The Virtual Midwife
By The Virtual Midwife
The Virtual MidwifeJun 24, 2020
A meditation for new mothers
This meditation is for the breastfeeding mother who finds herself at the intersection of myriad emotions and responsibilities. If you're feeling sleep-deprived, anxious about your baby and your milk supply, overwhelmed by the profound shift in your identity, torn between the roles of mother and wife, grappling with the loss of freedom, experiencing financial strain, succumbing to societal pressures to look a certain way, or feeling compelled to share every moment on social media, this meditation is here for you.
These complex and weighty concerns may have left you feeling disconnected from your transformed body and your newborn baby, contributing to your baby's fussiness and neediness. In the midst of this challenging journey, it's crucial to find moments of respite and self-compassion.
My hope is that this meditation will be your sanctuary, a haven where you can slow down, fully inhabit the present moment, and rediscover the beauty of your breath and your profound connection with your baby. It's an opportunity to explore the depths of your inner world, embrace the complexities of motherhood, and find the peace and strength within yourself to navigate this transformative path.
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Hypnobirthing Series - The Conscious and Unconscious Mind
This is it my lovelies - the last episode of the podcast series on Hypnobirthing!
In this episode, we're exploring the conscious and unconscious mind – two aspects of our thinking that can have a significant impact on our childbirth experience.
The conscious mind is the part of our thinking that is aware of our surroundings and makes rational decisions based on our current circumstances. The unconscious mind, on the other hand, operates beneath the surface of our awareness and can influence our thoughts, feelings, and behaviors in profound ways. By understanding how these two aspects of our thinking work together, we can use Hypnobirthing techniques to tap into our body's natural birthing instincts and achieve a positive and comfortable birth experience.
In this episode, we'll cover:
- What the conscious and unconscious mind are and how they work together
- The impact of negative beliefs and emotions on our unconscious mind during childbirth
- How Hypnobirthing techniques like relaxation, visualization, and positive affirmations can influence our unconscious mind and create a positive birthing experience
- Techniques for releasing negative emotions and beliefs that may be affecting your unconscious mind during childbirth
Remember, by understanding the conscious and unconscious mind and using Hypnobirthing techniques to influence these aspects of our thinking, we can achieve a deep state of relaxation and tap into our body's natural birthing instincts.
Thanks for tuning in to our Hypnobirthing podcast series! I hope you've enjoyed learning about the different techniques and approaches to achieve a positive and comfortable birthing experience.
If you're looking to continue your Hypnobirthing journey, I encourage you to join me in The Due Date Club – a community of expectant parents who are all on the same journey as you. By joining The Due Date Club, you'll have access to a range of resources, including:
- Just Found Out Course - If you want to enjoy a stress free pregnancy
- Cesarian Birth - If you want to explore your birth options
- Hospital Interventions - If you want to make informed decisions
- Breastfeeding Course - If you want to breastfeed but not sure you can
- Partner Course - If you want your partner “on board”
By joining The Due Date Club, you'll be part of a supportive community of like-minded individuals who are all working towards a positive and empowering birthing experience. You'll have access to expert advice and guidance, as well as the opportunity to share your own experiences and connect with others who are going through the same journey.
So don't wait – join The Due Date Club today and take the first step towards a comfortable and positive birthing experience. We wish you all the best on your Hypnobirthing journey!
If you have suggestions for another series then drop me an email - I'm currently recording one on hospital interventions but hit me up with what you want to know more about.
In the meanwhile - I'm looking forward to meeting you in The Due Date Club
Midwife Karen
Hypnobirthing Series - Let's Talk About Brain Waves
Welcome back to our podcast series on Hypnobirthing! In this episode, we're talking about brain waves – a key aspect of the Hypnobirthing approach.
Brain waves are the electrical activity that occurs in our brains, and they can affect our mood, perception, and overall state of consciousness. By understanding brain waves and how they relate to childbirth, we can use Hypnobirthing techniques to tap into our body's natural ability to birth our baby with ease and comfort.
In this episode, we'll cover:
- What brain waves are and how they work
- The different types of brain waves and their associated states of consciousness
- How Hypnobirthing techniques like deep relaxation and visualization can influence brain wave activity during childbirth
- The benefits of achieving a state of relaxed awareness during childbirth
Remember, understanding brain waves and how they relate to childbirth is a key aspect of the Hypnobirthing approach. By using Hypnobirthing techniques to influence brain wave activity, you can achieve a deep state of relaxation and tap into your body's natural birthing instincts.
So don't wait – start exploring the power of brain waves and Hypnobirthing today, and take the first step towards a comfortable and positive birth experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.
Meet new friends who are due in the same month and share your journey with The Due Date Club! Compare symptoms, be inspired & find a community of women who understand your experience.
I'll see you there
Midwife Karen
Hypnobirthing Series - Answers to Your Questions
We're nearing the end of this series so I thought I'd answer some of the most frequently asked questions that you may have about this approach to childbirth.
I'll also address other common concerns and misconceptions about Hypnobirthing, providing insights and tips to help you make informed decisions about your childbirth journey.
Remember, Hypnobirthing is not about achieving a certain type of birth – it's about empowering you to make informed choices, advocate for yourself and your baby, and feel confident and in control throughout the birthing process.
By addressing common questions and concerns, we hope to help you feel more informed and empowered to make the best choices for you and your baby.
So don't wait – tune in now to get answers to your most pressing questions about Hypnobirthing, and take the first step towards a positive and joyful birth experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, then come and join me in The Due Date Club. because that's where you'll get access to my wealth of essential pregnancy resources, guest experts & professionals, plus exclusive discounts on mom & baby gear.
Midwife Karen
Hypnobirthing Series - How to use Hypnotic Anchors
Welcome back to our podcast series on Hypnobirthing!
In this episode, we'll be discussing how to use hypnotic anchors – a powerful technique for deepening your relaxation and entering a hypnotic state during childbirth.
Hypnotic anchors are a way of associating a physical sensation or object with a relaxed state of mind. By using an anchor during childbirth, you can quickly and easily enter a deep state of relaxation and tap into your body's natural ability to birth your baby in a calm and positive way.
