Tuesday, December 08, 2009

Why birth is so important to me

Well, here it is. My magnum opus, the post that's been Cassia's lifetime in the making, although only the last few weeks in the writing. This is my heart and soul about the topic of birth. Warning: It contains some PTSD triggers.

Birth is so important because it touches the lives of every single human being on the planet. We are all born, one way or another. It is one of the few universal human experiences, and that alone makes it significant, poignant, something worth remembering, celebrating and embracing.

We have been designed not to consciously remember our first few years, including our births. However, there is a school of thought that says the physical experience of birth is imprinted into our subconscious minds, which goes on to affect our entire lives, and while I am yet to be totally convinced this is true I remain open-minded. Nevertheless, even if the circumstances of our own births hold absolutely no significance to any of us individually, the inescapable reality is this: Birth has a profound effect on at least 50% of the entire world's population -- women. Mothers. Add to that whatever percentage of fathers, siblings, friends and whoever else with a personal connection to the birthing woman may be present for the birth, and you have a lot of people who have just experienced or witnessed one of God's most special "everyday" miracles.

But have they experienced or witnessed a miracle? Or was it one of the most stressful, unpleasant, chaotic, scary, painful, traumatic moments of their lives? Has the mother been left on a joyful high? Is she utterly wrapped up in wonder and amazement at the God-given power of her own body and is she taking total delight in the baby -- her baby -- that is now cradled in her arms? Is there nothing but love and joy around her right now? Does she have no underlying sense of disappointment at what has just happened to her and around her? Have the people she entrusted to take care of her really done their job the way she wanted them to? Is the baby indeed in her loving arms, or has it been rushed off in the gloved hands of strangers to be weighed, measured, washed, bound in plastic name tags, placed in an incubator, or resuscitated? Is she lying on her back with her legs splayed apart and up in the air while a stranger sits in front of her vagina, sewing stitches into it and talking to the other stranger in the room about last weekend's football match? Is she now alone in an unfamiliar room, so drugged she can't think straight, wondering where she is, where her baby is, why she can't sit up, why she feels the need to throw up, what that great big gash across her belly is and what all those tubes attached to her arms and body are? Is she left alone like that for hours? And is she now being shown a strange screaming creature that looks kind of like a human baby for no apparent reason and being told that this is her son or daughter -- whatever that means? These experiences and feelings are real, and tragically, they have happened to a woman near you, whether she will acknowledge it or not (and I don't mean it's happened to every woman who births in hospital, obviously -- but that it's a lot more common than people like to acknowledge).

Birth is so important because it has the potential to be one of the best experiences of a woman's life. She has few other opportunities to be pushed to the very limits of her mental and physical strength, only to discover that she's got more of what it takes than she ever thought before. It can be such an empowering event. But besides that intensely personal aspect of rising to the challenge and conquering it, birth is the grand entrance of her own child into the world -- the child she has been carrying for nine months inside her -- the child that is so inextricably linked to her and with whom she carries a bond with that no other human being will ever replace -- the child she will then go on to nurture and love for a lifetime. This isn't just the end of a pregnancy, and it certainly isn't just another day in her life! It's the beginning of an incredibly profound new journey and beautiful relationship. The nature of the birth experience has an undeniable effect on a mother's ability to fulfill her vital role in that relationship in terms of bonding, breastfeeding establishment, her sense of confidence in her God-given mothering instincts and abilities, and all of the implications those things hold, as well as on her relationships with those she entrusted to be her support people.

When we get married, we spend a lot of time and energy planning our weddings. There are so many details to think about, and we want everything to be perfect on the day. We seldom get everything perfect -- it rains, there's not enough champagne for the toast, whatever. When only one or two things like this occur we can usually overlook them and still enjoy ourselves on the day. Everything else goes beautifully, and we ride off into the sunset to begin a glorious new chapter of our lives together, a chapter that is going to last the rest of our lives.

But imagine if a lot of things go disastrously wrong. In addition to the rain and lack of champagne, imagine that the bride trips over and falls on her walk up the aisle, she gets a big stain on the front of her dress, the photographer doesn't show up, one of the bridal party members gets sick, the best man gives a shocker of a speech and the sound system breaks down. At the end of the day all the couple really has to show for the wedding is the signatures on the certificate. Obviously this isn't going to make for an environment conducive to those happy love hormones that get everything off to a fabulous beginning.

