7 Tips for Having a Better Birth

Ginger Garner 7 Tips for a Better Birth

First Moments with my Second Son, William

7 Tips for Having a Better Birth – Find my full post featured on Modern Mom

Whatever kind of birth you envision, whether a physician attended hospital birth with medications or a natural birth with a midwife, the most important point is your birth is your own and no one else’s.  Every woman should claim their right to the birth they want and deserve.

My Story

My first son was born after a difficult 36 hours of labor. The labor was hard and fast, with protracted contractions 2-3 minutes apart and no more than 4 minutes apart for 30 hours. By contrast, labor with my second son was a mere 4 hours from start to finish. And my third son was again, only 5 hours long. The flip side of short labors though, is that they are very intense. However without the tips below I would not have been able to go the distance for the birth experience I wanted.

Here are my top seven must-have tips for being prepared for your birth. These tools have been absolutely essential for me as a childbirth educator, women’s health physical therapist, and most of all, as a mother of three sons, all born naturally.

Note: If you are planning for a birth with pain medications, you can benefit from this post. These tips will help you progress to the point in labor when it is time for the epidural.

Your Birth Coach

Women should not have to give birth without support. Having a birthing coach is not just important, it is a necessity. A 2002 study of over 5000 laboring mothers showed better outcomes for both mother and baby if continuous support was given during birth (that means you are never alone during labor and delivery). Moms reported having a better birth experience, even when there were complications.

In addition, the study showed continuous support reduced the need for pain medication during labour, the need for operative vaginal delivery, caesarean delivery, and improved 5 minute Apgar scores in infants. Caregiver support also “increased the likelihood of fully breast feeding 4 to 6 weeks after delivery in two studies and showed more favorable maternal views of the childbirth experience.”

The best reason to have a birth coach? Length of labor was found to be shorter when moms had continuous support.

Before you get started on this list, make sure you have a birth coach.

  • This person does not necessarily have to be your spouse or partner, but they do have to possess a firm knowledge of the birth process and your wishes as a birthing mother.
  • Another option is hiring a doula or having the support of someone who has already given birth, in your family or friendship circle. Find a doula

After finding your birth coach, here are Seven Tools for Better Birth:

1. Acupressure Points

Know or carry with you (my husband had a mini pocket sized cheat sheet he carried and referred to during my labor with our sons) the list of Acupressure Points for both labor induction and pain relief. [Get the Acupressure Points List for Labor]

2. Practice and Know Yogic Breathing

I have a concise Labor and Delivery Breathing Practice I teach women. It helps with alveolar ventilation, which is crucial during labor; and, it minimizes the fight or flight reaction and helps a mother stay calm and focused. The birth coach should also know the breathing routine, in case you forget or lose focus during hard labor or transition.

3. Partner Assisted Therapy Techniques

There is a short but very effective list of manual (hands on) techniques to help relieve pain and open the pelvic outlet during labor. I teach coaches to use these while moms are either on a birthing ball or a sidelying position in bed. In general, I use 3 specific yoga postures to assist with pelvic opening, which also help with pain relief, which I will share in future blogs.

One example I use for the laboring mom experiencing a lot of pain: Asymmetrical lunges have long been used to help open the pelvic outlet and facilitate birth. [Get Instructions for the Asymmetrical Lunge]

4. Have a Birth Plan

A birth plan is list of your wishes for your birth. Here is an explanation of a birth plan. An additional tip: In the birth plan, include what labor positions you want to be able to try. Otherwise, you may end up stuck on your back, which is the worst position to give birth in. [Create a Birth Plan]

5. Discuss Birth Positions with Your Caregiver

The “typical” lithotomy (flat on back legs in stirrups) position is not only a more difficult position to give birth in (think pushing uphill), it also markedly narrows the pelvic opening (about 10%), and closing the pelvic outlet is definitely not desirable during birth. Further, the lithotomy position has been proven over and over to be nothing more than a “convenience” position for doctors. So make sure your hospital and caregiver do not require this position for birth.

