Birth Trauma for Moms Part 1: What is it, Symptoms & Prevention

 
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Women are good at hiding their pain. And, when it comes to birth trauma, they hide not physical pain but the deep emotional pain of disempowerment, humiliation, disregard, disrespect, loss of control and of dignity.

Did you know that over one third of women characterize their birth experience as traumatic? Every year in the U.S. alone, nearly 4 million women give birth, so that is a lot of women. It seems to me like much more, as I help countless women to heal from it. 

Where is all of this birth trauma coming from?

What is Birth Trauma and How Common Is It?

A trauma response is a normal set of reactions someone has after experiencing a life threatening or dangerous, scary, intensely horrible or overwhelming situation - the injured mind/body making sense of a traumatic experience. It is not a sign of weakness or inability to cope; it is not depression or anxiety, but it can lead to those feelings.

While most acknowledge that trauma is an expected occurrence after something like a war, serious accident, sudden death or grave assault, a mother’s (or even a baby’s) trauma following a birth is not widely discussed. Regardless of cause, trauma is trauma, and may lead to post traumatic stress disorder, known as PTSD -  which can cause real and long lasting symptoms of psychological distress. The reported prevalence of PTSD varies according to the study.... According to Women's Health Today "in at least one large study, the rates of full-criteria PTSD in the U.S. following childbirth are now higher than those following a major terrorist attack."

The high rate of birth trauma is not acceptable and we must do something about it, by raising awareness and empowering childbearing women and their families to make choices that would minimize the risk, and speak up to their own providers.  We can also get involved with organizations doing what they can to improve maternity and newborn care. In the US, there is the  Childbirth Connection, and there is the Coalition for Improving  Maternity Services (CIMS), who recommend more humane, evidence based care practices in the Mother-Friendly Childbirth Initiative , as well as certify hospitals as mother baby friendly based on adherence to these recommendations. In 2016,  CIMS joined forces with BirthNetwork National, a grassroots chapter organization and ImprovingBirth, the nation's largest maternity care consumer advocacy organization. Fortunately more and more hospitals are beginning the process and a number already have the designation, but it is not happening fast enough or on the large scale that is needed.

In countries like Holland and Sweden, where childbirth is treated as normal, with minimal medical and surgical interventions, rates of birth trauma are significantly less - as are the rates of maternal and newborn morbidly and mortality. The United States is among the lowest ranking countries when it comes to preventing fatality and sickness during birth. Despite being one of the most technologically advanced countries in the world, the USA loses more women and babies during childbirth than any other well-developed country. We’re also known for one of the countries that performs the most C-sections. The U.S. cesarean rate is about twice that of Europe - the majority are not medically justified according to maternal health experts - with significantly worse outcomes.

“For.....women, it is not always the sensational or dramatic events that trigger childbirth trauma but other factors such as loss of control, helplessness, loss of dignity, the hostile or difficult attitudes of the people around them, feelings of being invisible, not being heard or the absence of informed consent to medical procedures.” (BirthTraumaAssociation.org.uk) In a meta-analysis of multiple studies, women with PTSD from childbirth use words like inhumane, intrusive, horrific, and degrading to express how they were treated by health care professionals during the experience.

Characteristic symptoms of birth trauma can be mild to debilitating. They include persistent re-experiencing of the events with intrusive recurring memories or vivid flashbacks; nightmares; feeling triggered into extreme distress - pounding heart, faintness, nausea, shortness of breath, racing thoughts and other symptoms of anxiety or panic when exposed to reminders or triggers; avoidance of anything that brings back recollection of the events or the need to talk about it repeatedly; feeling emotionally numb; difficulty bonding with baby or connecting with others, isolation and loneliness; feeling hypersensitive and reactive, wound up, easily startled, hyper alert, vigilant and on guard, on the look out for signs of danger; trouble sleeping, concentrating or remembering usual things; irritability or anger outbursts; feeling depressed, sad and crying for no apparent reason; decreased motivation and interest in activities of daily life and absence of joy.  

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Sadly, the only goal of the medical world where birth is concerned is to have a breathing mother and baby with heart beats who appear physically healthy.

The psychological impact of giving birth is not really a concept a hospital or its staff can grasp on maternity wards. So, naturally, modern medicine does not necessarily take into account a woman’s fears, emotional pain or inner stress when managing their labor and birth, let alone the baby who is born fully conscious. In a culture that fails to recognize, understand or validate the significance of the psychology of childbirth for the mother or baby, care is given without that sensitivity, leaves a birthing woman and her newborn baby’s emotional wellness unchecked, can make labor, birth and postpartum all the more difficult, and increase the risk of her and her baby feeling traumatized.

With our quick and deep-rooted dependence on technology and modern medicine - the providers, institutions and products, women have let go of their power and the inner knowledge that their bodies already have for giving birth. Sadly, in giving up our power to them, we’ve also forfeited our voice and our choice. Now, it has become part of routine procedure to use machines, tools, and drugs to monitor, and “treat,” normal healthy birthing mothers when all is well; we are conditioned that they are actually needed and beneficial, despite mounting evidence of their harm. 

There are other causative factors - like the impersonal nature of busy, short staffed but costly hospitals care. Hospitals need large volume and use of their services and products to keep them in business. We live in a litigious society and health care providers and their institutions are under a great deal of pressure to do all that they can to prevent litigation that entails millions of dollars, risk of licensure penalties or loss, and long years of extreme duress for them; perfection is expected when it can never be guaranteed. 

Far too many women are experiencing some kind of trauma during or after their child’s birth, and many hospitals and their health care professionals are not paying attention. This type of care and trauma go hand-in-hand.

How Hospitals Typically View Birth

At the beginning of my career, I was a nurse working in a typical hospital. You’d think I’d have been prepared for the idea of labor and delivery when I found out that I was pregnant with my first child. In fact, working with mothers and their newborn babies as an OB nurse, is where I developed my strong fear of birth in the first place!

I wish I could say that my own birth trauma story is an exception but, unfortunately, it’s a common experience still today. I hear it from thousands of women. In most hospitals in the United States, labor is looked at as a very precarious and potentially problematic situation - a catastrophe or disaster could happen at any moment, resulting in a potential lawsuit. Labor, in the hospital in which I had worked, felt like an emergency or intensive care situation the majority of the time. I was actually in more operating rooms than delivery rooms, and I was assisting more cesarean births than I thought I would. I was then rescuing women and babies from complications caused by the routine medical interventions we claim are called “standard procedures.”

These highly volatile crisis situations scared me not just as a mother but even as a nurse. And, this is where birth trauma begins: chronic fear and inner stress are the enemies of healthy living without dis-ease, and, of giving birth. If a birthing mother is feeling stressed and afraid, she will not labor well, especially if her feelings go unheard or are completely disregarded. She will need interventions, that lead to more problems and the cascade of more interventions.

What Did my Labor Look Like?

When I was in labor with my first baby, the treatment I received from my own doctor was very detached and impersonal (despite this doctor being my colleague). Even though I often told my doctor that I felt worried and afraid, my feelings were dismissed and overlooked, making me feel as though they were unimportant and irrelevant. I started to think something was wrong with me. My stress only inclined from there.

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One of the first things to happen to me when I arrived at the hospital was having to take off my own clothes and put on a hospital gown. It seemed innocuous then. I look back on that now and know that this begins the disempowerment and depersonalization. A hospital gown creates a sense of increased vulnerability, a feeling of being sick and dependent, and of being an assembly line patient.  It simply felt wrong: I wasn’t a patient - I was a birthing mother; I wasn’t sick - I was in labor. But I did not know any different and that there were options.

