Friday, June 28, 2013

Interview with NüRoo Pocket founders

As co-founders of NüRoo, Hope and Daniela have 8 kids between them, are certified by the US Institute for Kangaroo Care (USIKC) and passionate about attachment parenting. Hence the tagline of their brand, "Closest to Mom. Best for Baby."

Hope, Daniela, and their eight children

Q: Tell us about you..

Our path to parenting couldn't have been more different. Hope struggled with conceiving and found her way through IVF, adoption and in the end natural child birth. Daniela became a mom to her husband's 1, 4 and 6 year olds prior to delivering their last two daughters. Our families are big, boisterous and nothing short of inspiring. Among the madness, we found each other and found NüRoo from our shared passion for the tie between mom and baby. Society does a good job making us second guess our intuition, and ironically medicine has further complicated the natural process. Instinctively, innately, we KNOW how to care for our babies, and our bodies are equipped with all the tools needed to do so.

Q: What made you think to create the NüRoo Pocket?

Hope: I was introduced to the practice of skin-to-skin contact by a nurse midwife at my time of delivery. Following the birth of my daughter, Elle was immediately placed on my chest, and my midwife began telling me all of the amazing physiologic benefits that skin-to-skin offers. I learned that in order to give and receive all of these advantages, she needed to be on my skin for an uninterrupted 60 minutes. That seemed reasonable until I arrived home and was greeted by my two very excited three-year-olds. I needed something that could help me give my baby the benefits of skin-to-skin, but allowed me to be active with my family.

Daniela: When Hope shared her thoughts for the Pocket, I couldn't stop spouting off ideas. I too practiced Skin-to-Skin for the benefits offered to me and my babies but not nearly as much as I wanted to. I loved the promise of the product and envisioned a brand designed to offer early advantages and foster the bond between mom + baby.

The NüRoo Pocket helps baby transition from the womb to the outside world.

Q: How did you go from concept to finished product?

Over the course of a sleepless 9 months, we conducted countless test fits with moms and newborns, using their feedback and working with a seamstress to perfect our design. We took the final prototypes to an industry veteran to help us land at the right factory . There are so many things to consider (price, standards compliance, labeling, quality of construction, turn around time, duty fees, etc.) that working with someone to guide you through this process is invaluable. To those mompreuners in the making, if you don’t have existing relationships that can help with this, seek out a sourcing agent who can see you through.

Q: You refer to Skin-to-Skin Contact as a "practice" -- why is that? 

Believe it or not, there's a right and wrong way to do it. The benefits of skin-to-skin are derived from stimulating the c-afferent nerves. There are a lot of misconceptions around this. Not all skin-on-skin contact delivers the same benefits (i.e.: baby across mom's belly or their cheek to her chest). Because there's a proper position and suggested duration of time, skin-to-skin Contact is intentional and thus said to be a "practice."

Simply by holding baby vertically on your bare chest, you enhance your baby's immunity, improve sleep and weight gain, and stabilize their heart rate and breathing, all while speeding your own recovery time, reducing your risk for postpartum depression and increasing your milk supply. The benefits begin immediately with less crying/colic and temperature regulation. During the 60 minutes after the birth, skin-to-skin contact accelerates your baby's brain development.

The newborn stage is coined the 4th trimester because of how immature baby is. The American Academy of Pediatrics recommends skin-to-skin immediately after birth until the first feeding and throughout the postpartum period. 40 years of research tells us that skin-to-skin should happen for as often, as long, and as frequently as possible.

Q: With 40 years of research behind the practice, why now?

As you've said, "institutional inertia" is all too common. (Daniela): "With my delivery in 2009, baby was separated immediately after birth for routine procedures then placed skin-to-skin until the first breastfeeding. The benefits of Skin-to-Skin weren't talked about. Thankfully, with the baby friendly initiatives, the surgeon general's call to action and the CDC's recommendation for Skin-to-Skin, hospitals are finally implementing new protocol. After the birth of my youngest in 2011, my baby was immediately placed on my chest and the benefits of skin-to-skin were explained in the mom + baby unit."

In an effort to drive awareness, we're on a mission to educate both moms and providers. We're attending key national organization conferences (ILCA, ACNM, USLCA, etc.) and have met and spoken with amazing women doing tremendous things for the well-being of mom and baby. We're collaborating with those trying to evoke change. There is a direct correlation between skin-to-skin and breastfeeding rates in relation to initiation, duration and exclusivity ties. The research speaks volumes, and finally our nation is responding. Every mom wants what is best for her baby. Once she has the knowledge, the product gives her the time.


