Category: choice

  • You are the expert in what is right for you

    You are the expert in what is right for you

    You are the expert when it comes to making decisions in your life.

    This is one of the most important points I share with my clients. I think it applies to many things outside of pregnancy and birth too!

    It can be tempting to defer decisions to experts such as doctors and scientists, or anyone you perceive as an expert in the field, especially if you are trying to make a decision in a area of knowledge that is new to you.

    But the role of the experts is advisory.

    They cannot make the decision for you.

    This doesn’t mean that the role of the experts isn’t valuable, because they can curate options that suit you when trying to oversee the whole picture might feel overwhelming.

    I liken it to choosing dishes in a buffet. The role of the experts is to curate the buffet to your needs (for instance making sure there is no animal products if you are a vegetarian), but they cannot choose the dishes for you. You do.

    Not the scientists, not the doctors, not the experts. You are unique with your own unique needs and you get to live with the decisions you make, not the experts. The role of the experts is to lay options in front of you. It doesn’t mean that the a coach isn’t valuable, because they can curate through a lot of options for you, but their job is to lay options in front of you and your job is to choose what’s right for you.

    Because they aren’t the ones who are going to live with the consequences of the decision.

    You are.

    Play

     

  • Inducing labour with Castor oil : is it safe?

    Inducing labour with Castor oil : is it safe?

    Castor oil induction has bad press in the UK. Negative stories abound, claiming severe negative effects on mother and baby. For years, I too believed this to be true. I took it for granted that it was dangerous.

    A couple of years ago a doula told me that several of her clients had successfully induced their labour with it, and that the stories didn’t match their experience. She also said that, faced with the prospect of a long induction in an antenatal ward, some women felt that it was a lesser evil. This conversation spurred me to look for the research. I was very surprised to find that it was actually quite safe, and that the stories didn’t match what the published research said.

    Birthworkers often talk about strongly held beliefs within maternity care, that turn out to be myths. You know, the kind of belief that everybody seems to have, without question, that gets perpetuated through stories, yet when you analyse the research you find that there is very little evidence to back it up (theĀ placenta ā€œfailingā€ at the end of pregnancyĀ being one of the most common ones). After reading the research on induction with Castor oil, I was embarrassed to admit that I’d fallen prey to this myth believing myself.

    I cannot help but wonder how Castor oil came to have such bad press in the UK. For some reason it has fallen out of fashion here (Midwife Becky Reed told me that it used to be used in the UK in the past), and yet it is still more commonly used in the USA.Ā A survey of 500 US midwifesĀ in 1999 showed that it was the most commonly used natural substance used to induce labour.Ā  American Midwife Ina May Gaskin mentions it in her Guide to Childbirth. When Ina May came to a the Doula UK conference in 2017, doulaĀ Sue BoughtonĀ asked her what she thought of it and she said that it was perfectly safe and that they used it all the time.

    This is what Ina May says in her book, Ina May’s guide to Childbirth:

    ā€œIndigenous peoples all over the globe have used castor oil to induce labor for centuries. Taken orally, castor oil acts as a laxative, and the stimulation of the digestive tract often starts labor at term. No one knows why castor oil works to start labor. When there is little or no money to be made as a result of research, generally little or no research is done. Nobody has figured out how to make an appreciable amount of money from castor oil, so this subject has received virtually no research attention. Nevertheless, castor oil seems to be quite safe. Nearly nine percent of nearly eleven thousand pregnant women in a large birth center study used it to start labor, with no adverse outcomes. At The Farm Midwifery Center, we recommend beginning a castor-oil induction at breakfast after a full night of sleep. One tablespoon of castor oil is added to scrambled eggs or is mixed with fruit juice to make it more palatable for the women. If necessary, she takes one more tablespoon one hour after ingesting the first.ā€

    I want to share what the research says, to help you decide whether you think that castor oil induction is a good idea or not, and also so that there is an up to date review of the evidence to signpost women to, if they feel that it is an option that they would like to explore.

    Before I do this I need to give an important disclaimer: I believe that our culture’s obsession with inducing labour as soon as a certain date has reachedĀ  is not only unhealthy, it is also not based on solid scientific evidence. I wrote about this beforeĀ in this blog. Therefore I want to be clear that I haven’t written this blog to encourage women to induce labour with castor oil. It is designed to provide a review of the evidence so that people can make truly informed decisions.

    what is Castor oil?

    Castor oil is an oil extracted from castor beans, which are produced by the castor plant, Ricinus communis. It has laxative properties. (It is often used toĀ empty the bowel in a medical setting prior to examinationsĀ )

    How does Castor oil work?

    The way Castor oil stimulates labour was only elucidated in 2012. Contrary to popular belief, castor oil doesn’t only work by only stimulating the gut (though this might play a role in the process as well). After being ingested, castor oil is broken down in the intestine, releasing ricinoleic acid, the main fatty acid in castor oil. Ricinoleic acid attaches directly onto receptors which are present in both the bowel and the uterus. As well as stimulating contractions of the smooth muscles in the bowel, research has shown thatĀ it causes uterus tissue to contract, and that in mice that lack its target receptor (prostaglandin receptor EP3) it does not produces uterine contractions.

    How is it taken?

    Castor oil is taken orally. Although Ina May Gaskin suggest a tablespoon or two (A tablespoon is about 15ml), most of the research studies used a dose of about 60 millilitres (so 4 tablespoons). It is usually suggested to mix it with fruit juice to make it more palatable. Interestingly, in one paper the authors used sunflower oil as a placebo and said that women couldn’t taste the difference between Castor oil and sunflower oil once it had been mixed in orange juice. One publication refers to a cocktail or smoothie as follow:

    • 2 ounces castor oil
    • 1 cup champagne
    • 1 cup apricot nectar
    • 4 tablespoons of almond butter.

    How effective is it?

    There is aĀ Cochrane reviewĀ of the literature from 2013, which includes 3 studies: . The three trials included in the review contain small numbers of women. All three studies used single doses of castor oil. The results from these studies should be interpreted with caution due to the risk of bias introduced due to poor methodological quality. Further research is needed to attempt to quantify the efficacy of castor oil as an induction agent.

    • InĀ one study of 47 women, there was a significant increase in labour initiation in the castor oil group compared with the control group (54.2% compared with 4.3%)
    • InĀ one study of 100 womenĀ , 52 women received castor oil and 48 no treatment. Following administration of castor oil, 30 of 52 women (57.7%) began active labour compared to 2 of 48 (4.2%) receiving no treatment. When castor oil was successful, 83.3% of the women had a vaginal birth.
    • InĀ one study of 80 womenĀ (37 in the treatment group and 43 to the control group) the odds of entering the active phase of labour within 12 hours of administration was 3 times higher among women receiving castor oil compared to women receiving a placebo.

