What Do Babies Bring From “There”

Is that wisdom? That deep, penetrating gaze that looks around at its parents and the world as if it has seen it all before?

Is that wisdom? That deep, penetrating gaze that looks around at its parents and the world as if it has seen it all before?

Today’s writing expedition comes on the heels of attending several births over the span of a week. There’s a buzz that accompanies this particular primal experience, surrounded as it is in liminal mist. I’m still tingling in the dew.

It also comes after a long walk along the shores of West Seattle during which I was, yet again, spiritually and intellectually tickled by an episode of the On Being podcast.

In this cast, host Krista Tippett has a conversation with multi-artist Joy Harjo, Muscogee Creek Nation member and 23rd Poet Lau­re­ate of the Unit­ed States.

Have you ever sat reading a book when suddenly a single line or a statement jumps out at you with an eerie deja vu? The writer has captured your thoughts exactly. The conversation with Harjo was like that. In that way of deep see-ers and visionaries, the artist articulates something I have felt for as many years as I’ve watched babies being born:

We are all emerge from the womb knowing.

I have come to believe that we humans (and I have to assume all sentients) come into this world with all the wisdom and moral direction needed for a full and happy life. When I look into the sage eyes of a newborn, I feel sure a complete “how to” book on the universe is staring back at me, a step-by-step guide for how to benefit and live and love each other and the planet.

Harjo has witnessed the same thing. In her book Crazy Brave: A Memoir, she is more succinct on the matter: “We have instructions and a map buried in our hearts when we enter this world.”

Eventually, an infant’s innate knowing slips under the synaptic current that guides human development. It falls pray to restrictions and external influence and education and, for some, religion. That original book of knowing gets buried in a library of new sensations, information, doctrine, and politics. But as Harjo — and, it turns out, Yale researchers — points out, it takes a while for babies to lose site of what they innately know.

A lifelong storyteller suggests, Harjo says she has noticed it takes time to un-remember the ongoing stories newborns bring into this world from the place the inhabit before birth.

“I’ve always tried to get there when a grandchild is being born,” Harjo tells Tippett. “And what I’ve noticed — and I’ve noticed this with newborn infants — is they still remember. They’re still carrying memories and stories. They still know things. Even when they’re young — I remember my daughter skipping up to me when she was three. She used to say, ‘When I used to be a boy . . .’”

I am one of those people who stands always at the edge of scientific verification and spiritual possibility. So, while I haven’t found any empirical evidence that we “exist” somewhere else before conception and birth, and my logical side says we don’t, my dominant spiritual side is drawn to the possibility. Hope on it in fact.

Equally, I am drawn to the hope of our continued existence in some form after death. Which is why I was comforted by an article in National Geographic I read a couple years ago. It said, in essence, that the air embodied by our ancestors remains with us. In other words, we are breathing their presence, the very air they breathed.

The logic center of my mind has certainly wrestled with the spiritual and metaphysical centers — I mean, even I thought I was a little woo-woo for constantly seeing and feeling the presence of the newborn’s “deep knowing.” Little did I know it’s a full on theory with an official name: Innatism.

Thankfully hypothesizing has its measure in scientific rigor. Which is why, after listening to the Tippet-Harjo dialogue, I let me fingers do some walking along the information highway. Driving back a few years I ran across an article in Scientific American that highlights fascinating research into this question of what newborns know:

In the article, Yale researcher Paul Bloom outlines specific moral principles present at birth and exhibited in very early childhood. The list includes:

  • “An understanding that helping is morally good, and that harming, hindering, or otherwise thwarting the goals of another person is morally bad.”

  • “A rudimentary sense of justice—an understanding that good guys should be rewarded and bad guys should be punished.”

  • “An initial sense of fairness—in particular, that there should be an equal division of resources.”

  • “And alongside these principles are moral emotions, including empathy, compassion, guilt, shame, and righteous anger.”

Since then, work in other labs has shown infants arrive with a suitcase of values and intelligence, including intuitive physics.

"We believe that infants are born with the ability to form expectations and they use these expectations basically to predict the future," said Kristy van Marle, an assistant professor in the Department of Psychological Sciences at the University of Missouri in a report on her research.

Well, Whew! I am certainly woo-woo in a lot of areas. I love my tarot deck and iconography. But I’m glad to know I am not alone in my reversal “tabula rasa” thinking, the dominant theory on knowledge that I grew up with. The tabula rasa theory says we are but “blank slates” when we are born, sans any mental content whatsoever. Knowledge or intelligence, according to tabula rasa thinking, is only acquired from experience or perception.

(Speaking of knowledge, did you know woo-woo is actually in the dictionary? Oxford defines it as “unconventional beliefs regarded as having little or no scientific basis, especially those relating to spirituality, mysticism, or alternative medicine.” So much of what I pursue fits into that definition.)

This rabbit hole question of whether or not we are born knowing the secrets of a happy and healthy life or are simply empty vessels whose morality is painted in by on-planet experience and exposure is miles deep and millenniums long. It winds through most major philosophers, all world religions and every person who has ever gazed into the eyes of a newborn.

Is that wisdom? That deep, penetrating gaze that looks around at its parents and the world as if it has seen it all before?

It’s also a wide rabbit hole, what with all the other questions that the question of innate knowing begs. For example are the sense of knowing and knowledge the same thing? Is intuition knowledge? At what point are experience and perception defined as experience and perception? What does it mean to exist?

Still the science that says we do arrive with a moral sense of goodness, justice and fairness and with innate compassion and empathy has me asking a different set of questions.

When and how does what we know coming into the world turn into racism, cruelty, greed, inequity, power-mongering, and all the things that are destroying humanity and the planet? How can we help our babies hang onto their innate moral maps as the navigate through a life and world of conflicting feelings, input, spiritual beliefs, and information?


I look at a newborn baby and I see the potential for world peace. How do we harness that potential?

