Andrew and Tanya

Andrew and Tanya: the birth of Jason Noah – 23 March 2020

We sat in the bedroom of our guest accommodation in Seaview having a cup of tea and rusks watching the first light of Monday morning touch the waves just beyond the garden – the two of us from the Tsitsikamma and our midwives, Margreet and Juanita. And with us, this soul who had just entered our world in the most peaceful manner and left us in awe.

When we found out we were pregnant for the second time, we instinctively knew we wanted to do things differently this time round. Our first-born son entered this world by way of vacuum extraction after almost two hours of coached pushing under the bright lights of a hospital delivery room. This all even though I was already fully dilated when we arrived at the hospital, ready to welcome our baby. The stark, clinical atmosphere of even the friendliest hospital left me with “stage fright” and meant our son had a fairly traumatic introduction into our world. The whole experience left me feeling disconnected from both the birth and the beautiful new life that had entered our lives.

We had always dismissed a home birth as an option for us given the distance we live from our nearest private hospital in Port Elizabeth. But then Margreet suggested it as an option for our second birth if we could find suitable accommodation in PE and a gynaecologist that would back us. I was healthy and my pregnancy was considered low risk – we found a wonderful gynaecologist who was very open to working with our midwives and very supportive of a home birth. Finding accommodation was slightly trickier – not having fixed dates to book means you need a few alternatives.

Given the number of variables involved we had decided early on to keep all our options open. If we went into labour with no accommodation available or if there were any complications, we would go to hospital with Margreet acting as a doula and deliver there. But, if the stars aligned, I got some kind of indication that labour was imminent, we managed to pack up and get to PE, and there was accommodation available – then we would labour there and have a home birth with our midwives. My idea of an ideal birth was being able to be relaxed and present during the experience, allowing me to fully connect with every stage of labour and our baby’s journey into this world.

It was early Sunday evening and I was busy with our bedtime routine with our toddler when I realised that I was leaking amniotic fluid. After consulting with Margreet we decided that this was our sign. We contacted our first-choice accommodation option and it was available! Our hostess was incredibly accommodating and supportive and made sure everything was ready for us to arrive in our own time. We got our toddler to my parents, packed the car and headed off. It was a very comfortable trip as I didn’t have any contractions yet. On arrival at about 10:30pm we unpacked, had some tea and headed to bed. The arrangement with our midwives was that we would call once contractions started and intensified.

My contractions started just after 1:30am. They were manageable, especially while listening to the waves crashing against the rocks outside our bedroom window. It was amazing feeling the power of each contraction surge through my body and for me to experience and connect with my dilation as it happened. Just before 3am things picked up pace and we decided to call Margreet and Juanita. They arrived just before 4am – with no big fan fare. No one turned on lights or disturbed me in any way. They were just present and let us know that they were there if we needed them. By this point I could no longer lie down comfortably. So, I found myself sitting on my knees on the floor in front of our bed. I breathed through each contraction in this position and stretched out into child’s pose between contractions. Andrew and Margreet took it in turns to rub my back between contractions and help me to the bathroom whenever I felt the need to go. This was undoubtedly one of the more comfortable aspects of a home birth! A few contractions later I felt the unmistakable burning sensation of a crowning baby – I couldn’t believe it – I hadn’t had an urge to push or been told to push once. Margreet and Andrew guided me on to the birthing stool and Andrew sat behind me. This position was so comfortable, and my body felt completely open and ready. Moments later Margreet asked me if I wanted to reach down and feel our baby’s head. There are no words to describe how incredible that first touch was. With the next contraction I caught our baby and Margreet helped me lift him into my arms. It was 4:33am.

I was helped on to bed with this new life tucked up safely on my chest. After what felt like only minutes Margreet asked whether I was ready to deliver the placenta. Again, this came as a surprise to me, as it was so quick and easy. Only once the placenta was delivered did Andrew clamp and cut the cord.

We descended into a state of calm happiness, watching the sky change colour outside and listening to the constant power of the waves. Once Jason had latched and had a good drink, we weighed and measured him. Andrew and I were both completely surprised by his size…4.46kg, 55cm tall, with a head circumference of 36.5cm. And I didn’t have a scratch on me.

