Tag: midwife

Welcoming baby Delphi- My Birth Story

Birth StoriesNew mumNewbornPregnancyThe Great British Birth Off

I don’t really know where to start with the labour. I could potentially say I was in early labour for a few days, contracting on and off throughout the days and evenings prior to the birth with it not amounting to anything. For the sake of time, I’m writing this whilst the baby is sleeping, and to save your boredom I’m going to fast forward to when it finally and thankfully stepped up a gear. This was Friday evening. The evening started like all the other evenings before, me bouncing on my ball in front of the TV. Rob had gone to football and I was contracting as I usually did in the evenings. It got to 11pm and the contractions were coming regularly. I said to Rob tonight is the night, he rolled is eyes and carried on watching 8 out of 10 cats does countdown, as I’d cried wolf every day already this week. From how ‘stop and start’ my contractions had been this week I had lost all faith in my ability in judging whether it was happening or not. I went upstairs to take a shower and to have a word with myself. I was probably not going into labour at all.

Half an hour in the shower I rang my friend to come over. The contractions were becoming stronger and staying regular, I was still not totally convinced though and prepped her that it may all stop. I rang the birth unit too and said the same to them, “I don’t think I’m in active labour, but I think I may be getting there.” Being a fourth baby, I knew that being in active labour (from 4cms and regular contractions) to having a baby wasn’t going to be long and I wanted to be in the hospital as I bled last time. They invited me in.

This is probably a good time to give you a bit of background. My 3rd baby was born prem at 34 weeks and I lost more blood than deemed normal. So the advice for me was to have my baby on a consultant led unit as I was “high-risk” of bleeding again. I looked at all my options though and chose to go against this advice after having a conversation with the lead midwife on the birth unit. My last birth, I had polyhydramnios, prematurity, a suspected infection and the cord snapped on the placenta all things that mean you’re more likely to lose more blood. This pregnancy, I had normal waters, a normal size baby and was full term so I didn’t have the same risk factors. With this in mind I chose to give birth on the midwifery led unit and I was supported in this choice.

So back to that Friday evening… I was in the shower. I had my birth ball in the shower too. It was on the bath so that I could lean onto it to have the water on the bottom of my back. I used my breathing here that I’d learnt from hypnobirthing. Counting my in breath and my out breath gave me something to concentrate on and kept me relaxed. Things were going great guns, I was calm, comfortable and getting into the swing of the contractions. My friend arrived and so I got out of the shower and myself and Rob made our way to the birth unit.

It was about 00.30 when we arrived to the birth unit. My midwife was Brenda, she showed us into our room Poppy. It was dimly lit and the pool was half full. I again said to a Brenda that I didn’t think I was quite in labour but knew my contractions were getting there. They were coming every few minutes at this point but they felt manageable. She brought me in some essential oils – Bergamot and Frankincense- on a taper and I got back into the shower leaning over onto the birthing ball. Chui my birth photographer arrived at this point. My only concern here I remember was what happens if this all stops, what happens if I’m just in early labour and I’ve got my friend at my house and Chui’s here. I didn’t want to waste anyone’s time! Silly really looking back as it was obvious I was in labour!

I spent a good hour at least like this in the shower. The next thing that happened was at 02.30 when I had my first vaginal examination. I know it was 02.30 because Rob text Emily at this time who was home with the kids. I still wasn’t sure at this point that it was it… I remember saying to Brenda, what happens if I’m just 2cms. If this was going to be the case I didn’t want to know! Brenda thought that would be unlikely and she was right. It’s funny how much you lose your ability to rationalise in labour! As a midwife, I should’ve been able to recognise the signs but I still had in the back of my mind that I may not be dilating at all! I was 8cms. Happy days! I got gas and air at this point which is when all of the fun started.