Tippet’s conversation with Harjo does not go that far down the rabbit hole. But the artist’s phrasing regarding what we know before birth, as well as what we know after death, rings true to me. I have no empirical evidence, so of course my logical side whines in the background. But what the artist says rings true to what I have felt in the labor room:

“It’s wisdom beyond what our mentality, our Earth mental minds, our Earth mentality. It’s much larger and more immense than Earth mentality.”

I have to believe that we are born with stays with us. It’s in there, even in the cruelest of people. Perhaps what I see on the face of babies just entering the world is simply an infinite potential to save the world. If they can hang on to what they already know.

I love the image that Harjo presents of herself before she was born. And, I have to admit, I love the woo-woo idea that, likewise, each of us is enticed by something here on Earth, something that makes us willing to make the journey from wherever “there” is into our mother’s womb and out into the world.

“Though I was reluctant to be born, I was attracted by the music. I had plans… I did not want to leave mystery, yet I was ever curious and ready to take my place in the story.”

I am pretty sure the siren’s song for me was the desire to look in the eyes of babies.



Wrestling with Genetic Testing

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Tests for genetic abnormalities are the norm these days for most pregnancies. A simple blood test or the more invasive amniocentesis remain the staples for ruling out Down’s Syndrome or other serious and sometimes life-threatening disabilities once a baby is growing in utero. 

But, if you are going through or planning to go through in vitro fertilization (IVF), the tests — and the difficult decisions that follow — start before the embryo is implanted. By testing embryo chromosomes before implantation, doctors (and parents) hope to weed out problematic anomalies that might result in a disabled child or a miscarriage, both potentially devastating to those eager to create or grow a family.

What if you are a parent willing to take your chances, even with an imperfect embryo?

As the mother of a child with a disability (which we did not know about before birth) I was greatly moved by Jacquelynn Kerubo’s article this week in the New York Times about her and her husband’s process and decision to implant an embryo with a “mosaic” chromosomal set.

According to Yale University, mosaicism, which has been found in about 20 percent of tested IVF embryos,  “occurs when a person has two or more genetically different sets of cells in his or her body. If those abnormal cells begin to outnumber the normal cells, it can lead to disease that can be traced from the cellular level to affected tissue, like skin, the brain, or other organs.”

In other words, abnormal cells might lead to disease, loss, fetal death or disability, but just as possibly might not. As Kerubo sums up her family’s choice:

“It was like rolling the dice, except for someone you’ve never met,” she writes.

With so many women postponing childbearing into their late 30s or 40s, many couples have to decide whether they are willing to roll the dice. 

I am glad they were never handed to me. Twenty-two years after the birth of my son, I want to believe that had they been I would have done just as Kerubo and her partner did and move forward toward his birth. But since his arrival, many of my birth doula clients have faced decisions about whether to proceed with implanting a less than perfect embryo or continuing a pregnancy when a baby might have a disability and my heart goes out to them. I can not imagine my life without my son. But that is hindsight after all, he came to us without genetic testing. 

If you are considering pregnancy and/or genetic testing, you may find Kerubo’s story helpful in your own decision-making. Read the full article here.


Upcoming Class: The C-Section Scar Solution

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Nobody wants a surgical birth, but it happens and in many cases it is necessary for a safe delivery.

Nobody wants pain, digestive issues, incontinence, or weak abdominal muscles either but sadly, these symptoms can follow birth by Cesarean section.

I don’t generally endorse classes connected to paid treatment, but I know a lot of mothers who have suffered through difficult recoveries after being sectioned. That’s why I wanted to let you know about a free upcoming class on scar treatments that can help mitigate scar pain and other uncomfortable issues following surgical birth. According to Dr. Sierra Storm, facial adhesion is the cultprit:

“We often think of scars as occurring on the surface of the skin, but scar tissue also forms underneath the skin,” she explains on announcing the class. “This can cause a fascial adhesion — tiny threads of connective tissue that attach from the surface of the scar onto the body structures below it. When this happens with c-sections scars, it can restrict motion and cause significant issues, including urinary and digestive changes, a weak core, and persistent pain.”

The C-Section Scar Solution class will take place April 11 at 11:30 PST. To register, click here.

My hope is that those of you experiencing scar pain after surgical birth will glean information and hope from the conversation.

Breastfeeding Can Succeed, Even in a Pandemic


Breastfeeding Can Succeed, Even in a Pandemic

Nursing is a greater challenge these days, but there are resources available.

By Cheryl Murfin, published November 2020 in Seattle’s Child Magazine

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I can’t think of a time when breastfeeding (and breastfeeding support) might be more important than during a pandemic.

While the jury is still out on whether breast milk offers protection against COVID-19 in particular, researchers are working hard to find out. But no matter the outcome of that work, decades of study already confirm that the antibodies found in breast milk protect babies against myriad other viruses and bacteria. We know, for example, that nursing babies have fewer ear, respiratory, urinary tract and other infections than non-breastfed babies. We know such conditions could, at a minimum, complicate a COVID-19 diagnosis for an infant. 

As a longtime doula and lactation educator, I know something else: Breastfeeding success is strongly influenced by the community of support that surrounds a family. Parents need breastfeeding support. 

Parents are most likely to breastfeed — and do it long-term — when they have easy access to factual information, connection with other parents committed to exclusive or majority breastfeeding, and hands-on guidance from experts trained to address breastfeeding discomforts or significant problems. They need breastfeeding support.

Unfortunately, the isolation and fear wrought by the pandemic has left many new families without these critical connections.

In fact, less than a handful of my doula clients this year had or will have any physical in-home help from family and friends after birth. Since March, worry about grandparent health or about silent transmission of the virus has led to a flurry of flight cancellations. News of rising COVID-19 cases has made new parents fearful of in-home visits by professional lactation consultants or postpartum doulas, and doubly afraid to take a baby in for a hospital-based consultation. Several of my clients who were determined to nurse exclusively for the first year have expressed a lack of confidence in that goal — even if nursing is going well.

As one client put the experience of many, “We just feel completely alone.”

