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Lanugo/Newborn Body Hair

Pregnancy A-Z Series

Some parents are curious through the pregnancy if their baby will be born with hair. They are usually thinking of scalp/head hair and not body hair, but babies can be born with fine hair on their bodies, known as lanugo.

What is it?
Around five months of gestation the fetal hair follicles produce this first hair, believed to help keep baby warm. Around the seventh or eighth month most babies have shed the majority of this hair as they get closer to term. The latin word for lanugo means wool, fluff, or down, depending on which translation you use.

What happens to the lanugo hair?
It is thought that the hair falls off/sheds in the womb, the baby ingests it and it becomes part of the first bowel movement, known as meconium.

Is it normal?
Yes, very normal. If your baby is born with fuzzy hair on its body there is no cause for concern. The hair will fall out very quickly and should be gone by the time the baby has reached 4 months of age. Because lanugo tends to shed in the womb closer to full term, the earlier a baby is born the more lanugo they may have. Full term babies can still have lanugo however!

This post is written for educational purposes, not medical advice. Always consult with your medical provider if you have concerns.
All Rights Reserved 2020, Kimberly Sebeck
, Knoxville Doula

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Kick Counts

A-Z Pregnancy Series

Have you felt your baby’s movements in the womb yet? What did they first feel like? Some women say they feel like gas or bubbles. Others say they feel like a fluttering. I remember when I first felt my daughter moving it felt like a butterfly lightly brushing their wings inside of me. As baby grows that changes into some harder and more noticeable movements and outright kicks and jabs!

Medical professionals recommend by the third trimester (28 weeks) that pregnant people begin counting baby’s kicks as a non invasive and at home way to monitor your baby’s habits and movements. It’s also a way to spend some time bonding with baby.

How do you do kick counts?
Get relaxed and time how long it takes to get 10 movements.

What counts as a movement?
Kicks, rolls, jabs, those movements you feel.

How do I record the information?
You can mark it down in a notebook or use an app like the free one on Count the Kicks

What’s normal?
Most of the time you will reach ten “kicks” or movements in 30 minutes but if you haven’t reached ten kicks within two hours or there is a noticeable change in your baby’s established pattern, give your provider a call. Your provider may have suggestions like drinking something cold or sugary or bringing you in and putting baby on a monitor. It is better to be safe than sorry.

Some Tips:
Set aside time every day and try to do it at the same time when baby seems to be most active. Often this is after a meal or in the evening. If the movements are starting off slow, try drinking something with ice or sugar (if gestational diabetes isn’t a concern) and lay on your left side for increased blood flow. Remember as your baby grows larger near the end of pregnancy sometimes the movements become more subtle as they have less room for strong kicks. This is why knowing your baby’s established patterns can help to notice more subtle movements — or if there is a marked change.

This blog is for informational purposes only and not intended as medical advice. Always check with your provider for more information about kick counts and changes in baby’s movements.

All Rights Reserved, Kimberly Sebeck, Knoxville Doula 2020

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Joyful Affirmations for Labor

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Babies bring so much joy. Their smell, their sweet faces, their little sounds, kissable toes. But when society as a whole discusses the process of bringing them from womb to earthside there are very mixed reactions and many of them negative.

Particularly now in this time of a pandemic I felt it was important to focus on fostering a sense of joy for labor and birth and appreciation of how our body and our baby work together in order for baby to be born.

Birth is work! My work as a hypnodoula has brought me the mindset to view it as hard work but a work that can be enjoyable. Just as someone puts for the effort to accomplish any great feat or hard work, like running a marathon or climbing a mountain, or finishing a degree, there is work involved but also a sense of joy and accomplishment.

“It’s hard to describe if you’ve never been there, but to watch a woman access her full power as a woman to give birth is awe-inspiring, and I never get tired of being witness to it. It’s an honor to watch that transformation take place.” Julie Bates, CNM

What are some ways to increase a sense of joy leading up to the time of birth? Acknowledge there will be work involved, the very word labor is defined as productive work from Vocabulary.com. What could be more productive than toiling to birth your baby? Your work has a purpose and that work will end with your baby being in your arms.

I will welcome my baby in peace and joy.

