Saturday, May 30, 2009
Birth, I think I will talk about birth...
Open Season--A book from the 90's about VBAC. I really enjoyed this one. As I mentioned on Facebook, Nancy Wainer has often been critiqued as "too angry." Well, I guess I like angry, because I thought it was a great book! I didn't see it as angry, but as firey and passionate and I like those things! As someone pointed out to me on Facebook, anger can burn people out and can cause relationship issues. I do not feel like an angry person myself (though a passionate one), so I'll "enjoy" it from afar :) In the introduction she actually referenced the whole angry thing and said something that I really liked [addressing those who would dismiss her work as "angry"]--"Don't bite my finger, look where I'm pointing!" The book read more like a manifesto or treatise or philosophy than a "guidebook" per se--not very much practical information. Lots of ideas, theory, and beliefs. I marked MANY pages to quote from, but today is just a sum-up-and-post day! Oh wait, here was a good one though: "If childbirth classes really 'worked,' more women would be having babies without interference. More women would be recognizing the complete naturalness of birth and would remain at home, delivering their infants with feelings of confidence and trust. More and more, midwives would be demanded. The names of those hospitals and doctors who treated women and babies with anything less than absolute respect would be public knowledge, and childbirth classes would be the first place these names would be discussed. 'You're seeing What's-His-Face? He's a pig! In my opinion, of course,' I tell people who come to my classes. I then proceed to give them the names of people who have used Pig-face. They can always ask Dr. P. for the names of people who have used him and been satisfied with their births, for balance."
Woman-Centered Pregnancy & Birth--had never heard of this one until reading the above and promptly bought this one as well. I was attracted by the title, because I consider my birth classes to be rooted in a "woman-centered model." However, it was much more of a basic pregnancy and birth book than I expected (I guess coming from a woman-centered perspective though?), so it was less theory and treatise and more, "here is how to examine your cervix and this is what it looks like at different points in your cycle." I actually ended up skimming it a bit, which is rare for me, but it was "elementary" for me and/or technically outdated.
Teaching Natural Birth--This one was interesting (also an older book--not only am I on a birth books kick, I'm on an older birth books kick!). It wasn't a book of teaching tips or even "how to teach," but was more of a business structure book (handling inquiry calls, buying teaching aids, that sort of thing). Pretty unique in the birth book world, really. The author is very religious and there were religious references liberally scattered throughout.
I also finished reading Birth Tides: Turning Towards Homebirth, which I've been reading for quite some time (it isn't that engaging--reads like an ongoing research project or dissertation). It is a 1995 book about homebirth in Ireland. One thing I found amusing was that one of the benefits of homebirth was "being able to have a cigarette whenever you want in labor." LOL! I don't think we'd see that in a book now!
I finally bought my own copy of the film Birth Day and watched that recently. My doula trainer referred to it as a "juicy" birth film. It is a nice one. I really enjoy it. The actual video is only like 11 minutes, but there are lots of "special features" on it as well (interview clips)
Finally, I read Down Came the Rain from the library. This is Brooke Shields' memoir about postpartum depression. It was interesting, though not particularly well-written and though it was a "personal" book, I found it hard to connect emotionally with the author/story--she seemed "distant" somehow.
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Saturday, January 10, 2009
More Birth Books
First, I read through Pam England's Inanna's Descent Journal. It wasn't quite what I was expecting, but interesting, as her work always is to me.
I also finished reading Pregnant Feelings, another 80's birth book with some interesting content and ideas. The subtitle is "developing trust in birth," which I think is such an important piece. It has a nice emphasis on birth being unique to each individual, so not to base your experience or expectations on anyone else (or on specific coping "techniques"). It is by Rahima Baldwin, who wrote Special Delivery--another 80's birth book that I enjoy a great deal. I have a special interest in postpartum care and I found it particularly interesting to read that postpartum hemorrhage is most common between days 10 and 17 postpartum!