Where to find breastfeeding support

Before COVID-19 closed a lot of doors, I gave families a list of resources to support nursing, the same resources I used as a new mother two decades ago: 

  • The Program for Early Parent Support, or PEPS, where new parents connect with others whose babies are close in age. It was at a PEPS meeting that another mom suggested I seek help for postpartum depression, which was rarely discussed at the time. I am still grateful.

  • La Leche League meetings, where nursing parents share information, advice and encouragement. I called a La Leche League leader late at night to talk me off the quitting ledge more than once.

  • International Board Certified Lactation Consultants (IBCLC), the research-based experts on all things mothers’ milk and breastfed babies. A lactation consultant helped me put an end to recurring bouts of mastitis (breast infection).

  • Weekly drop-in lactation clinics where questions are answered by a certified consultant, and parents leave with greater confidence and, perhaps more importantly, more socially connections.

  • Grandparents and family.

Unfortunately, these resources are not what they were less than a year ago. Breastfeeding support groups aren’t meeting physically. Drop-in clinics like the popular group at UW Medical Center — Northwest have disappeared. Grandparents are staying home. I worry about the long-term impact that reduced access to these wrap-around supports could have on our state’s outstanding rates of nursing. I worry mothers and babies — and their breastfeeding success — will fall through the cracks.

Still, we doulas live in hope. If the current pandemic has done anything good, it has made new parents and those that serve them more resourceful. After the initial loss of almost all non-hospital lactation support services at the beginning of Washington’s lockdown, the community of help is resurfacing. It is not the same — a virtual meeting may never convey the same sense of connection and intimacy and trust experienced sitting beside another human being or feeling their healing touch. But until a vaccine is found, and the world comes out of hiding, virtual will have to do.

Like many things amidst the pandemic, my advice for keeping your baby at the breast and your parenting sane is the same as it was before COVID-19, but different:

  1. Embrace the virtual. Sign up for PEPS and try a virtual La Leche League meeting.

  2. Reach out to an IBCLC-certified lactation consultant. But several in the region have resumed home visits using masks and other protections recommended for medical providers. Wear a mask yourself.

  3. Set up a virtual or “telehealth” IBCLC-led lactation consultation with your hospital or with a community- certified consultant. It helps to have a partner with you to move the phone camera into various positions so the consultant can really “see” what’s going on.

  4. Allow select family and friends to help, but lower the risk for everyone. If you can, keep a box of KN95 masks, hand sanitizer or rubbing alcohol, and a box of nitrile gloves outside your door. Masked and gloved friends and family can get a lot done while still keeping six 6 feet away from you and your baby. Wear your mask as well.

  5. If you cannot nurse due to pain, poor latch, or other issues, pump breast milk for your baby until you get the help you need to nurse at the breast. Most insurance covers breast pump purchase or rental. Washington’s WIC program provides pumps for moms working or going to school.

Finally, if you contract COVID-19, nurse your baby. Breast is still best. Just follow the simple guidelines set forth by the U.S. Centers for Disease Control.

Cheryl Murfin is a certified doula, lactation educator and postpartum doula. She’s the owner of Nesting Instincts Perinatal Services in Seattle.

New Study: Mama's Engagement Impacts Baby's "Love Hormone" System

I talk A LOT about oxytocin, the love drug that makes babies, gets them out of the womb, and which guides feelings of closeness and trust in relationships from birth to death. When your due date is near, and especially if it has passed by, I urge my clients turn up the oxytocin! Cuddle, have sex, hold hands, go to a good tear-jerking movie, go look at baby animals, get a massage. The emotions and physical feelings that flush through you in these settings are the reaction to this amazing hormone being released. In essence they tell your full-term, low-riding belly IT’S TIME TO HAVE A BABY!

So I was not surprised to read this recent news release on ScienceDaily: A another new study shows that how moms engage with their infants influences their child’s developing oxytocin system, nudging it to flourish or influencing its lack of development.

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Here’s the release from Science Daily:

Oxytocin is an extremely important hormone, involved in social interaction and bonding in mammals, including humans. It helps us relate to others. It strengthens trust, closeness in relationships, and can be triggered by eye contact, empathy, or pleasant touch.

It's well known that a new mother's oxytocin levels can influence her behavior and as a result, the bond she makes with her baby. A new epigenetic study by Kathleen Krol and Jessica Connelly from the University of Virginia and Tobias Grossmann from the Max Planck Institute for Human Cognitive and Brain Sciences now suggests that mothers' behavior can also have a substantial impact on their children's developing oxytocin systems.

Childhood marks a dynamic and malleable phase of postnatal development. Many bodily systems are coming online, maturing, or getting tweaked, often setting our psychological and behavioral trajectories well into adulthood. Nature plays an obvious role, shaping us through our genes. But we are also heavily influenced by our interactions, with other people and with our environment. "It is well known that oxytocin is actively involved in early social, perceptual, and cognitive processes, and, that it influences complex social behaviors," says Tobias Grossmann. "However, in this study we ask whether the mother's behavior might also have a decisive influence on the development of the baby's oxytocin system itself. Advances in molecular biology, epigenetics in particular, have recently made it possible to investigate the interaction of nature and nurture, in this case infant care, in fine detail. That is exactly what we've done here."

The scientists observed a free play interaction between mothers and their five-month-old children. "We collected saliva samples from both the mother and the infant during the visit and then a year later, when the child was 18 months old. We were interested in exploring whether the involvement of the mother, in the original play session, would have an influence on the oxytocin receptor gene of the child, a year later. The oxytocin receptor is essential for the hormone oxytocin to exert its effects and the gene can determine how many are produced," explains Kathleen Krol, a Hartwell postdoctoral fellow in Connelly's Lab at the University of Virginia who conducted the study together with Tobias Grossmann at MPI CBS in Leipzig.

