Category Archives: My teaching

Birthing from Within Birth Preparation Weekend

bfw prenatal classes

 

 

Saturday 18th and Sunday 19th April 2015  In Glastonbury

I am so pleased to be once again running this popular workshop in Glastonbury with my partner Jady Mountjoy. Working with stories, art and practical techniques this 2 day workshop will prepare you for your journey to parenthood.

  • Prepare for birth as a Rite of Passage.
  • Understand the power and life-long impact that “birthing from within” offers all participants in birth.
  • Co-create holistic prenatal care that is informative, transformative, and builds a foundation for birthing in awareness in our birth culture, whatever the birth location or outcome or events of the birth.
  • Prevent or minimize emotionally difficult births (for parents and professionals) through compassionate, honest preparation.
  • Honour and use the power of Birth Story telling and listening.

glastonbury

Held in studio of the innovative Red Brick Building, Morelands enterprise Park, Glastonbury, BA69FT directions here

The cost of our workshop is £70 per person or £130 per couple. There are concessions if unwaged. 

 

I first learnt about birthing from within when I bought Pam England’s book and was so impressed that I signed up to train as a birthing from with mentor.

BFW.book.cover.scan_4e91d000-cbd1-4d17-a667-a6bee57b62a4_medium

  • Childbirth is a profound rite of passage, not a medical event (even when medical care is part of the birth).
  • The essence of childbirth preparation is self-discovery, not assimilating obstetric information. The teacher (mentor) is “midwife” to the parents’ discovery process, not the expert from whom wisdom flows.
  • Childbirth preparation is a continually evolving process (for parents and teachers), not a static structure of techniques and knowledge.
  • Parents’ individual needs and differences help determine class content.
  • Active, creative self-expression is critical to childbirth preparation.
  • The purpose of childbirth preparation is to prepare mothers to give birth-in-awareness, not to achieve a specific birth outcome.
  • Pregnancy and birth outcome are influenced by a variety of factors, but can’t be controlled by planning.
  • In order to help parents mobilize their coping resources, it is critical for childbirth classes to acknowledge that unexpected, unwelcome events may happen during labour.
  • Parents deserve support for any birth option which might be right for them (whether it be drugs, caesarean, home birth, or bottle-feeding).
  • Pain is an inevitable part of childbirth, yet much can be done to ease suffering.
  • Pain-coping practices work best when integrated into daily life, rather than “dusted off” for labour.
  • Fathers and birth partners help best as birth guardians or loving partners, not as coaches; they also need support.
  • For parents, pregnancy, birth, and postpartum is a time of continuous learning and adjustment; holistic support and education should be available throughout that period.
  • Childbirth preparation is also parent preparation.

To book your place please contact me on 07939247462 or email joy@birthjoy.co.uk.

bfw black

 

 

Mary Cronk’s Assertiveness Phrases

Following on from my “Am I Allowed post” I phoned my dear friend and former colleague Mary Cronk. As well as a good chat with each other, I obtained her permission to post her assertiveness phrases. She re-quoted the phrases that I know by heart, and have recommended to many women. I had the pleasure of working with Mary Cronk for 5 years as an Independent Midwife, and a further 2 as co-teacher of “Once More Unto The Breech” workshops. She is a true Midwife and has spent her life helping women achieve positive birth experiences.

joy and mary307710_251788671525311_932911360_nMary Cronk is an expert in breech birth who has shared the skills of breech birth with midwives and doctors across the United kingdom. She was awarded a MBE for her services to women.

See Mary in action here: Mary

You may find these phrases useful, particularly if told that you are “not allowed” to have your baby at home, or you “have to” be induced, etc.

“I am sure that many others will explain your absolute right to refuse any procedure for any or no reason. The law, and good practice is quite clear. A sensible person will listen carefully to any explanations to why a procedure is proposed, and then should she choose not to have XY or Z she just says no or no thank you. The “allowing” is done by YOU. An asssertive approach is worth cultivating. You may care to commit the following phrases to memory and practice them frequently in front of a mirror. Continue reading Mary Cronk’s Assertiveness Phrases

The Third International Breech Birth Conference. Washington DC November 2012

Robin Guy
Heads Up breech birth conference

I was lucky enough to be invited to lead a workshop at this years International Breech birth conference.