I labored in all positions possible (I even took my yoga mat for comfort and safety so I would not slip on the slick hospital floors) and ended up choosing the sidelying position for all three of my births. [Read more about birth positioning ]

6. Know Your Rights as a Woman and a Patient

Know the hospital’s policy on birth. Most moms enter the hospital or birthing center having no idea of how a birth in that hospital is handled. Read my past blogs on how to interview: your physician, midwife, or hospital. In some hospitals, babies are still (unnecessarily) separated from mothers. Further still, some hospitals still require (yes, require) women to lay in ineffective positions for giving birth. Ignorance is not bliss. Don’t miss out on the birth you want. Do your homework.

Here are two previous posts I wrote to help with knowing your rights:

Choosing the Right Birth Facility and Choosing the Right Health Care Provider

7. Know the Stages of Labor

For example, transition is often the most difficult (and painful) stage. Not surprisingly, even for the strongest willed of moms, transition can be the stage at which the mom demands (not asks) for pain relief.

This can be disheartening for those moms who clearly stated their desires for a natural birth in their birth plan. Transition is a critical time for mothers. It is imperative for the birth coach to be attentive and provide the moral support to help you go the distance. [Stages of labor]

The support of your birth coach, empowering yourself with knowledge about birth, and your own steadfast belief in the power of your body, will provide you with the fortitude and grace to be in charge of your own birth.

Knowledge is power. These tools are part of the process of empowering yourself and your birth, one of the most powerful manifestation of our existence as women.

 

Secrets for Easing Labor Pain

Secrets for Easing Labor Pain

Ginger, just after giving birth to her second son September 12, 2007

Studies have, for a long time, shown that deep breathing, mental imagery, deep massage or acupressure, and the presence of a constant companion or coach during labor can ease labor pains, making the miracle of birth more, well, enjoyable.

During the birth of all three of my sons, all three vastly different, I used all of these methods for pain management during labor. But my secret for pain management was… music.

Music has the power to take everyday moments in life and make them sacred. Music allows your mind to retrieve and feel with the same intensity experiences that happened two months or even two decades ago. Music harnesses tremendous power. But how can it help with labor pains?

 

The Magic Pain Soother

Perinatal Nursing supports that music can be an effective means for managing both pain and stress during labor. Using music during childbirth, in a 2000 study, shows the planned use of music by mothers during labor has a significant effect on their perception of pain (Browning 2000).

Another second study in 2000 revealed perinatal physicians, nurses, and caregivers became more relaxed, slowed their activities, and demonstrated increased respect for laboring mothers when music was used (Difranco 1998). Music was also found in a (Wiand 1997) study, when combined with progressive relaxation, to be more effective in inducing relaxation in laboring mothers.

In the months before each of my sons were born, I started creating my “Birth Soundtrack.” When the big day came, wafting from my labor room like a sweet breeze, were sounds of “designer music” from my birth playlist.

Sounds that both soothed and motivated me to work diligently and gracefully toward delivering my sons into this world. To make my playlists, I scoured my music library and uploaded artists sounding out from across centuries of music… from Mozart’s Serenade for Winds to Sam Cooke’s That’s Where It’s At.

 

What is Designer Music?

In the field of music therapy, “designer music” is defined as music that is selected to have a specific effect on the listener. It is proven more effective than listening to just any music. I use music and sound as therapy as an educator in integrative medicine and physical therapy. I craft and use designer music in private and group therapy sessions, and in community-based classes which integrate yoga and Pilates for therapeutic benefit. As a musician, sometimes I even use my voice as therapy, speaking and singing for therapeutic benefit during sessions.

But guess what? You don’t need special training. With a few tips listed below, you can design your own music, too.

 

Designing Your Birth Soundtrack

Here are a few guidelines for expectant mothers and other patients who want to use music for pain or stress relief:

Certain instruments and genres of music are better suited to promote relaxation and a sense of well being.

