Valerie Gommon Midwife’s Blog

Archive for the ‘pregnancy’ Category

I guess the first choice is where do you want to give birth, at home, in a birthing centre or in a hospital?  Although you may be asked this at your first appointment you can actually decide at any time, even when you are in labour (although it may be easier if you make plans earlier).

There are so many factors to take into account, but the most important thing is to give birth where you feel safest.  Labour is a very instinctive, hormonal event and if you are scared or unhappy with your environment you will not labour so easily.

Homebirth:

There are many benefits to be gained by giving birth at home.  The woman is in familiar surroundings and is therefore more relaxed allowing the birthing hormones to work properly.  Labour is usually shorter, less painful and the mother is more likely to have a normal birth (so less need for ventouse, forceps or caesareans), she is more likely to breastfeed and less likely to suffer postnatal depression and she is more likely to report that she is satisfied with her experience.  These claims are backed up by research and evidence can be found at www.nct.org.uk/about-us/what-we-do/research/roepregnancy-birth

Birth Centre/Midwifery Led Unit:

These are often seen as a half-way house between home and hospital.  They have many of the benefits of home, a more relaxed environment but if you are concerned about the privacy aspect of birth (for example if you live in a shared house, or are concerned about the neighbours) or the mess (which in reality is rarely an issue) then a birth centre may be right for you.

Birth Centres are only an option for women whose pregnancy is defined as “low risk” which means that the birth is expected to progress without complication.  Should a complication occur you will need to be transferred into a hospital where more advanced help is available.

Hospital:

Many women choose to give birth in hospital because they believe it to be the safest place.  Of course it is true that the hospital will have advanced facilities if needed however you should also bear in mind that sometimes these facilities are over-used and that just by setting foot in a hospital you increase your chance of using some of that help!  If you choose to give birth in hospital my top tip would be to stay at home as long as possible.

Waterbirth:

I think the use of water in a labour and birth can be hugely beneficial.  I recognise that not all women will want or need a waterbirth, but I would strongly recommend all women not to rule the use of water out.  It may be that you use water by having a bath or shower in labour; it can be hugely comforting to have shower water jetting onto your tummy or back whilst in labour.

As I see it, if we are achy or tense a bath is usually helpful.  It works in just the same way in labour; water is usually relaxing.  Another benefit is that women are much more mobile in labour and have their weight supported by the water making it easier to move around.  Lastly (dare I say it) if you are in a birthpool no one can interfere with you!  You are in your own space and are much more in control of what happens.

Most hospitals now have at least one birthing pool and if it is something that appeals to you I suggest you discuss it with your midwife and let the labour ward midwife know as soon as you arrive at the hospital.  For homebirths there is a considerable choice of birthpools available, for example rigid “bath” type pools that come with and without water heaters and inflatable pools.

Active birth:

Most midwives will agree that by being as active as possible you give yourself the best chance of having a normal birth.  In early labour listen to your body – if you can rest then do so, if you can eat then have something to eat and also make sure you drink plenty and pass urine frequently.  As the labour progresses keep changing position as your body directs; some women want to squat, be on all fours, pace around … most importantly change your position don’t just take to bed.  Being active and gravity will help you baby find its way through your pelvis and may well shorten your labour.

Antenatally it is helpful to prepare for the labour by undertaking gentle exercise, perhaps walking, swimming or yoga.  I wish you a lovely birth wherever you decide it should be!

Guest blog written by Naomi Edwards

Over the last few days I have been thinking about the saying Yummy Mummy and if there is really such a thing in the real world. There is also the impression that Yummy Mummies are rich or famous, spend their time lunching and shopping. There was also a recent article about women being educated on weight management throughout and after pregnancy

I truly believe in the first 1-3 months of pregnancy the term Yummy Mummy err…..probably not, I became best of friends with my toilet (very close) and my bed was my confidant and the television became my entertainment and my clock( as I only knew what time is was due to daytime scheduled programming). So slummy YES, yummy NO. I probably didn’t even brush my teeth for that whole time because brushing my teeth made me want to be sick. In fact every time I did brush my teeth without fail I was hugging my best friend the toilet.

