Intrahepatic Cholestasis of Pregnancy

Posted on July 3, 2016 by Shelby Miller, Doula

From ICP Care:

What is Intrahepatic Cholestasis of Pregnancy (ICP)?

ICP is a group of liver disorders specific to pregnancy which interfere with the flow of bile. Bile is a substance produced by the cells of the liver to aid in digestion of fats. During normal liver function, the bile which is produced is transported out of the cells and into the bile duct by special pumps. During Intrahepatic Cholestasis of Pregnancy, the cells are unable to transport the bile out of the cells normally, which leads to bile acids building up in the blood. Elevated bile acids in the blood are associated with increased risk to the unborn baby. It is important to note that Intrahepatic Cholestasis of Pregnancy is not a single disorder, but a heterogeneous group of many different disorders which all lead to elevated bile acids. This means that the disorder presents very differently in different affected women. 80% of cases are diagnosed in the third trimester, about 10% in the second trimester, and about 10% in the first trimester, with documented cases as early as 8 weeks pregnant.

What are the symptoms of Intrahepatic Cholestasis of Pregnancy (ICP)?

Itching – The most commonly noticed symptom of ICP is itching which can be moderate to severe. Itching due to Intrahepatic Cholestasis of Pregnancy does not typically respond to antihistamines. The itching is usually not associated with a rash, but a rash can, in some cases, develop as a result of scratching. The severity and location of itching can vary greatly. The most common location of itching is hands and feet, but some women experience itching on the arms and legs, the scalp, or all-over itching. Some women with the disorder itch everywhere except the hands and feet. In the majority of cases, itching is the only symptom reported.
Dark urine
Pale Stool
Right upper quadrant pain
Fatigue/Malaise
Mild depression
Pre-term labor
Nausea/lack of appetite
Rarely jaundice

What causes Intrahepatic Cholestasis of Pregnancy (ICP)?

Intrahepatic Cholestasis of Pregnancy is caused by a combination of factors including:

Genetics – Research has identified several genetic mutations which are associated with ICP. Not all genes have been identified. Many of these mutations cause defects in the bile salt export protein (BSEP), which is responsible for moving bile out of liver cells. Intrahepatic Cholestasis of Pregnancy can be considered a genetic disorder, even when there is no family history of the disorder. Mothers, sisters, and daughters of women affected by Intrahepatic Cholestasis of Pregnancy are at higher risk of developing the disorder, though it is not guaranteed.
Hormones – The initiation of ICP during pregnancy is influenced by the high levels of the hormones estrogen and progesterone, which are responsible for maintaining the pregnancy. The high levels of hormones further interfere with the liver’s ability to transport bile acids.
Environmental Factor– Intrahepatic Cholestasis of Pregnancy recurs in future pregnancies in 60-90% of cases, which indicates that environmental factors also play a role. It is not entirely understood why ICP sometimes does not recur, but research has found evidence that seasonal influences as well as improved nutrition may play a role. More women are diagnosed with Intrahepatic Cholestasis of Pregnancy in winter months, and selenium deficiency has been linked to the disorder, though it is not known if this is a cause or effect of ICP.

Take a closer look at these causes.

What is the treatment for Intrahepatic Cholestasis of Pregnancy (ICP)?

Early Delivery – Active management of Intrahepatic Cholestasis of Pregnancy reduces the risks associated with the disorder to that of an uncomplicated pregnancy, but there is no cure for ICP except delivery. Active management includes, most importantly, the medicine Ursodeoxycholic Acid (also known as UDCA, Actigall, Ursodiol, or Ursofalk), and early delivery, typically by 36-37 weeks gestation. In some cases, where medication is not controlling bile acid levels, delivery may occur even earlier.
Medication (Medical Option ~ Natural Options listed below) – Ursodeoxycholic Acid is considered the frontline treatment for the disorder. It has been proven safe in meta-analysis for both mother and baby, and research has identified many ways in which it potentially can provide a safer environment and protect the baby against harmful effects of bile acids until delivery can occur. It is a naturally occurring substance in the body, and has been proven to reduce the total bile acids in the bloodstream of women affected by Intrahepatic Cholestasis of Pregnancy. Sometimes other treatments will be used in conjunction with Ursodeoxycholic Acid with the aim of reducing maternal symptoms.

What are the risks associated with Intrahepatic Cholestasis of Pregnancy (ICP)?

Intrahepatic Cholestasis of Pregnancy puts affected pregnancies at higher risk for several complications. With active management it is believed that the risk of stillbirth is similar to that of an uncomplicated pregnancy (less than 1%).

Pre-term labor/delivery
Fetal Distress
Meconium Passage
Respiratory distress syndrome (RDS)
Failure to establish breathing (sometimes called fetal asphyxia)
Maternal hemorrhage
Stillbirth (Intrauterine Fetal Demise/IUFD)

Natural Options for the Treatment of Cholestasis

The idea here is to maintain a balance within the body, whereby keeping cholestasis at bay for as long as possible. Supporting the liver through dietary intake, supplements and herbs, keeping the bile acid levels lower for a greater duration of time.

As with anything I recommend to my clients, this is meant as a foundational guide to get you off and running in the right direction, with lots of options. Please do your own research from this foundation. Trust your body and your instincts, go with what feels right to you and listen to how your body responds.

Also, remember that any protocol works best when providing full support to the body. We tend to support one or two areas, leaving other areas of the body to make up the slack, whereby creating an unintended imbalance. The recommendations listed below are meant to be used for complete support for all areas in need during this time. Daily consistency and diligence are necessary.

Always discuss your options with your care provider.

Diet

Weston A. Price Pregnancy Diet

-or-

Brewer’s Diet

– Ensuring low fat intake, with complete removal of all saturated fats.

– Ensuring that minimal fat intake is from healthy forms of fat. You may need to adjust some of the brewer’s diet recommendations to extremely cut fat intake. Focus on Fish, fruit and vegetables.

