Saturday, September 27, 2008

A BOLD night in Tacoma, Washington


I had a blast last night attending the performance of the Puget Sound BOLD cast's 5th performance this month - in Tacoma, Washington. What a show! I loved so many elements of how it was directed (bright lights for hospital scenes, dim lights when a woman felt safe)...and the actors were just wonderful.

Tacoma has so many wonderful birthing option for women (strong hospital options, a birth center, and home birth midwives) it almost felt like I was on another planet!!! I loved hearing how well, in general, the midwifery and obstetric community works together. Yet, even in this community, a woman stood up and she said she had the perception that midwives were women "who are hippies" and not until her third birth did she understand more about midwifery care, that they are not just for hippies who want to deliver their babies on a bus, and that for low risk women they are a great, mother-friendly, SAFE option that makes sense.

I encouraged everyone to check out The Big Push for Midwives campaign because, quite simply, many communities don't have birth options like Planet Tacoma, midwives have been marginalized and under sometimes widespread suspect (and legal persecution) in their communities...and this needs to stop now. People need to wake up that midwifery care is really the only way communities are going to flourish...it saves money, mothers have higher birth satisfaction....midwifery care for low risk women just makes sense.

Tonight I'll see this cast again in Olympia, Washington. And then...go HOME! I love being BOLD...but I also can't wait to go home and BOLDly sleep! (as a mother of a 2nd and 4th grader this is at least somewhat possible on weekends now!)

Friday, September 26, 2008

Meeting the very BOLD Penny Simkin



I flew out to Seattle yesterday to attend two BOLD performances this weekend out here, but today I had the privilege of having lunch with Penny Simkin. Penny's really a living legend in the childbirth field. I've wanted to meet her for quite a while because I just love her books and what she's all about which is very clearly to be on this earth to assist women in having powerful births.

So I asked Penny at lunch today what she thought pregnant women needed to know that would help them have a powerful birth experience and she turned around and said: "They need to know that their bodies rock." We smiled. Penny knows all about the character Amanda in my play who passionately chants "My Body Rocks!" with the audience throughout her labor because she was asked to play that character at one of BOLD Seattle's performances last year. What a moment in BOLD history.

If you haven't seen the play the "My Body Rocks" spirit can best be described as an attitude that birth is normal, that you completely trust the birth process and your body to birth a baby.

Here's to Penny's words: that all women know their bodies ROCK!

PS: If you're out in Seattle this weekend come to the performances! Visit www.boldinseattle.com for ticket information.

(Who's in the photo: that's Lynn Hughes, BOLD Seattle organizer, me and Penny Simkin (wearing her "Got Doula?" shirt!)

Monday, September 22, 2008

A BOLD time in Philly





I went down to Philadelphia this weekend to see their BOLD performance of the play. What a great cast, director and BOLD organizer Audrey McDonnell! (there we are above having a laugh as we shout "My Body Rocks!" - and the other photo is of me, Audrey and Cathy Daub, President of BirthWorks). The performance benefited BirthWorks International.

The talkback really engaged the audience in the themes of the play...I loved it! Questions bounced around from how can we get this play to more diverse populations (teenagers, college students) to who the play was appropriate for (would the disturbing picture of birth today be too frightening for teenagers to see?). All of this was on my mind too, so it was great to discuss it with the audience.

An OB was part of the panel and from the start he made it clear that in his practice he encouraged women to give birth at 39 weeks by what he called "compassionate induction" because, according to the study he quoted, this is when induction is most successful. Well...this is obviously quite controversial...but this OB has SINGLE DIGIT c-section rates so it did seem important to listen to his reasoning. But as I said at the talkback I think the bigger question women have to ask is: can all women get "compassionate inductions" in hospitals today (with OB's who have single digit c-sectiojn rates)? And is it right to be intervening with nature?

Some food for thought!

Congratulations BOLD Philadelphia...for a wonderful performance and a passionate talkback! That's what BOLD is all about.

Oh, and I couldn't resist getting a picture with two very BOLD men at the performance...my husband Tim (on my left) and Audrey's husband Patrick (on my right) They weren't the only men there Saturday night, but they were outfitted with their gear supporting women being at the center of their births (Patrick's shirt said on the back: HER Body Rocks!) Here's to all the BOLD men!

Friday, September 19, 2008

Be BOLD for mothers in the Czech Republic

All women are sisters. Today childbirth in the Czech Republic is unsafe for mothers and our sister there need our help. Read more below and PLEASE sign the petition!

