Pre-labour Rupture of Membranes: impatience and risk

wateroncarpetAmniotic sac and fluid play an important role in the labour process and usually remain intact until the end of labour. However, around 10% of women will experience their waters breaking before labour begins. The standard approach to this situation is to induce labour by using prostaglandins and/or syntocinon (aka pitocin) to stimulate contractions. The term ‘augmentation’ is often used instead of ‘induction’ for this procedure. Women who choose to wait are often told their baby is at increased risk of infection and they are encouraged to have IV antibiotics during labour. In my experience most women agree to have their labour induced rather than wait. I wonder how many of these women would choose a different path if they knew there was no significant increase in the risk of infection for their baby?

The rush to start labour and get the baby out after the waters have broken is fairly new. When I first qualified in 2001 the standard hospital advice (UK) for a woman who rang to tell us her waters had broken (and all else was well) was: “If you’re not in labour by [day of the week in 3 days time] ring us back.” Over the following years this reduced from 72 hours to 48 hours, then 24 hours, then 18 hours, then 12 hours and now 0 hours. You might assume that this change in approach was based on some new evidence about the dangers involved in waiting for labour. You would be wrong.

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Membrane release before birth sensations begin, what to do?

wateroncarpet1. Drink plenty of fluids. Minimum: 8 glasses spaced throughout the day. Purified water with lemon squeezed in it is good.

2. Allow nothing in vagina. No fingers, no tampons, no oral-genital contact, no bath water, no swimming pool water, no speculum, no penis, nothing whatsoever!

3. Wear something loose-fitting with no panties.

4. If you are leaking and need something for sitting, use clean towels fresh out of a hot dryer.

5. Take your temperature every 4 hours while you are awake. Normal range is 35.5 to 37.3 Degrees Centigrade or 96 to 99 Degrees Fahrenheit. If it goes above the upper ranges, drink some water, retake it and if your temperature remains up call your medical person. It could be a sign of infection.

6. Take 250mg Vitamin C every 3 hours while you are awake. Oranges, grapefruit, kiwi fruit, red peppers are all good sources.

7. No baths. Shower as much as you like.

8. Eat foods that are non-constipating and easy to digest. Especially avoid foods with MSG or nitrates, such as pizza, Chinese food, or deli meats. These foods can make you vomit in the birth process.

9. Be meticulous about toileting. Wipe from front to back, and wash hands carefully after.

l0. If the water is colored green or brown (meconium), or if it has a bad smell (sign of infection), let your medical person know.

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Birth Photography

“Pizzas are delivered, but you birthed your baby!” – Debra Pascali-Bonaro

Kristi’s Freebirth Story of Baby#6

Fourth UP/UC, Second Son (Sixth Child) born on 12/25/2015!

We were so thrilled to learn that we were expecting our sixth child on April 4th 2015! I had no clue I was pregnant but took the test just for fun. We shared the news with our friends and family after surprising the kids with the news. It was a lot of fun to see the expressions on my kids’ faces and to hear everyone we told be excited with us. Here is the video of us telling the kids:

I determined by what information I had that I was due around December 5th. The pregnancy was full of emotional healing and growth from other  events in my life as we enjoyed doing my own care ourselves. The pregnancy went very fast for the most part and I enjoyed watching my belly grow.

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Once I reached 38wks pregnant, I began to get a bit antsy but was determined to continue trusting in the Lord and allowing my body and my baby to do what was needed to prepare us for the day our newest blessing would be in our arms.

The following weeks leading up to the birth were a mix of high spirits and meltdowns. I did my best to stay positive and had an amazing support system surrounding me who were compassionate and understanding, yet helped me focus on the benefits of being patient and laying my life down for my child(ren). I can’t say I didn’t have bouts of fear, but I can say that knowledge and wisdom, and most of all God’s peace, overcame each of those bouts.

At 42 weeks and 6 days pregnant, I woke up to a very strong and sharp pain and an intense contraction followed. In hindsight, I realize that the baby flipped from posterior to anterior. From there, active labor began.

The night before that however, I had a mini freak out. I told my husband that maybe we should head to the ER and get an ultrasound just to be safe that baby can in fact be born. He had not engaged in my pelvis, I wasn’t dilating nor effacing, and he kept floating in my uterus. He was still moving, so we knew all was well, and the Lord constantly spoke to me through those last few weeks, reminding me that He is near and that all was well. It was a walk of trust and faith that pushed me to my ultimate limit. My husband reminded me of all these things about the Lord and he encouraged me to rest and prayed over me and the baby, for our protection and for the Lord to lead our steps in wisdom and prompting.

