Professional Documents
Culture Documents
Table of Contents
THE JOURNEY ................................................................... 1
THREE TIMEFRAMES ............................................... 2
WHAT IS LABOR? ...................................................... 3
AN IMPORTANT FACTOR
ABOUT PROGRESSIVE LABOR................................ 4
WHEN TO USE WHAT PINK KIT SKILLS? ........................ 9
PRACTICE DURING PREGNANCY ........................... 9
PRE-LABOR .............................................................. 10
1ST STAGE................................................................ 11
2ND STAGE ............................................................... 13
3RD STAGE ............................................................... 17
END OF THE ROAD: MAKING MEMORIES ..................... 17
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The Journey
Birth is a journey. Like any other journey, if you look toward the end, it can seem too
far away. Progression is how you get to and through that end and keep your sanity
in the meantime. As the journey progresses, you must focus on what is immediate.
Thats how the athlete, dancer, or artist with skills behaves, and your job is the same
as theirs. You know that the goal is reached by the small, discrete steps you take
now.
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sends messages to your body to change. Your hormones gradually soften and ripen
your body, preparing it for this new activity that marks the end of pregnancy: giving
birth.
Through pregnancy, youve discovered that time expands and contracts. Sometimes
you feel it flies by; others you feel that every minute lasts forever.
How you behave, act, or even think during these timeframes can make a huge
difference on how you feel about what you are experiencing and the memories you
take with you. Skills always help any person to cope with timeframe fluctuations
better than if time just passes you by, with you bumping into things youre not
prepared to deal with.
In other words, time is something you do. If you already have children, you know
that, when your first was born, you suddenly woke up to how much time it takes to
take care of a baby. Many women and men express it this way: What did I do with
my time before I had a baby? Time is something you fill with doing.
Three Timeframes
From your reading in other childbirth books or through your childbirth education
class, you probably already know that childbirth has three timeframes, or stages,
although most of the focus is on the first two.
1st Stage: During this Stage, your baby moves down through the hole in your pelvis,
and your cervix opens. Youll be told by your doctor or midwife how open your
cervix is (Youre five cm dilated) and how much of your baby has moved through
your pelvis (Your baby is engaged, still high, or well down). These terms can be
quite cryptic. Thats why The Pink Kit teaches you how to personally feel what is
happening inside you. Its your body and your baby, and the more you can get your
head to understand where your baby really is, the more you can make sense of what
is happening to you.
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At the end of 1st Stage is a period of labor called transition, which can be the
toughest, yet shortest, part of 1st Stage. This is the period when the cervix opens
entirely and your babys head moves all the way through your pelvis and into the
top of your vagina (its birth canal).
2nd Stage: This Stage is what people call the delivery or birth. Your baby moves
through and out of your vagina and into your arms.
3rd Stage: This Stage is when you deliver the afterbirth/placenta.
What Is Labor?
Labor is composed of contractions and a space between. Your baby stimulates its
home (its mothers whole body and specifically the muscles of the uterus). This
stimulation causes the uterus to tug open its closure (the cervix). The tugging open is
the contraction, and then the uterine muscle rests, which is the space in between.
Each contraction has five phases, and you will work through each phase.
You will inhale and exhale through one breath cycle after another, using effective,
sustainable breathing skills that give you the ability to work and cope with the
sensations of each contraction.
Your body will always be in some position or posture throughout the labor, and
you will learn how to find positions that truly relax you inside, help you stay
open, and create space for your baby to move through and out of your body.
Your husband/partner will be there to help you cope with the hard work. This is
not the same role as for your birth provider.
Remember the process! Basically, its quite a simple plumbing journey. Your baby
has to open the closure, or diaphragm (the cervix), to its home (the uterus). Once the
diaphragm opens all the way, the baby begins its journey out of its home by moving
into the tube in the bones that protects its home (the pelvic hole). Your baby will then
travel the short distance down through an aperture (the vagina/birth canal.) Finally,
your baby will stretch open the end of the aperture and be born.