The second thing to happen was to be placed in a bed lying down, even though I wanted to stand; my body needed to move around which was discouraged, because the nurse and doctor would be unable to read the monitors placed on me. When a mother is in labor, her body assumes a natural upright position. And, when you think about this, it only makes sense - in the feat to get your baby to come down and out through your birth canal, gravity is your friend! The pelvic diameter is also smaller when lying flat on your back. The baby is pressing on the cervix to dilate it during labor, needs to navigate through the pelvis, and so your body will want to be up and move around, mimicking your baby’s moves in order to facilitate the baby’s travel.

I was also attached to an IV and told not to eat food and drink. As any athlete knows without question, if you were about to embark on a long and arduous physical event like running the 26 mile marathon, for example, you do not go without oral fuel and hydration.

My doctor didn’t talk to me much or explain things. He just kept giving me frequent internal exams without asking, then telling the results to the nurse outside my room “she’s still 4”, and finally I heard, ‘hang Pit.” As a nurse I knew what that was. I was familiar with the procedures, I knew they were going to give me medication that would intensify my labor, causing contractions to come more frequently and be much longer and harder than they naturally would. When I said no, I did not want Pit, my nurse’s well meaning response was 'honey, you don't want a cesarean do you?' It was either take the medication or be faced with the possibility of a C-section, to instill fear rather than knowledge (I now know that these weren’t my only two options and that my body was capable.) Of course I did not want a cesarean, major abdominal surgery, so I agreed. I was feared into it. Then my coping went out the window. I couldn't deal with the agony brought on by the medication. The doctor came in and walked out again and said “She’s still at a 4. Give her an epidural”. It seemed like forever, but then they were giving me an epidural anesthetic via a big needle in my back, into the area around my spinal cord. I was so young and afraid.

Related post: The Unnecesarean Birth Story: How It Might Have Been Prevented

All of the things that come naturally are discouraged by most hospitals still today. I was uncomfortable, and I did not feel safe or secure. Not only were my feelings, worries, wants and needs were completely unheard and ignored, but also I was also made to stay put when my body was screaming to do what comes naturally...until it was numb. Then I did not know what was going on in me.  I had no sense of control over my own body and my birth. I was in unnecessary pain and discomfort from the Pitocin, that made me need an epidural. 

The epidural caused a prolonged and severe drop in my baby’s heart rate, there was a frenzied panic around me. I was rushed to an operating room for an emergency cesarean - my biggest fear. As a nurse, I knew that if you don’t operate within minutes of this happening you could have a damaged or dead baby. I waited prepped and tied to the operating table in the OR for about an hour, watching the clock, waiting for the assistant surgeon who never came!

I was left completely alone all that time - my husband wasn’t even allowed in the room. I ended up calling out for help because the drugs took over my body and I needed to push. The doctor came running in yelling for supplies. I wound up being cut from the vagina and perineum  almost to the anus and my baby was then vacuumed out. She was pink and vigorous. I was afraid to look at her. They said she was fine. I was not fine. I was traumatized.

Postpartum, I had what I now know to be birth trauma. PTSD – a normal response to such an intense situation. I had the symptoms, I just did not know what was wrong at the time. I was getting frequent intrusive memories and flashbacks of the experience, anything that reminded me of the birth triggered horrible feelings in my body. I had a fight or flight response whenever I saw a pregnant woman or newborn baby, whenever anyone would ask me about my birth or talk about their birth – I could not discuss any of it without feeling horrible inside. I felt I could not talk about it or be asked about it at all. I felt wound up, hypervigilant, overprotective and worried something terrible would happen to her – like danger could happen any time. I couldn’t sleep. Even though I loved her completely and wholly, it was hard to look at her and not be reminded of my birth, and because often times I was, I would cry or feel triggered into a panic. I could not even imagine going back to work and facing the scene. When I had to start thinking about going back to work, I began having nightmares. My adrenaline would pump up, and I would feel sick. I’d be hyperalert and on-guard all of the time, as I was also afraid of the sensations in my body.

'You’ll get over it' genuinely caring people would say;  or they would ask 'what is the big deal, as you had a healthy baby?' That made me feel worse, like something was really wrong with me, so I felt more ashamed, guilty, alone and isolated. I stopped telling anyone what I was feeling. 

What to do?

Throughout history, births were considered a miraculous family celebration (as well, they should be) and babies were born at home. Once births were moved into hospitals in the 1900s in parts of the modern world, birth slowly started to be considered and treated like a medical event. By simply looking at my own story, it’s clear that we’ve created a very intrusive and almost violent way of bringing life into the world. It’s no wonder birth trauma is more prevalent than ever.

The grass roots organization Improving Birth coined the term ‘obstetric violence’ - which is playing out in labor and delivery units in certain parts of the world; the World Health Organization called for increased scrutiny of these disrespectful childbirth care practices, as women treated in this way, feel assaulted and violated, and must be taken as seriously as rape. Women in vulnerable situations of childbirth, are being stripped of their power, voice, and dignity, and are coerced or feared into unwanted invasive procedures; there is loss of control and privacy, and the interventions involve their most intimate selves. If the staff is cold, insensitive, unsupportive and uncaring, or downright condescending and hostile, it only enhances the traumatic emotional pain felt by the laboring mom.

By no means am I condemning hospitals and doctors. I work with wonderful ones and I support women birthing in all settings with all types of trained providers. I am also not condemning modern medicine. I am eternally grateful for it when it is necessary and life saving. While I am a holistic practitioner who helps women planning natural births, part of holistic care is embracing medical and surgical interventions when occasionally needed when there are serious complications or emergency situations, as often they can save the lives of both mother and baby. There can still be trauma when a planned natural birth ends up in the operating room or outcome is devastating. But with awareness and sensitivity we can validate, mitigate the traumatic impact, and more effectively heal. Related post: Birth Story - When Things Did Not Go as Planned

But, what about the vast majority of normal and healthy pregnancies? What about getting back in touch with the part of yourself that already knows how to do this?

Related post: Three Ways to Improve Your Chances of a Healthy Childbirth

In part two of this article on birth trauma, coming next month, I want to teach you how to do just that, how you can prevent birth trauma in the first place, and how to heal from it if you have it.

For now, there are things you can do!! Check out the various podcasts I have been interviewed on about the subject of birth trauma - including The Wellness Mama.

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Was your birth upsetting or traumatic? Do you have more questions about processing your birth and need help healing? Arrange some time to chat with me. I’d love to answer your questions and help you heal and get yourself back - I have a program specifically got you, that can also include a revolutionary and last natural healing modality called Clarity Breathwork.  Helping women heal from birth trauma is one of my passions and areas of expertise. I have officially published and prelaunched my first two books on Amazon on prevention and healing from trauma...and they both became #1 Bestsellers! They will be released in March, but feel free to check them out. 