"We found that epigenetic changes had occurred in infant's DNA, and that this change was predicted by the quality of the mother's involvement in the play session. If mothers were particularly involved in the game with their children, there was a greater reduction in DNA methylation of the oxytocin receptor gene one year later. Decreased DNA methylation in this region has previously been associated with increased expression of the oxytocin receptor gene. Thus, greater maternal involvement seems to have the potential to upregulate the oxytocin system in human offspring," explains the scientist. "Importantly, we also found that the DNA methylation levels reflected infant temperament, which was reported to us by the parents. The children with higher methylation levels at 18-months, and presumably lower levels of oxytocin receptor, were also more temperamental and less well balanced."

The results of this study provide a striking example of how we are not simply bound by our genes but are rather the products of a delicate interplay between our blue prints and experiences. Early social interaction with our caregivers, certainly not excluding fathers, can influence our biological and psychological development through epigenetic changes to the oxytocin system. These and related findings highlight the importance of parenting in promoting cross-generational health.

Story Source:

Max Planck Institute for Human Cognitive and Brain Sciences.

Cited Research:

  1. Kathleen M. Krol, Robert G. Moulder, Travis S. Lillard, Tobias Grossmann, Jessica J. Connelly. Epigenetic dynamics in infancy and the impact of maternal engagement. Science Advances, 2019 DOI: 10.1126/sciadv.aay0680

The Real Picture: maternal health in war-torn countries

I am in love with National Public Radio’s blog Goats and Sodas: Stories of life in a changing world. There’s a lot there about what’s not changing too. Emily Vaughn’s story earlier this fall about photojournalist Lynsey Addario’s work to record the impacts of war and poverty on maternal health conditions is a must a read and see if you care about maternity care in any country, but especially in those in dire need of trained providers and sterile equipment.

Writes Vaughn: “Every two minutes, a woman dies from childbirth or pregnancy-related causes, and many of these deaths are entirely preventable. While the global health community has made great strides bringing down the rate of these maternal mortalities since efforts intensified in the early 1990s, the reality for many mothers is still harrowing.”

Click ere to check out Vaughn’s NPR article.

Medical checks in Somaliland are few and far between. Photo by Lynsey Addario via npr.org.

Medical checks in Somaliland are few and far between. Photo by Lynsey Addario via npr.org.


SCIENTIFIC AMERICAN REPORT: The U.S. Needs More Midwives for Better Maternity Care

For better birth outcomes, the U.S. should rethink maternity care

By THE EDITORS | Scientific American February 2019 Issue

(Please read full article at Scientific American: https://www.scientificamerican.com/article/the-u-s-needs-more-midwives-for-better-maternity-care/)

Art by Ramona Ring for Scientific American. Go to Ramonaring.com

Art by Ramona Ring for Scientific American. Go to Ramonaring.com

Despite the astronomical sums that the U.S. spends on maternity care, mortality rates for women and infants are significantly higher in America than in other wealthy countries. And because of a shortage of hospitals and ob-gyns, especially in rural areas, many women struggle to access proper care during pregnancy. Moreover, the rate of cesarean sections is exceedingly high at 32 percent—the World Health Organization considers the ideal rate to be around 10 percent—and 13 percent of women report feeling pressured by their providers to have the procedure

Widespread adoption of midwife-directed care could alleviate all these problems. In many other developed countries, such as the U.K., France and Australia, midwifery is at least as common as care by obstetricians. In the U.S., certified midwives and nurse-midwives must hold a graduate degree from an institution accredited by the American College of Nurse-Midwives, and certified professional midwives must undergo at least two years of intensive training. This is designed to make midwives experts in normal physiological pregnancy and birth. Thus, for women with low-risk pregnancies who wish to deliver vaginally, it often makes sense to employ a midwife rather than a more costly surgeon. Yet only about 8 percent of U.S. births are attended by midwives.

The roots of America's aversion to midwifery go back to the late 1800s, when the advent of germ theory and anesthesia reduced much of the danger and discomfort associated with childbirth. The benefits of these technologies brought doctors to the forefront of maternity care and pushed midwives aside. Obstetricians helped to bar midwives from practicing in hospitals, which were now considered the safest birth settings. By the early 1960s midwifery was virtually obsolete.

It has made a comeback since then, with practitioners just as well trained as doctors to supervise uncomplicated deliveries. Studies show that midwife-attended births are as safe as physician-attended ones, and they are associated with lower rates of C-sections and other interventions that can be costly, risky and disruptive to the labor process. But midwifery still remains on the margins of maternity care in the U.S.

To bring it back into the mainstream, midwives must be fully integrated into the medical system. Some states currently refuse to recognize them as legitimate practitioners, and some severely limit what midwives are allowed to do, despite evidence that states with the most restrictive policies also have some of the highest rates of adverse birth outcomes, such as deaths of newborns. If midwives were allowed to work alongside other providers, patients would get the care advantages, and if difficulties arose, a woman whose home birth suddenly became complicated could be seamlessly transferred to a hospital. . . .

Please read full article at Scientific American: https://www.scientificamerican.com/article/the-u-s-needs-more-midwives-for-better-maternity-care/

TIME Magazine: First U.S. Baby Born After a Uterus Transplant


By ALEXANDRA SIFFERLIN / DALLAS December 1, 2017

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For the first time in the United States, a woman who was born without a uterus gave birth to a baby. The landmark birth took place at Baylor University Medical Center at Dallas, a part of Baylor Scott & White, TIME reports exclusively.

Go to article at Time.com

“We’ve been preparing for this moment for a very long time,” says Dr. Liza Johannesson, an ob-gyn and uterus transplant surgeon at Baylor. “I think everyone had tears in their eyes when the baby came out. I did for sure.” The woman and her husband asked that their identity not be revealed in order to protect their privacy

The birth took place at Baylor — the first birth in the hospital’s ongoing uterus transplant clinical trial. Women who participate in the trial have what’s called absolute uterine factor infertility (AUI), which means their uterus is nonfunctioning or nonexistent. Most of the women in the trial have a condition called Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome — and have lived their entire lives under the assumption that they would never be able to be pregnant or give birth to a baby. The procedure could also work for women with other medical issues, such as certain cancers.

