Lawing Birds Do It

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    Lawing Birds Do It, Bees Do It, Even Educated Dads Do It 1

    Charlie Lawing November 26, 2006

    176 Laurel WayApartment 3A

    Herndon, VA 20170

    (703) 376-8389

    BIRDS TO IT, BEES DO IT, EVEN EDUCATED DADS DO IT

    BIRTHING BABY NATURALLY IN OLD TOWN

    by Charlie Lawing

    Unfortunately, weespecially in the United Stateshave

    become increasingly mechanized, so that today we feel very

    strongly that if we take anything out of human hands and

    especially out of the human heart and put it through a

    machine, we have made progress. Ashley Montagu

    As I write tonight, the monitor aglow paints peaceful soft shadows on a canvas of

    walls. Gentle jazzy lullabies swaddle the room, while nesting nearby sweet baby

    Christieexactly three weeks oldcoos and sighs behind innocent dreaming eyes.

    How thankful I am that my wife Nikki and I made the very conscious decision to

    bring our daughter into the world naturallywithout drugs and surgery, without

    machines and pushy administrators, without doctors barking orders behind masks.

    Like everyone else in the United States, Nikki and I were born into a culture that

    medicalizes childbirth, that turns the most natural expression of love into a cold, clinical

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    procedure. We understood, then, that our choice to birth naturally would require a

    measure of confidence, a dose of extra time, and a heap-load of education.

    Though before Nikkis pregnancy we knew almost nothing about natural

    childbirth, I have friends who years ago delivered their daughter with the help of a

    midwife. So when Nikki and I crossed over that thin pink line, we started researching

    midwifery right away. Thats when we discovered BirthCare.

    Specializing in attending home and out-of-hospital births and providing

    personalized gynecological care, BirthCare & Womens Health is a freestanding

    birthcenter located in Old Town Alexandria. Founded in 1987 by Alice Bailes and

    Marsha Jackson, within ten years BirthCare midwives were attending 15 to 20 births per

    month. In 2005, more than 280 babies were born with support from BirthCare.

    Celebrating their 20th

    anniversary in 2007, todays BirthCare midwivesAlice and

    Marsha, Susan Dodge, Regina Foran, and Erin Fulhamare as devoted as ever, putting

    into practice their philosophy that childbirth is an event which best proceeds when the

    childbearing woman is the central focus, her health is promoted, she feels safe in her birth

    environment, and her natural efforts to birth are supported, and when health care for

    women takes place within the context of a partnership in which the provider and

    consumer of care have joint responsibility.

    Indeed, when it comes to natural childbirth, joint responsibility is the key to

    success, and it includes not only the care provider and mother but the husband (or

    partner) as well. In fact, when Nikki and I signed on with BirthCare our agreement

    required that we both attend natural childbirth training.

    Successive research soon taught us that the Bradley Method, whose natural

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    approach to childbirth focuses on the avoidance of medications and routine interventions,

    was the perfect approach for us. Also know as Husband-Coached Childbirth, the

    Bradley Method, as described by founder Robert A. Bradley, M.D. in 1947, follows the

    natural instinctual behavior of all mammals in bearing their young. From the very

    beginning, writes Dr. Bradley,

    I had included husbands in the birth team as coaches and

    minimized the role of the physician to resemble that of a

    lifeguard, who, when watching swimmers, did nothing as

    long as everything was going along all right. I put the

    husband . . . at the head of the bed, to capitalize on the

    lover relationship and found it worked marvelously.

    After consulting a number of Bradley instructors, we chose Allison Sowell for a

    twelve-week series of two-and-a-half hour Saturday-morning classes. We could not have

    found a more motivated, enthusiastic, or better prepared instructor than Allison, who also

    birthed naturally. It was an amazing experience, says Allison. One of the first things I

    thought was That was great! Everyone has got to do this! And thats when I decided to

    become a Bradley teacher. Now I get to help other people have their own amazing birth

    experiences.

    Each of Allisons classes has a specific topic covered in detail, and every class

    always addresses nutrition, exercise, and positive communication and coaching; plus,

    each week features a new relaxation technique, the heart and soul of the Bradley Method.

    We also learned from Allison that:

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    whereas the World Health Organization (WHO) recommendsmidwives for normal pregnancies and births, out of 4.09 million

    U.S. births in 2002, only 8% were attended by midwives;

    while the WHO recommends out-of-hospital births, 99.1% of babiesin 2002 were born in hospitals;

    though the WHO does not consider electronic fetal monitoring ordrugs in labor routine procedures, 85.1% underwent monitoring in

    2002 and drugs were administered 80% of the time;

    and while the WHO recommends breastfeeding immediately afterbirth, only 67% of newborns in 2002 were breastfed at birth.

    And something that Nikki and I found most surprising (and alarming) is that, according

    to the Center for Disease Control, over the past ten years Cesarean rates have risen 40%;

    and statistics from the Virginia Department of Health cite that, depending on the hospital

    facility, in 2004 Cesarean rates rose as high as 42.54% in Northern Virginia alone,

    compared with 29.10% nationwide.

    Determined not to add to those numbers, Nikki and I mounted one last task

    finding and hiring a birth assistant. Natural childbirth is perhaps the most personal life

    event some couples will ever experience, so choosing an assistant (also known as a

    doula)to support the midwife, the mother, and the father during labor and birthcan

    take some time. But after her first conversation with Lori Stillwagon, Nikki knew Lori

    was the one.

