Barbara Katz Rothman.

What a surprise I had this morning when I opened my e-mail.  I had a reply from no other than Barbara Katz Rothman.  I am still buzzing from the excitement.

Recently I have been sending out requests for midwives,birth educators, and birth enthusiasts to answer some questions.  Today we are lucky to have a response from such an esteemed writer and educator.

What is your favorite waterbirth story?

I don’t have a favorite ‘waterbirth’ story — water can be lovely and restorative and helpful for labors, but I’ve seen too many people turn ‘waterbirth’ into a goal, or a plan, as if the water itself mattered.  It’s the birth that matters, and the woman should have access to whatever makes her comfortable and birth well.  If a tub of water might help, it’s nice to have around.  But once it’s there, it’s often like some magnet — you spent money on it, put in time installing it, have it there and feel you ought to use it.  It is,  in its own ironic silly way,  much the way that so many medical technologies work.  Once they are there and so convenient to use, people feel obligated to use them.

What is your favorite homebirth story?

Home birth is not about the place — it’s about the control and comfort of the woman.  For most American woman, home is the perfect place to give birth, the place she will be most ‘at home’  and can have real comfort and control.  But not always — take an extreme example of a woman in an abusive relationship.  Or any woman who doesn’t feel like she has power in her own home –many cultures have moved the birthing woman to the midwife’s home, the equivalent of a ‘birth center’ run by midwives, because a woman in her own home might have to bow to the wishes of her husband or her mother-in-law, might have to show restraint in front of her children or others in her home.  So when I think of ‘homebirth’ I think of a place where a woman is truly at home, truly in charge of her setting.  I’d like her mothering to take place with that level of control too — I want every woman to be ‘king of her castle,’ ruler of her own space, to birth, to mother, to live.

My favorite home birth story is, as well it should be, my own two home births.  I’ve written about them — they formed the ‘prologue’ and ‘epilogue’ to my first book on birth, IN LABOR, and continue to influence my thinking about birth right through to my most recent book, with Wendy Simonds, updating that into LABORING ON.  Birth is so powerful an experience, that doing it in a way that lets you own it, do it, not have it done to you, is inevitably going to make women feel powerful.  I took that power and let it shape my work ever since..

Barbara Katz Rothman, Ph.D.(NYU, 1979) is Professor of Sociology at the City University of New York and the author of numerous books. Her work is interdisciplinary and international; its scope encompasses medical sociology, childbirth and midwifery issues, bioethics, race, disability, and the sociology of knowledge.

Books

  • In Labor (Norton, 1982 and 1991), updated and rewritten as Laboring On with co-author Wendy Simonds (Routledge, 2007)
  • The Tentative Pregnancy, originally published in 1986 (Viking, Norton edition 1993) the first book length study of women’s experiences with prenatal testing, was published in Germany in 1991
  • Recreating Motherhood (Norton, 1989 and revised, Rutgers University Press 2000) was the 1991 recipient of the Jessie Bernard Award of the American Sociological Association
  • Centuries of Solace: Expressions of Maternal Grief in Popular Literature (Temple University Press, 1992), co-authored with Wendy Simonds
  • The Encyclopedia of Childbearing (Oryx Press and Holt Publishers, 1993), named an Outstanding Reference Book by the American Library Association
  • The Book of Life (Beacon, 2001, originally titled Genetic Maps and Human Imaginations, Norton, 1998)
  • Weaving a Family: Untangling Race and Adoption (Beacon, 2005)
  • Advances in Medical Sociology, series editor
  • Bioethical Issues, Sociological Perspectives (Elsevier, 2008), editor with Elizabeth Armstrong and Rebecca Tiger

Bless,

Jess

Change in Plans.

My birth plan was thrown out the window as soon as we were risked out of home birth at 39 weeks.  I thought we had everything in place.  Even though we found out we were having twins when I was 37 weeks, our midwife assisted  home water birth was still the plan.  Until……I just never went into labor and the second ultrasound revealed twin b was breech and cord wrapped.  At 39 weeks and no signs of labor plus a heatwave we were having, we needed to make some decisions.

We were offered two choices.  The first was to go home and wait for labor to start(it was 106 degrees that day), go to the emergency room and get doctor dujour.  Whoever was working that day may or may not let me labor and attempt vaginal delivery.  Most likley twin b was going to be a cesarean delivery.   The second choice was to go strait to the hospital and have a cesarean with the on call doctor who my midwife was familiar with.

Not having to recover from a vaginal and a cesarean delivery with twins to nurse and care for won out. We called our families and headed over to the air conditioned hospital.  I just knew I was making the right choice for everyone involved babies included.  I was dissapointed that my birth plan was not fulfilled, but no matter the circumstances I was overjoyed the moment my babies were out.  There is no better moment in life.

The lesson learned was that you can have the most comprehensive birth plan on the books, but you need to be willing to go with the flow.  I am appalled at the high cesarean rate in this country and never in my wildest dreams imagined I would head down that road, but when life happened and I hopped in that car I was glad that the mechanics were ready at the shop.

Three years later I had the opportunity to have a pregnancy that ended the way I envisioned.  I had the midwife assisted water home birth.  Only this time it was a HBAC.  Home birth after cesarean.  This experience was so empowering, but no more special than the first.

The evil E

Episiotomy.  Nobody wants to tear down there.  Right?  An episiotomy is a surgical incision in the perineum (the area of skin between the vagina and the anus).  For many years, episiotomy was a routine childbirth technique thought to prevent more extensive tears and heal faster.  Actually, there is little evidence to support the routine use of this procedure.

I am sure most of you , just like me, want to avoid this procedure at all costs.  There are some things you can do to keep your perinium in tact.

Stretch it out:  Six weeks before your due date you will want to start massaging your perineum.  You will need a perineal massage oil like Peri massage oil from Wish Garden Herbs.

Do you Kegel?  You can exersise your pelvic floor muscles just like any muscle in your body.  Toned pelvic muscles will reduce perineal  tearing and it will make birth easier.  Start gradually.  Ten kegels five times a day, working up to 200.  You will heal faster, and you will also enjoy better sex.

And last but not least waterbirth.  If you want to avoid an episiotomy, you will want to have acess to water at your birth.  Bouyancy relaxes the pelvic floor muscles and softens the tissues around the perineum making them more pliable and able to stretch.  Not to mention pain reduction, shortened labor, and gentle birth just to name a few other key benefits.