– Aim for 8 – 10 Liters of water/day. Think of flushing the toxins out.

– Foods high in Vitamin K, especially K2

– Foods high in Selenium

– Natto – Fermented Beans – Very high in K2

– Get rid of all processed foods; digesting them makes your liver work harder.
– Foods that especially support the liver are apples, blackberries, dark grapes, plums raspberries, beets, asparagus, carrots, celery, leafy greens, onions, tomatoes and watercress. (some of those combined would be a great smoothie!)

Supplements

1) Vitamin K2, Jarrow Brand – This brand is specifically derived from Natto.

– If you feel you need to supplement from your diet.

– Acid levels need to be in balance for proper vitamin K absorption

2) Selenium

– Again, if you feel you need to supplement from your diet.

– Selenium deficiency is one of the leading triggers for an increase in estrogen production, inducing bile flow impairment.

3) Lecithin 1200mg

– Lecithin is a type of unsaturated fat that is also referred to as a phospholipid. Your body produces some lecithin naturally, storing it in the bile in your liver to help metabolize fats.

– It works as an internal lubricant within the body (also great while breastfeeding – prevention and treatment of blocked milk ducts and mastitis.)

4) SAM-e

– Vitacost & Thrive Market are great places to purchase discounted, quality supplements!

– S-Adenosyl-L-Methionine (SAMe) is a chemical that’s found naturally in your body that plays a role in liver and brain function. It’s also sold as a dietary supplement to treat a variety of conditions. According to the National Center for Complementary and Integrated Health, there is supporting research to suggest that SAMe is a safe and effective treatment for cholestasis.

– You want 800mg per day. It is commonly sold as 400mg, so you would need double the dose.

This is a research study on SAM-e from the 80’s, in regards to treatment and dosage of cholestasis.

5) Liver Life – Bioray

– Again sold at many natural food markets as well as Vitacost & Thrive Market, online.

– This supplement naturally strengthens the liver’s structure and function, improves the body’s ability to filter toxins, drain acidic waste and decrease ammonia, whereby opening up the detox pathways in the liver and supporting kidney function.

6) Liver Glow – Mountain Meadows Tincture

Herbs

Milk Thistle

– Nutritionally supports the liver’s ability to maintain normal liver function. It has shown positive effects in treating nearly every known form of liver disease. Milk thistle works due to its ability to inhibit the factors responsible for liver damage, coupled with the fact it stimulates production of new liver cells to replace old damaged ones.

Dandelion

– Liver, spleen and pancreatic tonic, kidney tonic, helps dissolve kidney and bladder stones, stimulates liver, good for hepatitis, jaundice, anemia, acne and skin conditions. Fresh dandelion greens are highly nutritious and the flowers are edible, too.

Some of the herbs studies also talk about the benefits of artichoke herb, in combination with milk thistle and dandelion, for liver health and function. However, artichoke should not be used, when a blockage in the liver exists, which is what happens during cholestasis.

Tinctures & Tea

– Liver Tincture – Liver Glow

– Persephone’s Tea This counts as water intake! 😉

– Steeping this in the correct manner is of the utmost importance.

– Steep 1oz in 1 quart boiling water

– Let sit for 2 hours

– Drink 2 – 4 cups daily

For additional information about ICP please go to icpcare.org.

Download a helpful infographic with embedded links at icpcare.org/images/ICPinfographic.pdf.

References:

AASLD
Medical Articles & References

Cochrane Review

ICP Care

Mayo Clinic

Mayo Clinc – Alternative Medicine

Society for Maternal Fetal Medicine

Homemade Baby Formula

Posted on December 18, 2015 by Shelby Miller, Doula

Homemade Baby Formula Recipe

11986508_10204766042378897_928528484529188077_n

Photo Credit to Lauren Glasgow-Noonan

2 Cups Goat’s Milk (preferably raw)

2 Cups Filtered water

1/4 Cup Goat Whey

1-2 tsp. Molasses

2 tsp. Grade B Maple Syrup

1/4 tsp. Probiotic (such as Raw Kids)

1 ml Cod Liver Oil (such as, Nordic Naturals baby DHA)

1 tsp. Unrefined Sunflower Oil

1 tsp. Olive Oil

2 tsp. Unrefined Coconut Oil

2 tsp. Nutritional Yeast Flakes

1/4 tsp. Acerola Powder

This recipe is very similar to the Weston A. Price Foundation (WAPF) recipe, but without many of the hard to find ingredients, such as frozen chicken liver.

Recipe for Liquid Formula

Black Bean Salsa

Posted on October 26, 2015 by Shelby Miller, Doula

Black Bean Salsa

The body needs great nourishment during the healing and recovery stage of postpartum. In this time of adjustment and transition it can often be difficult to find the time necessary to eat adequately for your health, energy and the support of a well established milk supply for your new baby. This salsa makes that easy! Packed with omegas, healthy fat, a ton of nutrients, and added protein depending on your dipping choice.

This recipe was passed down to me from one of my Midwives, and has been a blessing throughout my breastfeeding journeys.

ENJOY!

Ingredients

Use all organic ingredients if possible.

Salsa Ingredients

1 Large Tomato Diced

1 Can Organic Sweet Corn Kernels

1 Can Organic Black Beans

1 Bunch Green Onions Diced

1 Bunch Cilantro Finely Chopped

1 Red Bell Pepper Diced

1 Large Avocado (Diced – to be added with the drizzle ingredients)

5 – 8 Cloves Garlic Finely Chopped

Drizzle Ingredients

1/3 Cup Freshly Squeezed Lime Juice

1/3 Cup Flax Seed Oil

1/4 Cup Olive Oil

1 Drop Lime Essential Oil (optional)

1 Drop Fennel Essential Oil (optional)

Seasonings

Sea Salt to taste

1/4 tsp. Ground Cayenne Pepper (Optional) (May add more, if you like spicy!)

Mix all salsa ingredient together and stir.