In this episode, we'll cover:
- What hypnotic anchors are and how they work
- The benefits of using hypnotic anchors during childbirth
- Techniques for creating and using hypnotic anchors, including visualization and touch
- Tips for using hypnotic anchors effectively during childbirth
Remember, Hypnobirthing is all about empowering you to make informed choices and approach childbirth with confidence and trust in your own abilities. By using Hypnobirthing techniques like hypnotic anchors, you can achieve a deep state of relaxation and tap into your body's natural birthing instincts.
So don't wait – start exploring the power of hypnotic anchors today, and take the first step towards a comfortable and positive birthing experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.
Hypnobirthing Series - How to Strengthen Your Intuition During Pregnancy
Welcome back to our podcast series on Hypnobirthing!
In this episode, we're discussing how to strengthen your intuition during pregnancy. Intuition is a powerful tool that can help you make informed decisions and approach childbirth with confidence and clarity. By learning how to tap into your intuition, you can enhance your birthing experience and create a deeper connection with your baby.
In this episode, we'll explore:
- What intuition is and how it works
- The benefits of strengthening your intuition during pregnancy
- Techniques for tuning into your intuition, including meditation, journaling, and mindfulness
- The role of intuition in making informed decisions during childbirth
Remember, strengthening your intuition is not just about childbirth – it's about connecting with your inner wisdom and making empowered choices in all areas of your life. By using Hypnobirthing techniques to cultivate your intuition during pregnancy, you can approach childbirth with confidence and trust in your own abilities.
So don't wait – start exploring the power of intuition today, and take the first step towards a more empowered and joyful birthing experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.
I'll see you there
Midwife Karen
Hypnobirthing Series - How to Use Visualisation Effectively
In this episode, we're discussing how to use visualization effectively – a powerful technique for preparing your mind and body for childbirth.
Visualization is a way of creating mental images or scenarios in your mind's eye. By using visualization during Hypnobirthing, you can tap into your subconscious mind and create a positive and empowering birthing experience. Visualization can help you reduce anxiety, stay relaxed, and focus on your goals during childbirth.
In this episode, we'll cover:
- What visualization is and how it works
- The benefits of using visualization during childbirth
- Techniques for creating and using effective visualizations, including guided imagery and affirmations
- Tips for using visualization effectively during childbirth
Remember, visualization is a powerful tool for preparing your mind and body for childbirth. By using Hypnobirthing techniques like visualization, you can approach childbirth with confidence and trust in your own abilities.
If you're ready to start exploring the power of visualization today, then tune in now!
And if you're looking for more resources and support on your Hypnobirthing journey, be sure to check out The Due Date Club or our Hypnobirthing Course. , and take the first step towards a comfortable and positive birthing experience!
The Due Date Club is an online community of expectant parents who are interested in Hypnobirthing and want to connect with others on the same journey. You'll find resources, support, and encouragement from other parents who are using Hypnobirthing to achieve a positive and joyful birthing experience.
And if you're looking for a more structured approach to Hypnobirthing, then our Hypnobirthing Course might be perfect for you. Our course provides in-depth guidance and support for using Hypnobirthing techniques to achieve a comfortable and positive childbirth experience.
I'll see you there
Midwife Karen
Hypnobirthing Series - What is Cognitive Bias and What Does it Have to do with Hypnobirthing
Cognitive biases are a natural aspect of the human brain, but they can sometimes lead us to make inaccurate judgments or decisions. By understanding the different types of cognitive biases, we can learn how to recognise them so that they don't get in the way of your birth preparation journey.
In this episode, we'll cover:
- What cognitive bias is and how it works
- The five types of cognitive biases and how they can impact your childbirth experience:
- Techniques for recognising and overcoming cognitive biases during childbirth
If you're ready to learn more about cognitive bias and how it can impact your childbirth experience, then tune in now!
Remember, Hypnobirthing is all about empowering you to make informed choices, advocate for yourself and your baby, and achieve a positive and joyful birthing experience.
By understanding cognitive biases, you can approach childbirth with confidence and clarity.
So don't wait – start exploring the power of Hypnobirthing today, and take the first step towards a comfortable and positive birth experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing. And if you're looking for more resources or support on your Hypnobirthing journey, be sure to check out our website or join The Due Date Club.
Hypnobirthing Series - How your Beliefs and Expectations Impact Your Experience
Welcome back to our podcast series on Hypnobirthing! In this episode, we're discussing how your beliefs and expectations can impact your childbirth experience. Your mindset plays a crucial role in how you perceive and approach labor, and by cultivating positive beliefs and expectations, you can achieve a more comfortable and joyful birthing experience.
In this episode, we'll explore:
- How your thoughts and beliefs affect your body during childbirth
- Techniques for identifying and transforming negative beliefs
- The importance of setting realistic expectations for your birthing experience
If you're looking for more resources and support on your Hypnobirthing journey, be sure to check out The Due Date Club or our Hypnobirthing Course.
The Due Date Club is an online community of expectant parents who are interested in Hypnobirthing and want to connect with others on the same journey. You'll find resources, support, and encouragement from other parents who are using Hypnobirthing to achieve a positive and joyful birthing experience.
And if you're looking for a more structured approach to Hypnobirthing, then our Hypnobirthing Course might be perfect for you. Our course provides in-depth guidance and support for using Hypnobirthing techniques to achieve a comfortable and positive childbirth experience.
So don't wait – start exploring the power of positive beliefs and expectations today, and take the first step towards a joyful and empowered birth experience!
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of Hypnobirthing.
Midwife Karen
Hypnobirthing Series - Understanding The Mind Body Connection
In the second episode in our series on Hypnobirthing , we're diving deeper into the concept of the Mind-Body Connection – a fundamental aspect of the Hypnobirthing approach.
The Mind-Body Connection refers to the relationship between the mind and body during labor and childbirth. When we're in a state of deep relaxation and using Hypnobirthing techniques, we can tap into our body's natural ability to birth our baby without tension, pain, or fear. By harnessing the power of the mind-body connection, we can achieve a more comfortable and positive birthing experience.
