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Storytelling and Science from Two Practitioners in the Perinatal Field Four Seasons Midwifery.

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Presentation on theme: "Storytelling and Science from Two Practitioners in the Perinatal Field Four Seasons Midwifery."— Presentation transcript:

1 Storytelling and Science from Two Practitioners in the Perinatal Field Four Seasons Midwifery

2 Holistic Paradigm: Catching Mothers Prenatal Education Stress Relief During Pregnancy Labor and Delivery Education and Support Postpartum Services for Mothers Integrated Health Services to Help Women and Babies Recover Giving Families the Best Possible Start Helping Them Make Connections As a Family

3 BIHA increases health and healing through therapeutic and educational services. It specializes in helping families have the best possible start.

4 Belvedere Integrated Healing Arts: Massage and craniosacral therapy, Prenatal and birthing education, Parent-child classes on brain development and attachment, Nature-based classes for children and the whole family.

5 How? BIHA is about making, reinforcing, resolving, and soothing connections starting with basic nervous system development, neuron to neuron.

6 Foundation Massage Therapy Craniosacral Therapy Education Soothes, relieves, reassures, Promotes health and well being Resolves trauma, promotes relaxation Works directly with nervous system and early patterns Parent/Child dyads Children Families Communities

7 Humans are about patterns, from the inside out

8 Concentric Rings of Relationship Mom and baby Baby and Family Family and Community Child and the Earth Child and Society

9 Because when you support a mother, you care for the world. Belvedere Integrated Healing Arts Presents:

10 A New Professional Elements of the following: Embryology and Neuroscience Obstetrics and Gynecology Somatic Therapies Craniosacral and Massage therapy Trauma Resolution Sensorimotor Approach and Somatic Experiencing Emotional Processing (psychotherapy) The bottom line is a professional who can work with the nervous system with a variety of techniques

11 The Early Period Preconception and the Prenatal Period Birth Postpartum Experience The Nursing Relationship Attachment

12 Constellations

13 A Map to Steer By

14 Optimal Perinatal Constellation Ancestral lineage securely attached No disease Dad and Mom “conscious”, prepare for baby Lovemaking is tender and intentional Conception and implantation are easy Uterus is healthy and baby growing in a good spot No previa Mother and father lead healthy lives, no or little stress Prenatal care Birth is optimal, natural, no interruption, not too short, not too long Baby “self attaches;” there is no difficulty breastfeeding Neonatal period is relaxed and uneventful.

15 We all live with variations on what is optimal. This variation is our pattern. Our job is to become aware of our pattern. As professionals, become part of what is optimal.

16 Pre- and Perinatal Paradigm Early experiences form a template Baby has experiences in utero (Babies Remember) David Chamberlain and the Baby’s Experience Bruce Lipton and Epigenetics Candace Pert and Peptides

17 Science Discovers Babies Innovative Studies Reveal that Infants' Minds are Much More Emotionally and Intellectually Complex than Previously Believed Findings Could Revolutionize Early Treatment of Key Learning, Psychological Disorders, Identify At-Risk Kids Years Earlier

18 Some Recent Headlines Babies Prefer Helpful To Unhelpful Social Types, Nature, November 2007 (Yale Study) Infants stun scientists with ‘amazing' insights. Babies only look clueless — they know a lot more than you think, (LiveScience May 2007)

19 At the world's leading baby brain research lab at Harvard University, Elizabeth Spelke's team is conducting experiments that reveal not only that humans are born with a range of innate skills, but that our prejudices are formed within the first few months of life Harvard's baby brain research lab April 2008

20 Epigenetics The environment makes a difference Human Genomes: only 20,000 – 25,000 genes in human DNA (not what was anticipated). Environment around a cell influences genetic expression. Stress can alter DNA to create new genes to ensure the survival of the organism Mother’s material (neurochemical) content has impact on developing baby, especially emotions such as fear, love, and hope.

21 Counteractions to Stress The research of Jean-Pierre Relier at the Hospital Port-Royal in Paris, France The importance of a good quality of psycho-affective communication between mother and child during pregnancy has been shown to be decisive for fetal growth and also for the perinatal period and further development of the child. Maternal psychological stress leads to adverse pregnancy outcome. ~ Biology of the Neonate,

22 Communication with the Unborn Exhibit enhanced visual, auditory, linguistic, and motor development. In general, they sleep better, are more alert, confident, and content than infants who were not stimulated. More intense bonding and greater family cohesion Rene Van De Carr, Beatrice Manrique, Cry Prints, Haptonomy, BabyPlus

23 Attachment and Bonding Attachment Styles: Secure and Insecure (avoidant, ambivalent) and Disorganized Attunement and the Cycle of Repair Establishing healthy patterns through communication and play starts in utero What’s Love Got To Do With It?