The far-reaching effects of Jason’s birth on us as a couple, on me (both physically and emotionally) and on Jason himself cannot be underestimated. By that afternoon we were back home in the Tsitsikamma settling down with our family of four. Within a day or two I felt fully recovered from the birth. And Jason is the most relaxed little baby I’ve ever come across. We will be eternally grateful to Margreet and Juanita for giving us the opportunity and then holding the space for our ideal birth.

Maria and Dave Grewar

My first birth was in hospital 3 years ago and although it was a relatively “successful”, unmedicated birth as I’d hoped for, we decided as a family that the peaceful surrounds of our home was actually where we wanted our second child to be born. We also felt that midwife-led care was the closest to the way birth was designed; natural, uninterrupted, supportive and sacred – so we set out to find a team who would help us reach our goals.

I found a great team of 2 extremely experienced midwives and our incredible doula as well as a really supportive back up OBGYN who deemed me low risk and a great candidate for home birth. On Sunday morning 12 Jan 2020 (38 weeks 5 days) I woke to a very sharp contraction at about 3am. I had been having Braxton Hicks for about 6
weeks already and definitely knew I was in the build up phase the week before.

I waited in bed excitedly to see if any more contractions would come and I timed about 4 during the next hour but they were quite irregular. By 5am I felt them become more intense and rhythmic so I woke my husband and told him it’s D-day!!! By 6am I told him to start setting up the birth pool and to call our team. Contractions were now about 8-10 mins a part.

Our amazing doula arrived at 8:30, just after friends collected our 3 year old, and began prepping our home with candles, music and her reassuring presence. I was quite contentedly labouring on my left side in my bed with hubby and doula helping me ride each wave when I called them for support. Contractions were intense but manageable and I felt really in the zone snuggly in my bed. By 9:30 however the contractions started coming fast and furious and I felt the urge to bear down already – I found doing this the second time around amazing as I actually felt I knew what was happening. I could literally feel my son descending! The contractions felt like they changed from below to above.

The midwives arrived at 9:45, quietly and calmly, and I delivered swiftly on my hands and knees on my bed at 10am (didn’t even get to the pool my hubby so lovingly set up!)! 3 very focused pushes and he was born beautifully into the world – all 4kgs 56cm of him! Bigger than my firstborn but amazingly easier it felt to birth! It was a most spiritual, exhilarating and relieving experience! Surrounded by peaceful  and knowledgeable women and my hubby, the entire process was tranquil and natural, right in the place I felt safest.

No shouting, not one internal check, no monitors or poking or prodding either myself or my baby. It was a most incredible experience! Lots of people have commented in the last few days that either we are nuts, really brave, just lucky or “you’re just built for birth” – to which I think none of these are true. I think every woman was designed
for birth – that we have a Designer that can create a baby and a mom and He doesn’t make duds. I think the some key elements we are missing as a generation are trust in our own abilities as women to birth our babies as well as adequate knowledge about birth and the beauty of the process. It’s also vital having the right people around you believing these truths and communicating healthy narratives to you. Birth is a natural and beautiful process, it is intimate and miraculous – a moment we only get to witness perhaps once or a handful of times in our lives. No matter what environment or care provider you choose, those are the values that should be promoted and encouraged on
your behalf in every stage of pregnancy and birth – and nothing less!


“Maggie, the big thing about birth is you have got to trust your midwife/doctor.” This was the advice I was given by my best friend and mother of 3 while I was figuring out the logistics of where and how and who will deliver my first born.  And how true they were!!  You see faith/trust counterfeits fear, and that is in my experience a huge factor with birth.  

Birth without fear was written as a logo for the midwife that delivered my first born. How fitting.  That is how I experienced my 2 homebirths.  Crazy how such a “scary” and painful experience can also be so magical, so special that you actually look forward too and want to do again.  I think mostly we should thank the hormone, oxytocin.  The love hormone that you experience when you feel comforted and safe… the opposite of adrenaline. That is the hormone that you need for labour. And in my experience the best environment is at home with a midwife you can trust…  also trusting the way God created your body to give birth to your baby. And trusting God!!

Its with a sensitive heart but also a passionate heart that I share my second birth story. Sensitive because I know each birth is different and special to every mommy, no matter if it is C-section or normal… but passionate cause what I experienced was so amazing and empowering and I wish that for every mother-to-be….