In this episode, we'll explore:
- How the mind and body are connected during labor
- The benefits of staying relaxed and calm during labor
- Techniques for achieving a deep state of relaxation during childbirth
If you're ready to learn more about the Mind-Body Connection and how it can help you achieve a comfortable and positive childbirth experience, then tune in now!
Remember, Hypnobirthing is not just about achieving a certain type of birth – it's about empowering you to make informed choices, advocate for yourself and your baby, and feel confident and in control throughout the birthing process.
So don't wait – start exploring the Mind-Body Connection today and take the first step towards a positive and joyful birth experience.
The Hypnobirthing Series - The Principles of Hypnobirthing
Welcome to the first episode of our podcast series on Hypnobirthing!
In this episode, we'll be discussing the foundational principles of this incredible approach to childbirth.
Hypnobirthing is a powerful method that can help you achieve a more comfortable, positive, and even enjoyable birthing experience. By focusing on relaxation, visualization, and self-hypnosis techniques, Hypnobirthing can help you tap into your innate ability to birth your baby in a calm and confident way.
But; it's so much more than that and to get started we'll explore each of these principles in depth, sharing insights and tips to help you apply them to your own journey towards childbirth. Whether you're a first-time parent or have been through labor before, there's something in this episode for everyone.
If you're ready to approach childbirth with a new sense of confidence and empowerment, then Hypnobirthing could be the perfect tool for you. So don't wait – tune in now to learn more about the principles of Hypnobirthing and start your journey towards a positive and joyful birth experience!
Remember, the principles we'll be discussing in this episode are just the beginning of your Hypnobirthing journey. If you're ready to dive deeper and learn even more about this amazing approach to childbirth, be sure to tune in to our future episodes. And if you're interested in learning even more right now, come on over the www.duedateclub.co.za/ for additional resources and support.
Midwife Karen
Bonus Episode - Listen to this if you've JUST FOUND OUT you're pregnant.
Congratulations! You've just found out that you're pregnant – but now what?
The journey of pregnancy can be a rollercoaster of emotions, from excitement and joy to discomfort, anxiety, and overwhelm. In this episode, we're exploring the importance of trusting your body during this transformative time.
Pregnancy is a time of incredible physical and emotional changes. It's common to experience discomforts like morning sickness, back pain, and fatigue, as well as anxiety and overwhelm about the unknowns of childbirth and motherhood. But despite all of these challenges, your body is designed to carry and birth a baby. By trusting in your body and its natural processes, you can approach pregnancy and childbirth with confidence and calm.
In this episode, we'll cover:
- Why it's important to trust your body during pregnancy
- Common discomforts and challenges of pregnancy, and how to manage them
- Techniques for reducing anxiety and overwhelm, including mindfulness and relaxation techniques
- The importance of self-care and self-compassion during pregnancy
Remember, by trusting your body and its natural processes, you can approach pregnancy and childbirth with confidence and calm. If you're looking to deepen your knowledge and practice of trusting your body during pregnancy, be sure to check out our course of the same name in The Due Date Club. I created this course because every other pregnancy course is all about birth - but what about all the stuff in between?
You need information right now and in this course you'll learn
- tips for optimal nutrition in pregnancy (what you should be eating and why + meal plans)
- staying healthy - the ins and outs of prenatal exercise
- which prenatal supplements to take and why
- how to discern between regular pregnancy discomforts and signs of complications
- what you need to know to start planning ahead for your big day.
So don't wait – enroll now and take the first step towards a comfortable and confident pregnancy and childbirth journey.
Thanks for listening, and be sure to tune in to our future episodes as we continue to explore the wonderful world of pregnancy and childbirth.
Switch on your Vagus Nerve in Labor
It's part 2 of the Vagus Nerve and how you can "switch it on" to assist you during labor.
In this episode you'll learn about
- Breathing techniques to tone the vagus nerve
- Massage techniques and touch points for the vagus nerve
- Toning and sound during labor
As usual, there's lots of laughs and sex just always seems to come up but hey! that's how we roll!
The Due Date Club is a midwife led mother directed online community. Communities are awesome. They are the single best way for you to gather the support you can’t get on your own, especially in these chaotic, rapidly changing times. In the Due Date Club you'll find tons of free resources and courses to prepare you for an informed and empowered birth.
Relax into Birth with Doula Charlene Yared West
Everything you wanted to know about the Vagus Nerve during Pregnancy
Let's take a trip into your body and learn about the longest nerve in your body and how it can guide and assist you during pregnancy, labor and birth. The vagus nerve is your body’s superpower and it’s used to counteract your fight/flight system. Now you definitely don't want to be in fight or flight when you are in labor. The vagus nerve helps you to remain calm when you are stressed and to know when you are no longer in danger. It helps you to stay in “rest and digest” which is a lot more conducive to progressing labor.
In this episode you'll learn what the vagus nerve is, how it works and why it's important. In our next episode you'll learn some valuable techniques to stimulate the vagus nerve and why comfort measures like breathing, massage and toning work.
The Due Date Club is a midwife led mother directed online community. Communities are awesome. They are the single best way for you to gather the support you can’t get on your own, especially in these chaotic, rapidly changing times. In the Due Date Club, everything you need to know about pregnancy, birth and babies is in one place along with tons of free resources or upgrades for personal support.
Relax into Birth with Doula Charlene Yared West
Hermine Hayes-Klein Human Rights in Childbirth
Hermine Hayes (Opening Keynote)
Hermine Hayes-Klein, JD is an international birth rights lawyer with extensive experience advocating for the human rights of birthing people, around the U.S. and internationally. From 2007-2012, Hermine taught international law at The Hague University in The Netherlands, where she was also the Director of the Bynkershoek Institute Research Center for Reproductive Rights.
From 2012-2017, Hermine organized 6 international conferences on the topic of Human Rights in Childbirth. Since 2017, Hermine has focused on direct legal advocacy to advance reproductive justice in maternal healthcare. She has represented midwives in administrative, civil, and criminal legal proceedings, and advocated for their right to work with autonomy and security in many states and nations. She also advocates for birthing people who have experienced informed consent violations, racism, and obstetric violence during childbirth.