24 Prenatal Education Stress relief Education Support Reflection Expression

25 Stress and Stress Remedies Neurochemical Cascade Stress Research and Babies Remedies Meditation and Mind/Body Exercises Education Creative Expression Prenatal Massage For Baby/Mom, in utero Communication

26 Class Design Exploration of parts of the prenatal journey Preconception Conception First Trimester Loss, Stillbirth, Abortion Second Trimester Third Trimester Birth Plus The Relaxation Response and Art Exploration

27 Relaxation Response "Repeated activation of the relaxation response can reverse sustained problems in the body and mend the internal wear and tear brought on by stress.“ Herbert Benson, MD, Timeless Healing Body Scan One Word or Phrase Breath Passive Mind (don’t engage in thoughts)

28 Massage Research 1. Facilitates weight gain in preterm infants 2. Enhances attentiveness 3. Alleviates depressive symptoms 4. Reduces pain 5. Reduces stress hormones 6. Improves immune function Source: Touch Research Institute

29 Depression, Anxiety and Massage Massage Therapy: Lowered anxiety Decreased cortisol levels Slowed pulse Can shift brain pattern to be more symmetric than activated in right frontal cortex Encouraged touching of infants in depressed mothers Source: Touch Research Institute

30 Craniosacral Therapy Also called CST, cranial osteopathy also spelled CranioSacral bodywork or therapy A hands on method that allows the practitioner to tune into the craniosacral system (listening hands) The spine the skull and its cranial sutures, diaphragms, fascia, nerve passageways Eases restrictions of nerve passages, increases cerebral spinal fluid flow, realigns bones, brings body to optimal place of balance

31 Craniosacral Therapy AT Still, Founder, Osteopathy William Sutherland D.O. Rollin Becker, James Jealous (DO) Franklyn Sills, Biodynamic Craniosacral Therapy Michael Shea

32 Craniosacral Therapy “I touch bones, and they speak to me” ~ Craniosacral therapist Janet Evergreen, explaining craniosacral therapy to a 4 year old client “People come to me. I hold them, and they feel better.” ~ Kate White BCST©, explaining what she does to another professional.

33 Research on Keeping Women Company in Labor Research accumulated by Phyllis and Marshall Klaus Summary of doula in delivery room Increased bonding of infant/mother Decreased incidence of complications Decrease in length of labor Decreased Cesarean rate, pitocin use, epidural rate, instrumental delivery, maternal emotional distress Increase in natural vaginal delivery Increase in breastfeeding Source: The Doula Book

34 Meta-analysis of 15 trials Continuous Labor Support from N. America, Europe and Africa. Women cared for during labor by a birth doula, compared to those receiving usual care were: 26% less likely to give birth by cesarean section 41% less likely to give birth with a vacuum extractor or forceps 28% less likely to use any analgesia or anesthesia 33% less likely to be dissatisfied or negatively rate their birth experience. Source: Hodnett et al

35 Long Term Benefits: Maternal Outcome at Six Weeks Sources: The Doula Book by Klaus and Kennell; Hofmeyr et al. (The Johannesburg Study) N=189

36 Long Term Benefits: Psychological Outcome at Six Weeks N=189 Sources: The Doula Book by Klaus and Kennell; Hofmeyr et al. (The Johannesburg Study) Modified by Wolman, (same study)

37 Long Term Benefits: Satisfaction with Partner Sources: The Doula Book by Klaus and Kennell; Hofmeyr et al. (The Johannesburg Study) Modified by Wolman, et al (same study)

38 Storytelling: Listening to Women In Narrative therapy a person's beliefs, skills, principles, and knowledge in the end help them regain their life from a problem. “I felt I was myself again” “I felt my old self” “I felt free and could see where I am going and where I came from.”

39 Birth Story and Recovery Childbirth and Narratives: How Do Mothers Deal with Their Child’s Birth? By Paola Di Blasio and Chiara Ionio (Italy) Expression of negative emotion could reduce the occurrence of stress symptoms Study: Control group wrote out birth story (n=64) Decreased PTSD symptoms

40 Body and the Psych The body remembers overwhelming events Bodywork and other forms of somatic therapy can trigger implicit memories held in the mind/body, and they can also be a catalyst for healing “We are going to be all right” - a mother’s words to her newborn after healing arts session to recover from an overwhelming birth

41 Working with a Mother Most commonly, mom is pregnant for the second time, first birth was traumatic Storytelling with touch and pause, clarifying, resourcing and normalizing places of activation Acknowledgement of difficulty for mom and baby Breath and reflection Intelligent touch Normalizing a difficult experience is useful, grounding with empathy, naming, and touch.

42 Group Education as Community Baby Playgroups Toddler Playgroups Other Educational Opportunities at the studio Connections The NewBorn Family Consultancies A Child’s Story

43 Development of Services Proposed development of health infrastructure that would “catch mothers” Existing Services: Home Visiting Programs Builds on data of “presence” (doula research) Includes bodywork and other services for mothers in hospital and postpartum Groups for mothers: Prenatal Groups, New Mom Groups, Playgroups, Infant Education Groups

44 “Skilled bodywork can be a major healing connection which supports women and babies through pregnancy and birth on into a healthier future.” Quote from a midwife of 30 years in practice

45 Because when you support a mother, you care for the world.

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