    Two other papers not included in the review, were published in 2018. InĀ one of these papers, 323 women (who birthed in a birth centre) used castor oil to induce labour showed that 81% of the women gave birth vaginally, and the authors stated that this was significantly higher than the national average. They concluded that ā€Ā Our results show women who consumed a castor oil cocktail to induce labor experienced adverse fetal and maternal outcomes at very low rates. Further research, including a clinical trial, should be conducted to test the safety and efficacy of castor oil as a natural alternative to labor induction.ā€

    InĀ the other paper, 82 women were divided in 2 groups of 38 and 44 , and respectively received castor oil and a placebo (sunflower oil). Of the women who received castor oil, 42.1% entered labour within 24 h, 50.0% within 36 h and 52.6% within 48 h compared with 34.9%, 37.2% and 39.5% in the control group. The authors also found that castor oil was effective in stimulating labour in multiparous women (women who had already had at least one baby) but not in first time mothers. No differences in rate of obstetric complications or adverse neonatal outcomes were noted.

    I tried to find some research to compare the effectiveness of Castor oil versus the most common form of drug used to start the induction process in the UK : Prostaglandins, which are usually administered vaginally. This proved complex because theĀ Cochrane reviewĀ cites many different studies, all with different populations and different outcomes. For example one study with women of mixed parity (first time mothers and multiple pregnancies mothers mixed together), found that, in a study of 343 women with a favourable cervix (this means their cervix was already in a condition close to labour) and a 3mg dose of prostaglandins, found that 12% of women were still pregnant after 24h versus 100% of women who didn’t have the induction. In a smaller study of 39 first time mothers with an unfavourable cervix and a smaller dose of prostaglandins (2mg) compared with a placebo, 79% of the prostaglandin group and 90% of the placebo group were still pregnant after 24 hours. When combining the data the reviewers could not reach statistical significance.Ā The reviewers conclude after looking at all the studies that ā€Ā Overall therefore, although not certain, it is likely that vaginal prostaglandin E2 compared with placebo or no treatment reduces the likelihood of vaginal delivery not being achieved within 24 hours.ā€

    This gave me pause for thought, because on one hand, our culture can be quick to dismiss natural remedies as quackery and non evidence based. Yet I was surprised to discover that the research doesn’t show prostaglandin pessaries as being a very effective drug when it comes to labour induction, but because this is part of the normal maternity care, this doesn’t get questioned. You might be surprised to hear thatĀ only 9-12% of the royal college of obstetrician guidelines are based on high quality evidence. I also couldn’t help but wonder how many of the women who get offered an induction of labour get given the statistics about how successful the process is likely to be.

    What are the side effects of Castor oil?

    The most common side effects are diarrhoea (which is to be expected as Castor oil is a laxative) and nausea.

    • In the study of 47 women, 45.8% experienced nausea versus 0% in the control group.
    • In the study of 100 women , 100% of women who took the castor oil reported nausea compared to 0% of the women in the control group.
    • Contrary to the high level of nausea and diarrhoea described in the studies above, in the first 2018 study, out of 323 women, only 7 (2.2%) experienced nausea. The authors concluded that ā€Ā In the current study, the low incidence of maternal and fetal adverse effects suggest castor oil may be a safe and agreeable way to stimulate labor and avoid unnecessary caesarean birth. Although previous studies cited adverse maternal effects (e.g. nausea, vomiting, diarrhea) as a barrier to castor oil use, participants in this study who received the castor oil cocktail reported a low rate of these effects. In fact, less than 4% of the sample experienced nausea, vomiting, or extreme diarrhea.ā€
    • In the other 2018 study, 32 out of 81 women (40%) experienced an increase in bowel movement, 4–6 h after ingestion of the oil (42.1% in the intervention group and 37.2% in the control group (who received sunflower oil). The authors did not observe any serious adverse events, and concluded that ā€œCastor oil is an effective substance for induction of labor, in post-date multiparous women in an outpatient settingā€œ.

    Castor oil does not appear to cause severe side effects on the mother or baby. The Cochrane review authors concluded that ā€œThere was no evidence of a difference between castor oil and placebo/no treatment for the rate of instrumental delivery, meconium‐stained liquor, or Apgar score less than seven at five minutes.ā€

    What else matters when it comes to decision making?

    Beside the science showing that Castor oil appears to be pretty safe and effective, there are other aspects to consider. As I explain inĀ this blogĀ , induction of labour is an intervention that has many pros and cons, and you have to weigh the balance of pros and cons for you as a unique individual, with your own unique circumstances. And it is also important to remember that Castor oil IS a form of induction, regardless of the fact that it is a natural substance.

    What are the possible advantages of using castor oil to induce labour?

    • It can allow women to remain in control of the start of the birth process, and to choose where they give birth. When labour is induced in a hospital ward, you are committed to a process, which restricts your birth options. In most hospitals, being induced means the only option is to labour in the antenatal ward (though some hospital offer outpatient induction), then give birth in the labour ward. If you induce labour at home then you remain in control of the choice of place of birth, whether at home, in a birth centre, or in a labour ward.

    The authors of the first 2018 paper stated that ā€Ā By stimulating labor and decreasing the necessity for intervention via cesarean section, castor oil as a method of labor induction may enable women to adhere to their birth plans (e.g., at a birth center, vaginally, etc.), benefitingĀ from these positive outcomesā€

    • It can allow women to remain in their own environment, with their support partners of choice.Ā Induction of labour can take days, and it is sometimes stopped or delayed half way through if the induction or labour ward becomes full. Because of this, in the recent past IĀ  saw many women undergoing induction lasting up to 5 days. Now in 2020, the new visitor restrictions due to Covid19 mean that partners aren’t allowed in the hospital until women are in established labour. For the mother this may mean days of early labour without any support from anyone she knows and trusts, as well as having no one to help advocate for her.