Karen



Dear friends,

Even today, after almost 20 years of democracy, the maternity care in the Czech Republic fails to provide suitable alternatives for all mothers and babies: birth is considered unsafe outside large hospitals, birthing women have to comply with unnecessary routine interventions and are often separated from their babies after birth, and independent midwifery is suppressed by state authorities.

A number of organizations supporting normal births (parents, midwives and doulas) wants to initiate important changes by starting a dialogue with the Ministry and other authorities. We have gained a significant support from within our country, but we need an international support as well. Please help to support our claim by signing our petition - your voice is important!

Go to : http://www.normalniporod.cz/english.asp

Many thanks,

Dagmar Suchá,
UNIPA, Prague

Thursday, September 18, 2008

A birth film for fathers

Finally, a film for fathers...to empower them and show them how to protect their babies.

The Other Side of the Glass is coming out next year. Check out the trailer on YouTube:

http://www.youtube.com/watch?v=wVf4rzam0Xo

Controversies in Childbirth

Just found out this morning that our BOLD director (and former producer) in Austin has been invited to do a performance of the play in Fort Worth, Texas in March 2009 at the Controversies in Childbirth conference.

YESSS!

The conference is bringing together the entire birth community - OBs, Midwives, Nurses, Doulas, etc - to address the crisis in the US maternity care system.

This is a historic conference...debating and discussing the evidence, economics, perceptions and politics of childbirth.

And now, through the play and the BOLD movement, mothers voices will be added to the table.

Waaaa-hooo!

Tuesday, September 16, 2008

"Natalie"





I heard from "Natalie" today...not the real Natalie whom the character in the play is based(she is due to have her third baby this Spring!)...but one of the hundreds of women who played the character "Natalie" in a BOLD production of the play (Earth Lande, from BOLD San Francisco plays "Natalie" in top photo above). She laughed that the photo of her in the BOLD Chicago performance of the play last year, with her legs stretched apart (bottom photo above), had made it into many newspaper articles. She also wrote the following:

Before I did the show, I was literally terrified of childbirth--and I feel incredibly lucky to have had this artistic experience which has taught me so much about the choices I will have when I one day decide to become a mother. Now, I can barely WAIT for the day when I get to have this experience. In addition, I now feel a certain responsiblity to women to help reveal to them some of the hidden truths about childbirth in America. I start a lot of conversations with "Oh? You're pregnant?...Welllll...I was in this play called Birth..." I am positive that you have touched so many lives by telling these womens' stories. Thank you for being Bold!


No...thank YOU! Thank you to the hundreds of Natalies', Jillians', Amandas', Beths', Vanessas', Sandys', Janets', and Lisas' who have brought more than just their characters to life...You have helped ignite a movement.

Check out BOLD Chicago's journey last year in a photo tribute: click here

Monday, September 15, 2008

When Things Fall Apart

My uncle died last week and the funeral was Wednesday the same day my husband got a new job that requires us to move and my son started his new school for kids with dyslexia that this Saturday we had to tell him he's leaving. So this weekend I decided to pick up the appropriately-titled-for-this-moment-in-my-life book called, "When Things Fall Apart" by my new favorite author Pema Chodron.

Bingo - not only have I felt uplifted by her words, reminding me at this time that "thoughts, emotions, moods and memories come and go" I also kept reading it thinking about the birthing climate today - that in many communities it is falling apart...and it's so easy to take a morbid, depressing attitude towards it all. It's so easy to sink into the depths of asking: how are we going to find the joy in childbirth again? How are we going to rise above how challenging it is to be dedicated to supporting pregnant mothers when what most pregnant mothers are doing is walking into a hospital and getting hooked up to machines for no medically sound reason?

Deep breath...


Here's what Pema would say: develop compassion right alongside seeing clearly. Lighten up and cheer up instead of being miserably down about childbirth today. "Otherwise," she says, "All that happens is that we all cut everybody else down, and we also cut ourselves down." Yes.

While my "falling apart" week last week wasn't enjoyable, I am thankful that I came out knowing this:

that personally honesty (yes, the week was miserable) needs kindness, humor and goodheartedness. And that in childbirth today we need to be honest about the crisis, about the birth trauma, but we also need to be kind and compassionate as we move forward.

As Pema says, "That's the beginning of growing up."

