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Labor & Delivery | giggle blogs | giggle Blogs

labor & delivery

February 18, 2010

New Dad Appreciation

Hi Sarah!

We just wanted to thank you again for your class… what we learned was (and still is) very helpful! Hard to pinpoint all the “best parts,” but a few things that we were very thankful to have some perspective on in advance:

1. The labor breathing techniques. Again, due to Cathy’s situation, we were both somewhat expecting (perhaps me more than her) to have a C- section with no labor at all. When her OB allowed her to labor, we were obviously glad we’d paid attention to that part of the class! Cathy specifically said the “primal, guttural, breathing” techniques were exactly what she needed at the time.

2. The partner’s/father’s role in the whole process. I really felt like we did this together from start to finish. I expected to feel like I was helping her do it versus us doing it together. Certainly easy for me to say considering I was in zero pain (haha)… but surprisingly, Cathy does agree. Very cool experience for us both.

3. Breastfeeding. Cathy learned a lot that was very helpful…including, of course, that every nurse will have a different opinion and you just need to find what works. She’s had some challenges since then and has consulted many other books and a couple of appointments with a lactation consultant at Newborn Connections.

Many other parts were great, of course too… just wanted to name a few. Again, many thanks for your help! This is truly an awesome experience and we are loving every minute of it (well, maybe not ALL of the crying minutes but we’re doing our best to keep those to a minimum… and he’s still cute then too!).

February 3, 2010

Baby Julian…

has arrived! Please watch the video below to meet his parents Evelyn and Jamie, who talked with me 2 weeks ago as they wait in anticipation for his arrival.

Baby Julian is now one week old, a beautiful 9 lb.3 oz baby boy who “looks just like me when I was a baby!” says proud daddy Jamie. Evelyn’s biggest concern was breastfeeding- well, I am happy to report that she is nursing like a champ! They are in that unique place of adjusting to life with their new sweet boy, finding their footing, coming up from the fog of bliss and challenge; may all new families transition so well into new parenthood…

January 11, 2010

POOP!

One of the biggest concerns among pregnant women is: “what if I poop while I am pushing the baby out?” They may not be talking about this with their partners, believe me they are concerned about it and probably talking about it with their girlfriends…it can be all consuming…”we will have to move out of this town if I do that!”

POOP happens! Anatomically here is what’s happening: when she has pushed the baby down, well into the birth canal, if there is anything in the rectum, it’s going to come out ahead of the baby…no two ways about it. Now- she has two choices- live in fear that it might happen OR leave her social graces outside the labor room door and PUSH like she means it- and get that little baby into her arms sooner than later!

January 7, 2010

A Special Boutique Series…All About Childbirth

On Thursday January 21st and Thursday January 28th from 7:00pm-9:00pm…at giggle Greenwich…located at 102 Greenwich Avenue…Lisa Gould Rubin, CCE, CD, childbirth expert, doula and co-author of “The Birth That’s Right For You” will host childbirth classes.  Lisa assists couples with learning how to apply who they are and what they need to the process of having a baby so they can feel good about their birth, themselves and each other.

the following is a list of topics that will be discussed…

  • creating a collaborative birth team
  • how birth works
  • recognizing labor
  • what to do at home during early labor
  • laboring in a way that works for you at the hospital…even when things don’t go according to plan
  • customizing your breathing and labor strategies…based on what you already do in your everyday life
  • drugs during delivery ~ yes. no. maybe.
  • cesarean birth

Classes are $300.00 per couple.  If you are registered at giggle…classes are $250.00 per couple.  Please contact Lisa at lisa@thegoodbirthcompany.com or 914.763.9487 if you are interested in attending.

We look forward to seeing you at this informative event!

December 2, 2009

Social Graces

Think about the weight room at the Club where you work out…have you noticed that the women are SILENT? There is not a sound coming from them as they pump and lift and work out hard…this is not normal…the MEN are grunting, and heaving and almost growling when they work out. It has nothing to do with how heavy the weight is, it is all about social graces. Women have been taught that it is not lady-like to utter sounds in the gym (as if working out has anything to do with emulating Miss Manners.)

The analogy of course is that coping with labor and pushing a baby out of her body are highly physical experiences- like working out at the gym…she needs to be encouraged to use her voice, which will give her strength and power to do her work- in labor and in the gym!

November 27, 2009

The Five Labor P’s

Pain: There will be pain. Rather than be terrified and crumble in fear about it- let’s face it, learn how to cope with it and remember that there are pain management options.

Panic: The muscle that I become most concerned about as labor intensifies is the brain…it has a need to be in control-not possible in labor. Reassuring her that she is OK, that she is doing well and steadily guiding her through one contraction at a time is key.

Partner: You are essential in labor. No one can take your place. You are the only one in the building that loves her head to toe. In between contractions you are the one to wrap your arms around her

Passenger: The baby is the one that actually call the shots in labor. Intermittent monitoring of the fetal heart rate (FHR) provides a snapshot of how the baby is tolerating labor. It is not uncommon during a long labor for the FHR to show signs of stress, requiring additional monitoring, IV fluids and possibly a cesarean birth.

Process: Labor unfolds. Think of it like a road trip: You have a good vehicle with gas in the car, a reliable roadmap or (GPS system!) You begin at point ‘A’ with the goal of getting to point ‘B.’ What happens as you make your way across country remains to be seen. You cannot control the weather, the road conditions, the other drivers etc. etc.
You make decisions along the way, based on your experience…just like the day you are in labor.