Stay tuned for my review of the NüRoo Pocket in a few days!

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Wednesday, June 26, 2013

Ivy is 3 months!

We're enjoying grandparents and cousins for the next week and a half. Zari, Dio, and Inga are collapsing at night, exhausted from full days of riding bikes and scooters, jumping on the trampoline, catching butterflies (Zari), and playing nonstop with cousins.

Ivy is such an alert, curious, and interactive baby now. She smiles and vocalizes and has made some noises that are getting close to laughs.


She is super strong and super wiggly. A few nights ago, I woke up to nurse her. She was on the floor next to the bed (not enough room on the queen bed at my parent's house). She had wiggled down a few feet, turned 90 degrees, flipped over onto her stomach, and somehow put a blanket over her head. All while secured snugly in her straightjacket swaddle wrap. And I had placed rolled-up towels on either side to keep her from rolling over!

She always wants to stand up and watch what's going on. Some of the cousins were watching Planet Earth today. I sat her in the corner of the couch, and she stared at the screen, transfixed. Now she knows a lot about penguins and polar bears.

She definitely knows who her parents are! She fusses if I hand her over to my sister (which is hilarious, because she also has 4 kids and adores babies). First Ivy will get a pouty face, then her lips will quiver, and then she will start crying. As soon as Eric or I scoop her back up, she's fine again. 

She's started grabbing onto things: hair, clothes. She also clings on to me. I love her little "hugs." She loves taking baths, often in the kitchen sink and sometimes with her siblings. She loves sitting on our laps, too. 

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Friday, June 21, 2013

Review of Ameda & Medela breast pumps

Until recently, I've been using an Ameda Purely Yours double electric breast pump. It's an old hand-me-down pump from a friend, loaned to my sister for a while, and then mailed back to me. Despite its age, it still performs perfectly.


I have the no-frills pump only version that retails for around $160. You can also buy the pump with a backpack or carryall; both come with lots of accessories. A One-Hand Breast Pump adapter (around $20) lets you turn the pump into a hand pump.

The Ameda Purely Yours pump runs on AC power and does not have battery backup. You can adjust both the suction and the cycle frequency. The cycle frequency can be set at 30, 40, 50, or 60 cycles per minute. (Cycle frequency, or how many times the machine pumps per minute, turns out to be crucial in expressing milk efficiently. More on this later.)

The Ameda breast pump has a sealed system. It has a silicone diaphragm that slips inside the top of the flange part. This means that no liquids, mold spores, or bacteria can get from the pump into the tubing/motor or vice-versa.

You can unplug one of the tubes and pump just one breast at a time. I sometimes did this during morning pumping sessions when Ivy is nursing on the other side. I now double pump right before I go to bed.

The Ameda pump has very few parts and is easy to clean: silicone diphraghm, pump flange, valve, and bottle. You can machine wash the flange and bottle. I usually hand wash the valves.

One of the pump flanges started to crack last month. Not bad considering many, many years of use.

Pros of the Ameda Purely Yours:
  • Reliable design that lasts for many years (my own anecdotal experience and from talking with other women who've used it)
  • Easy to clean with few parts
  • Sealed, hygenic design to prevent contamination
  • Could be a multi-user pump (not FDA-approved for this purpose, but I would be comfortable doing so)

Cons
  • Cycle frequency, even at the highest setting, is fairly low

After Ivy was born, I took advantage of the new health insurance regulations that mandate breast pump coverage. I had no choice about which model or brand I received. I tried to get a Hygeia EnJoye ($239 and up), since I've heard such good things about them (very durable, FDA-approved for multiple users) but had no luck despite many phone calls to my insurance company.

I ended up receiving a Medela Personal Double Pump. It's similar to the Medela Pump In Style Advanced ($239 and up), except you can adjust the suction but not the cycle frequency. (FYI, you can't find the Personal Double Pump on the Medela website. It's sold only through medical supply companies, usually via health insurance plans. There's also an "Advanced" model of this pump that lets you select the cycle frequency.)


I tried to find a retail price for this specific pump, but had no luck. It's only available through medical supply companies and not sold directly to consumers. I've seen some listed on Ebay for around $150.

The Medela pump has slightly more parts than the Ameda, but it's still fairly simple to clean (unlike the Avent Isis manual pump, which I tried once. It had about 200* different small parts and was its own jigsaw puzzle.)

When I started using the Medela Personal Double Pump, I immediately noticed that I could pump super quickly and express a lot more volume during each session. Was it the vacuum pressure? The cycle frequency? The way a Medela pumps compared to an Ameda? I did some experimentation and concluded that it boiled down to cycle frequency.