“We do transplants all day long,” says Dr. Giuliano Testa, the leader of the uterus transplant clinical trial at Baylor, and surgical chief of abdominal transplant for Baylor Annette C. and Harold C. Simmons Transplant Institute. “This is not the same thing. I totally underestimated what this type of transplant does for these women. What I’ve learned emotionally, I do not have the words to describe.”

The birth was a scheduled Caesarean section, and most members of the multidisciplinary clinical trial team were present. The baby was delivered healthy and screaming. “I’ve delivered a lot of babies, but this one was special,” says Dr. Robert T. Gunby Jr., the obstetrician and gynecologist who delivered the baby. “When I started my career we didn’t even have sonograms. Now we are putting in uteruses from someone else and getting a baby.”

The moment Dr. Gunby first held up the baby was emotional for many members of the medical team. “Outside my own children, this is the most excited I’ve ever been about any baby being born,” says Dr. Gregory J. McKenna, a transplant surgeon at Baylor. “I just started to cry.”

A donor’s gift

Taylor Siler, 36, a registered nurse in the Dallas area, donated her uterus to the woman who recently gave birth. Siler wasn’t always certain she wanted to have children, but she says deciding to get pregnant was one of her best decisions. “Once they lay that baby in your arms,” Siler says. “Your life changes forever.”

Siler, who has two boys aged 6 and 4, came across a news segment about Baylor’s uterus transplant program. She and her husband had already decided they were not going to have any more children, and she wanted to offer someone else a shot at motherhood. “I have family members who struggled to have babies, and it’s not fair,” says Siler. “I just think that if we can give more people that option, that’s an awesome thing.”

Siler went through extensive screening about both her physical and mental health before getting approval for the trial. Participating required surgery and about 12 weeks of recovery. Baylor says it typically takes about five hours for the wombs to be removed from the living donors, and another five to transplant.

Though she did not know the woman who received her uterus, Siler and the recipient exchanged letters on the day of the surgery, and the recipient sent Siler another letter to let her know when she was pregnant. Baylor informed Siler this week that the woman had given birth. “I’ve just been crying and getting teary thinking about it, “ says Siler, who had not yet met the new mother when she spoke to TIME. “I think about her every day and I probably will for the rest of my life.”

How a uterus transplant works

The women in the clinical trial are transplanted with a uterus from either a living or deceased donor. The woman who gave birth received her transplant from Siler, who was a so-called “altruistic” living donor: a stranger who volunteered to donate her uterus to a woman without one. So far, Baylor says they’ve had over 70 women express interest in donating their uterus.

Baylor will complete a total of 10 uterus transplants as part of its first trial. So far the hospital has completed eight. At least three have failed. The hospital has confirmed to Time that there is another woman in the trial who is pregnant, using a living donor uterus.

The baby's father rests his hand on the child.

Baylor University Medical Center at Dallas.

Baylor’s uterus transplant program is one of a handful to launch in the United States in recent years, and it’s the first to use both living and deceased donors. Successful uterus transplants from live donors have taken place in Sweden — a medical team at Sahlgrenska University Hospital in Gothenburg pioneered the first uterus transplant trial that resulted in eight births. This first birth at Baylor is the first to replicate that success.

Dr. Johannesson was part of the original uterus transplant team and has since moved to Texas in order to work on the Baylor program. “We were very proud of the first birth in Sweden,” she says. “But this birth is what’s going to make the field grow, because this is the first time this has been replicated anywhere else. This step is equally, if not even more, important.”

The recipients in the clinical trial are between the ages of 20 to 35, and the donors must be between ages 30 to 60. “When you donate a kidney, you do it to help someone live longer and get off dialysis,” says Dr. Testa. “For these women, they are donating an experience.”

Most of the women in the trial have moved to the Dallas area in order to undergo the procedures and the many follow up visits and tests. Once the women in the trial are transplanted with the uterus, they wait to recover and achieve menstruation, usually about four weeks from transplant. Women whose transplant is successful can then attempt in vitro fertilization (IVF). (The women in the trial have functioning ovaries that are not attached to their wombs, which is why IVF is required to get pregnant.)

Uterus transplants are expensive, with some estimates putting the cost at up to $500,000. Like other infertility treatments, it’s very rare that an insurance company would cover the procedure, which is largely viewed as elective. Baylor covered the cost of the first 10 transplants in the clinical trial, but the medical team is now seeking funding—largely through donations from institutions and private donors—in order to continue. The team says many more transplants need to be done before it could be provided as a standard treatment. “The reality is that it’s going to be very difficult for many women to afford this,” says Testa.

Go to article at Time.com


Newborn Guts Need Micro-Organisms!

By Paul Rogers / NYT

By Paul Rogers / NYT

There are a gazillion (OK I exaggerage) mico-organisms that live and breathe in the human body, making sure it stays on healthy track and influencing heavily not only each unique child'd future but the future of nations and the world.

Unfortunately, high rates cesarean deliveries in the United States and less than 100 percent breast-feeding rates have impacted the gut biome of a significant number of baby’s -- a scenario that research shows has lead to long-term health issues in children and adults, including asthma, allergies, celiac disease, Type 1 diabetes and obesity. Check out thei fascinating -- and scary -- article publishing in the New York Times this month by wrtier Jane E. Brody. Definitely gives us something to think about. Not all babies can breastfeed or be arrival via the vaginal canal. But are we doing all we can to protect the precious gut biome that determines a baby's future heath? Click on the article title below to read more!

The Importance of Infants' Exposure to Micro-Organisms / by Jane E. Brody

 

Source: https://www.nytimes.com/2018/02/05/well/li...

YES! Acupuncture REALLY DOES Relieve Pelvic & Low Back Pain in Late Pregnancy

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It is always reassuring to read studies that show with confidence what your friends, midwife and other providers have been telling you: acupuncture works. Especially if you have lower back and pelvic pain, which are common in late pregnancy.  Take a look at what researchers who published in the journal of obestetrics in Scandanaia. To purchas the full article click here.