I think the analogy only goes this far, because a wedding is ultimately just a big party, external to our bodies, which can be recovered from relatively easily if it doesn't go well. Birth, on the other hand, is a physical, emotional and spiritual experience that the woman is totally invested in, body, heart, mind and soul. But the point still stands: As big parties and important rites of passage go, everybody acknowledges that weddings are right up there. How much more significant should birth -- the beginning of a person's life on the outside (and remember, we all go through it) -- be?

I mentioned that birth is a spiritual experience. That's because there are very few other times in a woman's life when she looks her own vulnerability squarely in the face and comes to recognise how totally dependent she is on her God to get her through it (and I include the whole pregnancy in this). Birth is such a wonderful opportunity for a woman to meet her Maker in the most intimate way, to know that He is the Great Midwife in whom she can put her complete trust. It has the potential to profoundly deepen her relationship with her heavenly Father. Moreover, through pregnancy, labour and birth God gives women a special insight into His plan of salvation that no man can ever experience in quite the same way, because pregnancy, labour and birth are analogous to our entire spiritual journey. Consider John 16:21.

A woman, when she is in labour, has sorrow because her hour has come; but as soon as she has given birth to the child, she no longer remembers the anguish, for joy that a human being has been born into the world.

This has become one of my favourite scriptures since Cassia was born, and is even written within the context of describing our spiritual journey. Birth has been designed by God to mirror what happens to us spiritually!

This human life isn't all roses. There are many wonderful blessings in it, but there are many trials as well. Some people's trials, for whatever reason, are heavier than others. Pregnancy is like this. For most women, it's an exciting and happy time although it comes with sickness, aches, pains, discomforts and natural anxiety about the welfare of the baby. Some women are lucky enough to sail through the entire pregnancy without a single problem. Others suffer severe nausea and vomiting, pelvic pain that renders them almost immobile, or other conditions that warrant serious medical attention.

We live our human lives knowing that it isn't always going to be this way, and we eagerly anticipate the time when Jesus Christ returns and we are changed from physical, mortal beings to eternal, spirit beings. We don't know exactly when it's going to happen, but we have a reasonable idea, and we spend our lives getting ready for that time. In the brief period immediately before Christ returns, the whole world goes through a stage of intense suffering. We know this time of tribulation is coming, and we can prepare for it as much as possible, but we won't really know what it's like, and how much we'll be affected by it, until it's here. I hope the analogy to labour is obvious. That's exactly how the Bible describes it.

Finally, the period of tribulation ends, Christ arrives and we experience the unparalleled joy of entering His glorious kingdom. We are euphoric and victorious, eternally changed. We count anything we have suffered as loss. This is what birth is meant to be like! This is the overwhelming sense that all that labour wasn't worthy to be compared with the joy we now feel, and the amazing euphoric victorious high which follow (or at least, are supposed to).

I think it's pretty safe to say that God takes His analogies seriously, if the symbolism of Passover, baptism, oil, water, blood, the sacrificial system, the tabernacle/temple accoutrements, etc are anything to go by. So I doubt that birth is any different. Indeed the process of conversion to spirit beings is called being "born again" by Jesus Himself in John 3:3.

And so, with all of that in mind, how should we treat birth, and the birthing woman, remembering Who designed it all and what significance He gives it? With love, tenderness, awe and respect. This is an incredibly special time of life, and deserves to be acknowledged as such. By and large it is not a medical event, and even in those rare cases when it has to be, there is no reason why it still cannot be handled with compassion and dignity. But very few women can say their experience comes even close to this description, and until that changes I will remain a passionate advocate for the importance of birth, and for giving birth in circumstances which are most conducive to achieving that level of love, tenderness, compassion, dignity, awe and respect -- for the woman at the centre of it all and even more for the God who created it.

Wednesday, December 02, 2009

Talitha cumi

Hey Talitha
I love you
And I'm going to hold your hand
You know that, don't you?

