Tuesday, January 10, 2012

Making evenings work

What are your evenings like? Ours go like this:

4:30pm: pick up A from daycare
4:45pm: arrive home; someone walks the dog
5:30pm: hopefully have dinner ready, depending on how much I've planned out
6:00pm: dishes and playing with A
6:30pm: A's bath
7:00pm: Storytime
7:30pm: A's (hopefully) asleep
7:45pm: curl up on the couch, watch old episodes of Being Erica or read a book. Tom goes downstairs, watches old episodes of Top Gear or works in his shop.

There's not much "wrong" with this schedule until we hit about 7:45/8 at night. Then suddenly we become couch potatoes - and separate couch potatoes at that! No fun Scrabble games, or interesting conversation....just a boring old couple too tired to do much else.

Last night I was angry going to bed, because I realized that in addition to sitting all day long at my desk job, I basically sat all evening long, and went to bed with a sore back and neck. I've never thought of myself as a couch potato until I had a child, and now I'm the queen potato!

So, today at work (yes, I am actually working as well, but must take a break from the monotony of spreadsheets), I have compiled a list of things that Tom and I could be doing in the evenings. Some are projects that we can work on together, while others are personal goals of ours that we should be attempting to achieve.

  • Using our indoor bike trainer (Tom)
  • Doing yoga (Misty)
  • Creating a family budget
  • Planning for our 2012 garden!
  • Finishing our downstairs bathroom renovations
  • Meal planning
  • Work on a new website/blog for me!
What do your evenings look like? Any tips for ways to reconnect as a couple?

Monday, January 9, 2012

Birthy Reads (a.k.a An Advertisement for Chapter's)

I think that I've now made it through the most popular birth-related reads out there, and I'm happy to share my thoughts about them here. Some of these are definitely geared towards midwives, doulas and childbirth educators, while others are just fictional novels that anyone could enjoy. Please send me lists of others you have enjoyed that I haven't included here!

Keep in mind I'm only discussing fictional/non-fictional "fun" reads - there are, of course, thousands of other birth-related books out there on pregnancy, childbirth and postpartum.

Midwives - my very first birth-related work of fiction, read long before I was considering children or doula work. One word: terrifying. Do NOT recommend this book to any expectant parents. It is the story of a midwife who needs to perform an emergency cesarean on a woman in a remote location in the North-Eastern US, as a winter storm prevents the midwife from transferring her client to hospital. Totally gripping, edge-of-your-seat drama, but really, really terrifying. Not a positive boost for home birth.

The Birth House - In case you missed it, this was a 2011 Canada Reads nomination, and a national bestseller. Regardless of whether you're into birth or not, you must read this book, if only for its fabulous Canadian writing and content.

The Midwife (or Call the Midwife) - Written by Britain's Jennifer Worth, this is a memoir of the author's experiences working as a midwife in London's east side during the 1950s. Definitely geared to folks hankering for beautiful and touching birth stories, as well as those wanting to know more about life in post-war London. Worth is an eloquent writer, and I'm excited to read her other novels. And bonus, the BBC is making this into a television series!

The Midwife of Venice - Just finished this one! Wasn't exactly what I had expected, but was a very quick read and kept me turning the pages. The story follows Jewish midwife Hannah, and is set in 1500's Venice. If not necessarily an accurate portrayal of birth in the 1500's (although, who knows, it could be!), it was certainly interesting to learn a bit more about the Jewish ghettos and relations between Christians and Jews during that time in history.

The Red Tent - really enjoyed this one, which takes fictional liberty with the biblical story about Jacob, his 4 wives and his 12 sons. I've never read the Bible, but it was interesting to skim through passages of Genesis and compare the "real" story to this fictional account. We need more of this - female perspectives of historical events, religious or not. Women are certainly not well represented in the Bible, and this at least adds some depth and meaning to a text that may otherwise be rejected by people like me. And seriously, bring back The Red Tent. I will go gladly into the tent.