Natural Birth Secrets: An Insiders Guide How To Give Birth Holistically, Healthfully and Safely, and Love the Experience! Kindle Edition
by Anne Margolis CNM, MSN, Yoga Teacher, Clarity Breathwork Practitioner (Author)

Trauma Release Formula: The Revolutionary Step by Step Program for Eliminating Effects of Childhood Abuse, Trauma, Emotional Pain and Crippling Inner Stress, to Living in Joy without Drugs or Therapy Kindle Edition
by Anne Margolis CNM, MSN, Yoga Teacher, Clarity Breathwork Practitioner (Author)

But if you really want to PREVENT birth trauma, take my online course.  Come join my FREE webinar, to learn all about Birth Trauma for moms and babies, so rampant in our country and parts of the modern world. Its called  "Secrets To Holistically Healthy Joyful Birth Without Birth Trauma" Discover 5 simple but crucial things you can do right now to drastically reduce your risk!  Sign up below:

Image by Megan Hancock Photography

Image by Megan Hancock Photography

Let Me Guide You To Create The Happiest Healthiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma, planning a VBAC

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are intending to birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams, ROCK your birth.

And have a blissful birth wherever you are. And avoid the common complications - including birth trauma, prevalent in today's modern world from the cascade of routine interventions. You have a choice and you have a voice. 

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy.

 

My Two Books Pre-launched #1 Bestsellers

 
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I have some exciting news to share with you! I have officially published my first two books on Amazon today...and they both became #1 International Bestsellers! The titles are below. 

I am forever grateful of your support and would love for you to share this with any of your friends or family that you think would enjoy this as well! 

 

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Trauma Release Formula: The Revolutionary Step by Step Program for Eliminating Effects of Childhood Abuse, Trauma, Emotional Pain and Crippling Inner Stress, to Living in Joy without Drugs or Therapy Kindle Edition 

by Anne Margolis CNM, MSN, Yoga Teacher, Clarity Breathwork Practitioner (Author)

If you’ve experienced intense stress, emotional pain or any type of trauma, this program is a must - it represents true hope that saved my life and the lives of countless others. Once you know the key that unlocks the emotional pain, suffering, your ongoing personal life, work and relationship issues, and ongoing stress related physical symptoms and illness, and how to unlock it all, you experience such a powerful healing. 

For the last 22 years I have worked as a holistic nurse midwife, then with the added expertise as a yoga teacher, advanced grad and volunteer staff of Mama Gena’s School of Womanly Arts, and Clarity Breathwork practitioner. I have shared the most intimate experiences with women and their families as they move through young adulthood through and beyond menopause, and as they have their babies. I have held space for the huge powerful transformation of birth – that involves challenging situations of extreme intensity and vulnerability, pain of all degrees, facing enormous fears head on, surrendering to a process far greater than all of us…as well as great joy, love, and miracles. There is no pain – physical or emotional – that scares me – I am comfortable with it all; I have either felt it myself, heard about it, witnessed it, and helped others move through and heal from it. Over many years, the women in my practice, their partners, extended families and friends have shared with me and sought my guidance for their deepest darkest sufferings.

I would say just about everyone has baggage, past trauma of some sort, emotional pain and inner stress that is part of being human. Or it comes out as physical problems. Even if there is no apparent history of physical, sexual or verbal abuse unfortunately occurring at staggering rates (beyond 1:3 what is reported), most -people tell me they are one or more of the following:

From my book signing trip!

A Doctor and Midwife Recommended, Guide For Pregnancy To Postpartum Bliss Whether Birthing At Home, Hospital or Birth Center- even if this is not your first baby! 

This is a unique approach on how to have a deeply positive, empowered, and joyful journey through pregnancy, birth, and becoming a mom postpartum. Whether you have visions of a cozy home water birth, giving birth in a birth center free of pain meds and intervention, or a hospital birth with the latest technology and emergency care access just in case, this is the ultimate pregnancy to postpartum training so you can be prepared from an emotional, physical, and spiritual perspective to relax into birth and momma-hood with excitement and ease.

This comprehensive training will help you find your center and feel balanced, strong, relaxed, and calm within yourself during this special rite of passage into momma-hood- in the midst of all the chaos of life along the way. It will help you tune into your deepest desires and create joy and pleasure in your pregnancy, birth, an life as a mom - to take you and your family higher.

I’ve taken everything I’ve learned, trained and supported thousands of women, babies and their families with for over twenty years in my private practice locally and around the world, to create this book and do my part in improving maternity and newborn care and experiences, by empowering women and their families to speak up. These are my insiders secrets to increase your likelihood of avoiding high rates of risky medical and surgical interventions, serious complications including birth trauma for you and your baby, and having the birth of your dreams.

- stressed out, worried and anxious,

- overwhelmed, overworked and depleted, burned out, taking care of everyone but themselves

- filled with resentment, anger, rage

- irritable, cranky, and reactive

- unhappy, uninspired, unfulfilled, sad or downright depressed – do not feel joy

- addicted to harmful habits and do not do much to take care of themselves

- embarrassed or ashamed by some part of their body or not liking the way they look

- struggling with eating disorders,

- stuck and can’t make decisions

- disconnected from themselves and others

- shut down, powerless without a voice

- longing for something more and better, but don’t even know what they want, or thinking something outside of them will rescue them and make them happy

- plagued with self loathing, self doubt, not feeling valued, worthy or good enough, like a failure

- filled with shame, blame or a sense of being wrong

- lonely and isolated – without community, or even within their circle of friends and family

- sensually and sexually shut down and turned off

- troubled by relationship issues (immediate, extended, friends and/or professional)

- battling  career and work problems

- suffering with ongoing physical symptoms or chronic health conditions from body aches and pains, to migraines, intestinal issues, acid reflux, trouble sleeping, high blood pressure, heart disease, autoimmune disorders, cancer …the list goes on. If you can relate or have some of these feelings or issues, you are in the right place.

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I want to thank my mentor Mike Koenigs for guiding me to prelaunch two books on my two passions for helping people!!! Both are available on Amazon already! Will be released on kindle in March and paperback in April!! 

 

How do You Navigate Immunizations for You and Your Baby?

 

How do You Navigate Immunizations for You and Your Baby?

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If you keep conscious and up-to-date with the goings-on of the health industry, you know that the immunization of babies and young children through vaccination is not as simple as mainstream medicine makes it seem.

It is indeed a controversial topic, especially among those that take their well-being into their own hands, and prefer natural, more holistic approaches. As with most any health issue, you have your extremists polarizing –not to mention monopolizing– the content of this subject.

If you begin to do simple research online of the pros and cons of vaccination, you’ll quickly discover that there’s a lot in the way of intense debating. It has become quite a political issue. People with differing opinions can get emotionally charged and take things personally. I maintain a welcoming stance to respectful discussion and disagreement, as long as positive vibes are maintained and there is no judgement against a family who makes a decision to do what they feel is best for themselves.

How, as a parent or soon-to-be, do you dig out the truth? And, how do you know you can trust it?

How do you navigate immunizations for you during pregnancy, and your baby? You alone can choose what is best for yourself and your little one.

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We all know that modern medicine urges vaccines as per CDC guidelines; that is heavily promoted and is a legal requirement in many localities. But more and more scholars and physicians are questioning the standard protocols as they analyze the science and data.  In this article, I dare attempt to provide some counter balance, and share the unspeakable, for a licensed health care provider. I specifically delve into talk around the flu vaccine as it’s recommended and administered routinely to pregnant women in the United States. The principles and issues of concern, however, remain the same as with all vaccines. Do your research and be mindful of the difference between fear-based news and actual facts. 

It is a huge topic - each vaccine and infection it is said to prevent could be a chapter in a book; but hopefully, this gives you an idea of how to go about your own immunization research, and a sense of where you are comfortable seeking your health care guidance.

The Controversy Surrounding Immunization in Pregnancy, Babies and Young Children

Should we vaccinate? If we do, how early do we start? Which vaccines do we consider?