November 13, 2009

Hospital Essentials

Here is the list of the ‘Must Take’ to the hospital items that we covered on That Morning Show Wednesday, November 11th:
• Socks: She will be up and out of the bed, keeping her pelvis in motion, and helping to make progress-SO- keep her feet warm; once the baby is in her arms, toss the socks in the trash!
• Water Bottle: Take a tall sports bottle with you. Her partner can fill it in the pantry with water, juice and ice-giving her sips after each contraction. This helps keep her hydrated as well as provide a quick hit of needed sugar for energy.
• Lollipops: To cope with contractions, she will be making low moaning sounds (instead of the old fashioned, high pitched hee-hee-hee sounds-which create even more tension in the body!) These long, low sounds can make her mouth and throat dry-sweet and sour lollipops in between contractions are perfect.
• Fan: women in labor get over heated- cool her off with cold compresses-simply a hospital wash cloth in cold water, squeezed out and placed on her forehead, neck and shoulders. A piece of card stock or battery operated fan work well for actually fanning her; she’ll appreciate it so much.
• Music: Bring music that you love and that has meaning to both of you. Music will help transport her through all the hours of labor. Music also customizes your labor room, making it a more
personal environment-the hospital team is now entering YOUR space….quite effective.

October 4, 2009

Labor and Delivery 101- Top 10 Things Every Woman Must Know

1. PAIN: Let’s face the facts- it is going to hurt…it is not like a tsunami wave that picks you up and slams you down. The contraction starts, builds, peaks, subsides and is over…then you rest and regain energy for the next one and so it goes…until and if you make new decisions about pain management.
2. PARTNERS: They are essential to the process. Your husband, lover, mother, sister or dear friend. An unconditionally supportive person who cares about you and is with you to see you through.
3. POOP: It happens…most women live in fear that something will come out of their body ahead of the baby; and it might! This is actually a sign of progress; if you poop in the labor bed, it means that you are pushing well and that the baby is coming.
4. VOCALIZING: Having a baby is not a silent affair…the human response to pain has noise attached to it. Screaming is not helpful and can result in panic. Productive sounds-sighing and moaning and a deep guttural response will help move the pain up and out of your body.
5. EPIDURALS: You are still a real woman if you choose an epidural for pain management…this is not a contest, you don’t get extra points for how you get through labor and delivery. Epidurals today are a safe and viable option and in some cases can even assist labor to progress.
6. EPISIOTOMIES: This is an incision in the perineum (the space between the opening of the vagina and the rectum.) First of all, they are no longer done routinely, and secondly it is agreed upon that a small tear would be preferable to an artificial incision, as a tear will heal more efficiently.
7. CESAREAN SECTION: This is Plan B; the other way babies are born. The C/S rate has increased from 25% to 30% in part due to technology assisting older women in accomplishing a pregnancy, combined with the rise in multiples-who are often a scheduled cesarean.
8. NURSES: Are on your side; they have the same goals you do-healthy moms and healthy babies. They are credentialed, licensed, healthcare professionals. The vast majority of them are invested in helping you have the kind of birth you desire.
9. BIRTH PLANS: Forget about writing a prenatal dissertation about what will and won’t happen the day of delivery…instead, talk together about the goals you have for your birth and then have ongoing communication and conversations with the healthcare team…what you think you want prenatally often changes during labor.
10. MEMORIES: The day you give birth is a day you will remember for the rest of your life-both of you. You want to look back at the day your baby was born and recall being flexible, working with the healthcare team, and making decisions along the way…your lives will have changed forever, in ways that you cannot even imagine.

September 25, 2009

Human Response to Pain

When you think about it, we humans make noise in response to pain…the last time you were hanging pictures in your living room, and accidentally hit your thumb with the hammer, did you respond with a breathy “he-he-hoo-hoo?” I don’t think so. You uttered a few choice words, and made a loud “aghhhhh!” sound. Which is exactly why McMoyler Method recommends moaning in response to labor pain; patterning what we do in response to other kinds of pain in our lives.

Does moaning take the pain away? No. It does, however, give the brain something to do in response to the pain. Expectant parents can practice the moaning response; start by humming, you will notice a reverberation in your chest, now allow your jaw to unhinge, so that your mouth is slightly open, now when you hum, it comes out as a soft moan.…

Moaning is a natural phenomenon. Think about the morning after the New Years Eve party, when you sat in the privacy of your bathroom with the NY Times for half an hour. Or the Mexican vacation that ended up with Montezuma’s revenge-these were not necessarily silent situations; they are often accompanied by a moaning of sorts, which is the body’s response to discomfort or pain.

Take a peek at www.thebestbirth.com DVD to see couples actually practicing deep, guttural moaning sounds in response to intense contractions.

September 12, 2009

Labor Signal

Not for the squeamish or faint of heart…get ready folks-labor is messy business! One of the first signs most mom’s have that labor is coming will be the mucous plug. When the plug comes out, you have a few hours to a few days before real labor begins. Partners, don’t be surprised if she asks you to come take a peek at the plug (yep)…you’re looking for a few tablespoons of egg whitish mucous, streaked with pinkish/brown blood. This is actually a helpful heads-up: make sure bags are packed, house is ready for you to be gone for several days, the pets are covered, meetings and appointments cancelled etc. Next stop-LABOR, defined as contractions that over time, get stronger, last longer and come closer together. Stay tuned for ‘early labor at home.’