The ancient medical systems of Ayurveda and Chinese Medicine have identified instruments which are best suited to different emotional states and physical needs. However, experts in the field of music therapy agree that the most important aspect of using music as medicine is pleasing the ear of the listener.

Make a playlist

Make a playlist for your smart phone or mp3 player, or download music onto a USB memory stick that you can plug into your car.

  • Create a minimum of 8 hours of continuous music. If you have a long labor (my first one was 36 hours), you’ll need more than just a few hours of music to get you through.
  • Choose relaxing as well as motivating music which inspires you and develops your sense of connection and bonding with your unborn child.
  • Order your music with the stages of labor, or create separate playlists for each stage. First stage can be much longer but less intense than second stage labor. Second stage labor will bring with it different requirements. During transition and delivery you may opt for silence so you can hear those first sounds from your baby. Or, you may opt to have quiet, contemplative music playing which motivates you to go the distance.
  • Avoid rock or other heavy music which emphasizes drums or electric instruments like guitar or synthesized piano. These genres have been proven to elevate vital signs and cause feelings of anger, hostility, and despair.

Name Your Playlist(s).

You may choose to create different playlists. With each birth, I get increasingly more “complex” and detailed with my playlists. By the third birth I had 4 different playlists:

  • Baby Breathing: One for inspiration and meditation during early labor
  • Baby Labor: One for motivation and “hard-core” meditation to work through hard labor
  • Baby Thanks: For postpartum bliss (I used that one for years after giving birth)Consider a post-partum playlist for after delivery and when you return home. I made a separate playlist for after delivery. I played it during the entire stay of my post-partum in the hospital. (The nurses and my midwife loved it. The staff told me they made special trips to my room just to hang out and chill to the cool music).
  • Baby Dance: Literally, this one expressed the sheer joy I felt after giving birth, and I did use it do dance with all my sons after each of them were born. I also made one for a friend for post-partum healing and called it “Baby Hopes & Dreams.”

Buy the appropriate sound/stereo set up.

These days this can mean just carrying your smartphone to the birth facility. Relying on just your smartphone or iPad speakers may not be enough to fill the space of your labor room. Since we wanted the best sound, we bought a tiny set of speakers for $30 or so, to connect to (at the time) our iPod. Since I was “busy” during labor, my husband took care of music setup. In fact, it was the first thing he did when we got settled into our room. Of course, if you are home birther, no transport is necessary, just plug in and play!

I used music throughout the entire labor. When it came time to delivery, my husband made sure (we pre-planned this) that a continuous play of meditative, calm solo piano music flowed low and quiet so I could hear my baby’s first cries. I can attest that in my first birth the music helped to calm and attune everyone including the medical staff. During my last birth, my son was born to the soothing sounds of Native American music, part of my heritage.

 

If You Don’t Prefer Music, No Worries

If you prefer silence during labor music and sound therapy can still help you manage pain. Nada Yoga, or the yoga of sound, teaches chanting and vocal toning as a way to ease pain and suffering.

Sighing the sound “mmm” with the mouth closed on your exhale, during contractions, has been found to be balancing, harmonizing, and integrating to the nervous system: lowering blood pressure, heart rate, and assisting in pain relief. In yoga, it is the most subtle and most powerful of toning sounds.

 

Music Brings Consciousness Forward

Anecdotally, music was just as important to me as having a companion at my side. Although I would not trade my incredible midwife, husband (who acted as coach/doula), and nursing staff for anything, music made my birth experiences more memorable, enjoyable, and now years later – music has created a permanent recall of those emotions I felt right after giving birth. It allows me to recapture that intense feeling of blissful joy that I felt right after giving birth – when I met each of my sons for the first time. That, perhaps, is the best reason of all to use music during labor.