    I have supported such births recently and they felt very frustrating for the mother, her partner and myself. I provided remote support over the phone, but in my experience the induction felt more upsetting than usual with the lack of face to face support from the partner and myself. I know this frustration is shared by others, and aĀ recent publicationĀ has highlighted how women’s rights in childbirths are not being respected since the beginning of pandemic:

    ā€œThe position of the rights of women in childbirth is in this context a precarious one. Stories have emerged in mainstream media – supported by personal accounts received by global and European birthrights organizations – of women having their labor induced, being forced to have cesarean sections, giving birth alone, and being separated from their babies immediately after birth.ā€

    • Impact on support after the birth

    Women whose labour is induced are more likely to end up with medical interventions such as caesarean or an instrumental birth, which may mean a longer stay in the hospital post birth. With Covid restrictions in place, partners are only allowed in postnatal wards for a 1 to 2h visit daily. If a new mother is recovering from a caesarean, or if she is very tired after a long labour and birth, this simply isn’t enough support for a her to get some rest and recover after the birth. Nobody is there to comfort her, or to hold the baby whilst she sleeps. I have listened to many harrowing such stories from new mothers to know that this is a very difficult situation to be in.

    What are the possible disadvantages of using castor oil ?

    • The side effects mentioned above might not be acceptable to some women or their partner.
    • Some women may feel safer being induced in a medical setting.

    In conclusion:

    Using Castor oil to induce labour can cause side effects such as diarrhoea and nausea but it appears to safe for mother and baby. It is also a fairly effective, especially when women have already had one or more babies. Some families may perceive that it is important for them to retain control over the induction process, and may decide that having the diarrhoea and nausea might be an acceptable side effect, compared to the reality of being being induced in a hospital setting.

     

  • Online services-why should you pay for them?

    Online services-why should you pay for them?

    It’s a very strange and stressful time we are living right now, especially if you are pregnant.

    There is, understandably, a lot of anxiety about the unpredictable and fast changing nature of maternity services.

    I am seeing a lot of comments on social media about people wanting free antenatal classes (because their hospital ones got cancelled), and also questioning why people should still charge for online work, as well as accusing people who charge for online services of taking advantage of vulnerable people

    So I wrote this blog to explain, and debunk myths.

    I have written in the past about why doulas charge for what they do , and also the amazing lengths they go through to help their clients . The same rules apply here.

    Those “free” NHS classes were not actually free. The people delivering those classes were paid to teach them. Whilst the NHS is free at the point of contact, it isn’t “free” (because you pay for it with your taxes) and the people who staff it aren’t volunteers.

    Whilst I understand that many people might be struggling financially, many are also still employed and earning a salary, or at least 80% of it.

    Most of the people who provide perinatal education and support are self employed and run micro-businesses. I’m talking about doulas, independent midwifes, antenatal teachers, antenatal and postnatal exercise instructors, manual therapists etc. These people are it, i.e. their whole business is composed of one person. If they do not teach or do what they normally provide paid services for face to face, they don’t earn any money.Ā  Zip, nada. Right now, most of them are also trying to juggle doing this whilst having kids at home full time.

    I am one of those people. My income has almost entirely disappeared. I still feel grateful, because my husband is working part time in an employed position and working from home. Still, this crisis means that my little, successful-ish, micro business, which took me 7 years to build up, has been reduced to nearly nothing. But at least I know I don’t have to worry about having food on the table. Many of my birthworker and perinatal educator friends aren’t so lucky, because they are single mothers, or their partner also runs a self employed micro business.

    Yet I am also seeing that most of these people (myself included) are still giving a lot of their time for free right now, running free Facebook groups forĀ  pregnant women (believe me these are busy right now), answering worried messages, speaking to anxious women on the phone, running free zoom drop ins etc .

    It is the same as in real life: people should run free/charity stuff if they can and want to, but it shouldn’t be a obligatory or expected thing. If people cannot earn a living, they simply will not be able to carrying providing these services.

    So why should you pay for antenatal education, birth support, or postnatal education/support, if it’s moved online? For the same reason as when would when you pay for support : you pay for the time and money the person supporting you has spent training, the time they have spent prepping the class or one to one, and the years of knowledge and expertise they have built.

    Right now the people delivering these online classes are spending a lot of time thinking and prepping for these to make sure they work online (because making it work online isn’t the same as making it work IRL).

    They are also spending a lot of time self teaching themselves how to use online delivery systems they had never used before (like Zoom), without any support through it.

    Many are also spending money buying extra equipment (like video cameras and microphones or even laptop computers etc) to allow them to run their online services.

    They are all having to manage this whilst having to deal with their own anxieties about the unusual situation we are all in, their own families’ needs, and worrying about their client’s well being.

    I’m an experienced doula, and since I have been working in the birth and postnatal education for ten years, I feel confident and competent in delivering this to families. Yet, at the moment providing Skype or Zoom support to my clients is taking A LOT more time than when I’m doing it face to face.

    This is because when I’m face to face I no longer need to prepare much ahead. I have enough knowledge to deliver at the drop of a hat, I have a small bag of props than I can use to deliver almost every aspect of birth and postnatal education, and I can react to my clients feelings and adapt accordingly.

    This isn’t the case with the Skype or the Zoom stuff, because not only do I have to think and prep in advance how to deliver stuff that is easy face to face but much more complex online (for example teaching someone how to use a sling), but I also have to constantly keep up with the forever changing medical guidelines (the Royal College of Obstetrician has published 8 updates to their guidelines since they published the first one on the 9th of March, that’s 2 to 3 updates a week!). I am also having to keep up with local trust changing guidelines, as well as rake my brain to think about how my clients can support themselves after the birth in the hospital when I know I won’t be able to be there with them physically. Believe me this takes a lot of head space.

    I am not complaining, mind you, because I love learning new skills and this sure is keeping my brain on its toes!

    But if I wanted to be totally fair, I should actually be charging MORE money for all of my time, to reflect all the extra time spent preparing. Instead because most of us want to support women regardless of their circumstances, many of us are offering discounts, payment plans, pay what you can, or indeed free services.

    I am worried that some of these valuable micro businesses, run by passionate people who do it because they care rather than wanting to make a quick buck, will simply disappear.

    Yes, many celebrities are offering free online classes, but these celebrities are likely to have plenty of money. They are also likely to receive revenue through advertisement, so, again, these free classes may not be actually “free”. Whilst their offer is laudable, is it also sadly contributing to the idea that all online stuff should be free. You simply cannot extrapolate what celebrities are doing to micro businesses which are only known to their local community.

    Another thing I have seen is that people say you don’t need the paid services, because you can teach yourself, with these free/cheap resources. Whilst this is true : you can indeed learn from a book, free courses etc, this isn’t the same as getting into a live course or one to one work with an expert in the field. The main ways you can educate yourself about anything fall into 3 categories: DIY, group courses, and one to one tuition. Each one of them has pros and cons, but it isn’t necessarily fair to compare the DIY approach to what you’ll get if you hire someone to work with you one to one. I have explained the pros and cons of this in a previous blog called three ways to educate yourself about birth.

