Not only does a mother’s capacity for love grow after giving birth, but now researchers are saying that her brain grows as well. The American Psychological Association released a small study in its October issue of Behavioral Neuroscience, which connects the growth to the change in hormone levels after birth. The particular areas within the brain that expand after birth are within the areas associated with behavior and motivation. In essence, this study suggests that a new mother’s desire to look after her baby may be driven by the brain’s expansion more so than instinct. Though, I come from the school of thought that our brains and the rest of our body are our tools that can also serve as our instinct. I think that this study is good to post as a reminder as to how intuitive the female body really is if it is given the freedom to follow its cycle.

Within the group of women who were evaluated, the mothers who had more enthusiasm for their babies had the largest growth. The researchers suggested that mothers who suffer from postpartum depression might experience reductions, instead of growth. The study compared MRI images of 19 women (average 33 years old) that were taken two to three weeks and three to four months after they gave birth at Yale-New Haven Hospital, in Connecticut. All of the women were breast-feeding (though the frequency was not specified in the article I came across), nearly half had other children and none had postpartum depression. What was not mentioned in detail was the context in which each of these women gave birth. It would be interesting to see how they established the difference between the enthusiastic mothers and non. Further more, it would be interesting to see amongst those women, who had a natural birth, utilized medication and/or had a c-section. These various birth story outcomes could be linked to the levels of oxytocin (the love/bonding hormone) existent in the mother at the time of birth.

Small yet significant increases in gray matter volume in various parts of the brain were discovered as well during this study. The increases occurred in the areas associated with maternal motivation (hypothalamus), reward and emotion processing (substantia nigra and amygdala), sensory integration (parietal lobe) and reasoning and judgment (prefrontal cortex). This small yet significant change is quite telling for significant learning is an effect of growth of gray matter.

It was only in 1948 when the television series, Mary Kay and Johnny, “showed” a woman’s pregnancy on television. Then on December 8, 1952, the I Love Lucy episode, “Lucy Is Enceinte“, aired. Enceinte is French for excepting. Producers did not want or nor allowed any mention of the word pregnant on the show. As they could not deny the fact that their star was in fact pregnant, they incorporated her pregnancy into the story line. Lucy was excepting a baby:

“Lucy Goes to the Hospital”, aired on January 19, 1953. The original airdate was chosen to coincide with Lucille Ball’s real-life delivery of Desi, Jr. who was born via c-section. The episode was watched by 71.7% of all American television sets, which beat out the current record of that time as the most watched event in the country. The second highest rating of that time was Dwight Eisenhower’s inauguration coverage, which pulled in a 67.7% rating. Talk about influencing a generation.

Who doesn’t love I Love Lucy? It was a hilarious show, but being that this was such a source of cultural influence, it had in fact negatively contributed to society’s altered perception of birth and how to embrace the natural process and what it truly entails. Fast-forward to today’s popular culture and how birth is portrayed and received:

There are too many misguided celebrity and media figures who continue to pump fear driven jargon about birth and pregnancy. One would think that in 65 years of broadcast, a more realistic, empowering portrayal of birth would be streamed over the main stream as well as be supported when done so.

Birth is a beautiful and powerful experience. Women are more than capable to have a healthy pregnancy and birth. It can and it should be approached as a natural process and event, and conveyed as an exciting life passage instead of a dreaded/feared event. Women should be educated and empowered to know their choices, options, ways to ease labor pains and discomfort and the support available to them to help them create a beautiful birth experience in addition to more transparency when it comes to drugs used for labor and their effects, c-sections and formula vs. breastmilk. there are a lot of producers, writer, marketers and reporters who need to look at themselves in the mirror more often before willingly contributing to the defacing of women and their natural strengths and gifts.

This week, NPR highlighted an 18 month midwifery education program in Badakhshan Province’s Shatak village (Afghanistan). Funded by USAID, an independent federal government agency, and implemented Jhpiego, the program was created to address the poor quality of the village’s maternal health care. In 2004, the village lost 54 mothers and 46 newborns, but with the introduction of this new midwifery model, the health care in the village has improved greatly. The proof, two babies passed away as compared to 46 as was reported before.

“These women are like guardian angels for infants and mothers.”
Zafaran Natiqi, head of women’s affairs in Badakhshan.