Should we not vaccinate? Can we trust these vaccinations not only to work but to, in turn, do no harm? 

In my own work, I’ve always guided mothers to educate themselves in order to make informed decisions, and have recently written specifically about another hot issue Group B Strep.

As with GBS, I encourage educating yourself, weighing the risks and benefits of each option regarding testing, prevention and treatment, and deciding what is best for you and your baby. 

In the case where you’re dealing with an illness that’s potentially very serious, it may make sense to administer the associated vaccination whose known risks have so far appeared relatively innocuous.  But often enough, it is not clear what is worse: the risk of infections, or the risk of the vaccines - some of which are far from harmless.

What I’d like to do with this article is give you a broad idea of what’s being sold to us as consumers and what’s truly out there in terms of factual information and sound research.

The ACIP, the Advisory Committee on Immunization Practices, is “a group of ‘thought leaders,’” writes Dr Kelly Brogan MD, “charged with the task of determining what vaccines will be pushed upon you during your doctor’s check-ups and wellness visits. It consists of heads of pharmaceutical companies such as Novartis and Sanofi Pasteur, and is a prime example of the enmeshment between the Center for Disease Control (CDC) and [the] industry….The surprising news is that vaccines, the pharmaceutical product in question, have never been studied in a truly placebo controlled manner, in single, or multiple deliveries, and not for long-term outcomes, even in a general population.”

For example, in the US, all major health regulators including the CDC advise all pregnant women to get the flu vaccine to decrease risk of flu related complications. It is said to be safe in all trimesters, based on short term studies by various pharmaceutical companies.

The complications in question, however, are rarely severe enough to cause preterm labor and even death. Furthermore, the studies did not take into account healthy lifestyle and holistic modalities to strengthen immunity against the flu virus, commonly seen and used in out of hospital midwifery practices. The flu vaccine has been administered to millions of pregnant women in recent years, exposing millions of unborn fetuses.  

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Dr. Kelly Brogan MD in her thought provoking scholarly analysis of the flu vaccine in pregnancy, calls into question the validity and flaws of these studies, and discusses risks families are not told about.

What is striking to me is that long term effects on the unborn babies have not been studied and are therefore unknown; fetal loss (miscarriage or stillbirth) have been excluded from the studies when a huge increase in fetal deaths after the flu vaccine have been reported; risks to the healthy mother have been downplayed; and the vaccine’s benefits have been falsely exaggerated.

This hits home as I had two moms in my practice who had healthy pregnancies, miscarry in the second trimester the day after they were given the flu vaccine by their primary physician. As is commonly the case, the flu vaccine was not reported as the causative factor.

After the second tragedy, I did some research. Not only did I hear similar incidences among my colleagues around the country, the VAERS (Vaccine Adverse Events Reporting System) found over a 4000-fold increase in fetal deaths after the flu vaccine in 2009 and 2010.

In an eye-opening blog article on her website, Dr. Aviva Romm, physician, herbalist, and midwife, speaks to the way the medical industry portrays our health as a whole.

“There is a lot of fear mongering in medicine. As a public, we have a skewed, media-driven, fear-based view of our health and of disease prevalence. And it is impossible to ignore the fact that there are massive profits to be made by the very limited number of pharmaceutical companies producing the influenza vaccine.”

Romm continues in this article, regarding the flu vaccine, to state that the very reasons why we are told to have the vaccine are actually not as severe as the media makes them out to be.

In fact, a mother with a Ph.D. in immunology even wrote to legislators with hopes to debunk some of the consequences the media forcefully and fearfully propagates. It is important to note here that she does not write to them in order to push her own right not to vaccinate her children but simply because she feared the discrimination against non-vaccinated children in school.

“In summary, a person who is not vaccinated with IPV, DTaP, HepB, and Hib vaccines due to reasons of conscience poses no extra danger to the public than a person who is. No discrimination is warranted.”

If you can take the time to read her letter, please do so. In it, she shows that the school environment is not affected any more or less by either a child who is vaccinated or not.

While an illness can lead to certain potentially serious complications in a pregnant mama and/or her baby, those complications are actually more exceptional and more uncommon than the pharmaceutical industry and modern medical authorities make them out to be. Although medical doctors take the Hippocratic Oath upon graduation from training, with the essential component included "First, Do No Harm," I am concerned the risks of each injection into a healthy baby are downplayed and may be doing more harm than realized.

Dr. Brogan does not mince words in her brave research based statements not only about "a known 4250% increase in fetal demise during the 2009/10 flu season, but also about evidence-based inefficacy and risks of the pertussis vaccine pushed on pregnant women, about Gardasil killing healthy girls across the globe, fear mongering about SIDS that is actually caused by a visit to the pediatriciancorruption of an infant’s birthday by the Hepatitis B vaccine"...and, "as parents around the world have known for 7 decades, and basic science has supported, vaccines do cause autism."

How Effective are Immunizations for Your Baby?

The Truth About Disease and Vaccines

While the intentions and the aim of the pharmaceutical industry can be seemingly profit driven, and concerns of the various infectious illnesses seem valid, this does not address the facts about the vaccines themselves.

Can vaccines truly help to prevent today’s diseases in our children? What are the facts about disease prevention and vaccines?

Fortunately or unfortunately, there is no clear or direct answer. In tackling this issue of navigating immunizations for your baby, the only sure thing to do is to personally conduct your own research and to then come to your own conclusion. Each vaccine and the infectious illness it is directed against needs to be looked at individually.

Interview several pediatricians who share your philosophies and choose one you trust. There are pediatricians who do not accept a baby into their practice if parents do not follow the standard vaccination schedule. Fortunately, there are more and more holistic or integrative family and pediatric physicians out there who can teach you about disease prevention as a whole, address each vaccine separately, as well as appropriately plan a wide variety of alternative healing modalities. A wonderful example is pediatrician Dr. Elisa Song of Whole Family Wellness in CA, who believes "that the decision to get the flu vaccine for your child, just like any other vaccine, is YOUR CHOICE as a parent, and it’s a very personal choice with many factors that have to be weighed. This decision must be made on an individual basis, taking into account the unique healthcare needs and concerns of your child....There is NO right or wrong decision. By informing yourself, you are doing the best thing for your child and for your whole family. Trust your mama or your papa “gut”, and you will always do what is best for your child. Whatever you decide, using your natural medicines toolkit will get your whole family through the winter cold and flu season healthier and stronger." She empowers the families in her practice to " Treat Your Child’s Flu – Naturally!"  She, like other more progressive pediatricians, accommodates a variety of approaches - from administering all immunizations according to the CDC recommendations, to giving them one at a time over a period of time instead of giving several of them at once, to only giving those you decide upon, to not giving any at all; she integrates conventional and holistic pediatrics to help children thrive to their fullest potentials of wellness, prevention and healing from illness. For more information, check out her Thriving Child Summit free from 9/18 through 25/2017, where you will hear "a real-world conversation about vaccine safety with 2 board-certified pediatricians" as well as many other topics related to the foundations of a thriving healthy child.

Dr. Sears, famed American and midwifery-friendly pediatrician, wrote a book to solely address this convoluted subject, The Vaccine Book.

He created it in order to answer parents’ questions and address their deepest concerns about vaccinating a child. He tackles the pros and cons as well as information about the diseases themselves in an relatively unbiased fashion.

He adamantly suggests that you take the time to learn how the vaccine you’re considering is made and what ingredients are contained within it. If you decide to vaccinate, this will help you to get clear on which particular quality brands to ask for, in what order the vaccine should be taken in succession with others, etc.