We are designed to give birth to babies. About 360,000 babies are born every day in the world. You can do this. You will do it. You are not alone.

Countless women have given birth before me. Their courage and strength are with me.

What about during the birth process itself?

Stay in the moment. Take each phase as it comes. Welcome each surge, each contraction. Some of you might think this sounds a little far fetched but really try to embrace the process. It has to do with that retraining of the mind. With every squeezing of your uterus you are getting closer to your baby being born. Your baby is working with you also, moving into certain positions, feeling the contractions too.

Good strong contractions will help me meet my baby.
“Remember that each labor contraction is caused by a wave of oxytocin coursing through your body. So, very literally, each birthing surge is a surge of love. Allow yourself to meet each surge with the same warmth, intimacy and acceptance that you would experience during a kiss or a loving embrace.” Lauralyn Curtis

What about people who require a cesarean or have their birth plan change? You too can receive your baby with joy. Joy that we have the medical technology to keep you and your baby safe. Joy that in most cases partners are able to be in the operating room for support and to see their baby be born. Joy that you are a strong and wonderful mother.

“The strength that is displayed in labor and birth is something that no one can EVER take from you in your life. Elixir of courage.” –Desirre Andrews

May you find joy during your pregnancy and during your birth! If you would like more information please look into Hypnobabies a complete childbirth course focused on a peaceful joyful birth.

*A caveat- Birth trauma is real. This blog is not intended to discuss or diminish birth trauma. Its intent and purpose is to foster a sense of joy and share birth affirmations. Should you or someone you know be struggling with birth trauma please reach out to a professional.

Kimberly Sebeck, Knoxville Doula
All Rights Reserved 2020

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Finding — A-Z Series

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It seems to me that becoming a parent is a lot about Finding.

Finding out you’re pregnant. Finding a childbirth provider. Finding a childbirth education model that appeals to you. Finding how overwhelming the choices are when it comes to breast pumps, pacifiers, bottles, even swaddling blankets– and then making choices. Finding out where every bathroom is when your bladder is full, or if you have to vomit (thanks, “morning” sickness). Finding you cry at the drop of a hat. Finding out every bit of it was worth it when you saw your baby for the first time. Finding out you can go with less sleep than you imagined possible. Finding your village. Finding your rhythm through those first nights, weeks, months.

The Free Dictionary defines the word “finding” as “something that has been found”

You have been found as a mother, a new experience but something that was already in you waiting to come forth. What a beautiful thought.

Underneath it though is this description for the word “findings”:

“Small tools and materials used by an artisan”

You, my dear, are an artisan. You have the tools and materials to create works of art. And as any artist, your skills grow as you use them. Believe in your abilities and capabilities.

Kimberly Sebeck, Knoxville Doula 2020
All Rights Reserved
www.knoxvilledoula.com

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Due “Date” A-Z Series

Continuing in the A-Z Pregnancy Blog Series we come to the letter D. I bet you thought I was going to write about doulas, didn’t you? Well, I have written previously quite a lot about doulas. Here a few links if you want to read about:

https://knoxvilledoula.wordpress.com/2015/06/12/reasons-to-hire-a-doula-for-cesarean-birth/  Reasons to hire a doula for a Cesarean Birth

https://knoxvilledoula.wordpress.com/2012/01/17/doula-musings-today/ What I can and cannot do as a doula

https://knoxvilledoula.wordpress.com/2010/02/09/hiring-a-postpartum-doula/  Hiring a postpartum doula

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So for D I thought I would write about the “due date” or EDD, estimated due date. It is an estimate and some feel it should be more of an estimated due month rather than a date. After you see how it is calculated perhaps you will also feel the same.

In order to calculate your due date, add 7 days to the date of your last period and then add nine months, with the assumption of a 28 day cycle.  But remember that babies don’t know anything about this estimated calendar date and a full term pregnancy is considered anywhere from 37 to 42 weeks.

Due dates are usually calculated on your last period instead of the date of conception because of a number of reasons.

  • Although the average woman ovulates (releases an egg) approximately 2 weeks after her period, the exact time is not always known.
  • Once an egg has been released, it can remain fertile for up to 24 hours.
  • Sperm can last for up to 7 days after intercourse to fertilise an egg.