Brenda filled the pool and I got in. The water was instantly comforting. It was here that I remember really wanting to take it all in. As pregnant mothers, we are so desperate for this moment, desperate to feel the contractions and to know that after 9 months we are finally going to meet our baby. The labour and the birth we prep for, go to classes, pack 3 suitcases for which is more than what we’d take on holiday, we play it out how we want it to be in our minds but the reality is that it’s all done and dusted in a day. That moment in the pool was a nice one, I really appreciated what was going on, that what I’d been waiting for was actually happening that very night. These thoughts were helped from the fact that I was high as a kite too! I actually told Brenda all of this between contractions. She probs thought I was cuckoo!

It wasn’t long after I’d got into the pool that I’d started to transition. I remember saying “I can’t do this anymore!” Whilst thinking that’s a textbook ‘You’re just about to have a baby comment’ whilst uncontrollably pushing. I can’t remember “mooing” here but Rob assures me it happened! This feeling was overwhelming, I had this full feeling, which would have been her head coming through my pelvis. The only thing that helped this feeling go away was to push. All the signs were telling me I was just about to meet my baby and a few pushes later she was born under the water at 03.31. I got to bring her up out of the water myself. Holding her in front of my face, seeing her scrunched up face, feeling her skin, hearing her little cry and knowing that she was here safe in my arms was the most incredible feeling ever.

All went well after – no bleeding!🙌🏼 and we were back home by 7.30 am for when the other 3 children woke up.

There’s a couple of things that I’m so glad that I did.

1. Getting a birth photographer– I felt like a bit of a diva doing this but now I wish that I did it for all of my births. For me, remembering the birth is so much more important than say a wedding day, yet a wedding photographer is something we see at every wedding! The photos that i have are priceless and Delphi is lucky that she gets to see her first moments in the world. Thank you Chui 🙂

2.Hypnobirthing– Through teaching hypnobirthing I have inadvertently been practising the techniques for a lot longer than my 9 month pregnancy and boy did it pay off. Reinforcing that everything in your birth is a choice, learning the importance of keeping your mind calm and how to control pesky negative thoughts like fear and doubt that always seem to enter our minds meant that this birth was by far my most empowering, calm and magical experience. I could live it with such clarity and for me that was I really wanted, I wanted to be able to remember every minute of it and enjoy it! I’ll write another blog on what techniques I used that were most helpful.

3. Writing it down- this little story completes it for me, it’s something else that means I’ll remember what happened that night.

For me sharing birth stories is important. I want pregnant mothers to know that birth isn’t always the fear-filled, ear- piercing shrieks and painful experiences that you see on TV. It can be empowering, calm and beautiful. My births are by far my biggest accomplishments in life. I look back on this birth especially, and it was everything I wanted it to be and I would happily do it all again in a heartbeat.

What you can do to reduce vaginal tears in birth?

Ask A MidwifePregnancyTop 5 Tips

Ok ok I get it.. it’s not the most nicest of subjects to talk about and I’m sure you’re all crossing your legs as you read this 😵. But rather than focusing on how horrid this may be or worse still sticking your head in the sand, start thinking about what YOU are going to do about it!!! Because there’s lots of things that have been shown to lessen the tear, and with around 90% of first time mums having a tear that needs sutures, the more you know the more you can do to help reduce them. Knowledge is power after all. One of the biggest fears expectant mamas have about birth is vaginal tears so I thought I’d do a post on a few things that can be done to lessen the tear (number 6. is one that you can do from 34weeks pregnant.)

1. A warm compress. Having a midwife support the area with a warm compress can reduce tears.

2. Position. Pushing on your left side, all fours or semi- recumbent have been shown to have the lesser tears.

3. Communication- Blow and don’t push when the midwife says. This is so baby’s head can be born SLOWLY.

4. Hands on approach. Having a midwife support your perineum again, especially with a warm compress.

5. Did I mention…

S-L-O-W-L-Y

6. Perineal massage- Massaging the perineum with your thumbs (or getting your partner to do it) from 34 weeks with some olive oil has been shown to lessen any tears in first time mums by 10%.

These tips are all evidence based guidelines from the RCM or from an a midwife Julie Frolich who made a care bundle which has been shown to reduce tears.

