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I'm listening to the baby's heart tones while she labors in the hot tub. I spent about an hour in the tub as we thought she was ready to push. She didn't deliver for another 15 hours or so. Ah, the positions midwives find themselves in! Posted by Picasa

Reader Comments (7)

Gosh, what a story! I find myself wanting to know how this ends...are momma and baby doing okay? Did you have to use oxygen? Did the baby need to be transported? Was he post-date? Big? (He looks big.) Were you at all nervous with all that mec and the flaccid cord?

May 9, 2006 | Unregistered CommenterAnonymous

But I did tell how it ends... it is the Hospital Birth story below. (I'm sorry I didn't clarify that earlier.)

Mom and baby are perfect! Mom is radiant and has been transformed by her experience. I asked her the other day if she ever whined anymore and she laughed and said, "nope!"

The baby was bagged by the CNM and midwife until NICU got to him to work with him where he still needed some help with the ambu bag and O2, but he did well. They suspected MAS (meconium aspiration syndrome), but turned out to be pneumonia without meconium.

We were in the hospital when this birth took place... went from home to in-hospital birth center to L&D floor. I was still permitted to do a great deal of the care and to catch the baby despite not having privileges.

He was 40.1 weeks - 8 lbs 10 oz. (he was 12 pounds at 6 weeks old! totally breastfed), so not that giant.

As you will read, his heart rate was 140 up until the actual birth. His heart rate was the only thing that kept his Apgars as great as they were (nice since all the other signs of health were depressed). So, I wasn't so nervous until he was out and was so limp... then it became an issue.

Another thing I should note:

As a midwife, while we are "in charge" of mom and baby, the way we have practiced for all these years is once the baby is born, the assistant tends to the baby as the primary tends to mom and the placenta. If I were alone, it would be different, but I have never had to do a birth without an assistant. With this birth, I had the CNM and RN as assistants, so as soon as this boy was born, I was right on mom, watching for bleeding, looking at her perineum for tears, etc. The CNM was "on" the baby and when she and the nurse replaced the baby's blanket, that's when we were able to see how depressed he was and the nurse called for cutting the cord and the NICU race began.

Does that help explain things?

Sorry I wasn't more clear, but am so glad you asked!

May 9, 2006 | Unregistered CommenterNavelgazing Midwife

Thanks for the update. I want to do this myself someday (doulaing now). I'm very much enjoying (and learning from) your navelgazing.

May 10, 2006 | Unregistered CommenterAnonymous

anon: Thanks so much... it definitely builds on doula-ing and then moves to a different level. I know many midwives keep a professional distance, but part of who I am is closer, more tender... and I have the clients that want that kind of care. When I begin care with some women who do not, they quickly find we aren't a good fit after initially believing we are.

I am in school working towards a Psychology degree wanting to be a Midwife-Therapist, but I am finding the two might be mutually incompatible... or at least with some women (most?). Women who've shared a LOT of inner angst and pain with me as a midwife (usually between pregnancies) tend to choose a midwife who knows less about what they shared about with me.

I am trying to see if it is too close to the core or if it is difficult to let go (in birth) when I know the deepest secrets - they are too vulnerable... or whatever. I'm still exploring this since it has happened three times in the last three years... that they choose another midwife when they get pregnant or after we have done intense processing of difficulties in their lives.

I think I will have to be a Midwife to some, a Therapist to others and in a very few cases, both. We'll see.

This was the roundabout way to say that doula-ing definitely touches on these deep issues, but as a midwife, the safety of mom and baby can be seriously affected by mental attitudes and past pain - the relationship is deeper, simply because of time committments, too.

I'm glad you are reading and thanks so much for letting me know you are learning here. I write for you.

May 13, 2006 | Unregistered CommenterNavelgazing Midwife

holy guacamole . . the pictures on your site are amazing . . . I worked with a midwife for a bit and saw some films, bu these pics are astounding . . . I now have a better sense of birth . . . thank you! :) K

May 15, 2006 | Unregistered Commenterkate

So the last few pictures that proceed this post are taken from in the hospital? Amazing that you were able to be still so hands on.

Why do you suspect the baby was flaccid when his heart tones stayed stable?

May 16, 2006 | Unregistered Commenterladyelms

I answered my own question. :) (re the flaccid nature of the baby)

May 18, 2006 | Unregistered Commenterladyelms

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