The year was 1957. Dr. Seuss wrote Cat
in the Hat, Humphry Bogart died. West Side
Story opened in New York City, and I was born. A premature baby, I
came screaming into the world six weeks early—a full 3 Ibs. 2 oz.
In a way, I've waited 40 years to tell this
painful odyssey. And although there are many other similar stories filled
with similar pain and trauma, this is my story.
While I cannot be sure exactly what
happened on that cold, early December morning, I do know the following: my
mother was caught unaware of the impending birth of her child; she felt
enormous pain, was asked if she would like to be given a sedative and put
to sleep. Her next recollection was of the loss of her child and the
emptiness in her heart. My mother wanted to bond with her baby, but
couldn't.
Her child remembers nothing but knows it
all. This was a painful, forceful birth. Where once things had been mildly
blissful and safe, suddenly nothing was safe and it was time to move on.
Safety from death was an issue right from the start. But this angelic,
blessed baby would defy all odds. With survival as the task at hand, this
baby would survive, and admirably. With the odds against her, medical
methods primitive, and knowledge about preemies at a minimum, her first
six weeks were not a pleasurable hotel-stay, but rather an abrasion of
life. Her stay was not about ample hand and arm-holding, endless kisses
and extended visitations. Instead, her stay consisted of solitude in an
incubator with little movement or touch. With modern medicine and
methodologies following the 50's version of thought, to move was to harm,
to touch would not be accepted and to leave alone would ensure full
maturation to full-term. And so, for six weeks she stayed.
Angry at first, rageously angry at the
world for giving life and then taking (the joy of) it away, she protested
bottle feeding and would later only acquiesce to a small eye dropper for
food. It remains to be seen if outside the glass the world was cooing and
oohing way at her tiny features, adorable face and gentle soul. But by the
time of her release, gentle and peaceful had long been replaced by anger,
hunger and loss. If abandonment had been imprinted on her soul before this
time and place, it was now rigidly affixed to her heart. And if joy and
pleasure were the life-blood of her contemporaries, her world would
quickly play out to a different drum. Indeed, a series of occurrences
involving more abandonment and lack of bonding would result in a lifetime
of trying to heal pain, suffering and loneliness. Where some others could
attest to bonding with their mothers/fathers/siblings and know an inner
knowing of mirroring, understanding and comfort, to this child, all others
did not (her), could not see (her) and could not love and reach her. Only
her talents, intelligence and inner resolve could overcome her
overwhelming inner fear and disconnection from the world. The daily
routine involved survival and will. Everyday occurrences left her
bewildered and frightened. Natural impulses seemed foreign and
disconnected.
I tell my story for a few reasons: if ever
a person could question whether birth experiences set the tone for life,
this story tells it all. If ever one's daily experiences and relationships
could be traced to early experiences, this too, states it plainly. And if
ever one should question "soul" experiences, I am sure this one
falls right into "place." But, while my experience is important
to me (and should be expressed), it is the wave of the future and the
state of the present which demand equal (if not more) attention.
Today, this same baby would be faced with
some new options. Premature babies are handled with the utmost
technological and medical care. At present, babies can survive at 27-28
weeks; even those as young as 24 weeks are surviving and living fairly
normal lives. Some hospitals and birthing centers are attempting to
address the personal and emotional issues accompanying birth.
"Today's environment is more 'baby friendly,"' said Parent
Infant Education Specialist Jolene Pearson, "and tries to recreate
the womb environment. These days you realize parents are more crucial to
the process... more of the family is involved in the process. It is still
a risky situation, but these days it's more in favor of, 'Yes, you can
[survive]."' And while the quality of medical care has far surpassed
the total care of the newborn, birth trauma still remains a mysterious,
clearly misunderstood and unaddressed area of new life. Awareness of this
issue has come quietly, slowly and with much protest.
According to Maureen Wolfe, Executive
Director of the (California-based non-profit) Association of Pre-and Peri-Natal
Psychology and Health, society has not made enough strides in this area.
"In most hospitals, babies are still separated from their mothers at
birth...this is tantamount to losing their survival," she said. (The
reasons for separation also include pre-birth trauma, adoption, and drug
abuse by the mother.) "Yes, babies survive, but it is not without
consequences. People discount the fact that babies are developing
psychology at that early age."
