Mother-Friendly Childbirth Initiative: Why It's Important! Step #4

To receive CIMS designation as "mother-friendly," a hospital , birth center, or home birth service must carry out the these philosophical principles by fulfilling the Ten Step of Mother-Friendly Care.

Step #4 A mother-friendly hospital, birth center, or home birth service provides the birthing woman the freedom to walk, move about, and assume the positions of her choice during labor and birth (unless restriction is specifically required to correct a complication), and discourages the use of lithotomy (flat on back with legs elevated) position.

This is so important! So many studies out there tell us that restricting a mother's movement and not allowing her to be free to feel how her body wants to be is damaging to the labor. It slows things down. It can make labor more painful, causing tension.

I want to share this article with you that I found particularly helpful.

I want to tell you the story of me second birth. I could not stand up. If I stood up the pain was excruciating! I thought to myself "this must be why women get pain meds!" I could not lie down in any position or stand up without the pain being so unbearable that I felt like I was loosing my mind. They kept trying to make me stand because I needed to use the restroom. This part of my labor seemed like it lasted for HOURS.... it may have I dunno... (You know how the labor time warp works...)

During transition sometime I shouted my code word to my husband and made him tell them I wanted an epidural. Something amazing happened though. When the anesthesiologist came my husband got in my face, eye level, and told me I could do this. He told me I didn't want the epidural and that I was ok. I believed him and in that moment clarity hit me. I did not WANT to be standing up anymore. I got back in the bed and I got on my hands and knees. I switched from then on to the hands and knees position and squatting on the bed. I can't even begin to tell you how much pain was relieved for me at that point! Soon I was pushing and I had my son. And I felt amazing!!

What would birth be like if all women we given the freedom to listen to their bodies, without pressure from their care givers. Without restraints like wonky beds, fetal monitors, or IV wires. What if these technologies were crafted FOR women in labor and could move with her? What if her comfort mattered enough to the success of the labor that her care givers listened to her?

Birth would be a lot easier for everyone, if you ask me!

For more information on the Ten Steps of the Mother-Friendly Initiative or to get involved please visit www.motherfriendly.org. 

Mother-Friendly Childbirth Initiative: Why It's Important! Step #3

To receive CIMS designation as "mother-friendly," a hospital , birth center, or home birth service must carry out the these philosophical principles by fulfilling the Ten Step of Mother-Friendly Care.

Step #3: A mother-friendly hospital, birth center, or home birth service provides culturally competent care- that it, care that is sensitive and responsive to the specific beliefs, values, and customs of the mother's ethnicity and religion. 

In the United States, this step is so important. Every mother and every family is unique and every baby has the right to be born into this world in a way that symbolizes the culture of his/her family. Since I am a Christian, I will speak from a Christian stand point but the same respect for one's heritage and customs that I demand should be given to every single family that comes through a place of birth. Admittedly, only then will my birth wishes be respected as well. 

As a US citizen my freedom of religion is important to me. It is important that the environment I birth in values my faith in Christ, Jesus. My personal beliefs on birth call for the presence of the Lord and the ability to have prayer warriors with me throughout the process. My doula is a believer. We will want to pray openly during my birth. I will expect respect for that. If some nurse comes walking into my hospital room and hears us worshiping Jesus and makes a rude comment I will be extremely offended. My birth process will be disrupted.

A woman's spirituality is very important to her. It is the very essence of who she is. She needs to be allowed the freedom to express herself during labor. My favorite quote from, I don't remember where, says that a woman does not become someone else in labor but she become MORE herself in this vulnerable time. In my life I walk with Christ. He is all around me, a constant source of strength. During birth when I am most vulnerable I will want the freedom to embrace my faith. It is how I deal with trials... it is the very makeup of my being. 

To deny a woman the right to birth according to her faith system or culture's customs by disrespect, rude comments, forced procedures, and/or dictatorship of birth is to deny a women the birth she will be most healthy in and happy with. When you do not provide culturally competent care for mothers you are possibly inhibiting an otherwise beautiful, smooth birth process. And one that will save healthcare costs when she is allowed the space to birth in a healthy for her manor. 