VIDM page: https://vidm.org/hermine-heyes-klein/
Hermine Hayes-Klein Human Rights in Childbirth
Hermine Hayes (Opening KN)
Hermine Hayes-Klein, JD is an international birth rights lawyer with extensive experience advocating for the human rights of birthing people, around the U.S. and internationally. From 2007-2012, Hermine taught international law at The Hague University in The Netherlands, where she was also the Director of the Bynkershoek Institute Research Center for Reproductive Rights.
From 2012-2017, Hermine organized 6 international conferences on the topic of Human Rights in Childbirth. Since 2017, Hermine has focused on direct legal advocacy to advance reproductive justice in maternal healthcare. She has represented midwives in administrative, civil, and criminal legal proceedings, and advocated for their right to work with autonomy and security in many states and nations. She also advocates for birthing people who have experienced informed consent violations, racism, and obstetric violence during childbirth.
VIDM page: https://vidm.org/hermine-heyes-klein/
What You Need to Know About Blood Types and Pregnancy
One of the routine blood tests that you’ll have done in early pregnancy is a test to determine your blood group. Unless you’ve had major surgery or needed a blood transfusion, you might not know. But in pregnancy it’s important because your baby’s blood group may be different to yours.
In this episode you will learn
- the different blood types
- what is the rhesus factor
- why it is important to know blood type and rhesus factor
- how negative blood type affects pregnancy
- testing for antibodies
- treatment for Rh incompatibility
Recommended reading and resources
Dr Sarah Wickham on Anti - D
https://www.sarawickham.com/anti-d/
Rhogam Injection information
https://www.rxlist.com/rhogam-side-effects-drug-center.htm
https://www.instagram.com/theduedateclub/
How important is your birth environment?
Choosing your birth environment is more than deciding whether you will be giving birth at home, in hospital or at a birth center. In this episode we talk about creating a safe sanctuary to welcome your baby into that goes beyond the aesthetics of your chosen place of birth and includes the preparation of your space and the people you bring into it.
More about Charlene here
More about Karen here
Join the Due Date Club here
All about Transition
Transition is the final phase of the first stage of labour and marks the cervix opening to its widest diameter and the descent of the baby's head. It's physically and emotionally intense and is often the time when you think you can't go on anymore. Karen talks about the 4 D's of transition - denial, despondence, defiance and desperation and they share examples of these from recent births. Charlene highlights the importance of making sure partners know what to expect with transition so they can step in and support you rather than freaking out when you most need them!
More about Charlene here
More about Karen here
Join The Due Date Club here
Do you Need a Birth Plan?
I have a love/hate relationship with birth plans so we thought it would be a great topic to bring to our weekly chats about everything pregnancy, birth and beyond. In this episode we chat more about why birth plans became popular and the importance of using the right language when creating one so that what you are really creating is a birth day wish list. Essentially everything that you do leading up to your birth is part of your birth plan and involves preparation - which is the part that I love. The more you prepare, the better the plan.
Drop us a line if you have any questions. We love feedback and if there is a subject you'd like to hear us natter about then let us know.
More about Karen here
More about Charlene here
Get Relax into Birth here
Sign up for the Pregnancy, Birth and Baby Summit here
What About Water Birth?
Waterbirth is known for its pain relieving effects and the benefits do not stop there. Water helps the mother to be buoyant and gives her added capacity for mobility. The water softens the tissues as the baby moves down the birth path and provides the baby with a gentle landing, as it transitions from the amniotic waters into the waters of the pool. The soothing effects of water cannot be denied and we chat all about this amazing option for labour and for birth at home or at hospital, to help you make your mind up about it and decide if you would like to try it for your birth experience.
More about Karen here
More about Charlene here
Preview Relax into Birth PLUS here
When Should I Call my Doula?
Charlene had a call from a client in early labor on the morning of recording this episode so we thought it would be a great topic to chat about. Despite the call, we still managed to record this episode and have a few cups of tea and a chat before it was time for Charlene to head over to be with her and the baby was born later that evening.
So in this episode we discuss:
- When should you call your doula?
- Should you call your doula or your midwife first?
- Should you let the hospital know you are en route?
- Is it different if you are having a home birth?
- Is it possible to call too late?
More about Karen here
More about Charlene here
Preview Relax into Birth PLUS here
Birth Affirmations
Enjoy this 1-hour track of soothing music with positive birth affirmations. I recommend listening to it daily during pregnancy
- during deep meditation or
- as background while doing other tasks.
During labor, you can have it playing quietly in the background or listen with headphones to keep you focused and grounded. Don't underestimate the power of your mind to change negative and limiting thought patterns. Use the affirmations that don't resonate to identify possible blocks.
Is a baby ever to big to be born vaginally?
This week we had a great question from a listener who is concerned about the size of her baby. She sent us a one liner message asking "Is a baby really ever too big to give birth to vaginally?"
As always, we consider both facts and opinions and explore the different perspectives of doulas, midwives, birthing mothers and obstetricians.
More about Karen here
More about Charlene here
Preview Relax into Birth PLUS here
Do I need to be induced?
In this episode, we cover the topic of induction as requested by a listener on our Relax Into Birth PLUS mom's whatsapp group.
"Dear Charlene and Karen. I am 39 weeks tomorrow and this morning at my routine checkup, my doctor recommended that I come in for an induction of labor on Thursday. Part of me is like 'hell yes, let's get this baby out pleazzzze', but there is another part that is wondering whether my baby needs a few more days inside? Is he ready? And actually - am I? I have definitely noticed that I am getting more frequent Braxton Hicks and I am feeling a lot of heaviness in my pelvis, but besides that, not much at all. If I go in on Thursday, I could be home by the weekend with my precious baby boy? Should I go for it? Looking forward to your thoughts on induction. Thanks Anon"
Is induction of labour always necessary, or is it (sadly) sometimes scheduled out of convenience, fear, impatience or discomfort? Listen in for the ins and outs of this topic, as well as learn about some natural forms of induction that can get the bun in the oven keener to come earth side. If you are keen to join our whatsapp group of preggie mamas, please slide into our DMs and let us know. Also, look out for our Relax Into Birth PLUS online antenatal course, covering extensive Hypnobirthing techniques, as well as the physiological side of labour and birth. See you there!