Speaking of postpartum, I marked a section in another birth book I finished recently--Fathers at Birth. In it, the author says there is an old saying in the East: "The way a woman takes care of herself after a baby is born determines how long she will live." While not meant literally, I find it a very powerful quote and I will incorporate both things into my "planning for postpartum" session that I give periodically. I really enjoyed this book and have blogged about it at CfM (twice) and ICEA (twice) already, so you can read more of my thoughts there!
Then, I finished reading one of my holiday gifts from my dear husband--The Labor Progress Handbook, by Penny Simkin. It had been on my wishlist for absolute AGES, so it was fun to finally get and read. Picked up some ideas about coping with long labors/back labor/fetal malpositioning to incorporate into my classes. I also posted some thoughts from it at Talk Birth.
My copy of the new film Pregnant in America arrived today and I'm eager to watch it!
I also read Twilight (teenage book about vampires--not birth related at all!), which was my guilty pleasure of the month--I read it WAY too fast and am casting about for the other books in the series.
Saturday, October 25, 2008
Milk, Money, & Madness
I only have time to share quotes today, not much evaluation:
"Babies need holding, stroking, dressing, bathing, comforting, burping, and, within a short time, feeding solids. Dad can do every one of these. The desire to participate should not be confused with the need to give the baby the best of what each partner has to offer."
I liked this one because I hear from people SO often that they want Daddy to be able to participate in baby care by giving the baby a bottle. There are LOTS of things that fathers can do for their babies, other than feeding.
A good one with regard to public breastfeeding/breasts as sexual objects:
"When the attitude is taken that a woman’s breasts belong to her and no job is more important than caring for one’s young, the confusion between breastfeeding and obscenity goes away."
With regard to the argument that bottle feeding "liberates" women from the tyranny/restrictiveness of breastfeeding:
"The liberation women need is to breastfeed free of social, medical, and employer constraints. Instead, they have been presented with the notion that liberation comes with being able to abandon breastfeeding without guilt. This 'liberation,' though, is an illusion representing a distorted view of what breastfeeding is, what breastfeeding does, and what both mothers and babies need after birth."
With regard to how women are treated pp in other cultures, etc…
"An entirely different situation exists in societies where technology is emphasized. The birth process is seen from a clinical viewpoint, with obstetricians emphasizing technology. A battery of defensive practices are employed, some of which are totally irrelevant to the health of either mother or infant. Skilled technicians spend their time and the family’s money on identifying the baby’s gender and performing various stress tests. All the focus is geared toward the actual birth. After the birth, mother and baby become medically separated. The infant is relegated to the care of the pediatrician, the uterus to the obstetrician, the breast abscess to the surgeon. While the various anatomical parts are given the required care, the person who is the new mother is often left to fend for herself...All the tender loving care goes flows to the infant; the mother becomes and unpaid nursemaid."
The quote continues:
"This may appear to be a harsh evaluation, but it is realistic. In western society, the baby gets attention while the mother is given lectures. Pregnancy is considered an illness; once the 'illness' is over, interest in her wanes. Mothers in 'civilized' countries often have no or very little help with a new baby. Women tend to be home alone to fend for themselves and the children. They are typically isolated socially and expected to complete their usual chores, including keeping the house clean and doing the cooking and shopping, while being the sole person to care for the infant..."
