But I have a Toddler - how can I find time to do Hypnobirthing??!

So you have a two year old, you're pregnant with your second, and it's really, REALLY tiring. Remember the first time around when you could just nap when you needed to and maternity leave meant vegging on the sofa eating Haribo, watching daytime TV? Not so much the second time round and it's really bloody hard right? And then there's me telling you that you need to find time to relax? And you think 'really lady?!!'. 

Calm Births Hypnobirthing

I know lovely, I've been there too - when I was pregnant with my third baby, I was dealing with a 3 year old and a 2 year old and, quite frankly, it sucked a lot of the time. I was just permanently knackered and they were just permanently crazy. It was relentless. I literally forgot I was pregnant for a lot of the first two trimesters - one memorable occasion a lady at a toddler group asked me when I was due, and I actually asked her 'when's what due?' She must've thought I was batsh*t crazy as five seconds later I remembered I was pregnant and told her when I was due.  BUT. I knew that I had to do something, I knew that I had to make time for this poor little baby who hadn't asked to be the third down in the pecking order. I knew how important it was to create space, time and love just for him or her.

And so this is how I know that it can be done - you just have to be a bit more flexible with it. In my continuing experience a lot of the relaxation techniques are actually massively beneficial for parenting too. When the children are going crazy and you're feeling the stress rise up, you have the tools and techniques to make you feel calm - and by practising this you are giving your baby some chill time and love too. Win-Win!!! 

When pregnant with second (or subsequent) baby you often just need to fall into bed at 8pm, but there's nothing stopping you falling into bed plugged in to your Relaxation audio, and falling asleep to the positive self hypnosis tracks. 

I KNOW it's difficult, but I also know that it is so worth it and you and this little baby will benefit so much from you just squeezing in any relaxation practice that you can each day. You deserve it, and this little one does too. 

There are some really interesting studies around how what we do during pregnancy shapes who are babies become. There's a wonderful TED talk here, where a scientist explains several studies that have been undertaken which have determined that our babies whole brain structure is altered according to our behaviours during pregnancy! For example how we eat determines how their metabolism is formed, if they perceive that they are coming into a world of scarcity because Mummy isn't eating much, then their body will form so that they store calories when they eat to keep them going for longer. Amazing right?

I tell you this not to terrify you, but to remind you of how important it is to care for yourself, and to just take any minutes you can to sit quietly with your bump and relax each day.  Many of the relaxation and breathing techniques we learn in Hypnobirthing can be done whilst sitting with a toddler who's playing. Your toddler will just think you're Supermum being all calm and chilled - and I can pretty much guarantee you'll notice a change in their behaviour too. 

In practical terms, a Hypnobirthing course is 5 sessions - so this means either finding a babysitter for 5 two hour slots, or having the classes privately in your home after your other child or children are in bed. It is achievable, and it is definitely worth it, I promise you! 

How to shorten your labour by eating dates!

So we've been talking about the importance of eating Dates in the last month of pregnancy for several months now at Calm Births. So I thought it about time to actually sit down and take a look at the evidence!

So what's all this about eating dates? You may or not have heard but eating 6 dates per day will:

Lessen your chances of needing induction and make your labour shorter.

Woah there! Stop the press! What?! This is incredible news! So there have been a few good studies on this in the last few years and they all reached the same conclusions.

It is thought by Alkoran et al (2017) that date fruit 'probably influenced oxytocin receptors, caused more effective contractions, and better prepared the cervix for delivery'. Our ability to respond to Oxytocin (or, the 'hormone of love' as it's known) increases during pregnancy, and we produce more of it. All that lovely Oxytocin then encourages our uterine muscles to surge in order to ripen and open the cervix. So if dates are enhancing that process, then happy days! 

So as well as women being statistically more likely to go into spontaneous labour, they are also, according to these studies, going to be:

More dilated when arriving at a hospital/birth centre, more likely to have a vaginal birth and less likely to have a post-partum haemorrhage. 

Khadem et al (2007) found that 'date fruit has an oxytocin-like effect, leading to the increased sensitivity of the uterus, stimulating uterine contractions and reduces mean post partum haemorrhage'. 

The evidence is there, and reassuringly all studies conclude that Dates are beneficial for women during late pregnancy, as they reduce the need for intervention and there are no adverse effects on Mother or child. 

So - 6 dates a day from 36 weeks ladies! Ok, so admittedly dates aren't the most visually appealing fruit, and I know a lot of you are thinking yes but.. euughhh!!