    So if you still have a salary, please consider paying for support rather than just doing free classes. If you are doing free classes with a micro business person and enjoying it, consider giving them a donation, or hiring them for their paid services.

    I promise you that you will still get value for money and incredible support. You will also contribute to keeping someone’s only way of earning a living afloat. And if you worry that online support doesn’t work, I have addressed it in this blog (along with plenty of free classes links). My blog is also full of free recently added resources for pregnancy birth and beyond, including a recent post on how to have a positive birth in unpredictable times.

    I wrote this blog to explain, and debunk the myth, please feel free to share it widely.

    If you have found this blog helpful and would like to support my work and help me continue provide valuable free information to birthworkers and expectant and newborn families, you can donate to my paypal account paypal.me/SophieMessager.

  • Are you focusing too much on what you’re not doing?

    Are you focusing too much on what you’re not doing?

    I’m writing this as a reflection on myself, but really hope it helps others too.

    I have noticed this dichotomy between how I perceive myself professionally and how others perceive me. I tend to focus more on what I’m not yet doing, rather than what I’m doing. This means I beat myself up very often with feelings of procrastination and not doing everything I “ought” to be doing.

    So it surprised me recently when I ran a workshop in London and the host asked me how I managed to “do it all”. It was interesting to hear how she perceived my work, versus how I perceive it, because I didn’t think I did that much at all.

    This isn’t the first time I explore this topic, in fact, I wrote this blog about this topic a while ago, called “are you full of should?”.

    I would like to invite you as the end of the year draws near, to sit down for a while and reflect on what you have achieved this year.

    I did a bit of it recently as I did my accounts, and looking through receipts reminded me of lovely things I’d done through the year and forgotten about.

    I like to sit down with my diary and a good cup of coffee, and write down everything I did in the last year.

    Lists, bullet point style, don’t really work for me, so writing as it comes, mindmap style, is a better choice for me, especially with lots of different colours.

    I’m thinking of doing some kind of collage of special moments pictures too. So I when the “not doing enough” gremlins attack I can look at it and remind myself of what I’ve achieved.

    I also keep a file where I copy and paste all the lovely feedback I receive from clients. It’s a very uplifting read on a low day.

    I’d love to hear what you do, and how you get on!

    In the meantime I am myself permission that it’s ok that I’ve “only” booked my 2018 workshops for January so far.

    I have plans for many more for 2018, and I will book them in the new year.

    I’ve kind of learnt that although I don’t necessarily book things in advance as much as my inner critic would like me to, I always get things done when the deadline looms, and it’s what matter.

    This week IĀ only had a 2 day week as school finished on Tuesday, and I had much to do before starting the holidays.

    I gave myself permission toĀ tick less stuff offĀ my to-do list, becauseĀ they were short of volunteers at the local breastfeeding clinic on Monday, and I wanted to go an deliver cakes to the midwives at my local hospital on Tuesday afternoon, which a Cambridgeshire doulas tradition.

    I had to remind myself that doing stuff which feels good, which fills the soul, like giving to others, was going to have more impact on my well-being than ticking stuff off my list.

    I guess in this time-pressured time of the year, taking time to do this amounted as self care.

     

    I’m looking forward to a time of rest and enjoying the quiet time with my family.

    Have a lovely holiday season.

  • Valentines day is bullshit

    Valentines day is bullshit

    Today is Valentines day.

    Up until a few years ago, I bought into the “romantic” idea of it.

    I don’t anymore. I guess you might have got that from the title of this post already Ā šŸ˜‰

    I think it ‘s a piece of commercial bullshit, and it just makes me laugh, to be honest.

    The whole thing is a fake.

    I’m not a sad, lonely, Valentines day pooper, envious of my coupled friends by the way, I am happily married.

    But love isn’t about giving your loved one presents on a day prescribed by the cards and flowers industry.

    Love is about all the normal every day things you do for each other. Love is about support when the going gets tough.

    Once when I lived in Paris I had a boyfriend who was “romantic” in the sense that he wrote me love notes all the time. Like the time he wrote “I love you” on each one of my eggs in the fridge. It made my girlfriends swoon. Only when I had a bad day at work, he didn’t want to know.

    It wasn’t love. It was show-off bullshit.

    It was buying into the outdated idea of romantic love being ideal and all smooth and glossy.

    That love is only the lovely pink fluffy time when fall in love and everything is perfect.

    Having had this experience makes me appreciate my husband more. He isn’t a romantic note kind of person but he is a rock when I have wobbles, like the time he woke up at 5am to listen to me talk and hugged me whilst I cried when I came back from a long, difficult birth. That’s worth a million “I love you” eggs.

    Even when I lived in Paris and still bought into the whole thing, I saw men walking home with a single rose, and it felt fake. I remember hearing a news report on the radio saying “Today is Valentines day-this is the day when your wife will be angry if you don’t come home with a rose”. That sums it up really.

    I don’t buy into the idea of having to show love, to show romance, to buy stuff on a day prescribed by the industry which benefits from it. It sprouts every where: supermarkets, cards shops, flower shops, chocolate shops, the list is endless.

    I don’t buy into the idea that one’s love is measured by the gift received on valentines day.

    I am saddened that personal “romance validation” rests on whether one receives cards/flowers etc or not at the office.

    It’s all show and no substance.

    A restaurateur once told me that this is the busiest night of the year-busier even than holiday celebrations.

    When I used to buy into the Valentines thing, I used to go out with my then boyfriend for evening meal. It was hard to find a table somewhere nice. I now couldn’t think of anything worse than spending the evening in a packed restaurant, “having” to be romantic, surrounded by other couples doing the same thing.

    The best nights out often turn out to be spontaneous things with low expectations.

    Even at my fucking gym this morning there was a “Valentine days couple retreat” massage table in the hallway, completed with flower petals and LED candles a-flickering.

    And don’t get me started with all the over inflated prices of “romantic” items around this time of the year.

    Talk about making a quick buck on people’s insecurities.

    Give me true real life love every day, warts and all, over the glossy fake version of romantic love peddled by Valentines day and the media.

    True real life love, like normal real life life, is a sinusoid curve. It’s full of highs and lows, full of tears and laughter, anger and joy. It’s not photoshopped.

    It’s got wrinkles and imperfections.