If we’re talking about tears then we need to talk about recovery and healing.

1. Change your pads regularly to reduce infection.

2. Stay hydrated. It’s concentrated urine that may sting your stitches.

3. A high fibre diet will help with that first post natal poo. That’s dates, prunes, bran, fruit and veg.

4. Tea tree in the bath can aid healing. Other than that you can wash as normal but don’t use soap on the area. And pat dry.

5. Arnica tablets can help with bruising in that area regardless of if you have a tear. Have a look in your local health shop for arnica tablets to take during labour and post birth.

Any questions…? Please comment and I’ll do my best to answer them.

The Birth Story of Ottilie and Delilah

Birth StoriesPregnancyThe Great British Birth Off

It’s difficult to know how to start this birth story. I still can’t believe I only gave birth to the twins just over 2 weeks ago. If you’ve followed my gas and air blog you’ll know this was no easy pregnancy, there were so many uncertainties; the horrendous morning sickness, the scary bleeds in the first trimester, the reality of going from 2 children to 4, both babies being breech for what seemed like ages and the fear of Obstetric Choleostatis returning. Well it did with a vengeance. In brief I had bloods taken at around 28 weeks into the pregnancy to have a look at what my bile acids and liver function tests were doing (I hadn’t started itching at this point) and they were already abnormal. After an initial wobble my amazing midwives and Consultant calmed me down and a plan was made to repeat the bloods in 2 weeks. By the time those 2 weeks came I was already itching on my hands and feet so I was started on lots of medication, creams to sooth my skin and Piriton to help the irritation. When people ask what it’s like to have OC, the only way I can describe it, is like ants biting under your hands and feet and no scratching will ever ease the itch. And the itching isn’t just on your hands and feet it’s everywhere. Legs, arms, bump, boobs. My skin was so damaged I was covered in bruises and scratch marks I looked like I’d been in a fight. It’s worse at night and some nights I wrapped cold wet flannels around my hands and feet to relive the burning sensation. The one thing that kept me sane was the amazing online support charity ICP which had a Facebook page where sufferers can post questions and receive help and advice. At 5am when I hadn’t slept this was a life saver.

By 34 weeks I was at breaking point, I was hardly sleeping and nothing was helping with the itching. I took myself off to see my Consultant full of tears and worry and begged her for an elective section. I could see no way of carrying on until 37 weeks feeling so tired, so I figured it was best to deliver the babies early to put me out of my misery, plus they were still breech and transverse so a vaginal birth was not recommended. Again my amazing Consultant calmed me down, talked me through the options but did a quick scan just to check their presentation. And guess what, they were both head down and twin 1 was engaged! I was shocked, I hadn’t even felt them turn. So it was decided to induce me at 36 weeks, have some steroid injections to help mature the babies lungs and she prescribed me some amazing sleeping tablets (which are safe in pregnancy) to ease the nights. I went away feeling calm, confident and for the first time excited to birth my babies.

We had a date for the induction so over the next 2 weeks I listened to my Hypnobirth relaxation MP3 every night, stuck my YESMUM to be cards all over the house and had weekly massages from my wonderful doula. I could do this and everything was going to be fine. A few days before my induction date I had lots of early labour symptoms, a bloody show, loads of period pains, cramps and back ache but no babies. I felt confident that my body was getting ready for Friday and carried on practising my breathing techniques with my husband.

The day came to meet our little squirrels and we headed to the hospital at 7:30 am to meet my midwife and consultant. I was sneaked into a birthing room (I didn’t want all my colleagues to know or see I was on labour ward) and the plan was to have my waters broken and hopefully get things going. By 8:30 my waters were broken (I was already 4cm dilated) and I went off with my husband and doula to walk up and down 4 flights of stairs. My doula had my squatting, walking sideways you name it we did it. I felt like I’d done a Zumba class. My doula brought a wet flannel with her which had lavender and clary sage oil on it and I sniffed it like mad woman, I actually felt quite high. After 2 hours nothing was happening and we went back to the birthing room to talk through my options. My midwife head came into play and I knew the next stage was having the hormone drip. I wasn’t scared or worried about what this would mean but I knew time was ticking on and I wanted to get on with the labour, I even said ‘I want to feel these contractions now’. I was aware I was clock watching so my husband suggested taking the clock down from the wall.