Remember to subscribe and share this podcast if you liked it.
More about Karen here
More about Charlene here
Preview Relax into Birth PLUS here
What does Bait and Switch mean?
This was an uncomfortable topic to tackle. Unfortunately bait and switch tactics are common, especially in South Africa. The conversation was started by a query in our private Whatsapp group which got everyone sharing their experience and encouraged us to open the discussion on our podcast.
In this episode Karen and Charlene attempt to look at it from all angles rather than making it an "us against them" situation and share some useful tips for red flag conversations and how to manage them.
More about Karen here
More about Charlene here
Preview Relax into Birth PLUS here
Guide to Essential Oils during pregnancy
If you've been wondering about using Essential oils during pregnancy, your'e going to love this episode with Gayle Friedman from Sunshine Health in Cape Town. Gayle is founder of the Sunshine Colour and Health Academy and Registered Member of Allied Health Professions Council of SA and WOMBS. Gayle has been in the Health Care Field for over 30yrs and has experience as a qualified Aroma Therapist, Reflexologist, Colour Therapist, Pregnancy Therapist, Doula (Child Birth support) and Yoga Teacher for pregnant women. Gayle offers support comfort and care, using her expertise and experience as a mother of 3, to guide woman & their partners on their beginning journey into parenthood.
An essential oil is a concentrated aromatic oily liquid containing volatile chemical compounds extracted from different. parts of plants for instance, leaves, barks, seeds, flowers and peels. They can be obtained by expression, fermentation, effleurage. or extraction but among all the methods, steam distillation and.plants herbs gums to enhance body emotions mind and Spirit.
They can be described as the hormone of the plant and they directly affect the Limbic system of the brain via olfactory nerves, lungs and skin.
Gayle shares how to use them safely and effectively.
Learn more about Gayle here
Learn more about Charlene here
Learn more about Karen here
Preview Relaxintobirth PLUS here
When to go to Hospital in Labor
In this episode we talk about the various scenarios you might face and the tools and resources you will need to feel confident. We know that it's tempting to go in earlier rather than later "just in case", but your labor won't progress any faster because you are in hospital. In fact, the clinical environment may slow or stall your labor and pave the way for interventions you prefer to avoid.
Many parents start their journey of childbirth at home - and initially, labour in the home space and then eventually, at a certain point, leave home for hospital to continue their labour there. When is the best time to leave home for hospital? The answer to this question is quite complex - and there is no one-size-fits-all.
If you are planning a hospital birth, take the time to listen in, as this information is for you - and will help you navigate the decision about when to go to hospital. What happens if your waters break at home? What if you lose your mucus plug at home? What if it's the middle of the night? We answer these questions and more.
Connect with pregnant mamas from around the world and join our Relax Into Birth PLUS whatsapp group here.
More about Karen here.
More about Charlene here.
Get the 3 Must Have resources that will help you navigate this decision.
Talk to me about episiotomy and tearing
In this episode, because we love it - we talk about a natural footling breech twin birth, weekends away in the mountains to recharge and last but not least, we answer a mom's question about tearing and episiotomies. We cover the full spectrum from what an episiotomy is, when is it necessary to perform one, when tearing is better than an episiotomy, how to avoid one and how to heal up the perineum after birth. Filled with expert tips and advice, we aim to remove your fear from this topic and help you understand what you need to know before you birth your baby!
Resources mentioned in the podcast:
*Check out this link about your role and your doctor's role in protecting your perineum during birth:
*Read up more about how to use an epi-no - and check out the video on this page
*Postpartum Perineal care info:
Check out my @relax_into_birth Insta reel on this very topic: https://www.instagram.com/reel/CRyBdstJ27q/?utm_medium=share_sheet
You can thank me later!
Here's a quick guide and recipes to help heal the perineum for the Postpartum Mama.
💜Spray bottle for the loo:
Mix:
-100mls Witchazel
-4-5 tablespoons of sea salt or Epsom salts
-1-2 drops or high quality lavender or tea tree essential oil
Spray the area every time you go to the bathroom - to assist the healing process.
💜Padsicles
A padsicle is a frozen pad, made for nicks, tears or episiotomy. It is so soothing can help with bruising of the area. It is also helpful for post caesarean birth to place over the dressing.
What you will need:
-A spray/squeezie bottle
-1 cup Raspberry tea
-¼ cup of hammelis (witch hazel)
-3 drops Lavender Essential Oil
-3 drops Tea Tree Essential Oil
-A tube of single ingredient aloe vera gel / hammelis gel
-1 to 2 packs of 12 absorbent maternity pads
-A butter knife that you have sterilised in boiling water
Method:
1. Make the tea and pour it into your spray/squeezie bottle once cooled.
2. Add the drops of essential oil to the bottle.
3. Lay your pads out, face up on a table on top of a clean towel / linen saver.
4. Spray the solution of tea, witch hazel and oils onto the pads quite thoroughly.
5. Squirt a little of the gel onto the tea-soaked pads and then spread like butter onto each pad.
6. Fold pads in half and place into a clean freezer bag / lunchbox and freeze.
7. Use as desired.
Do not use one pad for an extended period of time. Change as needed.
💜Sushi Noori aka Seaweed: This is an amazing natural product too. Get a pack of sushi noori and
use the sheets individually.
Take one sheet, fold it in half, wet it under water and place on top of
a dry pad. This has immense healing capacity.
💜Soak in a sitz bath of salt or Epsom salts daily until all healed up.
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Giving Birth in Dubai with Midwife Cecile de Scally
Cecile and I trained at Addington Hospital in Durban, South Africa in 1980 something (yes! we are "that old"...) and then years later, we met up when we were both working in the Middle East. We both hold a vision of restoring normality to birth through effective prenatal education, so I could not wait to catch up and find out what she has been up to and pick her brains about all things pregnancy and birth in Dubai.