The Medela Personal Double Pump comes pre-set at approximately 75 cycles/minute (by my highly scientific method of counting while watching a clock!). I called Medela to confirm cycle frequency, but they were unable to quote me an exact number. Ameda's customer service confirmed that cycle frequencies are 30, 40, 50, and 60 cycles/minute. I'd been pumping at 50 cycles/minute with the Ameda and hadn't thought of adjusting cycle frequency.

FYI: the Pump In Style Advance model offers a two-stage pumping action. The first stage has a range of 50-200 mmHg and 120 cycles/minute, then the second stage has 100-250 mmHg and 54-78 cycles/minute.

The Medela pumps are not sealed systems, so any number of fluids or bacteria can travel through the tubing and into the motor...and then back out into your breastmilk. This is the biggest drawback to any Medela pump. I'm still using it more than the Ameda because the higher cycle frequency is so much more effective at getting my milk to let down. But if I had a pump that offered both a sealed system AND higher cycle frequency, I'd jump on it.

Pros of the Medela Personal Double Pump:
  • Motor and plug come in a carrying case
  • Higher cycle frequency than the Ameda (75 cycles/minute); more efficient at expressing milk

Cons
  • Not a sealed system; potential for contamination via tubing and motor
  • Not suitable for mulitple users
  • Cannot adjust cycle frequency, only vacuum pressure

Overall, I don't have a clear preference for one over the other. I definitely like a faster cycle frequency and wish the Ameda offered a higher range. On the other hand, I really dislike that Medela's pumps are not sealed. Either of these will do the job, so if your insurance only provides one or the other, you will be fine. But I'm still on the search for a pump that gives me both higher cycle frequencies AND the assurance that my milk will not be contaminated. Any recommendations?


* slight exaggeration

Disclosure: I was not paid to write this review, and I did not receive either of these pumps as review items. The Ameda was a hand-me-down and the Medela was provide through my insurance company. 
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Wednesday, June 19, 2013

"Birth Story" giveaway winner

Liz (comment #75) won a copy of the documentary Birth Story! If you didn't win, head to the website and buy your own copy. I think you'll enjoy it :)
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Saturday, June 15, 2013

360 ounces

I donated a large grocery sack full of pumped milk to my CNM's practice. I've been pumping for about 2 months and getting around 6-8 oz/session. That's at least 360 fluid ounces or close to 3 gallons/12 liters. I finally have freezer space again!


I pump once a day. I used to pump in the morning, but just switched over to pumping right before bed. Ivy has a long stretch when she first goes down at night, so it keeps me from getting too engorged.

Even though I have a lot going on, I really wanted to donate breastmilk this time. And since I'm not planning on getting pregnant again, I could probably keep pumping & donating for a long time if I wanted to (my milk supply plummets when I'm pregnant).

Here's Ivy on 2 1/2 months of breastmilk. I love her big button eyes.


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Thursday, June 13, 2013

If I were to have another baby...

...I'd have someone make a professional birth video. Like this one by Ceci Jane:



It makes me want to do it all over again. Except, as Eric reminds me, "babies grow up and you have to take care of them." Oh yeah.

What are some of your favorite birth videos? Please share!
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Monday, June 10, 2013

Review and giveaway of the documentary "Birth Story: Ina May Gaskin and the Farm Midwives"

I finally had the chance to watch Birth Story: Ina May Gaskin and The Farm Midwives last night. It was such a pleasure. I came away with the impression--sappy as it might seem--that we really need more love and gentleness in this world.


The DVD follows the development of the Farm in Summertown, TN and the growth of Ina May Gaskin and other midwives at the Farm. It combines contemporary footage of Ina May's work as a midwife, wife, and globe-trotting activist with amazing archival footage of life and births at the Farm.

I knew a lot about the history behind Ina May and the Farm, yet I learned so much from watching this. I loved watching the "old" births back in the early days of the Farm. So much hair everywhere! Huge beards, waist-long braids, and of course body hair :)

The movie closed with a lovely modern-day birth attended by Ina May and another younger midwife from The Farm. I watched the mama push our her baby in the tub, almost exactly as I did with my last three children, and remembered all over again the sensations of birth. It made me want to do it all over again.

The DVD is available for $19.95. You can also access it online and as a HD download for $12.99. If you buy the online version for any amount over $13.99, you will receive extra bonus content!