My qualifications are that I have been lucky to work with Breech birth expert Mary Cronk MBE as an Independent midwife. We attended several breech births together and thus I started to learn breech birth skills. Our midwifery clients alowed us to take photos of their births for teaching purposes, and these have further added to our knowledge as we studied the many and varied ways breech babies are born.

My workshop was entitled “Arse Backwards” as my journey to learning breech birth skills started with the most unusual births. A double footling, a foot then knee, a foot and extended leg, VBAC breech birth – all at home, were marvelous to attend and record, to share with other health professionals and women expecting breech presenting babies. Unfortunately I do not have permission to share these photos on-line which is why Mary Cronk and I travel the country (and abroad) sharing the stories and skills of breech birth.

My presentation told the story of how I learnt breechbirth skills, and how important it is to share these skills with others, to give women the option of skilled birth attendants at their breech birth. I took along video footage of Mary Cronk sharing her wisdom which was very well received.

I also learnt a tremendous amount at this conference which will aid me in the future care of women planning spontaneous breech birth.

I hope to have time to write up the highlights, but until then check out the brilliant Rixa Freeze’s blog

Freedom For Birth Film Premier

FREEDOM FOR BIRTH – GLOBAL FILM LAUNCH

GIVES BIRTH TO THE  MOTHER’S REVOLUTION

Glastonbury film premier on Thursday 20th September 2012. was a resounding success! we filled 40 seats and had people sitting on the floor! £100 each was raised for The red tent project and The White ribbon Alliance, A lively discussion followed lead by our panel of experts Jenn Hodge (doula and service user), Kate Woods (doula and doula trainer), Eleanor Copp (midwife and hypnotherapist), and myself Joy Horner.

We watched the new documentary that reframes childbirth as the most pressing global Human Rights issue today is launching with hundreds of premieres all over the world on the same day, Thursday 20th September.

Freedom For Birth is a 60 minute campaigning documentary featuring a Who’s Who of leading birth experts and international Human Rights lawyers all calling for radical change
to the world’s maternity systems.

Hermine Hayes-Klein, US lawyer and organiser of the recent Human Rights in Childbirth Conference at the Hague, the Netherlands says, “the way that childbirth is being managed in many countries around the world is deeply problematic. Millions of pregnant women are pushed into hospitals, pushed onto their back and cut open. They are subject to unnecessary pharmaceutical and surgical interventions that their care providers openly
admit to imposing on them for reasons of finance and convenience. Women around the world are waking up to the fact that childbirth doesn’t have to be like this and it shouldn’t. Disrespect and abuse are not the necessary price of safety”.

Made by British filmmakers Toni Harman and Alex Wakeford, Freedom For Birth film tells the story of an Hungarian midwife Agnes Gereb who has been jailed for supporting women giving birth at home. One of the home birth mothers supported by Ms Gereb decided to take a stand.

When pregnant with her second child, Anna Ternovsky took her country to the European Court of Human Rights and won a landmark case that has major implications for childbirth around the world.

Toni Harman, one of the filmmakers says, “the Ternovsky vs Hungary ruling at the European Court of Human Rights in 2010 means that now in Europe, every birthing woman has the legal right to decide where and how she gives birth. And across the world, it means that if a woman feels like her Human Rights are being violated because her birth choices are not being fully supported, she could use the power of the law to protect those rights. With the release of “Freedom For Birth”, we hope millions of women become aware
of their legal rights and so our film has the potential to spark a revolution in maternity care across the world. In fact, we are calling this the Mothers’ Revolution.”

Ms. Hayes-Klein concludes, “Freedom For Birth” holds the answer to changing the system. Birth will change when women realise they have a right to meaningful support for childbirth and claim that right. Birth will change when women stand up against the abuses that are currently suffered in such high numbers and say, No More.”