As I slept through the night, I dreamt of a rural community that was united and loving and each person came to me and encouraged me and helped me to push the baby. I woke up with contractions that were more intense than they had been but still not engaging the babe. I practiced bearing down and moving my hips around with each contraction and I heard the Lord tell me that the people in the dream were all the people who were praying for us. I asked the Lord what I should do and I felt led to rest. I prayed hard that He would continue to lead me…

When I awoke the next morning to that strong pain, at 7:45am, it was sudden and I startled my husband awake. Contractions were 3-5mins apart and really strong. We began to prepare that this was it. From 8-9am, I sat on the ball and rotated my hips and felt lots of pressure with each contraction. I got very hopeful that baby was finally able to engage and was coming down. At 9am I got into the tub and the contractions got even stronger but I got a bit of relief from floating… but then it got to be too much.

When I got out of the tub, I was a bit discouraged because I checked to see if any dilation had occurred. Baby was still high, no dilation or effacement had occurred but thankfully there was a bit of bloody show to indicate that the baby was coming within the day or two. I got back in bed around 9:30 or 10 and continued working through the contractions that were now 1-3mins apart and lasting over a minute long. My husband was amazing, we watched the show American Pickers on his phone in between contractions (or I rested) and when each contraction came, he tracked each one and told me how much longer I had to go… I listened to his voice as he said, “20 more seconds babe, you’re doing great. These are doing great work. 10 more seconds… and 5 and then it’s going to start coming down. You’re doing great. Great job babe. 2 more seconds…”

11:15 came and I felt the need to pee so I went to the bathroom. I couldn’t go at first and was overwhelmed at the intensity of the contraction that came next. My husband could tell the time was coming because I began bearing down with the contraction and he encouraged me to come to bed, but I couldn’t… I was staying in the bathroom. haha I checked my dilation and while my cervix was low, I was completely closed and not effaced. I became concerned about the fact that my body was pushing. I told my husband that I can’t push because I could tear through. He reassured me to listen to my body and relax, that God was in this and I can do this. I listened and focused on doing what felt right and didn’t rush or fight it. I couldn’t stop the sensation to bear down. I pushed hard but tried to go slowly and I felt my cervix opening as the baby’s head pushed through it. I told him the head is coming…

I never fully dilated nor did I fully efface. The baby came out in the anterior position and flew out with just one swift push, so fast I nearly dropped him on the floor. At the same moment, because I was standing and the cord was short, the cord snapped and blood went ev.er.y.where. LOL On the walls, all over the toilet and floor, all over the baby and I. We were in shock as all the kids swarmed the doorway. I looked and saw he was a boy… we were all so elated and crying. He was HERE!

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11:30am, December 25th, 2015, approximately 7lbs, dark brown hair, and the most content and peaceful baby I’ve ever seen. He didn’t have any vernix on his body so I wiped him down and I sat back on the toilet. Within minutes I felt my placenta coming and it accidentally plopped in the toilet. haha We marveled at the newest member of our family as the kids cried and laughed and expressed how cute and little he was and that they had a new brother. About a half hour later, I got into bed and I nursed him. After he was settled in and cozy, we tied the cord that was now cold, white, and limp, and trimmed it down. From the moment I woke up to the moment he was born was a little over 3½ hours.

We are so in love… and as I’ve said to him, many times now, it really was worth it… all that waiting and difficulty surprisingly was all worth it… to be holding him and knowing him… I can now say I have sons along with our daughters. When I had my second daughter and could say daughters instead of just daughter… sisters… it was such a sweet moment! And now I can say boys, sons, and BROTHERS! ❤ We are so blessed…. 6 children! Unbelievable. I would never have known that this would be our life, 12 years ago when we made our vows to share our lives together in the will of the Lord…. but it’s full and blessed and enriching. I’ll take all the difficult and challenging for this beauty I get to live with these beautiful little people to share it with. ❤

<<Kristi’s Freebirth Story of Baby#3: Christopher Thomas>>
<<Kristi’s Freebirth Story of Baby#4: Kathryn Martha>>
<<Kristi’s Freebirth Story of Baby#5: Kimberlyn Mariann>>
<<Kristi’s Freebirth Story of Baby#6: Craeghar Timothy>>