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How bad IS induction of labour?...

So one question which always lingers in people's minds is how to use HypnoBirthing techniques if they are induced - won't it all go out of the window? Well, the answer is no, it won't. I want to reassure you that the process of induction isn't an evil thing to be dreaded, and you have everything you need to make it a positive experience with HypnoBirthing. You can read about two positive births following Induction here - just look for the stories of baby Flora and also Tabitha.

So induction can be suggested to you for various reasons, sometimes because you are considered to be 'post dates', sometimes due to clinical indications that you or baby would be safer if baby was born sooner than later. This is not a post to merit the pro's and con's of why induction is called for (that's a whole post on it's own!)- but about the process itself. The below outline is on the assumption that you and baby are in no clinical compromise, and it's important to remember that each woman is individual and will therefore be treated accordingly. This is really a guideline for how it works if you are induced for being 'overdue' or there is no clinical urgency to birth your baby. It's really important to know that Midwives are aiming to do everything they can to help your body take over and go into labour with a nudge, they will be encouraging you to do everything possible to help along the way.

Calm Births Hypnobirthing Berkshire

Once you are in your due time (and remember, there is a FIVE week window in which you are considered 'term' - from 37 to 42 weeks) your Midwife might offer you the option of having a Stretch & Sweep (awful name, I know) sometimes referred to as a 'Membrane Sweep'. This is a vaginal examination where the Midwife will locate your cervix and attempt to rotate her finger into the OS - this is hoped to trigger the cervix into releasing prostaglandins, which will encourage your body into labour. This process can be uncomfortable as the cervix can be quite far back, it can cause some uterine tightenings afterwards too. Studies have shown that it can help avoid any further means of induction, and that there is no increased risk of infection to the woman. Personally, I would weigh up how you feel about vaginal examinations - if they feel you with horror and anxiety then it might just be counter productive for you. If you don't really mind and are actually really keen (by 41 weeks for example) to go into labour, then discuss it with your Midwife. This is only offered as an option, it's not something you have to have. Don't forget to eat your dates at this point too - read about that here.

Different NHS trusts have different policies on induction, and so I won't go into specifics of what happens but try to paint a general picture. If it is agreed that induction is the best course of action for you, and you both understand why it is needed and are happy about it, then the ball will start rolling with your admittance to a labour ward. The first thing to happen will be an insertion of a pessary into the vagina which contains prostaglandins, which will help to ripen the cervix. This is a bit like a tampon usually, and is left inside the vagina for 24 hours - you will usually need to stay in the hospital, and the Midwives will encourage you to go for a walk, and to stay active to let gravity help you. This method is often all that is needed to give your body a kick start into going into labour, and then your body takes over and does what it's supposed to do to birth your baby.

If, after 24 hours, surges haven't started or become regular, then you will be examined again to see what is happening. Trusts vary on this, but some will give you a further 12 hours to let nature take over and others will want to intervene straight away. The next stage is usually for the Midwives to attempt to break the membrane seal, or 'break your waters'. This is another vaginal examination but is painless, it's really just popping a balloon with a plastic hook - it doesn't touch your skin or hurt you, it's usually quite a feeling of relief as the fluid releases.

Calm Births Hypnobirthing Berkshire

This is then enough for some people's bodies to take over and go into labour, and varying amounts of time are then allowed for a woman's body to do it's thing. If, after the allotted time, labour still hasn't begun then the Syntocinon drip will be introduced. This is begun on a teensy amount, and gradually and slowly increased if it's needed to in order to encourage your uterus to begin tightening. Now, it is begun slowly, but as your body is being 'put' into labour at that point, you don't have quite the same amount of endorphin build up as if you had begun to labour naturally, and so pain relief is usually offered to you. If you need it, use it - there are no points awarded to someone for needing pain relief and refusing it!! This is the time when you need to remember all of your HypoBirthing techniques to help you to build your own endorphins, plug yourself in to your Relaxation audio, use your visualisations and light touch massage - birth partners need to pull it all out of the bag at this point!  

