So, this girlfriend of mine has always wanted a super crunchy, all natural, birth center birth. With her first pregnancy, she did her research, interviewed the local midwives, and made a birth plan. And then about half way through the pregnancy, the worst thing happened. Her water broke and she lost her baby girl.
Second pregnancy, she was all revved up to try again. She embraced hope, fell in love with her growing belly and the baby inside it, and made up her birth plan for her all natural, birth center birth. But wait! This baby was breech, and despite her best efforts (including the attempt of a very good OB to perform an external version–turn the baby from the outside so he could be born head first), he stayed that way. So my friend ended up having a cesarean birth. A very good cesarean, with her rainbow baby kept close by and already nursing less than an hour after he was born… But not the warm and fuzzy, midwife-attended, all natural, born-in-water kind of birth center birth she’d been hoping and planning for.
Her little boy is a year-and-a-half old, and she’s expecting another baby–a girl! And since before this little girl was conceived, my friend has been planning her VBAC. A beautiful birth plan. She shopped the various hospitals, researched policies, interviewed OB’s, and had it almost all figured out. Almost. Then she started having contractions. Preterm contractions. And her baby was breech. Again. And then they found some internal bleeding… And some clotting… Well, let’s just say the best laid plans…
But here’s the deal. This girlfriend of mine has a clear understanding of the word surrender. While she has no interest in becoming a statistic or subjecting herself to policies that dictate how she births her baby, she’s more than willing to do whatever is required to help her baby have the safest and gentlest birth possible. So, yeah. She’ll totally compromise on her birth plans. What she will not compromise on is the health of her baby, or her breastfeeding plan.
She insists that her baby be kept close by, and that as soon as she is in recovery and stable, that her baby be put skin-to-skin with her. She declines the use of formula, glucose water, or other artificial foods in favor of her own breastmilk. Her actual written birth plan, in fact, has more specifics in it about the care of her baby and her postpartum (breastfeeding) care than about the birth. And I think my friend has got it right on!
Birth is something that is kind of out of our control. You don’t know when you’ll go into labor, how long it will be, how closely spaced or intense the contractions will be, what position your baby will be in, or how your baby will tolerate labor. Yes, most births go very, very well, and require very little (if any at all!) intervention. But birth is big. It’s huge, in fact. It’s a powerful force of nature, not unlike a volcano. And like a volcano, we have lots of scientific data. Scientists can tell you about the seismic activity of the earth, the temperature of the molten lava, what the smoke will do to your lungs… all sorts of stuff. But when a volcano erupts, what do you do? Run! Does anyone seriously think they can control it? Hell, no! We’re smart enough to know that it’s out of our control. And birth is a lot like a volcano. While we may be able to tell you about the hormones (natural and artificial) that cause contractions, how dilated a cervix must be to let the baby out, and measure the baby’s heart rate in labor, there’s very little we can do to control it. We do our best to support the woman and her baby, and exercise patience. But her body is a force of nature, and deserves respect as such.
What we can plan for is breastfeeding. There are so many things that you can do to dramatically influence how well of a start your nursing relationship will get off to. And no, you can’t control everything. But there’s lots you can do.
1. Plan to breastfeed exclusively. Ask that no artificial baby milk (formula), sugar-water, or artificial nipples (bottles, pacifiers) be given to your baby.
2. Ask to have your baby placed immediately on your chest, skin-to-skin, and keep him/her there until you’ve completed the first breastfeeding.
3. Wait to administer medications, weigh and measure the baby, give the first bath, and examine the baby until you’ve completed the first breastfeeding.
4. Limit visitors. Entertaining visitors should never take priority over feeding your new baby.
5. Room in with your baby. Don’t send them to the nursery.
6. Learn your baby’s early feeding cues, and then nurse your baby before they cry.
7. If your baby’s blood sugar is low, ask the nurse to help you to breastfeed your baby more efficiently.
8. If supplementation with artificial baby milk is medically necessary, ask for help learning to supplement at the breast with an SNS, or finger or cup feed. And ask for help pumping right away to increase your milk supply!
9. If you and your baby are separated for a medical reason (admission to the NICU), ask for help to start pumping right away, ideally within an hour.
10. If your baby needs to be in the NICU, ask to do Kangaroo Mother Care there. http://www.kangaroomothercare.com/
Well, my friend is still pregnant with that beautiful baby girl. And I don’t know exactly what her birth will be like. What I do know with near certainty is that she will nurse her baby girl, probably for years, not months. And that no matter what it takes, Cindy has planned to give her baby girl the very best start possible in life. She’s decided to breastfeed her baby.
www.breastfeedingmothersunite.com