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Researcher: Nina Kvorning Ternov
Department of Anesthesia and Intensive Care
Hospital of Helsingborg
Helsingborg, Sweden
e-mail: nina.kvorning-ternov@helsingborgslasarett.se

Abstract

Background.  The study was designed to evaluate the analgesic effect and possible adverse effects of acupuncture for pelvic and low-back pain during the last trimester of pregnancy.

Methods.  Following individual informed consent, 72 pregnant women reporting pelvic or low-back pain were randomized during pregnancy weeks 24–37 to an acupuncture group (n = 37) or to a control group (n = 35) at three maternity wards in southern Sweden. Traditional acupuncture points and local tender points (TP) were chosen according to individual pain patterns and stimulated once or twice a week until delivery or complete recovery in acupuncture patients. Control patients were given no sham stimulation. Throughout the study period each patient made weekly visual analog scale (VAS) evaluations of maximal and minimal pain intensity as well as three-point assessments of pain intensity during various activities.

Results.  During the study period, VAS scorings of pain intensity decreased over time in 60% of patients in the acupuncture group and in 14% of those in the control group (p < 0.01). At the end of the study period, 43% of the acupuncture patients were less bothered than initially by pain during activity compared with 9% of control patients (p < 0.01). No serious adverse effects of acupuncture were found in the patients, and there were no adverse effects at all in the infants.

Conclusion.  Acupuncture relieves low-back and pelvic pain without serious adverse effects in late pregnancy.

7 Tips for Great Smart Phone Photos of Your Baby

BY DIANA HINEK, CD, MFA

So you just bought a new fancy schmancy smart phone and you can’t wait to see how smart it really is -- especially given those billboards you see all over town promising that it will take the BEST photos EVER of your favorite restaurant dishes, your dog, and your brand new baby.

Take it from a professional -- you need more than a smart phone for smart (meaning beautiful) photos of your precious one(s). Here are some simple ways to help the camera in your new phone take photos you'll treasure forever:

#1 Take Photos During the Day -- Especially Indoors.

Yes, your new phone has a flash. And you could use the flash. People Do. But the truth is, they always hate those photos. That's because taking pictures in the dark, even with a flash, often results in ugly red-eye, harsh, unwanted shadows, garish skin tones and tons of grain. Not to mention, cranky, startled babies!

So instead of sub-par night shots, look for the the daytime sun spots around the house -- they will change throughout the day as the light moves around your abode though windows or other light sources. Indirect light is best -- through a window for example or one of those IKEA lamps that directs light upward to bounce off of the walls or ceiling to light the room. Be sure to face your baby toward the light. For example if lush light is wafting through the window in the living room, face your baby toward the window to get the best lit shot.

Follow the light in your house. Usually face the baby toward the window or light source. In this case we have shot the photo with the baby in front of the window to create a silouette and halo.

Follow the light in your house. Usually face the baby toward the window or light source. In this case we have shot the photo with the baby in front of the window to create a silouette and halo.

#2 The Best Outfits Are Simple and Comfortable.

Every new baby receives ugly, itchy outfits from their loving relatives and you may feel obliged to have your sweet baby wear them in your smart phone fashion shoot. Toss that guilt out the window -- that same window you're going to be taking gorgeous photos of your baby in front of. Remember, photos are forever! Babies are happier if they are comfortable, so skip grandma's hand-knit wool matinee jacket and scratchy caps and pull out the soft comfy clothes your baby can move around in. While you are at it, avoid plaids, small dots, stripes and brand labels (those are just tacky!)

Dress that baby in SIMPLE clothes and colors -- no strips, dots, logos!

Dress that baby in SIMPLE clothes and colors -- no strips, dots, logos!

#3 Go Horizontal

Unless you are trying to capture your baby climbing a palm tree like a baby sloth, don't shoot with the camera in the vertical position. Photos taken in the horizontal (wide) position are best and give ample space to catching your baby in action -- reaching, waving, stretching out. And don't forget to zoom in now and then, close up on his face or her tiny foot or hand.

Stay horizontal, unless you like tall skinny photos.

Stay horizontal, unless you like tall skinny photos.

#4 Don’t Say "Smile!" To Your Baby or Whoever is Holding Him or Her

There is nothing more counter-productive (or forced) than telling someone to smile for the camera. Instead think of something else to say, anything else, whether the subject of your photos is a baby or a grown up.  Get their attention with a joke or a surprise word or move and help them smile spontaneously! Be imaginative. Use humor. Do something silly. For a baby, Peek-a-Boo works EVERY TIME!

Shoot quick -- that real smile is fleeting. You've got to get that shot before your subjects (at least the older ones) realize they are on camera and return to the fake, forced smiles.

#5 Remember the Rule of Thirds

Break your camera screen into thirds horizontally and vertically. Try to get your baby's face into any one of those thirds but the middle one. That middle square makes it a mug shot. The others make it art!

Here's the technical meaning of this phrase (thank you wikipedia): The rule of thirds is applied by aligning a subject with the guide lines and their intersection points, placing the horizon on the top or bottom line, or allowing linear features in the image to flow from section to section. The picture on the left is BAD. See the rock right in the middle of the phone? The picture on the right is following the rule. It's more interesting. By placing the rock in an outer third it the eye is led into the photo. 

BAD&nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &nbsp; &…

BAD                                                                                  GOOD

Rule of Thirds: This baby's face follows the rule! It is in the top right third of the frame.

Rule of Thirds: This baby's face follows the rule! It is in the top right third of the frame.

#6 Shoot Your Baby From Above

Oops we it's vertical but we're above this cute baby!

Oops we it's vertical but we're above this cute baby!

You have that sweet little thing in front of you and it's easy to forget your are bigger and taller than the baby!

Shoot from above. Put your baby in a basket and shoot down at her. A lot of professional photographers will climb up on a ladder and literally shoot down at those little angels you see on calendars.

If you DO climb up on a ladder over your newborn, of course exercise common sense. Be sure someone is holding the ladder.