Hey Talitha
You're really not a little girl any more
And you can do this
Because you were made to

Hey Talitha
I am The Midwife
And I have been with you on this journey since the day you were conceived
And I will be with you on this journey til the day you die

Hey Talitha
I love you
And I'm going to hold your hand
Do you trust me?
Hey Talitha
You're not a little girl any more
Talitha cumi

copyright 2009 Nat

Monday, November 30, 2009

37 weeks


Thursday, November 26, 2009

Weeping may last through the night, but joy comes in the morning

Note: I have the gracious permission of the parents to post this photograph.



If this photo isn't just beautiful in its own right, the story behind it will move you to tears. This precious child was born two days ago. Look at the way he is staring into his mother's eyes. If that isn't enough to melt your heart, let me tell you that he is this couple's third child: the first was stillborn and the second was miscarried.

Sunday, November 22, 2009

By way of comparison

Quite often at church we are asked to pray for our members in various places around the world who are facing difficult circumstances. The prayer requests for individuals are almost always health-related and very serious, from small children with rare congenital defects to older adults facing triple heart bypass surgery to people who've been victims of terrible accidents.

A couple of these prayer requests have really struck me and I'd like to talk about them from a different perspective to the usual. I'm hazy on the details in both cases, but the overall picture is what I'm really driving at, so bear with me.

One was a middle-aged woman who had been suffering ovarian cysts and had undergone laparoscopic surgery to have them removed. The surgery was a great success; the woman was recovering very well, at her two-week check-up the doctor had told her she'd probably not even need to see him again at six weeks, but that she should probably have another check-up just in case and of course she should contact him immediately if anything felt amiss. We had been informed of this outcome and thanked for our prayers, giving glory to God for His obvious intervention in her life in giving her such a smooth and speedy recovery.

The second was a young man who'd suffered a bowel obstruction of some kind and had undergone a colonoscopy and removal of a few small sections of his colon. As with the woman in the previous story, the surgery was very successful. His recovery was quick, and within a few weeks he was back at work and busy getting on with life. Again we were thanked for our prayers and we praised God for the miraculous healing He had granted to this man.

Maybe you can see where I'm going with this. These two people had undergone major abdominal surgery, the recovery process for which is expected to take many weeks if not months, and usually requires careful supervision and numerous follow-up appointments with the surgeons to monitor the patient's progress. It was absolutely reasonable that prayer requests for these people be sent out across the world, and absolutely wonderful that God granted them such swift recoveries.

When was the last time you heard a prayer request for the recovery of a woman who underwent a caesarean section? It is extremely likely that more than one woman in your own congregation has undergone this procedure. It is no less major abdominal surgery than laparoscopy or colonoscopy (in fact it is a bigger deal than both), requiring at least the same amount of recovery time, if not more. The standard number of follow-up appointments a c/s patient will have with her surgeon is one, at six weeks. That is exactly the same as you get for a vaginal birth. What's more, a woman recovering from a caesarean is still expected (indeed, required) to be the primary caregiver of a newborn baby. Very, very few partners of these women will have more than two weeks off work to help out.

Over 30% of women get this as their introduction to motherhood. Do we ever hear about it at church? I can recall one occasion in which we were asked to pray for a baby that had been born via "elective" repeat caesarean at 38 weeks (because it had breathing difficulties, which is of course no surprise). The mother was invisible.

I'm actually not trying to criticise my church, or any church for that matter, in raising this issue. My point is more about society as a whole, of which the church is merely reflective in this instance. We do not give a fat rat's bum about caesareans. They are so common they don't even raise eyebrows. At most a woman might get a sympathetic "Oh well, it happens, but the important thing is you got a healthy baby". We have so normalised surgical removal of children from their mothers that we barely even notice it, and we certainly don't question its validity (on the contrary, we very quickly launch into a defence of why it was necessary -- and that's a whole nother blog post). And the women themselves, by and large, have no recourse for support, but feel they must grin and bear it, get on with life, and definitely not talk about birth trauma because that doesn't really exist. So what do they say when you ask them how they're going? "Oh, pretty good thanks", before launching into some diversion about how well the baby is sleeping or feeding. And thus the cycle of silence continues.

This really saddens and frustrates me. There are several reasons we are not ever going to see a reduction in caesarean rates for as long as this world continues (the chief one being because the surgeons performing the surgeries obviously don't see that as a good business model), but one of them is because society's blase and enabling attitude towards a major abdominal surgical procedure absolutely stinks.

