Tuesday, 31 May 2016

HypnoBirth in Chennai

Subashini and Sudarshan are such a bubbly couple in my Antenatal Classes. They tend to be so active in all me activities I do in the pregnancy classes.They had choosen for HypnoBirth option of Birth. They are so much involved in it , I could readily see them getting into self hypnotize stage so easily.
This had helped them in large at the time of labor.
A series of practice for 2 months made them completely prepared for the birth they have wished for .
They been blessed with Baby girl on April.


Family Support for Birth Pool and WaterBirth Deliveries

I had been mentioning in all my previous labor support stories about Birth Pool and WaterBirth deliveries.Does all labor been decided only by the couples. Actually its NO.

Family plays a vital role in their decision making process. Couples who are coming for my pregnancy classes or childbirth classes comes alone. They are not accompanied by family members mostly thinking ancestors will not favour to their thoughts.

I usually reinforce on having atleast on family member in my Pregnancy Classes.
I could see vast difference in the couples who choose to bring and who choose not to bring at the time of labor. Family members play a crucial part during Labor in our community mainly in South Indians.So there expectations and anxieties towards labor is far more different than current generation .

If they been educated on the outcomes and advantages towards the birth, they do readily agree for sure. But either way if not informed of they come to see the scenario happening in the labor room which is not up to their expectation means they get to a panicky mood of what will happen to baby, baby may drown or  may be something life threatening to either mother or baby. Which will directly influence the couples decision making process and the whole idea of birth changes.As I always says to all my couples in the antenatal class is
'you are a vulnerable person  at the time of labor so decision making will be difficult but your knowledge will not allow you to become a victim"

So I respect every ones view on labor it differs from person to person but not the same for anyone. 

Wednesday, 25 May 2016

First Vaginal Birth after Cesarean in Water (WaterBirth in Chennai) April 4 2016




Valarmathi and her husband entered the auditorium with their 6 year old daughter in between my sessions not what this place is about.Once I saw them I could figure out they are for their second pregnancy and I thought they should have come to learn general exercises for back and leg pain alone.
As most expected moms who come for the second pregnancy wants to learn exercises alone not much of labor plans.But Valarmathi made my assumption to be wrong.
She is a normal Housewife been so committed to family and Kid.Once I started to talk to her she made all my ideas about her to be wrong. She had a planned caesarean in her First pregnancy as she doesn't know much about labor she just got in to C-Section. Now for her second Pregnancy she was so determined that she wants to experience Natural Labor. I was initially not sure on how far she will be to her decision but I was moulding her in my sessions.
In my Birth Choices session one of the favourite session for most of my couples Valarmathi started to learn about Birth Options.She was so Thrilled and immediately she said I want to go for WaterBirth.I usually don't take decision fast so I told lets see how it goes.
Every session she use to reinforce me on WaterBirth , I myself also give her a word on it. I could than feel that she can go for it by seeing her determination and motivation. She use to tell me after 34 weeks of pregnancy half of her day will go by doing all the activities I have taught her to do. So regular in her schedules.
Everything was going fine with her, I thought that I should introduce her to water before directly going to waterbirth so I told her to attend one aquanatal session. She was so amazed with the comfort what she got with water and got still more assured to her decision of WaterBirth.

From her 38 weeks i use to talk to regularly to know how she is feeling. from one week before her due date she started to say of false contraction which she tend to say as i feel like pushing. I will be on toes than and i will send her to hospital for examination she will be normal than she will be back home.Next time when she told me like this around 10.00 pm i told her to eat and go to bed. I slept off suddenly i got up 1.00 am to know what happened to valarmathi , her husband picked up the call and said that she is sleeping peacefully. Like this it went for 10 days everytime she sleeps she will become normal.

April 3rd like wise it happened but very minimal contractions . They reached hospital in the evening i than went by 11.00 pm she started to say its get severe so i shifted her to the labor were we had BirthPool.