I'm thrilled to offer a giveaway of this DVD to any North American resident! If you'd like to enter, leave a comment below. If you've already seen the film, please share your impressions and reactions.  If not, tell me why you'd like to see it. Be sure to leave contact info in case you are the winner.

Giveaway ends Friday, June 14 at 5 pm EST.
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Sunday, June 09, 2013

Upcoming reviews

I've been testing out all sorts of items with this last pregnancy, birth, and postpartum period since it probably is the last time . . . sniffle . . . Some I bought, some were passed down to me, and others were given to me to review.

Here's a peek at the things I'll be reviewing over the next several weeks:

Nursing pajamas and nightgowns
Leading Lady nursing chemise in Azalea Pink
Breast is Best Gray Angel Maternity & Nursing Nightgown
Eliseo Satin Rosabella Nightgown
Majamas Blossom Nursing Pajama Set

Leading Lady nursing bras

Books & DVDs
Memoirs of a Singing Birth (ebook)
Bumptabulous: 20 Moms Expose Pregnancy (book)
The Face of Birth (DVD)
Dance of the Womb (DVD)
Birth Story; Ina May Gaskin & The Farm (DVD)

Breast Pumps
Medela double electric breast pump
Ameda Purely Yours breast pump

Postpartum belly wraps and hip stabilizers
Shrinkx Hips Post Pregnancy Belt
Vespa & the Ladybird Post Pregnancy Belly Wrap

NuRoo Pocket babywearing shirt

The Birth Relaxation Kit
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Wednesday, June 05, 2013

Climbers

What do you do about climbers (otherwise known as 2-year-olds who climb out of their cribs and come downstairs at night multiple times when they should be sleeping)? It might be time to put Inga in a real bed, since she can easily climb in and out of her crib. But still wouldn't solve the not-staying-in-bed issue.

What do you suggest? Lock her door from the outside? Put a child-proof cover over the doorknob? Zari slept in a real bed from early on and never really had issues "sneaking" out. Dio stayed in his crib until he was 3 and never figured out how to climb out. So this is a new problem for us, even though we have 4 kids!

I also wonder if I should cut out Inga's nap and hope that she's so tired at night she won't stay up for several hours escaping. But then I'd lose my quiet time in the afternoon. Not sure if I'm ready to give that up yet!
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Sunday, June 02, 2013

Obstetrician seeking a job in the Nashville area

A few days ago I had the pleasure of chatting on the phone with an obstetrician. He's a wonderful (and wickedly funny) physician who strongly supports patient choice, autonomy, and informed consent. He's currently looking to relocate to the Nashville area and would love any leads on job opportunities there.

A bit more about the obstetrician: he's been practicing OB/GYN for over two decades. He is currently the only physician in a large metropolitan area offering vaginal breech, VBAC, and vaginal twins. He strongly values keeping these choices available to women. He also practices cost containment and keeping unnecessary procedures and tests to a minimum. This hasn't kept him in good graces with his peers and the hospitals he works at, since both physicians and health care institutions profit from doing more procedures, not fewer. He is a skilled vaginal surgeon and prides himself on continuing to offer things like vaginal hysterectomies, rather than turning to robotic surgery.

He loves working with midwives and doing consultations. He especially enjoys patients who bring in midwives to serve as doulas in the hospital. He likes finding reasons to be "late" so the midwife gets to do the catching :)

Some awesome quotes from our telephone conversation:

"My favorite delivery is the one that I miss."

"I like being useless."

What he's looking for in Nashville:

He wants to live and work within a 60-mile radius of Nashville, TN (one of his daughters lives there, and he'd like to be close to family). This includes Bowling Green, OH to the N, Clarksville to the NW, Lewisburg to the S, and Manchester to the SE.

He wants to join a practice that appreciates the skills and values he has to offer. He's also interested in being involved with birth centers and in working with midwives.

If you're a physician, nurse, midwife, doula, lactation consultant, or other associated health care professional in or near Nashville, please let me know if you have any suggestions or leads on job openings. He'd also like recommendations on specific hospitals or practices that would be a good fit for his skills and practice philosophies. If you email me, I can put you in touch with him directly. Let's do our best to find him a fulfilling new job!
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Friday, May 31, 2013

Ivy is 2 months (and change)

Zari finished kindergarten yesterday, so we're officially on summer holidays now. I've been doing lots of gardening. So far, here's what I've done...
  • moved all the asparagus plants to one location
  • planted 20 white cabbages, 3 red cabbages, 3 cauliflower, 8 tomatoes, 2 raspberries, 6 romaine lettuce, 10 basil, rosemary, oregano, cilantro
  • transplanted chives, lavender, fruit bushes from our other house (june berry, red currant, josta berry, honey berry), and about a zillion hostas
  • dug up some areas of weedy lawn near the house, installed brick edging, and planted perennials
  • planted 4 more dwarf fruit trees in our orchard, for a total of 7. I'd like to add some peaches and one more variety of apple
  • built some large cages covered with chicken wire to keep the squirrels out of our strawberries (they're working!)

