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Siblings and the Homebirth Setting

As birth moved out of the home, and noticed she was upset and talked with her
families were splintered by the birth about her fear, got the mother to smile,
experience, birth no longer was a family and the little girl joined her family for
event. Birth became dehumanized. With the the birth. 8 The Thompson family had a
return to home and with the consumer number of children born at home and all
demands for more "home-like" settings in of them remember the events as being very
institutions, the concept of children at exciting and filled with joy. The husband
birth has became a "problem" that needs of one of the daughters comments, "At one
special preparation, classes and advice time, I believed having a baby was just
from "experts". I have a very strong the same as having your appendix removed.
prejudice regarding children's presence It always seemed like it was a matter of
at birth -- if the mother and father want life and death..." After the homebirth of
their children present at the birth and his niece, whom he saw within 5 minutes
if the children want to be there, then of her birth, he said, "I can't believe
that is how that family should have their that something so complex could be so
birth. This is their family. To quote simple and beautiful." Although he was an
Marjie Hathaway, the family is "a adult, his impression expresses what so
necessary and holy institution." A many children feel but are unable to
midwife's job is to support and empower articulate. 9 Sue Hathaway, 15, spoke at
families. 1, 2Why should children be a NAPSAC conference about her experience
present?*bonding *positive sex education watchilng her youngest sibling be born.
*an appreciation of fear and pain *to Her concluding comment was "If you are
witness a miracle *be helpful and not going to learn from your parents
encouraging *be a part of the whole about having babies, who is going to
family *maybe diminish sibling jealosy teach you?" Jonathan Stewart also spoke
Why should children not be present? at that NAPSAC conference. His
*negative feelings about sex, birth *fear recollections of the births of his 4
of the unknown *lost modesty for mother siblings were of wonder, "pleasant
*shock at seeing "forbidden body parts" memories", and he remembers very little
*pain might frighten child *potential for blood. Younger brother Keith, upon seeing
nightmares 3, 4How some parents his newest brother just be born, blurted
decideSome families are very comfortable out, "Look, Mom, he is naked."
being with their children in various Ten-year-old Lora in remembering the her
stages of dress or undress, occasionally brother's birth says "I felt love in my
share their bed with a child and are heart. . . I felt close to him." 10
easily able to discuss any topic that Shiela Kitzinger interviewed a couple of
arises with their children. Other women whose older child slept until the
families are very modest and avoid baby was just born and then awaoke and
discussions about body parts or sex. joined the family on the birth bed. Said
There is no right way, but for a family one, "Julie woke up to find a sister had
contemplating a birth with children been born during the night just as we had
present, a certain amount of information told her it would happen. We were the
will need to be shared. In a family that happiest little family in the world." 11
is extremely modest, the parents need to Sandra Anderson had her son Josiah in a
discuss their level of comfort with hospital with many interventions. When
having their children see the mother she became pregnant with her second
somewhat naked. If mother is not child, she was determined to have a
comfortable with this idea, then it may natural birth and to include Josiah in
be better to plan for the children to be this very family-centered event. He was 2
there but not in the room where the birth 1/2 years old. Her perspective of his
will be taking place. Of course, other experience was that he was comfortable
concerns such as passing involuntary with the whole situation. An added
feces, amniotic fluid and blood may be benefit for her, was that he reminded her
embarrassing to some mothers (or fathers) that she would not be in labor forever,
who would prefer to not have their older as he asked, "Where are my tinkertoys"
children present. Sometimes women make and "I want a peanut butter sandwich."
noises while they labor and push. A She felt Josiah added a "wonderful spirit
mother must be sure that she is of spontaneity to the birth." 12 Children
comfortable making those necessary sounds have a different perspective on birth and
with her children present. At some point do not necessarily "see" it as adults do.
during the birth, their mother will be One woman remembered how after the birth
unclothed in order to birth the baby and of her fifth child, her fou-year-old came
nurse the newborn. If the children will into the room and noticed the furniture
be able to witness the birth, they need had been rearranged. This so interested
to know where the baby is going to come her that she went and got her other
out and a little bit about how the siblings to see the room. One family felt
process works. How detailed these that having the children included from
explanations become will depend on the the start of the pregnancy through the
age and curiousity of the child or birth was very important and wrote, "The
children.Parent preparationProbably the midwife asked us every day how the baby
best preparation is good communication was, and the children delighted in
between parents. For parents who feel telling her all that had happened since
they need more knowledge, a consumer her last visit. These may appear to be
oriented childbirth course may be time trivial details. But when I read of the
well-spent. Many of these courses include break-up of families perhaps they are not
discussions of children at birth. Some so trivial, but vitally important factors
even have a class devoted to the instead." 11StudiesA number of studies
siblings, to help the parents prepare have been conducted over the years
them for their new brother or sister. looking at various aspects of birth and
Those who are planning to have an the effect on children and families. A
unmedicated, natural birth need to take few studies have found that one of the
good care of themselves. Good nutrition reasons parents choose a home birth is
is the cornerstone of a healthy pregnancy specifically for the opportunity for all
and goes hand in hand with a lifestyle family members to have a positive
that includes adequate exercise and experience. Lewis Mehl noted that the
avoids smoking, alcohol and drugs. A children he studied had accurate
healthy woman stands a very good chance information about birth and saw the event
of giving birth to a healthy baby. The as a good experience. Another researcher,
place of birth must be agreeable to the Chase, found that mothers noted less
mother and hopefully the father, too. 6 sibling rivalry between sibllings who
AdvantagesThere are numerous positive were present at the birth. Curry comments
aspects to having children present at that children blame the new baby when
their sibling's birth. The family is mother disappears to go to the hospital,
together for a family event, they feel a but when children are included in the
part of it. Psychologically, they are not birth, they see the new baby as a "gift."