But more than just for laboring women, everyone can benefit from using music prior to, during, or after medical care. Scientific sources supporting therapeutic benefit of music are numerous and have been proven in children, open heart surgery patients, cancer patients, pre-operative patients, women waiting on surgical procedures, or testing (such as a mammography), just to name a few.

Take advantage of the instant healing effects of music. Experiment with how different instruments and genres of music create different moods and physical states in your body. Music is not just something to listen to… but to heal and heighten your enjoyment of life.


Read the whole post on Modern Mom here

 

Sources

  • Using Music During Childbirth
  • Di Franco, J (1988). Relaxation: Music. In F.H. Nichols and S. Smith Humenick, Childbirth education practice, research, and theory (pp.201-215). Philadelphia: W.B. Saunders.
  • Wiand (1997). Relaxation levels achieved by Lamaze-trained pregnant women listening to music and ocean sound tapes. Journal of Perinatal Education 6(4), 1-8.

 

Do American Mothers Need a Bill of Rights?

Pictured with my newborn son, James June 2012

Do American Mothers Need a Bill of Rights?

As mothers, it is imbedded in our very nature to take care of others. What mothers should know is that society has taken advantage of this fact for centuries. And while they continue to take, mothers continue to give.

How does society take without giving to mothers?

I think the National Association of Mothers’ Centers Advocacy Coordinator Valerie Young says it best,

“Alone among industrialized nations, we (mothers) have no guaranteed paid leave policy for childbirth, adoption, illness, or even the occasional sick day. Our federal pension system only accounts for paid work, leaving women with the short straw after time out bearing and raising children, tending to ill parents, spouses, or other family members. We do most of the unpaid work in the home, and when we are employed outside the home, our income trails men’s by as much as 40%. We lack anything near equitable political representation, we don’t occupy our fair share of board room seats, CEO suites, or participate proportionately in the distribution of financial assets around the world.”

A Harvard study firmly places America at the bottom of the barrel for mother support. The study found:

“Out of 168 nations in a Harvard University study last year, 163 had some form of paid maternity leave, leaving the United States in the company of Lesotho, Papua New Guinea and Swaziland.1”

http://thinkprogress.org/health/2012/05/24/489973/paid-maternity-leave-us/Mothers receive very little support, not only from our own government but also from society. And the proof is in the proverbial pudding.

Society gives lip service to the value of parenting, motherhood, and child rearing. After all, the children are the future of our country; yet, childcare workers typically earn at or minimum wage. Further, if you are a mother working from home to raise up the future of our country, you get nothing. Not even a social security credit. You must depend entirely on your partner’s wages and retirement. You in effect become a financial dependent, unable to qualify for credit or loans.

This poor show of support must change. Women have historically banded together to fight for their rights. Now mothers need to do the same. Mothers need support urgently or else the well being of our children and the future of the family unit in the US will be jeopardized.

But wait, our children’s health already is being jeopardized by this lack of support.

Women and mothers suffer from depression at nearly twice the rate as men.2,3 The CDC reports women suffer from postpartum depression (PPD) between 10-30% of the time, but that over 85% of mothers suffer from some type of depressive or mood instability in the postpartum period. Further, studies support that PPD occurs, and may even be worse, during the toddler years, and is (PPD) now not only pulling fathers into its grip but also responsible for adversely affecting toddler and teenage academic performance and psycho-emotional well being.4

Are you a mother who has felt depressed, alone, tired even exhausted, overwhelmed, and unable to cope with the mountain of responsibilities? Mothers do have more responsibilities than ever with more mothers working both outside and inside the home. We live in a two income society now where it has become almost impossible for a family to get by on one income. In addition, 75% of household management and child rearing still falls to mothers who also work outside the home.5

Further, families members often no longer live in proximity to one another because of job availability, choices in education, personal, or professional decisions or requirements. This means mothers can’t drop their children off with a relative to run important errands, go to work, go to a doctor’s appointment, or even to get a moment of silence to deal with existing problems or trauma. The FMLA may be in place in the US, but it is for a finite amount of unpaid leave and is reserved only for employees of large companies.