...and what I still need to do:
  • till our main garden area (adding in compost, peat moss, and perlite to the heavy soil), which consists of eight 12x4' beds
  • plant the main vegetable garden with Masai bush beans, edamame, broccoli, brussels sprouts, kale, beets, watermelon, and other yummy things
  • plant some grapes if they're still in the garden centers...I'd love to have a few varieties to eat
  • transplant my sage & garlic (they're currently residing in one of the flower beds)
  • mulch all of our vegetable and flower gardens to keep the weeds at bay 
  • try to trap the squirrels and rabbits that are eating our garden

Yes, I really love working in the garden. It's mentally relaxing and provides a good workout at the same time.

Ivy is a roly-poly baby now. She's pleasantly chubby but not crazy chubby like Inga was. She smiles all the time and has settled into a fairly predictable routine of nursing, being awake, and napping in 2-hour cycles. And she lets me put her down for naps now! She goes to bed between 7-8 pm and has a nice long sleep before waking to nurse, often midnight or 1 am and sometimes as late as 3 am. Then she nurses every 2+ hours the rest of the night. This just started last week.



She loves playing Patty Cake and The Itsy Bitsy Spider and Once There Was A Snowman. She's starting "talking" to us with little gurgles and coos.


Inga is starting to be very temperamental. It's such a drastic change from her normal easygoing self. Maybe it's because she's getting 3 molars at once? Or maybe it's just that she's 2 years old and wants to assert her independence all the time. "No, my do it!" is a constant refrain. Fortunately she calms down easily if I tell her "Ask the right way, please."


Oh, and some good news: we have an accepted offer on our old brick house, the one where Dio and Inga were born. We'll be closing in a few weeks! I'm glad to get rid of one of our properties, although I will miss the master bathroom that we remodeled when I was 7 months pregnant with Inga...

The kids horsing around in the bath. Zari said she was a zombie.


And finally, a typical morning. Kids are tumbling around showing me their "tricks," Ivy is hanging out on the bed kicking her legs while I'm getting ready.


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Monday, May 27, 2013

What to expect after your baby is born

A Postpartum Survival Guide

Let's talk about how to survive and thrive in the postpartum period. For me, postpartum life has always been blissful and magical. Nursing...cuddly newborn making little squeaks and grunts...being able to lie on my back and stomach...more nursing = bliss. It's my favorite stage by far.

nursing Inga a few days postpartum

But I know that many women struggle to adjust to life with a newborn baby. It can be a terrible shock after all that planning and preparation for the birth. You have a baby in your arms, and WHAT ON EARTH DO YOU DO NOW?

So today, let's talk about all the postpartum stuff that you wish you'd known, or that you figured out, or that surprised you, or that blindsided you. Let's talk about what to really expect postpartum for yourself, your baby, and the rest of your family. Let's share our tips and tricks for an easier postpartum adjustment.

Here are some things I've figured out:

Make a list of your postpartum responsibilities. Keep it short. 
*Everything else* other people should be doing for you. My postpartum responsibilities are:
1. Nurse the baby
2. Stay in bed and snuggle with the baby
3. Take pictures of the baby
4. Read books and putz around on the internet
5. Eat dark chocolate

I'm quite serious about #5 (but it has to be at least 70% and preferably 85% cocoa). That's really all I do for the first few weeks. I don't look after the other kids. I don't prepare meals. I don't do laundry. I don't really do anything except hole up in my room and admire my baby. Now, sometimes I feel a bit stir crazy and I have to *make* myself stay in bed.

The first recovery is probably the hardest and longest
I was really, really sore for weeks on end after I had Zari. It hurt to sit and walk for a long time. But after my other three children were born, I hardly felt like I'd had a baby. Give me a day or two, and I was almost totally recovered except for the postpartum bleeding.There's just something about having had a baby before that makes subsequent recoveries so much easier (unless, of course, you have something unusual happen like a c-section or shoulder dystocia or vacuum extraction or whatever).

Learn how to nurse lying down ASAP
This was a lifesaver. It took me about a month to master after Zari and Dio were born. But with Inga and Ivy, we nursed lying down from day one. It is seriously one of the BEST THINGS EVER.