More about Cecile de Scally
Cecile de Scally, also known as “baby whisperer” is an experienced South African trained midwife, who qualified in 1990 and has more than 25 years’ experience in prenatal and postnatal support and education.
Cecile offers educational support to parents, providing prenatal classes, HypnoBirthing workshops and baby/toddler feeding and sleep consultations
Cecile’s main focus is Mother and Baby services, offering educational support and advice for new parents and sleep support for parents of new babies as well as toddlers.
With Cecile’s wealth of knowledge, experience and expertise, she assists families to make informed decisions about their pregnancy, birth and baby.
To book a consultation or prenatal workshop with Cecile, please email:
workshops@malaak.me
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Pain Relief in Labor - what are my options?
Letter of the week:
Dear Karen and Charlene,
I have just finished your course - and I loved it by the way, but I have a few questions about pain relief.
I have been thinking about about how labour will be - and if i will cope. I have heard that epidurals are amazing for pain relief - but have also heard that they can have an adverse effect on the baby. Is this true? What options do i have for pain relief - and should i opt for an epidural?
From the course I learnt about having a doula present to help with natural forms of pain relief. How do they compare to the big guns of epidural and pethedine? What other options do I have?
I think i have a high pain threshhold, but my husband thinks I will be begging for an epidural from the get go. I am hoping to prove him wrong - but I also have no idea what to expect.
Thanks for your help - and for the course, I learnt so much!
Elle in Cape Town.
If you want your query addressed in our podcast email karen@thevirtualmidwife.com or charlene@relaxintobirth.com
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What is the difference between a midwife and a doula?
Our weekly listener email
Dear Charlene and Karen I actually found your podcast when I was doing a google search to know the difference between a midwife and a doula so it would be great if you could talk about that in one of your shows. I listened to your episode last week about which gyn to choose but recently I have been considering working with a midwife. When I posted in the Facebook group I belong, I had lots of recommendations but many of them were for doulas and now I am a bit confused. Is a doula able to do my prenatal care and deliver my baby? Can I hire a doula instead of a midwife? If I have a midwife will I automatically have a doula? And if I choose to have a hospital birth can I still have my midwife or maybe even my doula....as you can see I am totally confused and befuddled and hoping you can help me understand. Thanks so much, Annamarie. 18 weeks pregnant with my first baby.
If you would like to have your question on the podcast, send us an email relaxintobirthplus@gmail.com or karen@thevirtualmidwife.com
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How do I know if my doctor is good for the birth I want?
Every week, we cover topics of pregnancy, birth and motherhood – and we read your letters and interview relevant folk to bring you the most up to date info in every podcast. We do our research – thoroughly… In this episode, we answer a letter from 20-week pregnant mama Jennifer, asking us for advice on how to best choose a doctor and hospital for her gynae-led birth. We offer advice and tips to cover all bases, including info on home birth vs hospital birth and midwife-lead vs ob-gyn-lead birth.
Charlene and Karen share their recommendations and some anecdotes – both funny and serious. If you love what you hear and you want more then drop by and download our FREE 40 page pregnancy playbook and journal packed with loads of fun stuff and tons of “must know prego info”. Grab it here
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Relax into Birth PLUS course here
Will my GYN know I had sex?
Each week you are invited to send us your big birth question and we'll give you every angle of the dangle. This week a listener, Fran, shares her concerns about whether her midwife or OBGYN will know if she has had sex when she is examined - if sex was the activity that induced her labour? Also, she is feeling mighty frisky - and we assure her this is normal too - Frisky Fran!
Charlene and Karen share their recommendations and some anecdotes - both funny and serious. If you love what you hear and you want more then drop by and download our FREE 40 page pregnancy playbook and journal packed with loads of fun stuff and tons of "must know prego info".
Grab it here
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I'm worried about how my husband will be after he watches me give birth?
Each week you are invited to send us your big birth question and we'll give you every angle of the dangle.
This week a listener shares her concerns about how her partner might react during birth. Will he still find her desirable afterwards and will her body change?
Charlene and Karen share their recommendations and some anecdotes - both funny and serious.
If you love what you hear and you want more then drop by and download our FREE 40 page pregnancy playbook and journal packed with loads of fun stuff and tons of "must know prego info". Grab it here
All about Karen here
All about Charlene here
Relax into Birth PLUS course here
What if I poo?
I've partnered up with the best doula in South Africa Charlene Yared West, founder of Relax into Birth. We have been working together for the last few months bringing our collective knowledge and expertise into a course that highlights "the doula and the midwife" perspective and we had such fun doing it that we decided to share it on our podcast.
We've also been getting tons of questions in our whatsapp group so this is the perfect platform to share them with you (with permission of course!)
Each week you are invited to send us your big birth question and we'll give you every angle of the dangle.
This week is the big poop question....
If you love what you hear and you want more then drop by and download our FREE 40 page pregnancy playbook and journal packed with loads of fun stuff and tons of "must know prego info". Grab it here
All about Karen here
All about Charlene here
Relax into Birth PLUS course here
Effect of delayed vs early cord clamping on breast feeding and skin to skin contact rates
Teresa LW and Inderjeet Kaur, Fernandez Foundation, India
The World Health Organization (WHO) recommends Delayed umbilical cord clamping (not earlier than 1 min after birth) for improved maternal and infant health and nutrition outcomes. The aim of this paper is to investigate the effect of delayed vs early cord clamping on breast feeding and skin to skin contact rates. Retrospective data collection of six-month data from 1741 mothers who birthed at Fernandez hospital is analysed from July 2020 to December 2020. The analysis shows that 292(17%) mothers had early cord clamping soon after birth of the baby followed by 1449(83%) had delayed Cord Clamping. The breast feeding and skin-to-skin contact rates were high among the mothers who had delayed cord clamping. We recommend delayed cord clamping for all births irrespective of the mode of delivery unless there is an indication to separate the mother and baby.