Pour drizzle ingredients over the top and stir. Add avocado. Avocado may brown due to air exposure, but will still be good in the lime juices.

Add seasonings and stir again.

Stores in fridge for about a week depending on your fridges internal temperature.

Enjoy with some flax seed chips

for additional protein intake!

6 grams in 7 chips!

YUMMY!

Dad’s and Doula’s

Posted on October 26, 2015 by Shelby Miller, Doula

Dad’s & Doula’s

Preparing for childbirth is much like preparing for a voyage around the world by sea.

If you have never taken a voyage by sea, and have no experience sailing, it would be nearly impossible to set out without an experienced guide and know that you are going to have a smooth voyage from beginning to end, that you are going to arrive at you intended destination point having met all of your goals for the planned journey.

A doula is your guide to understanding the birth process, knowing where you are in each moment, what to expect around the next corner, how to handle each wave as it comes crashing your way, how to be supportive, how to meet the changing needs of the laboring mother as the weather out to sea changes and intensifies.

A doula is the voyage guide … the lighthouse on the shore … the whisper through the winds of change

Mom + Baby + Dad = “The Birth Team”

A Doula = “The Nurturer of the Birthing Process”

Giving “The Birth Team” the physical, emotional and informational support needed along the way.

A Doula is not only support for the birthing mother, she is also support for the birthing father.

This is a journey that mom and dad are taking together with their baby.

A Doula’s role is to facilitate that journey and protect the bond between “The Birth Team” as they work together.

A Doula is not a replacement for a dad’s role in the birth process. Quite the opposite in fact.

A Doula is an extra pair of hands in many laboring positions which require more than one support person attending to mom
A Doula is an extra pair of ears in recognizing the changes in the progression of labor and keeping dad informed along the way
A Doula is an extra pair of eyes in assuring proper advocacy of the desires and wishes of your birth plan, so dad can be completely focused on mom
A Doula speaks the language of birth and keeps mom and dad well informed about the stages of progression and the changes in care that mom and baby will need throughout each stage
A reduction in the amount of stress and confusion which can be caused by an often intimidating hospital room and staff who are not always available to answer immediate questions
The Partner doesn’t have to worry about remembering everything learned in the childbirth class because the Doula is there to provide guidance, reassurance and provide information on the ‘normalcy’ of the birth process

With a Doula present, dad will have his emotional needs met (ie. stresses, worries, concerns, etc) so dad can remain positively focused on mom and his baby and his role in “The Birth Team”
Having a Doula means dad can step away for a spell to use the restroom, have a light snack, take a brief power nap, or just catch his breath and have a moment to reflect, with peace of mind that mom and baby are being well supported in his absence
Doula’s provide comfort to dad’s and help them remain calm and collected during a time that might otherwise have felt stressful
Doula’s provide heavy doses of guidance & encouragement keeping “The Birth Team” feeling confident in themselves and the birth process
A Doula can help you and your partner have a more intimate birth experience by helping to set the tone in a non-intimate setting, such as in a cold hospital room, and help to protect the intimacy desired in a hospital birth

Quotes of the Soul

Posted on October 26, 2015 by Shelby Miller, Doula

Quotes of the Soul

“If I don’t know my options, I don’t have any.”
~ Diana Korte

“Birth is powerful… Let it empower you.”
~ Unknown

“Just as a woman’s heart knows how and when to pump,
her lungs to inhale,
and her hand to pull back from the fire,
so she knows when and how to give birth.”
~Virginia Di Orio

“Only with trust, faith, and support can the woman allow the birth experience to enlighten and empower her.”
~ Claudia Lowe

“There is a secret in our culture, and it’s not that birth is painful.
It’s that women are strong.”
~ Laura Stavoe Harm

“You are constructing your own reality with the choices you make…or don’t make.
If you really want a healthy pregnancy and joyful birth, and you truly understand that you are the one in control,
then you must examine what you have or haven’t done so far to create the outcome you want.”
~ Kim Wildner

“The need to pursue healthy birth options and birth rights for women and babies doesn’t end with our own births;
for women will always birth after us.”
~ Desirre Andrews

“You block your dream when you allow your fear to grow bigger than your faith.”
~ Mary Manin Morrissey

“Nothing in life is to be feared. It is only to be understood.”
~ Marie Curie

“Those who fear birth, also fear those who don’t fear birth.”
~ Angela Woerner

“The best way to avoid a cesarean is to stay out of the hospital.”
~ Brooke Sanders Purves

“I am the hero of this story”
~ Regina Spektor

“Strength doesn’t come from what you can do…
It comes from overcoming the things you once thought you couldn’t.”
~ Rikki Rogers

“You gain strength, courage and confidence by every experience in which you really stop and look fear in the face.”
~ Eleanor Roosevelt

“There may never be a baby book that offers the conclusive answer to every question,
but it’s possible to extract some wisdom from the suffering of past generations of parents.
Does the book you’re reading contradict itself repeatedly,
require you to override all your parental instincts,
or send you into a panic over your own inadequacy?
If so, burn it.”
~ Libby Copeland

“Childbirth provided the drama I craved,
the thrill of peeking over the primal edge of creation,
the rush of the unexpected.”
~ Peggy Vincent

“Birth isn’t something we suffer,
but something that we actively do and exult in!”
~ Sheila Kitzinger

“For far too many women, pregnancy and birth is something that happens to them rather than
something they set out consciously to do themselves.”
~ Sheila Kitzinger

“The power and intensity of your contractions cannot be stronger than you,
because it is you.”
~ Unknown

‎”Rain, after all is only rain; it is not bad weather.
So also, pain is only pain; unless we resist it,
then it becomes torment.”
~ the I Ching

“The knowledge of how to give birth without outside interventions lies deep within each woman.
Successful childbirth depends on the acceptance of the process.”
~ Suzanne Arms

“Birth is not only about making babies. It’s about making mothers…
strong, competent, capable mothers who trust themselves and believe in their inner strength”
~ Barbara Katz Rothman