Once I got to about 6 month pregnant I found that my skin became radiant and my hair started to grow, my partner started paying me and my neat like bump more attention, in fact everyone started paying more attention towards to me. I have always had a love for clothes and this didn’t really change throughout pregnancy. The first chance I got to get up and out and dress up my bump I did it and I loved it.  I’m no Victoria Beckham but just because I was pregnant I didn’t stop being me. BUT THEN……..

My daughter came, right at the end of December and I remember firework going off while I was lying in my hospital bed and thinking,” What the hell is that… hmm I wonder what’s going on”. Then it dawn on me it was New Year’s Eve and from that point on nothing was important anymore just my little girl, oh and my other half Hehehe!!!  From this point on certainly, NO Yummy Mummy.

I receive a 4th degree tear in labour, and I found it very difficult to breastfeed. I had not long moved to an area (Milton Keynes) where I had no family or friends and I ended up in a very low place in the first 9 months after having my daughter. So the feeling of happiness and contentment I had through the last 6 months of pregnancy went right out the window.

I put my weight on after birth also which was very difficult to deal with, but I reckon that was definitely down to the daily lethal combination of snickers and sprite.  I spent all my days indoors in my partner jogging bottoms.  After being in a very low place for about a year  I decided that I had to start taking control and I needed to feel like me again.(After a long tearful long distance chat with my mum). How did I do this?  I did this through clothes I realised I needed to find me again. I learnt how to dress my new body shape and through clothes my confidence returned slowly but surely.  I started with very small step like just wearing lip gloss, new earrings and doing my hair even if I wasn’t going to leave the house that day.

There is so much pressure nowadays for women to snap back into shape after birth but let’s face it, it is almost impossible to do this. When would we find the time to be down the gym everyday unless you had one built into your home and you did it at naptime, but if you were slogging it out in the gym who the hell would do the laundry or cook dinner.

I feel it is very important that mothers don’t forget about themselves, but it something which shouldn’t be rush into, we are all not Victoria Beckham or Myleene Klass but I do think we should take some sort of inspiration from them in that, you don’t have to forget about yourself and how you look just because you are a mother.

I wanted to share my experience with other women and out of that came Match U Style Consultancy, I run workshop for mothers so they can understand their body shapes and get to grips with what type of clothes are right for them and work with the lifestyle. I also do individual consultations which involve a style analysis, wardrobe weeding and personal shopping sessions.

I believe with all my heart that if you look good, you feel good even if it’s just that initial moment when you look in the mirror before leaving to go to work, to the supermarket or out for dinner. If you look good on the outside you feel good on the inside.

Naomi Edwards is a Style Consultant for new mum and women with children. She has also launched a personal gift shopping service and a small online gift shop. She will also be launching an Awareness site for women to talk about taboo issues around Pregnancy, Birth and Motherhood early next year.

To find out more about her visit her website at www.matchustyle.co.uk http://www.facebook.com/matchustyle

 

The payment of the Health in Pregnancy Grant (HiPG) to all expectant mothers will end in 2011. This is part of the Government’s wider measures to tackle the UK ‘s current financial deficit, announced by the Chancellor in his Budget speech of 22 June 2010.

“The Government believes the payment of a universal HiPG to be a poorly targeted use of limited public funds, and abolishing it will help in its most urgent task of reducing the UK ’s financial deficit in a fair way.”

The Health in Pregnancy Grant was introduced in April 2009 and was intended to provide support for the general health and well-being of women in the later stages of pregnancy and to help meet wider costs in the run-up to birth.  It is a one-off payment of £190, payable to all pregnant women after they reach the 25th week of pregnancy.  The Government is proposing to introduce shortly a Bill in Parliament that will end entitlement to HiPG for women who reach the 25th week of their confinement on or after 1 January 2011.

The abolition of HiPG will not affect women who are currently pregnant, nor those who will reach the 25th week of pregnancy before 1 January 2011. They can still qualify for HiPG payments if on reaching the 25th week of pregnancy and before the baby is born, however they must submit a claim within 31 days of their midwives issuing them a certified claim form confirming their expected date of confinement.

