Archive for October, 2011

October 18, 2011

Placentophagy

Oh, those crazy birth junkies!  What will they think of next?  Placentophagy is the act of consuming the placenta… yup, that beautiful regenerative organ – the tree of life – your baby’s life force for the 10 months within the womb.  This organ, so often discarded as a biohazard can have so many health benefits postpartum, considering consumption should be a part of your research during the prenatal period.

Research into placentophagy is in the baby stages, so there isn’t a lot of factual data available; however, most feedback from mothers who’ve consumed their placenta report positive feedback – especially regarding milk supply and avoiding depression or baby blues.  After 3rd stage (birth of the placenta), a small portion can be cut off and used to stop or simply prevent a postpartum hemorrhage.  Simply placed under the tongue, or between the gums and cheek, oxytocin, and other hormones, quickly seep into the bloodstream and stop excessive bleeding almost immediately.  Even when swallowed, we see the same effects.  (Note, mama doesn’t want to start chewing the chunk of placenta – just close your eyes and swallow).  Some midwives will mix up a milkshake to make the placenta more palatable, and mimic what many other mammals do after birth – consume the entire placenta to balance the hormones postpartum.  Oxytocin is not only the “love hormone” but is also the hormone that regulates your contractions throughout labor.  Oxytocin in its synthetic form is known as pitocin or syntocinon (depending where you live) and is routinely used to induce or augment labor, and also used in an injection form during a managed 3rd stage or to stop a postpartum hemorrhage.  Synthetic oxytocin, however, does not cross the maternal blood-brain barrier, and as a result does not have the same affects on milk supply and positive mood as the natural forms of oxytocin.

My midwife for my 2nd birth recently told me a story about her milk cow.  She had birthed many calves before, and after each one (cows being vegetarian, keep in mind) her cow would “gobble up the whole thing” and would produce about 5 gallons of milk a day.  During one particular birth, some dogs came near her, fighting, and scared her.  Being the sensitive mammal that she is (just like humans), the cow tensed up, and ended up retaining her placenta.  After a few days and no placenta, the midwife went in to obtain the placenta – which the cow did not consume.  She noted that this was the only time the cow ever struggled with milk supply issues, hardly producing any milk at all, and acted sort of depressed and different after this birth.  Something to think about.

A great site for information on placentophagy is Placenta Benefits.info.  However, let’s list some of the theorized benefits here of the hormones, vitamins, and minerals that benefit the mother through consumption:

  • Vitamins B6 (Energy, Reduces Depression Symptoms)
  • Iron (Builds blood, Reduces Fatigue)
  • Protein (Builds blood, Body’s Building Block)
  • Corticotropin-Releasing Hormone (Reduces Depression Symptoms)
  • Oxytocin (Milk Ejection Reflex, Relaxation/Love/Bonding Hormone)
  • Rh-negative mothers eat to prevent sensitization for future pregnancies

Preparing the placenta for consumption is very easy.  You can hire a Certified Placenta Encapsulation Specialist, your doula may provide this service, or you can even just do it yourself (Click Here to order a kit).  The main thing is, just like meat you’d buy from the store – a raw placenta can go bad and needs to be cared for with this in mind.  It needs to be double bagged, and refrigerated as soon as possible after birth, and the closer to birth it is “processed” for consumption, the better.  If it is not being processed within 24 hours, you may want to freeze it, and then thaw it until you have time. 

In its raw form, the placenta – just like any other food – will retain more of its nutrients.  Some moms choose to eat it raw, like oysters.  If eating small portions over a long period of time, the placenta can be frozen and thawed in little sections.  The main thing when “processing” is to not think of it, really, like a “placenta” but any food or meat that you would prepare.  Sometimes it seems so foreign that we don’t think it can be such an easy process.

When processing, you’ll thoroughly rinse the placenta – removing all the membranes, and discarding the umbilical cord. 

Holly Poulson (who processes placentas in the Mid-Ohio Valley region – for $100), likes to make art prints and show her moms the “Tree of Life” with the umbilical cord.  However, during my birth, my midwife removed all the membranes and umbilical cord after the birth to help speed up the processing – so we have more of a “Bush of Life” – still beautiful nonetheless.