Baby Catcher: Chronicles of a Modern Midwife - this is another one with edge-of-your-seat birth stories, the majority of which end happily. I love reading about the journey the author takes from L&D nurse in the late 60's/early 70's, to home birthing midwife in the 80's.


Here are some others I'd love to try:

The Midwife's Confession (fictional)

The Blue Cotton Gown: A Midwife's Memoir (non-fictional, memoir)

The Midwife's Tale (fictional)

Playing Catch: A Midwife's Memoirs (non-fictional, memoir)

Sunday, January 8, 2012

Orgasm During Childbirth? I call BS!


Everyone loves the movie Orgasmic Birth (now retitled Organic Birth, or something like that). At least, everyone in the natural birthing community loves it. Why? Because it communicates the fact that birth doesn't have to be horribly painful and scary. It can be beautiful and loving.

Birth is a time when our "love" hormones are at their highest levels - we will never experience that kind of high at any other point in our lives. So yes, a lot of women will get a "rush" as the babies head emerges, and some have even reported orgasmic-like feelings.
But seriously...I call bullshit. Not "bullshit, you didn't experience that" (because, who am I to deny a woman's experience?). But bullshit that childbirth will result in orgasms.

As one friend so aptly put it to me several years ago, "along with all the pressures women face in terms of their bodies, we now have to experience orgasm during childbirth AS WELL!?"

I agree with you 100% sister. Isn't it enough that I have to deal with (on average) 12 hours of knock-me-to-the-floor contractions (oops, sorry, I'm supposed to say "rushes")? But now I have to orgasm at the end of it all? Give me a break!

To all women out there - I can attest to the fact that natural childbirth is definitely wonderful. I think I re-live my labour/birth experience almost every day, and I am extraordinarily proud of what I accomplished. I wouldn't do it any other way.

But it hurt. Like, seriously.....it REALLY HURT. Here is how one woman put it when describing her water breaking:

Words cannot really describe the pain of my water breaking in that doorway, and the [babies] face dropping so fast, too fast, into my pelvic bones. They just can't. A too oft used cliche, but a true one. Like my mother's old 14 pound pink bowling ball being dropped on my pelvis?

If we tell women that birth is all orgasmic and stuff, aren't we setting them up for some serious disappointment if they experience something else? The majority of women do not experience orgasms in birth. Yes, there can be joyful moments, and some women report having painless childbirth - this is possible, but not the norm.

As doulas, I urge you to tread lightly when speaking to women about the experiences/feelings of childbirth. No one experience is the same, and when you talk too much, you risk your client coming back to you and saying "hey, it totally wasn't what you said it would be." Our role as a doula is to listen - to work through fears and concerns, and prepare parents for the reality of childbirth. And the reality is - it will probably be much more painful than expected. Chances are, if you skim through the book Hypnobirthing, you're not going to be moaning in pleasure during your contractions.

But does that mean that a positive natural childbirth is impossible to accomplish? No way! Our job is to encourage our clients in seeing their upcoming experience as a rite of passage - and an extremely positive one at that. Again, here is a quote from the same woman above:
 
There are moments that define us, that are written so vividly in our memories that nothing erases them, or overrides them. That moment, in the doorway, now defines me to myself, for it is always in my mind. In that moment, I knew I could face motherhood and everything that word encompasses. If I could get through that pain, that moment of the most unbridled display of emotion I'd ever had, when I was gripped in my partner's arms, screaming in his ear "I can't do this, what the hell is happening to me, this is too much" - if I got through that without crying Uncle, without the thought of drugs or asking for relief crossing my mind, I know I can manage whatever comes. Mayhap not gracefully, or quietly, but manage I will.

We can manage, we can conquer, and we can succeed.
 
But orgasm? No....sorry, not this time, honey. I have a headache.
 

Friday, January 6, 2012

Pacifiers Suck or Pacifiers Rock?