No two pregnancies are the same, so it is very important that you continue to look after yourself by eating and resting as much as you possibly can.  Remember this time you are also looking after your little one(s) too.  You may feel better or more tired this time around; and certainly having a toddler is hard work.  If your toddler sleeps then you should rest and not rush around doing housework!  If you are exhausted try asking a friend if they would have your toddler for a couple of hours so you can rest.  I can’t stress enough that you need to eat a good diet – ensure that you eat plenty of protein and iron rich foods.

You may notice that you “show” earlier second time around, this is because your tummy muscles have been stretched before and is quite normal.  You may also notice baby movements a little earlier because you know what you are looking for, but don’t worry if you don’t!

Some women say that they are anxious about labour second time around; if you had a difficult labour talk to your midwife about it – ask her what happened and why it happened and what are the chances of it happening again, however second births are usually much easier and shorter.  It is usual to be a bit anxious about labour – most women are, but remember you did it last time and you can do it again!

I think it is definitely worth attending childbirth classes if you can – I had four children and I went to classes each time – it gives you time to concentrate on this pregnancy and this new baby; and a birth plan is a great idea, second time around you are better prepared as you know what to expect, you know what you want and don’t want to happen so put it down into a birth plan and if you need advice speak to your midwife.

Successive reports have called for one-to-one care in labour as all outcomes are improved, for example women are more likely to have a normal birth if they receive one-to-one care.  However, to some women this means having the same midwife from booking, through the antenatal period, labour and birth and until postnatal discharge – this type of care may not be available in your area unless you employ an Independent Midwife www.independentmidwives.org.uk.

Consider having your baby at home, there are so many benefits, women usually have shorter and easier labours and this time you will be better able to read your body and can stay at home if you feel comfortable and relaxed and you won’t have to leave your first child whilst you are in hospital.  Staying upright and active will help with the contractions and also keep the baby in the best possible position for birth, but your body will tell you what you need to do; try to relax and have faith in the birthing process.

Women generally recover quicker second time around, this is partly because labour is usually quicker and easier – and also because being an experienced mother usually helps to establish feeding more quickly.

Unfortunately, the more babies you have, the stronger the after pains usually are – this is because your uterus is having to work harder to contract.  Ask for paracetamol which will help and is perfectly safe to take.

Remember that your other child(ren) will need extra love and reassurance – your new baby is much tougher than you think, try to involve the older sibling(s) in what you are doing and have patience – it is usual for children to regress a bit when they have a new baby in the house.  Accept any help that is offered and consider staying in your pyjamas for a few days – it shows that you are not at full strength.  I think women try too hard to be superwoman, just allow yourself some time to enjoy your new baby – they aren’t babies for long, although it sometimes feels like it when you are in the thick of it!

Another guest blog by Sarah:

Harlow Zen’s Birth Story

Harlow is my third baby having had Rohan 9 years previously and Nayt almost 8 years ago.  With Rohan I was induced at 10 days late, in hospital, with an epidural given as I was told he was back to back and it would be too painful, I ended up after 17 hours flat on my back, with a nasty tear and a pretty miserable painful experience to tell but a beautiful baby nonetheless.  I had Nayt 16 months later and keen to never set foot in a hospital again, we used 2 Independent Midwives and had an amazing natural home water birth, in less than 4 hours with no pain relief, no stitches and 23 days late! I was out and about within days, a completely different experience to my first. Both babies were reasonable sizes at 8lb 13oz and 9lb 2oz respectively.

With Harlow, because he was my husbands first and I was a bit rusty having had a good few years off baby making, we decided to use another Independent Midwife as the 1-2-1 care is like nothing else, and gives you the confidence that you will get the best birth outcome and overall experience possible, as they really get to know and understand you.  As my pregnancy progressed it was clear this baby was going to be on the large size, which I had kind of expected. I was advised to cut down on sugar but with a massive cake craving, this didn’t really happen, so I tried damage limitation by continuing to ride as long as I could and towards the end to swim daily and keep up with walking the dog.