After rinsing, you’ll cook it up – steaming is best, just like with retaining the nutrients in vegetables, and will look like a small roast when it is done… or if you’re disgusted of the process like my husband, you’ll likely describe it similar to a brain. 

Of course, you can simply eat it like a steak at this point – but if you can’t quite stomach that, then go on to the next step.  For me, the smell was the odd thing about the whole process.  It isn’t horrible – but has that strong hamburger smell that seems to be a little “off” because you know it isn’t hamburger…

 

Then, slice it into half-inch slivers and dehydrate for about 8-10 hours (until crunchy).  If you don’t have a dehydrator, just put it in your oven on the lowest temperature.  Some moms choose to skip the steaming/cooking and go straight to the dehydrator – although the steaming does help to thoroughly cook the placenta and ensure any bacteria…etc. isn’t present.  If you don’t cook it – it will take much longer to dehydrate.

After dehydrating, use a food processor, coffee grinder, or blender and blend into a fine powder.  Some pieces will remain big if they were a little over-cooked, and you can chop these up by hand or just throw them out.  Then, you can put the powder in a jar and use it just like a protein powder in drinks or over food – but most choose to encapsulate them for easier consumption.  Most moms will get somewhere around 100 capsules – just depends on the size of your placenta and the size of the capsules you use (these would be size 00).

The placenta is best consumed within the first weeks following birth, but can be saved to counteract other depression or low-energy times, and even stored until menopause to naturally balance the hormones during this transitional stage.  Typically, you’ll take 3-6 daily (1-2 capsules, 3-times a day), and monitor how you feel.  For me, personally, I feel better taking a very small amount as taking more than 3 daily seems to provide me with too much progesterone and oxytocin and caused me to be engorged with milk and very emotional.  Granted, there are a lot of other factors that could be playing into is – but, it seems as though I feel a lot better now that I’ve been taking less – and I’m now down to 1 a day.  Not all placentas have the same nutritional or hormonal contents because they are directly related to the individual mother, her hormone levels during pregnancy, and her nutritional intake during pregnancy.  So, with this in mind – understand that you may need to adjust your daily dose – which may actually mean taking less rather than more.  Just remember – when you decide to stop consuming the placenta, slowly “wean” yourself – or the dramatic shift in hormones will produce the opposite result – such as fatigue, irritability, or migraines.  Although, I also know of moms who will deal with the headaches…etc., so that they can save the pills for a really low day.  Either way, the point is to understand that quitting “cold turkey” can result in some less than desireable outcomes.

I have yet to find any information on placentophagy after a medicated birth.  However, I believe it is safe to assume that because a mother, after a medicated birth, will have lower levels of oxytocin, any risks of medications being retained in the placenta would not outweigh the benefits – and she may likely benefit more than those with an unmedicated birth.  You may, however, want to be sure your placenta is in a healthy state before consuming – which is easily done by asking your care provider.

Not into placentophagy but still want to counterbalance postpartum changes?  Remember that rest, good nutrition, and adequate hydration help the body to naturally function well – including balancing hormones.  Dark greens, adequate protein, and a balanced diet that helps build blood levels is very effective at preventing depression and fatigue.  Preparing for your postpartum with freezer meals can reduce unecessary stress – as can a babymoon or limiting visitors and phone calls.  Consider the help of a postpartum doula (like Gentle Beginnings if you’re in the Mid-Ohio Valley) to provide emotional support and help with things around the house (especially after a cesarean birth).  Some mothers choose to take Omega-3 Fish Oils (a high quality brand) for prevention & treatment of depression.  Likewise, treating depression with St. John’s Wart can also be very effective – especially when avoiding traditional depression medications (please research herbs before consuming – especially during pregnancy and if breastfeeding). 

The way I see it – having the option to consume the placenta is well worth it.  My honest opinion – I don’t believe they help everyone, and from personal experience I can see how the body can naturally balance the hormones without placentophagy – but I think they help the majority of moms in a variety of ways.  Simple discarding or just planting under a tree felt like such a waste to me, and I would much rather have the option to consume than wish I had encapsulated and not had the chance.  Because most moms report positive effects, and so many moms have such immediate results regarding baby blues and milk supply, it seems crazy to just let this wonderful organ go to waste.

What was your experience with your placenta postpartum?

