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Information  re VBAC (Vaginal Birth after Caesarean) 

 The information on this page was originally included on our Birth Page. It has occurred to me that it will make things easier for women seeking info re VBAC if it is all separate on its own page. The pages still overlap to some extent. If you need any further info, please feel free to contact me, Peter Jones, retired NHS midwife, info@orgonomyuk.org.uk . There is lots more info on orgone therapy and natural birth on the original birth page.

Vaginal Birth after Six Caesareans!

Just in case you need any encouragement, there was a news item in the Preston newspaper, Lancashire Evening Post, a couple of days ago about a local woman who has had six Caesarean sections and who gave birth to a baby vaginally. It was a forceps delivery, because the baby's heart rate was dipping significantly, but still... what a great achievement.  I will try to post a link to the paper's website so readers can read the details for themselves. (13 . 9. 17.)                     

Textbook on Orgonomic Midwifery

My introductory textbook, Orgonomic Midwifery, is now available at £10:00 a copy plus £1:50 postage (second-class, UK). If you want to order a copy via PayPal, please click on the Artificers of Fraud payment link above and add a message making it clear you want the midwifery book and not Artificers. You can also order by post, sending a cheque payable to C O R E to Orgonomy UK, PO Box 1331, Preston, PR2 0SZ.

VBAC (Vaginal Birth after Caesarean)

I have had an enquiry indirectly from someone who read a comment of mine about a YouTube birth video. She was obviously an expectant mother who seemed to have had a previous Casearean section with her first baby and she wanted advice on whether she would be able to have a VBAC delivery. Obviously it is almost impossible to advise anyone safely from a distance without knowing all the details of your history. No-one is keener on VBAC than I am and some of my best experiences as a midwife in the UK NHS were helping women through to a vaginal birth after a Caesarean. Witnessing the sense of triumph and achievement felt by the women who managed this was a wonderful experience, one of the best parts of midwifery. But it would be foolhardy to just say to all women wanting a VBAC, yes, vaginal births are great, nature knows best, bla, bla, bla, go for a VBAC. All that is in principle true, but there are situations where even I would advise a woman to go for a second CS. I can't advise individuals at a distance, but I can give you some information that might be helpful. It seems some women have a CS and hardly know why it was necessary or thought to be necessary. So, if you are pregnant again and are weighing up your options, you should find out, if you don't already know, exactly why you needed, or the doctors thought you needed, a CS for your previous baby.

Put simply, CSs are done for two classes of reasons, maternal or foetal. Some 'maternal' reasons are present in a second labour and so there is no good reason to hope that things will go any differently or better. Typical of these are the obvious one, a small pelvis, what obstetricians call cephalo-pelvic disproportion. In plain English, the baby's head is too big to go through your pelvis. If that was so with a first baby, it will still be the case with the next baby, unless this baby is appreciably smaller. Some obstetric units have facilities for measuring and 'weighing' a foetus in utero down to 5 grams, so if this is an issue, you should be able to get a detailed estimate of your baby's size. If you have suffered pelvic injury, eg a fractured pelvis, that has been stabilised with metal pins/screws, it will not yield and bend in labour like a healthy, undamaged pelvis and women with a history like that, usually after a bad car-crash, are advised to have a CS. I have not heard of any women with such a history who have refused to follow advice and tried to do it themselves.

Other 'maternal' reasons are not necessarily present in a second labour, for example, maternal exhaustion or maternal distress. If these were involved in your first labour and you can obtain better midwifery care and moral support the next time, things might go better this time. Ask your obstetricians or midwives some strong, clear questions and make sure you get straight answers. It is a good idea to have someone with you who hears the answers, as this is such a loaded situation for many women that, understandably, they easily mishear or misinterpret what they are told. Research shows that outcomes are best when women in labour get continuity of care, (the same midwife throughout labour) and strong moral support from the midwife or midwives and a birth companion. If you feel you did not have good moral support in your first labour, try to obtain better, more continuous care this time, if the maternity service in your country makes this possible.  The key features to good labours and postive outcomes, in my experience, are mobility (moving about in labour) and 'verticality', standing up and walking about for most of labour, with occasional brief rests on the bed, if you are getting tired, and pushing in a vertical position rather than lying on your back.

