Pregnancy circle

Women have sat in circles for centuries. There are accounts of women getting together to bleed in women’s circles called red tents or just gathering around fires on full moons.

Generally we come together to celebrate being women, to be heard, to heal, to understand the powers behind our cyclical nature and our menstrual cycles; but also we sit as a rebellion, as a way to transform society through non-hierarchical,  non-competitive, compassionate female relationships. Because circles are not just about the freeing talking we can do but also the transforming listening.  

Why sit in pregnancy?

 Out of all the physiological events that happen in our female bodies, there isn’t one quite like pregnancy, birth and the postpartum period. Whether you want it or not, whether you are ready or not, childbirth will transform you in ways beyond what you imagined. And this is where a sisterhood of women come in handy. Mainstream society and mainstream maternity services understand childbirth as a pure medical event, one where hormones act together to sustain and bring forth a healthy child. However, there is also a deep transformation at a spiritual, mental, emotional and energetic level, accompanied by a profound identity shift. In a world that pathologises and medicalises womens “problems” (think menopause, menstruation, birth) where can we find frameworks to understand what is happening to us?

At a pregnancy circle we aim to do this

  • We know from our own personal experience that talking to a dear friend, a skilled listening therapist or just to ourselves through journaling can be extremely effective at helping us find our own solutions for our problems. The circle does this.
  • We know that holding space for an esteemed friend, listening without interruptions, can arouse our compassion and lessen our egos for our own benefit. The circle does this.
  • And finally we know that preparing for birth is not about learning all there is to learn about birth, let me tell you as a pregnant midwife I had to do a lot of unlearning. In this circle we believe that the best way to prepare for birth is to welcome the inner transformation early on and develop something that comes on at strides in pregnancy; intuition.
  

INTUITION!

That is right, all that upheaval, all that rawness you feel, all those emotions larger than life that shock everyone around you, all those uncomfortable (minor) physical and (mayor) emotional side effects of pregnancy are actually your subconscious trying to reach out to you, it is your intuition begging to be heard, because it will be HER who will guide you through when the ride gets tough, and yes, it will get tough at some point.

But together, sitting regularly in circle, we will ride it out.

 

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Resources For Fetal Heart Monitoring

1.When did we start monitoring babies in labour?

For more high quality evidence around fetal monitoring please visit Kirsten website here, an obstetrician with a PHD in CTGs. https://birthsmalltalk.com/

In this post she discusses intermittent auscultation: https://birthsmalltalk.com/2023/08/23/what-is-intermittent-auscultation/

Hear her talk about the lack of evidence behind CTGs in this podcast: https://open.spotify.com/episode/1eXZY973Oxbs1ducavpSAk?si=872f8c4077be4ba5

Post on the history of fetal heart monitoring: https://birthsmalltalk.com/2023/08/09/listening-to-the-fetus-the-history-of-fetal-heart-rate-monitoring/

Cochrane review comparing CTG to intermittent ausculation (CTG increases interventions
): https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD006066.pub3/full

Does CTG use improve outcomes for high risk women? https://birthsmalltalk.com/2024/10/16/the-story-behind-our-paper/

2. How should we use intermittent auscultation in labour?

These are the NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

Midwife researcher and lecturer Rachel Reed has a brilliant article and podcast about this where she unpicks the evidence around the recommendations for intermittent auscultation protocols here https://www.rachelreed.website/blog/listening-to-baby-during-labour

and podcast here: https://open.spotify.com/episode/3sJeIR3xUOr20EBRGilHxl?si=818537594dd04457

The WHO recommendations for intrapartum care: https://iris.who.int/bitstream/handle/10665/260178/9789241550215-eng.pdf?sequence=1

3. How does intermittent auscultation detect fetal distress?

For more on normal and abnormal heart rate monitoring watch this explanatory video: https://www.youtube.com/watch?v=Ni48bbtiZgs

4. What happens if there are concerns with the fetal heart rate at a homebirth?

NICE guidelines for fetal monitoring in labour: https://www.nice.org.uk/guidance/ng229/chapter/Recommendations

5.What is better for fetal monitoring in labour: a Doppler or a Pinard/fetoscope?

To read about the research and the experiences of midwives using a fetoscope/pinard antenatally and in labour check these links out.

Short facebook comments compiled in this magazine here: https://www.midwiferytoday.com/mt-articles/wisdom-of-the-midwives-issue-131/

Midwives perceptions of fetoscope vrs Doppler Tanzania https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-018-1736-y

Midwives experiences of Pinard use Norway https://www.sciencedirect.com/science/article/pii/S0266613822000407

Defense of fetoscope article by American midwives

https://hearthandhomemidwifery.com/blog/fetoscope-a-tool-of-the-midwifery-trade#:~:text=Fetoscope%20uses%20go%20beyond%20just,birthing%20person%20and%20the%20baby.

A Cochrane review that compares Doppler and Pinard use in low income countries: https://www.cochranelibrary.com/cdsr/doi/10.1002/14651858.CD008680.pub2/full

For a compilation of research that compares the use of Doppler to Pinard check this link: https://www.cochranelibrary.com/content?templateType=related&urlTitle=%2Fcentral%2Fdoi%2F10.1002%2Fcentral%2FCN-01110791&doi=10.1002%2Fcentral%2FCN-01110791&p_p_id=scolariscontentdisplay_WAR_scolariscontentdisplay&_scolariscontentdisplay_WAR_scolariscontentdisplay_action=related-content&p_p_lifecycle=0&p_p_mode=view&type=central&contentLanguage=

6. What if you decline some or all fetal auscultations?

Is fetal monitoring essential?: https://birthsmalltalk.com/2024/11/06/myth-busting-3-fetal-monitoring-is-essential/

7. What to bear in mind about intermittent auscultation in labour?

Examples of womens experiences of fetal auscultation in labour: https://www.sciencedirect.com/science/article/pii/S1871519224002658#bib14