Co-sleep
I don't care how you do it: in the bed, with a co-sleeper, or even with a crib or bassinet in the same room. The more you can stay in bed at night, the better you'll sleep. I usually get out of bed once at night--and that's to use the bathroom and get a drink of water. Otherwise I get to stay cozy and warm under the blankets all night long. I think I would DIE if I didn't co-sleep. I can't imagine having to get out of bed multiple times per night, sit in a rocking chair and nurse the baby, put the baby down and settle it to sleep, then walk back into my bed and go back to sleep. That sounds positively horrific.

Size matters
Get a king-size bed if at all possible. I feel way too crowded co-sleeping on a queen bed.

Learn about breastfeeding before the baby is born. Get help ASAP if a problem arises. 
Nursing has gone very smoothly with all four of my babies. Some of it was luck (no tongue-ties, no routine practices that undermined breastfeeding, etc.), while some came from learning as much as I could before my first baby was born. I felt really well-prepared and knew how to get help if I needed it. If you can, spend some time with nursing mothers. Watch them latch their babies on. Ask them questions. Watch them some more. It's so helpful to see breastfeeding up-close and in person.

Wait to buy nursing bras
You don't know what size you'll end up after the baby is born. Wait at least a week or two to buy your nursing bras, because you'll change sizes so much in those first weeks. You'll have crazy huge porn boobs once your mature milk comes in around days 3-4-5. Then they'll settle down to a more manageable size. You can buy your sleep bras in advance, since they're stretchy and less supportive.

Towels are very handy
I put a bath towel underneath me and the baby when we're in bed at night. It catches the inevitable fluids (leaking milk, blood, spit up, pee, poop...) and saves me from having to change the sheets every day. Because leaks happen. All the time. I also put a crib-sized mattress protector underneath the fitted sheet. If we have a big leak and need to change the sheets, this protects the large mattress pad.

Double up
So, I finally figured out how to avoid bleeding all over the bed every night. Before I go to bed, I put an extra pad in the back of my underwear. Do this maybe the first week or two, or until your flow lightens up.

Learn how to ask for help
When someone says, "If there's anything I can do, just let me know," I've become really good about saying, "Yes, actually, I really need help with ________." Don't be polite and turn down help.

Get a sling
(Or a Moby wrap, or an Ergo, or a mei tai...) I don't know how I'd survive postpartum without one, especially when my help leaves and I'm on my own with a newborn and several other little children.

Now for some crowdsourcing...

Time to share your postpartum stories (the good, the bad, and the ugly). Tell us all about what it's really like to have a new baby. Share any tips or tricks you've learned. What do you wish you'd done differently, or known beforehand?
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Tuesday, May 21, 2013

Reflections at 8 weeks postpartum

I feel fully "back to life" again. My postpartum bleeding has finally stopped this last week. It was done in 10-12 days with my first two. Not so with Inga and Ivy.


I started exercising today, and I soon realized that I have no core! My stomach is still really squishy and bulging, more than I remember it being with the other kids. If you're interested, I run sprint intervals based on this research. Basically, I run 30 second sprints at maximum intensity with 2-3 minutes recovery, x 4-6 repetitions. I've been doing a lot of gardening, too.

Ivy is starting to settle into a routine at night. I usually can put her down around 8pm and have a few hours of baby-free evening time. I'll often head outside and garden until it gets too dark or until the bugs drive me back inside. Eric and I are watching old episodes of MI-5 (a.k.a. Spooks). Ivy nurses every 2-3 hours at night. Just what I'd expect at her age. She sleeps really well in between nursing, so I feel very well rested.

She also sleeps really well with her grandpa!


In her "baby jail", a.k.a. swaddle wrap.

Her daytime schedule still has no discernible pattern. Sometimes she'll nap for 20 minutes, other times for 2-3 times that long. I remember that my other kids usually settled into a predictable routine around 4 months.

Ivy started smiling when she was 5 1/2 weeks old. They're still fleeting, but I've seen lots more the past few days. I'm glad to have these exciting milestones. They make up for the happy-sad feelings I get when my infants turn into babies and my babies into toddlers...and on and on.


Now for some birth analysis...

I suspect that Ivy might have been posterior the whole labor and pushing stage, until about 5 minutes before the birth. I had constant rectal pressure almost the whole labor...not the "I have to puuuuuush" pressure, just icky uncomfortable pressure that never subsided. I've never had this with my other labors. I think that's also why I didn't feel the endorphin rush between contractions. When I showed my birth video to a group of Home Birth Summit participants, one of the OBs said Ivy was likely posterior and finally rotated about 5 minutes before the birth in that gigantic contraction that brought her down. There's no way to know for sure, but there are so many little things that all point towards that possibility. If so, no wonder why it was my most challenging labor!