I think my confidence in giving birth was knocked a bit towards the end because I had to have a series of late scans to check the placental position, as was slightly lying low at the 20 week scan. This showed up that at 34 weeks the baby was the size of a full term baby. I am reasonable at simple maths, and that added up to one BIG bubba!!

Because of this, I was told to expect an early baby. Unlike my other two pregnancies where I had no pre-labour signs whatsoever, I was starting to get runs of proper contractions about 3 weeks prior to my due date. I had so many signs in fact that I have decided there are no signs until the baby is literally crowning!! Along with contractions, I was nesting, had a show,  had a permanently bad tummy, babies head engaged….never happened to me before labour with the other two, bump shifted down….and then my due date came and went…and my bump un-engaged and shifted up!!!

On Tuesday 18th May after my husband Adam had taken the kids to school I started to get decent contractions. I really felt like today was the day. By midday they had gone, and annoyed I took my dog on a hill walk hoping to jolt the baby out with some gravity! Nothing! I was really sure that was it too, as my dog Phoebe had been all over protective, following me around and sleeping beside me wherever I went.

They started again around 11pm, but having sent our midwife numerous ‘I think its started’ texts over the last few weeks, decided to sleep on it.  At 1.55am Wednesday 19th May I woke up with a jolt as my waters literally burst all over the place. I managed eventually to wake my husband up who had fallen asleep on the sofa downstairs and after a massive clean up operation we called our midwife Valerie and she came out straight away.

The contractions had stopped but restarted around 3am and were roughly every 3 mins, reasonably painful (a 5-6) but not lasting too long. We all tried to get some sleep at 6am, but the contractions slowed down a lot.  By the time my kids woke up and we had agreed they could take the day off school, they were back to quite painful and we all thought finally ‘this is it!’. By about 9.30am I got into the birth pool my husband had busied himself filling and my labour ground to a halt and slowed down. My parents came and took the kids out for lunch as it was my Dads birthday, and gave me a bit of space and peace. At 1pm-ish we asked Valerie to examine me and I was disappointed to find I was barely dilated, and all that pain and hard work had merely helped Harlow to get into a better position.  Valerie left for home and me and Adam went for a walk, had some lunch and then at 5.20pm decided to get some sleep.  My kids were sent off to their rooms to watch a film.

At this point I was feeling despondent and was sure my pain threshold was rubbish. I started soon after to get contractions every 8-9 mins, lasting almost 2 mins and they were really painful. The peaks seemed to last for 40 seconds before subsiding. By almost 7pm I was crying and convinced I was still about 3 cm dilated.  I got very emotional and was convinced I would end up in hospital with a c-section. Adam was amazing and really supported me. He suggested we call Valerie, who had just text me. She came out with the entonox and as soon as she arrived I was getting the urge to push. I was on all fours and could not move into any other position…how I got downstairs I have no idea!!!

I managed to get downstairs and Adam re-filled the pool which we had drained down partially earlier.  I got in, and contractions were very close, strong and the peak lasted ages. Adam was great and helped me get the gas and air when I needed it, and provided emotional support as well as an arm for me to dig my nails in (sorry Adam!!), and Valerie helped me to get past the panicky ‘I cant do this’ with encouragement that I could really trust in.  At 8.20pm I could feel Harlow move down and he was born in the birth pool at 8.40pm. Valerie had called my kids down and they both watched their little brothers entrance into the world.

Harlow was born behind me, so with some jigging I was able to climb over my cord and hold him.  He cried a little and had a feed quite soon afterwards.  He was covered in vernix and his skin felt so soft.  He looked just like 3d scan picture and apparently my first words were ‘Hello Harlow’.  Adam cut the cord after it stopped pulsating and Valerie tied the cord with a cord tie I made specially for the event, and as I delivered the placenta naturally an hour later, Adam, and the kids had all taken turns to hold Harlow and make their introductions. It was the most special sight ever and something they will never forget, nor will I.

At 10.30pm we sent the kids to bed, and after a glass of champagne with Valerie; myself, Adam and Harlow settled down for our first night together. Perfect.