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You can read much more about the physiological journey a baby takes in any
childbirth book. In the Pink Kit, youll come to understand concepts at a more basic
level. However, youll be able to overlap the information you get from other
resources with the skills in The Pink Kit. Other resources tell you how the process
happens; the Pink Kit teaches you how to work with the process.
Short form for this: longer, stronger, closer together. Although your doctor or
hospital probably doesnt want you to come in before your labor is established,
you can still have hours of contractions at home, growing in intensity and frequency
every hour or two.
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If you have a fetal monitor strapped to your belly, you can actually see the shape of
the contractions. It is also often reflected in the sounds a woman makes.
For some women, the bell curve can be a bit off-center. For example, the contractions
can become very painful very quickly, which brings the peak of each closer to the left
-hand side of the bell. Other contractions can start quite slowly, with the heightened
pain coming toward the end and the contractions ending quite abruptly. This puts
the peak toward the right side of the curve.
The operative word is bell, rather than plateau, which has no defined peak. Flat
contractions indicate a stalled labor. They sound sort of like an almost-sneeze.
You need to discuss these things with your birth professional. They are infrequent
occurrences and not always easy for professionals to identify.
However, this is your baby and your birth, and you need to feel a high degree of
safety, so ask. Furthermore, while you cannot prevent these situations, you can have
a huge impact on whether they actually compromise your baby by preparing your
pregnant body and then working with your babys efforts to come down, through,
and out.
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There are a few other, more common things women do without realizing that these
things (in their particular birth at the moment) are hindering the process. This is
where the Teamwork between the woman and her birth coach is so vital. As a
woman, you will be engrossed in the process. As a coach, you get to see what the
woman is doing. Together, you can make certain you do everything possible to keep
your babys container (the womans body) as open and relaxed as possible. If you
take your skills seriously, you do have control over these problems!
Being tense. Example: Tense up your rectum right now. Would this tension help
or hinder a small grapefruit from coming down, through, and out? Obviously,
tension will hinder the passage. Likewise, any inner tension in your cervix, pelvis,
or vagina can make your internal space harder to pass through. Obviously, any
woman would want to remain soft and relaxed inside to help her baby, wouldnt
she? So whats the deal? Pain. Contractions are most often accompanied by
intense, naturally occurring pain. Your skills will help you consciously choose to
let go of internal tension, even if you dont like the pain.
Keep in mind: As a man, you MUST help your woman accept the painful process
that is the journey of your child out of her body, where you planted it, into your
arms, where you will both parent it. Internal tension can be softened even if its
unpleasant, because its for the higher good: your childs birth.
Bending over, leaning forward. For some babies, this bends their passage or their
body in relationship to the inside passage. Example: a woman is sitting on the
toilet, leaning back, and the contractions are bell-shaped, strong, steady. In fact,
she feels they are efficacious. Someone suggests she change positions, so she turns
around, facing the back of the toilet, leaning forward. The contractions change;
they become shorter, less intense, and spaced further apart. The womans
husband notices this after half an hour and talks to his partner. Shes noticed it as
well, but really liked the break because the contractions were getting so intense.
He asks if there is anything more he can do to help her cope, because both of
them realize they need to work with the intensity, as it means the labor is
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effective and they dont really want to do anything that stops that. So they figure
out how to incorporate whatever set of skills they need to use right then.
Keep in mind: If your baby feels fine even if youre leaning forward, your
contractions will stay strong and efficacious. Whenever you change positions, youll
know whether your baby is okay with your decision within three contractions. The
first one, the baby is thinking, Hm. Second one the baby thinks, Naw or Yeah.
On the third one, the baby shows either the Naw or Yeah. Naw contractions
will be flat. Yeah contractions will be bell-shaped.
Being closed or not being in open positions. At every single moment of your life,
your body is in some posture or position. This is why you need to learn pelvic
skills, so that, whatever posture or position you are in, your pelvis tube is open
and the soft tissues are pliable and soft. This is not always easy, because the pain
is real and very strong. As stated above, you have to be determined and use your
willpower to overcome your instinctive or intuitive response to pain, which is to
tense up! Its your conscious choice to accept the pain (even if you hate it) and
work with the pain (use of skills) that will make you a skilled birthing woman
and skilled coaching man.