October 4, 2011

An Instinctual Birth

Gabriel Blayne - 8lbs 15oz
Born at Home – October 3, 2011

“Deep within each woman,
lies the knowledge to give birth
without outside interventions.”

My 2nd birth – the birth I’ve been dreaming of for so long.  Bell’s birth was incredible and life changing.  This birth was as close to biological as I could have ever wished for my family.  It was the birth that I talk about so much.  It was perfect.

After a week of on and off again mild regular contractions, the night before my birth I started feeling strong cramps in my cervix.  They were irregular, then slowed, and stopped before bedtime.  I had turned off the ringers at the house for the weekend, and each night took a long warm shower, and fell asleep listening to Tibetan Bells and relaxing to the scent of Lavender aromatherapy oil.  I had been waiting…. anticipating a past “EDD” birth – but not imagining I would go 2 weeks past.  I was ready to welcome labor with open arms.

I woke up each hour to pee – just like always.  But, around 2:00, I was feeling strong cramps, and felt like these were different than the contractions I’d been feeling throughout the past week.  I called James (who was on his 3rd midnight shift of the weekend) to let him know my contractions were regular and that I was going to call Donna (Donna Spellman, CPM) to see what she thought before he came home.  Donna said to call her back in an hour and we’d see how the contractions were, so I also let James know I’d call him back in an hour.  I sent a heads up message to Allie (our birth photographer with Allie B Photography), and gave Crysta (our doula with Gentle Beginnings) a call.  I was feeling like these contractions were pretty close, and was starting to feel like I wanted someone with me.  Bell was sleeping, and if things got intense, no one was here to attend to her if she would wake.  I told Crysta I’d call her back in 1/2 hour – but I was afraid to have anyone come if things were just going to stop.

Things weren’t stopping.  But I did take a moment to snap a picture of myself.

I’m a nut about documenting events.

I called James, Crysta, & Allie in 1/2 hour.  I wasn’t waiting an hour to get someone here.  I was ready for companionship.  I just wanted someone nearby.  I was really needing to concentrate during contractions, and had to quickly finish my message to Allie because that one was getting too intense to talk.  Yes, these were progressing fast…. but – wow, don’t I have at least 6 more hours of this… then transition… and still pushing?  These are one on top of the other, I’m moaning, and I’m getting a little nervous.  I’m not doing so well am I?  But wait, this is the exact same way I felt when I was in transition with Bell.  Am I in transition???

All the sensations and movements were running through my head.  I got the birth ball out to lean on… nope, that didn’t help – I needed to walk.  All the birth scenarios were running through my head.  Thinking of someong pushing on my back was running through my head.  Every direction of the baby, every little foot movement.  I could sense all of them – I could feel the whole birth.  I knew my body was working, and the baby was doing OK because I could feel him move. 

I called Donna.  I think it had been 45 minutes.  It was time.  She had over an hour drive, and this wasn’t stopping.  I still felt bad.  It was the middle of the night – and everyone was going to come out, and this was just going to stop.  I don’t care.  I need presence.

James gets home.  Relief!  Wow, I’m getting loud.  I really don’t need to be this loud – but it just feels good, so I went with it.  But, I’m still talking and doing just fine between contractions… gosh, am I going to have to deal with this all night?  Can I handle it?  I really don’t want to…  I’m kind of done – these are intense.  James is a little panicked.  I asked him to move Bell back to her bed, and get the bed ready.  He wasn’t putting the sheets on right – and that annoyed me a little.  I just wanted it prepped – and fast.  He started getting glasses of water, straws, and putting all our birthy-needs in place.  “I need you to HELP me!”  Yup – that same scenario with Bell’s birth was coming up.  James is a prepper… but doesn’t do so well with support.  When is Crysta going to get here?  Why did I tell her to wait?  I hope Allie gets my message.

I have to pee.  It hurts to sit on the toilet.  Same feeling I’ve had for 2 weeks.  I have to pee – and I can’t.  I constantly feel like I have to poop… I’m totally pooping when this baby comes out.  I just accept it.

