Thursday, February 07, 2013

Students who walk or bike to school concentrate better

Eric sent me an article last night about The link between kids who walk or bike to school and concentration.  I haven't been able to get our school administrators to request a crossing guard, despite everyone agreeing that the intersection we cross is fairly dangerous for pedestrians. Zari's kindergarten has implemented drastic new security protocols since the school shooting in Connecticut, including a lock-down policy and intercom buzzer to get in the front door. My school "can't afford" to supply a crossing guard for 20-30 minutes a day total, even though we cross that street four times a day, five days a week. Yet after Newtown, her school immediately spent untold thousands of dollars to prevent a highly unlikely event. Because they "care deeply about students' safety."

So maybe the safety angle just won't work with our local elementary school. Maybe they will support students walking or biking to school if I can demonstrate that driving or busing to school  negatively affects children's concentration. 

I stand firm that we are doing Zari a favor by walking her to and from school every day. She's learning to rely on her own two legs to get her places, rather than on burning fossil fuels. She's getting 2 kilometers of extra exercise every day. She's learning that walking isn't always easy or fun in the winter, but that it's worth the effort of bundling up and getting fresh air.

For now, though, we are alone in our commitment to walking and biking our child to school.* The bike rack remains unused except for Zari's lone bicycle.

Don't you love the awesome spray paint job on her bike? Vive le Canada!

Here's the article by Sarah Goodyear from the Atlantic Cities (emphasis mine):

Every day outside my son’s Brooklyn school, no matter what the weather, you will see a distinctive pale blue bicycle locked to the rack. It belongs to a 7th-grade girl from a Dutch family whose members have stuck with their traditional practice of riding to school each day, despite finding themselves in the not-so-bike-friendly United States for a few years. This lovely blue city bike was a gift from the parents to their eldest child, who is now almost as tall as a grown woman. She has graduated from riding with her parents, and deserves a first-class vehicle to get to class each day. She is fiercely proud of it.

According to the results of a Danish study released late last year, my Dutch friends are giving their daughter a less tangible but more lasting gift along with that bicycle: the ability to concentrate better. The survey looked at nearly 20,000 Danish kids between the ages of 5 and 19. It found that kids who cycled or walked to school, rather than traveling by car or public transportation, performed measurably better on tasks demanding concentration, such as solving puzzles, and that the effects lasted for up to four hours after they got to school.

The study was part of "Mass Experiment 2012," a Danish project that looked at the links between concentration, diet, and exercise.

Niels Egelund of Aarhus University in Denmark, who conducted the research, told AFP that he was surprised that the effect of exercise was greater than that of diet:
"The results showed that having breakfast and lunch has an impact, but not very much compared to having exercised," Egelund told AFP. "As a third-grade pupil, if you exercise and bike to school, your ability to concentrate increases to the equivalent of someone half a year further in their studies," he added.
...In an article about the Danish study from the Davis Enterprise, Egelund says that he thinks there is a deep connection between the way we move our bodies and the way our minds work:
“I believe that deep down we were naturally and originally not designed to sit still,” Egelund said. “We learn through our head and by moving. Something happens within the body when we move, and this allows us to be better equipped afterwards to work on the cognitive side.”
Lots of parents drive their kids to school because walking or driving on streets and roads designed exclusively for cars makes the journey prohibitively dangerous for anyone, especially children. That problem is not easily solved, especially since schools are increasingly being built on the edges of sprawling development, rather than in a walkable context. [PDF]

But many other parents drive their kids because it’s easier, or seems to be easier. They often frame it as a kindness to the child to spare them “trudging” all the way to school, even if that trek is only half a mile long. As these short driving trips become the societal norm, it gets more and more difficult for families to deviate from them. School traffic begets school traffic.

So what could turn the trend around? The connection between active transportation and better physical fitness is well-documented and intuitively easy to draw, and yet apparently not compelling enough....Nationally, as of 2009, only 13 percent of kids in the United States walked or biked to school, down from 50 percent in 1969.

But if more parents realized that packing the kids into the back seat actually affects their ability to learn, would they change their ways? Advocate for building schools in more walkable locations? Demand improved bicycle and pedestrian infrastructure? Or simply make the time and effort required to get to the kids to school under their own steam, accompanying them if need be?

Many parents pay for test prep and after-school enrichment programs to make their kids more academically competitive, and go to great lengths to schedule time for those activities. Imagine if they invested those resources instead in something as simple as helping their children to travel safely from home to school on foot or by bike, arriving ready to learn.

Read the rest of the article here. 

Other articles on this subject: 
  • "Car children" learn less in school (The Davis Enterprise). In this article, researcher Niels Egelund comments: “This result means that the parents have an enormous responsibility. I have a child in third grade and a child in ninth grade. I find it a great pity to see how many students are driving to school. You see long lines of cars in front of the school; some drove a very short distance. Parents should really pull themselves up by their bootstraps.”
  • Exercise before school improves concentration: study (AFP)
  • Marc Schlossberg, Page Paulsen Phillips, Bethany Johnson, and Bob Parker. "How Do They Get There? A Spatial Analysis of a ‘Sprawl School’ in Oregon." Planning, Practice & Research, Vol. 20, No. 2, pp. 147 – 162, May 2005 (PDF). From the introduction: "For over 50 years, communities across the United States (US) have experienced a shift away from small, neighbourhood schools to large ones located on the urban periphery. Two effects of this type of ‘sprawl school siting’ are increased traffic congestion during school pick-up and drop-off times and decreased walking and cycling by children accessing school....When school sites are remote, and children do not walk or ride bikes to school, they are deprived of the opportunity to exercise. This, in combination with a variety of other factors (poor diets, television, the popularity of video/computer games) has lead to an increase in the number of overweight and obese children in the US."

* There are 2-3 families living in the immediate neighborhood who also walk; they don't have to cross any busy intersections because they live on the other side of the highway.
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Sunday, February 03, 2013

Currently reading

Eve's Herbs: A History of Contraception and Abortion in the West by John M. Riddle. I've read bits and pieces of this during my graduate school years, but this is a fascinating compilation of how women controlled their fertility from thousands of years ago until the present. Before ultrasound or over-the-counter pregnancy test and before our modern understanding of pregnancy, women often viewed a cessation of menstruation--which may or may not have been due to pregnancy--as dangerous. They would take herbs to bring on menstruation, and these herbs nowadays have known abortifactent effects. Definitely worth reading. I had to return it before I was able to finish it, so it's on my to-read list once I can ILL it again.