Normally, due to Afghanistan’s culture, young and married women are unable to work outside of their homes. Fortunately, the village elders are in support of this program and their women. They actively participate in the selection of midwife candidates from within their community.

Learning that the elders of this community are breathing life and encouragement into such a program, reminds me of an organization I just learned of called The Elder’s organization. The Elders are an independent group of eminent global leaders, brought together by Nelson Mandela, who offer their collective influence and experience to support peace building, help address major causes of human suffering and promote the shared interests of humanity. One of the organizations mission is to gain equality for women and girls around the globe.

I was watching this clip below by former president Jimmy Carter last week and after reading the NPR article, I see, even more so than before, the importance of support and wisdom from such a generation’s counsel and advocacy. It seems that a new breath of coherence is taking place in the world.

After wrapping up its screening at the Toronto International Film Festival, the new film Genpin is now in competition for the prestigious Golden Shell award at the San Sebastián Film Festival. Award-winning Japanese director Naomi Kawase says of her film,

“I only wanted to show that there are other ways of giving birth” and that “giving life is not necessarily a synonym for suffering, it is also a pleasure.”

Kawase also created the film,“Tarachime -birth/mother-”, which examines the ties of one life to another, based on her own experience of childbirth in 2006 .

Genpin, is being hailed as an artful reflection of the beauty of birth and follows the Japanese obstetrician Dr. Tadashi Yoshimura in his life and practice. In is 40-year career, Dr. Yoshimura has attended 20,000 natural births.

The title, “Genpin,” derives from the words of the Chinese philosopher Lao Tzu, “The valley spirit never dies. It is named the mysterious woman (genpin).”

This film is a celebration the beauty of birth and hopefully the artful package that this story is told in will be powerful enough to create a shift in the current mainstream perception of birth. I have not yet seen this film yet, but hope it makes its way to NYC soon so that I can. If any one has attended a screening during a recent festival, please share your thoughts on the film.

This past Monday, I had the fortunate, thought provoking experience of attending the first annual WIE: Women Inspiration and Enterprise Symposium. The event was spearheaded and hosted by a phenomenal triad of women including Sarah Brown (on behalf of the White Ribbon Alliance(WRA)), Donna Karen and Arianna Huffington. The symposium was held to coincide with a United Nations review summit on the Millennium Development Goals which is also being held this week in New York.

The focus of the symposium was to highlight the work of the White Ribbon Alliance, advocates and leaders around the globe who are making a difference. The White Ribbon Alliance for Safe Motherhood is an international coalition of individuals and organizations formed to promote increased public awareness of the need to make pregnancy and childbirth safe for all women and newborns in the developing, as well as, developed countries.

Participants left touched, inspired, empowered and motivated to make a change for girls and women around the globe. Special guest speakers included Melinda Gates, Queen Rania of Jordan and Ambassador Melanne Verveer, Director of the Department of State’s new office on Global Women’s Issues and the list goes on to cover more than 40 impressive women. Click here to read more about the participants/panelist.

Many young innovators and entrepreneurs were honored at the event, but I would like to highlight the WIE winner for Creative Vision particularly. Christy Turlington Burns won this deserving award for her film, No Woman, No Cry. In this piece, she shares powerful stories of at-risk pregnant women in four parts of the world, including a remote Maasai tribe in Tanzania, a slum of Bangladesh, a post-abortion care ward in Guatemala, and a prenatal clinic in the United States. It is her passion to increase awareness and support for maternal health around the globe so that we as humanity can collectively end unnecessary deaths due to complications during pregnancy and childbirth.

After the panels and the awards show, Donna Karen along with other designers such as Diane Von Furstenberg, Chloe and Vera Wang to name a few, presented a fashion show in honor of the White Ribbon Alliance. All garments are available for bidding on Charity Buzz. The proceeds will benefit the WRA. The evening was capped off by an uplifting performance by Estelle.

The media circuits are buzzing this week with “news” of the safety of vaginal deliveries after C-sections (VBAC). While this really is not “news” for some, the new guidelines released by the American College of Obstetrics and Gynecologists marks a needed turning point in this country’s perception of a women’s ability to birth. The news the attention, ability and success of such a birth choice.

Candidates for VBACs are those women who have had a Cesarean birth using a horizontal incision low in the uterus (low transverse incision). It is recommended that such candidates undergo counseling in preparation for their VBAC, to encourage, support the women’s emotional and physical concerns.