    It’s not always easy.

    But it’s real.

     

  • Love and fear-more than ever

    Love and fear-more than ever

    I am sure I am not the only one who feels this at the moment.

    We aren’t in a particularly happy space in the world right now.

    I spoke to several friends recently about the doom and gloom of my Facebook feed.

    Some people have chosen to give themselves a social media break as they find it is affecting their mental health.

    I feel that, right now, news report should come with a health warning. There is a distinct, “oh what the fuck now?” feeling when news reports appear.

    In no order of importance, in my world at the moment, issues I see the most are: The US political situation, the refugee crisis, Brexit (this affects me directly as a EU citizen), the disappearance of independent midwives, the NHS crisis, women’s rights being denied, it goes on and on.

    I see a general step back of people’s rights and individual liberties.

    I see a lot of anger, and fear.

    I have to remind myself on the daily basis not to succumb to that fear. And sometimes I do.

    But the thing is-anger and fear do not allow us to be positive forces of change.

    There is an old Cherokee legend about the two wolves inside of us. It goes like this:

    An old Cherokee is teaching his grandson about life. ā€œA fight is going on inside me,ā€ he said to the boy.

    There is a terrible fight and it is between two wolves. One is evil – he is anger, envy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, inferiority, lies, false pride, superiority, and ego.ā€ He continued, ā€œThe other is good – he is joy, peace, love, hope, serenity, humility, kindness, benevolence, empathy, generosity, truth, compassion, and faith. The same fight is going on inside you – and inside every other person, too.ā€

    The grandson thought about it for a minute and then asked his grandfather, ā€œWhich wolf will win?ā€

    The old Cherokee simply replied, ā€œThe one you feed.ā€

    It is a myth that being overpowering is true power. It is a myth that you can fight hate with hate.

    I spent many years in my youth mistakenly seeing as powerful the people who spoke the loudest.

    It took me many years to undo this belief and realise that the true source of power is kindness and respect. That true leaders lead by example and by making people feel good about themselves, not by squashing others and by using threats.

    I also bought into the bullshit that one had to be “toughened up” to cope with the world.

    Only, thank god, now I have read enough research on the theory of attachment to know that we ALWAYS operate from a stronger place when we have been, and are treated from a place of respect and kindness. It builds a solid core, a solid sense of self.

    But we are the product of our society, a society that has a deeply entrenched beliefs that babies and children are our enemies, and that we have to “train” them to be human, less they manipulate us, become little tyrants, and we “make a rod for our own back”.

    Yet, as Mia Kalef says in her book “The secret life of babies”,

    “Logically, there is no possible way a child could ever dominate an adult. Think of it this way : if you have influence over what a child eats….or stays warm or cold, how could you find yourself in a “power struggle” with an infant or toddler? There is no such thing. It’s obvious who has the power”.

    I believe what we see at play today is the product of a way of raising children that promotes bullying and disrespect. They say a picture is worth a thousand words-watch this powerful video called “children see children learn“.

    As children grow up, and turn into adults, we see the same bullshitty power play taking place. Having been an employee for over 20 years in about 7 different organisations, I can attest that I have seen the carrot and stick approach being the norm, and I can count on less fingers than one hand how many bosses were truly trusting and empowering.

    I believe that the power play of many of the world’s leaders is no more than a re-enactment of toddlers fighting over a toy. The new US leader is a prime example of this.

    My generation, is, with a few exceptions, the product of this “tough love” parenting. Most of us as still working hard to reclaim a lost sense of self worth that was the result of being parented this way in infancy.

    But I also believe what we see today in the world is a revolution against a society that is fundamentally sick, a bit like when our bodies create disease to make us pay attention to the fact that we aren’t looking after ourselves very well and need to rest and recover.

    I also chose to believe that good will come out of that revolution. The model of the Western consumerist culture, the model that promotes the individual above all else, simply isn’t sustainable anymore.

    People are waking up, and refusing to put up with it anymore.

    So back to the love and fear, at this point in time, it is paramount to stay in a love state.

    This doesn’t mean that we meekly accept our fate.

    This doesn’t mean that we do not fight for what is right.

    It means that we need to stay, and fight from a place of true power.

    I have seen a lot of kind people in my field lately trying to fight those battles whilst using the very weapons used by the people they despise.

    Trying to silence people who objected to their tactics by accusing them of tone policing. Good people, with a kind heart, being lead to using bullying techniques.

    It doesn’t work like that.

    I am in the middle of reading the most fascinating book by Susan Cain. It’s called “Quiet: The Power of Introverts in a World That Can’t Stop Talking”. It is a fascinating account of the over emphasis our culture puts on extrovert qualities. The book starts with the story of Rosa Parks, the African American woman who refused to give up her seat in the coloured section of a bus, sparking a revolution. Cain says :

    “I had always imagined Rosa Parks as a stately woman with a bold temperament, someone who could easily stand up to a busload of glowering passengers. But when she died in 2005 at the age of ninety-two, the flood of obituaries recalled her as soft-spoken, sweet, and small in stature. They said she was “timid and shy” but had “the courage of a lion.” They were full of phrases like “radical humility” and “quiet fortitude.ā€

    I really like the idea of quiet fortitude.

    I like the idea of a gentle, but strong, grass-roots revolution.

    I chose to remind myself that change starts with me.

    That showing kindness to my loved ones, and the people in my close and my wider community, can have an impact beyond what I can imagine.

    I chose to believe that staying in a loving, centered state, that sending love and gratitude to the difficult people in my life, to hard situations, to the anger and the resentment, Ā has the potential to change the world.

    This is where the true power lies.

     

     

     

  • Do as you’re told, dearie, or the end of independent midwifery.

    Do as you’re told, dearie, or the end of independent midwifery.

    I am fuming.

    At the beginning of January,Ā and with almost no warning, the NMC (Nurse and Midwifery Council) declared IMUK (Independent Midwifes UK) insurance policy not fit for purpose.

    And just like that, without warning, they put an end to independent midwifery practise in the UK.

    This has left many expectant mothers who had booked them (including some who were expecting to birth within the next few days) without the support that they had chosen and paid for.

    What the fuck?

    Who on earth decided to made such a stupid, unconsidered decision?

    Shouldn’t they have given some warning? some time for independent midwives to at least, finish provide support to the women who had booked them?

    As independent midwife Virginia Howes rightfully stated, if 80 male Drs were being treated in the same way ( 2 weeks notice of not being able to work and loss of income ) an action they believed to be unlawful, by their regulator, the whole country would be up in arms.