We are missionaries to Indonesia, but decided to come back to South Africa for the birth of our daughter Salome.  After praying about it we agreed that the best option for us was to do a homebirth at my brother’s house.  He is not married and offered us the use of his house.  That way Simeon our 2-year-old could stay at Grandma’s place which was close by.  We were also really excited about the fact that a very well qualified and experienced midwife lived just around the corner.  We had met her on a previous furlough and we had a good relationship. She agreed to help us with the birth seeing it was my second birth and I had a normal, healthy pregnancy.  

Salome was due for the 20thof January 2017, a Friday.  My son had us waiting 6 days passed his due date, so we were all wondering what Salome was going to do.  BY the 16thI started experiencing Braxton Higgs pains. But just as I wanted to get excited they stopped and didn’t continue.  The Friday morning it started again.  I went to town and as I was busy shopping I noticed the pains continued coming and going. By noon I started to time the pains. Every 30mins.  By 15h30 they were about every 15mins and not too intense.  But the big thing they kept coming.  17h00 I had my midwife come over to check on me.  We both agreed that things seem to be happening but we still have time.  Because it is my second birth I had a rough idea what to expect, I was much more relaxed. We had a long-appointed coffee date at18h00 with school friends that we decided to still carry through.  We got home around 20h00 and at that stage the pains/contractions were about every 15/20mins and still not too unbearable. I texted my midwife to keep her up to date on the progress and decided I would try to sleep a little.  But within the next hour things started intensifying. From about 22h00 sleep was out of the question with contractions every 10mins and also increasing in pain.  To such an extent that I would roll out of bed and be on my hands and feet, bent over, to breathe through the contraction. At 00h00 my husband went down to his brother to tell him that he should move to the outside flat.  I kept timing the contractions which were intensifying continually.  At about 01h45 I decided to also go down to the house where we had set up the birthing pool.  I also texted my midwife. The contractions were between 5-8mins apart and really intense by now.  Margreet, my midwife, came immediately.  I was 6cm dilated.  We filled the birthpool and I got in as soon as possible.  It was all quiet and peaceful just me, my husband and our midwife chatting and every 5mins or so I would just breath through a contraction. I made sure to relax and rest between contractions.  At some point I could feel my body wanting to start pushing.  Margreet checked me and said I should try to restrain from pushing a little longer because I wasn’t 10cm dilated yet.  Boy was that hard!!! My water hadn’t broke by this stage so she suggested that she would do that to speed things up.  I got out of the pool and after the water broke I had another contraction.  Ouch!!! That was probably the most painful part of the whole labour.  I quickly got back in the pool and after about 3 contractions and not pushing, I decided to push any way.  And as I started to push I felt the baby’s head coming through.  I called to Margreet saying that she is about to come through.  With the next contraction I pushed, then leaned back in the pool and the next moment Salome was born.  What an amazing feeling to hold that little one in my arms for the first time 04h20 that morning.  I got out of the pool and sat on the bed, and within minutes she started nursing, the umbilical cord still attached.  Overwhelmed with love for this little girl and deep gratitude that it’s over and all went well. Gently Margreet cut the cord, tended to me and then weighed and dressed Salome.  I showered and dressed and then nursed Salome again.  Tired but thankful!!!

To me the two midwives that delivered my babies are heroes.  Love them so much. So thankful for their attitude toward birth, their encouragement and help and even prayers!  Their confidence in the natural way of giving birth are so empowering and such a huge help… they helped me trust… trust the way God made our bodies and trust them. So amazing! Wouldn’t trade the experience and privilege of becoming a mommy for anything in the world!  

River, Duart and My Birth Story

River, Duart and my birth story
15 January 2019

‘The intensity of your contractions can not overpower you because they are you ‘

I felt early contractions during the night on Sunday and woke up just thinking it was another different feeling that comes along with pregnancy. On Monday we went about of day as normal, did some work and went to the beach. But I was still feeling small contractions every 45 minutes or so so I messaged Margreet, our midwife, and she confirmed that it did sound like early labour.

By early evening i was sure that our babe would come to meet us the next day, for some reason I was pretty sure she wouldn’t come during the night.

Duart went for an evening surf, his happy place, and I called my 2 close friends and they came over to be with me, bless the experience and the space. They had walked really closely with me during our pregnancy, giving me affirmations, meditations, love and support throughout. We went to the beach to watch the sunset and be at peace.

Duart and I had been practicing the calming and breathing techniques of hypnobirthing so as soon as we knew it was happening we starting to practice tranquility.
I had a shower and washed my hair, laid out my cushions and blankets in the room, stuck up all my affirmations and beautiful pictures my friends had given me in a place I would be able to see them when I was in intense labour and burnt some incense in the room.