More family pictures from our surprise visit to Minnesota:


 


Dio's Angry Bird birthday cake. Really simple. Peanut butter bars were the building blocks, and mini cupcakes with green frosting were the pigs. All on top of a dark chocolate tart (for the adults!). He threw some Angry Bird toys at the structure until it all collapsed.


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Thursday, May 16, 2013

Special discount for the ECV & Vaginal Breech Workshops

There is less than one month remaining before the ECV, Vaginal Breech, and NRP workshops in Niceville, FL!


We are offering two special perks for new registrations:

  • Extended early-bird discount through May 24
  • The next 5 registrants receive an infant scale sling of their choice from Second Womb Slings

If you've been thinking of attending, now is the time to act! Dr. O'Neill is a fantastic instructor. You will leave feeling more confident in your ability to safely attend (and risk out) a vaginal breech birth. Even if you do not offer planned breeches in your practice, you will greatly benefit from the hands-on training in the event of a surprise breech. As we all know, meconium happens if you're in the birth business.

Oh, and look at some of the beautiful new batiks I just bought for the infant scale slings...




Disclosure: The ECV & breech workshops are volunteer-run programs. The conference organizers have invested significant personal funds to cover program expenses.
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Monday, May 13, 2013

Cardinal movements of the breech baby

#breech
Day 2
Jane Evans:
Cardinal Movements of the Breech Baby

I finally got in touch with Jane Evans about posting her lecture on the cardinal movements of the breech baby. She gave me the go-ahead, so here it is!

In this video, UK midwife Jane Evans explains the cardinal movements of the breech baby through the maternal pelvis when the mother is in an upright position. This was an abbreviated version of her physiological breech birth lecture. Please visit her earlier presentation for written notes.

During this presentation, Jane Evans showed photos of upright breech births. We did not have permission to film these images. Other footage of interest:



If you have other pictures or videos of upright breech births, please link to them in the comments.
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Sunday, May 12, 2013

Some Mother's Day awesomeness

I'm the first one up this morning. Ivy woke up to nurse at 6 am and I couldn't get back to sleep. So I watched this clip from Stephen Colbert about the newest trend of going diaperless:



During church, I'm going to fill out this FmH Mother's Day Bingo card. I'll give one to Zari, too, to keep her occupied. If I hear anyone say "all women are mothers, if even they aren't mothers" I think I will scream.

I've never really cared for Mother's Day. When I got married, I was trying not to have children for the first 5 years. Then we had several years of unexpected infertility. Then, once I had kids, I resented how our culture gives lip service once a day to mothers but doesn't otherwise do much to support mothering. Read more at Mother's Day Blues.

What are you doing for Mother's Day? 
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Tuesday, May 07, 2013

Downton Abbey napkins

When my mom came to help after Ivy was born, she got us hooked on Downton Abbey. Wouldn't it be fun--and tiresome after a while--to dress up for dinner every night? Tiara and long gloves and diamonds. A far cry from dinner at our house most nights. 

For my mom's birthday, I made her a set of Downton Abbey napkins. I wrote some of the wittiest quotes from Violet Crawley onto vintage linen napkins that I bought years ago. I followed the instructions from Design Mom's tutorial.



This was a simple, fun project requiring only a few supplies: fabric marker, lettering guide, and napkins. When I was stenciling the letters, I stretched the napkins out and fastened them to my work surface with masking tape. The weave on my napkins made the fabric marker bleed a little, but the overall effect was still quite nice.

If you had the time and skills, these quotes would look amazing with hand-embroidery.

I have several more sets of vintage linen napkins at home. I think I'll make myself another set (or two..or three) when I get home!
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Monday, May 06, 2013

May in Minnesota




We're visiting my parents in Minnesota this week. On the day that we drove in, they received a record snowfall. We saw downed trees and broken branches all over town. Crazy! Even May in Minnesota isn't usually this cold and snowy. But the sun is out now and the snow is gone.

Our first big road trip in the Mazda5 went pretty well. Ivy slept most of the time (except for nursing breaks). True to form, Dio was the worst traveler! We can't fit suitcases in the back hatch area, so instead we packed everything in cloth shopping bags, one per person. We stacked them up and with a little pushing and shoving, managed to close the door. We didn't need to put anything between the seats. So it's nice to know that we can fit a reasonable amount of baggage in this ultra-minivan.

