share on facebook!

#noNestle

Don’t miss a single Crunchy Domestic Goddess post, subscribe to my blog.

Preparing for a Wedding vs. Preparing to Give Birth – How Much Time Do You Invest?

I read a Tweet this week by Kristen (@OmahaBabyLady) that made me take pause. She said, “Why will people plan for a year for their wedding but 12 weeks of childbirth classes is too long? WTF?” I’d never thought of it in that way before, but it resonated with me. Many people spend a year or longer planning and preparing for their wedding, but how much time do they spend preparing for the life-changing and life-giving event of giving birth to their child?

Kristen, who is a Bradley childbirth educator and doula, was prompted to Tweet and blog about this after a potential client reacted to the news that the birth classes Kristen offered would be 12 weeks long. “Twelve weeks!,” she exclaimed. “You expect me to spend 12 weeks on something so simple as giving birth?” Kristen was at a loss for words and reflected on this for a few days before she made the analogy between preparing for a wedding and preparing for a birth. She said on her blog Baby’s Best Beginning that she planned for her wedding for more than 15 months, including visiting wedding message boards, interviewing people and spending “countless hours agonizing” over all of the details and says most of the people she knows did/do the same. “Of course at the end of the day all that really matters is that they are able to marry their partner but very few people say ‘well, the minister/priest/rabbi etc. is the expert on marriage I will just do whatever they say in regards to my wedding,’ yet when it comes to birth so many couples simply defer to whatever their doctor tells them is best even when there is no medical evidence supporting those choices.”

So is 12 weeks too long to spend preparing to give birth? Kristen obviously doesn’t believe so. She feels, “When it comes to bringing your child into the world this is truly not a case of less is more.”

Not everyone agrees though. @SybilRyan argues that the two events (wedding and birth) are “not even remotely similar” and shouldn’t be compared. Genevieve is taking Bradley classes now and thinks 12 weeks is too long, but eight weeks would be perfect. “I love my teacher, the other parents, etc., but 12 weeks is a really long commitment when you have so much else to do to prepare for your baby.” @Reecemg who blogs at Metagestation said she took an eight-week class and it was the perfect length. Others, such as Heather who blogs at Christian Stay At Home Moms thinks an intensive four to six hour one-day class would be good, as “its difficult to find time to go to a class 1x per week for 12 weeks.”

Mary, who blogs at One Perfect Mess, said on Twitter, “The length [of the class] probably depends on the quality. For us four meetings was plenty.”

Merry With Children also commented on Twitter and said, “I know there are things to learn but so much of it [birth] is going to go how its going to go. Too much info is just scary.”

Rebecca thinks people put more time preparing for their wedding than childbirth for exactly that reason — fear. She commented on Twitter, a “wedding is fun, childbirth is scary. ‘Experts’ will take care of everything when you show up at hospital.”

Andi who blogs at Confessions of a Judgmental Hippy agrees with Kristen and thinks, “if a woman can commit to 12 prenatal appointments (average) then 12 weeks (sessions) of [childbirth education] should be easy.”

Whitney blogs at The (Un)balancing Act of Motherhood took Bradley classes and thinks the length of time was “perfect,” although admits she gave birth before attending the last two classes. She added, “I can’t imagine learning about what happens in birth, what to expect, what to do, etc. in one class or even four classes. But like I said, that’s just me. Others would be fine with one or four classes.”

What do you think? Can the two events – a wedding and a birth – be compared? What is the “right” amount of time to prepare for giving birth?

I planned for more than a year for my wedding, and although I didn’t attend a 12-week Bradley Method session, I feel like I put a good deal of preparation into childbirth. I took Hypnobirthing classes before my first child was born, which were six two-hour classes if I remember correctly. I also read a lot and practiced the Hypnobirthing techniques.

I agree to some degree with Merry With Children in that no matter how much one prepares, birth is “going to go how its going to go.” But I also think the more you know and understand about birth, the better informed you will be to make choices along the way. Knowledge is power.

Photo credits:
Bride – http://www.flickr.com/photos/diannadesign/486944603/
Maternity – http://www.flickr.com/photos/mcgraths/3656184801/in/photostream/

Cross-posted on BlogHer

If you enjoyed this post, please subscribe to my mailing list.

* indicates required



FOX News says Infant Co-sleeping Deaths Linked to Formula Feeding

The internet has been abuzz lately about a recent FOX News report that has linked co-sleeping deaths to formula feeding. The report, which I found to be quite balanced (though somewhat sensational), is based on a number of co-sleeping or bed sharing deaths in the city of Milwaukee and the city’s message that there is no such thing as safe bed sharing.