    Also the 80 independent midwives in question might represent only a small fraction of the 25 000Ā or so NHS midwives in the UK, BUT (and that is a big but) they represent a unique service that exists nowhere else, and will disappear if they go.

    I have an interest in this at both a personal and a professional level.

    On a personal level, 7 years ago for the birth of my second child, I hired independent midwives.

    Why did I do this? when I gave birth to my first child 11 years ago, the NHS system was different to what it is today. Community midwives in Cambridge still had case loading midwifery, which meant that I saw the same midwife all through my pregnancy. She even came to visit me at home on a few occasions. I had her mobile number so if I had any questions I could just call her. When I went into labour she was on call so she came to support me through my birth. I got to know properly and I liked her a lot.

    Fast forward 3 years later, the system had changed. Case loading was no more, replaced by team midwifery, meaning you were unlikely to see the same midwife through your pregnancy, let alone know the one who would turn up at your birth.

    In the meantime I had also trained to become a doula, and was halfway through my degree as an antenatal teacher. So I knew quite a lot more than before, and the idea of having someone turn up in my birth space that I hadn’t met before (read, someone I didn’t like) didn’t sit well with me at all.

    So this was the deciding factor in hiring an independent midwife. I just couldn’t leave this to chance. I had visions of an grumpyĀ  midwife who didn’t like homebirth inventing a spurious reason to transfer me to hospital. I had kind of had a taste of this at my first birth because I didn’t like the second midwife who came to join my named midwife right at the end before my baby was born.

    So we hired two fantastic independent midwives, Siobhan Taylor and Amy Cole, of Cambridge midwives. I had a doula too. My husband took some convincing due to the costs, and at times I wondered if this was a little bit too indulgent. But, trust me, your birth is a very important day in your life, which is probably going to impact the rest of your life in a more significant way than your wedding day. Yet if it was your wedding day you wouldn’t think “I can’t have a honeymoon/flowers/cake since I already have a venue and a caterer” right?

    Siobhan and Amy came to do all the antenatal care at my house. We got to know each other over many 2h long appointments. I developed a deeply trusting relationship with them. The respect was mutual. They respected and supported my choices. There never was a fight or dispute over my choices. It was wonderful. It was relaxed, warm and friendly. Most importantly, it meant that I was really looking forward to seeing them during my labour AND that I was completely trusting of their support. If they had said we needed to go to hospital, I would have trusted them completely. Together with my doula, Maddie McMahon, they provided the most supportive and seamless birth team ever. It was a wonderful, life affirming experience and worth every penny.

    Now compare this to what women get today: they rarely see the same midwife twice during their pregnancy. Most appointments are a rushed, 10 min box ticking affair, where there is no time to ask them how they are feeling for example. They have no named midwife, and when they leave a message on the answer phone of the practise, it doesn’t get picked up until 8am the next day (I tell my clients to always call the hospital if it is urgent).Ā  And course, when they go into labour, they have no idea who they are going to meet, and whether they will get on with them or not (I also tell my clients that they can ask for another midwife if they do not get on with the one assigned to them). I also know that this system is also something many midwifes also dislike very much, because it stops them from working in a way that is fulfilling for them too. As Milli Hill said in her recent article, it is “cattle care”.

    On a professional level I am completely irate at the idea of choice being taken away from women. And having supported women who hired independent midwifes, I know how much of a difference it makes to them too.

    Evidence demonstrates without a shadow of a doubt that continuity of care is safer for women, as well as being more satisfactory. The Cochrane database review concluded that

    This review suggests that women who received midwife-led continuity models of care were less likely to experience intervention and more likely to be satisfied with their care with at least comparable adverse outcomes for women or their infants than women who received other models of care.”

    So how does removing the rights of independent midwives to practise will affect women?

    First of all, right now, across the UK, there are women who had booked independent midwives and paid for their services, and are left with no other choice than to go back to the NHS.

    I can only imagine how devastated they are.

    Only last week I supported a mum through a homebirth. The mum in question had had a horrible experience during her previous birth. She was treated such an appalling callous manner, that she has made a formal complaint against the hospital. Of course she then didn’t want to go back to that hospital. And because she also knew that with the current homebirth service being pared down to its bare bones she was running the risk that nobody would be available to come and support her at home, she hired an independent midwife. She had a beautiful, peaceful , healing birth at home, with the kindest, gentlest most respectful support. Luckily for her, she birthed 20h before the time that the NMC announced as a cut off date after which independent midwives wouldn’t be able to support women during labour anymore. Can you imagine how she would have felt if she had birthed only 1 day later? The independent midwife was also beside herself with stress whilst facing the prospect that she may not be able to support this mum.

    It is similarly devastating for the 80 or so independent midwifes who are left with the option of not doing the job they loved and trained for, or to return to work within the NHS. I can’t see many wanting to return to the NHS because the very reasons most became independent was because they wanted to provide a different model of care to the one currently in existence within the NHS (namely, one to one midwifery and continuity of care). It most likely means that, in a system that is already stretched beyond belief, we will lose yet more midwives.

    Beside making the situation intolerable for women who had booked them, it also drastically diminishing women’s birth choices and options for now and for the future.

    It means that, for example, a woman who had a traumatic experience within the NHS will have no other choice but returning to the same hospital/trust care, or to birth alone It means that women whose pregnancy or birth choices fall “outside the guidelines”, Ā for example, women over 40 with their first baby, or women wanting to wait for labour to start naturally after 42 weeks pregnancy, women who are “too old”, “too big”, too or not enough whatever constitutes low risk within the forever tighter NHS guidelines, especially if they want to birth at home, will now find it almost impossible to find someone to support their choice without having a massive fight on their hands.

    It means that women who do not trust the NHS system will probably chose to birth alone (Birthing alone is completely legal in the UK-and a choice some women make, because it feels right for them -but I feel very strongly that women choosing to birth alone should do it out of positive choice, not out of fear).

    Ultimately it this lack of choice is neither safe nor desirable.

    It means that many mothers planning a homebirth won’t be able to find a midwife to support them, because some trusts have stopped providing homebirth support and many other trust have reduced the service so much that many times no midwives are available to support women at home. I have written about this before.

    It means that we will lose a lot of skills and experience from these amazing independent midwives. For example the only midwifes I know who are confident supporting a breech vaginal birth at independent midwives.

    This just isn’t right.

    So what can we do to help?

    Write to the NMC-birthrights have written them a letter which you can use as a template

    Write to your MP, and to Jeremy Hunt, Secretary of State for Health.

