Avitha Feb 3rd 2016

Avitha, changed name for identification reason
Avitha is a motivated mom from the day I met her.
I met her when she was in her 28-29 weeks.

She was so much into natural birth options that she use to motivate me to do more for birth.
When we started with Hypnobirth sessions she was so surprised that these are happening in Chennai.
she was under a impression that antenatal class will be only about some exercises and breathing, so she didn't even bring her husband with her.
But when she entered to my session the first thing what I asked was hwere is your partner, she was surprised. Than after that session she was so excited , every session she use to read articles regarding episiotomy, labor position , induction process and discuss in detail.

I was surprised to see her, being in IUI conception, conceived after 4 years, she was so bold n her thoughts . Which was very rare for me to see.

She had pre booked me for labor support and discussed with her Gynaec .
She use to discuss about her birth plans to her Gynaec and they were artially fine with it.
Around her 37 weeks/38 weeks she informed me saying that the AFI is 10 and from the hospital been informed that if it still gets low in her next she will be taken to C-section.
She stated on the researches saying only if it is less than 7 c section is required otherwise not required . Obviously AFI will come as days go by as baby is growing.
So she was bold enough to wait.
On her next visit the AFI came down to 9. Her Gynaec had informed her to come within three days for induction. She was so sure on not to have induction.
So there was a kind of conflict of interest between patient and doctor.
Doctor was worried whether the AFI may get lower than this which would be risky.
Patient thoughts where like AFI minimum level has to be 7, so why should I get myself induced.
so on the same day internal examination was done and stripping was done which was not informed to the mom . when later this was said she was upset with it as she preferred to go naturally.

She left home on the same day around 1.00 pm -2.00 pm she called me and said I am getting contractions 5-4 minutes once and to she said it has progressed fast so she decided to reach hospital.
she wanted me in her birth time so she was like no madam you take time and come near to birth. My worries were if she is not progressing she may be induced so I reached hospital by 7.00 pm.
she was shifted to labor room by 8.00 pm during that time she was 4-5 cm dilated and 60% effaced.
It was informed to start syntocin in half an hour time.
But we were working on exercises and ball to progress in labor so syntocin was postponed.
By 9.30 pm she was 7-8 cm dilated and she was starting to feel like passing stools.
It was informed to start syntocin.It was started but she not getting the vein so it took another half an hour.
syntocin was hardly given only for 10 minutes. when the Gynaec examined her by 10.30 she was 7-8 cm. This time I asked the Gynaec to let the mother off the bed to do some exercise for faster progression. There was a change in the Gynaec thoughts which I sensed , she said yes to us. We were so happy , immediately she started to do exercises, and she was fully dilated and she delivered beautiful baby girl around 12.30 am. No epidural,no fundal pressure,no syntocin.

It was so exciting for everyone,Avitha was so happy as her dream came true.
Till than the gynaec was waiting she didn't even had her dinner that night.
Thanks to her....

I could see the Gynaec pressure when the fluid is low and as a special conception,
They want both mom and baby to be safe.
But if the couples are very confident in the thoughts and decisions surely the Gynaecs also will show there support.

 

Informed Decision making

January 2016 last week I had a couple who came for my sessions.
They were able to make up for only two sessions as they were working.
Very anxious couple, there expectation was normal delivery with no new concepts or new ideas .
want it fast and safe.
they had a family history of intra uterine deaths so they were quiet suspicious with everything
By January end they called and said they wend to check up it was informed that the mother had -3 pelvic station and they been informed about the induction of labor.
Explained them about IOL than they discussed with the gynaec and went home .
They were insisting on me to take labor support for them, which I was not sure as I have another labor support which I had promised.
They been so worried that they are not getting strong contractions and the husband who had a situation in a family which had happened earlier gave lot of pressure
so went to hospital to check foetal heart rate, everything was normal
they went back the next night they got admitted wanting to go for IOL within 3 hours her labor was strong,as the mother not able to take it up contractions they opted for epidural.
in a short span she delivered vaginally.

than they informed me about the birth
husband was upset with the epidural option
he thought because of the sessions only my wife came to know about epidural orelse this could be avoided.

I use to be very clear in my sessions.
I am an information source final decision in couples hands to the decisions they make
But they are aware of what they are doing.

HONEY Jan 10th 2016

Honeytha , I have misspelled her name
This couple is a young normal couple who doesn't know anything about the labor or birth. As its a first pregnancy they are quiet excited with each things they see and hear about labor.
when they been to my childbirth classes , I could see the joy and innocence.
From the time they started my sessions to the last session there was a big transformation I saw in them.
This transformation made them to choose natural birth with labor support.
Both mom and dad are well prepared , they had discussed there birth plan with Gynaec who sweetly agreed to their thoughts.
Honey was quiet excited as days are coming closer thinking whether she will get her contrations are coming closer.
this is the most usual thing I see in the present generation moms, anxiousness worried whether they will get contractions or not.
Explained them about the 41 weeks of pregnancy we can wait when all parameters are normal.

Jan 10th early morning I had a call around 4.00 am, honey informing me about mild contractions.
Informed her to take rest .
By 7.00 am they called me back saying that they are going to start to the hospital as they don't have a vehicle in the later period they want to come early.
They went to the labor room , accessed the foetal heart rate than she was shifted to the room.
I reached hospital by 10.00 am. Honey was quiet relaxed not much of contractions .
It was 25% effaced and 1-2 cm dilation.
I made her to be active for some time with intermittent fluids.
As time went by her contractions got stronger she wanted to lie down and sleep.
By 2.00 pm her contractions ws getting stronger like 3 minutes once and her sac broke.
Honey was so relaxed myself and her partner was not sure whether she went to hypnosis or what.
Her partner was amazing,he was just murmuring words to make her alert at the same relaxing her with the hypno scripts.
By 6.00 pm the gynaec came and said she is 6-7 cm dilated we can shift her to labor room. she saw grade 1 meconium stain which was not clear.
once been shifted to labor room honey husband informed me honey 4 episodes of breathlessness in stressful situations. I was not been aware of it, this was not discussed with me.
As syntocin was started my worries whether she will land up in the breathlessness situation because she didn't utter any word completely ,closed eyes breathing slowly.
so decided to take epidual.
after epidural when the syntocin was started baby's foetal heart rate went down, so it was stopped immediately.
heart rate became normal within 15 minutes she got the urge to push.
by 20 minutes she delivered a beautiful baby girl.

gynaec was so happy with the progress, from that time she started to send her patients to my childbirth sessions.

one thing I learned was I complete history of the mother is important , not only the pregnancy period prior pregnancy also.
honey issues of breathlessness is not in her case history also
good her partner discussed that during labor.

they are now so confident in handling baby
and breastfeeding is going beautifully without any issues

god bless