Nowadays an ultrasound is frequently used for dating but the date can be off by a week or more. Depending on which study/evidence is cited, approximately only 5% of women give birth on their estimated due date. But it’s fun when it happens! Only 35% of women go into labor the week of their EDD.

Keep your due date in mind, absolutely, but don’t panic if baby ends up surprising you. Parenthood is all about surprises! You will soon be holding your baby in your arms.

All Rights Reserved, 2019
Kimberly Sebeck, CLD, CCCE, HCHD
Knoxville Doula

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Q&A with a Hypnobabies Instructor

Q. Tiffany, I understand that you used Hypnobabies with one or more of your births and these were vbacs? Could you tell us a little bit about how you learned about Hynobabies and why you decided to use it?
A. Yes, I used Hypnobabies for two of my three VBACs. One birth was in the hospital, and one was at home.
When I was pregnant with my third baby I knew I wanted to actually enjoy my birth. During my first two births, an urgent cesarean and VBAC,  I experienced a lot of suffering and trauma as well as under preparation despite self education and professional birth classes.  So, when I had two births that didn’t go by the books and ended up being traumatic, I was devastated at the amount of suffering I had to endure to bring my babies into the world. Pregnancy number three and the rise of the internet made it possible for me to find a new way. In my search I came across a YouTube video of a mom using Hypnobabies to breath her baby out, smiling in between contractions and I was instantly hooked. I knew I wanted to have that kind of calm control and joy during my babies birth. I was able to have wonderfully healing and comfortable VBACs using Hypnobabies with zero interventions and great recovery and post partum periods.
Q.  How did Hypnobabies work for you in those births?
A. The first time I used Hypnobabies I was diligent at following the daily and weekly schedule. I remember hitting the 39 week mark and avoiding scheduling an induction at my doctor visit. At a time in pregnancy when most moms are ready to meet their babies I was able to use Hypnobabies to remain comfortable and really pamper myself that last week. I went into our birthing time at 39 weeks and 6 days while running errands. I kept my earbuds in and was able to stay comfortable even swinging at the park with my older children in the evening. Once I got them to bed things picked up and I continued to only feel pressure while using what Hypnobabies calls Eyes Open Hypnosis. It was great. Being able to snack, and spend relaxing time with my husband while in my birthing time and remaining completely comfortable was so new to me that I didn’t realize I was as far into my birthing as I was. It was an hour after I put the kids to bed that I decided it was time to head to the hospital and once we got there I was able to walk myself to the elevator and continue using my hypnosis while the nurse was checking me in. Then I sat on my ball, still with my ear buds listening to my hypnosis birthing day tracks, for about 30 minutes until I felt pushy. He was born in three pushes thanks to the unique Hypno-anesthesia tool Hypnobabies teaches! It was incredible! I was able to comfortably push my baby out and smile afterwards. When we got the pictures back that my mom took the entire room was smiling! Hypnosis really worked! I birthed an 8lb 4 oz. baby via VBAC remaing calm, comfortable, and it was so easy! I had nurses and doctors come by our room all day to find out how I did it so easily and all I could say was Hypnobabies! I was also surprised to find out that Hypnobabies techniques worked amazingly well to remain comfortable after birth as well which made my recovery period easy and comfortable.
My next Hypnobabies birth went a little differently. I had a major water skiing accident and knee injury right before I got pregnant so I was going into pregnancy with a body that wasn’t performing at it’s best. I then had Hyperemesis Gravidarum and could barely function for 6 months. (I did not look into the Hypnobabies track “Eliminate Nausea Now” which I regret) I did not do my Hypnobabies practice as diligently as the first time either so I feel like I caused myself some discomfort early in my birthing time by not preparing as well. I went into my birthing time at 40 weeks and 6 days which once again, Hypnobabies helped me remain calm, healthy, and comfortable so my baby could choose his own birth day. We had a planned Home Birth so my midwife and her assistant came over once I knew it was my birthing time. One thing that can happen to Hypno-moms is that time feels half as long so my 25 hour birthing time only felt like 8-12 hours to me. I was able to lie down in my bed and listen to my tracks to remain comfortable while I progressed slowly from 7-9 cms. Then I was able to use Eyes Open Hypnosis once again to move from our birth pool to the bathroom and follow what my body needed and finally getting in the pool and leaning over the side on my kneeling. I was also able to be comfortable and wait for the fetal ejection reflex letting my baby and body work together. One thing that surprised me was he had a slight shoulder dystocia (from misalignment due to the knee injury right before pregnancy) and I was able to remain comfortable, thanks again to Hypno-anesthesia,  while my midwife unstuck his shoulder. Once he was out my midwife said how happy she was that I used Hypnobabies and what a different birth it could have been if I didn’t.  