"According to the U.S. rules and regulations governing the federal worker, the pregnancy and postdelivery period is referred to as 'the period of incapacitation.' This reflects the reality of the a situation that should be called 'the period of joy.' Historically, mothering was a group process shared by the available adults. This provided not only needed relief but also readily available advice and experience. Of the 'traditional' and 'modern' child-rearing situations, it is the modern isolated western mom who is much more likely to find herself experiencing lactation failure." (emphasis mine)
I think these quotes are important because I think there is a tendency for women to look inward and blame themselves for "failing" at breastfeeding. There is also an unfortunate tendency for other mothers to also blame the mother for "failing"--she was "too lazy" or "just made an excuse," etc. We live in a bottle feeding culture; The cards are stacked against breastfeeding from many angles--economically, socially, medically etc. When I hear women discussing why they couldn't breastfeed, I don't hear "excuses," I hear "broken systems of support" (whether it be the epidural in the hospital that caused fluid retention and the accompanying flat nipples, the employer who won't provide a pumping location, the husband who doesn't want to share "his breasts," or the mother-in-law who thinks breastfeeding is perverted). Of course, there can actually be true "excuses" and "bad reasons" and women theoretically always have the power to choose for themselves rather than be swayed by those around them, but there is a whole lot that goes into not-breastfeeding, besides the quickest answer or what is initially apparent on the surface. Breastfeeding occurs in a context and that context is often one that DOES NOT reinforce it. I often think it is more of miracle that a mother manages to breastfeed, than wonder why she doesn't!
And, a final quote:
"...infant formula sales comprise up to 50% of the total profits of Abbott Labs, an enormous pharmaceutical concern."
And the U.S. government is the largest buyer of formula, providing it for something like 37% of babies. I should have written that quote down too!
Friday, September 12, 2008
Around the Circle Gently
I'm leaving shortly for a retreat. One of my sessions is about postpartum planning (I wrote more about this on the CfM blog), and so I wanted to share a related quote from this book about it:
“In any society the way a woman gives birth and the kind of care given to her and the baby point as sharply as an arrowhead to the key values in the culture.”
--Sheila Kitzinger
I have more thoughts about this quote as it relates to birth that I hope to write up more completely someday. However, for now it is reminding me of the importance of nurturing postpartum care and "cocooning" for mother and new baby.
Last week I also read the novel The Jane Austen Book Club, which then prompted me to rent the newer Pride and Prejudice movie.
Saturday, May 24, 2008
Mothering the New Mother & Others
This week I read:
Mothering the New Mother--this book had been on my Amazon wishlist since 2004 when I took a postpartum doula training (this book is pretty much par for the course for postpartum doulas). I finally got it for my birthday this year (I guess since it had been on my trusty wishlist for so long people figured I didn't still want it, but I did!). This book brought home for me why I think it is so important to me to be available for postpartum women (not as a pp doula anymore, but with breastfeeding help and support groups). It is an excellent resource for mothers, doulas, fathers, and any other support people who work with or help new mothers.
Also a birthday gift, I read The Tao of Motherhood. For whatever reason I was not expecting this to literally be the Tao Te Ching for mothers. I was thinking it was a book about zen mothering or something. However, it is a translation of the ancient Tao Te Ching by Lao-Tzu, but reworked slightly so that every "chapter" is about mothering and mothering well. It has 81 one to two page "chapters" just like the regular one. It was very good, even though totally different than what I expected. I'll need to re-read it and let it soak in better. It is such a quick read, I zoomed through it rather than digesting and absorbing (i.e. a non-Zen way to read!). One quick quote from the end of the chapter on selflessness:
"You can sit and meditate while
your baby cries himself to sleep.
Or you can go to him and share
his tears, and find your Self."
I finally finished reading Just Six Numbers
Friday, November 23, 2007
Memories of Postpartum + Mother Knot Thoughts
The author of What Mothers Do specifically critiques the ambivalence that Lazarre describes in her book. Aside from this, I adore the book What Mothers Do, it is one of my very favorites about this subject. I think we can look at the cultural elements contributing to that ambivalence rather than view Lazarre as somehow less developed of a mother (or wrong for her ambivalence). I think it is sociocultural, not personal (I also don't think it is "natural" or inevitable, which is where Stadlen of What Mothers Do and I agree and where Lazarre and I would disagree). I don't really think I feel, or felt, ambivalent exactly (at least not in the angry way that Lazarre describes). I definitely turned any hostility inward and felt badly and negatively towards myself rather than towards my baby.