Between 60 percent and 80 percent of women who attempt VBAC have a successful vaginal delivery, according to the guidelines.

The guidelines which are published in the August issue of Obstetrics and Gynecology, recommend that the following women may also be candidates for a trial of labor after a Cesarean:

• Women who’ve had two previous C-sections using a low transverse incision.
• Women who’ve had a C-section with a low transverse incision who are currently pregnant with twins.
• Women who’ve had a Cesarean delivery but don’t know if they had a low transverse incision.

The ACOG recommends that women who choose a VBAC birth choice should do so only if they’re in a facility that has “staff immediately available to provide emergency care.”

Women who are not eligible for a VBAC consists of:

• Women who’ve had a vertical incision on their uterus
• Women who’ve had/had Serious pregnancy complications such as placenta previa

Welcome back from your holiday weekend! In case you have not heard the wonderful news, the NY State Assembly has cleared the Midwife Modernization Act on July 1st. New York is now one step closer to granting women the right and access to midwifery care and home-births should they chose. With the passing of this act, it will no longer be a requirement for licensed professional midwives to have a “written practice agreement” with a physician or hospital as a prerequisite to practice. After the closing of St. Vincent’s, the only hospital in NYC to sign this agreement for midwives, women where stripped of their option to have a home-birth as the midwives were no longer legally allowed to practice homebirths.

Thanks to New York State Association of Licensed Midwives (NYSALM),Choices in Childbirth, BirthNet, Rochester Area Birth Network (RABN), Buffalo Birth and the various physicians including many OB/GYN physicians for spear heading the rally cry and for the thousands of people who signed petitions and called their legislators to overturn the WPA requirement and support the MMA.

Now, all that is needed for the bill to go into affect is Governor Patterson’s signature and 90 clearing days!

I will keep you all posted

Every once in a while I come across one of those books that I can absolutely not put down. To be quite frank, in the past, those books have been in the likes of historical fiction or Harry Potter (my literary guilty pleasure). Though I have come across several books about birth which I have found very informative, I had never felt the extreme urge to carry such a book with me everywhere I went till I finished its 300 pages in one weekend. That changed this weekend.

Author Randi Hutter Epstein, M.D. has unknowingly recruited me as her new enthusiastic fan. In her new book, Get Me Out: A History of Childbirth From the Garden of Eden to the Sperm Bank, Epstein weaves together a collection of well researched historical facts, fads, and tales into a very eye opening chronological history of Western birthing and women’s health care. I am often asked, “If the Midwifery Model is the ideal model, why are hospital births so popular? Didn’t obstetricians help make birthing easier at the turn of the century?”. This book answers those such questions and more in a shear way that neither left, right or middle wing can deny. This is not a book that dives into the history of midwifery. It is a definite eye opener bound to captivate its reader on the history of obstetrics and the unfortunate altered perception of “mainstream” birth today. I even believe that the male audience will find this book just as enjoyable/shocking as Jared Diamond’s Guns, Germs, and Steel. There are a lot of interesting parallels between the two books (I coincidentally started reading Guns, Germs, and Steel first till I saw this book in B&N on Thursday night) . It will be clear after reading this we must fight harder for better birth choices ones based on respect and time based models such as midwifery. The case is undeniable. Why continue to let the legacy of characters like the J.P. Morgan and James Marion Sims reign (read their back stories in this book) over the ancient wisdom and traditions of woman’s past when it comes to our most cherish power and gift as women? Why continue with the sabotage?

This is definitely not a how to book or what to expect book, it is a full on historical book. But unlike our society, Epstein does not leave the important facts out ( no matter how hard they are to swallow). She puts them front and center. I do feel that this book should be read by women and men alike to fully understand the foundation in which women’s health care (under the Western Model) was constructed under. This book will empower you to ask questions that you may have never even thought to ask and answer some questions that have been lingering for generations.

Epstein, a medical journalist for the New York Times, Washington Post, and more, has a refreshing talent for conveying weighty facts in a humorous digestible manner. She will also leave you with your jaw on the floor as a side effect of disbelief. Next time you walk by the Who Knew Section at Barnes and Nobles or are browsing on Amazon.com, pick up this compelling, powerful thought provoking must read.