The Politics of Women's Spirituality: Essays by Founding Mothers of the Movement. I originally checked this out to read an essay I saw cited, but I can't remember which one it was. I paged through much of the book, but didn't actually read it in depth. I found the early 2nd wave feminism a bit too simplistic for my tastes. But it's valuable as a marker in the evolution of feminist thought.


Our Bodies, Our Crimes: The Policing of Women's Reproduction in America by Jeanne Flavin. Just started this today. I might use part or all of it for a freshman tutorial on reproduction that I hope to teach next fall.




A blog acquaintance shared a huge file of ebooks, so I've been reading two historical novel series set in England ranging from the 1100s-1600s. I've had fun learning all sorts of tidbits about English history. The first series included The Pillars of the Earth and World Without End by Ken Follet. Next was the Morland Dynasty series by Cynthia Harrod-Eagles, a set of five books beginning with The Founding.


Now for some Mormon stuff...

My mom gave me Terryl Givens and Fiona Givens' book The God Who Weeps: How Mormonism Makes Sense of Life for Christmas. They argue that the most compelling characteristics of a God worth worshipping is his vulnerability and compassion, his capacity for feeling and understanding human pain and joy. The book's prose sometimes is more fanciful that I usually care to read, but still quite moving. Also worth your time are the interviews with the authors at Feminist Mormon Housewives (Episode 27: The Nature of God and the Feminine Divine) and a 2-part interview (Episodes 385-386) at Mormon Stories.


Development of LDS Temple Worship, 1846-2000: A Documentary History. This book has a short narrative introduction, but most of it is, as the title suggest, a compilation of original source documents relating to LDS temples. So it's not something you'd exactly want to sit down and read straight through for enjoyment, but if you're researching the historical origins of certain policies or practices, this is the place to go.

Women and Authority: Re-Emerging Mormon Feminism edited by Maxine Hanks. A classic collection of essays and stories published in the early 1990s.









Why Theology Can't Save Us, and Other Essays on Being Gay and Mormon by John Gustav-Wrathall. I first listened to his extended interview with John Dehlin on Gay Mormon Stories and was so moved by his life story that I wanted to learn more (to listen, go to Part 1, Part 2, Part 3, and Part 4). I saw this book and (guilty admission) bought it right away for my Kindle. He really breaks apart preconceived notions of what it means to be both gay and Mormon and how one might reconcile the two. On the subject of gays and Mormonism, you can't miss reading Carol Lynn Pearson's books, from Goodye, I love You to No More Goodbyes: Circling the Wagons Around Our Gay Loved Ones to The Hero's Journey of the Gay and Lesbian Mormon. 

I have a subscription to the Exponent II, a quarterly magazine for Mormon women's writing.

And of course, I can't talk about Mormon reading material without mentioning some of my favorite blogs and podcasts:
What have you been reading? I need to start compiling a postpartum reading list, like I did when Inga was born.
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Wednesday, January 30, 2013

Another reason to close up shop

In yesterday's discussion about family size, I left out one really big factor: how children affect a marriage. I'm not saying that having children makes me want to do something crazy like leave or get divorced or have an affair. But children can take a toll on relationships.

When I'm pregnant, nursing, and/or caring for little children all day, I have little emotional or physical energy left over for Eric. I'm touched out, I'm tired, and I definitely don't want to "give" any more after days full of giving and giving and giving. I tend to run away from physical touch, sexual or not. Some of it is due to the hormones of pregnancy and lactation, and the rest comes from the exhaustion of being on call night and day. It's a lot of work to connect with my spouse, and sometimes more work is the last thing I want.

I'm not generalizing this experience onto all couples. Eric has always had a higher need for physical touch and emotional connection than I have, even pre-children. Starting a family has just accentuated those differences between us.

So our decision about family size also includes the health of our marriage. If I have a fifth baby, it will be at least another 3-4 years before I'm done with the pregnant/frequent nursing/little baby stages. Whereas if I stop with this baby, about a year from now the baby will be (crossing my fingers) sleeping well at night, moving independently, starting to eat some solid foods, and playing with siblings.

I'd like to hear how you balance your relationship with your spouse/partner against the demands of raising children. How do you find time for emotional and physical connection, especially when one or both of you have little desire/energy? How have relationship concerns factored into your decision about family size?
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Tuesday, January 29, 2013

How do you know when you're done?

a.k.a.
Stop at Four or Have One More?

The question of being done having children never came up until this pregnancy. Eric is more than happy to close up shop--and he's volunteered to have a vasectomy whenever I ask. I don't have a strong feeling either way. We both grew up in big families. Eric was one of 7 children, and I was one of 5. I've always had this magic number in my head of a nice, big (but not TOO big) family. 3 kids definitely seemed way too small, 4-5 was just about right, and 6+ was way, way too many.

It's strange to think of being at the end of my childbearing years. I feel like I barely started! I know some women who absolutely know they're "done" and never look back. I don't know if I'll ever have that strong feeling. Instead, I'm just going to have to decide and go with it, as bittersweet as it might seem. I mean, it's really sad to think that this might be my last pregnancy, that it might be the last baby I ever nurse. 

I've really enjoyed the years of not trying and not preventing between Zari's birth and now. After "preventing" for 5 years, we then "tried" for several years before I got pregnant with Zari (up to and including IVF). I didn't mind being on birth control, but I hated those years of trying. My body naturally spaces children between 2 - 2 1/2 years apart, so we haven't felt the need to do anything in particular until now.

But I am definitely not okay just "letting things happen" indefinitely. My mom is turning 60 this year, and she STILL hasn't hit menopause! So I can't assume that my fertility will naturally wane in the near future. 

So it might be time to stop. I'm 34, Eric is 38. I don't feel old, but I certainly see the benefits of being a younger parent and grandparent. Eric is ready to move on to the next stage of our life. I'm not 100% certain that I am, but I am willing to take more long-term preventive measures in the meantime.