“A woman in harmony with her spirit is like a river flowing.
She goes where she will without pretense and arrives at her destination,
prepared to be herself and only herself.”
~ Maya Angelou

“The same movements that get the baby in, get the baby out.”
~ From Birthing From Within

“Giving birth should be your greatest achievement not your greatest fear.”
~ Jane Weideman

“When you change the way you view birth, the way you birth will change.”
~ Marie Mongan

“A healthy woman who delivers spontaneously performs a job that cannot be improved upon.”
~ Aidan MacFarlane

“Life only demands from you the strength you possess.”
~ David Hammarskjold

“All natural birth has a purpose and a plan; who would think of tearing open the chrysalis as the butterfly is emerging?
Who would break the shell to pull the chick out?”
~ Marie Mongon, Hypnobirthing

“Birth is the sudden opening of a window, through which you look out upon a stupendous prospect.
For what has happened? A miracle.
You have exchanged nothing for the possibility of everything.”
~ William MacNeile Dixon

“It seems that many health professionals involved in antenatal care have not realized
that one of their roles should be to protect the emotional state of pregnant women.”
~ Dr. Michel Odent

“Call it “womb awe” or even “womb worship” but it’s not simple envy.
I don’t remember even wanting to be a woman.
But each of the three times I have been present at the birth of one of my children,
I have been overwhelmed by a sense of reverence…
It was quite suddenly, the first day of creation; the Goddess giving birth to a world…
Like men since the beginning of time I wondered:
What can I ever create that will equal the magnificence of this new life?”
~ Sam Keen

“The whole point of woman-centered birth is the knowledge that a woman is the birth power source.
She may need, and deserve, help, but in essence, she always had, currently has, and will have the power.”
~ Heather McCue

“Childbirth is more admirable than conquest, more amazing than self-defense, and as courageous as either one.”
~ Gloria Steinem

“The effort to separate the physical experience of childbirth from the mental,
emotional and spiritual aspects of this event has served to disempower and violate women.”
~ Mary Rucklos Hampton

“Deep within each woman, lies the Knowledge of how to give birth without outside interventions.”
~ Unknown

‎”The wisdom and compassion a woman can intuitively experience in childbirth
can make her a source of healing and understanding for other women.”
~ Stephen Gaskin

“The instant of birth is exquisite. Pain and joy are one at this moment.
Ever after, the dim recollection is so sweet that we speak to our children with a gratitude they never understand.”
~ Madline Tiger

“It is not only that we want to bring about an easy labor, without risking injury to the mother or the child; we must go further.
We must understand that childbirth is fundamentally a spiritual, as well as a physical, achievement.
The birth of a child is the ultimate perfection of human love.”
~ Dr. Grantly Dick-Read

“No other natural bodily function is painful and childbirth should not be an exception.”
~ Dr. Grantly Dick-Read

“Many women have described their experiences of childbirth as being associated with a spiritual uplifting,
the power of which they have never previously been aware.
To such a woman, childbirth is a monument of joy within her memory.
She turns to it in thought to seek again an ecstasy which passed too soon.”
~ Dr. Grantly Dick Read

“Fear can be overcome only by Faith.”
~ Dr. Grantly Dick-Read

“Mothers need to know that their care and their choices won’t be compromised by birth politics.”
~ Jennifer Rosenberg

If in doubt, breathe out.”
~ Cathy Doberska

“When you have come to the edge of all light that you know and are about to drop off into the darkness of the unknown,
FAITH is knowing one of two things will happen:
There will be something solid to stand on or you will be taught to fly.”
~ Patrick Overton

“30,000 women will be giving birth with you today.
Relax and breathe and do nothing else.
Labor is hard work and you can do it.”
~ Unknown

“Focus on what you can do, then do it with all your heart.”
~ Lois Wilson

“Courage is what it takes to stand up and speak, courage is also what it takes to sit down and listen.”
~ Winston Churchill

‎”No amount of prenatal blood sampling, uterine testing, ultrasounds, amniocentesis,
or other physical evaluations can substitute for good maternal nutrition.”
~ Dr. David Stewart

“It does a man good to see his lady being brave while she has their baby… it inspires him.”
~ Ina May Gaskin

“Life only demands from you the strength you possess.”
~ David Hammarskjold

“If I had my life to live over, instead of wishing away nine months of pregnancy,
I’d have cherished every moment and realized that the wonderment growing inside me was the only chance in life to assist God in a miracle.”
~ Erma Bombeck

“Imagine what might happen if women emerged from their labor beds with a renewed sense of the strength and power of their bodies,
and of their capacity for ecstasy through giving birth”
~ Dr. Christiane Northrup

“Birth is an experience that demonstrates that life is not merely function and utility, but form and beauty.”
~ Christopher Largen

Birth Poetry

Posted on October 26, 2015 by Shelby Miller, Doula

Poetry

“Where the essence of our strength is found,
the limits of our weaknesses are discovered,
and who we once were is lost forever.
For with the first breathe of this ever so tiny one,
the marrow of our soul… finally lives.”

~ Shelby Miller

The Rose

My cervix is like a rosebud
Ready to Open
I am nurtured by those around me as the rose is nurtured by the soil
The rosebud gradually, ever so softly, opens and blossoms.
I open and blossom.
My cervix is soft and ripe like a rosebud.
I see the outer petals of te rose falling away
I see my cervix yielding like the outer petals of the rose.
Every contraction opens another petal of my rosebud cervix.
I welcome each contraction, which helps me open my rosebud cervix.
I welcome and receive all the nurturing around me, which helps me open.
Just like the warm sun opens the rose, the warmth I receive opens my cervix.
I yield and open.
The rose does not resist.
I open and blossom.

~ Barbara Harper “Gentle Birth Choices”

_________________________________

_______________

If we hope to create
a non-violent world
where respect and kindness
replace fear and hatred…

We must begin with how
we treat each other
at the beginning of life

For that is where
our deepest patterns are set.