Again, your own research and conscious-based decision are essential! 

The aim of Sears’ book is to give parents enough information and clarity so that they feel confident enough to make their own decision whether they decide to vaccinate their children or not. Despite his being pro-vaccine, he does not take a stance in this book and simply provides facts.

How Your Immune System Works

Research is increasingly showing that there may not be as a big of a disease threat as we’ve been taught to believe. Vaccines do not always work or confer long lasting immunity, as would be the case after creating your own antibodies from the actual infection. For example, chicken pox (varicella) is usually a harmless infectious illness in children, but results in life long immunity; the vaccine for it is now given to babies, but does not often produce immunity lasting into adulthood, when the illness is potentially more serious. The recent resurgence of adult pertussis (whooping cough) is largely occurring in vaccinated individuals whose immunity after the childhood vaccine waned, risking non-immune newborns who can get dangerously ill if exposed. German measles (rubella) is given to babies, but their immunity commonly does not last into adult childbearing years - risking serious complications for fetuses of non-immune pregnant women. People still get the flu after the flu vaccine.

In reference to the flu shot, Dr. Romm and Dr. Brogan share with us that in a Cochrane analysis of 50 studies, there was 2% incidence of presumed influenza in the unvaccinated population as opposed to a 1% incidence in the vaccinated" - a difference of 1%.

So, vaccination has no true effect on protecting me or my child from disease?

This is not entirely the case. What I’ve been discussing so far is that, simply put, the fear we’ve been taught to harbor isn’t actually necessary. There are risks to each vaccination injection given that need to be weighed against to risks of each infection. There is way more to the story than most parents are told, and it is not a topic to be taken lightly.

While it is not in our human control who gets sick, we can do what we can to prevent exposure to someone with a known infection; we can maintain good hand washing and hygiene habits, avoid sharing personal items, observe safe eating and traveling practices, as well as ways prevent illness unique to each infection. 

Something as simple as a regular practice of yoga and meditation - prenatal yoga in pregnancy - can help boost your own immune system which can be passed on to your baby against many types of infections. Yoga and simple meditation reduces incidence and severity of many of the modern world’s most recent and common ailments: infection, cancer, various inflammatory and autoimmune diseases, and allergies.

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Eating healthfully has a huge impact on preventing illness as does reducing inner stress. Eating a wide variety of plant-based whole foods, and getting sufficient protein and healthy fat are major steps to sound health. You’d be surprised at how well your body can actually defend and heal itself against disease when given the proper nutrients and care.

In terms of nutrients, Dr. Sears has a concise and simple article on how our body’s immune system works.  If you understand how your body heals itself from within, you may be more clearly able to decide which vaccines are worth investing your time in.

In this article, Sears addresses the army that is your immune system and how it works to defend your body from sickness. He also shares why some more serious diseases can attack your body. What he does point out at the top of the article is something foundational to our and our children’s health and well-being: “Because of poor diets, many school children and adults have immune systems that don’t operate at peak efficiency. They get sick more often.” Breastfeeding without question, results in healthy immunity, and breastfed babies have significantly reduced rates and severity of infection as compared with formula fed babies. 

Something as simple as including probiotics and whole food supplements into your diet can boost your immune system and improve your overall health and well-being, and treating common infections naturally can be very effective. And these are nutrients that pass into the breastmilk you give to your baby, boosting baby's health and immunity.

My online dispensary is a convenient way for you to purchase my hand-picked, professional-grade, whole food supplements and other natural health products. Ordering is simple, and the products will be shipped directly to your home or work within a few days.

I have listed my recommended prenatal supplements in the PRENATAL SUPPLEMENTS section, and have a section for postpartum/breastfeeding supplements as well; but you can search their catalog for other supplements and natural remedies for common infections like cold and flu.

Click here to directly enter my dispensary at Fullscript.

Click here to directly enter my dispensary at Fullscript.

Trusting the Information on Immunization

I think what Drs. Brogan, Romm, Song and Sears have in common is their mission to provide facts to their readership, in order to IMPROVE health and well-being. They want to help them in making better decisions that empower and help them to grow healthfully and live to the fullest potential. As I’ve mentioned previously, Dr. Sears always refers back to how crucial it is that you learn about the product you’re using so that you can make a conscious decision.

Kelly Brogan, M.D. strongly advises that when doing research you take into account a few things:

Who funded the study?

Was a proper placebo used?

What did the results show?

I would also add:

How large was the study?

Were long term consequences properly researched, as well as the short term effects?

What were the study's limitations and biases?

Is there a meta-analysis of multiple large random, double blind, placebo control trials that provides compelling results or are there only a few small and limited studies on the subject?

Even the doctors conducting the study might have to use “strategic tactics to paper over the truth” as Brogan puts it in an article she wrote addressing the overlooking of certain medical data pertaining to premature babies.

Our tendency is to think that because we’re reading a clinical study, it must be accurate; because our doctor says so, it must be true. Making conclusions based on a meta-analysis of multiple properly conducted random control trials carries much more weight than one clinical study or the opinion of a health care provider or medical 'expert.'

In the same article I mentioned earlier of Dr. Romm’s, she finds that the data given to us on the prevalence of the flu as well as its severity among pregnant women is highly inflated. And, in doing her own research, she has found that the “CDC does not know exactly how many people die from seasonal flu each year.”

This is the same organization that was spreading fear-ridden media about how catastrophic the H1N1 disease was going to be. And, Romm is directly quoting from the CDC’s website.

On top of this, she has learned that they also state that, “about 90% of influenza-associated deaths occur among adults 65 years and older.”

Sometimes, inaccuracies are staring us right in the face. It’s worth taking the time to root them out.

While there is an extensive amount of information online and in libraries about the pros and cons of vaccinations - from isolated tragic cases to conflicting opinions to reputable research - that can be real daunting, I hope that this article can provide you with the first building blocks to guide your personal journey to decide what is best for you and your young ones.

To summarize the answer to the question, How do you navigate immunizations for you and your baby?: By taking the time to learn not only about immunization as they pertain to preventing infectious illnesses, but also to consider the short and long term risks of each vaccine, learn more about how the body can minimize common ailments, avoid sickness and even heal itself, and what you can do to aid the process.

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Do your research and be mindful of the difference between fear-based news and actual facts. Consider all of the evidence and sound investigation, as well as your options and your own principals. Seek professional guidance from those you trust; but then trust your intuitive wisdom to make the decision that is right for you and your family.

Ultimately, the choice is yours. No matter what you decide, your choices need to be honored and respected. Whether you choose to vaccinate or not, once you act on your decision, know you made the best decision you and your family.  Blessings to you on your journey!

Want to connect with like-minded women supporting each other through their natural birthing journey? Join our Facebook community which is open to all active and previous clients, those who have had general or pregnancy consultations, and who have taken my online course or other classes.