A local screening of Freedom For Birth will take place at:

Glastonbury Town Hall, Magdelene street, Glastonbury,
Somerset. BA6 9EL www.glastonbury.gov.uk

On 20th September at 7-9pm

Tickets £4 in advance or £5 on the door (concessions available). All profits to the local Red Tent Project and The White Ribbon Alliance charity.

With after film discussion with panel of local
experts including midwives, doulas and service users.

Organised by local midwife and birth advocate Joy Horner.

Freedom for birth film ticket

 

Additional information about Freedom For Birth can be found on the website: http://freedomforbirth.com

The filmmakers are aiming for 1,000 screenings happening across the world on Thursday 20th September, 2012. The countries with confirmed screenings include the UK, Germany, France, Denmark, Spain, Greece, Italy, Norway, the Netherlands, Austria, Poland, Croatia,
Slovenia, Slovakia, Belgium, Hungary, Israel, Sweden, Finland, Iceland, Russia, Iceland, USA, Canada, Mexico, Colombia, Brazil, Australia, Malaysia and New Zealand.

Each screening is being organised by local birth campaigners.

The film has been selected for screening in the Cambridge Film Festival on 20th September. http://www.cambridgefilmfestival.org.uk/

Toni Harman and Alex Wakeford are a filmmaking couple who have set up a cross-media global film project called One World Birth to provide educational videos featuring the world’s leading birth experts  http://oneworldbirth.net

Freedom For Birth is Harman and Wakeford’s third documentary film about birth. They were inspired to make films about following their own difficult birth of their daughter four years ago. A cascade of interventions in their birth led to an emergency
caesarean section.

Contact Information:

Toni Harman, Producer/Director, Freedom For Birth info@altofilms.com +44 (0) 1273 747837 Website: http://freedomforbirth.com

High resolution still images available on request.


The Joy of birth

Has anyone ever told you that birth can be pleasurable or even pain free? It may be a very strange concept to women bombarded with stories of painful or traumatic birth. As an Independent midwife I rarely see women needing pharmacological pain relief, the main reasons being that they feel safe, loved and respected. They know and trust their midwife and know the sensations of labour are not to be feared. When a woman feels safe and supported throughout childbirth her biological functions can work as they were designed to. Her body produces complex coctails of hormones, endorphins and oxytocin to bring forth her baby in joy and triumph.

The strong sensations of childbirth are actually signs that our body is working well. The discomfort alerts us to the start of labour so we can move to a place of safety and gather our birth supporters around us. As the baby moves through our body it instructs us how, and when to move, to paricipate in the intimate dance of birth. As sensations change they let us know that we are making progress, and to assume a birthing position. The sensations of the expulsive stage enable us to work with our body and baby to give birth. These signals are more likely to be perceived as painful if the birthing woman is unsupported, scared, disturbed, or interferred with. Most women with good support manage labour with self-help techniques, love and their own determination.

I am of course referring to healthy women, experiencing full-term spontaneous labour, with a baby in the optimum position. If a labour is induced or augmented with artificial drugs, if a baby is in a really unusual position, or if an instrumental or surgical birth is necessary, then pain can be more difficult to manage.

The secret to an enjoyable birth experience is preparation, good labour support, and Oxytocin. Oxytocin has been called the love hormone as it is produced when we fall in love, or make love. It is very important in childbirth as it makes the uterus contract, enhances maternal behaviour and enables the letdown reflex in breastfeeding. Oxytocin is a very shy hormone though. It is hard to produce oxytocin in stressful situations.

The same environment which is conducive to making love is also advantageous in childbirth. Can you imagine having to make love in hospital, with bright lights, little or no privacy, unfamiliar staff wanting to watch, examine, time and chart every move? It would be very hard to mainain that loving feeling, let alone reach orgasm.