Here's our short- and long-term plan:
  • Have an IUD placed some time before my fertility returns (probably around 8-10 months postpartum). I don't want anything I have to think about: no condoms, no pills, no diaphragms, etc. I'm definitely leaning towards the Mirena over the copper IUD. I really don't want heavier periods & cramps, which often happens with the copper IUD. 
  • In a few more years, when we're really, truly sure we're done, Eric will have either a vasectomy or--if it's available by then--RISUG/Vasalgel. (RISUG is 100% effective, less invasive than a vasectomy, and reversible. Clinical trials have been going on in India for many years, and they will likely start this year in the U.S.) 

So tell me how you knew you were "done"? How did you and your spouse/partner come to this decision? What methods did you use for birth control? Did you change your mind down the road?
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Monday, January 28, 2013

Belated pregnancy announcements

I was organizing files on my computer, and I found these photos I took last August. I guess I was going to use them to announce my pregnancy? It's fun to see how much the kids have changed in the past half year!



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Saturday, January 26, 2013

32 weeks pregnant


Zari finally got her turn in a pregnancy silhouette! She's not quite this tall--she was standing on a small step stool. Don't you love her outie? It was even more pronounced when she was little.

Things have been going really well with my pregnancy. My sacrum/sciatica hasn't been bothering me  except for a few small twinges. I'm sleeping reasonably well.

I've started the Birth Relaxation Kit, a birth hypnosis program similar to Hypnobabies (only at 1/3 the cost). I'll be writing up a full review of it after this birth. I'm pleased with the product so far. It's created by a husband-wife hypnotherapist team. Dr. Mavi Gupta is also a family physician, and her husband Jeremy is a musician. You can read their birth story here.

My only complaint: I cannot stay awake during the hypnosis sessions! I had the same problem when I did Hypnobirthing and Hypnobabies. I usually can make it all the way through the first time, but after that...ZZZZZZZZ! However, I always wake up right at the end of the track, so I hope the hypnosis is doing its job. In theory it's supposed to work even if you fall asleep. Or maybe I am just really, really good at going deep into hypnosis :)

Eric has been in Calgary for an academic trip, leaving me on my own with the kids. Every time he leaves, I realize how much admiration I have for single parents. It's hard enough being on my own for a few days at a time. The worst is the late afternoon/early evening, when I just need a few minutes to myself but cannot get it, ever. Dio and Inga have been waking up multiple times most nights, which is unusual. On top of everything else, Inga has been really sick. When she woke up this morning, her whole crib was covered in vomit--sheets, blankets, herself, even some of the carpet. She's been puking and having diarrhea all day and developed a fever this evening. Poor girl. Despite it all, she's been acting really happy and calm. We caught her last puke in a bowl, once I learned how to read her signs (if she whines and cries out of the blue, I have 5 seconds to grab a bowl).

I started removing the kitchen backsplash. I'll be posting a how-to DIY about removing old tile and re-tiling. I'm going back and forth between a modern mosaic and a more classic white marble subway tile. I'm leaning towards the marble tile. If I get ambitious, maybe I'll do a herringbone pattern.

Inga likes to measure her belly and listen to herself with my fetoscope. (Here's Zari listening to Dio back in 2011.) I measured 34 cms today, so only 2 cms ahead, rather than 5-6 cms ahead like I was measuring earlier.


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Tuesday, January 22, 2013

Homebirth legislation in Slovakia

I recently received this update from Iva Jancigova, who helped me translate some articles about home birth legislation from Czech to English:

This time it's about my own country--Slovakia. At the end of December, the Minister of Interior Robert Kaliňák introduced some law changes to the Law of Registration Offices (I don't know the proper English translation...these are the offices that issue birth certificates, marriage certificates and death certificates). The new law says that if a birth occurred out of hospital, the baby can only be registered at this office (and have a birth certificate issued) after the mother has a gynecological exam by a doctor. Until now, parents only had to show their IDs and announce the birth at the Registration Office. There are no "official" homebirth midwives in Slovakia, but some women still choose homebirth either with an underground midwife or without one. If these changes in law are approved, they will complicate the matters significantly for women who want to avoid obgyns and/or birth at home without the need to go anywhere. I'm not even starting on the violation of privacy, because then this e-mail would get really angry.

Two nonprofit organizations (one of them is the Women's Circles I already wrote you about) wrote an open objection and collected enough signatures that it has to be heard. See http://www.zenskekruhy.sk/nase-aktivity/napisali-sme/item/195-podporte-pravo-zien-zvolit-si-okolnosti-porodu. Now we're waiting to see how the negotiations will go. I really hope that the changes won't go through.

Iva Jancigova
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Sunday, January 20, 2013

Help us choose a new car!

With baby #4 on its way in about 2 months, we're facing a big decision: buying a car that will fit 6 people. We love our 2003 VW Golf, a diesel-powered car that also runs on used vegetable oil thanks to a Greasecar conversion kit. We get 45+ miles per gallon, and we love the compact design. We're so sad that we have to find a new car...and we've been frustrated at how few choices there are in North America.

We've lived in France, where you'll find tons of ingenious sedans or ultra-compact minivans that carry 6-7 people. Almost all come with manual transmissions and diesel-fueled models, giving a fuel efficiency that comes close to our Golf.

But here? There are really only two choices: minivan or SUV. No thanks.

So we need help finding a new vehicle. Here's what we're looking for, in order of importance:
  • Seats 6+ people
  • Good fuel economy
  • Manual transmission (a.k.a. stick shift)
  • Not too big
  • Around 3-6 years old, $8-10K maximum budget
  • Diesel fuel (we can always wish...)
So far, Eric has found ONE car sold in North America that meets most of these qualifications: the Mazda 5. It is the size of a car and looks like a tiny minivan. It seats 6 people and has the option of manual transmission. It gets around 21 mpg city/28 mpg highway, which isn't fantastic but is better than SUVs and other minivans.

Are there any other vehicles in the North American market that meet our needs? Please, please let me know if you find anything else! We only have 2 months left to look.

ps--anyone want to buy our VW Golf? It has 108K miles, heated seats, power windows, Monsoon sound system, roof rack, Greasecar conversion done in 2006 (secondary 13-gallon heated fuel tank for waste VO), and more. You can fit 3 car seats side-by-side: 2 front-facing & 1 rear-facing, or 2 front-facing and 1 booster.
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Wednesday, January 16, 2013

NYC mothers needed to share out-of-hospital birth stories

I received the following request from a researcher at the NYU Institute of Journalism:

I am currently in search of New York City mothers who would be interested in sharing their out-of-hospital birth stories.