I felt slapped in the face by postpartum. I was triumphant and empowered in birth, but diminished, insecure, and wounded postpartum. I had a difficult and complicated recovery due to unusual labial tearing (unrepaired, because the damage was not really acknowledged/noticed in time for a repair). Maybe this contributed to my difficult adjustment to early motherhood. I've long tried to analyze the difficulty, concluding that it is not uncommon in the least, but wondering why/how others survive without mentioning this pain. How is anyone doing this? I would wonder, concluding that I must not be "cut out for this" and that I was the only one feeling alone, stifled, shut down, and unheard. As a consistently overachieving type, it was humbling as as well as psychologically painful to not "get an A" on this new "assignment," my baby. Each time he cried, I felt it was evidence of failure, failure, failure. I would see women and couples without children and think, "it isn't too late for you" and "if only you knew." When I would see women who were pregnant I would feel a sense of grief for them--"just wait. You have NO idea what is coming." (Again, hindsight shows me a little touch of PPD-ishness here...)
I felt silenced, muted, captive (and yet captivated!), squelched, and denied. Maybe these feelings mean I'm egocentric, selfish, or immature (I certainly lectured and berated myself about that!), but they were my reality at the time. The experience was so scarring to me that for about 18 months after my first baby was born I considered not having any more children--not because I couldn't handle pregnancy, birth, or even the mothering of a baby and toddler, but because I could not stand the idea of experiencing postpartum again. I came to realize that my only regret about these days of early motherhood was not in how I related to my baby, or in how I took care of him, or loved him, or appreciated him, or marveled in him. My regret is that I was so very mean to myself the whole time I did those things--in reality, I was actually fairly skillfully learning how to mother. I was responsive, nurturing, kind, and loving and I took delight in my baby, but I was cruel to myself almost the entire time and failed to appreciate or notice any worth I had as a person or to accept and have patience for my birth as a mother.
Thursday, October 11, 2007
Why I do not practice as a postpartum doula...
I feel like my clients always treated me with lots of respect and seemed to perceive me as an "expert" and not as "hired help," but some of the work still definitely had a hired help flavor to it. I also felt like I was definitely able to provide a level of support that the "help" would not be able to, particularly with regard to breastfeeding.
Also, I recognized that I feel most comfortable with and am temperamentally most suited for educational/"academic" types of support (such as the childbirth education classes I teach) instead of the "intimate" hands-on support that postpartum or labor support requires.
Anyway, that's basically why I quit. For a time, I really felt embarrassed about it because I was *so* sure it was going to be my "calling" and because I spent so much money on training, books, supplies, certification packet, etc. Luckily, I totaled it up when I was preparing to quit and I made enough money from my clients to at least more than pay myself back for the training!
I feel fervently that women/families need postpartum doula support (sometimes desperately) and I felt depressed to realize that I'm just not the person for the role (at this time). I didn't understand at the time, but I quickly figured out why the majority of the women in the postpartum doula training with me were middle-aged. They had the energy to "mother-the -mother" and "nurture the family" at that season in their lives, whereas I am still in a season in which I need to nurture my *own* family before I have the energy to spare to nurture someone else's. Maybe when I am in my 40's, I will return to postpartum doula work, because I do still truly feel a connection to it on a soul level (though maybe I don't feel it on a doing-someone-else's-laundry level, ;-).
(actually written on 10/5, but released later to avoid Friday overload of posts!)
Friday, September 7, 2007
Misconceptions
This book has deep meaning for me, because I read in in my first weeks postpartum after the birth of my first baby. though I had been very prepared for birth and *thought* I was prepared for having a newborn, I felt like postpartum was a huge slap in the face and my adjustment was very difficult. The giving up, the laying down of self, the realization that my life was no longer about me anymore and never would be again, the anxieties and uncertainties, the glimpse of how irrevocably my life had changed. It was a rough time for me and I cried a lot (I also had to recover from an unexpected birth injury that left me feeling very fragile, weak, permanently wounded, and like an invalid). Anyway, at one of my postpartum checkups I saw a doctor that I had never seen before and she suggested I read Misconceptions. This was my first introduction to the world of "momoirs" and I was hooked for good. I voraciously devoured up any and all related books at the local library and wished I had known to read some of them *before* having the baby. So, reading this book again brought all that back for me--it is inextricably linked to my early memories of life with my first little baby and as a new mother. (and, as such, this will be an extremely long post!)