    Sign this petition

    Fill this survey

    Join the “save the midwife” alliance -they also have template letters to write to the NMC, your MP etc.

    Share this blog and help raise awareness of this situation.

  • Slow the f*ck down-how to look after yourself after the birth of your baby

    Slow the f*ck down-how to look after yourself after the birth of your baby

    Looking after new mums recently, I’ve been reminded how the message we get from our culture is seriously wrong.

    This emphasis on “getting back to normal” is bullshit

    There is no “normal” just after you’ve had a baby.

    This isn’t a bloodyĀ race.

    Yet everything is geared towards you pretending that nothing has happened, and the most important thing is that you go back as fast as you can towards theĀ pretence that everything is all right. Get dressed in pretty clothes, get your makeup on, get your “shape” back (don’t even get me started on that one).

    All the focus is on the baby-nobody asks the mum how she is doing and how she feels and whether she looks after herself properly.

    All the presents are for the baby.

    It’s all WRONG!

    The baby doesn’t give a fuck about the bloody stuffed bear or the endless bouquets of flowers!

    Yes those flowers sure are pretty but you can’t eat them and there are no good when your fridge is empty and you have to survive on chocolate biscuits (not that there is anything wrong with chocolate biscuits by the way-I believe all new mums deserve them, but you can’t feel well for very long without proper nutritious meals).

    I see new mums not having naps because they have too many visitors interrupting their days. New mums getting themselves overtired because they feel they have to keep going.

    You know what the secret to postpartum recovery is?

    Slow the fuck down!

    sloth with baby

    In a world that glorifies busy, it is a bit of revolutionary concept.

    Did you know that all around the world (this used to include the Western world too-we just have lost the way), new mums don’t lift a finger during the first 40 days after birth? That relatives and friends rally round to cook gorgeous restorative foods? That women just lay in bed with their baby, and that they get massaged every day, complete with cloth wrapping of the abdomen and hips?

    I’m not making it up-EVERY culture I have questioned about this has a form of that going. They haven’t lost their wisdom yet and they know that a woman who has singlehandedly grown and birthed a whole new human being needs to rest and recover from it.

    I hear you saying “but my partner only gets 2 weeks’ paternity leave-how am I supposed to do that?”.

    You need to plan for your recovery BEFORE the birth. Just like you have a birth plan, you need a postnatal recovery plan. I have already written about thisĀ here and here.

    In the first 6 weeks postpartum, you need to prioritise good eating and resting over everything else.

    If you can get help in the form of a friendly relative or two (emphasis on friendly here-you really don’t want a bossy and critical mother in law looking after you during that sensitive time), a gang of friends or a doula, great!

    If you can’t, then depending what works for you/what you can afford, plan and batch freeze easily reheated food ahead of time. Have food delivered. Hire a cleaner/ a mother’s helper. Write down your list of daily/weekly chores prior to the birth, sit down with your partner and work out what you can afford to dump or outsource during those first few weeks. Anything and anybody who can help you prioritise eating well and resting over anything else.

    Make sure you plan to have daily naps (that includes not having visitors around the time of said naps). Bring your baby to bed with you if she won’t sleep without you.

    Tell all your friends and a family about your plans.

    Tell them you intend to slow the fuck down and that you deserve it and expect them to support you.

    Shout from the rooftop what you intend to do and what they can do to support you. Someone who delivers a casserole, tidies your kitchen, folds the laundry, and looks after your baby/other kids whilst you have a long shower or a nap-is a lot more valuable to you thanĀ one who comes in, expects to be given tea and entertained, and just wants to cuddle your baby instead of looking after you.

    If you work with expectant and new mothers, please please please, spread this message around!

    My hope is that as more and more new mums realise the value of this new way of applying ancient knowledge, it will help shift our culture and more mums will have heard about it and expect it to be normal.

    If you are pregnant and feel drawn to work with me, head over here. If you are a birthworker and this resonates with you- look here.

     

  • Choosing love over fear as a birthworker

    Choosing love over fear as a birthworker

    heart-700141_1920

    As a doula the biggest lesson since I started supporting women has been to choose love over fear.

    I remember very early on in my doula life I witnessed a very traumatic birth -it was traumatic for the parents, and it was extremely traumatic for me. I cried for days afterwards. The mother had an unnecessary instrumental birth and I saw it all happen, and it was very shocking to witness. It was the first time I witnessed obstetric violence (if this term is new to you-it is sadly very real, and you can read about it here).

    And yet in the midst of this – I was upset, I was angry, and I hadn’t slept for 2 nights in a row, so I really wasn’t in an emotionally stable state -I was forced to make a choice between love and fear. The mother had to go to theatre and when I met the parents in the recovery room, a nurse abruptly asked who I was, and stated that there was no space and that I would have to go and wait outside. I remember vividly thinking very fast that I had two choices: challenge her by saying we had been granted the right to be there by the head of midwifery (fear), or try to win her trust (love). I heard my mentor’s voice in my head saying “when there is a midwife you don’t like in the room-try to ask yourself what you like about her”. The nurse was a big African mama -a larger than life character – and I reminded myself that I loved this kind of woman,Ā  and I asked her where she was from, stating that I loved her accent. Curiously, in the middle of all this, my question was really genuine. She looked very surprised, and stated where she was from and saying that people didn’t usually like her accent. I restated that I loved it. She never asked me to leave after that.

    This lesson is still following me 4 years later, as I have bumped into this particular nurse on many occasions since, including last week, and every time we greet each other like old friends. I guess this wouldn’t be the case if I had chosen the fear route. I think the Universe keeps on putting her on my path so I do not forget this lesson.

    I’m not trying to gloat here- because even as I write this, I find it hard to believe that I found the strength to do this.

    But the interesting thing is that, at the time, doing this soothed my anger and upset.

    I think I needed the reminder recently. Sometimes when medical interventions happenĀ during a birth and there is some level of emergency, and the adrenalin is high in the room, sometimes people aren’t gentle or caring and it is really hard to witness and shift out of the fear and stay grounded in love.

    I have had to remind myself that those who perpetuate violence as also victims of a system which discourages connection and kindness.

    RecentlyĀ  I didn’t quite managed to stay as grounded as I would have liked because things happened too fast. I feel very protective of the mothers I doula, especially during labour and birth, and it is so difficult to be a gentle warrior and not let the anger rise through when they are treated without respect. I think that’s why I bumped into thisĀ particular nurse again.