Impact of intrapartum midwifery-led care on routine episiotomy rates in a public health care setting in South India
In Indian health care settings Midwifery-led care is in its infancy. In public maternity settings, practice of prophylactic episiotomy is implemented for all primigravidae and for those with diagnosis of meconium-stained liquor or LGA baby. From December 2020 to January 2021, 55 mothers were supported during birth by the midwifery mentors and trainees of the Telangana State Nurse Practitioner in Midwifery [NPM] program.
The group we studied had 24(44%) primigravidae, 52(95%) with term gestation and 3(5%) with MSL. Perineal protective measures like intrapartum mobilization, warm perineal compresses during active second stage, birth positions of choice along with perineal support and helping mothers breathe out their baby slowly were used. Results revealed only 3(5%) mothers needed an episiotomy, 22(40%) had intact perineum post-birth .
None had extensive tears. Twenty one (38%) babies had birth weight of 3kgs and greater while 53(96%) enjoyed the first golden hour with skin-to-skin contact.
Acupressure for induction and augmentation of labour
Acupressure for induction and augmentation of labour
Loredana Zordan, Independent midwife, Italy
Acupressure is an ancient Chinese technique based on the principle of acupuncture which involves the use of finger pressure (without the needle) on specific points along the body. Chinese culture believes the points to the junction of the meridian pathway that carry energy called QI, Acupressure stimulates the bodies own energies to help fight illness and restore harmony. Acupressure has also been used to stimulate contractions, helping to induce labour. Induction of labour is common as Post maturity can pose risks for the pregnant women and the unborn child, increasing the risk of stillbirth. Acupressure helps to establish contraction and promote cervical dilation. The acupressure points commonly used for induction of labour, have a very strong effect on the energy of the uterus, causing uterine activity and promoting a downward expulsion of the foetus. We have chosen to focus on acupressure rather than acupuncture as acupressure is a less invasive procedure and has the advantage that the woman or her partner can administer it themselves. The case presentation here reports a case of successful use of acupressure for induction and augmentation of labour for post maturity in a home birth situation.
Reviewing evidence and revisiting the option of caesarean sections in breech mothers by offering physiological breech as a choice of birth
Reviewing evidence and revisiting the option of caesarean sections in breech mothers by offering physiological breech as a choice of birth
Kalavathi Mudili and Inderjeet Kaur, Fernandez Foundation
Introduction: At Fernandez Foundation, the Breech clinic was introduced weekly in June 2019 after multidisciplinary breech training by Shawn Walker. Method: Retrospective data collection of 68 low risk mothers with breech presentation between 32-38 weeks attended breech clinic from June 2019 to March 2020. Results: Spinning baby exercises explained at the initial visit. 27 babies (45%) turned cephalic when checked for presentation between 36-37 weeks. 8 notes were misplaced, 33 mothers (55%) offered ECV. 14 (42%) mothers accepted ECV and 7(50%)were successful. Out of 19 (68%) mothers 5(26%) accepted the choice of a Vaginal Breech Birth and 3 (60%) mothers had physiological Breech Birth. There were no maternal or fetal morbidities in Vaginal Breech Births. Conclusion: The breech team and midwifery consultations offered mothers who were eligible, the choice of physiological breech birth. This will also impact on the caesarean section rates for breech presentation.
Midwifery postpartum clinical guideline following a term stillbirth
Midwifery postpartum clinical guideline following a term stillbirth
Barbora Snuggs, University of North Georgia, Vanderbilt University, USA
Many pregnancies and births bring joy and excitement while some end with the death of the baby prior to labor and delivery, also known as an intrauterine fetal demise (IUFD) or a stillbirth. Midwives are closely involved in care for these women during labor and delivery, but evidence-based care guidelines related to midwifery care during the postpartum period following a term stillbirth are limited in the literature published in the United States. A midwifery guideline was developed based on 1) a needs assessment, 2) a literature synthesis, and 3) current guidelines to care for women following a term stillbirth in the initial 6-week postpartum period with input from obstetrician-liaison and the midwives working in a practice setting. Midwives can care for patients utilizing their clinical knowledge with skill, empathy, and compassion by following an established term stillbirth postpartum clinical guideline.
Signs of a healthy birth
Signs of a healthy birth / Zeichenlehre der gesunden Geburt
Rafaela Joos
Signs of a healthy birth. Observation of the healthy birth process by midwives. Background: «Unique normality», that each person’s uniqueness is normal for them, has been recently postulated in the literature as a new paradigm in midwifery practice. Midwifery skills should include a holistic, woman-centered care during a healthy birth. Instead of a linear approach where, birth should be considered as a circular process. Method: Within the setting of action research, four semi-structured interviews with midwives with expertise in the field of birth centre or homebirth were conducted and an observation chart for the healthy birth was developed. The qualitative interview analysis was carried out with the Mayring method. Results: The multi-faceted knowledge of midwives is demonstrated. A comprehensive observation chart for the observation of a healthy birth could be provided. Conclusions: Each birth is unique and requires continuous individual observation by the supervising midwife.
Pregnant women during the COVID-19 pandemic in Indonesia
Pregnant women during the COVID-19 pandemic in Indonesia: Knowledge, anxiety and motivation
Niken Bayu Argaheni, Universitas Sebelas Maret, Indonesia
Background: The COVID-19 pandemic threatens such as pregnant women who are predicted to be at higher risk and more susceptible to exposure. The purpose of this study was to find out the knowledge about COVID-19 among pregnant women and how their motivation to continue pregnancy.
Methods: Researchers collaborated with SEKOCI (Sekolah Komplementer Cinta Ibu) to provide bold counseling to its members consisting of 69 pregnant women from various cities once every 7 days for 1 month, then an online questionnaire was evaluated the knowledge, the feelings and motivation for pregnancy during the COVID-19 pandemic.
Results: This study shows that respondents who have good knowledge about COVID-19 (76%), experience moderate levels (69%), and have motivation to do pregnancy (93%).
Conclusion: Pregnant women in Indonesia have good knowledge about COVID-19, and still have the motivation to come to health workers.