This is very sad story to post. With hardly any warning, the Bellevue Birth Center has officially closed. It is important for me to post this to bring attention to the fact that our resources as women are dwindling in the New York City. A big rally cry and call to action is needed. Though Bellevue was known to accommodate lower economic bracket and those on Medicaid, the services and sacred support that Bellevue offered are the same services and support that every birthing mother should have.

If only the conscienceness of the mainstream was penetrated with the awareness and knowledge of the impact birthing centers have on the birthing mother as opposed to the hospital setting and linear western standards, then they would not be so quick to give a brief sympathetic look over that the “Poor Women’s Haven” (as titled in the NYT’s article) had to close its doors due to low funding and awareness.
Birthing rights and options for all women are in jeopardy. And overall women’s health & educational reform needs to take place. Not just for women from certain demographics, all women, and men who have or plan on having children. That’s basically everyone. How the children of this world are brought/birth into our reality realm is a sacred experience and journey and moment that needs to honored, encouraged and celebrated as opposed to jeopardized, standardized and dehumanized.

Now, there are three remaining natural-birth centers in New York City, The Birthing Center at St. Luke’s Roosevelt Hospital, Manhattan, The Brooklyn Birthing Center, Brooklyn, and the Morris Heights Women’s Health & Birthing Pavilion, Bronx. All of which are stretched in various boroughs with only a certain amount of birthing rooms.

Thankfully the Eli Manning Holistic Birthing Center at St. Vincent’s and the free-standing The New Space for Women’s Health are underway to be developed and build. Both free standing and in hospital Birthing Centers need to be adopted into America’s healthcare system. The idea of the C-section rate nearing 1 in 2 and more and more babies having drugs streamed into their not even day old blood systems as a normal commonality is disturbing.

What do you think are the best outlets for self awareness of the body’s design for birth?

Usually, the common scenario goes that most women with prelabor rupture of membranes (their water breaking) go into labor naturally within 24 hours of the break. But twice in one week, I have heard several stories of women who have experienced a leak of a clear liquid substance but not having subsequent contractions. The obvious and valid concern tends to be that labor has begun but the absence of contractions accompanied by rupture membranes propose several risks such as possible bacterial infection. In both of these cases though, both women were told that their membranes weren’t ruptured (their water did not break)

Now, the end results for these women were different. In one case, the one mother was induced for her doctor was concerned that labor was not progressing and that the baby could be at risk for a bacterial infection. Though the medical staff did not believe it was her membranes leaking they wanted to take precaution. In the second scenario, the mother was told that her membranes were in tact, thus her baby was safe and that everything was fine. She could go home and let the labor begin on its own accord.

I had to investigate what could possibly be the clear liquid substance I had been hearing about. I came across an article posted by Circle of Life Midwifery in Salem, OR . I found it fascinating and thought it provided a possible explanation. Pamela Hines-Powell, CPM, LM, explains that there are two layers of the membranes, the amnion (the inner) and the chorion (outer) layers. According to her article:

Some membranes rupture high up in the uterus. This is called a “hind leak”. Typically, water will come out slowly, perhaps gush once and trickle here and there. Hind leaks may be caused from baby’s foot breaking the bag, or a positional change. As there are two layers of the membranes (the amnion and the chorion), sometimes leaking may be caused from the outer layer of the bag (the chorion) breaking. In both cases with a hind leak and a leak from the chorion breaking, there is a good chance of the bag “resealing” itself with cessation of any sort of leak.

ONLY YOUR MEDICAL PROVIDER can determine if this is the case. Not myself, nor any doula, nor your partner or a hand mirror. There is no other way to know. There are definitely several precautions to take till you are able be checked out by your doctor or midwife. Here are a few recommendations from Pamela Hines-Powell, CPM, LM:
• Absolutely, positively, NOTHING in the vagina. No fingers, tampons, penis, oral-genital contact, etc.
• Drink plenty of water to help replenish amniotic fluid – at least 64oz of water a day
• Wear something loose-fitting with no panties when you can
• If you are leaking and need something for sitting, use clean towels fresh out of a hot dryer
• Take your temperature every 4 hours while you are awake (record on a sheet of paper).
• Take 250mg Vitamin C every 3-4 hours while you are awake
• Eat foods that are non-constipating and easy to digest

Check out more suggestions or read more of the article here or visit her website.