From those roots
grow fear and alienation….
~ OR love and trust.

~Suzanne Arms~

________________________________________________

The Candle

Imagine that your pelvis is a candle with a flame in the middle
As my contractions come, the flame burns brighter.
My body is the wax of the candle, warming and yielding to the flame.
The more I breathe, the brighter the candle burns.
The wax melts and drips with each contraction.
My body becomes looser and opens to the flame.
I see my pelvis becoming soft and warm and pliable.
I breathe. With each contraction, the candle becomes softer.
I melt with the candle.
My breath helps the candle burn brighter, melting quicker.
I remain soft, warm, and yielding.

~ Barbara Harper “Gentle Birth Choices”

________________________________________________

Slow down mummy, there is no need to rush,
slow down mummy, what is all the fuss?
Slow down mummy, make yourself a cup tea.
Slow down mummy, come and spend some time with me.

Slow down mummy, let’s put our boots on and go out for a walk,
let’s kick at piles of leaves, and smile and laugh and talk.
Slow down mummy, you look ever so tired,
come sit and snuggle under the duvet and rest with me a while.

Slow down mummy, those dirty dishes can wait,
slow down mummy, let’s have some fun, let’s bake a cake!
Slow down mummy I know you work a lot,
but sometimes mummy, its nice when you just stop.

Sit with us a minute,
& listen to our day,
spend a cherished moment,
because our childhood is not here to stay!

~ Rebekah Knight

_____________________________________________

We’ve all been waiting for you.
For you.
Your arrival has been marked, has been recorded
on earth,
in the universe,
in the galaxies,
in all of space,
in all of time.
You come with a birthright, written in love and sung
through all Creation in words which promise
that no matter where you’re at,
you’re home
that no matter who you’re with,
you’re welcome
that no matter who you are,
you’re loved.
Welcome.

~ Rita Ramsey

________________________________________________

Through pain find strength
Through birth find healing
It is never easy to keep reaching for dreams
Strength and courage can sometimes be lonely friends.
But those who reach, walk in stardust.
~ Flavia

________________________________________________

They Invite Us In
women
who trust us
inviting us in
to share their secret passage
we count their moons with them
waiting for a pause
and in that suspension
we wait with them
fingers granted privileged entry
into innermost recesses
secrets shared
stories heard
lessons learned
they invite us in
to help their babies out
we dance with them
slowly
as they grow and wait
each day a little larger
new life jostling their ribs
until its stretching
threatens to burst
her fleshen bubble
and
at last
she is ready
taking your hand
she flows in and out of
the deepest shadow places
love and terror
the waves grip her
and
release
until she is ready
also
to release
you sing to her
breathe, my dear
hold her close
relax now, it’s over
help her see
she will not die
not today
at last
fire
then
water
and
for the first time ever
air
into tiny pink balloons
their love made
earth
elements
into a body
your hands felt it first
still one with her body
as it grew
ripened
and fell out
into
your waiting palms
you love this moment
this woman
this baby
then you entrust her back
into the arms of her mate
hoping he’s learned
even more
how grand she is
this bearer of life

~ Judy Edmunds (1997)
from Midwifery Today

________________________________________________

Birth

This exaggerated hip swing,
The rocking of my own cradle;
Relaxin relaxes my joints into soft sensual submission,
Allowing me to open, open, open.

How did I get here?
Oxytocic orgasm,
Estrogen and Progesterone, mounting, mounting, mounting,
Leaving me cry, cry, crying, over spilt milk.

How did I know I was here?
HCG whispered it in my ear
Two blue lines, in parallel
The tell tale sign, that every woman anticipates and fears.

Oxytocin awakes me at 2am,
I feel the pulling
The downward force
My body is moving
…without my permission.

Still, it says yes, and asks for more.
More oxytocin… more….
More pain, more force.

The hours go by…
I pace and dance
With my relaxin hip swing.

I feel the baby drop down

Down

Down.

Prostaglandins are massaging my cervix,
Softer, thinner,
Creating gentle passage for my child.

Down and through he slides…

Just when I think I can take no more,
When I can do no more to birth my child.
Endorphin release…

Things get less sharp…
The sights, the sounds, the pain.
Suddenly it is just me
And this child… Working together, a team.

Finally the time is coming
Rushes of oxytocin are overwhelming
I feel a rush of urgency and fear
Catecholomines.

Noradrenaline is telling me to get this baby out…

So I push…
My heart pounds and I push….

And I push…
And the child bursts forth, and lies before me…
Shakes its head and begins to scream.

I feel something come over me,
Something I never knew I could feel
Overwhelming love, intoxicating….

I hold my child on my chest,
He slowly bobs towards my breast.
I watch him with tears in my eyes.
Prolactin and oxytocin bring me so close to my child.

These hormones have made me a mother today.

~ Stephanie Elliott

________________________________________________

The Birthsong

The night is still, the moon full and bright
She feels it approaching, her belly once again tight
All is in ready the time’s finally come
She’s hoping her baby will be here by the rising of the sun.

The song begins gently, moving slowly at first
The courage, the fear, the love, the hope and the mirth
Some sing quite softly and some loud and strong
Their babies emerge as they sing the Birthsong

Time becomes frozen as woman by woman, birth by birth
They’re all connected through their bodies & songs
It knows no boundaries, no color, no races
It fills all their bodies, their hearts, souls and faces.
The sounds of each woman as she sings the Birthsong

Her breathing grows faster as each new wave moves within
She remembers to let go, to surrender again
She opens her eyes and sees her partner, her lover, her friend
Remembering with tenderness their choice to begin

The song begins gently, moving slowly at first
The courage, the fear, the love and the hope
Some sing quite softly and some loud and strong
Their babies emerge as they sing the Birthsong

The songs been completed the babe’s in her arms
Both teary eyed parents are moved by it’s charms
The song appears ended at least in this room
But I’ll hear it eternal with other bright moons.