 

 

 

 

So we started the drip on a low dose which meant I had to be continuously monitored on the CTG machine. This wasn’t a problem as I sat on the ball leaning over the bed (still with my Hypnobirthing MP3 in my headphones) so I didn’t feel restricted or confined to the bed and could still be upright. I managed to totally switch off from everything around me, it felt like it was just me and my husband in the room and the calm voice in my ears from Hollie de Cruz. After about half an hour the contractions were very mild and didn’t seem to be building into much so my midwife slowly increased the dose and I carried on rocking on the ball. I breathed through every contraction imagining a wave breaking gently on the shore ‘inhale peace, exhale tension’. *Just to say at this point, this was the first time I’d practised hypnobirthing techniques during my own labour so by no means was I an expert but I just kept the breathing techniques as simple as possible.*

After another half an hour the contractions had picked up and felt I needed to work harder to focus on my breath and not tense my shoulders or jaw, this is when the breathing really helped to keep everything soft. I took my husbands hand during every one of these contractions and held the wet flannel to my nose to inhale the lavender and clary sage, still keeping my eyes closed throughout. After a pretty intense contraction I walked to the bathroom to try and have a wee (my doula had been giving me sips of coconut water after every contraction which was just brilliant). I couldn’t manage a wee and stood up and had a really strong contraction which was horribly fierce and took me by surprise, I leaned onto my husband trying to get back into my breathing and said ‘I can’t do another contraction standing up ‘. We walked back to the ball and it was clear the drip was definitely working as the contractions were really regular at this point, maybe every 2 minutes. I picked up the gas and air and rested the mouth piece in my mouth, not inhaling it just having it there as a comfort. The next contraction came and I instinctively knew I wanted to get on the bed (I’ve never birthed on the bed in my other labours) I turned onto my right side and felt a change in my body, a sensation I knew yet still couldn’t believe I was at that stage. Pressure. It was in my lower back right on my sacrum and there was no ignoring the different sounds I began to make.

My midwife head popped back on as I heard the paper of delivery packs being unwrapped and opened my eyes to see my midwife had changed out of her own clothes into scrubs and my consultant standing there smiling and looking pleased. ‘I’m not at that stage yet it’s way too soon’ I declared and they all reassured me that twin 1 was on her way. I suddenly felt scared and told my husband who calmed me down and told me l was going to be fine and brought me back in the zone ‘inhale peace exhale tension’. I still insisted on keeping one of the ear pieces from my headphones in one ear as I couldn’t bear not to have those sounds keeping me calm.

My body then took over and I began to feel twin 1 moving down in my pelvis at quite some speed because before I could even think ‘I can’t do this’ her head was crowning and my midwife asked me to slowly breathe. I don’t recall waiting for another contraction because a few seconds later she was on my chest skin to skin and screaming. I couldn’t really believe how quick it had been but was well aware there was another baby to birth.

 

My midwives kept the hormone drip running so that my uterus continued to contract and within 5 minutes I felt the next wave of contractions building and asked for her cord to be cut and clamped and my doula took her for a cuddle so I could concentrate on the next bit. Another moment of me being a midwife crept in as I recall looking at my midwife as my consultant quickly scanned the second twin to make sure she was still head down. ‘I’m not having a forceps!’ I declared as I heard the sound of the metal instruments being tided away from a delivery pack. ‘No you’re not having a forceps you’re having a baby’ my consultant said to me. The contractions were strong very quickly again and my midwife broke the sac of water of twin 2 and I felt her begin to follow the same journey her sister had only made a few moments before. I was still on the bed but had rolled onto my back, one midwife encouraged me to rest my leg onto her to ‘make more room for baby’ a phrase us midwives say a lot! ‘God I hate it when midwives say that’ I announced to my midwives, they all laughed. And before I even had time to think about the ‘what ifs’ I felt that same sensation of her head emerging, followed by her body. I had done it.