The key is to remain open minded and positive, just go with the flow at each stage, and embrace each stage as one nearer meeting your baby. Focus on the end goal of holding your baby in your arms, and their gaze meeting yours for the first time. You have all the breathing techniques and relaxation techniques that you need to make this a wonderful, positive birth so enjoy it!! xx 

 

 

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Ask the Midwife

It is a sad but true fact, that in many NHS Trusts throughout England, maternity services are unable to offer women the continuity of care they need and deserve due to lack of staff and funding. I'm pretty sure I can speak for all Midwives when I say this hurts them as much as it hurts you, as they all know and understand the benefits of continuity of care, but for reasons beyond their control, are unable to offer it. I say this as a former Midwife, who loved nothing more than the picturesque ideal of 'Call the Midwife' where we could build a close relationship with the women in our care, and be with them at the births of their babies understanding their worries, needs and wants.  What happens now, in most areas (although there are a lucky few areas who have amazing community teams who can actually offer the ideal) is that women see a different Midwife at each antenatal appointment, and yet another one (or more) at the birth of their baby. 

Calm Births Hypnobirthing Berkshire

This could very easily turn into an essay on how damaging that is for a Woman's experience of birth, but I am not here to slate our NHS - our Midwives, support staff and Gynae staff do amazing jobs under really shit conditions.

There is a problem for our women though, in that due to that lack of a close relationship or easy access to a Midwife, many women are sitting at home fretting about what they deem to be 'silly' questions about their pregnancies. There are dedicated phone lines in the maternity units, but women often feel daunted by calling them as the lines are busy, or they feel that their question is too small. This can really ruin a woman's experience of pregnancy, particularly for those who are anxious. 

Something I have discovered recently though is the most amazing tool for women designed by Midwife Hannah Harvey. Her very clever app: 'Ask the Midwife' is designed to combat this - it is a tool for women to ask any question they need to about pregnancy to an actual Midwife and get a very quick and evidence based response. I had a chat with Hannah recently and this is what she said:

Can you describe the Ask the Midwife App to me Hannah?

"Ask The Midwife is the UK’s first health advice app designed and run be registered midwives for women and their families. You can download the app, ask any questions you have about pregnancy, birth and beyond and get a fast, professional and friendly response from a registered midwife."

Can you tell us a bit about you and how you came to do this?

"I have been a Midwife for 5 years, and have always had an interest in digital health and how it can benefit women and families. A study showed that 84% of women use the internet for health advice in pregnancy, and most of the time this isn’t from credible sources. I wanted to create a solution that would mean everyone had access to professional advice online, to dissuade people from using Google and parenting forums as a source of information. In my local trust I developed Facebook groups and a Twitter page to improve maternity user experience in our NHS Trust, and won an innovation award for it in 2014. Following on from that, I wanted to be able to offer digital health services to users across the whole of the UK, and hopefully internationally at some point as well. This is how Ask The Midwife was born!"

Why do you think this App is needed right now?

"We live in a time now where everyone has smart phones, and people use social media and digital services like apps and web sites all the time. Digital Health is a brand new phenomenon, but one that is taking off at a drastic rate, because it is fast, easily accessible and credible. We have already been able to offer reassurance and guidance to so many expectant parents, and it is becoming evident how much a service like this is needed, by how quickly the app has taken off and how many people are using it."

Is any question too small or silly?

"No question is too small or silly for us. We actually get lots of questions that I have never been asked as a Midwife in clinical practice, which suggests to me that there are questions that women feel are too silly/small to ask face to face, so it is really great to see them being asked via the app. It means we are providing a service that is really needed, and people are able to get their anxieties and worries out to a professional and have the reassurance they need. If you think your question is silly, it isn’t. We will always be at the other end of the app waiting to answer any questions you have, bog or small."
 