I decided getting in the shower will let me stand and pee.  I try the water on my back.  It was incredibly distracting.  I’m just not a water birther.  I’m a walker.  I couldn’t imagine sitting in a tub – I need to move.  I turn the water off.  Pacing – my same ritual I used with Bell.  It brings baby down, and it helps me deal with the sensations.  Oh WOW, those sensations!  I paced in our little standard 5′ tub.  “James, get the camera.”  I leaned on the bathroom wall with each contraction.  Really?  More hours of this?  Oh my gosh – someone just tell me I’m in transition and I’m doing OK.  “You can do it.”  “I can do it.”  “You’re OK… You’re OK.”  Nope – those don’t work.  Moaning… totally works.  And I was MOANING.  Bell is going to wake up, surely.  MOAN….MOAN…..OOOOOHHHHH…..I remember my deep noises this time, though.  Yup – bring that baby down, Danielle. 

“You’re doing good.”  What was that?  I thought…. James was telling me I was doing a good job….  He was taking pictures, and then just sitting by the tub watching.  He was so nervous… but this was great.  NEVER underestimate the power of encouragement and presence!  I AM doing good.  I’m loud – but I’m doing this!  And, I don’t have to get in my car and drive anywhere.  This is going to happen at my home!!!

I really need to pee.  Baby is pushing down and squishing stuff out with each contraction – but I just want to pee.  James, get me the peppermint oil on a tissue… nope, that didn’t work.  Worth a try.  Oh well, I’ll just stay in the tub.

Oooh… I am still doing this…  but how much longer?  I want to squat.  Wow, that kind of works.  I want to squat, and…. am I grunting?  A few squats with James supporting me (I almost knocked him in the tub with me) and my water broke.  Am I pushing???  No way…. no way am I already pushing.  I’m grunting.  Maybe there is a lip, I think.  These grunting pushes are good.  No one has even checked me – how awesome is that?!!  Oh, yea, I’m pooping.  Hey, at least I’m not going to feel like I have to poop anymore…Baby must be really moving down now…maybe if I poop it will make room for the baby.  (Seriously, you’ll think of all kinds of stuff when you’re in labor).  Where’s my labor land?  I so am not in labor land.  I am completely here – completely feeling everything, completely conscious and aware… but I’m doing it.  There’s no way I’m already in 2nd stage.  But, contractions were easier to rest through.  Still close – but I was getting a break.  Wow, this is awesome – totally intense, and I’m really ready to just be done.  James thinks about cleaning up the poop.  That’s love… that’s comfort.  Birth with someone who is OK cleaning up your poop!  But, I kept moving around, so he couldn’t get to it.  Wow, that stinks.  A few more pushes, and there went my water.  Oh NO!!  Meconium.  Wow, this bathroom really stinks now - and everyone is going to smell it.  Oh well… “James, call Donna… there’s meconium.”  Donna was about 15 minutes away.  I’m still squatting and grunting.  I’m going to have this baby!  Yes, I’m in 2nd stage.

James prays.  I think I pray at some point, too.

I want to stop standing.  Squatting just feels so much better. James lays down a towel and a chux pad.  Ahhhh – this is better.  I can lean… All 4s – what a powerful position.  Rest and birth at the same time.  Oh, I’m really pushing now.  No one is telling me to do anything – no one is touching me – I AM doing this all by myself!!!  James is just sitting behind me and waiting.  He’s nervous.  I’m DOING this!  I don’t care that no one else is there – I have a presence with me and I am DOING this!  I reach down… no head yet.  Oh, how long is this going to take?  A few more loud pushes – yeah, yelling just feels great.  I think of that carved stone face of the woman birthing – I totally look like her.  I’m POWERFUL!

Azstec Goddess Tlazolteotl Giving Birth - although I'm not keen on the idea of the "Goddess of Filth" this was, nevertheless, how I was picturing myself.

More pushes.  I reach down again.  I want to know how far the head is… I feel something squishy – but it is small.  It is that same distinct feeling I felt when Bell was crowning, just smaller.  OK, baby IS moving down… I AM doing this!  “Crysta is here,” James says.  I look out – she’s just quietly leaning by the wall in the bedroom.  Wonder what she’s thinking…. I’m LOUD!  Wonder if she thinks I’m nuts and not doing well… oh well… yelling just feels good!  More pushes, a little high pitched, but that’s OK.  Remember to just breathe, and you’ll be fine.  More pushes, and I’m feeling the head.  Oh, there’s that ring of fire.  I can do it – I think… I don’t want to – I think some more…  Just push – you CAN do it… you just HAVE to do it.  I only pushed for a few seconds with each contraction.  Not getting out of breath this time.  That was perfect – exactly what I could handle – no one telling me to do any more than what my body was ready to handle.  I could feel the baby moving down, then back up – wow, that’s crazy - doing the baby dance.  OK, I know we’ve still got more to go… baby is still moving up.  Oh, then there’s full on crowning.  My perineum is stretching, but I don’t think it is tearing.  Baby stops dancing.  Oh, we’re almost there I thought, and no one is interfering!!! 