The song begins gently, moving slowly at first
The courage, the fear, the love, the hope and the mirth
Some sing quite softly and some loud and strong
Their babies emerge as they sing the Birthsong

~ Dana Beardshear

The Birthing Dance

Come to me, My Child
Secret longing of my inner heart
Breath of spirit
Wandering the cosmos
Choosing your next lifepath
Seeking sanctuary in my womb
Visions of you stir my dreams
Your gentle essence drifting inward
Merging into matter
Coming into consciousness
Birthing into being
Your tender wisdom speaks
The ancient knowledge
of a mother’s power
Our bodies grow together
Two as one
Turning round, in birthing dance
You lead me
Opening the circle corridor
Descending into unhindered ecstasy
Into my arms.

~ Judie C. McMath

Affirmations of the Heart

Posted on October 26, 2015 by Shelby Miller, Doula

Affirmations of the Heart

Pregnancy

Pregnancy is a joy

I feel good and love being pregnant

My belly is full of light and love

I am a strong and capable woman

There is no need for us to hurry

My baby will be born at the perfect moment

I desire foods that nourish me and support my health

My baby is strong and perfectly healthy

Not everything that is faced can be changed, but nothing
can be changed until it is faced

I acknowledge me fears whenever I feel them
and send them on their way

I let that fear … GO

Birth is a wonderful, safe experience

Birth is as safe as life gets

I believe in birth

I choose a gentle and natural birth

My body is nourishing my baby perfectly

My cervix is firm and strong to hold my baby safe

My baby is in the perfect position for birth
I trust my knowing of what is true for me

My baby is healthy and innately knows when to begin labor

My body knows how and when to birth my baby by Instinct

My baby is free to choose her own destiny in the world

I have patience

My baby will be born at the perfect moment

My body will give birth in its own time

I will meet my baby when my baby and my body are ready

I trust my body to know exactly what it needs to do

My mind is relaxed, my body is relaxed

I free my mind from negative thoughts

I am whole and at peace

I am aware of my balanced, calm center

I put all fear aside as I prepare for the birth of my baby

I invite peace and serenity into my life

I choose to enjoy my birthing experience

I am focused on a smooth, easy birth

I see my baby coming smoothly from my womb

I welcome my coming labor as the perfect one for me and my baby

I welcome this opportunity to grow and change

I love and trust my body

I deserve and receive all the love and support I need

I deserve a gentle, natural birth

Only I can give birth to this baby and I accept
responsibility for that challenge

I claim my birthright for a wonderful birth

My mind has released all fears and trusts birth

The knowledge of how to birth lies deep within me

I am perfectly in sync with nature,
allowing the rhythm of life to flow through me

My body knows how and when to birth my baby,
I listen for my bodies messages

My baby know how and when to be born,
I listen for my baby’s guiding voice

I remember all of the women who have walked this path before me … I too can walk this path

I will draw strength and courage from the other 500,000 women who will birth alongside me the same day I birth

I insist on being treated with respect and dignity…
I am my strongest advocate and I speak up for myself

I will follow my body’s lead

Labor

Today my body will fulfill a purpose for which it has been divinely designed

Today I will show my strength, my courage, and my love for my baby

Today my body is opening and releasing my child into my waiting arms

My body has been preparing for this labor for nine months

I am strong and calm and beautiful

I am a link in the endless chain of birthing women

I fully relax and turn my birthing over to Nature

My body knows exactly what to do

My breath is easy, deep, and full

My body knew how to grow this baby and now my body knows how to birth this baby

I am relaxed and happy that my baby is finally coming to me

During each surge, I allow my body
to slip effortlessly into deep relaxation

Time does not matter… For I dwell within laborland

My baby feels my joy

I am giving my baby the best start I know how

I trust my labor

I trust my Baby

God designed my body to birth the baby He has knit into my womb

My body was intricately designed to do this

Birth is what I was made for

I am enjoying this process and growing through it all

I am doing this exactly right and exactly as nature intended

I trust my inner wisdom

I embrace the wisdom of my body

I am surrounded by loving, nurturing support

I am open to the energy of birth

My energy flows down and out,
just as my baby is moving down and out

My body is working efficiently, at a pace of my choosing

Together my baby and I dance our birth dance and sing our birth song

I accept each stage of labor as a wonderful new adventure

I fearlessly surrender to the power of my body

I turn my birthing over to my baby and my body

My body is wise and purposeful

My body knows how to birth my baby

Each surge of my body brings my baby closer to me
My body knows how to open my baby freely to the world

I welcoming my baby with love and encouragement

Birthing my baby is a situation that is
impossible for me to fail at

I am an active and powerful laboring woman

I cooperate with my body and my baby

I feel confident; I feel safe; I feel secure

My baby knows how to be born

I am birthing this baby

I will birth this baby

My body was built to do this

Birth is what I was made for

My body knows how to have this baby just as
my body knew how to grow this baby

I know my baby feels our calmness and confidence

I accept this labor as my labor and believe it is the
right one for me and for my baby

The power and intensity of my contractions cannot be
stronger than me, because it is me

I surrender completely to my labor… I trust my body to be in control of my birth

The strength of my contractions reflect the strength of myself

I allow my body’s natural anesthesia to flow through my body

I surrender to the contractions and relinquish control
of the forces within my body

I am surrounded by loving, nurturing support

It is safe for me to verbalize my feelings and desires

Inhale peace, exhale tension

The moment you think of giving up, think of why you held on so long

Nothing that is worthwhile is ever easy

This birth only demands from me the strength I already possess

Untapped sources of strength are available deep within me

Soon my baby will be here and this will be a memory

I breathe in confidence, I breathe out fear

My muscles work in complete harmony to make birthing easier

My body has a wide open space for my baby to descend

Each surge of my body brings my baby closer to me

My body knows how to open my baby freely to the world

I have an open heart, open mind and so my cervix will follow

My cervix opens outward and allows my baby to ease down

I am willing to release my baby into the world

I put all fear aside and welcome by baby with happiness and joy

My baby is born in pure pleasure

Homemade Laundry Soap

Posted on July 12, 2015 by Shelby Miller, Doula

Homemade Laundry Soap

Skin Sensitivities ~ Eczema ~ Chemicals ~ Toxins ~ Carcinogens ~ Cost ~ Cloth Diapers

The above are just a few of the reasons I chose to make laundry soap for my family, rather than purchasing laundry detergent from the store. I have been making laundry soap for my family of seven for the last 3.5 years and I honestly cannot imagine how we used such awful products for so many years!