The placentas came out fused together one significantly bigger than the other but both looked healthy. My blood loss was minimal and I didn’t have any tears or grazes! (good old perineal massage). We spent the next hour munching on delicious goodies from the snack bag (thanks Jo) drinking tea and trying to master the skill of tandem feeding. After a quick shower (best feeling ever) and freshen up we were transferred to the postnatal ward where I was lucky enough to have a private room. My husband and I stared at our new baby daughters, both completely elated and exhausted at the same time.

We named them Ottilie Pearl and Delilah Iris just in time for their big sisters to meet them the following day.

 

 

 

Clemmie Hooper a.k.a. Instagrams @mother_of_daughters is the genetics behind these 4 beautiful faces . This mamas game is strong, not only is she part time midwife and full time mother of 4 daughters, this super mum has also just released a book ‘How to Grow a Baby and Push It Out.’ A guide to pregnancy and birth straight from the midwife’s mouth. It is available for pre-order, a number one read for all pregnant mamas.

Birth Story – Alexis

Birth StoriesThe Great British Birth Off

 

I have now experienced 3 incredible births – all completely different but all overwhelmingly joyous. Without a doubt the 3 best days of my life. I was thinking about which birth to talk about for the Great British Birth off, and decided that as it was world mental health day 2016 this week, I would discuss my 3rd pregnancy and birth. My 3rd pregnancy began as usual, Dan and I had a suspicion and as I was a bridesmaid at my cousins wedding (where there was an open bar) we thought we should check and there they were, two faint pink lines, the very start of Wilfred’s life. We were over the moon as always planned for 3.

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The pregnancy continued as usual until week 22 when I started feeling very anxious for no reason. As the days went on I found myself obsessing about the mortality of my family. I’d lost my beloved dad to cancer 6 years prior to this pregnancy and the image of him ill at the end of his life just kept replaying. I was constantly thinking my husband or other 2 children were going to get dangerously ill as well and I could do nothing about it. I felt in fear constantly that I was going crazy and could not sit still or sleep or eat for worry. The whole experience was hideous. Dan said it was like I’d become a ghost. The midwife in me knew that something was seriously wrong and I decided I needed help. I contacted my midwife and she referred me to the mental health team to be assessed – I was diagnosed with antenatal anxiety and depression.  It all suddenly made sense. We did not know why pregnancy had triggered this, my first two pregnancies had been plain sailing. It may have been chemical or hormonal but for whatever reason my adrenaline levels where sky high. I saw a private therapist and started a cbt course. It’s a long story but in short after 12 weeks and a heap of amazing support I was climbing out of that dark frightening hole. The rest of my pregnancy was as normal with check ins with the mental health team.
On my due date, the 7th of April 2016, I went into labour, gently and calmly. I had no fear at all, I just felt love and joy for the arrival of this baby that had already been through so much with me. I had a beautiful water birth an hour and a half after presenting at the hospital and I cried my eyes out at the love I instantly felt after the hideous antenatal anxiety and depression I had experienced. Wilfred is a total joy and I’m so blessed to have him in my life.
Alexis Stickland
Mother and Candid Midwife.

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One month 🎂

You know in the Chinese culture women are encouraged to rest for the whole month following birth and I mean seriously rest. No phones, TV, visitors, chores or other disctractions. Women in Chinese culture are traditionally encouraged to just eat, sleep, rest and feed their babies. This time around I’ve tried to take this way on board, limit visitors, accept help and reduce expectations. I have the next 18years and then some to be a crazy busy mother. Having this month to slow down has been necessary for survival. No one regrets doing too little during these early days. Always remember that when you’ve been through birth and are getting to know your baby, the rest of the world can wait.
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Delphi is celebrating her one month birthday by making the most of the all you can eat boob buffet this evening and I have a family size packet of mini eggs.

📸 Chui King Li
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