I have a holistic approach to life, including healing after pregnancy and birthing. Nothing replaces abdominal toning and exercise for restoring muscle strength and tone - which I encourage for all mamas as soon as they feel up to it postpartum. Nothing replaces touch, slow deep abdominal breathing, and a 'love your postpartum body' perspective that I promote.  But I have found many mamas simply feel comforted by this support garment, especially early postpartum and temporarily as needed....to be used without forfeiting abdominal toning and strengthening exercise, breathing well and touch. I have found Bellefit supportive garments to help like they use belly binding around the world such as in Indonesia. They do aid in early postpartum healing and provide support many mamas feel comforted by. I deal with human beings and the reality is many postpartum mom's struggle with body image, feel frustrated that getting back to themselves takes longer than expected. Being into holistic health and healing includes being sensitive to real human struggles - the mind, body, heart and soul of each person and their unique situation. Having helped countless women with these issues after having a baby as a midwife, I have found many still love that binding and feel better with this support, and ability to fit into their pre-pregnancy clothes comfortably and sooner than they would if they went through a C-section or natural childbirth recovery without it - especially when they have to dress up and fit into a certain favorite outfit for a special occasion or wedding not long after having a baby. For more info on the Bellefit girdle, check out my blog about it hereHave a Great Postpartum Recovery (with a little help from Bellefit)!


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Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

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  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

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It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Image by Megan Hancock Photography

Image by Megan Hancock Photography

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Group B Strep: What Does it Mean for Me and my Baby?

 

Group B Strep: What Does it Mean for Me and my Baby?

Group B Streptococcus, otherwise known as GBS or Group B Strep, is a normally occurring bacteria that lives in the lower intestines of human beings - from babies to the elderly.  It's a hot topic in the world of having babies, and there are no easy answers. I encourage educating yourself, weighing the risks and benefits of each option regarding testing, prevention and treatment, and deciding what is best for you and your baby.

 

Around 10-30% of pregnant women are colonized with the bacteria, depending on the population studied - but about 25% are reported to have vaginal GBS in the US. When there is a large amount of GBS in the colon and rectal areas, it can come forward to the vaginal and urinary tracts.

If detected vaginally in a non-pregnant woman, there is nothing wrong, and no need for treatment. The main concern is if a pregnant women has it in labor, and baby is exposed to the vaginal bacteria after the 'bag of water' breaks (during pregnancy, the baby is encased and protected in a double layered membranous sac of amniotic fluid, in lay terms referred to as the bag of water).

Although the vast majority of pregnant women with vaginal GBS have healthy babies, half are simply colonized - test positive for it but stay healthy, and about one in 200 babies in the US who are exposed to it during childbirth, can get infectious illness. GBS infection can become very severe or life threatening for about 1-2% of these babies, which is thankfully rare, but potentially devastating for those who are affected. 

Every human life matters, and I take those 1 or 2 babies per a thousand very seriously, as would any parent of a very gravely ill newborn.

I’ve collected some information for you below. I hope that this bite-sized chunk will save you from endless searching on the internet. Take note, that if you are in any doubt, please consult me, your midwife or doctor.

After a positive GBS test, don’t let anyone pressure or scare you out of having a free-standing birth center or home birth, if that’s what you want. GBS can easily be managed in the out-of-hospital setting. And know you do have options and can speak up on how the issue is dealt with; even though there is a standard of care that is strictly upheld in the US, there are different standards in other Westernized countries like the UK, that might just make more sense for you.

Risks During Pregnancy

Serious complications in pregnant women are rare. Complications of GBS can lead to urinary tract infection in women, but often the positive test results are actually from vaginal discharge, even if a ‘clean catch’ culture was obtained. In my practice, I found that out early on, after sending women with persistent GBS on clean catch urine culture tests, to a wonderful local urologist; she found them all to be negative for GBS in the urine using a sterile straight catheter specimen, and said there was no urinary infection to treat.

In the United States, GBS is routinely managed in the United States according to the Center For Disease Control (CDC) guidelines. It is tested for between the 35th and 37th week of pregnancy, by taking a Q-tip like swab from the vagina and rectal area, and sending it to a lab. This is currently the best time for obtaining results closest to the onset of labor.  It takes several days to get results, which are allegedly valid for 5 weeks. Current testing is not completely predictive, as tests can yield different results at different times because GBS can come and go intermittently. A mom can test negative in late pregnancy, but actually be positive for GBS if tested in labor. Likewise, but less commonly, a mom can test positive in late pregnancy, and test negative for GBS in labor. There is a new home GBS test in the UK called Strepelle that gives accurate results 3 days from receipt of the sample - but it is not without controversy. Unfortunately at this time, there are no reliable, widely available, cost effective, rapid test available during labor - which would at least address this issue. 

In other countries like the United Kingdom, women are not routinely tested in pregnancy for group B strep, according to recommendations by The National Institute of Health and Care Excellence; this is because they determined that evidence of the effectiveness of routine GBS testing in all pregnant women remains uncertain. Per guidelines of the Royal College of Obstetricians and Gynecologists, pregnant women are treated with antibiotics in labor only if there are risk factors - such as signs of infection like fever in labor, a prolonged time between 'water breaking' and birth, or if a preterm baby is expected.  Until 2002, in the United States, GBS in pregnancy was managed this way as well. The change in American obstetrical practice guidelines was based on analysis of some large studies around that time, even though there are limitations to the quality of those clinical trials, as is common with research; one major bias that concerns integrative, holistically minded practitioners, which most of the mainstream medical world discounts, is that this research is largely funded by for profit pharmaceutical companies who manufacture the antibiotics.  Today, in the US, all women who test positive for GBS during the late third trimester screen are given IV antibiotics in labor. That is a lot of healthy women and babies exposed to antibiotics when the risk of serious infection in newborn babies is rare. Additionally, most cases of group B strep in term newborns occur after screened pregnant women tested negative. 

Care Recommendations, Alternatives and Issues

The current standard of practice in the USA is based on the guidelines published by The Center For Disease Control and Prevention (CDC), which dictates that antibiotics are to be given during labor, to all women who tested positive for GBS in current pregnancy. This is hospital routine, and is based on the interpretation of the available research, indicating that IV antibiotics in labor significantly lowers the chance of infection in babies from 1 in 200 to 1 in 4000. But antibiotics can have serious side-effects. Many healthy moms in my practice don't want routine IV antibiotics, even though they can be given both in the home and freestanding birth center settings. It feels too medical for them; they are worried about it interfering with their ability to have a beautiful natural birth, have valid concerns about the consequences of the antibiotics and feel their risks do not outweigh potential benefits. Some pregnant moms do want the standard treatment, as they are more concerned with GBS than a few doses of intravenous antibiotics, and do not feel the IV in labor will hinder them or their birth dreams. 

If you do want the IV antibiotics, know you can still move around during the infusion, and be in the tub or shower if the access site is covered properly. I was gifted with a home IV pole on wheels, by a family in my practice. We had previously hung the IV on whatever we found in the house - like a door hook or hanger on a curtain rod (once antlers on a wall-mounted moose head did the trick); or when she needed to walk, someone would personally hold it up, and follow her around with it. You also don't need to be attached to an IV the entire labor and birth, but can have a saline lock, also known as a hep-lock. This is an IV catheter that's inserted into your vein, used only for the 15-30 minutes it takes for the medication to infuse; it is then disconnected from the access portal, so you are not attached to the IV tubing, pole and solution bag in between doses for the majority of your labor.

One reported side-effect of IV antibiotics in women is a harmless rash. Another potential annoying but treatable consequence is a vaginal yeast infection, which can lead to thrush in baby's mouth and on your nipples, and make breastfeeding painful for you until it resolves. A far more serious but fortunately very rare side-effect is Anaphylaxis, an allergic reaction which can be life-threatening, but most often managed effectively with medication. What concerns us most is the effect antibiotics can have on us and our little ones.  