I have sensitive skin myself… Having a growing family I am always concerned about what I am exposing my babies too, and being mindful about properly caring for their very sensitive and new skin. Preventing skin allergens or eczema outbreaks was important to me.

Traditional detergents contains a rather scary “laundry list” of nasty ingredients. Many of which are toxic or carcinogenic to our bodies. They may smell “pretty,” but that smell comes from synthetic, artificial fragrances. I wanted to naturally scent my soap using my essential oils!

For a family of seven, we spent a GREAT deal of money (monthly / yearly) on detergent. Like most families, anyplace we could pinch pennies was something we were interested in pursuing. Cutting out this expense, almost completely, has been an amazing blessing to our family!

We also cloth diaper. So prior to making my own laundry soap, we were purchasing a detergent for our clothing AND a detergent for cloth diapers. Making my own soap, means this is no longer necessary. The chemicals found in almost all store bought detergents are not safe to use on cloth diapers. It can actually damage them, permanently!

My Tried & True Recipe

(This recipe makes enough soap to last 2.5 – 3 months for my family of seven)

This is safe for HE machines, I have used it in mine for the past 3 years.

It is also important to note, that with all natural soaps, there are no suds during the washing process!

Step 1) Ingredients you will need:

1 Cup – 20 Mule Team Borax (detergent booster)

1 Cup – Super Washing Soda (not baking soda)

2 Bars – Dr. Bonner’s Castille Bar Soap (any scent you would like… Lavender, Citrus Orange, baby un-scented).

You can also use Fels-Naptha ( This is a stronger soap base and is great on work clothes, but can be a bit harsh on baby skin.

Essential Oils for Cleansing, Purifying, and Scenting (Some of my favs – Orange, Lavender, Purify, OnGuard, and my husband likes Sandalwood)

Step 2) Kitchen Tools you will need:

Large Cooking Pot (non-Teflon)

A Long Handled Wooden Spoon & a Ladle (not pictured)

A Large Funnel

A Box Grater

A Glass Bowl

6 Containers (to store & use your soap) ( I use old orange juice containers)

You want about six containers for this recipe.

My laundry soap yields about 530 fl. oz.

Step 3) Mark containers and pre-fill with water:

To make the process quicker for me, I mark all of my containers with the starting amount of water.

This is about 45 – 50 fl. oz.

Here I have all 6 bottles.

Each filled with about 45 – 50 fl. oz.

Step 4) Personal Touch:

I then add the scent I’d like for this batch.

I tend to change it often, depending on season. On Guard during the Holidays, floral in the spring, etc.

We can do different scents in each bottle, to customize them to specific family members.

My husband loves sandalwood, I love lavender, and really like serenity for my children.

Essential Oils have been added to each bottle

Step 5) Grate Soap:

Fill your large stock pot with about 90 fl. oz. of water.

Put on the burner over med-high heat.

While the water is warming, grate your soap, just as if it were a block of cheese. =)

This quickens the melting process of the soap.

Step 6) Melt Soap:

Add grated soap to the pot.

Stir frequently as it melts.

Do not allow your pot to come to a full boil.

Step 7) Super Washing Soda:

Measure out 2 cups of Super Washing Soda.

Add to the melted soap water.

Stir it in so the soda powder is not sitting on the bottom of the pot.

Step 8) Borax:

Measure out 2 cups of Borax.

Add Borax to water, soap and soda mixture.

Again, stirring to mix well.

Step 9) Thicken:

Water will become very sudsy.

Stay nearby, stirring often, and controlling the temperature.

You want your pot to come just close to a boil, without actually coming to a boil.

Should it get to hot, or sit too long without being stirred, the mixture will rise right up out of your pot, and all over your stove!

This can happen VERY quickly! Let’s not ask me how I know this… 😉

Step 10) Transfer:

Once the laundry soap mixture has began to thicken up ( usually about 10 minutes) ( think brown gravy consistency), you can remove pot from heat.

Ladle soap mixture into pre-filled containers.

Ensure the funnel is aimed into the water, and not onto the sides of your container

The cool water in the container helps to off-set the temperature from hot mixture, and will cause it to thicken more (think, making pudding).

When filling your containers with soap, you want to leave enough empty space in each, to allow room for coagulation to occur.

Step 11) Cool:

Allow containers to sit for about 30 minutes with the caps off, to cool, before covering and storing for the night.

Step 12) Store Overnight:

As the mixture sits overnight, it will become very very thick!

In the morning, soap containers will have coagulated.

Step 13) Shake & Prep for Use:

You can shake the soap ( or stir with the handle of a wooden spoon).

Then top off the container with cool tap water, and shake again.

I tend to shake the container before each use.

I use 1/2 – 3/4 cup per load, depending on what I am washing.

Understanding the Benefits of Placenta Encapsulation

Posted on January 28, 2014 by Shelby Miller, Doula

The Placenta is a beautiful organ that nourishes and protects your baby throughout pregnancy. It also plays an important role in the postpartum process and was divinely designed not only for your baby, but for you as well. The customary process of handling the placenta after birth is for it to be discarded as, “Medical Waste.” However, this beautiful “Tree of Life,” which nourished and protected your baby throughout your pregnancy, can continue to share it’s incredible benefits with you and your baby, long after your birth.

