The big question! When do I think your birthing time will start? Such a good question… without a solid answer. No one will know when your birthing time will start until it starts to unfold, which will be at the perfect time. It might be slow and it might be quick. When your body starts the process, we will trust it and move along with it. During prenatal visits we will talk a lot about waiting, trusting and patience when it comes to when and how your birth will go.
I’ll send reminders of the Miles Circuit, sitting on the toilet backward, hydrating & eating frequent carb-loaded protein-rich meals, and resting as much as possible to ensure you are storing up energy for when you will need it later. If reserves are given away too early, we run out of the strength the uterus needs later when things have really picked up and then again when we need it during pushing. The uterus is a muscle and we need it to continue to do it's job as best as it can. I bring herbs to each birth and along with a breastpump that can help encourage more cramping, however early preparation is best by resting to store up strength. The best strategy when you do start experiencing cramps is a nap. In the last few weeks of pregnancy, I'll say it over and over...make sure you eat, drink, balance movement & rest and distract yourself.
I’ll encourage you to use nutritional liquids when food isn’t desired. You’ll text me updates on how you are doing emotionally and physically, how often you are cramping, and how you are coping with the intensity. If things start out during the evening, it’s best to rest as much as possible, storing up energy is key. Taking a warm bath will set the mood for rest and help your body store up the energy it needs for active times and pushing. Even if you can't sleep, lying down with your eyes closed, can make a big difference on your body. Another thing to avoid at night is screentime. Screens can stimulate your mind and work against your body's ability to rest. If it’s daytime and you think there’s a start with cramping or loss of fluids, distract your analytic reasoning from depleting your energy reserves. This will help your body open and naturally process this experience peacefully at the right time.
I’ll join you in person when you are in active labor.
Pro tip! Make sure the front door is unlocked when you know I’m on my way. I come in quiet and calm. I’ll take your vitals and assess mamma and baby throughout the whole time. If position changes and more relaxation is needed, I can show you how to best use your home environment and body to rest & move smart.
It’s your home, you get to decide who is invited into your space. If you want to be surrounded by family and friends, great! If not, great! You decide. It’s your birth.
If a baby wants to be born on land, warm compresses can help reduce tearing. If a baby wants to be born in the water the warmth can help avoid tearing. When the perineum is evaluated after birth and if sutures are agreed upon, I use numbing medications to make it as comfortable as possible. I often remind mammas to focus on their babies and keep that oxytocin going during repairs by taking nice deep breaths and focusing on their sweet baby.
Continuous skin-to-skin is a priority. Skin-to-skin with mamma encourages breastfeeding and bonding all while the placenta is attached to the baby. Dads usually cut the cord at the newborn exam which happens on your bed at least an hour after birth. The newborn exam is a comprehensive assessment of the baby from head to toe. The baby is weighed and the fish scale photos are taken!
Keeping the baby connected to the umbilical cord immediately after birth gives the baby all the blood that’s theirs and the transition to life on the outside is smother as they start to breathe oxygen on their own.
If resuscitation is required, all assistants are trained and certified in NRP Neonatal Resuscitation Program and BLS (Basic Life Support).
If necessary, IV fluids, IV antibiotics, and anti-hemorrhage medications are available.
Vitamin K injections and Erythromycin are also available. For those families desiring oral Vitamin K, families provide that and administer it themselves. Purchase Here
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