Oxytocin production is enhanced in an environment of trust, privacy, love, tenderness, darkness and emotional and physical comfort. As normal labour progresses it is normal for a woman to become more inwardly focussed, and less inclined to commumicate. The thinking parts of her brain need to not be stimulated as she enters a different state, sometimes referred to as being in “labourland.” If a woman is disturbed during active labour the flow of oxytocin can be interrupted.

According to wikipedia “The word oxytocin was derived from Greek  oxys, and tokos, meaning “quick birth,” so you can see its advantages!

Of course, if medical management is really necessary it is still possible to give birth in joy. Loving support, being in charge of the decision making process and sending love to your baby throughout, can make all the difference.

See the films below to see how joyful birth can be.

 

French woman enjoying giving birth – one of the best films of enjoyable birth I’ve ever seen.

Ecstatic birth –  shows the heights of pleasure some women can experience in labour.

Elephant birth – rather dramatic but worth watching just to see the power of birth and maternal instinct. Continue reading The Joy of birth

Copyright and the sharing of information

After an awkward issue arose between some midwifery colleagues over use of each other’s materials without consent I was prompted to write this page.

I believe all information is knowledge, knowledge is power and therefore should be shared to empower women. All information contained in this blog is my original work, from knowledge amassed throughout my midwifery career. I have worked very hard and am proud of the work I have done, so have marked photos, artwork and text as copyright Birth Joy Ltd(c). When I have used someone else’s material I will credit them in the text. I respectfully request that you do likewise. Please pass on information from my website but please remember to quote the origins of your information out of respect.

Photos are copyright to the photographer. I am very lucky that when I’ve taken birth photos, some women have given me permission to use these for teaching purposes, others have let me use their photos on my website. Some have allowed me to share with other midwives and one allowed publication in a midwifery text book. Many women have not, and I respect their right to do so.

For more information on copyright see this useful website.

2nd SPIRITUAL WORLD OF PREGNANCY STUDY DAY

2nd SPIRITUAL WORLD OF PREGNANCY STUDY DAY
St Mary’s Church Hall, Glastonbury
Saturday 3RD December 2011
Womb as world-Hannya Melrose Core process psychotherapist, prenatal & birth therapy
Herbs that whisper of life and tenderness-Amanda Rayment Herbalist and workshop facilitator
Songs for the unborn child-Debra Norton spiritual midwife
Soul essence communion and vibrational medicine-Sophie Knock Flower essence maker a practitioner
Finding Harmony with the Four Elements-Andy Baggott Naturopathic healer, author and spiritual teacher

 

Cost Of Conference £30:00 in advance or £35.00 at the door
Please send a cheque for £30 (non-returnable after November) to Debra Norton,
Meadowsweet Farm, Glendree, Feakle,Co Clare, Ireland

Tel: 0035361924868 Email: debra@glendree.com
The Spiritual Midwives Network of UK and Ireland

lunch not provided

Breech Birth

Breech birthBreech birth is a very complex subject which needs in depth discussion with your care provider. I am lucky to have worked with one of the UK’s most experienced breech birth midwives, Mary Cronk, learning what I can about these unusual, but not abnormal  presentations. I have attended several breech births and taught alongside Mary Cronk, and Shawn Walker. I am happy to provide information and birth support for those carrying a breech presenting baby.

The Breech Birth Network run study days for health professionals and others wishing to learn more about spontaneous breech birth. This is a different set of skills to those needed to “Deliver” a breech baby which is a hands-on medical technique. Spontaneous breech birth is a hands off birth which can be facilitated by experienced midwives. The Royal College of Midwives consider this a normal type of birth.

Although breech is a normal presentation it carries additional risks compared with a head down birth. Breech babies are often born swiftly and spontaneously, but sometimes manouvers or surgery are needed to ensure baby is born safely. For this reason I recommend hospital birth with experienced care providers for breech presenting babies.

There are many things you can do to encourage a breech baby to turn see the brilliant spinning babies  website or the very funny pregnant chicken blog. The majority of babies who present as breech in pregnancy will turn head down by 36/37 weeks. If baby has not turned by 36/37 weeks of pregnancy you may be offered an External Cephalic Version (ECV) in hospital.