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Always keep in mind the relationship between the 3-dimensional baby and 3dimensional body. Your birthing body basically uses three parts:
The Cervix
In your Pink Kit resources, youll learn skills such as the following to help your
cervix open:
Pelvic Clock
Cervical Relaxation
Deep Touch Relaxation
Directed Breathing
The Pelvis
As you keep in mind the metaphor that giving birth is an exercise in plumbing, you
can imagine what happens if a big object cant easily move through a tube. It gets
stuck. Luckily, the pelvic tube is flexible. Your Pink Kit resources teach you the
following pelvic skills:
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their birthing partners body. They are paying attention and modifying at every
moment. They are more likely to feel proud of themselves as men, partners, and
fathers. Men who do this are also deeply loved by their partners.
These are the important reasons why you want to ready yourselves with skills.
The process your baby is going through deserves your full attention. When you
use your best level of skills, youll always be working with your baby.
You and your partner will truly become a team with the goal of working with
your babys efforts. Birth is the literal gateway between being pregnant and being
parents, and you want to go through the gateway together.
Kates CatOften, women experience backaches in the few weeks before labor
starts, as the baby moves into the pelvic tube. By using Kates Cat, you truly begin
to mobilize and open your sacrum. This can reduce discomfort.
Body PositionsNows the time to go through your open labor positions (dont
forget about where your upper body is).
Start your teamwork, as well.
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When you start to fit all your skills into what is happening during this timeframe,
you are training yourself to respond automatically to the bodily sensations you will
have from now on until after the birth. Think of this as the opportunity to apply what
youve practiced, minus major pain.
As labor becomes regular, then grows in intensity, time shifts and compresses. Every
single moment, every inhalation and exhalation, becomes an exquisite moment by
itself.
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Notice that, during this driving journey, you stopped to rest. You cant do that in
labor. There is no stop (except the times between contractions) until your baby is
born. This means two things:
No matter what is happening on this birth journey, you cannot choose one
convenient, long rest stop. Instead, you will have many, many short ones that
happen when your baby feels like it.
Even during your brief rests, you cannot put your skills aside as you do when
you break an auto journey. You must use energy-conserving skills in between
contractions.
In between contractions, when you will have little or no pain, use your active
consciousness to talk to yourself: Im going around the Pelvic Clock. Or use it to
see yourself doing specific actions with your internal vision: you see some specific
area inside your pelvis and soften there. You can also combine the two, using a shortform internal dialogue to say a specific word (soften, relax) while envisioning
softening inside a specific place in your pelvis.
As contractions get more intense, you will increasingly move from the verbal (left
hemisphere of the brain) and into the visual, right hemisphere. You will just see
yourself using good birthing behaviors, while choosing not to do tense up with the
pain. Yes, your visual right hemisphere still makes choices.
As for the working phases themselves (contractions), you have another whole set of
skills.
Directed BreathingHelps you cope with the natural pain during contractions and
helps you achieve deep relaxation
Pelvic ClockHelps you relax the soft tissue of the pelvic floor, both during
contractions and rest periods.
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If the birth canal is stretchable and not filled with tense tissue, each contraction
brings your baby further down this short passage (2-3 inchesyou can feel this
distance when you work through the audio CD Internal Work). If the movement of
your baby down through its birth canal is not hindered by internal tension, there is
an urge to bear down or push. In other words, your body begins to eject your
baby.
When there is a spontaneous urge to bear down, the sensations are often satisfying
and pleasurable (productive). But even with spontaneous bearing down, if the ring
of the vaginal opening is tight, you will experience a ring of fire. A tight vaginal
opening is the final tension your baby tries to reduce. The Internal Work prevents or
reduces this sensation, as well as reduces any tension inside the birth canal.
Otherwise, your midwife or doctor might deal with this tension by cutting the
vaginal ring (episiotomy).