Where does that leave those women who own or work for small businesses?

When will there be change in America to support mothers, parents, and all childcare givers?

Change usually starts at a grassroots level with the persons who are being adversely affected by the situation. That would mean mothers organizing themselves to become active in policy by:

1. Joining together and supporting one another through communities of support like National Association of Mothers’ Centers, my blog here on, Fit and Fearless Birth, Modern Mom, and others.

2. Entering the political arena to create change. However, this is difficult to do if we cannot garner any support to re-enter (and remain) in the work force. I often say that the best I can do, failing aspiration to a political office where mothers’ rights was high on my agenda, is raise sensitive, intelligent sons who will fight for their mother and the rights of all mothers. (I currently have three sons who are already learning the ropes.) The bottom line is, we must find (and fight for) a way to be agents of change.

3. Getting involved with existing organizations who are already working for mothers’ rights. See the Resource List below for more information on depression, postpartum depression, and the movement to create what could be called a “Mothers’ Bill of Rights.”

What would be included in a “Mothers’ Bill of Rights?”

There is not enough space in a blog forum to discuss discrimination against parents (both mothers and fathers) in our workplace and social forums today. However, a mothers’ bill of rights might just as well be named the “Parental Bill of Rights” because it would help eliminate workplace and social discrimination against American families. It would implement a paternal leave policy, breastfeeding rights, inclusion of caregiving (for both the young and elderly) social policies (such as Family Friendly Jury Duty Laws) and include caregiving in the GDP (gross domestic product) as put forth by Ann Crittenden in her book, The Price of Motherhood. It would implement policies suggested in Dr. Riane Eisler’s bestselling book, The Real Wealth of Nations, and in her Caring Economics Campaign. Lastly, it would set up social security credits or related policies to safeguard those who have sacrificed to spend a life in caregiving.

As it stands now, women and their children are the poorest segment of society.4 They unfortunately have to depend on the handouts of others (usually their spouse’s retirement). In fact, just being a woman means you are most likely to be poor in your old age, based on the number of “zero income” years that women have on their social security statement compared to men.6

It is time for change. Value must be given to parenting objectively instead of forcing us (parents) to be deafened by the continual din of empty lip service that rises from the streets of our hometowns and inside the political beltway of Washington D.C.

Read the entire post as featured on Caring Economy
Read the entire post as featured on Modern Mom

New Updates to Quelling Nausea During Pregnancy

If you haven’t (and especially if you have) read the Quelling Nausea During Pregnancy post from last week, be sure to download the new version here.  It includes new updates and both anecdotal and scientific tips from experts in the field, including Ayurvedic suggestions. Thanks also to Beth Genly CNM, MSN, for her recent collaboration with me on this excerpt.

Happy Reading!

*If you have difficulty downloading the new version, use Internet Explorer and not Firefox.

Quelling Nausea (Naturally) During Pregnancy

My Beautiful Cause For Nausea
(My second son, taken in 2007)

My last few posts have been dedicated to parenting (Read the Yoga of Compassionate Parenting) and getting pregnant (Read the Fertility and Yoga Series Part One and Part Two), so this week I am going to switch gears – specifically for women who are pregnant.

To all mothers who are newly pregnant, congratulations!  
All of you, no doubt, have different signs and symptoms which gave you clues that made you go out and buy that first pregnancy test. Some of the most common first signs of pregnancy include tender breasts, joint pain, increased hunger or thirst, fatigue, and the big one – nausea.

Between 70-85% of women will experience nausea at some point during pregnancy.1  Although nausea is usually not the first symptom of pregnancy, it can be the most debilitating one. It interferes with your ability to complete even the most simple of everyday activities.  And if you have other children to care for, life becomes even more challenging. So if you are an expectant mom with nausea, today’s post is for you.

 Download the free excerpt on Quelling Nausea During Pregnancy
from my upcoming book Fit & Fearless Birth