How can people get the App, and what will they pay for it?

"The app is free to download on iOS. We are planning to launch Ask The Midwife on Android and on our website in 2017. Once you have downloaded, you get one free question and then after that you can pay anything from £1.99 for an Ask - up to £24.99 for one months unlimited use."
 

You can find out more at the Ask The Midwife website - and take advantage of the January sale, with unlimited access for £17! 

 

 

 

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Why can't I just teach myself HypnoBirthing at home?

This seems to be a question I am hearing or reading more and more. And it's a fair question, and I respect that it's always good to challenge things - so I thought I would try to answer it as well as I can from my perspective as a HypnoBirthing Practitioner and experienced Midwife.

It is possible in this wonderful age of technology now to buy and listen to the course CD, download lots of birthing affirmations and watch lots of positive HypnoBirths on YouTube. So what else do you need right? Surely if you're doing all of these things then you've got it covered?

Well, yes - there will be some women for whom this is enough. But in all honesty, these women are pretty few and far between (and please comment if you are one such lucky lady!)

So what else are you getting from a course that you can't teach yourself? And why should you shell out all that money?

Well, the first, and to my mind the most important, thing is the support. Firstly the support for you as the woman who will be birthing the baby; it is so important to have the positive reinforcement of why HypnoBirthing works and how. The course practitioners are of varying backgrounds, but most (if not all) have birthed their own babies and many are Midwives or Doulas who have been with many women at the births of their babies. These practitioners are all passionate about one thing: HypnoBirthing. They all exude such confidence and passion on the subject that it is contagious. It is quite frankly impossible to attend the sessions and not to feel empowered, informed and supported in your personal journey. They won't just meet you in class and that be it, most will be available to you by phone or email before, during and after the birth of your baby to offer support and advice. That is something that you just can't get that from a CD or a book!! 

That support is equally important for your birth partner. The course is designed to teach the birth partner to understand exactly how important their role is (and man, is it important!) - and exactly what it is they can do for you during your pregnancy and birth to really help and support you. This cannot be overemphasised - you and your birth partner are a team, and you need to learn and be treated as such.

The practical elements of the course are very difficult to learn by reading or watching clips. I see many questions from women who are self-teaching asking forums if they are doing the breathing correctly, how perineal massage works and so on. In the classes we lead you into many wonderful relaxations to guide you in how it should be, including the fantastic Fear Release script which is very powerful and cannot be self taught. The light touch massage is another very powerful tool for the birth partner to use, we demonstrate this in class so that they really get it (and Mum gets a lovely treat as we practice on her!)

The cost is a common question - and again a fair one. However these classes are not just a few hours in a classroom with some lady talking about breathing. Your teacher will invest in you and your story, in your pregnancy and your birth. She will be there for you, tailor her care to you and become a part of your journey. It isn't really the 'cost' of the course, it's an investment in your life.

So, I hope that I've summed it up ok. I genuinely feel that my couples leave my classes floating on a cloud of relaxation and empowerment, and this gives them the tools to go ahead and have the wonderful HypnoBirth that they are capable of. And I just don't think you can read that in a book..

 

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A beautiful HypnoBirth™ from New Zealand!

Wow. Just wow.

This, my lovelies, is why HypnoBirthing is so amazing. If you're pregnant and even remotely anxious about birth - perhaps you've heard horror stories, or perhaps you've had a bad experience with your own previous birth - then please, I implore you, grab yourself a (decaff!) cuppa and watch this clip. 

It shows the birth of Oliver, born to Mummy Claire in New Zealand who used no pain relief other than the water and breathes him out calmly, gently and serenely. THIS is what HypnoBirthing is all about, and THIS is why you should do the course. 

If you live in Berkshire or Hampshire then please call or email for more information, I want to help YOU achieve this birth.

So grab some tissues, sit back, relax and enjoy xx

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