It is NOT normal.
It is NOT desirable.
It is NOT safe.
It is NOT as good as a vaginal birth, for many, many reasons.
It is NOT something that should be repeated just because it's already happened once.

I personally wish I had the ovaries to say what I really think each time I hear about another baby extracted from its mother, so I'm not placing myself above this enabling culture I hate so much. Usually the best I can do is mumble something like "Oh, that's a shame". It depends on the circumstances and who I'm speaking to, I guess -- not that it should. When I recently heard about a relative whose son had been born via caesarean "because he was a big baby and she was a week overdue" a little piece of me died all over again, but I said nothing. Urgh. I'm a work in progress too.

Anyway, next time you hear about a woman who's had a caesarean, please pray long and hard for her recovery. And consider putting in an announcement at church.

Wednesday, November 18, 2009

Imaginative play

Cassia's made a significant developmental leap lately -- she's engaging in imaginative play. Yesterday and the day before she was putting her teddies to bed and reading a story to them, and a few days ago she was pretending to be an aeroplane. (This was really cute. She was flapping her hands wildly and exclaiming "Look at my propellers go!" and then crouching down on the floor and yelling "I landed!")

I guess it's time to pull out the frog costume again, and maybe make another one or three. A dress-up box! This could be interesting...

Tuesday, November 17, 2009

Jogasaki Coast

Almost three months ago we took a day trip to Jogasaki Coast. The website I've linked to here is pretty useful for the practical information on what's around the place and how to get there, etc, but I thought I'd just add our own personal perspective to the trip as well.

Jogasaki is a stretch of particularly rugged coastline along the east side of the Izu Peninsula. It features a 10km long hiking track through the bushes with the sea crashing on the rocks down below. It's quite beautiful. I don't know much about how hiking tracks are graded in degree of difficulty, but I'd take a stab and say this one was medium. Not too difficult for a 5 months pregnant woman carrying a toddler (part of the way; admittedly Craig did most of the carrying) in the heat and humidity while wearing shoes that weren't very appropriate for the job, but a decent challenge nonetheless. Quite a lot of up-and-down, with rocky steps in many places. We worked out that we walked about 4km of track and both of us were weary at the end of it. If I was to do it again I'd definitely wear runners with socks, as my slip-on casual shoes didn't really cut it. (No doubt hiking boots would be even better, but it's not so difficult that hiking boots are a must.)

We took the train to Izu Kogen station and walked down to the hiking trail. Apparently there is also a bus service from the station, but according to the timetable we found buses run infrequently, at least at that time of day (late morning). It's quite a long walk through the somewhat hilly streets of Izu Kogen from the station, although the area is pleasant and appears to be the stomping ground of rich Japanese people who go there for weekend getaways. Could be wrong about that, but there were lots of shiny cars and nice, large, widely spaced apart houses around, and what else would shiny cars and nice, large, widely spaced apart houses be doing in Japan? There are a number of little shops and cafe/restaurants in the area where you can get something to eat as well. The waitress at the place we stopped for lunch even spoke a smattering of English!

Anyway, we followed our noses down the streets to the coast and joined the track at one of the several entry points along the way. The closer you get to the track the more signs pointing you in the right direction you will find. At one end of the track there is a famous suspension bridge but we worked out that we were too far to make it so we went in the other direction. For the most part we had the track to ourselves, with the occasional smile and softly murmured konnichiwa to people coming the other way. One of the highlights was finding squirrels running around in some trees directly above us (forgive us being Australian and thinking squirrels are a novelty). After we'd had enough walking we decided to take a short cut back to the train station along a straight concrete path lining a canal that evidently took the town's run-off water to the sea.

If you're into nature rather than temples, museums and gadgets it's an excellent way to spend a day checking out Japan. I'd be quite happy to do the trip again around April or May next year when the weather is sunny but not so hot and sticky. With a little preparation it's well worth the trip.





 

 

 

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How to get to Jogasaki Coast from Numazu: Take the Tokaido line train to Atami, and from Atami take the Izukyu line train to Izu Kogen. You can then either walk to the coast (20-30 minutes) or take a bus (10 minutes). Apparently.