What is Placenta Encapsulation?
Placenta Encapsulation, or Placentophagy, is the practice of preparing your placenta into medicinal pills/capsules for consumption back into the body. Utilizing the medicinal properties of your placenta, helps to restore your Motherly balance in a natural and spiritual way. For many it can be a very sacred, powerful and healing process, allowing the placenta to continue to nourish and protect you and your baby after birth, as well as promoting a more pleasant postpartum recovery.

Why Placenta Encapsulation?
Most mammals (including primates) consume part or all of their placentas. Consider what a Momma Cat does after the birth of each of her kittens. She eats the sac that each baby kitten is born in and then consumes the placenta, immediately. Many women in diverse cultures throughout history have consumed their placentas for re-balancing their bodies after giving birth. Traditional Chinese Medicine (TCM) has used the placenta for its multitude of healing benefits for thousands of years. Your placenta contains your body’s own natural hormones and iron stores, which remain after birth.

While there have yet to be any official research studies conducted to prove the apparent benefits of consuming ones placenta after birth, many women report experiencing more energy, a bountiful milk supply, decreased postpartum mood changes (including postpartum depression), and less bleeding and discomfort after the birth .. overall, a more peaceful postpartum recovery period!

Benefits of Placenta Consumption

Less dramatic hormone fluctuation, whereby reducing the chances or severity of postpartum depression and the “Baby Blues”
Commence and encourage your bodies natural healing process
Rejuvenate yourself naturally while feeling grounded
Return of your natural energy level sooner after birth
Have an immense openness to bonding with your baby, without many of the barriers created by postpartum depression
Helps in establishing a healthy and abundant milk supply
Reduction in postpartum bleeding
Less postpartum pain/discomfort as the uterus is encouraged to return to it’s pre-pregnancy state
Replenishes vitamins & minerals (specifically iron) lost during pregnancy and birth
Protect your “couples” bond from after birth stress and strain

Interested in learning more about having your placenta encapsulated?

Understanding the Difference Between a Doula and a Midwife

Posted on January 10, 2014 by Shelby Miller, Doula

“What exactly is a Doula”?

“I didn’t know there was a difference between a Doula & a Midwife”

“I thought when I hired my Midwife, she would also be my Doula”

“My Midwife said, I don’t really need a Doula, because she will be there”

“I didn’t realize how much work my Midwife wanted me to do on my own before she will be present”

I often am asked about the difference between a midwife and a doula. It seems, that many are under the impression that you need to either choose a midwife or a doula, or that you do not need a doula if you have a midwife. However, a midwife and doula have distinctly separate roles when it comes to the kind of support and care you receive during your pregnancy, your birth, and during the postpartum period.

Let’s take a glance at some of the specific roles of a Doula & a Midwife during your very special journey…

Your Midwife: Personalized Maternity Care

Oversees the medical safety of your pregnancy and birth
Runs prenatal tests
Advises you on health & nutrition during pregnancy, birth and postpartum
Monitors you and baby during labor and birth
Clinical tasks such as, temp, pulse, BP, and FHR
Performs physical examinations prenatally, during labor and postpartum
Consults with an obstetrician if a medical complication arises which is out of the midwifery scope of practice

Doulas, on the other hand, are not medical professionals. Doulas provide physical, emotional & informational support during pregnancy, birth, and the immediate postpartum period.

Your Doula: Physical, Emotional, & Information Support

Establishes a prenatal relationship with you
Helps you and your partner articulate your ideal vision for your birth
Directs you to outside resources within your community for pregnant women and families
Ensures you and your partner feel calm, informed and supported during labor
Guides your partner in engaging and supporting during the labor and birth process
Uses natural tools and hands-on techniques to help you manage and cope with the intense physical sensations of labor and birth
Makes suggestions regarding laboring and birthing positions depending on how your labor is progressing
Makes sure you understand all of your options so you can make informed decisions every step of the way
Ensures you feel confident communicating your needs to your health care provider
Provides postpartum emotional support and help with breastfeeding initiation

While doulas do not provide medical care, research shows they do increase your likelihood of avoiding unnecessary medical interventions, greatly decrease your chance of a cesarean birth, and significantly decrease a woman’s need for analgesia, compared to usual care.

Do I need BOTH a Midwife and a Doula?

Doula support is an amazing complement to the care you will receive from your midwife. It is important to understand that the ultimate responsibility of your Midwife is the health and safety of you and your baby. Your midwife needs to be present, alert and at the top of their game during the active stage of your labor, pushing and the birth of your baby. If your Midwife were to provide 12+ hours of physical and emotional labor support, they are going to be tired, spent, and not have the level of alertness necessary should their be a medical emergency at any point of your labor and birth process.

Most Midwives want you to labor on your own as long as possible, and they only come (or check you into the birth center), once labor has been well established and you are nearing the home stretch. They call it the 511. When contractions have reached 5 minutes apart, lasting 1 minute or more in length, for 1 consistent hour. For many women, this can mean laboring for 12, 24, 36 hours on their own.

They will check vitals, asses Mother and Baby for the medical safety and progression of the labor process, and then hang back, and let you labor on your own. They will occasionally provide physical and verbal support, but it is not given in a manner that will hinder their role as the medical care provider of you and your baby.

Your doula, however, comes to you early in your labor, when you first begin to feel that you are in need of support and guidance, and she will stay with you until after the birth of your baby. Doulas love being part of the early labor stage and following your journey to the end. Their continual support can make such a difference on the overall experience of the birth process for both you and your partner!

When you seek out a Midwife, it is because you want to have a natural, un-medicated, un-intervened upon childbirth, with the freedom to birth your way, on your terms. Using both a midwife and a doula will give you the full spectrum of support and medical care you need, to achieve the birth you want, and ensure that you are able to naturally cope every step of the way.

Together, having BOTH a midwife AND a doula, means you will be supported and nurtured in every way as you birth your baby. Your partner, your midwife, your doula … They create your birth team, your village…

Midwives and doulas work hand-in-hand together, with a great respect for each other’s roles in supporting the birth you desire. However, they are very different professions, with different roles and responsibilities to you, as the birthing family.