I first read about the report from a Tweet by Allie from No Time for Flash Cards. Annie from PhDinParenting quickly posted the FOX News video for all to view and discuss.

The City of Milwaukee Health Department is currently running this ad – with a headstone in place of a headboard – to discourage ALL parents from co-sleeping with their babies. “For too many babies last year, this was their final resting place.” I guess they figure fear mongering is better than educating. As a mother who made an educated decision to co-sleep with my children, I find it quite offensive.

Then there is a TV ad that the state of Indiana is running (more fear mongering) to convince parents that they only place a baby should sleep is in a crib which is plain disturbing.

The FOX News report does a good job of representing both sides of the co-sleeping debate and even interviewed Dr. James McKenna, who literally wrote the book on safe co-sleeping.

The report revealed (although not until the very end of the video) a surprising finding, that in all of the Milwaukee co-sleeping cases they reviewed for 2009 and so far in 2010, 100% of the babies were formula fed. McKenna predicted the outcome and even goes so far as to state, “I really actually think that breastfeeding is a prerequisite for bed sharing.”

The blogger at The Babydust Diaries qualifies the formula finding:

This isn’t to say that the formula caused the death or that formula fed parents don’t care but there are some specific circumstances that can make these kids more prone to bed-related deaths2. The video mentions positioning and waking of the mother but also the frequent wakings of the child. Formula takes longer to digest and thus those children sleep for longer stretches than breastfed babies and often sleep deeper – causing an increase in SIDS deaths as well.

The Fearless Formula Feeder wrote about her thoughts on the Fox report in Cosleeping and formula feeding: a tale of two scapegoats. She particularly took offense at “the immediate and inaccurate battle cry against formula and formula feeding” on Twitter. She suggests rephrasing Tweets from things like:
“FORMULA FEEDING, not alcohol or soft bedding, at root of bed-sharing baby deaths!”
and
“Formula feeding was the common factor in these poor babies’ deaths!”
to:
“Breastfeeding could protect against cosleeping deaths”
or
“Formula feeding parents should be alerted to cosleeping risks”

The Fearless Formula Feeder adds:

If you watch the video, it is clear that bottle feeding was indeed associated with 100% of the cosleeping death cases in Milwaukee. …

However, the sensationalist news report also mentioned, in passing, some other important factors. Like that the majority of the babies lived in low-income, black families. And that 75% lived in households where smoking was a factor, and many had parents who engaged in drug use or drank frequently. Or that a number of the cases, though originally classified as cosleeping deaths, were later ruled as other causes of death, like SIDS.

Although the City of Milwaukee Health Department would like it to be a black and white issue, there are clearly shades of gray. The medical examiner reports in Milwaukee County showed that the vast majority of co-sleeping deaths were African-American babies living in what the Black Health Coalition calls “chaotic homes.” McKenna agrees that there is an “overwhelming predominance of deaths in the lower socioeconomic environment.” Yet the city refuses to acknowledge and address the complexities.

The Baby Dust Diaries blogger commented on this as well:

The other issue brought up in the piece is about socioeconomic status. Statistically, more bed-related deaths occur in poorer and often unstable homes. Once again this is a correlation not a causal relationship. I was flabbergasted at the health department woman’s assertion that she shouldn’t even have to think about different types of people. Seriously? How do you serve a population and remain blind to the demographics? I really liked the woman from the community program [Black Health Coalition]. She, correctly, points out that ignoring the reality of the situations at home only drives these already under-served people further away from the services that can help them.

She also points out that there’s a difference between a mom who brings her baby into bed as a last resort and falls asleep and a mom who has done her research and knows how to safely bed share – like she did, as did I. “It isn’t a last resort of the exhausted, but a well-thought out, planned, and safe situation.”

So is it fair, as the city of Milwaukee and the state of Indiana suggest, to say nobody should ever co-sleep? Or how about what James McKenna said, that only breastfeeding moms should be allowed to co-sleep? Or should we instead try to raise awareness about the risks AND benefits of co-sleeping for both breastfed and formula-fed babies and the increased risk for formula-fed babies so that parents can make decisions based on research rather than on fear?

For more information about safe bed sharing, visit:

Cross-posted on BlogHer

Don’t miss a single Crunchy Domestic Goddess post, subscribe to my blog.