    We have all heard Gandhi’s “be the change you want to be in the world” and Martin Luther King’s ” Darkness cannot drive out darkness; only light can do that. Hate cannot drive out hate; only love can do that.”

    This cannot be any truer than in the life of a birthworker

    As birthkeepers, especially in the midst of unkind behaviour, we cannot help those expressing this behaviour by being unkind back.

    hand

     

    I struggle a lot with finding the right balance with this, and I don’t always get it right.

    Some behaviours, like a doctor who attempts to examine a mother without introducing him or herself (this is, sadly quite common-according to a Birthrights survey-it happens about 20% of the time, 26% in London), I tryĀ to stop by plastering a big smile on my face, placing myself between the doctor and the mother and introducing her and her partner, then asking the doctor their name.

    It’s not easy when what I really I want to say is “who the fuck do you think you are sticking your fingers inside someone’s vagina without introducing yourself?”.

    But I don’t think it would help the doctor or the mother, or the situation much if I said that.

    So I try to stay grounded, and send positive loving energy around.

    It isn’t easy.

    Becoming a Reiki practitioner has helped highlight this for me.

    Recently at a birth, as I walked out to get some water, I saw a registrar I really dislike because I have seen her doing this not introducing business, and being brusque and callous with clients in the past.

    My client was due to have an obstetric review, and I caught myself thinking “please not her!”. Then I caught myself in that state of fear and shifted it quickly to “if she comes in, please let her be kind and gentle”. Then of course somebody else came in.

    Beside trying to positively affect energy and behaviour in the room, I also have to do some work choosing love over fear for myself. After a birth which ends in lots of interventions that the mother was hoping to avoid, I cannot help but go through some with “what ifs”, and wonder if I could have facilitated a gentler, a better outcome, if only I had done this or that sooner.

    But I am getting much better at it over the years. I catch myself into this narrative and I am able to step back, watch it, and stop it.

    I am also getting better at accepting that I haven’t “failed” by avoiding certain interventions during labour, or preventing unkind caregivers from interacting with her.

    I am slowly accepting that I am not responsible for the behaviour of those who enter her space. I am only responsible for my own behaviour, and how I choose to hold the space, and react to what I witness.

    I am getting better at catching myself going into a fear mode and giving myself a mental kick up the arse to get back into a grounded, loving state.

    I am getting better at returning myself to a peaceful state.

    I still have an enormous amount of work to do- but I am learning.

    If you are pregnant and feel drawn to work with me, head over here. If you are a birthworker and this resonates with you- look here.

  • Have you got impostor syndrome? Here’s how I dealt with mine.

    Have you got impostor syndrome? Here’s how I dealt with mine.

    Do you sometimes suffer from impostor syndrome? Do you worry that you do not know enough, that you haven’t got enough to offer?

    I’ve been reminded this week that we all have different levels of knowledge. That others know more than us and that we know more than others. This doesn’t mean that we do not have much to offer. And there is nothing to be gained by belittling each other’s levels of knowledge.

    I have suffered from impostor syndrome at every career change in my life.

    When I moved from academia to biotech, I suffered from it big time. All I knew was very specific, in depth academic knowledge, and suddenly I felt like a fraud, because my new knowledge was a lot wider and less deep. It took me I think at least a couple of years to shake that. In fact, a similar way to what I wrote in my “head versus hand knowledge” post, it took other people to point it out to me, for me to start acknowledging that what I was doing was worthwhile.

    A friend, who had stayed in the academic sector, expressed awe at the breadth of my knowledge. Another friend drew me this little cartoon he called “the field of knowledge”. It looked like this silly little drawing drawing below : the stick man at the bottom of the pit on the left of the picture is an academic, digging one deep hole. The other little stick men on the pits on the right are digging lots of little, shallower holes, but many more of them. My friend challenged me by saying: “who’s to say that one kind of knowledge is better than the others? Who’s to say that depth is better than breadth?”. This was a light bulb moment and was very grateful to this friend for giving me confidence like this.

    drawing

     

    Whilst still working as a scientist, I embarked on a women in science mentoring programme. At first, I was assigned a mentor, and it was a very useful, life affirming experience. But a couple of years into the programme I was asked to mentor someone myself. My first reaction was to refuse: I wasn’t qualified or experienced enough. But the programme organiser insisted so I took on a mentee, and you know what? I really enjoyed it, and so did the mentee. I think I did a good job, and I learnt a lot from the process.

    Of course I felt the same when I started working an antenatal teacher, slightly less so as a new babywearing consultant, because the profession was brand new at the time in the UK, and quite a lot when I started as a doula, then later on as a workshop facilitator. I was worried somebody would find out I was very green and call me a fraud. Now I look back and I think what a load of crap!

    For starters, knowledge takes many forms – not just the academic kind. Self learning and experience aren’t as acknowledged as academic credential in our culture, and intuitive knowledge is totally dismissed. You can only truly learn your craft by doing it. A bit like when you’ve just got your driving licence, and you find you have to really concentrate at turning the wheel, at using the clutch and looking into the mirrors. When you have had enough practice driving doesn’t feel like a tricky activity at all – in fact you can often drive lost in your thoughts, and not realise that until you have arrived at your destination.

    I have learnt a tremendous amount about myself and others, with an incredible level of depth, since I became a doula. I have learnt many skills, both practical and emotional, again by reading, attending conferences, workshops and study days. I have learnt a lot from my brilliant, supportive mentor when I was a new doula. She helped me trust myself and grow in my own way. But mostly I have learnt how to be a doula by being a doula. By watching women labour and give birth and watching how the hospital system work and drawing lessons from it.

    Since I became a workshop facilitator I have learnt yet another layer of knowledge which makes my serving of women even better. I have also learnt that I will never stop learning. And that every birth is different and not to have any preconceived ideas and expectations.

    Some coming back to the title of this post, there will always be people who know more and people who know less than you. And that’s OK. It doesn’t mean that you don’t have a lot to offer. If the journey of life is like climbing a mountain, there will always people further up and further down the path than you. And as you reach a ridge, catch your breath and reflect on how far you’ve come, you’ll see that the mountain actually carries on.

    So whichever ridge of the mountain you are standing on right now, there are people who can benefit from our knowledge and experience.

    You can help them climb up, and there are others further up who can help you climb up too.

    What matters most is that you help people go up in a way that is right for them, and that you are both honest and humble about your level of knowledge.

    By stepping into who we really are and where we are at, we are both acknowledging our own journey and helping other acknowledge theirs too.