Dr. Phil - Shame on you

I've been meaning to mention this for a while. Dr. Phil has decided to jump in the ring on home birth. Not surprisingly, he's looking for sensational home birth stories to present to his viewers - not the truth.

Come on Dr. Phil...do your research. There's a childbirth crisis in America - one in three women are having c-sections...birth trauma due to childbirth is now even acknowledged in well-respected newspapers like the Wall Street Journal. Why are you doing a show bashing home birth and midwives?

Here are the questions he asked:

- Did you have a child at your home?

- Did you want to have a soothing experience where you were in control and could bond with your child?

- Did it not go the way you planned?

- Do you regret having a home birth?

- Do you regret using a midwife instead of going to a hospital?

- Did you have your second child the traditional way in a hospital?


If you or someone you know regrets having a home birth please tell us your story below.



Ironically, the exact opposite is true about home birth experiences. A very small percent regret having a home birth. In fact, if we took Dr. Phil's questions and replaced "hospital birth" it would make more sense...

- Do you regret having a HOSPITAL BIRTH?

- Do you regret using AN OBSTETRICIAN instead of GIVING BIRTH UNINTERRUPTED AT HOME?

- Did you have your second child USING A MIDWIFE?

Now THAT makes sense!

If you want to make some noise to Dr. Phil email him here: http://www.drphil.com/plugger/respond/?plugID=12524

Sunday, September 14, 2008

BOLD Nashville - breaking down walls in middle Tennessee





Every year since BOLD started back in 2006 I'm blown away by the people in communities who bring a BOLD event to their hometown. And I'm heartened each time I get feedback from a BOLD organizer that the play had ripples of impact on their community.

BOLD Nashville this year is definitely a strong example of the BOLD spirit out there in 2008, PUSHING for better childbirth choices for mothers, PUSHING for community awareness of local maternity care issues, PUSHING for people to be BOLD and make maternity care the best it can be for every woman.

BOLD Nashiville's organizer and director, Nicole Deelah, shares feedback from her BOLD journey to bring the play to Nashville:

It was amazing. I cannot quite put into words how wonderful it was.

From the hardships to the blessings, it was such a labor of love, a work of the heart.

Finding our venue proved to be one of the hardest obstacles - as my location tends to be VERY political and hostile when in regards to anything 'birth' oriented. Finally, we found a small studio theater that was run by a man who was over 50, single, no children. I had no hope that this man would want to support our vision. I didn't pull any punches after having so many experiences with hard-sells that were later reniged on when 'certain key individuals' in our community encouraged them NOT to host this play. I told him the play was controversial, he would most likely be encouraged NOT to help us, and that I needed a yes that would remain a yes, or a no - but nothing in
between. He jumped at the opportunity to help.

Consequentially, two weeks before opening night, he was able to be at the birth of his niece, a homebirth - his first birth ever. He 'now got it' what we were trying to accomplish.

1 month from production, he let me know that the owner of the building (not him) had said he HAD to have SOME upfront financing for our use of this venue. He named a price. It was not in our upfront budget. Miraculously, within 24 hours, a sponsor came forward for EXACTLY that amount.

Then, we had one role which we continuously could not keep filled. We found our "Natalie" 2 weeks before production!

Opening night and every production afterward was amazingly nerve-racking, humbly empowering, and awe-inspiring. I had the privilege of looking out over the audience every night and watching women with beautifully ripe bellies; their chins would quiver with passionate emotion, their eyes would grow in anxious expectation, and
their hands would roam, independent of thought, their bountiful wombs. Mothers comforted their babes at their breasts and nodded in understanding and compassion at the triumphs, trials, and journeys of the women on the stage.

Beautiful irony, amazingly healing journeys, and poignantly painful sifting through "birth baggage" marked every heart and mind of the cast and crew of "Birth". A staunchly anti-establishment lesbian woman befriended an outspoken conservative Christian pastor. An avid home birther became great confidants with a strongly opinionated medically-minded mother. And the walls just kept falling down.

We saw two women who were both a part of the birthing profession in our area break down their differences and sit, together, on our talk-back panel - surprising each other and those in the audience when they found they were in agreement on most all subjects discussed.

We watched a husband beg forgiveness of his wife for not understanding her need to have her mom at the birth of their last baby - he hadn't'allowed it'. But now he understood.

And we saw a family, whose generational differences had previously alienated one young woman because of her birthing choices, surround her in support before leaving the doors.