We were all a bit shocked that Harlow tipped the scales at 10lb 6oz, and I got away with a tiny tear and a graze and no stitches!! It was a more painful labour than Nayts birth, and the longest overall labour, but an amazing experience that 5 days after the event makes me ask ‘when can I do it again’???.

This is a guest blog written by one of my clients, Donna, who has recently given birth to twins.

I’m Donna and I am mother to two year old Grace and 9 week old fraternal twin girls Olivia and Faith.

My husband Paul and I are absolutely thrilled with our new arrivals and that we have two healthy girls.  We are extremely proud parents.  I feel particularly proud that I was able to have them successfully at home and have the birth I wanted.  We always remind ourselves how privileged we are to be blessed with twins as it is one of the hardest jobs either of us have experienced as well as being one of the most rewarding.

Before they arrived I often wondered how we were going to cope with a two year old and newborn twins.  Let me tell you, you just do!  Having said that, as each day goes by, we do find ways to make our lives easier and get into a routine that we are all happy with.

Here are a few of my tips on making day to day life easier with twins:-

1.  Accept that you will need help.  Don’t be proud or try to be super mum.  You will be extremely busy and there is just not enough of you to go around when you have multiples.  I am fortunate that my husband has his own business and works from home so he can help out from time to time however, the majority of men will need to go back to work and that is when you will need to have help.  Call on friends and relatives.  Work out what needs doing and allocate tasks to people.  It may be household chores, getting the shopping (although I do recommend you use online home delivery) or helping with older siblings if you have them. My parents live close by and are great with our two year old plus we have some fantastic friends that we can call upon.  At the end of each day, your house will resemble a jumble sale but my advice is to accept you will be busy and let the less important things go.

2.  If you do have older siblings, we found it beneficial to maintain a routine.  Your first born has always had all the attention from you, friends and family and then suddenly that changes when new babies come into the home.   This is where the help of others really comes in.  So that I could focus on Olivia and Faith, my friends and family focused on Grace.

Before we had the twins, Grace would stay with her grandparents every other weekend.  We have kept this up and she has such a good time.  She has the full attention of my parents and they make a real fuss of her.

When anyone comes to visit, they will always acknowledge Grace first and the twins second.  They would also bring a little gift or card for Grace so as she didn’t feel left out with the twins getting all of the presents. We brought Grace a play house from us and the twins when they were born, she was over the moon with that.

Nursery has been a God send for us.  Grace goes 5 mornings a week and she really enjoys it.  She plays with her friends and again gets all of the attention whilst I spend some alone time with Olivia and Faith.

Paul and I now have to share our time with three children but we make sure that one of us baths Grace every night, cuddles up on the sofa to watch her favourite tv programme and reads her a story before bed.  Paul will also take her to the park most afternoons when work permits.  This was all part of her routine before the twins came along and with some slight adjustments, we have been able to keep it.

We encourage Grace to help out with the twins and play the big sister role.  She fetches me nappies when I need them and helps me to dress them in the morning.  This way, she doesn’t resent them being around.

3.  Plan your week.  To avoid never going out of the house, plan small trips out either to the shops or to visit a friend. Life doesn’t have to end because you have twins.  There are some great support groups you can go to where you can meet other mums of multiples and also take other siblings along. Take up any offers to baby sit so as you can do one thing for yourself.  Mine is swimming.  My mum looks after the twins for a couple of hours in the morning twice a week so as I can go swimming.  It really keeps me sane!

4.  You don’t need to buy two of everything or spend a fortune on items designed for twins.  Things such as moses baskets and cots, they can share.  Co bedding can be very settling for your twins as they have been together for nine months.  Having said that, ours did not like being together in the same moses basket so we did have to get two.  They now share a cot though and are very content and happy and sleep through the night – most of the time.

5.  Your home will be chaos by the end of the day.  I just don’t have the time or energy to do all of the housework.  We decided to get a cleaner who comes once a week for two hours.  I recommend you look for a small independent cleaner rather than an agency.  An agency will tend to start from around £20 an hour whereas an independent cleaner will charge around £8 to £9 per hour.  I know it seems like more expensive but believe me, it will be money worth spending.