On the other hand, if the upper part of the vagina is tense, there wont be a
spontaneous bearing down, nor will your baby continue down the passage. This can
be frustrating. After all the great work to open the cervix, to have your baby get
delayed at this point can seem unfair.
To reduce or prevent a delayed 2nd Stage, your job is first to prepare this area during
pregnancy to become stretchable tissue, and second to use your skills to keep your
active labor progressing. This final part of your babys journey is still an exercise in
plumbingan object has to come down, through, and out this last part of your body:
your vagina, your babys birth canal.
These are the skills youll use to keep this phase of labor progressive:
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Kates Cat
External Massage
Anterior lip
An anterior lip is caused by your baby pinching the front of the cervix against the
pubic bone, thus preventing the final full dilation. Your job is to help your baby
move backward in your body, toward your sacrum. Your ability to relax this very
hidden and unreachable area of your female body is an important aspect of helping
your baby to birth.
These are the skills:
Energy/tiredness
Because any internal tension can delay the birth process, the baby makes certain
tension doesnt happenby putting the woman to sleep between contractions. There
is another purpose: a woman must have lots of energy to expel her baby, and resting
helps her to renew her energy. Particularly during late labor, women often get very
sleepy. This seems to be inconsistent with the intensity, but it makes sense when you
remember that the womans body is working very hard.
Unfortunately, this sleepy period is often perceived of as an indication that labor has
become too hard for the woman. Just remember, if there is no medical concern, sleep
is a natural part of giving birth.
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This means you want to encourage and support sleepy periods. Of course, there is a
hitch. When a woman sleeps during rest periods, she often wakes up suddenly in a
full-blown contraction. This makes it difficult for her to control herself. However, she
will give you a clue if you are watching over her or slightly touching some part of
her body. There will be a slight movement as her body starts another contraction.
This tells you that you have to resume using your skills right away.
Let your partner know that you are totally there for her and that she should rest and
sleep to restore her energy. Let her know that you will be attentive so she can begin
to apply her skills right away once a contraction has started. Helping her to rest well,
stay hydrated, and stay well-nourished will help her stay on top of the process.
You, too, can sleep with her, but you have to be touching her body and able and
willing to come out of your sleep as soon as her body motion tells you another
contraction is coming.
Keep in mind: Being tired in labor is not an alarming issue. Women need to rest.
Labor is hard work. Its strenuous. Resting is good. Continue to use your skills; just
choose which ones work best when she feels energized and when she wants to rest.
Medical concerns
As you can tell, resolution to a stuck or hindered birth process is all about opening
up the pelvic area, thus, an exercise in plumbing.
If you have a concern that there is a medical problem, its the birth coachs job to ask
your doctor or midwife. If they are also frustrated that the labor is hanging up but
dont think there is a medical concern, then your knowledge of your partners
pregnant body is all the more vital. They might not understand what you are doing,
but thats ok. Medical teaching does not include plumbing.
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Basic take-away
Birth is unknown until it unfolds. You just have to work with what you have, but
there are two very important things that you have huge control over:
1. Dont go into labor tired.
2. Dont overreact to contractions when they are lasting 1530 seconds and are 5
20 minutes apart. Instead, quietly learn about your contractions and teach
yourself how to relax in this early phase, so you develop good labor management
skills for the later stages.
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or use your Pink Kit skills. Without skills, you can hinder the birthing process, but
not stop it, which means it will only get more tiring the longer you make it last.
Long, tiring labors are also more likely to end up with medical interventions. Now
imagine you are looking back to your birth experience in which you did have and use
skills. Which way do you want to give birth?
The human mind also endows you with the remarkable ability to see yourself as you
are using your skills, even if this is your first baby, no differently than you can see
yourself taking complex driving directions to a new place. You can both see all the
turns, as well as how you drive the car. You are in charge of what you do and how
you manage the experience, just as you are in capable of engaging with the natural
physiological process of birth.
Because the birth of your child is a one-time event and remains as a lasting memory
for life, its vitally important that you do feel skilled. You may not be able to control
much during the birth experience, but you can always control your skills. They are
what will empower you throughout the whole of the progression, from now until
you hold your baby in your arms.
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