Book Review- Reclaiming Childbirth as a Rite of Passage

Author: Rachel Reed
Publisher: Word Witch, 2021
Reviewers: Joanne Simpson and Tamsin Kreymborg

This is a great book on supporting natural childbirth physiology, and the Herstory of childbirth and midwifery. Rachel Reed gives a wide history about how birthing has changed over the centuries, with the role that midwives have today versus centuries ago and the changes that “advances” in medicine have had on births. One of the key messages is about trusting mothers’ innate wisdom and natural mothering, and women supporting women. While it promotes physiological birth as the best way to support the physical, hormonal and emotional changes that happen during birth, it also makes sure to point out ways in which physiology can be supported even when a natural birth is out of the equation. 

In her book, Rachel Reed takes you through the stages of labour and how a woman can be more connected to the physiology of birth. She explains the benefits of mother-baby bonding straight after birth and how this helps with hormone release for breastfeeding to start. She also discusses how caregivers and family can offer rites of protection to help each stage of labour. Reclaiming Childbirth reinforces the La Leche League philosophy:  “Alert, active participation by the mother in childbirth is a help in getting breastfeeding off to a good start.”

The book is easy to read, with a mixture of short personal stories to illustrate the points. The reference section includes a mixture of books, scientific journals, WHO references and the author’s previous works. It is helpful for expecting mothers, midwives, doulas, obstetricians and other birth workers. The content is fabulous in preparing to have an active role in a birth and for a mother to start trusting her instincts in labour, although there isn’t any in-depth follow-on about breastfeeding.

One of the reviewers found it a particularly enjoyable read during her pregnancy: “It has opened my eyes to more possibilities during birth and to claim it as my own experience that I can control. I found the history (or herstory as Rachel Reed refers to it) of childbirth fascinating and slightly saddening that women have had some of the rites of passage into motherhood removed from them over the centuries, but also how we can ensure that no matter what setting or choices that the mother makes, this rite of passage can still be honoured.”

This book is recommended for group libraries.

Compiled by Katie Fourie, BRC 2021.

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Book Review- Safe Infant Sleep: Expert Answers to Your Co-sleeping Questions

Author: James J McKenna
Publisher: Platypus Media, USA, 2020
Reviewers: Sarah Hudson & Katie Fourie

Sharing a sleep surface with your baby is, and has been, the biologically normal way for babies to sleep. In this book, Dr James McKenna introduces the term ‘breastsleeping’ and puts together decades of research on parent-infant sleep. With a background in biological anthropology Dr McKenna explains the biological basis for human infants to need to be in constant physical proximity with a carer and how this conflicts with the values of Westernised societies which has historically promoted independence at all costs. He shares his observations of the impact of cultural ideology on public health messaging and highlights the issues around the interpretation of the research. While acknowledging that “no sleeping arrangement guarantees full protection” McKenna reassures new parents that elective bedsharing (as opposed to unplanned or ‘chaotic’ as he puts it) is the safest form of bedsharing. McKenna also notes that regardless of how an infant is fed, whether breastfed, mixed fed or formula fed, parents and infants benefit emotionally, physically, and psychologically from remaining in close proximity throughout the day and night.

The book is broken into short chapters some of which, e.g. when explaining very specific research technicalities, can be a little heavy going at times. It is written in a conversational tone with his own experience of navigating this area as a parent trying to reconcile his academic knowledge, his intuition as a parent, and the conflicting messages he received from health professionals along the way. He includes a series of schematics and diagrams that make seemingly abstract concepts easy to understand. The book is well-referenced and there is a section full of resources and further reading for those who are interested in learning more. There is also an appendix of anti-bedsharing campaign posters which were absolutely heart-breaking to look at.

Safe Infant Sleep is a must read for all parents and anyone working with families with young children. It contains essential information that will help to counter the multitude of sleep books that lead new parents to doubt their intuition. It aligns well with the La Leche League philosophies and indeed, provides a scientific basis for parental behaviour promoting breastfeeding and loving parenting during the night as well as the day. We highly recommend this book for group libraries.