So here are a few ideas for you on how to jazz them up a bit to eat them!

1. You can chop them up on cereal for a quick dose in the morning

 2. Some of these smoothies sound delish

3. Sticky toffee date cake? Yes please! 

4. A date and walnut cake, yum.

5. This super healthy Mongolian Beef recipe. 

I'd love to know how you get on with the date eating, has it worked for you? Have you any great recipes for Dates? I'd love to read your comments! x 

How bad IS induction of labour?...

So one question which always lingers in people's minds is how to use HypnoBirthing techniques if they are induced - won't it all go out of the window? Well, the answer is no, it won't. I want to reassure you that the process of induction isn't an evil thing to be dreaded, and you have everything you need to make it a positive experience with HypnoBirthing. You can read about two positive births following Induction from Calm Births clients here and here.

So induction can be suggested to you for various reasons, sometimes because you are considered to be 'post dates', sometimes due to clinical indications that you or baby would be safer if baby was born sooner than later. This is not a post to merit the pro's and con's of why induction is called for (that's a whole post on it's own!) but about the process itself. The below outline is on the assumption that you and baby are in no clinical compromise, and it's important to remember that each woman is individual and will therefore be treated accordingly. This is really a guideline for how it works if you are induced for being 'overdue' or there is no clinical urgency to birth your baby. It's really important to know that Midwives are aiming to do everything they can to help your body take over and go into labour with a nudge, they will be encouraging you to do everything possible to help along the way.

Once you are in your due time (and remember, there is a FIVE week window in which you are considered 'term' - from 37 to 42 weeks) your Midwife might offer you the option of having a Stretch & Sweep (awful name, I know) sometimes referred to as a 'Membrane Sweep'. This is a vaginal examination where the Midwife will locate your cervix and attempt to rotate her finger into the OS - this is hoped to trigger the cervix into releasing prostaglandins, which will encourage your body into labour. This process can be uncomfortable as the cervix can be quite far back, it can cause some uterine tightenings afterwards too. Studies have shown that it can help avoid any further means of induction, and that there is no increased risk of infection to the woman. Personally, I would weigh up how you feel about vaginal examinations - if they feel you with horror and anxiety then it might just be counter productive for you. If you don't really mind and are actually really keen (by 41 weeks for example) to go into labour, then discuss it with your Midwife. This is only offered as an option, it's not something you have to have. Don't forget to eat your dates at this point too - read about that here.

Different NHS trusts have different policies on induction, and so I won't go into specifics of what happens but try to paint a general picture. If it is agreed that induction is the best course of action for you, and you both understand why it is needed and are happy about it, then the ball will start rolling with your admittance to a labour ward. The first thing to happen will be an insertion of a pessary into the vagina which contains prostaglandins, which will help to ripen the cervix. This is a bit like a tampon usually, and is left inside the vagina for 24 hours - you will usually need to stay in the hospital, and the Midwives will encourage you to go for a walk, and to stay active to let gravity help you. This method is often all that is needed to give your body a kick start into going into labour, and then your body takes over and does what it's supposed to do to birth your baby.

If, after 24 hours, surges haven't started or become regular, then you will be examined again to see what is happening. Trusts vary on this, but some will give you a further 12 hours to let nature take over and others will want to intervene straight away. The next stage is usually for the Midwives to attempt to break the membrane seal, or 'break your waters'. This is another vaginal examination but is painless, it's really just popping a balloon with a plastic hook - it doesn't touch your skin or hurt you, it's usually quite a feeling of relief as the fluid releases.

This is then enough for some people's bodies to take over and go into labour, and varying amounts of time are then allowed for a woman's body to do it's thing. If, after the allotted time, labour still hasn't begun then the Syntocinon drip will be introduced. This is begun on a teensy amount, and gradually and slowly increased if it's needed to in order to encourage your uterus to begin tightening. Now, it is begun slowly, but as your body is being 'put' into labour at that point, you don't have quite the same amount of endorphin build up as if you had begun to labour naturally, and so pain relief is usually offered to you. If you need it, use it - there are no points awarded to someone for needing pain relief and refusing it!! This is the time when you need to remember all of your HypoBirthing techniques to help you to build your own endorphins, plug yourself in to your Relaxation audio, use your visualisations and light touch massage - birth partners need to pull it all out of the bag at this point!  