All of us siblings came in from across the country to celebrate my mom's 60th birthday. It was super secret, so I couldn't say anything of our travel plans here or even to our kids. We have 10 adults and 11 grandkids in one house. Fun times.

On Saturday I met up for lunch with a midwife I knew back in my Iowa City years. She was in town doing prenatals, so we caught up on news and birthy stuff. We're already brainstorming for a breech  workshop in the Twin Cities area in summer 2014!
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Wednesday, May 01, 2013

Seeking breech catchers in Calgary!

I just received an email from a 2nd-time mom from Calgary, AB who just discovered her baby is breech. Here's more info on her situation:

At 38.5 weeks, I recently discovered my baby is breech after finally deciding on a home water birth and making all the preparations. I was quite shocked. I had an ECV a couple of days ago, and the baby simply would not turn, for no apparent reason, despite lots of drugs and a very aggressive approach. I am continuing to do some Webster chiropractic treatments, and buying myself some time. The OBs were quick to offer a scheduled c-section, but I don't favor that option. They have told me that I can wait until I go into labor and then show up at the hospital hoping for a doctor willing to do a vaginal breech delivery. But there aren't a lot of OBs with experience doing breech vaginal birth (since it hasn't been offered for the last 10 years here, and only recently has the option opened up again). (My midwife can't offer me a home birth with a breech baby). Unfortunately, if I show up at the hospital and the doctor isn't comfortable/experienced with breech, then I may be required to undergo a c-section!

Let's put our heads together and find her more options before her baby arrives! If you can help, leave a comment or send me an email. 
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Tuesday, April 30, 2013

Cut, Stapled, and Mended: a giveaway where everyone wins!

I'm so excited to announce a fantastic giveaway in conjunction with the release of Roanna Rosewood's book Cut, Stapled, and Mended.


For just 24 hours today (April 30), everyone who purchases one copy of her book receives more than $1,000 in gifts. Yes, everyone!

Here are the 26 gifts you will receive:
  • Songs From the Birth House, an MP3 album ($19 value)
  • Dr. Christiane Northrup's MP3 audio program "The Power of Joy" 
  • Awakening Your Child’s Confidence: An MP3 Audio Program for Children by Heather Chauvin  (Value $197)
  • 12-hour summit by playwright Karen Brody delivered on MP3s ($97 Value)
  • The Ecstatic Journey of Birth & Sex – The Integral Trances of Pleasure & Procreation (online course) AND Wholistic Sexuality: Better Sex for a Better World (ebook) by Sheri Winston (combined $23 value)
  • Susun Weed's Nourishing Herbal Infusions Online Course – Drink Your Way to Health the Wise Woman Way ($150 Value)
  • Webinar with Barbara Harper (Value $50)
  • “I am a Goddess” Affirmation Poster and Meditation downloads from Elizabeth  Harper ($33 Value) 
  • Marlyn Radzat's Leaf Pod Baby PDF Class ($20 Value)
  • Access to Pam England's Cesarean Healing Story ($20 Value)
  • Orgasmic Birth Webinar Class with Debra Pascali-Bonaro (Value: $47)
  • The Most Common Mistakes Moms Make with Coming-Of-Age Girls, and How To Avoid Them! by DeAnna L'am ($47 value)
  • Love Letters from your life, a 33-day email coaching program by Anna Kunnecke ($75 Value)
  • Introduction to Face Reading, a 45 minute Mp3 by Rebecca Wood ($45 Value)
  • Birth Heaven Now! Online Homestudy Course, includes 1:1 coaching with Stephanie Dawn! ($147 Value)
  • Optimal Uterine Health Tele-Class with Dr. Eve Agee ($129 Value)
  • A chance to win your choice of beautiful handcrafted MamAmor dolls (3 winners, up to $200 value each)
  • How to Trust Birth and Your Body by Kristen Burgess ($50 Value)
  • Birth Embodiment!, an online class by Nekole Shapiro
  • Boys Alive! Teleconference with Janet Allison ($50 Value)

How to enter:
1) Purcahse a paperback copy of Cut, Stapled, and Mended on Amazon before midnight EST on April 30
2) Return back to cutstapledandmended.com and enter your order information

That's it! You will receive all 26 gifts.

What if you've already purchased a copy of Cut, Stapled, and Mended? I'd suggest buying another one--you don't want to pass this opportunity by. I'm going to buy another one today and donate it to my public library. 

Happy reading!
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