Microbiome disruption is the disturbance of the intestinal tract balance of normal flora in babies (and mothers). More research is needed, but a recent Harvard magazine article tells us that this can cause life-long complications in infants. It also ups the antibiotic resistance in adults and infants, another life-long consequence and can lead to other serious infections for them both.  The award-winning chilling documentary MICROBIRTH, delves deeply into the microbiome - the trillions of bacteria that live on and in us that could be critical for human health.

Chlorhexidine gluconate vaginal wash is commonly used in Europe for pregnant women who have been diagnosed with Group B Strep. Some studies have shown that the treatment of GBS using Chlorhexidine is safe, cheap, and as effective as antibiotics, without negative side-effects. Other studies suggest Chlorhexidine reduces GBS colonization, but not GBS infection in newborns. It is known in the US as Hibiclens, and is available over the counter without a prescription. It needs to be diluted and there are several effective protocols in pregnancy or during labor. It is not natural. It's a potent antiseptic and does disrupt the vaginal flora, which can hopefully be restored with vaginal probiotics; but it doesn't travel through the body and cross over to the baby like the IV antibiotics do. While it prevents the baby from exposure to GBS, it also does not allow exposure to the healthy vaginal bacteria during birth. But many moms in my practice prefer this to IV antibiotics in labor. I have tested its efficacy in my practice. After its use, I get back a culture swab negative for GBS, and have had no cases of newborn infection.  Chlorhexidine for GBS is increasing in the US, mostly in out-of -hospital settings.

Another treatment in late pregnancy that has been used especially among out-of-hospital midwives is a vaginal antibiotic.  Research is sparse, but suggests possible effectiveness. There is currently only one medication that apparently works, if the strain of GBS is not resistant to it, called Clindamycin; its IV use in labor is an alternative within the CDC guidelines, if mom is allergic to the drug of choice.  When testing for GBS, it’s sensitivity to the various antibiotics can also be tested. There is a small study, done by a colleague of mine, on its effectiveness to reduce GBS infection in newborns of moms who had tested positive for GBS in pregnancy. My relatively large homebirth practice was included in her research, as for years, I had been offering this option to pregnant women who tested positive for the bacteria. The option includes a Hibiclens daily wash protocol, other recommendations for prevention of recurrence and weekly GBS follow-up testing. The study demonstrated that this treatment was effective in the vast majority of women without any known complications; but it is only one small retrospective study, not a large, gold-standard, randomized clinical trial. I am still impressed by the negative follow up testing in my practice, and that no baby in my care, after this treatment had GBS infection or other problems. It is also not natural. It is an antibiotic medication, but with more of a local vaginal affect. Moms who have follow up cultures negative for GBS, feel better about declining the IV antibiotics in labor, especially if there are no risk factors. But it also disrupts the healthy balance of bacteria in the vagina, can similarly cause yeast and thrush, and contribute to the issue of disease causing bacteria developing resistance to the antibiotic. 

Both of these treatments are easily accessible and thus convenient for home births, as well as birth center and hospital births. You can be empowered and learn to administer them yourself, once you have the supplies. It is important to know that Hibiclens or vaginal Clindamycin are NOT standard of care in the US, and they are not recognized to date by the medical world as a valid treatment to prevent GBS infection in babies. Women who chose either option are educated on the symptoms to watch for, advised to inform their pediatrician, and have the baby evaluated in 1-2 days. I also tell women who opt for either Hibiclens or vaginal Clindamycin, that they would be considered untreated for GBS and given antibiotics if transferred to the hospital - unless they refuse. Although you have the option to decline IV antibiotics in the hospital, disturbingly, it can get nasty if they are not supportive, involve social services or you are reported to the child protection agency and investigated for child abuse and negligence. Do discuss your plans with your provider and setting in advance, to avoid problems. 

Although I prefer natural remedies when they are effective, unfortunately in my 22 years of midwifery practice, I have yet to find one that works once GBS is detected; and I have had numerous moms who have used just about all of them, then have a positive GBS test on follow-up. There is forever a place in my heart, for a naturopathic mom who declined antibiotics and Hibiclens, and her severely ill newborn with GBS infection - the outcome was tragic. She tested positive for GBS repeatedly despite using the best of the best of protocols of natural remedies. What baffled all of us was there were no risk factors; it was a relatively short beautiful healthy birth with no interventions, water broke on its own during pushing. Yes, countless babies of moms treated naturally did not get sick even though follow up cultures were still positive for GBS. But the one case was enough for me. There is currently insufficient evidence of the effectiveness of any natural treatment remedy for preventing GBS infection in newborns. Holistic care includes all modalities, and sometimes there is a role for medication. When a pregnant mom tests positive for GBS, I discuss the issue, give her literature to read, present her with the pros and cons of all the options, from doing nothing to the alternative modalities, to IV antibiotics in labor, and honor her informed decision. Some want to use the UK’s risk factor protocol and decline GBS testing during pregnancy, and I respect their informed choice. 

It must be said, however, that no treatment is 100%. Cases are still reported in the medical literature where babies were infected with GBS after any treatment - including IV antibiotics, even though IV antibiotics have significantly reduced the incidence and severity of GBS illness in babies according to the research to date. I therefore recommend to keep a close eye on your newborn if you carry GBS, regardless of treatment. If any symptoms present themselves, consult your pediatrician immediately.  

Symptoms To Look Out For (Scary But Rare)

Early onset GBS occurs within the first week of life, most commonly within hours after birth. Signs and symptoms include: Lethargy; irritability; poor feeding; very slow or fast heart rate; abnormally high or low temperature; difficulty breathing such as flaring of the nostrils or grunting noises; too fast or slow breathing rate; blueness of the skin of baby's trunk, and/or pale or grey appearance. 

Late onset GBS occurs in 1/3 of babies with GBS infectious illness but is uncommon - effecting about 0.3 per 1000 babies, mostly who are premature. It can happen anywhere between the first week and 3 months postpartum; but it is rare after one month of life. Unfortunately there is no known prevention and like early onset GBS infection, can occur even when mom tested negative in pregnancy. An otherwise healthy baby can become critically ill within hours. Symptoms of late onset GBS are the same as early onset infection, but can also include: having a high-pitched, inconsolable cry, whimpering or moaning sounds; blank staring or trance-like expression; appearing floppy and listless; having an involuntary stiff body or jerking movements; not moving an arm or leg; excess sleeping and difficulty arousing; tense or bulging fontanelle (soft spot on baby's head); turning away from bright light; blotchy, tender skin; projectile vomiting; pus and red skin at base of umbilical cord or at any puncture site (from internal monitor).

Lets Talk Prevention!

Supplements during pregnancy can’t completely prevent GBS, but I highly advise taking them regardless, as I have had tremendous success with lowering the vaginal GBS rates in pregnant women who take the specific daily probiotic I recommend. Many of my colleagues report similar success with these probiotics. There is finally a small but growing amount of actual research - studies documenting the effectiveness of certain strains of probiotics to reduce the incidence of GBS. Probiotics are also safe and have many other health benefits. The other whole prenatal vitamins and minerals I recommend supplement a healthy diet with nutrients that enhance health and immunity.

You can lower the risk of infection also by minimizing exposure. You can try to lower the amount of GBS in your vagina, with natural remedies, such as in Dr Aviva Romm's protocol - even though there is no guarantee. If you have GBS in a healthy pregnancy and labor, you certainly can decline or limit vaginal exams, invasive procedures like internal fetal monitoring and having your bag of water broken artificially. If your bag of water has definitely broken before or early in labor, you can use natural remedies to gently stimulate labor and lessen the time it takes to birth. Some studies suggest that water birth can possibly help prevent GBS infection, because of less interventions and invasive procedures, as well as the bacteria being diluted or washed away, so baby is exposed to less of it.