The interviews would be used as part of my dissertation for the New York University Institute of Journalism. My research focuses on the increase in home birth and birth center births in the past decade, specifically in New York City. I've so far primarily conducted interviews with midwives and birth professionals, and now I’d like to get in touch with parents. We would mainly discuss your reasons for an out-of-hospital birth, as well as the actual birth story and your reflections on the experience.

If you have had—or are planning to have—a home birth or a birth center birth in the New York City area, and would be interested in participating, please let me know. I’d be happy to provide more details and set up a brief interview with you (done either in person or by phone). I can best be reached at annawilliams@nyu.edu.

Thanks in advance for your time, and I look forward to hearing your stories.

Anna Williams
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Monday, January 14, 2013

Has medicine failed breastfeeding?

I think you'll enjoy both this recent Time article Is the medical community failing breastfeeding moms? and the following response by a breastfeeding counselor. I'm still surprised and a bit appalled about how little we know medically about breastfeeding. Did you know there are only 88 fellows of the Academy of Breastfeeding Medicine in the entire world? The author of the Time article notes,
When women have trouble breast-feeding, they are often confronted with two divergent directives: well-meaning lactation consultants urge them to try harder, while some doctors might advise them to simply give up and go the bottle-and-formula route. “We just give women a pat on the head and tell them their kids will be fine,” if they don’t breastfeed, says Dr. Alison Stuebe, an OB who treats breast-feeding problems in North Carolina. “Can you imagine if we did that to men with erectile dysfunction?” 

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A breastfeeding counselor's response to "Is the medical community failing breastfeeding moms?"


I loved the article. I'm a breastfeeding counselor and I've been saying much the same thing for years. Because by the time a mom has a baby in a hospital, spends 2-4 days there (assuming her baby has no problems and isn't kept longer), heads home, keeps trying to breastfeed for a week or two before things get bad enough that they find a LLL leader or an LC, or even comes to a community like here, it is much harder to help her. The baby's learned to breastfeed incorrectly and will have to relearn how to suckle properly, her supply is either tanked or not what it could be, the latch sucks and her nipples hurt. I see a dozen different variations of that theme a day and it pisses me off how many times I can trace that back to crappy support at birth.

It won't make a damn bit of a difference how we restrict formula, or improve nursing in public laws, or work on mother education if the very first advice she gets in the hospital is bad. I am as educated as it is possible to get as a layperson. I still had a nurse, less than four hours after my babies were born, bully me into supplementing because they thought one of my twins' glucose was too low and she threatened that the peds would put him back in the nursery. I had just had 35 week old twins. I had to wait two hours to see them because none of us were stable, and one of my babies was still in the NICU. I was NOT up for a fight. I knew that I could get him to latch and I tried the SNS to humor her, and ended up ripping it off when I got him to latch well without it--but what if I hadn't known everything I do about how to latching a low muscle tone infant? What if I hadn't known that the sips of colostrum he could get were fine, and would bring his glucose up no problem once he got a little more rest and could nurse a little stronger? What if I hadn't known how to express the most colostrum for my NICU baby? What if I had been scared enough to keep using the SNS every feed, and eventually got fed up with it and it was too hard to use and nurse twins at the same time, and well if they're getting formula anyway, what harm is a bottle?

And even then, even if you get out of the hospital without being sabotaged, what happens after? What happens when you go to a pediatrician and they tell you formula fed babies sleep better, and your mother who's there with you says "See, I told you so!"? What happens when you get thrush or mastitis, and can't get proper treatment, and you're in massive amounts of pain or dying of chills and fever, and someone with an RN or MD after their name tells you to stop torturing yourself and wean? Or your baby has a tongue tie or arched palate, and nobody knows how to deal with it, and so every single feed rips your nipples up?

Forget nursing in public. Forget laws for pumping working mothers. Forget formula on prescription. If we can't get a mom to two weeks postpartum nursing exclusively, we as a medical community have made some deeper errors. And I don't think that problem can be solved by your average breastfeeding advocate, or even the best team of IBCLCs, because while you CAN fix those things, and you CAN come back from a bad start, it's really hard to convince somebody THEN that breastfeeding is worth it, and you should keep pumping, keep using the SNS, keep up the fenugreek and the domperidone, just try this one other thrush treatment, well maybe we can try a different nursing position to fix the crappy latch that has poor milk transfer that leads to your recurrent mastitis... that's an unfair burden on everyone, advocates included.

It's not reasonable to expect most mothers to have that level of knowledge and dedication to resist the "formula is just as good/formula is fine/most kids are formula fed and end up okay" spiel, especially a first timer (I was pretty educated for a first timer, and I wouldn't have known what to do in my situation if it had come up then.) And this was at a BABY FRIENDLY hospital, the best one in my state for lactation support, where a ton of the nurses were IBCLCs (not the one that bullied me, thankfully) and the pediatricians were very educated about breastfeeding. Yes, it can be done, obviously- I did it and dozens of the rest of us do it every day. But there's no reason for it to be this hard, for any of us, but especially not for a new mother who is scared, tired, and sad, and people just say, "Well, it's too bad your boobs don't work, that happens sometimes!" I completely agree with the author that no one would ever dare tell a man, "Well, shame your penis doesn't work anymore, that happens when you get older." Which is actually physiologically normal!

IBCLC education needs more grants and more support from the government--if they save one mom a month from having to use formula, that saves everybody healthcare dollars because her baby will be healthier, it saves money for WIC, and it helps a mom get back into the workforce without tanking the nursing relationship. It needs to be PAID FOR BY INSURANCE. (I am still incensed that circumcision has this huge push by the AAP but we can't get their support for IBCLC coverage--THANKS. Glad to see you're so interested in infant welfare.) We need better postpartum care--a single checkup at two and six weeks is not enough. Home visits need to be covered. Support services like housecleaning and childcare for older children need to be more available to all women, not just the ones that can afford a postpartum doula or a housekeeper. I do think the IBCLC model works, and I'd like to see a model for them becoming more like the midwifery model, where you've got your direct-entry LCs that can handle your average breastfeeding relationship and prenatal education, then you've got your IBCLC that handles the trickier stuff, and I would like to see a rank like a CNM, where they could diagnose and prescribe on their own.