Among the external methods Ms. Wolfe cites
as lessening birth traumas include massage, encouraging mother/baby
bonding and early verbal communication. However, she emphasizes that there
is little mention of pre-natal bonding or the psychological development of
the baby in utero, and that those in the medical establishment who are
more
mindful of those issues are in the minority — a statement that is
reiterated by Joann O'Leary, Parent Infant Education Specialist, MPH, MS
for the Abbott Northwestern Hospital in Minneapolis, Minnesota.
"The first part of me wants to say
it's not different [than in the 1950s]," said Ms. O'Leary. But we
have worked very hard in our own high risk unit to talk to pre-natal
babies, focus on mothers who have had miscarriages and become pregnant
again, and on those babies who have died [prematurely]. Birth trauma
exists and is real," she said.
The program focuses on encouraging parents
to create a 'birth plan detailing what they want in the birth experience;
encouraging constant communication with the pre-natal baby throughout the
actual birth, or, in some cases, through premature death; and increasing
awareness that the mother's physical and psychological changes during
pregnancy can reflect the baby in utero. "This is a totally different
way of healing," said Ms. O'Leary. "The babies sometimes help
the parents through how the birth will be. ..it is respecting that these
babies have feelings too," she said.
With this approach, a traditional Caesarean
pregnancy is turned into a full relationship between baby and mother (and
family), with the mother explaining why this procedure has taken place,
reassuring that baby of its place in time. This is about empowering babies
and their families, said Ms. O'Leary. To date, the hospital has produced a
video, published a few booklets by parents regarding the birthing
experience, and offers one and three-day workshops and intensive seminars
on related subjects. Emphasis is placed on enhancing the parent-infant
relationship through support groups, therapy, and one-on-one. Issues
explored include how to cope with stress, examining how families view the
babies, and, in the case of preemies, reinforcing the concept and usage of
"corrected age" when examining the infant's development.
A part from isolated groups and
hospitals/birthing centers nationwide, there is a variety of literature
available detailing nearly every aspect of prenatal births, the birthing
experience and birth traumas. Books like Kangaroo Care, The Secret
Life of the Unborn Child, and Birth
Relationships explore everything from preemies physical and mental
health (at birth) to the state of babies in utero and how birth affects
relationships. Today's premature baby is given the fruits of many
scientific studies. Following the pioneering bonding work of Drs. Jon
Dennell and Marshall Klaus, it has been proven that "bonding
infants" grow into more self-sufficient, outgoing youngsters than
their counterparts who were taken from their mothers immediately after
birth. Hospitals routinely practicing Kangaroo Care (giving babies to
mothers after birth) and the international and national studies
accompanying them show marked, encouraging results for the babies
involved. Today, it is commonplace to find "cuddlers" in more
neonatal intensive care units.
In birthing centers and hospitals, mothers
are now encouraged to bond with their children and provide, if not
constant touch, that at least constant verbal communication and presence.
In addition, a whole industry of support services has sprung up to help
lessen birth traumas and difficult and premature births — physical
therapy, massage therapy, lactation counseling during the early years;
rebirthing, spiritual and emotional counseling, physical/massage/talk
therapy, etc. for the later years.
However small these strides, the overall
larger tide may be slowly turning according to some experts. "Things
are slowly changing around the edges," reports clinical psychologist
David Chamberlain, author of more than 35 papers on birth-related topics
and the author of Babies Remember Birth. "What
we know about babies is now challenging the old paradigm. We have dozens
of [studies] to prove [birth's consequences], but we have people who don't
believe it. They think that[ birth] pain is necessary, but that it won't
affect the baby," he said. "There is a growing sensitivity to
the fact that a newborn is somehow more 'real' than it used to be
[perceived as], but not with preemies—they [still] think that these
babies have less brain to interpret from."
And what will it take to truly effect great
change in the methodologies and thought of birthing and birth trauma?
"Hundreds of thousands of people," said Chamberlain; "it
will take the 'critical masses' to turn it around."
____________________
Cyma Shapiro-Roland is a writer and
journalist with a passion for holistic health, spirituality and music. She
can be reached at 860-521-2778 or Isuzus@aol.com.
She welcomes your feedback.
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