The other crucial factor, unknown to conventional obstetrics and midwifery, is muscular armouring. The less you have got, the better you will get on in labour. It is possible to reduce the effects of armouring to some extent with orgone-therapeutic preparation. If you live in the UK, I am willing to help you with this. It is often possible to obtain good results within a very short time, though I cannot promise anything. We would just have to work together and do our best for you. (To contact me to arrange this help - info@orgonomyuk.org.uk .) Orgone-therapeutic coaching with your breathing can help greatly and in most cases you can learn how to breathe more fully and with less inhibition from your armouring in quite a short time.

Baby reasons for a CS are pretty obvious - malpresentation, foetal distress, cord prolapse, placenta praevia, and so on. These are usually single events that are not likely to recur in a second pregnancy/labour. They can often be eleminated by ante-natal investigations, except, of course, for foetal distress, which normally only develops during labour. (You can of course, though quite rarely, have 'foetal distress' without labour. This is usually an emergency and leads to an immediate CS to save the baby's life, though this is, mercifully, rare.) By 'eliminate' I mean that ante-natal checks can show that none of these conditions are present. You cannot, of course, get rid of them by simple checks. These do not change anything, they simply give you information.

Many, most maternity units in the UK, and I imagine in most countries with modern, westernised maternity systems, want women who have had a previous CS to be monitored continuously with a CTG. (If the old scar is opening up, this shows first usually in the behaviour of the baby's heart-beat, so obstetricians consider it an important aid to safety to run a continuous CTG.) This makes it difficult to stand up and move about, but it can be done. The wires do not allow you much freedom of action. I used to suggest to my women that they stand up and move about 'on the spot'. (By that I mean making the sort of movements with your legs and feet that you make when you are waiting for a bus on a freezing winter's day and you move your feet and legs about to keep your circulation going and your feet warm.)This gives virtually the same benefits, as what matters is the stimulation of the cervix by the movement of the baby's head and the subtle movements of the baby vis-a-vis the pelvis caused by the mother's movements. Some monitoring systems allow radio pick-up of the CTG output, so you do not need to be linked to the machine by wires and you can move about as much as a woman who is not  being monitored.

I am not sure of up-to-date statistics, but when I was still working as a midwife, women were told by obstetric consultants that about 70% of women who chose to go for a VBAC managed it. My own experience of caring for women in labour who had had a previous CS was, I would say, much better than this. I remember only one women needing a CS eventually, after her scar started to come undone. (Dehisce is the medical word for this.) During the CS, for once, (normally I used to look at the ceiling until the baby was out and they handed him/her to me as the midwife responsible for the baby post-delivery), I watched carefully to see what had been happening inside the woman's abdomen. The old scar had indeed been opening up and at one end the gap between the sides of the old scar was about 2cm wide, but there was no bleeding and the baby's condition was completely normal. In that case the baby's heart-beat had been completely OK throughout, but the obstetrician in charge advised a CS as the mother's cervix was not dilating, despite good contractions, and if the cervix is not dilating, something else is, ie the old incision in the uterus. This logic proved correct. 

If you do choose to go for a vaginal birth, may the orgone be with you. It is a wonderful, courageous thing to do and I wish you all the best from the bottom of my heart. Please send me feedback about this information, if you have made use of it. If you live in the UK, I am willing to come and give you some orgone-therapeutic coaching with your breathing to help you in labour. If you want to take advantage of this offer, please contact me at info@orgonomyuk.org.uk . (Posted 16. 6. 13.)

Textbook on Orgonomic Midwifery

This book is now almost ready for publication. I am waiting for notification from the printers that it has been despatched. They are printing it at the moment. (26. 3 . 15.) (PS This book has been delayed, because the printers printed it without the vitally important illustrations! A correct version should be available in early May now. Apologies for this delay. 20. 4. 15.)