When providers in the US learn to accept families for who they are and respect them as such... birth becomes a right of passage for women. It becomes something more than just a medical procedure or a common event. For her, it is everything in that moment. And she is at her best, her healthiest, when she is allowed to be her entire self.

For more information on the Ten Steps of the Mother-Friendly Initiative or to get involved please visit www.motherfriendly.org. 

Mother-Friendly Childbirth Initiative: Why It's Important! Step #2

To receive CIMS designation as "mother-friendly," a hospital , birth center, or home birth service must carry out the these philosophical principles by fulfilling the Ten Step of Mother-Friendly Care.

Step #2: A mother-friendly hospital, birth center, or home birth service provides accurate descriptive and statistical information to the public about it's practices and procedures for birth care, including measures  of interventions and outcomes. 

In order for mothers to get a crystal clear picture of the organization they intrust their birth to, this step needs to be implemented everywhere. No matter what choices a mother is going to make during her birth she needs to know if her wishes will be respected or not. Like all businesses, hospitals, birth centers, or home birth services have statistics and outcomes when their product is used. We as birthing families are the consumer. We have a right to know how well or not so well a provider's service is doing or whether they will fit our birth choices. 

For a mother who wants a natural childbirth, is educated about her body and her choices, understands when intervention may be necessary it may not be in her best interest to place her birth experience in the hands of a hospital with a 50% cesarean rate. She has a right to know this information so that as a consumer, she can choose to buy her services from said hospital or not. 

For a mother wanting a medicated birth and wants to be supported in that choice it may not be in her best interest to birth with a provider who has never needed to use an epidural. While this provider may be very skilled at the art of supporting birthing mothers she/he has cared for, this particular mother has a right to choose a place of birth supportive of her wishes.

What if more mothers and families adopted the idea that birth in America is a business. While most of us don't see it that way or wish it wasn't, it very much seems like it doesn't it? The sooner we start placing our births in appropriate hands the better birth outcomes we will have! If we are always agreeing with the idea that we "have to birth here because it is the only option (for whatever reason)..." then we are not treating our births with the respect they deserve. 

It is up to us to HIRE the correct professional for our births. It is up to birth professionals to provide us with the information we need to make educated choices about where we birth. If every hospital, birth center, and home birth service in America made available accurate, descriptive, and statistical information to the public we would all be a little more confident in the places we choose to birth! 

For more information on the Ten Steps of the Mother-Friendly Initiative or to get involved please visit www.motherfriendly.org. 

Mother-Friendly Childbirth Initiative: Why It's Important! Step #1

To receive CIMS designation as "mother-friendly," a hospital , birth center, or home birth service must carry out the these philosophical principles by fulfilling the Ten Step of Mother-Friendly Care. 


Step #1: A mother-friendly hospital, birth center, or home birth service offers all birthing mothers:

1. Unrestricted access to the birth companions of her choice, including fathers, partners, children, family members, and friends;
2. Unrestricted access to continuous emotional and physical support from a skilled woman-for example a doula, or labor-support professional;
3. Access to professional midwifery care.

In order for mothers to feel satisfied with their birth they need to walk away from a birth feeling emotionally satisfied. That is what they will remember. When her feet were cold, when she was hungry, when someone made a rude comment, who held her hand... reasons why she needed someone. Those are the principles that build a beautiful birth story. If a women is supported in her educated birth choices and allowed the freedom to explore her birth, then fear is replaced with comfort and confidence. 

Every mother is different requiring unique and tailored support. Most of today's care revolves around a standard time frame or outcome a birth should have to be "healthy" or satisfying. This  cannot be the case with women who are individual in health and needs. Women are different and should be valued as such. There are many women who only want their husband present at their side. Some women want their whole family. More and more women are hiring doulas to stand behind them and encourage their birth. This is a right we have and should be respected. When supportive people can nurture a mother in the way SHE needs to be nurtured her birth becomes empowering to her self. 

A birth place should have access to midwives. Midwives are trained to care for a mother and her birth experience, not just her "birth". Midwives offer mothers a priceless abundance of understanding. When a mother is understood... her birth experience with thrive! 

For more information on the Ten Steps of the Mother-Friendly Initiative or to get involved please visit www.motherfriendly.org.