So yes. We've failed breastfeeding mothers.
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Friday, January 11, 2013

30 weeks pregnant


Dio had to have his turn in the pregnancy silhouette series. It ended up being almost the exact same pose as last time, just with a different child!

A week ago I had a major sciatica flareup. For a few days I could hardly move or walk; I would be grabbing onto furniture or walls, hobbling from place to place. Not funny, even though I was laughing at myself because I looked so ridiculous. I've always had some discomfort in this exact same location (right to the left of my sacrum), but it was mild with previous pregnancies.

A visit to a chiropractor immediately fixed the spasms that kept me from walking, although the overall pain has taken much longer to subside. But I am mobile now, so that's great. I'm going to see him again next Monday. He also happens to be our city counselor, so I gave him the run-down on the crossing guard situation at Zari's elementary school. He's very supportive of walking to school and has been seeing what strings he can pull.

Measuring 33 cms at 30 weeks along. Weight hasn't changed this past month. BP is great and baby is moving and kicking a lot. I feel lots of big kicks near the top of the fundus and smaller wiggles and hiccups near the pubic bone.

We had a nice afternoon playing outside and then dancing. The purple dresses are from my mom. I put on music I danced to growing up: Blue Danube waltz by Strauss, Polovtsian dances by Borodin, and Night on Bald Mountain by Mussorgsky.


Dio was sad that he didn't get a dancing dress, so I pulled something out of the closet for him.
 

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Wednesday, January 09, 2013

Review of Birth Boot Camp


Below is a review of Birth Boot Camp, an online course to prepare couples for natural childbirth.

Review of Birth Boot Camp
By Diedra S. Jardine

As an expectant first-time mom, I wanted to have an unmedicated birth, and for medical reasons I needed to be in a hospital setting. I knew that I’d need to thoroughly prepare not only to give birth naturally in a hospital but also to avoid unnecessary medical interventions. Birth Boot Camp ($300 for the 10-class course, available at www.birthbootcamp.com) gave me the knowledge and tools essential for preparing for unmedicated birth, and also bolstered my confidence in my ability to succeed. I highly recommend Birth Boot Camp to other women who are looking for tools to help them have a successful unmedicated birth, whether in a hospital, birthing center, or home birth setting.

Birth Boot Camp is a series of ten online classes aimed at couples—not just mothers—preparing for an unmedicated birth. I took some of the online classes on my own and had my husband watch others with me, depending on the lesson material. Each class lasts from one to two hours and is available whenever students wish to view it online.

While the online format inherently precludes interaction between instructor and students, the instructor and other presenters supply sufficient information about most topics as to answer most basic questions that participants might have. A significant number of additional resources, presented as part of each class, guide students in finding further information.

The supplemental resources include stand-alone videos and online resources related to each class, a training manual with weekly assignments and further resources, recommendations for further reading, and a DVD. The supplemental resources offer students further reading on material presented in each class. The weekly assignments contained in the training manual reinforce concepts taught in each online class and assist each student to apply the concepts taught in preparation for the upcoming birth.

Donna Ryan, the course instructor, speaks from her perspective as both an experienced natural childbirth educator and woman who has had multiple unmedicated births. Donna is knowledgeable and her presentation style is engaging. Also a part of each class are medical practitioners—from midwives to obstetricians—who offer medical explanations of certain concepts, as well as couples who prepared for natural childbirth and subsequently had various birth experiences, from unmedicated births to births with various medical interventions.

The ten classes cover topics including the advantages of natural childbirth, prenatal exercise and nutrition, various birth settings, the phases of labor and the immediate postpartum period, support for birthing mothers, tools for identifying when medical interventions are and are not necessary, birth plans, adjusting to life with a new baby, and breastfeeding.

The materials presented as part of each class are thorough and, for the most part, unbiased. Donna does share numerous anecdotes throughout and rarely cites sources when presenting information; women who want a strictly factual course may be put off by Donna’s anecdotal, conversational style. At first I disliked how anecdotal it was, but that only lasted through the first class or two as she was introducing the material. The classes are organized logically, with information presented in each class building off that which was presented previously.

Birth Boot Camp offers thorough preparation for couples interested in unmedicated childbirth. Both first-time parents as well as couples who have had medicated births but would like to prepare for an unmedicated birth can benefit from this course. The course is convenient, informative, generally unbiased while being oriented towards unmedicated births, and well worth the cost. Birth Boot Camp helped me reach my goal of an unmedicated childbirth—which happened for me after four hours of active labor, all of which occurred at a hospital—and helped this be a positive experience for me, my husband, and my new son.

My sister and nephew
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Wednesday, January 02, 2013

28 weeks pregnant


Isn't this a fun silhouette? I love how a toddler pot belly + outie belly button looks so much like a pregnant belly. After Inga climbed up on a stool next to me, all the kids wanted to get their belly profiles taken. Soon we had three naked kids running around in our bedroom posing in front of the camera!

My crazy growth spurt has slowed down...I'm measuring about the same fundal height as 3 weeks ago (around 31 cms), so I don't think there are twins! At my last visit, my midwife a few large pockets of fluid. The baby was also floating way, way above the pelvis. We'll see how things look at the next visit and decide if I want to pursue an ultrasound or just leave things be. 

Because I was measuring ahead, she suggested I make sure my blood sugars were normal via either a GTT or a few days of checking fasting and postprandial blood sugars. I opted for the latter. They're low (82 fasting, 110 an hour after dinner), so we can rule out GD as a possible culprit.

I've been able to stay pretty active lately, going on walks, repainting several rooms, and hanging new light fixtures. We're starting our kitchen renovations this week: take out the old backsplash and install new mosaic tiles, repaint trim & walls, replace light fixtures, and buy a new oven. This last item was unplanned; our double wall oven just broke, and the part we need is no longer available. So we have to shell out mega bucks to buy a new one. (Hint: Sears Outlet is a fantastic place to shop for scratch & dent, floor model, and new-in-box discounted appliances.)
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Saturday, December 29, 2012

Birth options and recommendations in the D.C. area

A blog reader recently asked me for recommendations for providers and birth locations in the Washington D.C. area. She lives in Falls Church, VA and is open to considering all of her options, from home to birth centers to hospitals. She had her first children with epidurals and would really like to have her next baby unmedicated (although she's a bit nervous about how she's going to do it!).