I didn't really want to introduce a pacifier to A when she was a baby. At first, I thought it would destroy our breastfeeding relationship (yes, I'm a drama queen), and was following the guideline of waiting 4-6 weeks after birth to introduce an artifical nipple. But then I decided I just didn't want her to rely on some thing to soothe herself.

However, as the reflux she experienced became more severe, it was apparent that something needed to be done. A was never a thumb sucker, although I desperately wished she would develop the habit. I even tried guiding her thumb into her mouth, but she would cry and spit it out. Breastfeeding couldn't soothe her, because it made the reflux worse (especially at night).

And so, one day we reluctantly tried the soother (which she now calls her "suckie"), and magically, our daughter dozed off on her own! This was the first time anything like this had ever happened, without some seriously intense jiggling and rocking, and screams that sounded as though 10 people were being murdered at the same time.

Fast forward 2 years, and A adores her "suckie." We began restricting its use during her awake times, so she now knows she only gets it at naptime and bedtime. However, our daycare person has been successful in putting her down for naps without it, so we began wondering how to do the same. And we've been told by countless people that you must get rid of the pacifier around 2 years of age.

There is, of course, the cold turkey method, which many parents find helpful. Just take them all away, either by replacing them with a special "gift" or ceremoniously giving them away to another baby. We haven't tried this, but have been talking about doing it for many months. Our hesitation is this: A does not respond well to popular behavioural methods. She never has. All those stupid books that you read to help your baby sleep better, eat well, etc.? They never worked for A, and we always ended up just doing our own thing.

There is another method that has you cutting off the tip of the suckie, and allowing the child to use it if they want (children will discover it no longer works, and lose interest). We tried this method first, and not surprisingly, A just sucked away happily on her broken pacifier, all night long. Did I mention we have a strong willed child?

And then there is no method at all - you just let them continue to use it at night, and hope that they someday willingly give them up. Dentists would be pretty upset over this one, as supposedly they cause dental problems.

For the record, I sucked my thumb until I was 5. I seem to have survived, and I actually asked my Mom to stop on my own. I was getting embarassed about sucking my thumb at school, so she helped me find ways to remind myself to stop.

Like so many parenting debates today, this one has different "camps" (my mother is of the opinion that our generation overthinks everything to do with parenting, and I've come to see her point). So if you decide to allow your child to use their pacifier past the "deadline" of 2 years, you'll certainly have people wondering why you haven't enforced the rules and taken it away.

Those of you who read my blog know that I don't respond well to rules. I like to break them. So I'm finally following my mother's advice (everyone wave "hi" to my mom!) and I'm going to be relaxed about this one parenting decision. We won't be following the 2 year rule, but will take a "play-it-by-ear" approach. When A's ready, we'll know.

Thursday, January 5, 2012

{Ottawa Doula} By Letting Your Child Cry-It-Out, Will You Fix Your Depression?

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A well-known researcher in Australia (Harriet Hiscock) is responsible for the first large, controlled study of infant sleep interventions (cry-it-out) for mothers with postpartum depression. Although conducted almost 10 years ago, the evidence continues to be used today in Australia (and abroad), with many healthcare workers advocating for sleep interventions to help with maternal depression. One of these popular online networks is Babycenter, which most of you have probably consulted at one time or another.

At first glance, the evidence from this study seems to favour the sleep intervention (as opposed to the "control group," where mothers were given an information sheet on normal sleep patterns, with no advice). The sleep intervention is simply a cry-it-out (CIO) technique - either by leaving the room and waiting longer and longer intervals, or by "camping out" and allowing your child to cry while you sit by the crib or bed.