Research is on the horizon regarding a vaccine for both early and late onset GBS infectious illness - which sparks an entirely different debate, as well as more accurate and available rapid testing in labor. There is much to be done to decrease risk and rates of preterm birth. But, my hope is for more research demonstrating prevention with probiotics in pregnancy, holistic modalities to improve immunity against infection, and the benefits of out-of-hospital midwifery care in terms of reducing newborn GBS infections. My dream is that there is widespread cessation of routine medical interventions in normal childbirth - one of the main pillars of authentic midwifery care. If there were more midwife-led birthing centers, out-of-hospital and home birthing for the low risk healthy population, according to evidence based NICES recommendations, this would decrease the rates of invasive procedures and hospital exposure to pathogens - especially resistant ones, that all increase risk of infection. And hopefully this would result in a major reduction of serious GBS illness in babies.

Can I Still Give Birth in a Birthing Center or Have a Home Birth?

Of course! And you might be better off doing so specifically in terms of GBS, by having a provider who honors your choices, possibly lessening infection risk by having a water birth, avoiding routine invasive procedures, as well as exposure to bacteria and infectious illnesses that are common in hospitals. Again, testing positive for GBS in pregnancy does not risk you out of either. Even the the usual protocol in the US to administer antibiotics by means of an IV, can be done at home or birth center with licensed midwives, which is good news!

If you are a carrier of GBS and experiencing a healthy pregnancy, I hope that you now feel confident that a home or birth center birth is still possible and actually a wonderful idea. I hope you have a better perspective about the issue, and feel more educated and empowered to make an informed decision about how you want to deal with it. Know you have alternative options to consider and most importantly do what you can in terms of prevention. Definitely take top quality prenatal supplements and probiotics!

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I have a holistic approach to life, including healing after pregnancy and birthing. Nothing replaces abdominal toning and exercise for restoring muscle strength and tone - which I encourage for all mamas as soon as they feel up to it postpartum. Nothing replaces touch, slow deep abdominal breathing, and a 'love your postpartum body' perspective that I promote.  But I have found many mamas simply feel comforted by this support garment, especially early postpartum and temporarily as needed....to be used without forfeiting abdominal toning and strengthening exercise, breathing well and touch. I have found Bellefit supportive garments to help like they use belly binding around the world such as in Indonesia. They do aid in early postpartum healing and provide support many mamas feel comforted by. I deal with human beings and the reality is many postpartum mom's struggle with body image, feel frustrated that getting back to themselves takes longer than expected. Being into holistic health and healing includes being sensitive to real human struggles - the mind, body, heart and soul of each person and their unique situation. Having helped countless women with these issues after having a baby as a midwife, I have found many still love that binding and feel better with this support, and ability to fit into their pre-pregnancy clothes comfortably and sooner than they would if they went through a C-section or natural childbirth recovery without it - especially when they have to dress up and fit into a certain favorite outfit for a special occasion or wedding not long after having a baby. For more info on the Bellefit girdle, check out my blog about it hereHave a Great Postpartum Recovery (with a little help from Bellefit)!

 

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Whether you're a first time or experienced momma, planning a VBAC

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are intending to birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams, ROCK your VBAC

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

Image by Megan Hancock Photography

Image by Megan Hancock Photography

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom and communicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy. 

Art by @spiritysol.

Art by @spiritysol.

Want to connect with like-minded women supporting each other through their natural birthing journey? Join our Facebook community, available to all moms in my local or global practice, who consult with me, are taking or have taken my Love Your Birth online course.

 
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Personalized Baby Gift

Stumped for the perfect present to give proud parents and their minis? Wondering about gifting you and your baby with something real special? Go luxury and personalized. Indulge yourself or the new mom, dad and baby!

I would like to share with you a lovely baby gift idea that I was recently introduced to, and I am excited to partner with them to enable you to receive a 10% discount on your purchases with coupon code SWEETHOME. 

MyBabyGift is an online boutique for Luxury Personalized Baby Gifts - you can have them made up as you desire and delivered to the place of your choice across the US, Singapore and Honk-Kong.

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The company is run by two entrepreneur moms - and I love supporting mompreneurs. They are mother of four and mother of three who are both enthusiastic about high quality baby products and personalized special gifts. 

These two young mothers inspired by their passion and creativity to produce individualized elegant baby gift sets that are personally embroidered with the new baby’s name or initials and date of birth, delicately tied up with satin ribbons and beautifully wrapped in their luxury signature gift box, leaving a WOW impression on the lucky gifted young family, and a memorable souvenir.

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Their website is filled with top quality, adorable and unique baby gift sets ideas that will excite and touch your loved ones' hearts. They have a wide selection of high quality soft and cozy 100% cotton products such as Blankets/Swaddles, Hooded Towels, Bodysuits, Bibs, Burb cloths, Baby Mitts and more; they also have a broad range of premium internationally recognized brand add-ons like California Baby’s Premium Naturally Based Skin Care Products for baby and mommy - which contain certified organic and sustainably grown vegan ingredients (made by an eco-friendly FDA registered and organic certified manufacturing facility) and luxurious L'Occitane, Sophie the Giraffe - made of natural rubber from the Hevea tree, Manhattan Toy - famous developmental toys, and lots more. Check them out for yourself!

Imagine the new mommy seeing her baby's name, sometimes in writing for the first time, on a beautiful collection of soft products that will not only be so practical for the baby's first months, but also will delight the new parents.

Buy Your Baby Gift Sets Today

I vote that sometimes you just need to spoil yourself and your new little one, or a new mommy and her newborn! MyBabyGift definitely goes all in for the luxury angle of baby gifting, so when you have the chance to celebrate new life, I recommend doing it with their high-end handcrafted gift sets and enjoy 10% OFF with the SWEETHOME coupon code I got for you.

#sponsored

#ad

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Photo by Megan Hancock Photography

Let Me Help You Create The Happiest Birth Experience Of Your Life...

Whether you're a first time or experienced momma,

Or a midwife, doula, or birth professional guiding mommas..

Regardless if you are planning a birth at home, a hospital, a birth center or need a cesarean section, or if you are taking another childbirth education class…

You Really Can Create The Delivery Of Your Dreams.

And have a blissful birth wherever you are.

More Precious Than A Wedding...A Birth Should Be A Celebration!

Let me show you how to…

  • Understand the sensations of your body and connect your intuition with how your body is communicating and leading you towards what to do during labor

  • Tap into your inner calm to deeply relax yourself,letting go of busy, stressful and fearful thoughts on demand for the health of baby

  • Speak your truth from your heart in a way that deepens your relationships, sets clear boundaries, and has people listen to you and support you before, during and after pregnancy

  • Trust yourself, connect with your body wisdom andcommunicate with baby in belly

  • Connect with natural time and sync your body and mind up with your unique biological clock for ease from pregnancy to postpartum

  • Reprogram negative patterns, stories, and beliefs that undermine your confidence, strength and self trust so you can rock your birth

Physicians and midwives around the world recommend my teachings to their pregnant clients and many Doulas across the country learn the secrets of blissful birthing from me to supplement their Doula Training & Certification process!

To learn more, visit:  LOVE YOUR BIRTH Online Childbirth Course!

It is based on my years of experience, as a midwife and yoga teacher, helping thousands of women tap into their calm and live and birth from a place of grounded relaxation and joy