Please add your recommendations in the comments or, if you'd like to keep things more private, via email.

Thanks so much!
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Monday, December 24, 2012

Pregnancy: Month 5

November was filled with breech-related activities: planning a vaginal breech and ECV workshop for next June, preparing my presentation "Connecting the Dots: The Future of Birth Advocacy," attending the 3rd International Breech Conference in D.C., and writing up summaries of the conference sessions.

In honor of breech babies and breech-friendly providers, I created this quilt block to represent my fifth month of pregnancy. It's the logo of the Coalition for Breech Birth and is simply named "Breech." 


I didn't have any cobalt blue fabric, but this deep purple linen was close enough to evoke the same feel.

I love the design of this logo. It captures the deep love and connection mothers have with their babies and the desire to protect and nurture their little ones, born or unborn. We have to keep this in mind when we talk about breech birth and about what options are "safe" or "acceptable."

~ Soapbox over ~

I hope you're having a wonderful time preparing for Christmas or whatever other holidays you celebrate. Our house smells of lebkuchen (German spice cookies) and caramelized onions (for tonight's French onion soup) and fresh paint (yes, I've been busy repainting before this baby arrives). We have a houseful of family and have more arriving on Wednesday.
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Wednesday, December 19, 2012

Pregnancy: Month 4

I first started feeling movement at 11 weeks. It began with faint flutters and bubbles, the kind that you're pretty sure are baby...but not entirely. By 15-16 weeks, it was definite. At this time, it really felt like a fish flopping around inside me. If you've ever held a live fish in your hands--something the size of a sunfish or crappie--you'll know what I'm trying to describe.

So this quilt block for the  fourth month of pregnancy reflects the sensations of movement. I named it "Quickening."

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Monday, December 17, 2012

Christmas wish list

I'd love to get a female pelvis model and cloth doll to practice & study the cardinal movements. Anyone selling a spare set? What suppliers sell the best cloth dolls?



A good portrait lens with a low aperture setting (1.4 or 1.8). This one would work with my  camera. I like bokeh!
The book Making More Plants



A Yepp Mini bike seat. It mounts on the front of the bike, right on the handlebar stem.


And this GMG Junior bike seat for the back of one of our bikes Too bad it isn't sold in the US! Maybe a Dutch reader could help me buy & ship a used one? They are everywhere in The Netherlands. I'd probably need the adapter too.


The WeeRide Co-Pilot bike trailer looks like fun!

I'd like to watch the documentary Catching Babies.


What's on your wish list? 
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Saturday, December 15, 2012

26 weeks pregnant

My weekly pregnancy silhouette has turned into a biweekly one! The weeks go by too quickly to get a picture taken every time.


Inga at 28 weeks
Dio at 26 weeks
Zari at 27 weeks (25 weeks gestation)

Now some details for those of you who care:

I've been measuring ahead for as long as I could take reasonably reliable measurements. There was some uncertainty about dates initially, but it was in the other direction (i.e., possibly being 22 weeks at this point rather than 26). With my 3 other pregnancies, I have always measured spot-on for dates, no matter how much or little I was showing. So here are some figures from this pregnancy:
  • 18 weeks: fundus at umbilicus
  • 21.3 weeks: 25 cms
  • 24 weeks: 27/28 cms (I sometimes measure twice, keeping my eyes closed so I'm not "cheating")
  • 26 weeks: 31/32 cms
This is making me go "hmmmmm....is there just one baby in there or two?" I have my next prenatal visit on Monday and we'll discuss possible causes. I'm not opposed to having an ultrasound if there's a sound reason.

Everything else is looking good. Weight gain is similar to other pregnancies (+14 lbs). Blood pressure is nice and low. Baby is nice and active. I've been sleeping reasonably well and hope that trend continues.
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Thursday, December 13, 2012

Tenure! (and something fun to read)

Eric just had his tenure review meeting yesterday...and he passed! We are so thankful for job security in this era of economic uncertainty.

Are any of you subscribers to the Journal of Perinatal Education? You might have seen Eric's essay "Freebirth" in the most recent issue (Volume 21, Number 4, 2012, pp. 202-205). It's worth the read :)
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Sunday, December 09, 2012

Complicated Breech Scenarios: Heads Up! Breech Conference

Day 3

Breech Birth Scenarios
Diane Goslin

Diane Goslin, who serves a large Amish & Mennonite population in Pennsylvania, described several complicated breech scenarios she has encountered. Gail Tully helped by illustrating the situations with a doll & pelvis. Diane then invited conference participants to share their own less-than-textbook breech births--this included footling and kneeling presentations, slow labors, long second stages, babies that did not rotate to anterior, and nuchal arms.

After learning from Jane Evans the signs of a normal, physiological breech birth, it was very enlightening to learn how to recognize and respond to abnormal breech situations. After all, that's really what breech attendants really need to know. Much of the time, breech babies emerge on their own. But what if they don't? That's when a cool head, skilled hands, and the ability to think on your feet can be lifesaving.

The main things Goslin has learned over the years:
  • A lot of patience and a lot of monitoring. A breech is not the kind of birth where you go sleep on the couch. You need enough help in case the mom, dad, or midwives are exhausted. 
  • Be able to picture your baby well and visualize how it's inside the mother. Become confident and competent with how the baby is positioned inside the pelvis. 
  • Think outside the box. As much as we might love H&K, for example, we have to be willing to try whatever works to help get the baby out.  
  • You have to be flexible and  see what's working. You can't just have one formula for getting these babies out. We don't like doing manipulations, but it there is trouble, it's better than a brain-damaged or dead baby. You need to know the maneuvers and know when & how to do them.


Jane Evans commented that British midwife Mary Cronk taught her a lesson about getting a stuck object out. Mary had a messy kitchen drawer that would often get stuck because some object was wedged and in the way. Mary's husband would shut the drawer a bit, wiggle the objects around, and then open the drawer easily. The same goes with breech birth. If you can resolve the obstruction, then the baby can descend easily.
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Friday, December 07, 2012

Pregnancy: Month 3

I hit a rough patch between the 5th and 11th weeks of pregnancy. The usual suspects--constant queasiness, no appetite, extreme fatigue, dizziness. I've never actually thrown up in early pregnancy; I just feel nauseated the whole time. Each pregnancy has gotten successively worse with its "morning sickness" symptoms. (Whoever decided to call it morning sickness anyway? Mine is all day and all night, and if anything gets progressively worse as the day goes on.)