6.  Trying to find the time to cook and sit down and eat together is extremely challenging.  I found pre cooking and freezing some simple meals gives you that extra time to eat together when the babies are sleeping.  Just defrost and reheat.

7.  If you are feeding one baby in the middle of the night and the second baby wakes up, I found the use of a dummy beneficial.  I’m not a big fan of dummies but it really helps to keep the other twin calm until you are finished and can move on to feed the next.  I found that most of the time Olivia and Faith don’t want feeding at the same time but it does happen occasionally.

8.  Don’t worry if you can’t always settle your babies.  If they are fed, clean, winded and well, sometimes a baby just has to cry.  They will settle themselves eventually.

9.  Finally, don’t be hard on yourself.  You may want to do everything by the book particularly if you are a first time mum, but with multiples you really need to do what is best for you and your babies.  Just remember if you are content and happy then your babies will be too. An example of this was when my 2 year old Grace had an accident and needed to go to A&E.  Paul took her with a neighbour and I stayed with the twins.  The whole time the twins would not settle until Grace was home and I knew she was ok.  The twins could sense I was anxious and responded to that.

Having twins is such a special thing but nothing and nobody can prepare you for how it will change your life.  For more information on twin or multiple births visit www.tamba.org.uk

Donna has also set up a website which offers information about homebirth; she offers a free ebook at www.happyhomebirth.com

This is a guest blog, written by one of my clients.

My name is Donna and I am a mother of three.  Two year old Grace and nine week old fraternal twin girls Olivia and Faith.

My husband Paul and I had always agreed that we didn’t want a big age gap between our children so when Grace was one year old, we decided to begin trying for baby number two.  I fell pregnant fairly quickly but unfortunately suffered a miscarriage at 5 weeks which was very upsetting.  After a few weeks we were ready to try again and as before, I fell pregnant within a couple of months.

I was very anxious during the first few weeks hoping that this time I would hold onto the baby.  At 12 weeks it was time for the scan.  I was feeling quite relaxed as the pregnancy was going well and I was feeling extremely sick which I thought was a good sign.

The last thing on my mind was the fact that I could be carrying twins.  When the ultrasonographer casually told us ‘oh, you have two in there’, we knew that our lives were going to change forever.  I didn’t know whether to laugh or cry – so I did both!  Everyone in the room was so excited for us but my husband and I were just stunned.  His face was a picture.  They told me that the reason why I had felt so sick was due to the additional hormone racing round my body. They also told us that the twins were fraternal and each had their own placenta and were in their own sac which is the safest type of twin pregnancy.

The first feeling I had once I had calmed down was that of being pregnant for the first time.  My pregnancy suddenly went from having a singleton baby and feeling confident that I had done this before so it will be ok, to all the anxieties of a first time pregnancy.

I knew that I had to do my research so as I could make some informed decisions about my pregnancy and birth.  When I told the ultrasonographer that I was planning a home birth, her reaction was ‘oh, you won’t be able to do that with twins’.  I had a fantastic pregnancy with Grace and had her at home in a birthing pool.  The thought of having to follow a medical route and have my babies in hospital filled me with dread.

As with my first pregnancy, I chose to take on an independent midwife.  This was my preference as I knew I would be less likely to end up with a hospital birth.  I made sure I looked after myself by eating well, getting plenty of rest (as much as Grace would allow me!) and exercised regularly.  I found swimming was great for keeping me fit and taking the weight off my bump.  I had regular scans to check on the twins’ development and position.  Throughout the pregnancy, Olivia (first born) remained head down and Faith was breech.  I knew that this wasn’t ideal but also knew after doing some research that as long as Olivia remained head down and although a little more risky, I could still safely deliver Faith as breech.  At 38 weeks I went for my final scan and to my surprise, Faith had done a full turn and was now head down along with Olivia.  The perfect combination for birth.

