Tag: labour

our work, pregnancy, reflections

Mentoring from the Heart

Roshnii Rose

Supriya and I are now three weeks into a year long journey that will lead to us becoming certified childbirth educators with Birthing from Within and although we have already dived in deep, I feel I am still just scratching the surface.

Rather than using the term educator, which could imply an old-school paradigm of teacher and student, we are encouraged to use the word mentor, which describes a person with experience and understanding who guides others to find their own wisdom and direction.

As you may know, if you’ve read some of read my previous posts, such as this one, Pam England’s (founder of BfW) work has been a great source of inspiration for our work with pregnant women and their partners.

What I love about the BfW approach is that it takes a completely different angle than conventional childbirth education, using a variety of creative and experiential tools to enable parents to access their inner knowing as well of making sense of the various information, opinions and decisions they may encounter through the childbearing year.

As someone who holds creativity and spirituality deep in the core of my daily life, I resonate with the use of art, archetype, story and metaphor that makes this practice so unique.

What is more, the course is causing me to explore and question my own stories and assumptions about birth which is a challenging but necessary process.

I look forward to the unfolding of inspiration and insights over the coming months as we add depth and richness to this rewarding work.

our work

What is a doula anyway?

Roshnii Rose

Although the word ‘doula’ dates back to Ancient Greece, it is relatively new to the English and Portuguese language, but what does it actually mean?

Below is a (not exhaustive) list of some of the aspects of the role of a doula in this day and age, which I recently wrote for the Uma Mãe Nasceu website…

Doula is a word of Greek origin meaning servant or handmaiden. It has become the term used for someone who takes care of a woman during labour and birth and in the early days and weeks with a new baby.

These days, when we live in less close-knit communities than in the past, women are often choosing to hire someone to fulfill the role of a birth companion that might once have been taken by a grandmother, aunt or other experienced woman in the community.

doula-hug

Reassuring presence
A doula is often, but not always, a woman. She will have a positive perspective on birth and mothering either through her own experiences or by attending other women. Her role is to provide emotional and practical support to a mother, her partner and family throughout pregnancy, birth and the postpartum period. Continue reading “What is a doula anyway?” →

birth, labour, reflections

Leave the clock behind

Roshnii Rose

As a pregnant woman, surrounded by a birth culture that is obsessed with monitoring the progress of labour, it is hard not to focus on how long labour has lasted and how long and frequent your contractions are.

Yet it appears to me that the habit of ‘watching the clock’ from the first rhythmic twinges of early labour can make the process seem long, drawn out and eventually exhausting.

timing-contractions

Every woman’s labour is different to the next and the effacement and dilation of the cervix can happen in fits and starts rather than along a predictable curve, so even if you are closely timing your labour it doesn’t mean you know how far you’ve come or how far you have to go, which is ultimately what all women long to know.

In the world of birth, you hear a lot about long labours, fatigue and lack of progress, which then lead to interventions such as the use of synthetic oxytocin to speed up the labour or epidural anasthesia to enable a mother, who has been labouring for many hours, to rest .

But what if our image and expectations of labour were different? What if, instead of watching the clock or the smartphone app to time contractions, a woman in the early stirrings of labour set her mind on some other absorbing task? Continue reading “Leave the clock behind” →

birth, labour, pregnancy, reflections

Why trust in birth?

Roshnii Rose

Diving into Pam England’s latest book, Ancient Map for Modern Birth, I was faced with a section on the notion of trust in the realm of pregnancy, birth and post-partum, which urged me to unpick the phrase ‘I Trust in Birth’ – the name for our doula service.

The words ‘I Trust in Birth’ surfaced, as an affirmation for myself as an embryonic doula, in a session with a pregnant couple preparing for the arrival of their first child. The phrase encapsulated the faith in myself and other women to be able to give birth in their own natural way, given the right preparation and environment. My friend, who was my doula at my first two births, had embodied that unswerving trust in my ability to birth and I found it contagious. In both births, the staunch belief that she held in me helped me navigate some tricky twists and turns in events where I otherwise might have faltered. Continue reading “Why trust in birth?” →

birth, labour

Toques: Ferramenta útil ou intervenção desnecessaria? / Vaginal exams: Useful tool or unnecessary intervention?

Roshnii Rose

Inserir os dedos na vagina de uma mulher deve ser uma das formas mais íntimas ou invasivas de tocar o corpo de uma mulher. Ainda assim, este continua a ser o método mais utilizado para determinar a progressão do trabalho de parto.

Existem de facto muitas maneiras para uma parteira avaliar o quanto o trabalho de parto de uma mulher já progrediu, tais como:

  • escutar os sons que ela faz;
  • sentir o odor presente na divisão;
  • verificar a linha púrpura que pode surgir na pele entre as nádegas;
  • notar como a mulher está a interagir com os que a rodeiam.

Continuar a ler este artigo na Vida Ativa.

—————————-

Inserting one’s fingers into a woman’s vagina must be one of the most intimate or invasive ways to touch a woman’s body. And yet, this continues to be the most commonly used method of assessing a woman’s progress in labour.

There are in fact many ways that a midwife can assess how far a woman’s labour has progressed, such as: listening to the sounds she makes; observing the smell in the room; checking for the purple line that may rise on the skin between the buttocks or simply noticing how the woman is interacting with those around her.
As well as being an invasive and sometimes painful procedure that may make a labouring woman feel uncomfortable or tense at a time when she needs to feel relaxed and at ease, vaginal exams (VEs) can be problematic for a number of reasons.

Continue reading “Toques: Ferramenta útil ou intervenção desnecessaria? / Vaginal exams: Useful tool or unnecessary intervention?” →

birth

Ajudar é não perturbar / To help is to not disturb

Roshnii Rose

Originally published on umamaenasceu.org

English version below

«O parto é um processo fisiológico involuntário; não pode ser ajudado, mas pode ser perturbado.» – Michel Odent (citado de memória do curso Paramana Doula, Janeiro de 2011).

Enquanto que algumas pessoas afirmem que para muitos de nós humanos, o parto pode ser um evento emocional e espiritual, este é incontestavelmente um acto fisiológico.

Muitas vezes falamos de mulheres que são «assistidas» no processo de dar à luz ou mesmo é utilizada a frase «o dr. X fez o parto». Mas como a citação de Michel Odent demonstra, é enganador pensar ou dizer que uma mulher pode ser ajudada a dar à luz. De facto, assumir essa perspectiva pode mesmo causar mais problemas do que trazer resultados positivos.

jc1213.JPG

Pelo contrário, talvez seja mais seguro afirmar que a melhor forma como podemos apoiar um parto é ajudando a criar as condições nas quais as mudanças fisiológicas necessárias possam acontecer no corpo feminino. Isto significa limitar as perturbações que interferem com estes processos.

De forma a fazer isto, é necessário ter um conhecimento básico da fisiologia do parto.

Continue reading “Ajudar é não perturbar / To help is to not disturb” →