The challenge for this quilt block was how to depict the third month of pregnancy. How do you visually represent exhaustion or queasiness? I thought and thought. I googled various search terms in conjunction with "quilt" or "block" but found no inspiration.

Finally, I decided to represent not the exhaustion or nausea, but what helped me get through it: reading books. As long as I was reading, I could ignore how icky I was feeling. So as soon as Eric came home, I would lie down, grab a book, and check out for the rest of the day. (And I did my share of reading during the day, too, while the kids were playing.)

I named this quilt block "Saved By The Books."

ps--some of you Second Womb Slings customers might recognize your sling fabrics :)


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Wednesday, December 05, 2012

Boob Hell: A book review

I've never been to boob hell. Not really even to boob purgatory, except for the plugged ducts I kept getting when Zari was around 4 months old. My experience with breastfeeding has ranged from mostly boob Omaha* to occasional boob paradise.

So I had mixed reactions to Rebekah Curtis' book Boob Hell. It's a memoir of breastfeeding her first baby, and it's filled with tortured descriptions of the pain and embarrassment she endured while trying to figure out how to nurse. This wasn't your ordinary sore-nipples-for-a-few-days kind of pain, it was close to 3 months of constant, excruciating pain, even when she wasn't nursing. She had a nipple so deeply cracked that it essentially split in two. She couldn't hold her daughter or bear to have anything brush against her breasts. Turns out she had a raging thrush infection and (my interpretation here) a baby who didn't latch on right. Between those two, she endured more than I think I ever could have. But Rebekah doesn't set herself up as a hero or even a warrior. She feels like she's failing no matter what she does: "I was failing at breastfeeding, and failing at quitting breastfeeding. Human history had never known a more stupendous failure."


Besides the physical pain of a bad latch, cracked and bleeding nipples, and a thrust infection, Rebekah also endures another form of hellish punishment: shame, embarrasment, and loneliness. At times, I felt impatient with the narrator. Newly postpartum, she has a houseful of family staying over. She feels trapped and overly self-conscious. So she ends up nursing her baby on a folding chair in her bedroom, completely miserable yet unwilling to either A) just nurse the baby and let others deal with it or B) ask the unwanted guests to leave. Yes, I know that it's hard to field friends and relatives when you're newly postpartum, but it's even worse to be "nice" and then suffer for it (and then complain/cry in secret).

Even after she's been nursing for a while, she still feels terribly awkward and embarrassed to breastfeed in front of anybody. Here's a scene when she's visiting her mom and grandma (referred to as "Grandma" and "Great Grandma"). 
     I positioned Baby to start on the safe boob. I had her burpie, a fresh nursing pad, and my receiving blanket. But when It came to the feature presentation, I found myself stalling, making unnecessary adjustments. I just didn't want anyone to watch me feed the baby; not my mom, not my grandma, not anybody. I grimly draped the blanket over my shoulder and Baby, reached underneath it to unhook my bra, and tried to hold her in the appropriate range, but she started flailing and gasping and soon the blanket was tangled around her head and arm, and my face was burning. Was Great Grandma still watching? I didn't want to look.
     "Come on, Baby," I muttered desperately, pulling the blanket back up. But she couldn't get it. Her hands flew and pulled off the blanket again and she cried in frustration. I wanted to do the same. "I'm sorry, we're terrible at this," I said angrily. "Well go upstairs and come back when we're done." I reassembled myself and hauled Baby upstairs where we could sequester ourselves in a bedroom.
     Dad [Rebekah's husband] knocked on the door a few minutes later and stuck his head in. "Doing OK?" he asked.
     "Why do they say you should just feed the baby wherever you are? Why don't they tell you that babies can't figure out how to eat without you being totally exposed? Why do they make you think that it's totally no problem to feed a baby under a blanket? Don't their babies kick and squirm and cry? I hate all those people, whoever they are!"
 Or this scene at a friend's house, where she and three other moms are gathered for lunch:
     We sat around Christine's table while the bigger kids ran and screamed. The lady with the newborn started nursing her, not with as much subtlety as I preferred to employ. I wasn't sure if I should look away. She didn't seem to be trying to make a point (no need in this group); apparently she just didn't care. It was distracting: although I wouldn't normally be looking at her chest, I now had to look consciously elsewhere. I struck me that this was how polite men must always feel around women in boob sweaters or short skirts.
     Baby also had lunch coming. But with Other Mom doing the deed at the table, I could hardly excuse myself to the living room. It would even feel rude to try the blanket trick, since she hadn't. My inner anchorite muttered, See, this is why you don't go out with people. I dug through my diaper bag at length as a signal that I was about to need everyone's eyes to be considerately averted. I straightened, unhooked, helped Baby latch, and hoped that my face wasn't as red as it felt. The other girls dutifully conversed around me.
     "Are you OK?" asked Christine after I started laughing at their comments again to signal my return to group interaction. "I mean, is it going OK?"
     "Yeah, it's no biggie," I said, smiling tightly.

Rebekah's character is aware of these inconsistencies. One time, she is sitting in her husband's office nursing her baby. A woman walks in, looking for Rebekah's husband. Rebekah's immediate reaction is to feel uncomfortable and embarrassed, even though the woman doesn't mind and hardly notices the nursing. Turns out the woman has been struggling with infertility. Rebekah reflects:
Why had I spent all this time angry about nursing mothers being forced out of society to feed their babies, and then when someone who doesn't have a problem with me feeding my baby shows up I get mad and scared?