We had put together a birth plan that covered every eventuality if I needed to be transferred to hospital at any stage.  Two days after my last scan; my waters broke at 9.30pm when I was lying in bed.  I felt a pop and then a head drop down.  I walked into the bathroom and called downstairs for Paul saying ‘I think my waters have broken!’  He chased upstairs and I told him to call the midwife.  My contractions started almost immediately after my waters broke.  I spoke to my midwife and she told me to go back to bed as things may not start to happen until the morning and I would need my rest.  Olivia was not going to wait until morning.  I came downstairs and stood in the bathroom leaning over the toilet with my contractions coming fast and furious.  I tried the TENS machine but that didn’t really work for me.  Paul was in the dining room putting together the birthing pool which I got into as soon as it was ready.  The relief was immense.  I had heard that water was the most effective pain relief next to an epidural – I can well believe that.

I had four midwives looking after me and the babies and they all arrived at my house in time.  It was all happening so quickly and Olivia was born in the pool at 11.55pm.  She shot out and I heard her crying straight away.  I stood up and held my baby; I was elated and also amazed that my babies would have their own birthdays.  One of my midwives held my stomach to make sure that Faith fell and engaged in the right position.  We knew she was head down so we needed to make sure she stayed that way.  We decided to wait for my labour to progress naturally however, it slowed down.  I got out of the pool to walk around and see if I could get it started again.  Four hours passed and a decision was made to break the waters around Faith as the midwife discovered they were still intact.  As soon as the waters were broken, Faith was born on the sofa, again extremely quickly.

She cried straight away and the midwife placed her on me so as I could give her a cuddle and have skin to skin contact.  Another of the midwives was looking after Olivia.  Both my babies were born healthy and I couldn’t have been happier than I was just then.

The down side was that I now had to deliver the placentae.  I was so tired but knew I had to keep going.  One of my midwives helped to keep me relaxed with hypnobirthing techniques and control my breathing.  The placentae had fused together and were not budging.  With a combination of experience from my midwives and a hot towel placed across my stomach, the placenta moved and came away.  If it hadn’t been for the determination and skill of the team of midwives, I think I would have ended up in hospital with a retained placenta and that would have been disappointing after going through the entire birth at home.

So all was well.  I was in good health and although extremely tired, felt elated and proud that I had accomplished the birth I wanted.  My husband Paul was fantastic during and after the birth and I couldn’t have asked for a more supportive birthing partner.

A home birth is not for everyone and if there had been a health issue with either myself or my babies, I would have chosen hospital care.

I wanted to share my story so as other women can see that you do have choices during pregnancy even when you are having twins and you can make decisions that are right for you.  For more information about twin and multiple pregnancies visit www.tamba.org.uk

Donna has also set up a website which offers information about homebirth; she offers a free ebook at www.happyhomebirth.com

A miscarriage is obviously hugely upsetting and often traumatic, but a recent study has suggested that the chance of conceiving may be reduced if couple’s don’t wait before “trying” again.

According to a recent British study, women who conceive within six months of a miscarriage have the best chance of a healthy pregnancy with the lowest likelihood of another miscarriage.

Previous guidance had been that women should wait at least three months before trying again for a baby; although in practice many health professionals ignored this guidance, and encouraged couples to try when they felt ready.

The study, published online in the British Medical Journal, states: ‘Women who conceive within six months of an initial miscarriage have the best reproductive outcomes and lowest complication rates in a subsequent pregnancy.’

After the recent emergency budget the Government has been accused of hampering efforts to employ more midwives after it unveiled a two-year pay freeze for workers in the public sector.  www.nursingtimes.net/nursing-practice-clinical-research/clinical-subjects/midwifery/pay-freeze-could-hit-midwife-efforts-says-rcm/5016301.article

The National Childbirth Trust (NCT) this week expressed concern that parents trying to raise a family will bear the brunt of the cuts – http://bit.ly/cc81Zy.  Cuts planned include:

  • child benefit will be frozen for three years
  • a cut in child tax credit for those on combined income of over £40,000
  • health in pregnancy grant (£190) abolished
  • Sure Start grant restricted to only the first-born child
  • Lone parents to look for work when youngest child goes to school.

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