Once getting in to the pool she started to feel better. The whole night her husband was supporting her. Around 3.30 am i told her to come of the pool to change water , after she got outside she was not able to bear contractions she started to say do something i am not able to take the pain , i could her as a first time mom. Ofcourse she is for me like that as she is experiencing natural birth for the first time.
It took 45 minutes to change water than i shifted her to water she started to feel better.

Around 5.00 pm onwards she started to say i feel like passing stools. Her Aminiotic sac didn't break till than , the nurse next to me always wants to do pelvic examination  which i mostly don't allow , just by checking heartrate of the baby position of the baby will be known. So i told her to hold. Around 6.00 pm she started to say i feel like pushing than i could see gush of fluid in water will bleeding so i informed the Gynaec Dr.Kavitha Gautham.

Around 6.20 am i could see the baby crowning, i was about to wear the glove Dr.Kavitha Gautham came. Now we are in positions, her husband in the pool sitting behind her to support her a duty doctor to support her arms i am in front of her talking to her.She was doing it really well but it happened for us to say push when she did that there was a slight perineal tear and baby was out than. 2.8 kg Baby boy.

Gave baby to valarmathi and then clamping of the cord done than she was shifted to be dto stitches for the perineal tear and i made her to breastfeed the baby immediately on the labor bed.
Valarmathi was so happy that she had achieved what she dreamed for.

It was the first VBAC in water . We were so happy in it.

Everything was so happy but it was a learning lesson for me.
I shouldn't have told her to push it has to be a gentle breath and no need to support her in water she knows how to balance herself in water.
So now i was preparing myself for the next birth to give the best with whatever lesson i have learned.

Sunday, 1 May 2016

Nithyakala karthick march 29 2016


Nithyakala Karthick were been so regular to all the childbirth sessions.
From the beginning they are so excited about the birth options and choices.
Well prepared and planned couple.
Nithyakala been for Aquanatal sessions also.She always had some amount of difficulty in performing some exercises but she reported to be very comfortable in water.As she was in short in statue many assumed her to be having C-section and by her 36 weeks she been reported to have above average weight baby so they been  doubtful but very confident at the same time.

They booked me for labor support and birth pool also.
Nithyakala always waited for her day to come.
March 28th morning they called me informing about intermittent pains , told them to wait and see.
Than by 2.00 pm - 3.00 pm they went to hospital .
After examining mom was 1 finger tight baby in -3 station and 40-50% effaced.
She was so relaxed,been interacting with her through phone.
Night around 8.30 - 9.00 pm reached hospital.
Both of them quiet relaxed and having lots of fun.

By 10.00 pm we started to do some exercises, she started to report of low back pain from the beginning suspected her to occiput posterior.
slowly her intensity of the pain is getting higher and higher.
By 11.30 pm shifted her to labor room.
By 12.30 am she got to the Birth pool.She was finding very comfortable in the pool.
Myself and her husband was splashing water for every contraction were she was able to tolerate better.
As time went by she started to say its getting unbearable but her progression remained the same.

By 3.00 am -4.00 am made her to come out of the pool to change water in the pool and also to do some exercises.
By 4.30 am her sac broke.

she was back to the pool.By 5.00 -6.00 am everyone in the labor room started to drowse off and almost sleepy.
By 7.00 am I told her husband to go home and refresh and come.
Nithyakala was so calm I thought she was sleeping when I asked her she actively respond that she is in high level of contractions . and she preferred the room to be calm and quiet.
If someone whispers also she was not comfortable so made the room very calm.

By 10.00 am she started to say that she is getting the urge to push.
She preferred to deliver in water her husband preferred to be in land.
So by 10.45 am I shifted her to bed .
By 11.15 she was in the full squat position and delivered 3.6 kg baby boy without episiotomy.
It was a big thing for us to deliver a 3.6 kg baby without episiotomy.

I was so satisfied with her birth process.
couples were at the height of happiness as for her height and weight of the baby she felt this to be the greatest achievement