Wednesday, February 12, 2014

Rebozo use during childbirth

Thoughts from: student midwife, Rebecca Starkey

A week ago, Kaleen and I had the pleasure of attending a rebozo class, taught by Gena Kirby.  The class was profoundly insightful, deepening my appreciation for the midwife’s role and widening my understanding of childbirth as a trans formative experience for all members of the family.  We learned many ways to use the rebozo; the central theme was that using the rebozo is a means to facilitate relaxation, which can be helpful and necessary in many ways when attending a laboring mother. 

First, a rebozo – what is it?  It is a long piece of woven fabric, indigenous to Mexico.  Women in Mexico wear them and use them in a variety of ways, including during childbirth.   

At face value, it is easy to understand that relaxation is necessary during labor.  Gena presented the idea of using the rebozo for relaxation as a means to effect the baby’s position.  She emphasized that the intent of using the rebozo is not to turn the baby, but to relax the mother.  This relaxation is very likely to facilitate the rotation of the baby into its optimal position for birth.  We learned a variety of ways to use the rebozo as an extension of our arms to help relax the mother. 

Most profoundly, Gena’s focus on incorporating the partner created a huge impression on how I view birth as a trans formative experience for both the mother and the partner.  In midwifery school, the focus is predominately on the woman.  We learn about women’s health – gynecology, primary care, prenatal, intrapartum, and postpartum care; we learn to view health care from a feminist perspective.  It makes sense; we’re providing care to women!  The experience of the partner is largely neglected and ignored.  I love women’s health and learning to be a midwife, so I never realized this void.  Gena puts the relationship of the mother and the partner at the forefront of her class and in the forefront of her interactions with her clients.  She urged us to remember that the partner is undergoing a trans formative emotional event, as well.  This is an aspect of childbirth that is often overlooked.  Again, using the rebozo for relaxation was key in Gena’s teaching.  She taught us to use the rebozo as a tool to facilitate the inclusion of the partner during labor.  To be a champion for the woman, the midwife must support and foster the development of the family. 

Gena concluded her class with a very realistic mock birth.  Kaleen played the part of midwife, and was great.  Through this, we were able to see the rebozo “in action”.  Additionally, Gena shared with us the idea of waiting for the mother to ask for the baby, instead of immediately handing her the baby.  To many, this is completely counter-intuitive, as many midwives say “And the baby goes right to mom!” when espousing their birth philosophy.  Gena advises that allowing the mother to ask for the baby gives her much needed time.  In this time, she becomes a mother and is validated by all in the room; she slips from a level of consciousness characterized by delta brain waves, which is also the state that people are in during deep sleep or transcendental meditation back to the typical awake state, characterized by beta brain waves.  Gena referred to this time, between the birth until when the woman asks for her baby as the “delta download” in which she receives everything she needs from the universe to become a mother.  She recognizes that for some women this happens almost instantaneously, and for others it takes a few moments.  I interpreted this as a logical succession to the way midwives advocate for women to labor – by following their lead.  Thus, mothers that want their babies immediately will be given them, and mothers that need a moment or two can feel secure that their needs will be respected while their babies wait in the arms of a midwife who loves them.  While only tangentially related to the rebozo, this was a fundamental piece of information from the class, and I felt it was necessary to share. 


I’ve already seen Kaleen incorporating these ideas into her practice, and I am excited for the continuation!