When reviewing the evidence more closely, we discover several questionable aspects of the study:

  • There is no blinding - participants know whether they're receiving the intervention or control, so they're more apt to want to please the researchers, by reporting that CIO worked.
  • Depression scores fell in both the intervention and control groups, which suggests that depression will just improve with time, regardless of the intervention (depression scores did fall slightly more in the intervention group, but was not significant. A more signifcant drop was found when they looked only at mothers with more severe depression)
  • By 4 months, this improvement in mood was no longer significant for the intervention group. Meaning, all of the mothers in the study (regardless of doing CIO or not) had improved
  • Depression scores increased for "persistent sleep problems" - meaning, depression got worse when babies didn't repond to the CIO techniques
  • In a follow-up study, 1 in 5 children's sleep problems had returned
So what does all of this mean?

The study does show that CIO techniques seems to improve both baby's sleep patterns and mothers who have more severe depression. What is worrisome is that the evidence is weak for women who are experiencing mild depression (which may just be an extension of the baby blues - I've discussed the difficulty in diagnosing these symptoms in a previous post). So CIO techniques are touted as the "fix" for any woman approaching their doctors with signs and symptoms of depression.

How could CIO fix your depression? Well, we all know that most of us feel more emotional when we lose sleep. Dealing with a child who wakes frequently during the night may become a source of anxiety for women who are already feeling low. So the answer? Let your baby cry, get a good nights rest, and soon you'll be a happy, healthy mama!

Why this line of argument doesn't work for me

If you've let your child CIO, I'm sorry if you're offended by this post. I don't agree with CIO, although I'm not here to judge you. I'm here to support women who may be experiencing signs/symptoms of PPD (postpartum depression), and who've been told to allow their babies to cry so that they may feel better. Here's my issue:

"Normal" infants wake up frequently in the night. This is a fact of life, which extends across all species who breastfeed their offspring. Frequent night waking is NOT a problem.

Depression is multi-faceted, and a "quick fix" is not the answer. The answer is more support for new mothers, more education on gentle baby care, and realistic expectations of what it means to be a new mother

CIO is harmful to parent-child relationships. Please read Annie's post over at PhD in Parenting. This is not just an opinion - it has been proven with high-quality research

CIO works (sometimes) in the short term, but many babies will go back to night waking after any small changes, such as teething, sickness or travel.

CIO can create more depression and anxiety for mothers, as it forces them to ignore their infants' needs and deny their own feelings/desires - mothers are designed to respond to their crying infants.

CIO can lead to mental health issues later in life, as it raises cortisol levels, which remain high long after the CIO has been completed. So if you're depressed, wouldn't it make sense to respond to your baby, in the hopes of warding off the development of your child's own mental health issue?

There are other ways to get more sleep. This goes back to my "more support" point. New moms need to spend their entire first months focusing on resting and recovering from birth. Other cultures seem to get this idea - our culture praises the mom who jumps out of bed and loses 20lbs in 2 weeks.

If you are a new mom struggling with postpartum life, you will be bombarded with advice from parents, in-laws, doctors and websites, all telling you to put your child down and "fix" yourself by getting a better night's sleep.

Only you can make the best choice for your family, but I strongly believe that COI is not a long-term solution for depression. My blog post on PPD touches on some of the things you can do to get help, and resources here in Ottawa.

I'll finish by quoting Annie here, who says:

"Rates of depression are skyrocketing. Violent and senseless crimes are on the rise. As human beings, we need to spend more time being there for each other, showing compassion, nurturing our children. Learning that you can’t count on your parents to be there when you need them is a tough lesson to learn that early in life and can be a root of many of the social problems we are facing today. I want to give my kids every chance possible of escaping depression and staying away from violence. And I’m convinced that nurturing them and responding to their needs at night, as I do during the day, is the first step in the right direction."

Wednesday, January 4, 2012

{Ottawa Doula} Preventing Disordered Eating in Your Kids

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PhD in Parenting's recent blog post on buildilng a healthy relationship between toddlers and food has got me thinking more about how to prevent disordered eating patterns in my own family.

Having worked for two years with a non-profit that supports individuals with eating disorders, you would think that I'm an "expert" on these issues - that I always do the right thing with my child.