Misconceptions: Truth, Lies, & the Unexpected on the Journey to Motherhood, is Naomi Wolf's account of her first pregnancy and birth experience, her early months postpartum, and her subsequent research and study about pregnancy, birth, and mothering in our culture. This is primarily her personal narrative of her experiences, thoughts, feelings, and theories. The author feels fragile, weak, insubstantial, and invalid as a pregnant woman. In contrast, during my pregnancies, I felt strong, mighty, powerful, present, full, magic, substantial. I also felt potent and magic, as well as supported, cherished and honored. During my births, I felt triumphant and powerful (she felt abused, ignored, weak, defective, assaulted, and ruined with pain, anger, frustration, anger, shame, confusion, and neglect. She also ends up with two cesareans). I have to wonder how our emotional states during pregnancy and the types of caregivers and birth settings we each chose, contributed to our birth experiences? (A LOT, I'd wager!) This is a reason why I hope to design my birth classes around emotional preparation for birth (and motherhood) and not only the physiology of pregnancy and birth.
Interestingly, in postpartum, despite our dramatically our differing experiences of pregnancy and birth, our reactions become similar. In postpartum, i did feel week, wounded, dissolved, invalid, and fragile.
One favorite quote of many: "A woman is not a mother just because she has had a baby, a mother is not born when a baby is born; a mother is forged, made."
I like this concept--I do feel forged in the fires of motherhood! :-)
Another good one, when reflecting on an ordinary street scene and suddenly understanding the web of life and the universality of motherhood (even the squirrels!) : "We were all held, touched, interrelated, in an invisible net of incarnation. I would scarcely think of it ordinarily; yet for each creature I saw, someone, a mother, had given birth....Motherhood was the gate. It was something that had always been invisible to me before, or so unvalued as to be beneath noticing: the motheredness of the world."
"Babies...are sort of leaky little understudies for God. With each baby the human species gets the chance to break out of the self into the service of something so 'other' that the reasons for conditional love can give way to faith in unconditional love. ..with babies, we get the chance to take one manageable baby step on the long hard path of the saints...when I was pregnant I could suddenly see the good sense of worshiping God in the guise of a human baby...Like so many of the feelings of pregnancy and new motherhood, it was paradoxical: sometimes I felt the brightness and the darkness at the same time."
The author notes something that I was unaware of--apparently ACOG has recommended that routine continuous fetal monitoring be dropped from the standard of care for low-risk pregnant women and instead recommends intermittent FHT listening. (still, at least 85% of women giving birth in the US have continuous monitoring even though their own trade union [ACOG] does not recommend it? Weirdness!)
She also notes that no matter how it is perceived in society today, a cesarean is not a routine procedure, but is instead the equivalent of any other major organ surgery and suggested cesareans are more accurately termed "open uterine surgery" (most women don't know that their uterus is literally taken out of their body during repair).
Quoting a quote by Robbie Kahn, "the job market holds out an all-or-nothing prospect to new mothers: you can give your body and heart and lose much of your status, your money, your equality, and your income; or, you can keep your identity and your income--only if you abandon your baby all day long and try desperately to switch off the most powerful primal drive the human animal can feel."
Then, a classic quote (quoting another mother regarding taking care of little kids): "I sometimes feel I am getting pecked to death by ducks."
After some uncalled for digs at LLL, the author also makes a good point about the myth of "choice" regarding breastfeeding (specifically with regard to lack of supports for breastfeeding while working outside the home): "...it was unconscionable for our culture to insist that women 'choose' to leave their suckling babies abruptly at home in order simply to be available for paid work."
"We need to ask the question: what do mothers deserve if they are to mother well? We need to answer: Everything. Everything that is due them."