    With four daughters and one son born between 1985 and 2003, two of whom were

    born in hospitals and three at home, and having worked in the natural birth field for 14-

    plus years where she has taught, offered prenatal care for, or attended the births of more

    than 250 clients since 1992, Loris philosophy about birth appealed to Nikki and me,

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    especially her observations that each birth is different every time but somehow the same.

    It is awe-inspiring yet ordinary. It is always unique, always beautiful, always a miracle!

    With Lori rounding out our team of natural childbirth professionals, at 2:00 a.m. on

    November 5, 2006 when Nikki woke me with Charlie Bear, I think somethings

    happening, we both were theoretically prepared. The only question we had now to

    answer: Could we do it?

    I knew that Nikki was in-tune with her bodys signals enough to recognize that she

    was officially in Stage I labor (her contractions increasingly intense and lasting a minute

    or more). So, as our midwives had instructed, I phoned BirthCares 24-hour operator to

    contact the midwife on call. When minutes later our telephone rang, Nikki and I

    wondered who would be on the other end. But because we had visited each of

    BirthCares five midwives at least twice in the past seven months, we knew that

    whoever was callingwe would be in more than capable hands.

    When I answered the phone and heard This is Marsha, we were thrilled. Nikki

    and I discussed with her the timing of Nikkis contractions, after which Marsha asked if

    we wanted to start our drive to BirthCare, about one-hour from our home. As first-time

    parents-to-be, we were tempted to respond Yes! But because our Bradley training had

    taught us that lengthy and very intense contractions can oftentimes grow shorter and less

    severe, we decided to focus on relaxation for at least an hour before the journey. When

    Nikki later became nauseous, however, we couldnt wait any longer. I phoned Marsha

    then Lori and told them Were on our way.

    Nikki and I arrived at BirthCare around 8:30 a.m., where Marsha welcomed us and

    directed us to our birth-room (which resembles a bed and breakfast suite). BirthCare

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    exudes such a gentle, soothing atmosphere, Nikki and I snuggled into bed right away,

    knowing that we were safe and at home.

    As Nikkis contractions grew in severity and duration, so did her nausea. So we

    decided to accept intravenous feeding (an intervention that the Bradley Method hopes to

    avoid, but we really didn't want Nikki to get dehydrated). An examination (the first)

    showed Nikki at 25% effacement (thinning of the cervix), and dilation (widening of the

    cervix) at 4 centimeters. We were looking forward to 100% effacement and 10

    centimeters dilation so that Nikki could start Stage IIthe pushing (and most relieving)

    phase. But we still had work to do. Marsha suggested that we start walking to move

    things along.

    We strolled up and down the hallway, and at one point her contractions grew so

    powerful that Nikki thought she would not make it through natural birth. But then we

    remembered our Bradley training: we knew that if we transferred to a hospital for pain

    medication (BirthCare doesn't administer drugs) there were no guarantees her pain would

    subside; and we remembered the negative effects that drugs could have on our baby and

    her mom.

    So Nikki gritted her teeth and asked if she and I could get into BirthCares hot-tub.

    Interestingly, the hot-tub had an unexpected effect. It was, of course, soothing; but it also

    made Nikki's contractions come on super strong and fast. Before we knew it, Nikki

    couldnt resist the urge to push. Another exam showed her fully effaced and at 9+

    centimeters. We got out of the hot-tub and back into the birth-room for the final event.

    Nikki pushed in nearly every position imaginable, once again thinking she might

    never make it. But she WE!did make it! No drugs or surgery, no severe interventions

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    (though her bag of waters would not rupture on its own and needed some prodding), no

    machines, no pushy administrators, no doctors barking orders behind masks.

    As soon as Christie's head eased naturally into the world, because Nikki's body and

    mind were so clean and clear, Christie emitted a delicate cry; her head turned with

    Nikki's last push, and my daughter looked at me with brilliant, open and aware eyes. The

    next second, Christie was in Nikki's arms. We were so overjoyed we even forgot to look

    for her gender. Its Christie, I said when finally I saw.

    Christie started breastfeeding with zeal. Our baby girl knew exactly what to do.

    And for Nikki, no episiostomy and no tearing; nothing but a wonderful birththanks to a

    solid education, healthy diet, steady exercise, and to our friends at BirthCare, all the

    midwives and staff; and to Allison, Lori, and Marsha, a truly formidable team.

    Regina Foran, a BirthCare midwife since July 2005, who happened by BirthCare

    shortly after 4:16 p.m. on November 5, 2006 when Christie Alexandria Lawing was born,

    once said that she is always amazed, after attending a long labor of 18-26 hours, when the

    new mothers, instead of complaining, are eager to experience the miracle of birth again.

    After Nikkis 16 hours of labor, she and I are equally amazed, and totally thrilled.

    For birthing Christie naturally means not only that our daughter entered this world

    without drugs numbing her or her mothers senses, but also that she was born without

    interference in natures ultimate affirmation of life. Just like those other new mothers

    who Regina admires, Nikki and I are eager to experiencenaturallyour miracle

    number two.

    THE BEGINNING