I was surprised once again that I was able to use Hypnobabies to remain calm and comfortable to birth a 9lb 2 oz. baby in my bedroom. Six hours after his birth I was in my kitchen (my husband had finally succumbed to exhaustion) holding my new baby and making a small sandwich for my 4 yr old.
Q. When did you decide to become a doula?
A. After I had my first VBAC in early 2003 I knew I wanted to help women have more support, better birth education, and happier birth experiences than I had. So 6 months after I had her I went to a Doula Workshop, pumping or nursing during breaks, and knew I was in the right profession. I took some time off from Doula work to attend Nursing school and then came back to Doula work lightly in 2010. In 2016 I went to Childbirth Educator training and then in 2017 I added Hypnobabies Classes and Hypno-Doula Support to my menu of services that I offer. In early 2018 I began working with Susannah’s House, a non profit, out patient treatment facility for substance use, teaching prenatal classes and offering pro bono Doula services to my students there helping moms and babies.
Q. When did you decide to become a Hypnobabies instructor?
A. I knew I wanted to become a Hypnobabies Instructor a couple of years after my 2nd VBAC and once I used Hypnobabies for the second time I knew I needed to bring Hypnobabies to Knoxville and surrounding areas in a big way. I attending training in April of 2017 and became Certified a few months later. I’ve been teaching for almost a year now and my students have had several great Hypnobabies births of all varieties and settings. I have had students come from up to 2 hours away to attend classes.
Q. Can you tell us a little about the classes themselves?
A. Hypnobabies Classes are once per week for 3 1/2 – 4 hours for 6 weeks. It is an adult education class so there is “Home-Play” which my students enjoy doing together with their partners. Hypnobabies is great because it’s the only birth class you need. It’s a childbirth preparation class as well as childbirth hypnosis which teaches true, medical grade, self hypnosis techniques and tools so moms can stay calm, and comfortable, during their birthing times and after. All needed materials are received in class as well and Birth Partners are encouraged to attend since much of the material is geared toward how they can help Hypno-moms remain comfortable although birth partner participation isn’t a must to take the class and do Hypnobabies.  I like my students to be relaxed and comfortable so moms get to use Anti-gravity lounge chairs if they would like during class and/or Hypnosis sessions. We also have a break with yummy snacks, usually with water, fresh fruit,  and veggies on the menu as well as some type of added protein. Moms and Birth Partners leave class feeling refreshed, educated, and comfortable making the pregnancy and birthing choices that are right for them knowing they have Hypnosis tools they can utilize.
Q.  How can anyone interested get in touch with you to find out more about your services?
A. To find out more about my Hypnobabies Birth Services as well as non Hypnobabies Birth Services I offer you can reach me by email at queenbeeandbaby@gmail.com or phone at 865-266-0909.  You can also find me on Facebook at Queen Bee and Baby Birth Service or Queen Bee Hypnobabies.
Thank you so much for this information, Tiffany! I have loved being a hypnodoula with Hypnobabies for the last several years and know that having local classes will only increase the interest in an easier and more comfortable birth experience that Hypnobabies offers. Please let Tiffany or I know if you have any questions.
All Rights Reserved, Kimberly Sebeck, Knoxville Doula 2018
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Cesarean Rates – With a Grain of Salt

Note: This post is not about your medically necessary cesarean, or even one you chose. The author of this post respects all births and philosophies.

As more education and advocacy spreads about high rates of cesareans many natural birth advocates will encourage women to ask for their doctor and/or hospitals cesarean rates. Sometimes it is hard or impossible to find these rates as they are not always maintained by each physician, hospital, or even in public records. It is usually easier to find your state or region’s cesarean rates.