With regard to a Mother's Movement: "We also need this movement to create...new kinds of civic spaces and social structures, bringing children closer to the work place and the world of adults, and bringing the engagement and world of adult economic activity closer to the hermetically-sealed world of mothers and small children. women should not have to choose between two such starkly exclusive worlds as 'work' and 'home with kids' as they now must, and children would benefit from the better, happier parenting this change would bring about."
Friday, June 22, 2007
Postpartum Depression
I got the book Hillbilly Gothic from Bookins this week. The subtitle is "a memoir of madness and motherhood." I am a "momoir" junkie and thus love basically any book that is about a woman's experience of motherhood, regardless of how closely it mirrors my own experience. I guess that is my way of saying that I didn't identify with her story that closely, but I truly enjoyed reading the book anyway. The memoir is set in Knoxville. I didn't mark any pages to go back to in it, which means I didn't get a lot of insights/things to ponder from it. I thought it was good though--funny at time, depressing at times. She definitely had a "birth is torture" attitude and then didn't seem to connect how her experiences contributed to her feelings toward her baby (this was the part I couldn't identify with--I *get* the feeling of being totally derailed by the reality of motherhood, but I don't really identify with seeing the baby as an inhuman "other" who is out to torture you! Like I said, I really like reading about other women's experiences though, even if I don't identify). She also didn't seem to realize how much she was overdoing it after the birth (such as going to wedding less than two weeks after giving birth and leaving the baby to be babysat--no wonder she was a weeping mess. She really need the "cocoon" of being with her baby, not immediately struggling back to being "independent"! Let me be clear, I felt a lot of empathy for her, not blame or like she "should" have done things differently).
Anyway, she ends up on the psych floor of the hospital and the book bounces between her experiences there, her family's history, and her experiences with her baby. It was an interesting read!
It prompted me to get another book off my shelf that has been languishing there since I last bought wholesale books to sell on Amazon: The Mother-to-Mother Postpartum Depression Support Book. I zipped through this one really quickly. It was interesting and caused me to dig out my journal following L's birth. In hindsight, I definitely think I experienced some elements of PPD (and, really, probably after Z as well). However, I'm not sure how much was actually a PPD experience and how much was my perfectionistic, overachieving, Type A style clashing with the reality of motherhood--for example, I really like positive feedback and it has been such a struggle for me to adjust to what is often a thankless and devalued (by society) role. I know cognitively that I need to value myself, etc. etc. & not need to seek outside validation, but it is hard for me to feel sort of socially/politically "invisible." I'm not explaining this well--I feel like I was groomed by my education to be an "agent of social change" & I often feel like I am not doing that (though then I remember a phrase from one of Peggy O'Mara's Mothering editorials that said, "see your mothering as a political act" & that helps. I just find I don't feel as *purposeful* in parenting as I used to feel in my professional life. This is a *personal* issue/struggle/lesson for me though & I need to stop seeking external answers!). I have always been very ambitious and achievement oriented and it has been hard to "mold" myself into the cracks around mothering little ones!
Back to the book, I was a little disappointed that many of the stories seemed lacking in detail--they got very familiar (as in, they all said very similar things and lacked specifics). Also, of course, I was saddened to see how many of the mothers in the stories stopped breastfeeding to take antidepressants--with the message being, "you have to take care of yourself and your baby will be better off not being breastfed if it helps you get well." This bothers me because it is NOT an either-or situation. You can overcome depression AND continue to breastfeed, they are not mutually exclusive! There are a number of antidepressants that are considered compatible with breastfeeding (thought the knee jerk response of the medical community is usually, "you have to wean--medication isn't safe for the baby."Ranty side note--and yet you CAN take antidepressants while pregnant and also morphine and any number of other powerful drugs during labor?? Hmm.)
I also got and read the summer issue of Attachment Parenting.
Thursday, March 15, 2007
What Mothers Do
Speaking of infants, he needs me. I'll have to try to post more later!