And of course be sure you have your smart phone attached to your body somehow. someway -- by lanyard perhaps or taped to your palm if needbe. She's not going to smille if you drop your smart phone on her super smart brow.

Getting above your baby truly makes for some awesome newborn pictures!

Shoot from above!

Shoot from above!

#7 Print Print Print

Back up your phone frequently and make sure you print the photos you capture on your phone. Making printing a monthly task. Put it on your calendar and set aside and hour to gleen and pick and sent to print. Consider creating a photo book. A simple Google of Photobooks will give you lots of easy options for creating and printing photobooks online.

Birth Doula and Photographer

www.artshapedphotography.com

Probiotics in Pregnancy May Help Prevent Preemies & Life Threatening Pre-Eclamsia

Republished from ScienceDaily.com / Source: BMJ (Medical Research Journal collective)

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Premature babies often need time to grow in incubators.

Premature babies often need time to grow in incubators.

Probiotics taken during pregnancy might help lower the risks of pre-eclampsia and premature birth, suggests observational research in the online journal BMJ Open. But timing may be crucial, the findings indicate.

Pre-eclampsia, a condition in which the mother's body mounts an exaggerated inflammatory response, affects up to 8 percent of all pregnancies, and can lead to severe complications for both mother and baby.

Premature birth (before 37 weeks) is a leading cause of illness and disability among the children born, affecting nearly one in 10 births in the US.

A growing body of evidence suggests that the mother's diet influences the outcome of pregnancy. And previous research has suggested that probiotics -- live bacteria and yeasts thought to promote good health -- might reduce certain complications of pregnancy.

To find out whether the timing of intake might be influential, the researchers used data on more than 70,000 pregnancies from the Norwegian Mother and Child Cohort Study (MoBa).

As part of the MoBa study, mums-to-be provided information on their diet, lifestyle, medical history, and other relevant background factors at 15, 22, and 30 weeks of pregnancy.

At 15 and 30 weeks, the questions included additional information on intake of different milk products containing probiotic bacteria before and during their pregnancy.

Nearly one in four (just over 23%; 6502) women said they had consumed probiotic milk products before their pregnancy; more than a third (over 37%; 11,221) had done so during early pregnancy; and a similar proportion (just over 32%; 12,784) had done so late on.

Intake of probiotic milk products was more common among older, more affluent and better educated women, who were pregnant for the first time.

Among the 37,050 women included in the pre-eclampsia analysis, the condition was diagnosed in one in 20 (5%; 1851). In 550 of these cases, it was severe. Probiotic intake was associated with a 20 percent lower risk of the condition, but only during late pregnancy.

And when differences between the severity of pre-eclampsia were looked at separately this association was significant only for those whose condition was severe.

Among the 34,458 women included in the premature birth analysis, 2858 babies were born early, some 1795 of which were spontaneous premature births, and 1065 of which were iatrogenic -- in other words, caused by the consequences of medical treatment.

A significant association emerged between probiotic intake during early pregnancy and an 11 percent lower risk of premature birth, rising to 27 percent for preterm birth late in the pregnancy.

The amount of probiotic consumed didn't seem to make any difference, the findings showed.

This is an observational study, so no firm conclusions can be drawn about cause and effect, nor were the researchers able to account for strain viability or shelf life, both of which may have influenced the findings. Further research is required, they emphasise.

Nevertheless, they conclude: "If future randomised controlled studies support a protective effect of probiotic consumption on reduced risk of pre-eclampsia and preterm delivery, recommending [it] would be a promising public health measure to prevent these adverse pregnancy outcomes."

Story Source:

Materials provided by BMJNote: Content may be edited for style and length.

Journal Reference:

  1. Mahsa Nordqvist, Bo Jacobsson, Anne-Lise Brantsæter, Ronny Myhre, Staffan Nilsson, Verena Sengpiel. Timing of probiotic milk consumption during pregnancy and effects on the incidence of preeclampsia and preterm delivery: a prospective observational cohort study in NorwayBMJ Open, 2018; 8 (1): e018021 DOI: 10.1136/bmjopen-2017-018021

www.sciencedaily.com/releases/2018/01/18012323513

Source: www.sciencedaily.com/releases/2018/01/1801...

Breastfeeding Safe Herbs & Supplments That May Keep Postpartum Mood Disorders at Bay

Skullcap -- an herb that may help reduce anxiety and stress during the postpartum period.

Skullcap -- an herb that may help reduce anxiety and stress during the postpartum period.

I've been asked by a lot of mothers experiencing the first symptoms of a possible postpartum mood disorder (PPMD) if there are any natural remedies to nip it in the bud or get on top of a budding problem. The answer is, if you think you are facing or experiencing a postpartum mood disorder (whether it's mild depression or something more ominous) consult with your primary care provider immediately -- that is your midwife, OB, family practice doctor or therapist. Don't let it linger. As you seek help, know this:

No woman should have to suffer in silence.

You are not broken.

You are not a bad mother.

You simply  may be one of millions of women whose hormomes and the unhealthy work-focused push of our society have manifested in a very real syndrome.

That said there are natural ways to approach PPMD. The following herbs and supplements may help and have been found to be safe while breastfeeding as long as you are taking them under the advisement care of a medical or naturopathic doctor..

NOTE: Before you take any of the following, consult with your doctor and a reputable, certified doctor of Chinese Medicine or Certfied Herbalist. Don't dose yourself by guessing.

Herbs:

  • Vitex helps to balance the hormonal cycle.
  • Motherwort can positively uplist mood
  • Camomile and scullcap are know anxiety reducers
  • Oats for emotional balance
  • St. Johns work is a powerful herbal antidepressant and should be taken under the direction of a ND or MD
  • Enhaling Lavender, or Lemon balm essential oil may help with emotional balance

Supplements

  • Omega 3 fatty acids, such as those found in fish oil help to prevent and treat low mood, depression or other forms of PPMD
  • Calcium and Magnesium
  • Vitamin D
  • Folic acid as found in prenatal vitamin (which you should continue to take while nursing) or through deep, leafy greens
  • Sun. Yes, sit in the sun a lot (with sunscreen of course). Sun is loaded with Vitamin D, lack of which is definitely indicated in ALL mood and depression issues, not just postpartum mood concerns.

