Ash & Alys Babes Blog
What Doctors Never Tell You: Postpartum Recovery January 24, 2013 14:47
For most women, her baby’s birth marks a milestone for her body. Aside from breastfeeding, her body will become hers again and in many ways it will return to its former shape, or just modified in minor ways.
During pregnancy, women acknowledge the changing form of their bodies; and while most of us appreciate and embrace the process, there is a longing for the postpartum time, when we physically begin to return to 'normal'.
What came as a major surprise to me – and I’ve learned, also for many of my friends – was that the physical pain, ailments and changes do not magically exit the body alongside the baby at birth. The postpartum recovery period is a long one – and while many women are somewhat prepared for the hormonal roller coaster that awaits them in the postpartum, they often have no idea how difficult the physical restoration can be.
If you are pregnant, take some time to talk to friends who have been through it before you and get the gory details about what comes after you ‘deliver’ the baby and subsequent placenta. And I’ll prepare you – it is messy.
When recovering from a vaginal birth, going to the bathroom is a process that takes about 5-10 minutes each time, even just to pee. You are sore, in pain and uncomfortable for up to six weeks. You will be at least moderately incontinent for at least a couple weeks, usually longer for most women. If you pushed for a long time or had a strained birth, all of the after affects will be more severe and take longer to subside. The harder you push yourself to be up and at it again, the longer your body will take to restore to full strength.
I’m sharing this simply to provide some friendly ‘warning’. I had wished that someone would have shared with me what to expect in the postpartum phase, because I was truly surprised at what my body went through those first few weeks after my precious little babe arrived. Below are a few tips that helped me immensely – some I did after my first baby, and some I adopted and used for recovery after my second baby.
If you are expecting, congratulations! And just remember that our bodies are beautiful and made to do this blessed work. It is hard, but worth every ache, pain and discomfort. And while the postpartum period feels like an eternity, after it has passed it will be a distant memory and you’ll be wondering how your newborn grew so big so fast.
My personal recovery remedies:
· At least a few days (preferably a week) of bed rest at home with your newborn snuggled up with you
· A healthy, nutrient rich diet full of protein and whole foods
·
Witch hazel in a ‘peri-bottle’ near the toilet
and on cotton pads stored in the freezer (these frozen witch hazel pads are very soothing on sore bottoms)
· Twice or more daily HOT sitz baths with Epsom salts and/or postpartum herbs (Earth Mama Angel Baby makes some bath satchels that we sell on the site)
·
Wish Garden Herbs ‘After Ease’ herbal tincture to help with postpartum contractions
· Stool softeners
· This is a little TMI here, but you will thank yourself later if you have a cleanly shaven/groomed bikini area for this phase
· Daily affirmations that you are amazing, beautiful and your body will be yours again in good time, and reminders to relax and just enjoy
This photo was taken at the end of my bed rest period after my second baby.
-Ashley
Guest Birth Story: Tamara from Arizona November 30, 2012 15:25
We're excited to feature our first guest birth story - from Tamara in Arizona. Her little bundle was born in June and we are so excited she shared her family's beautiful story with us. Congratulations Tamara and family!
Little Babe Caden's Birth Story, written by his mother:
Today as I write this Caden is 7 days old. Happy first week of being a part of our family! Josh and I are so love with him and just sit and stare at his beautiful baby face. He has the cutest feet, nose, and the tiniest ears, honestly I could keep going on about how cute all his little features are. As promised here is a more detailed post of Caden's entrance into our lives.
You can read Tamara's blog at: http://www.theworkoutmama.com/
A Dozen Must-Read Books for Expectant/New Parents November 9, 2012 15:48
I am a bookworm, and ever since I entered expectant motherhood five years ago, I have not been able to get enough of books about pregnancy, babies, parenting and child development. I’ve read dozens of books and am always looking for the next best insights. Since there was no way I could limit this list to just 10, I decided to give you a dozen.
Some of these books have fundamentally changed the way I
approach parenting (like Mary Sheedy Kurcinka’s spirited child book, John Gottman's emotion coaching book, and
Elizabeth Pantley’s no-cry sleep book), and I hope you enjoy reading at least
one of the books on this list! They are in no particular ranking…
1. What to Expect When You’re Expecting, by Heidi Murkoff and Sharon Mazel, or some other week-by-week pregnancy book
2. Raising Baby Green, by Alan Greene, M.D.
3. Birthing from Within, by Pam England and Rob Horowitz
4. Spiritual Midwifery, by Ina May Gaskin
5. Super Baby Food, by Ruth Yaron
6. The Baby Book, by William Sears, M.D.
7.
The No-Cry Sleep Solution, by Elizabeth Pantley (there is also a second version geared toward children ages 1-6 years)
8. The Happiest Baby on the Block, by Harvey Karp, M.D.
9. The Holistic Pediatrician, by Kathi Kemper
10. The Vaccine Book: Making the Right Decision for Your Child, by Robert Sears, M.D.
11. Raising Your Spirited Child: A Guide for Parents Whose Child is More Intense, Sensitive, Perceptive and Persistent, by Mary Sheedy Kurcinka
12. Magic
Trees of the Mind: How to Nurture Your Child’s Intelligence, Creativity and
Healthy Emotions from Birth Through Adolescence, by Marian Diamond and Janet
Hopson
And, a bonus book, just because I couldn’t leave it out: Raising An Emotionally Intelligent Child, The Heart of Parenting, by Ph.D. John Gottman. I bought two copies of this book because I loved it so much we needed an extra copy.