The key is to remain open minded and positive, just go with the flow at each stage, and embrace each stage as one nearer meeting your baby. Focus on the end goal of holding your baby in your arms, and their gaze meeting yours for the first time. You have all the breathing techniques and relaxation techniques that you need to make this a wonderful, positive birth so enjoy it!! xx 

The Hospital Bag.

"What should I pack in my hospital bag? "

This is a question that looms in the minds of many Mums to be  - there is so much information out there about what you absolutely must have in your hospital bag. There are lists on Pinterest, there are pages on websites, there are helpful friends and family telling you what you MUST have - it can all feel a little overwhelming and can become quite a thing to fixate on and worry about.

The struggle is real..

In my years as a Midwife and after three babies of my own (who were born at home, but still all had a hospital bag packed from 37 weeks just in case) I have learnt what is actually essential in your bag - it's so easy to get carried away with this, with all the various lists out there on the interweb! So thought it might be helpful to share my basic hospital bag list - this is the stuff you need, everything else is just extras. Keep it basic, you're not going to Outer Mongolia. 

For Mum:

Your handheld notes - you will definitely need these.

Maternity Pads - these are the massive surf board ones - it's very important to use these and not the regular sanitary pads as they are designed for the Midwives (and you) to be able to monitor your blood loss after birth, if it's all absorbed in a pad it's more tricky. 

Comfy PJ's / Nightie that you can snuggle into after birth, preferably ones that you can snuggle baby into the front of too for some lovely skin to skin cuddles (and to breastfeed if you are choosing to)

MASSIVE comfy pants - literally buy a size or two bigger than usual of pants like you're Granny would wear. You'll appreciate it trust me. It also helps to house those massive pads!

Normal toiletries (shower gel, deodorant, toothbrush/paste, hairbrush/band) - even if you plan to go straight home after baby has been born (you'll be recommended to wait at least 6 hours), a shower and a teeth clean will feel like heaven afterwards.

Lip balm - it's really normal for your lips and mouth to get really dry if using gas & air.

Snackage - This should be the first priority in my mind!!!! But seriously, do take little snacks that might take your fancy during labour to keep your energy up, like jelly babies or snack bars, and also juice cartons or energy drinks. Don't forget, you're not planning on going to the Moon to have your baby, so there will always be a little shop/vending machine you can use if you need to! 

Nipple cream - obvs only if you're planning to breasfeed! But buy a good one like Lansinoh because in my experience nothing else even comes close.

An open mind - this is so important. To enter into labour and birth with an open mind and a 'go with the flow' attitude will serve you so well. Trust in the process and your body, trust in nature to take it's course and be open to however it all pans out. There is no right or wrong way to give birth. There is just birth. 

For Baby:

Nappies - obvs. Put a whole pack in. Trust me on that one.

Clothes - obvs again, but don't underestimate how many clothes a small thing can get through in a short space of time! To be totally safe take 5 or 6 of: vests, babygrows and hats.

Muslins - again you will not believe how many of these you might get through, put at least 5 in.

Baby wipes/Cotton wool - it is known to be better for baby's skin to use cotton wool and warm water to wipe their bottom and the hospital will have top and tail bowls for you to use for that. However the first few meconium poos are a nightmare to wipe, and in those instances baby wipes are much easier! 

Vaseline - if you cover baby's bottom and bits with vaseline after each clean, it makes the poo not stick to the skin and therefore much easier to clean. You're welcome.

A boob / A bottle - If you're not sure how you're planning to feed, you will already have a boob with you and you can always send someone out for formula! (This is where those muslins come in handy for dribbly feeders and also modesty)

Phone charger - to keep the juice on your phone for those all important calls & social media announcements!

Love - to give in abundance.

For Birth Partner:

Change - for car parks or vending machines

Toiletries - you might be there for a while and want to freshen up yourself, so pop in a spare toothbrush, deodorant etc.

Spare t-shirt - it gets REALLY hot in hospital, and you might feel a bit gross if you're there for a while!

Snacks - hell hath no fury like a pregnant woman when you've stolen her snacks. Keep your own stash!!

Phone charger - because you'll be taking a zillion photo's of your new baby!

Encouragement - telling your partner that they are loved, safe and doing an amazing thing will really spur her on and help her. You can't say these things too much in my opinion.

Just in case the thought of getting everything together is a bit stressful, I've put all the things you'll need for labour and the immediate postnatal period together in a convenient bag for you! You can read about your pre-packed birth bags here. x