Thanks to the inspiration of one definite student next spring, I am busy writing a textbook on orgonomic midwifery. I have already completed the first draft and am now working through it, adding references and generally tidying it up. It is not a huge tome. In its present form it is about 150 pages long and so will be quite within the possible as a print-on-demand book to be published by C O R E.  I am thinking of a  massive print run of 50 copies. I hope to have it printed by the time of our study week next spring, but even if I can't manage that, it will certainly be finished by then and I will make the text available on paper for students so that you can read it and use it to work from. The delaying factor is, as always, the illustrations. The book needs a handful of line life-drawings, nothing very challenging for a practised draughts(wo)man, but, of course, C O R E does not have a volunteer helper with those skills. I am asking round, but it will doubtless take time to find someone. (9. 10. 14.)

     Publication of Orgonomic Midwifery and Baby-Care

As you may have read on our news page, it is now going to be possible to get this book published in English here, though it seems an act of moronic optimism, when I have not had a single request for information about this crucially important work from anyone in this country. Perhaps a book lying round where it can be seen will stir up some interest. Even if it doesn't, at least it will mean that the information is out there available for those who may want to use it in the future. For more information and a list of contents, please go to Young Learners/Orgonomic Midwifery page. As always, I need help with the illustrations. If you can help with simple line drawings and diagrams, not many, please contact me at info@orgonomyuk.org.uk .

Orgone-Therapeutic Breast-Feeding Support

C O R E is offering orgone-therapeutically orientated support and advice for breast-feeding mothers. This a completely new venture, possibly the first in the world.  Please go to Breast-Feeding Support for further information.

 

All statements on this page are informed by 15 years' experience as a midwife in the British National Health Service as well as a lifetime's study of orgonomy and orgone therapy.

Thank you for your interest in this vital area. Orgone Therapy is probably the least known aid to better birth of all the alternative methods available to expectant mothers. This is a tragedy, as it can give a nervous expectant mother extremely effective tools with which she can work to help herself to enjoy labour more and, we hope, have a better outcome clinically.

What is orgone therapy? How does it work? How can it help a woman in labour? Orgone therapy is the original 'body psycho-therapy' and was first developed in the nineteen thirties, while Wilhelm Reich was in Norway to escape persecution by the Nazis. The crux of its effectiveness is Reich's discovery of muscular armouring, the chronic tensions which people form, unawares, usually as babies and small children, to protect themselves from the pain stemming from the frustration of their primary needs in infancy. These also have a disruptive effect on the autonomic nervous system (ANS) and your ability to give birth easily without medical assistance.

Reich also discovered that there is a natural breathing pattern, which, if mobilised in a  labouring woman, helps her to surrender to the involuntary movements of labour, reduces pain, and puts her in touch wiht her natural capacity to give birth by her own efforts. You can be coached simply to make some contact with this breathing pattern and this can help your labour significantly. It is not too difficult a job to also coach your labour companion, so that he/she can help you keep breathing more fully than usual, assisting you to remain open and relaxed. We can run a short workshop for a small group of expectant mothers or even visit you privately to help you to prepare for birth using these methods. 

The disturbance to the ANS by armouring is probably what causes so much pain in labour to many women. (Not all labours are painful.) This disturbance means that there is a conflict in your physiology between the sympathetic side of the ANS, which resists the spontaneous impulses of labour, and the parasympathetic, which mobilises them. For a more detailed explanation of these observations and for more information on how orgone therapy works in labour, please enquire. We can send you further leaflets, articles, and diagrams.

We can also run a local day or weekend workshop, where we can teach you some basic ways of helping yourself during your labour. The information here and that contained in C O R E's extensive writings on childbirth are based on Peter Jones's fifteen years experience as a midwife in the NHS and a lifetime of the study of orgonomy and orgone therapy. 

For more information contact Peter Jones, (retired midwife), at info@orgonomyuk.org.uk

Peter Jones

               Last revised September 13th, 2017

 

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