A few more pushes and the head was out.  I DID it!  I DID it… and all I have left to do are the shoulders (oh, not fun) and the body!!!  “Can someone get Bell?”  Crysta says “she’s here.”  OH, cool!  I was SO glad she was able to be there – that meant the world to me!  I was worried she wouldn’t be able to see because of the small space – but James said she was watching.  I hear Donna, “There’s the head… but I’m sure you already know that!”  That was funny… I didn’t have the energy to laugh, but it was funny.  I feel her hold the baby – that was a little intense.  I knew I had to get the shoulders.  “Next contraction, I want you to reach down and hold your baby.”  OH – it is almost over… it is almost over!!!  I CAN do the shoulders – and my scar is giving me no issues (shoulders are what made me tear with Bell - that and directed pushing).  This is great!!!  I try to reach down, but I need to support myself, so I stop.  Donna holds the baby with the next few pushes, and AHHHH, relief – there’s that squishy body!

Crysta is taking pictures – AWESOME!  This birth was fast, and Allie wasn’t quite here yet.  The video camera’s battery was dead, but at least I’m going to have some pictures.  I move around, try to get into a better position, and then Donna hands me our little….  Its a boy!  A boy. I knew it!  I feel elated with this one – I didn’t have that instant feeling with Bell.  But, this was perfect – this was exactly the birth I wished for.

“Let’s cut the cord,” Donna says.  I check to see if it has stopped pulsing “Can we wait?”  “Do you still feel a pulse?”  I wasn’t sure – I was shaking – so she waited a minute or two longer.  She took the baby, and I moved to the bed.  We still had the placenta to go – but it was OVER.  2.5 hours from waking up to birth…. WOW!

We didn’t have a name picked out yet.  Interestingly, I was the one in a hurry to name him.  He was 8lbs 15oz – over a whole pound bigger than Bell.  But, was only 19.5″ long.

photo by allie b photography

photo by allie b photography

The cord was wrapped around his shoulder, which caused a little bit of cord compression, and likely the cause of the meconium staining.  He was fairly blue and limp at birth – alarming to me, but Donna checked him and he was doing well.  Funny – he has favored the ROA/ROP positions, flipping to LOA occassionally, but always back to the right.  I did some optimal fetal positioning, but felt like he was on the right for a reason.  I believe he was there because the cord was on his shoulder – and that the birth went fast so that he would do well throughout, and not have to deal with the compression for longer than he could handle.  God was watching over us.  He was well.  Not much bleeding from me, and he pinked up quickly.  He has a strong urge and suck to nurse – just like his sister did.  Now, just transitioning to a family of 4, and encapsulating my placenta next!

photo by allie b photography

What a magical experience.  Allie was able to make it for the placenta birth, and she got some beautiful pictures of our family – thank you so much for taking the time away from your family to document this special time in our lives you can watch the slideshow here – I’ve only watched it about 100 times http://gabriel.alliebphotography.com/).  Crysta was there with love and support… and she ended up cleaning up my poop.  Thank you Crysta, for being there – for being a wonderful presence – for being patient – for cleaning up my poop.   I was SO glad to have people there for 3rd stage and immediately after – just perfect! 

photo by allie b photography

Thank you Donna – thank you for no dopplers, for no vaginal exams this entire pregnancy.  Thank you for such wonderful care and advice – you are an absolutely amazing midwife!  Thank you to James for sitting patiently – for those small words of encouragement – I love you and am so glad to have been able to experience this birth in this way – even though you were nervous. 

photo by allie b photography

Thank you Bell – for starting my life over, and putting me on the path to experiencing this amazing birth. 

photo by allie b photography

Thank you God, for watching over our family and our birth team.  I didn’t need an unassisted birth… I needed THIS birth!

photo by allie b photography

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