Compiled by Katie Fourie, BRC 2021.

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Nau mai, Haere mai, Welcome to our new look Aroha Blog!

Aroha has been a successful member only publication for 24 years. It has moved through the times as a printed, and then digital magazine, always adapting to our readers needs. The content of the magazine has resonated with members and built a community of readers who have relished in sharing in others breastfeeding and parenting journeys.  

We have decided to move to a more accessible format for everyone to benefit from the amazing content! Our Aroha blog will cover a range of topics including pregnancy, parenting teens and everything in between, such as birth, breastfeeding and gentle parenting. Aroha is such a unique publication as it is written for New Zealand Breastfeeding families, which makes it relevant and relatable.

Parenting can sometimes feel hard and lonely; Aroha has provided a village and like-minded community to many families over the years, and we would love to extend the village to you.

We will have regular posts with all different contributions such as editorials, birth stories, La Leche League news, new breastfeeding and parenting research as well as book reviews.  If you have something to contribute we would love to hear from you! You can reach as at aroha@lalecheleague.org.nz 

We hope to see you here often, we would love for you to become part of our community and trust you find something here that you connect with on your breastfeeding journey.

Always with LLLove,

Hayley x

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Keeping Baby Close at Birth

  • Post category:Pregnancy
  • Reading time:4 mins read

“Because of health problems developing late in my pregnancy, I must be in hospital for the birth. I’ve read that having my baby as close as possible (skin to skin) at all times is the best way to breastfeeding success but I’m not confident I can do this in a hospital ward. How have other mothers managed to keep their babies close when staying in hospital?”

Responses

Robyn Watkins, Pukekohe – Owing to my recent work with the local maternity hospital – Middlemore – I can tell you that if the hospital you plan to give birth in is accredited under the Baby Friendly Hospital Initiative skin to skin contact between the mother and her baby is always offered and encouraged. At Middlemore it is done as soon as possible after birth and for at least an hour if there are no health concerns. Middlemore also will initiate skin to skin whenever a baby is unsettled or temperature is unstable. Skin to skin contact often leads to baby lead latching.. There are health board pamphlets available and I am sure if this mum talks to her L.M.C and makes it clear she would like this to happen ASAP it will be seen through. Middlemore even encourages and provides for skin to skin contact in theatre after caesarean births and staff will often transport mums in beds from delivery up to the ward with the baby still skin to skin with mum. Lovely to see.


Claire Hargest Slade, Timaru – I think you will be pleasantly surprised at how keen they are for you to have skin to skin contact with your baby. Make sure you write it into your birth plan with who ever will be caring for you. Many mothers have extended periods of skin to skin contact way past the first few hours after birth. There is great evidence to support this practice. Babies are less likely to experience hypoglycaemia and hyperthermia and have lower levels of stress hormones while in direct skin to skin contact with their mothers. They use fewer calories because they are using less energy to maintain their temperature. Midwives all know this, so skin to skin contact will really be at your discretion unless there is a medical reason that it can’t be so. Be assertive about having your intention documented in your notes, and you may well be surprised how well supported skin to skin really is.


Janine Pinkham, Kaiapoi – For mothers concerned about keeping babies close New Zealand is probably the best place in the world to give birth in a hospital setting. Just about all maternity units in New Zealand are now accredited as Baby Friendly. This means that they adhere to the Ten Steps to Successful Breastfeeding. Two of these steps relate to mother and baby togetherness. Step 4 calls for babies (if well) to be placed in skin to skin contact at the time of birth for at least an hour and encourages ongoing skin to skin contact. Step 7 requires “rooming in” where mothers and babies stay together 24 hours a day, just like when you get home. Some facilities even have clip on cots so that babies never need to be more than an arm’s reach away from mum and most facilities encourage mothers to bring their babies into bed with them as long as this is done safely. These and other assistance that supports breastfeeding will help you get to know your baby and get breastfeeing off to a good start.