locked out of a family experience. Home When children were allowed at births,
birth helps with this regard also because their view of birth became a real
mother and baby are always there, whereas experience and not the mysterous, scarey,
if mom disappears and shows up days later life-or-death event portrayed in the
with the baby, the children left behind media. They were not separated from their
may feel they were abandoned and are mother or father and so by-passed the
jealous of the new baby. 2, 8ProblemsWith separation anxiety that many children
younger children, fear is often an issue suffer when their siblings are born in a
that arises, especially if the mother is hospital that does not permit their
making noises, working hard, or has her presence. It is felt that the presence of
face grimaced in pain. Having someone at children at birth also affects how well
the birth whose sole function is to take the siblings bond, sinimlar to the
care of the children can ease this mother-infant bonding that occurs
problem. Sometimes little children become immediately after birth. 2 While not a
bored by the labor and that person can truly scientific study, Dr. Michelle
take them for a walk or play with them. 8 Harrison's informal study of children
Child preparation 1) discuss with over a two hour time during which they
children what will happen a) pregnancy, were actively speaking about birth and
labor and birth b) read books about birth related issues, makes a couple of points.
c) watch birth videos d) answer questions She notes that the conversations about
in an age-appropriate way 2) keep birth seemed so serious, where as when
conversations about birth positive 3) the children were discussing animal
take children with you to prenatals so births, they were livlier. Her
they become familiar with your birth interpretation includes the insight that
attendant and some of the routines (BP, they may perceive talk about birth as
pulse, palpation, etc.) 4) give each being more for adults. Some children did
child a job to do during labor or birth talk about bad outcomes and Dr. Harrison
or after a) give massage b) get drinks writes that this affirms the idea that
for mom c) make meals d) cut cord e) birthing babies is serious business. One
dress baby, etc. 5) have caretaker topic that was somewhat surprising was a
present for children who need someone 6) discussion about talking about birth at
have a party for new baby after the birth school. They tended to feel that it was
for siblings 4, 7 not ok to talk about their birth
Guidelines for Children at experience at school or with with their
Birth*children must be able to come and teachers or peers because the experience
go as they need *caregiver will take care was not a familiar one.4 1
of smaller chilren's needs *children will Hathaway, Marjie and Jay, Children at
stay in their own home either before, Birth, 1978, page 1. 2. NAPSAC, Chapter
during or after the birth *only a 68, pages 877-895. 3. Hathaway, pages
familiar person will wake up a young 11-21. 4. NAPSAC, Chapter 67, pages
sleeping child *reassure children that 869-876. 5. Hathaway, pages 31-34. 6.
everything is alright *let the children Hathaway, pages 41-58. 7. Hathaway, pages
get to know each other in both planned 105-106. 8. Hathaway, pages 131-174. 9.
(give a gift) and unplanned ways Thompson Family, 21st Century Obstetrics
2ExperiencesFamily after family Now!, Vol. 1, Chapter 18, pages 239-253.
documented their births with older 10. NAPSAC, 21ST Century Obstetrics Now!,
siblings present in Children at Birth. Vol 3, Chapter 65, pages 857-863. 11.
Nearly all the children who were Kitzinger, Sheila, Birth at Home, 1981,
interviewed were very pleased to have pages101-111. 12. NAPSAC, Chapter 66,
been at the birth and were not frightened pages 865-867.Yvonne Cryns has degrees in
by the actual birth. One story near the nursing and law. She is the co-founder of
end highlighted the reason a caregiver is Nursing Programs - Midwives.net -
needed for the children. This little girl Yvonne also produced a video about
was firghtened by the mother's efforts to midwives:
pucsh the baby out and left the room, Yvonne is a nationally-credentialed
refusing to re-enter. Then someone CPM, a professional homebirth midwife.




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