HA!

Like most parents, I know, intellectually, what I must do to create a healthy relationship with food, but my behaviour says otherwise.

Join me for a moment, and raise your hand if:

1) You keep a scale in your house. Do you weigh yourself every day?

2) You often say "god, I look terrible in this skirt" or "I need to lose a few pounds" or "take a look at this buddha belly!!"

3) You live a black-and-white kind of life. Yesterday, you ate cookies, ice cream and enjoyed your glass of red wine. Today, you've sworn off sugar entirely, committeed to never drinking coffee again, and claim that alcohol is a sin.

4) You label foods - "oh, honey, that cookie is really bad for you. Why don't we find something good, like an apple?" Bad vs. Good.

5) You're always on a diet. Or a cleanse. And then you're "off" again.

6) You deal with your emotions by clamming up, or acting out.

7) You either overexercise (pushing yourself to the limit, just in the name of weight loss) or you don't exercise at all, because you feel "weak."

8) You shovel your food in, never really enjoying its flavour. Mealtimes are stressful, and you become anxious when your child won't eat.

If you raised your hand to some of these, you most likely suffer from disordered eating. But before you panic over my (totally unprofessional) diagnosis of your condition, remember that probably 90% of our society is a disordered eater. You're not alone.

The good news is that disordered eating is entirely preventable. Sure, genetics plays a role, especially in more serious forms of disordered eating (anorexia and bulimia). Research has shown that anorexia has a strong genetic component, whereas bulimia and binge eating have strong links with our culture (which is why rates of anxorexia remain stable over time, and rates of bulimia and binge eating have skyrocketed over the past 20 years - because of our increasing focus on weight and food)

The answer would be to stop doing all of the things I listed above, but we know that this is easier said than done.

So the first question to ask yourself is: how much of a problem is this for me? All forms of eating disorders reside on a spectrum, from mild to severe. If you find that your life is consumed by food and weight issues, I strongly urge you to seek the help of a therapist. There are many good therapists here in Ottawa.

If, like me, your relationship to food is generally healthy but you know that there is room for improvement, consider some of these tips on preventing disordered eating. The important ones include:

- getting rid of the scale. Seriously....throw it out the window, or smash it to bits!!

- stop labelling your food. There no longer exists "junk" food and "health" food. All food is food.

- down with diets!!! What kind of message are you sending to your child when the rest of the family gets to enjoy a cookie, but you're "not allowed."

- enjoy gentle exercise that involves your children. Go for hikes, play sports, or just get outside to the playground!

- teach your child to think critically. When they point to the poster of the half-naked lady at La Senza, ask them "does that look like a real woman? Why do you think the store wants to put up pictures like that?"

- teach acceptance. If you are ridiculing a friend or family member for being a "porker," your child will grow up to have similar attitudes towards people who are a bigger size.

- make mealtimes stress free. No phones, no TV's and no discussions about food. Choose topics to discuss and stimulate interesting conversation. Promote mindful eating - chew your food slowly and carefully, and allow yourself to quietly savour the taste.

Over the next few months, begin by implementing one of the tips above. Then move on to the next. Explore how hard it is to change your behaviour, and reward yourself for small changes (eg. you can't throw out the scale, but you stop stepping on it every day).

In parenting through the early years, you have complete control (perhaps not the best word....influence?) over your child's food and relationship to food. You can establish healthy patterns that will last a lifetime. Sure, peers will have an influence later on, as well as genetics. But your kids will never forget your words and actions, and their childhood memories will be strongly tied to their experiences at the dinner table.

Be conscious, and tread carefully.

Monday, January 2, 2012

Oh, the Joy!

Although many of us "mommy bloggers" find it cathartic to write about our challenging experiences raising children, the joyful posts are also necessary.

A's first gymnastics class was a huge hit:

Getting her post-workout stamps

What a face!

Just hangin' around

Certificate of completion