What is a woman to do when she searches and cannot find anything but internet reviews and anecdotal accounts?  What if she asks her obstetrician and they say they do not know what their cesarean rate is? What happens when a woman finds out that the hospital she has chosen to birth at or the obstetrician she is using has a 30%, a 60%, a 25% rate of cesareans? What does it all mean?

Information is always useful. But consider a few things.  If your state or regions cesarean rate is 30% but a certain hospital has a cesarean rate twice that — it could give you pause. Or you may consider if they only accept high risk women and are staffed by all or mostly high risk women’s specialists. Perhaps your provider is a large supporter of women who are attempting VBAC (vaginal birth after cesarean) and this skews their overall cesarean rate because there is always the chance a previous cesarean will result in another cesarean for the same woman. Large hospitals may not have accumulated statistics any more recent than a few years ago or even longer.

A rate will not guarantee you will have the information about choosing a hospital or provider.

Some suggestions for finding out deeper information are to ask these questions:

  • Ask your ob/gyn if they can provide a recent cesarean experience concerning their philosophy on birth. Was it due to a time limit? Was baby or mother not faring well?
  • If the birth facility itself has a seemingly high cesarean rate ask if this is due to specialists, high risk situations, hospital policies, or something else?
  • Has the doctor or facility implemented any measures since the most recent statistics that could help lower the chance of an unnecessary cesarean? Such as welcoming doulas, adhering to ACOG recommendations about reducing non medical inductions and considering active labor as beginning at 6 cm instead of the outdated 4 cm, utilizing midwifery care, and updating the tools provided to laboring women?
  • Does your hospital or doctor keep current on certain methods that can reduce unnecessary surgery by providing peanut balls for women with epidurals, having wireless monitoring for mobility, water labor options, etc.?
  • Does your hospital or doctor support VBAC?
  • Does your provider speak with compassion and understanding when you ask these questions or are they defensive or minimizing your concerns?

I hope some of these questions have helped to show that a rate is not always just a rate. Again, information is useful. It is a good starting point to ask more questions to make sure your provider or place of birth is in line with what you want for your birth options. Ultimately labor and birth is an unknown and you can only do the best with the information you have at the time.

Happy birthing!

All Rights Reserved, Knoxville Doula, Kimberly Sebeck 2016

 

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Cesarean Rates

This morning I calculated my cesarean rate as best as I could. I lost a bunch of records during a divorce and a laptop meltdown but recreated it to the best of my ability.

So at around 230 doula clients, I have had 11 that ended in cesarean. Assuming I may have forgotten one or two (not to sound uncaring but remembering 230ish births in my brain is a lot!) we will say a dozen cesarean births. Approximately half of those were VBAC turned RCS (vaginal birth after cesarean turned repeat cesarean section). My VBAC success rate is roughly 75%, which is excellent, because not all VBAC can be safely accomplished. Primary cesarean were at approximately 5 clients with one multiparous mother having a serious placental issue.

So to the best of my ability this would be the numbers broken down:

VBAC turned RCS = 5
Primary CS – 5
Multiparous CS -1

These numbers were for birth clients only, not postpartum clients who may have chosen my services and help after a cesarean. Also I do not just take low risk clients or birth center births. My clients may have multiple medical issues going on and know having a trained doula will be a good choice for avoiding unnecessary interventions or making necessary interventions and even surgery be a better experience.

I am very proud of this record. I am very proud of my clients for putting in the work ahead of time to educate themselves and lay the best plans for the best birth experience they can have.

Doulas make a difference!

All Rights Reserved, Knoxville Doula, Kimberly Sebeck, 2014
http://www.knoxvilledoula.com

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Training As A HypnoDoula with HypnoBabies

I am excited to announce I have begun training as a HypnoDoula with HypnoBabies — I have always admired the benefits my clients have received when they utilize the self study course. It is a valuable tool for coping with labor and even well beyond when stressful life situations arise.  This is also a good way for me to stay fresh as a doula and increase my skills for my doula clients.

Looking forward to serving you!

hypno

All Rights Reserved, Kimberly Sebeck, Knoxville Doula, 2014

http://www.knoxvilledoula.com

http://www.hypnobabies.com