For more information, check out this great article by Dr. Kathleen Kendall-Tackket, an IBCLC certified lactation consultant.: http://www.uppitysciencechick.com/Non-drug_treatments.pdf

NYT Article: Pollution May Harm Babies InUtero

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Air pollution may be harmful to babies even before they are born, a new study has found.

Researchers in London calculated mothers’ exposure to air pollution and traffic noise in various parts of the city from 2006 to 2010. Then they amassed data on birth weights of 540,365 babies born during those years to women who lived in those areas.

The average pollution exposure was 14 micrograms per cubic meter of PM 2.5, the tiny particles that easily enter the smallest airways in the lungs. The researchers found that for each 5 microgram per cubic meter increase in PM 2.5, the risk of low birth weight increased by 15 percent. Low birth weight is a predictor of an increased risk for diabetes, heart disease and hypertension in later life.

10COMMENTS

The study, in BMJ, found no effect of traffic noise on birth weight.

The Environmental Protection Agency standard for PM 2.5 is 12 micrograms per cubic meter averaged over three years, and the World Health Organization suggests 10 as a limit. But the lead author, Mireille B. Toledano, an epidemiologist at Imperial College London, said that there really is no safe level of air pollution.

“For every 10 percent reduction in PM 2.5,” she said, “we can prevent 90 babies being born with low birth weight in London. The current limits are not protecting pregnant women, and they’re not protecting unborn babies.”

A version of this article appears in print on December 12, 2017, on Page D6 of the New York edition with the headline: Pregnancy: Unborn Babies and Polluted Air. Order ReprintsToday's Paper|Subscribe

Count Your Baby's Kicks

Counting kicks is easy to do.  It's important too! According to the information posted at CounttheKicks.org, counting can save your baby's life. 

When you start your 3rd trimester, it’s time to start counting.

 Here’s how you do it:

  • Count the Kicks every day, preferably at the same time.
  • Pick your time based on when your baby is usually active, such as after a snack or meal.
  • Make sure your baby is awake first; walking, pushing on your tummy or having a cold drink are good wake-up calls.
  • To get started, sit with your feet up or lie on your side. Count each of your baby’s movements as one kick, and count until you reach 10 kicks.  After a few days you will be to see a pattern for your baby.  
  • Most of the time it will take less than a half-hour, but it could take as long as two hours.
  • Log your recorded times using our Count the Kicks App or a kick chart.

Why count kicks? The research is clear it could save your baby's life:


Research Citations

Click the links below to learn more.

Reduction of Late Stillbirth

Holm Tveit JV SE, Stray-Pedersen B, Bordahl PE, Flenady V, Fretts R, Froen JF: Reduction of late stillbirth with the introduction of fetal movement information and guidelines - a clinical quality improvement. BMC Pregnancy Childbirth 2009, 9(32).

Fourteen hospitals in Norway participated in this study which aimed to improve care by providing written information to pregnant women about Decreased Fetal Movement and to provide guidelines on Decreased Fetal Movement to health care providers. There was an overall decrease of stillbirths by 1/3, with no increase of preterm births, or need for neonatal care.

ACOG Committee on Practice Bulletins with the Assistance of Ruth C Fretts: ACOG practice bulletin: Clinical management guidelines for Obstetrician-Gynecologists 102 03/2009: Obstet Gynecol 113: 748-761

Fretts R , Duru U: New indications for antepartum testing: Making the case for antepartum surveillance or timed delivery for women of advanced maternal age. Semin Perinatol 32:312-317, 2008 [PubMed-indexed for MEDLINE]

Froen JF, Heazell A, et al: Fetal movement assessment. Semin Perinatol 32:243-246, 2008 [PubMed-indexed for MEDLINE]

Froen JF, Tveit JV, et al: Management of decreased fetal movements. Semin Perinatol 32: 307-311, 2008 [PubMed-indexed for MEDLINE]

Fretts R: Stillbirth: Common causes and prevention strategies. Forum 25: 8-1-, 2007 [PubMed-indexed for MEDLINE]

Guidelines for Perinatal Care, 6th Edition, 2007, American Academy of Pediatrics and American College of Obstetricians and Gynecologists, page 114 (under paragraph entitled Assessment of Fetal Movement): "The perception of 10 distinct movements in a period of up to 2 hours is considered reassuring. After 10 movements have been perceived, the count can be discontinued for that day."

Reddy U: Prediction and prevention of recurrent stillbirth. Obstet Gynecol 1151-1164, 2007 [PubMed-indexed for MEDLINE]

Froen JF: A kick from within-fetal movement counting and the cancelled progress in antenatal care. J Perinat Med 32:13-24, 2004 [PubMed-indexed for MEDLINE]

Study of Maternal Observations and Memories of Stillbirths (MOMS Study)

5000 moms with stillbirths participated in answering questions regarding their pregnancy. 50% of the moms reported gradual decreased fetal movement several days prior to death. 56% of moms reported that this decreased movement was the first reason to believe that there was something wrong.

Fetal Movement Intervention Assessment (FEMINA)

FEMINA8 (Fetal Movement Intervention Assessment) is an ongoing international research collaboration to improve pregnancy outcome through better understanding of reduced fetal activity. Froen previously reported that 50% of mothers waited more than 24 hours without any fetal activity before contacting their doctor – 30% waited more than 48 hours.

Stillbirth Collaborative Research Network (SCRN)

Dr. Uma Reddy from the National Institute of Health (NIH), is leading the Stillbirth Collaborative Research Network (SCRN). This 5 year study will determine the incidence of stillbirth, determine risk factors and uncover the causes of stillbirth using a standard protocol that will review clinical history, protocols for pathologic examinations of the fetus and placenta.

It’s a great way to bond with your baby. Most importantly, it could save your baby’s life.