This ECV video  shows the technique used. The success rates (aprox 50%) vary with practitioner, whether it is your first baby, type of breech, how much fluid, size of baby etc. There is a small risk (1 in 200) of the baby becoming distressed during the procedure and needing immediate delivery by caesarean. More information is available here.

Breech babies can of course be born vaginally, but some doctors recommend caesarean surgery to deliver breech babies. Those doctors are probably basing their recommendation on the flawed Hannah trial (also called the Term Breech Trial or TBT) results. The TBT study seemed to indicate that babies born vaginally had worse outcomes than those born by caesarean, but when the outcomes were looked at 2 years later there were no differences in outcomes for the babies, but there are differences for the mother recovering from abdominal surgery. There have been many studies since, such as the PREMODA study (reported on at the 2012 breech birth conference) which show no differences in outcomes for breech babies born vaginally or by caesarean section. It is very important that you have a skilled midwife or doctor caring for you whichever type of birth you have.

The information and criteria which doctors use to determine who is a good candidate for sucessful vaginal birth can be found here. Please bear in mind that this green top guideline was published in 2006 and there has been lots of research done since then! I attended the International Breech Birth Conference in Washington DC in November 2012 and am eagerly awaiting the data soon to be published by Dr Frank Louven and his team in Frankfurt. See more information from the conference in Dr Rixa Freeze’s fantastic blog here.

See beautiful breech birth videos here:

A first baby born Frank Breech at home. Attended by a gentle doctor, this is a good illustration of spontaneous breech birth. The doctor does use a manouvre to help the baby’s head be born, and the baby doesn’t breathe immediately (this is fairly typical of breech born babies). You will notice how the doctor wisely does not cut the umbilical cord and how baby just requires stimulation to start breathing within a minute. Click here

A wonderful video of breech birth at home in water. It is the woman’s 4th baby and I can’t help wondering if baby would have got herself out sooner if the mother was in the supine position so buoyancy would have lifted baby’s body? The reverse of dry land breech birth, when the mother is on all fours and the baby descends aided by gravity. Anyway it’s a beautiful birth and a lesson to midwives that babies play an active part in the birth process.  You tube beautiful breech waterbirth

Another you tube film of planned breech birth at home clearly illustrating baby lifting her legs to flex her head (necessary for birth of the aftercoming head). It also shows how quickly breech babies can be born (this is the woman’s third baby), the midwife makes a very good catch of this little one! click on link Breech homebirth

There is also a lovely DVD you can buy which tells one woman’s story of deciding which birth was right for her and her baby. its called A Breech in The System. See the trailer here  and order your copy here

Of course I’m not saying all babies can, or should be born vaginally, but many can, and women should be given balanced information so they can make informed decisions about their care.

Da a Luz

Vanessa Brooks at Buddafields 2011

Just returned from a wonderful week in Spain. I met the wonderful Vanessa Brooks for the first time this year, and offered to share my experiences of breech births with her in Spain.

Unfortunately I was only able to spend 24hrs at the Midwives Rock workshop, as my family had accompanied me and were eager to do other holiday activities.
I taught at Da a Luz for 5 hours on the Saturday. I shared my experiences and knowledge that breech birth is unusual but not abnormal, and breech babies can be born vaginally as well as by caesarean. Although Breech birth is a variation of the normal I also taught that breech birth carries some additional risks for the baby however he is born, so careful monitoring of the progress of labour and baby’s well-being is essential.
It was a real pleasure to work with Vanessa and to meet Adela Stockton and all the other wonderful birth workers.
I look forward to teaching with Vanessa again in June 2012 in Brighton UK.

Had a wonderfully nourishing time with Vanessa and other like-minded birth workers in the summer of 2012! We talked about birth of the placenta, control of bleeding, orgasmic birth and so much more. Then it was my turn to contribute alongside Marta Orbis and Vanessa Brooks teaching about breech births and difficult births. Can’t wait to work with Vanessa again next year. xxx