-Ashley
The Basics About Home Births October 19, 2012 15:11
Today, home births are considered unconventional and many people find them scary. Before I had my first child (who was born in a hospital), I felt strongly that they were unsafe and irresponsible. Education and an open mind led me to soon believe otherwise, and with my second pregnancy, we sought care from a professional midwife and began to consider (and ultimately plan for) a home birth.
After having experienced a home birth with natural delivery
and a hospital birth with pain medication, I would recommend that every
pregnant woman with a low-risk (that’s most women) pregnancy seriously look
into the option of a midwife over an OB. When there’s a healthy mom and a
healthy baby, midwifery care is a great and very safe way to go. There have
been recent studies that have even concluded that in the case of a healthy mom
and baby, midwifery care can often be the safer option over obstetrical care.
Just a few points to compare and contrast OB care and hospital birth versus midwife care and home birth, since I’ve now experienced both.
Home Birth/Midwifery Care
· Midwives by practice give moms much more hands on care and attention; typical midwifery practice is to schedule every prenatal visit for one hour, allowing enough time for the parents to get questions answered and spend time getting to know the person(s) who will be attending the birth
· When you have a midwife, your options are much greater for the type of labor and birth you want to have; home, birth center and hospital are all available options, and you can choose to deliver your baby in the water, standing up, in a bed, or any other scenario that is comfortable (and deemed safe) for you
· Medical interventions such as the use of drug-induced labor, IV, epidural, forceps/vacuum extraction, episiotomy, cesarean, etc., are off the table unless absolutely medically necessary, in which case you would be transferred to a hospital and OB care (however, midwifes are licensed to administer IV and select medications if the mother needs it during or after the birth; for example, if pitocin is needed to help the uterus contract after delivery, the midwife can provide that)
· Your midwife stays with you throughout the labor from the moment she arrives until hours after your baby’s delivery; she’s there monitoring the process and being as involved in supporting the laboring mom as needed and wanted
· At home, there is no post-partum nurse, so the birth partner (usually dad or a friend/family member) is typically responsible for caring for the mother’s immediate needs for the recovery period; the midwife will visit at regular intervals from the day after birth through the six week post partum milestone to ensure everyone is doing well, but if the mother spends her first few days after delivery on bed rest (which is recommended), someone at home must be around to meet her needs
·
When the baby arrives, he is not taken away from
mom at all; his first hour or so is spent cuddled right up at the breast,
bonding and being comforted as he adjusts to his new world; the midwife
monitors the baby all from the comfort of his mother’s arms and when the time
is right, the midwife will do a gentle newborn exam right there on the bed next
to his parents
Hospital/OB care
· If you find a good OB, he/she will provide you with quality medical care and answer your questions and concerns as they arise, and your OB will (hopefully) respect and honor your wishes for the baby’s birth plan
· OBs are surgeons, and therefore on a demanding on-call schedule when deliveries and cesarean’s take place; this means you may spend long waiting times for your prenatal visits, or get only a brief time speaking with your OB at each appointment; this varies greatly depending on the doctor you choose
· Another variable is who will deliver your baby; most of the time, your baby is delivered by the doctor on-call at the hospital when you are in labor—this may or may not end up being your chosen OB
· Hospitals have a bad reputation for pushing medical intervention during labor to speed women through the process; if you choose to have your baby in a hospital, be prepared to stand up for any specific wishes you have, and ask a lot of questions if nurses/doctors begin recommending any form of intervention
· In my experience having my first child at the hospital, I felt that the care was excellent, and I was very happy with the team of people who assisted us; we did have a few interventions, but I still believe they may have been unavoidable regardless of where we were; given the circumstances and how prolonged the labor was, we were in a sense ‘lucky’ that the OB on call at the time did not push for a cesarean
· Standard practice in hospitals is to take the baby across the room as soon as he is delivered, to clean him up and examine him; he is handed to the mother after he has been washed and swaddled—if you wish to have your baby put on your chest right away, skin on skin, you will need to make this very evident and constantly remind the staff not to take him immediately away
· Voicing your wishes is paramount in a hospital; if you do not, the staff will go along with their standard practices, which may or may not be aligned with what you want
·
The postpartum care in hospitals is really
helpful for new parents—provided that you have a nurse that you like—they do
all of the heavy lifting with the baby, and guide you through the first overwhelming
24-48 hours of your baby’s life
Whatever route you choose, take some time during pregnancy to figure out what you want for your birth experience and anything you really want to avoid during labor and delivery. Everyone is different, but most women do have specific thoughts about what is important to them; but when those wishes aren’t known to the people attending the birth, some women end up feeling disappointed or regretful of the overall experience. Welcoming a child into the world is the most fulfilling and life-changing time in everyone’s life, so starting off on the right foot with a good birth experience only makes the family feel more able to make the big adjustment.
-Ashley