Powerful.

You would not believe the responses I have gotten from this project (after the performance). In fact, let me share some of them with you:

"I always felt guilty that I secretly felt RAPED by my episiotomy. I asked my doctor not to do one, but she did it anyway. And I didn't even know until after my baby girl was born. Only afterward, when she started stitching me up, laughing about a 'honeymoon stitch' she would put in for my partners benefit, and refusing me local pain medication because I 'couldn't feel it because [you] had an epidural."

"I never knew that epidurals could make a babies heart rate fall. You know, I'm 3 months pregnant and no one knows. I didn't want to tell anyone because I am not ready to resign myself to another cesarean. I didn't know I COULD have a vaginal birth if I wanted. I was told my pelvis is too small to accommodate ANY sized baby. My doctor told me that any baby who I tried to push out myself would be squeezed to death... I never was willing to consider the 'coincidence' that his heart beat was fine until I got my epidural. And my doctor made me feel like I was the one who was broken - my body - not their medicines and policies"

"You can have homebirths in Tennessee? I didn't know that! Can I have some names? I would LOVE to have a waterbirth. I want what Jillian got [big smile]".

"You have no idea what it means to me that I have been given PERMISSION to be angry about my cesarean. I felt like a bad mom for feeling like a 'healthy baby was not enough'."


I cannot tell you how hard, overwhelming, frightening, frustrating, stressful.... BEAUTIFUL, REWARDING, HUMBLING, AWE-INSPIRING, SWEET,and CHERISHING this process has been.

I cannot wait to do it all again, I look forward to it in the way that all things of worth are looked forward to - with a healthy perspective on the hard work that accompanies a rewarding process that demands your heart, mind, and body.... and the personal fulfillment we all experience when we complete the task! We did it!

I like the sound of that... WE did it... We DID it! """


Check out a tribute to the BOLD Nashville performance on UTube:

http://www.youtube.com/watch?v=bKvoIJ3a1t0

Saturday, September 13, 2008

Thinking of our BOLD Sisters in Houston...

BOLD Houston's performances were supposed to be this weekend, but with hurricane Ike hitting the coast of Texas they've had to reschedule for next weekend. BOLD Houston Organizer Pat Jones shares:

althought it seems like our "labor" is sure having some complications - we are persevering - never give up until it is done - just like labor - the cast is strong, powerful, dedicated, enthusiastic, willing, and have worked hard to make this "baby" come out!


Stay safe, BOLD Sisters...we'll be thinking of you.

Sunday, September 07, 2008

Oxytocin - yes!

Since most of my family doesn't believe anything unless there's a study or an article written in the major mainstream press here's something from the BBC to pass along to all those people who might think you're nuts for planning a natural birth.


http://news.bbc.co.uk/2/hi/health/7594282.stm



Yes, oxytocin is what you want ladies...it's the love hormone...the hormone that all physiologists, doctors and midwives know is essential during the birth process and lactation. If you have a natural birth, you get it.

When I read Dr. Michel Odent's "The Scientification of Love" I was sold on oxytocin after the introduction. It's not just about the power of this love hormone at birth - it's about the long term advantages to getting this hormone at birth. The impact on our culture, if we all experienced love at birth, would be tremendous.

Want to know more? Dr. Sarah Buckley writes passionately and medically sound articles on this topic. Here's a good article to start with:

http://www.sarahjbuckley.com/articles/ecstatic-birth.htm

Friday, September 05, 2008

BOLD Nebraska



The BOLD Organizer in Nebraska - Holly - just sent this photo of the cast. They'll travel all around the state this month being BOLD.

Now that ROCKS!

Yes, I'm a mother and I'm BOLD



My youngest son started his first day of school yesterday. Here he is leaving for school...happy and bright-eyed.

As I dropped him off he said to me, "Mommy, are you going home to help mommies bodies rock?"

Yes, I said with a smile. I sure am.

Why we need to be BOLD

Well, we're number two - number two, that is on the American Obstetricians and Gynecologists' (ACOG) legislative agenda to completely deny women the right to choose their maternity care providers and birth settings.

I don't know about you, but I smell a witch hunt.