Lisa, Hibiscus Coast – I had both my babies in hospital, the first in Wellington 19 years ago and the second Tauranga 8 years ago. Both stayed with me skin to skin for at least the first hour and then after being weighed. I was very happy with the way both labours and births went. They were both vaginal births without any interventions. The midwife and my husband knew what my wishes were and supported them.  I can’t see why you wouldn’t be able to keep your baby with you at all times in hospital too.
Best wishes for an uncomplicated birth.

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Is Our Family Complete?

  • Post category:Pregnancy
  • Reading time:5 mins read

“I’m wondering how other mums ‘knew’ when their families were complete. We have two beautiful children. My husband says he’s perfectly content as a family of four (we fit our house, our vehicle, our budget), and I honestly felt the same way until our youngest turned two. I now have this yearning for another baby – made worse when I am with friends who have young babies. Will this pass? Everything else in our life feels just right as it is; I am so confused by the strength of my feelings.”

Responses

Justine Merrylees, Christchurch – I have had those same feelings.  We also have two children and I had very strong feelings about wanting another child.  My husband said the same things, that he was happy with two and was too “old” to cope with another child.  I ended up focusing on what I had but also acknowledging that it would have been nice to have another child.  I realised that our family had the whole future ahead and that as our little boy turns four we have a lot of wonderful adventures to look forward to.  I think it helped changing my mindset about feeling positive about who our kids were and who they were growing into.


Adith Stoneman, Kelston Auckland – I have now tried four times to write anything that could be of any help and the truth is I cannot, why not?  Deciding on when the family is complete is a unique decision for any of us. What is right for one mother, father, family is simply not so for another.

We are pulled by different emotions, be them financial, global concerns, our own childhood memories.  I would encourage you to accept these “yearnings”, they may simply never leave you.  Babies are just so precious, so wonderful, so loving.  Hence why mothers love it when they become grandmothers and that whole love cycle starts all over again.


Anthea Brown, New Plymouth – The same thing happened to us.  My husband was adamant he was done, my body and hormones were suddenly telling me I wasn’t.  It was ridiculous how hormonal I was, how upsetting I found other people being pregnant.  I spent two years trying to logic my way past it – unsuccessfully – and with significant emotional distance occurring in our marriage due to this issue.  I am not someone who usually had feelings like this but I literally felt like a presence was waiting to join us.

Luckily, in the end, our number three became sick of waiting, saw his chance and boom, four years after number two we were pregnant again.  Hubby got his head around the idea in just a few days and our third child has been a fabulous addition to our family.  And now I do feel done – luckily!

So my reply is that yes, in my experience you do know when you are done.   If it’s just a temporary ‘cluck’ it seems to pass in about six to nine months or so.  If the need for a baby is sticking round after that then certainly it’s worth thinking deeply on what it is you are looking for to ensure it is another baby you are aching for, just to check it can’t be met with another kind of ‘baby’ – new job, study, etc… or through in-home childcare or fostering.

But when it is a baby that is needed and a difference in opinion exists on having more babies, don’t try to just cope. I wish we had attended counselling, or even just me, as a decision has to be made – it’s not really something you can compromise on and letting it drift on does damage to your relationship.   Hugs to you both as you negotiate this hurdle in your relationship, I have every confidence though, that you will find the best solution for your family in the end.


Lorraine Taylor, Wellington – We had very similar situation. Two children made sense to us too, but I didn’t feel ‘finished’, and hubby did.  We went on to have twins, and after that we felt very finished!!  Keep talking to each other – it’s a very personal thing and our emotions about it surprise us sometimes.  After the twins I felt sure enough to make a permanent decision about my fertility, but I still have those clucky feelings and they take you by surprise sometimes!


Jeannie McNaughton, Papamoa – Every baby is a blessing. You have two blessings. I don’t think we can ever “know” when our family is complete.  So many things are not in our conscience hands. My advice is to talk to your husband, and regardless of your joint decision whether to try for another baby or not, always remain open to the life that can bless you regardless of your conscious decision.

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