Reading Boob Hell made me wonder how we ought to talk about breastfeeding. Should we teach that it's something that many or most women can accomplish with the right information and support? Or is talking about breastfeeding in a positive and encouraging way setting women up for failure? Should we instead focus on the potential problems and difficulties so we're not painting an unrealistic picture for new mothers? I understand the reasons for both approaches. Rebekah definitely feels duped by all the breastfeeding books she read. To her, breastfeeding is hard and painful, period. Anyone who says otherwise is simply not telling the truth: 
     Baby and I were in the middle of a feeding when my aunt stopped by to inspect the newest family member. "How's it going?" she asked me.
     Kind of rough," I said.
     "Rough how?"
     "Feeding."
     She nodded. "Yup, that's the way it goes."
     Maybe if we all know this, we could give each other a little warning? I thought. "Everybody at the hospital and all the books say that you might be sore for a day or two at first but after that you'll be fine as long as you're doing it right," I said.
     My aunt snorted and rolled her eyes. "Anybody who's ever done it knows that's not true," she said. "But at least you can drink again, right?"
     Can I?" I asked.
     "Oh, sure," she said, "You just can't get hammered."

On top of feeling shell-shocked at how difficult breastfeeding was, she can't even be honest about how she is actually doing:
     A friendly grandpa-type asked me how we were doing that Sunday at church. Just fine, I prevaricated.
     "You know, at this age, they pretty much just sleep and eat and cry!" he observed jauntily. "And the sleeping you don't mind, and the eating you don't mind, but that crying can sure wear you out!"
     I nodded, smiled. He patted me on the back and moved on. I stumbled into my husband's study so that I could get the crying over with before another caring person tried to be friendly. Why did I have to lie about this? Why did I have to pretend that I wasn't in the darkest valley of my life? Didn't anyone know, didn't anyone suspect that things might not be that great for a new nursing mom? Why were we all keeping up this act? I could only conclude that every acquaintance who'd talked to me since Baby's birth had no experience of breastfeeding, because if they had, their words to me would surely have been less presumptuous. The eating you don't mind. The eating you don't mind. The eating you don't mind.

Rebekah finally emerges from boob hell almost 3 months postpartum. Her constant pain between feedings finally dissipates and then, at a friend's urging, she tries gentian violet for her thrush infection. It does the trick after lots of ineffective remedies and useless advice from doctors and lactation consultants.

Boob Hell is self-published. I caught the occasional error and found her usage of titles rather than names confusing (her daughter was named "Baby," her husband was named "Dad," and her mom was named "Grandma"). The writing style is so-so, but her story is positively wrenching and at times frustrating. Frustrating that women go through so much suffering--whether undeserved, unexpected, or self-inflicted. Frustrating that she received so much bad/ineffective advice from numerous health care professionals Frustrating that she couldn't be open about her struggles with mothering and nursing.

I haven't ever been in Rebekah Curtis' shoes. And she's never been in mine. Towards the end of the book, she writes: "I don't understand the people who claim to have no problems and no pain, but I'll take their word for it since one of them was my grandma." I am hesitant to pronounce that breastfeeding WILL be hard and painful and difficult. Or that if you do everything right, you'll NEVER have problems. I know that it CAN be hard, and is for many women. But I'm still uncomfortable with spreading the idea that is is MEANT to be that way.

For those reasons, I'm not sure if I would recommend this book to someone who has never breastfed before. It's simply too overwhelming and discouraging. However, Boob Hell would be great for breastfeeding veterans--especially those who have faced and overcome challenges. Or for those postpartum moms who feel lost and isolated, whether they're cruising along in boob Omaha or stuck in the seventh circle of boob hell.

Paperback available at Lulu ($9.49) and Amazon (paperback & $2.99 Kindle). 

* Pleasant, nothing terribly remarkable, hum-drum (phrase borrowed from Rebekah Curtis)

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Tuesday, December 04, 2012

24 weeks pregnant

I'm starting a weekly photo series of my pregnancy...with a little twist.


How to make a pregnancy photo silhouette:
  • Stand in front of a large window during the day and have someone take a photo. Wear a swimsuit, tight-fitting clothing, or your birthday suit for best results. (I wore a bikini for this photo. Since Eric doesn't usually come home until dusk, I set a tripod on top of a steamer trunk at the foot of my bed. I stood in front of our bedroom window and coaxed Dio, my 3-year-old, into taking several photos.)
  • Use the pen tool in Photoshop to create a vector silhouette. It's faster to simply do image>adjustments>threshold, but the results will look sloppy.
  • Find a digital picture frame. The frame I used was originally from a real photo, so the edges aren't as smooth as a vector photo frame. Turn the frame into a new layer so you can put your silhouette "inside" (underneath).
  • Insert your silhouette.
  • Using the text tool, type any numbers or text you'd like to appear on the frame.
  • If you're going to do a series of images, save your work first as a Photoshop document so you can reuse the photo frame. Simply delete the old silhouette layer and add the new one each week or month. 
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Monday, December 03, 2012

Pregnancy: Month 2

We were in Alberta this summer during my second month of pregnancy. I made a "Waterton National Park" quilt square since we spent a lot of time there. I started feeling really exhausted in Alberta and couldn't figure out why :)


This picture was my inspiration. I still have to embroider the Prince of Wales hotel onto the hill in the foreground...

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Sunday, December 02, 2012

Pregnancy: Month 1

I've been a looking for a different way to document this pregnancy. I've done weekly belly shots, a belly cast, maternity photos, and henna belly paintings. What else could I do to create a record? I can't say this with 100% certainty yet, but this baby might be our last. I've seen some fun ideas on Pinterest, but many of them are too doctored, too elaborate, or just not me.

I love what Baby Makin' Mama's been doing, but honestly if I tried to do anything resembling a fashion shoot, I would bust out laughing. Plus I'd run out of outfits after about 3 pictures:

from http://www.babymakingmachine.com/category/pregnancy

Cool idea, but I don't have a professional photographer to follow me around:

from blog.hannamac.com

I also didn't want to copycat someone else's ideas. So this Amazing Pregnancy Journal had to be free, realistic to accomplish, and meaningful to me--even if it wasn't professionally done or repinned a thousand times on Pinterest.

I've made birth quilts for both Dio and Inga, so I thought I'd continue that tradition and make a month-by-month pregnancy quilt. Each block represents something significant or memorable from that month of pregnancy. It will have nine blocks for the pregnancy plus three for the "fourth trimester" (and to be honest, 12 worked better than 9 to fit crib-size quilt dimensions).

So here's Month One. I call it "Head in the Clouds" because I had no idea I was pregnant at first. Between a likely early miscarriage and then a super light period (that probably wasn't a period after all), it took me a while to even think of taking a pregnancy test.

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