When I was at BOLD San Francisco's talkback after my play last weekend a question was asked whether birth advocates should be afraid of a backlash from the medical establishment given the popularity of my play and all the new films out there that are educating women to take back their births. My response? Absolutely not! I consider it a compliment that a play and a couple of new honest and powerful films can shake ACOG to their core this much. It just encourages me (and I hope others) to KEEP GOING! It's when people speak out, rise up, that lasting change happens.

Below is a press release from The Big Push For Midwives about this. You might want to have a glass of wine nearby!



Number Two With a Bullet

Critical Women’s Health Issues Neglected as Physician Group Yet Again Sets its Sites on Midwives

WASHINGTON, D.C. (September 1, 2008)—In the newest phase of its ongoing effort to deny women the right to choose their maternity care providers and birth settings, the American College of Obstetricians and Gynecologists (ACOG) has announced that eliminating access to midwives who specialize in out-of-hospital birth is now the second most important issue on its state legislative agenda. This move puts restricting access to trained midwives ahead of such critical issues as contraceptive equity, ensuring access to emergency contraception, and the prevention and treatment of perinatal HIV/AIDS.



“ACOG claims to be an advocate of women’s health and choice, but when it comes to the right to choose to deliver your baby in the privacy of your own home with a Certified Professional Midwife (CPM) who is specifically trained to provide the safest care possible, ACOG’s paternalistic colors bleed through,” said Susan M. Jenkins, Legal Counsel for the Big Push for Midwives Campaign. “It is astonishing that an organization that purports to be a champion of women’s healthcare would put a petty turf battle that affects less than one percent of the nation’s childbearing women ahead of pressing issues that have an impact on nearly every woman in this country. If this is not dereliction of duty, I can’t imagine what is.”



In recent years, ACOG has led a well-financed campaign to fight legislative reforms that would license and regulate CPMs and has now teamed up with the American Medical Association (AMA) to promote legislation that would prevent families from choosing to give birth at home. Despite these joint efforts, the groups have not been successful in defeating the groundswell of grassroots activism in support of full access to a comprehensive range of maternity care options that meet the needs of all families.


“Wisconsin is a good example of what ACOG and the AMA are up against,” said Jane Crawford Peterson, CPM, Advocacy Trainer for The Big Push. “Our bipartisan grassroots coalition of everyday people from across the state managed to defeat the most powerful and well-financed special interest groups in Wisconsin, all on an expenses-only budget of $3000 during a legislative session in which $47 million was spent on lobbying. When you try to deny women the fundamental and very personal right to choose where and how to give birth, they will get organized and they will let their elected officials know that restrictions on those rights cannot stand.”



Noting these successes, ACOG has recently launched its own grassroots organizing effort, calling on member physicians to recruit their patients to participate in its “Who Will Deliver My Baby?” medical liability reform campaign.



“ACOG itself admits that we’re facing a critical shortage of maternity care providers,” said Steff Hedenkamp, Communications Coordinator for the Big Push. “They certainly realize that medical liability reform is nothing more than a band aid and that increasing access to midwives and birth settings is critical to fixing our maternity care system and ensuring that rural, low-income and uninsured women don’t fall through the cracks. Midwives represent an essential growth segment of the U.S. pool of maternity care providers, but instead of putting the healthcare needs of women first, ACOG would rather devote its considerable lobbying budget to a last-ditch attempt to protect its own bottom line. This is not a happy Labor Day for our nation’s mothers and babies.”

Thursday, September 04, 2008

BOLD San Francisco on YouTube





My good friend put together photos from the BOLD San Francisco performance and posted them on YouTube to music. Check it out! (if it's in standard mode you're going to have to click on "Click on High Quality" to view it better).

http://www.youtube.com/watch?v=u0fW7szaZ4E

After a capacity benefit performance at the 350 seat Brava Theatre these BOLD women are headed to perform and have a talkback with an all-teenager audience tomorrow night in San Francisco and then the next week perform for the clients at the Homeless Prenatal Project.

Waa-hoo!

Wednesday, September 03, 2008

Give birth BOLDly!

Before I left San Francisco yesterday I was on ABC's "View from the Bay." Check it out:

http://abclocal.go.com/kgo/story?section=view_from_the_bay/parenting_babies&id=6366339

Tuesday, September 02, 2008

Happy LABOR day!


What a Labor day weekend...It's 9.30pm here in San Francisco and I spent the day recovering from a wonderful evening last night watching the BOLD San Francisco cast perform at the Brava Theatre.

I will write more and post photos soon - I promise! For now, here's a photo of me with the cast last night before the show.