Improving Midwifery Students Motivation and Learning Outcome in Contraceptive Course
Improving midwifery students motivation and learning outcome in contraceptive course
Erika Agung Mulyaningsih, Stikes Pemkab Jombang, Indonesia
UNESCO said 73% of schools were closed for 3 months or more due to the Covid-19 pandemic. Face-to-face learning at Diploma III Midwifery Program has been stopped for more than 9 months. Efforts to achieve competence in Midwifery Education are a problem that must be solved innovatively. The purpose of this study was to improve student motivation and learning outcomes through the Lesson Study method. The method of this research is Classroom Action Research which is conducted in two cycles, The research was conducted on third semester students on contraceptive study materials which consisted of 9 topics. Lesson study can increase student motivation and learning outcomes. Various innovations and creativity are needed for students and lecturers to continue learning and teaching in a pandemic situation which is supported by the management in improving the quality of learning.
Promoting a positive norm towards planned home birth practice among midwives
Promoting a positive norm towards planned home birth practice among midwives: A randomised controlled trial
Auwalu Muhammed, Department of Nursing Sciences, College of Health Sciences, Usmanu Danfodiyo University, Sokoto; Lee Khuan; Shariff-Ghazali Sazlina; Salmiah Md Said; and Mairo Hassan, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia
This study was to determine the effect of a PHB education in promoting a positive norm towards PHB among midwives. A parallel group randomised controlled trial was conducted among 226 midwives. A close-ended questionnaire was used for data collection. The intervention group received training, while the control group maintained a usual care. Data were re-collected at immediate-post, and three months follow-up. Statistical analysis showed a significant change in the mean subjective norm within the intervention group (p;lt;0.001), but not in the control group (p =0.140). The participants in the intervention demonstrated a more positive norm towards PHB practice compared to the control group at immediate post-intervention (p & lt;0.001, d =0.9), and three-month follow-up (p & lt;0.001, d=0.9). PHB education is effective in promoting a positive norm towards PHB practice among midwives. The finding may inform midwives and policy makers on the strategy to create a network of collaboration towards safe motherhood.
Getting to Know Isabella Garti
Midwives' knowledge of pre-eclampsia management: A scoping review
Midwives in poorly resourced settings are engaged in pre-eclampsia management and deliver lifesaving interventions depending on the prescribed scope of practice. Therefore, we aimed to produce a synthesized summary of what midwives from around the world know about pre-eclampsia management. Method: We utilized the Joanna Briggs Institute (JBI) format and the Preferred Reporting Items for Systematic Reviews and Meta‐Analysis extension for scoping reviews (PRISMA-Scr) checklist.
Results: Following application of the inclusion criteria, twenty journal articles from low- and middle-income countries and nine guidelines were reviewed. Three main themes identified related to management whilst the last theme described how contextual factors led to either increased or decreased knowledge of pre-eclampsia. Conclusion: Midwives in some low- and middle-income countries have knowledge deficits of several aspects of pre-eclampsia management. The review suggests pragmatic steps are urgently needed to strengthen the knowledge base of practicing midwives in resourced constrained settings.
Lupus and Pregnancy
Nikoleta Chatzipanagiotidou, Midwifery Department, University of Western Macedonia, Greece
Lupus is a chronic systemic autoimmune disease that occurs when the body's immune system attacks its own tissues and organs because it cannot tell the difference between viruses, bacteria, and other germs and the body’s healthy cells, tissues, or organs. Out of 1.5 million Americans with Lupus, 90% are women between the ages 15-44. Lupus affects them greatly when it comes to making the decision of getting pregnant. There are a lot of misconceptions that Lupus prevents people from getting pregnant and there is not enough information given to those who are interested and the results of that are showing very clearly on the studies that have been done. This poster aims to provide accessible, evidence-based knowledge on the subject of pregnancy with Lupus in order to inform people about the possibilities that women with Lupus have on the matter of becoming pregnant.
Getting to Know Marcela Mendoza
Marcela Mendoza es una obstetra peruana que actualmente reside en Australia.
Esta es su tercera conferencia como facilitadora/moderadora y nos cuenta cómo ha sido su experiencia en estos últimos años desempeñando este rol. Que significa Equidad de Nacimiento para Todos. Y también anima a personas interesadas a formar parte del equipo de facilitadores para las próximas conferencias del VIDM.
Marcela is a midwife from Perú, currently residing in Australia.
This is her third conference as a facilitator, and she tells us what her experience has been in the last years participating in this role. What does Birth Equity for All mean to her? And she also encourages people interested in becoming part of the facilitator group for the coming VIDM conferences.
Getting to Know Kaveri Mayra
Kaveri Mayra is a midwifery, nursing and public health researcher from India. She has over twelve years' research experience working on nursing and midwifery workforce policies and practice. Having seen mistreatment during childbirth early on as a student midwife and experienced the lack of leadership and decision making power to midwives and nurses, Kaveri started researching and advocating on these life experiences and issues.
Kaveri is a global speaker on disrespect and abuse during childbirth; nursing and midwifery governance, workforce policies and welfare; and gender-based challenges underlying all these issues.
She has spoken about these issues in conferences, through guest lectures in universities and at public events in countries including Zambia, Switzerland, USA, Argentina, England, Iceland, Wales, Canada and in many states in India. Kaveri has been recently recognized as one of the 100 outstanding global woman midwife and nurse leaders by Women in Global Health (WGH) to mark the Year of the Nurse and the Midwife 2020 in collaboration with WHO, ICN, ICM, the Nursing Now Campaign and UNFPA.
She has worked with many reputed organizations such as Oxford Policy Management Ltd., WHO, ICM, White Ribbon Alliance (WRA), Public Health Foundation of India (PHFI), Jhpiego and Academy for Nursing Studies and Women's Empowerment Research Studies (ANSWERS) and has consulted with central and state governments.
She is currently working as a consultant with the WHO HQ, at Geneva alongside pursuing her PhD on Global Health at the University of Southampton, UK where she is exploring the drivers and determinants of obstetric violence in India.
Getting to Know Niessa Meier
Niessa Meier is faculty in Frontier Nursing University’s Doctorate of Nursing Practice program where she teaches healthcare quality improvement. She maintains a clinical practice in Kerrville, Texas where she lives with her husband and three teenagers.