Duart and I tried to sleep, he got some sleep but I was too excited and was feeling the contractions more intensely during the night to get much sleep.

By 6 am I was already swaying back and forth with my knees in the cushions on the floor and my arms in the bed and Duart and I were practicing our breathing. Margreet the midwife arrived at 8 am and checked how I was doing. Then the photographer and assistant midwife, Juanita, arrived too.

They were incredible throughout, Juanita rubbed my feet, neck and back and brought cold cloths to cool me down. She was a beautifully peaceful presence. Margreet also rubbed my back and guided me through each new phase, and gave me choices which I appreciated. I fully trusted her as a woman and her experience as a midwife. My mother also arrived a bit later and sat quietly in the room and held my hand when Duart left the room. I really loved having her with us.

We had practice Duart massaging my back, but having the women do it and having Duart in front of me was really something I appreciated. I held onto him the whole way through and he reminded me to breath slowly, relax my face and unclench my jaw. My eyes were closed for most of the day, but I was connected to Duart all the time.

By 8 a my water had still not broken, Margreet offered to break it for me if we chose to, but we decided to let my body take its time. When it did finally break, it exploded and we all got a fright and had a laugh.

When my body started beating down by itself it was an incredibly intense feeling, and was something I couldn’t control. I was very tired by then and lay on my side a bit to rest, but I was very uncomfortable in that position and I remember thinking that I couldn’t do this anymore. But words that I had read in another woman’s story was that she knew that when she felt she couldn’t go on that meant that her child was close to being with her earth side. This gave me strength and I moved onto the birthing stool.

Margreet coached me through trying to hold my contractions for longer using my breath. I tried my best and our beautiful babe came out at 4:20 pm.

When I reached down and felt her head crowning all I felt was joy and smiled and laughed the rest of the time. I lifted her to my chest and she looked up and Duart and me.

This is the incredible part of labour to me, it is that as soon as your baby is out, it’s all over and you are just filled with love and nothing else matters.

We moved to the bed and put her on my stomach and watched her do the breast crawl, such a string and aware baby.

I birthed the placenta and Margreet showed us how healthy it was and let that remaining blood and nutrients pump into her little body, then it was clamped and Duart cut the cord physically connecting me to my daughter.

Duarts mom came in too and met her first grandchild and while I got some stitches Duart held his daughter.

It was incredible to be at home, in our own space and do things in our own time. We wiped the blood off River but left the vernix on to absorb into her skin.

She is a happy and healthy baby and I am so grateful that we could birth her at home, I could lift her to my chest and that I didn’t have take any drugs.

It is an incredibly empowering experience that made me realize how wonderful my body is that it can grow this perfect being and bring it into the world.

And now I can grow her while she is earth side with milk from my body.

The Motivation Behind My Academic Journey

It all started in Amsterdam in a student advisor’s office at the university. I didn’t get a place to study medicine after trying three years in a row. At the end of self and clueless what to study, she asked me if I ever thought about midwifery?

Up to today I am grateful for that suggestion. It led me to Belgium, Gent, where I did my basic degree in midwifery and back to the Netherlands to get my first work experience as a midwife. Born and raised in South Africa, the African in me never left. Curious to find out if there is something for me in my country of birth, the waves and people of Jeffrey’s bay lured me in and I re-located to South Africa.

It has been a humbling journey. Most people didn’t have a clue what a ‘midwife’ was and I had to explain myself. After registration with the Nursing Council I got green batches to put on my uniform. When I started to work in the local hospital the nursing sisters were kind of looking down on me, you are ‘just a midwife…?’ What do they mean ‘just a midwife’? I am a highly qualified and valued health care provider?’ Slowly but surely I started to understand what was going on in the ‘midwife world’ in South Africa.

I got involved in the community and was the co-founder of The Healthy Mom and Baby Clinic . On the side I started to work as a Private Midwife. Out of curiosity and because it is the degree to have as a midwife in South Africa, I enrolled for the post basic degree ‘Advanced Midwifery and Neonatal Nursing Science’ at the Nelson Mandela Metropolitan University. And my picture of the ‘midwife world’ became even clearer. In order to obtain my degree, I had to do a research. I was stunned by the high cesarean section rate in the private sector and decided to look at the factors influencing the mode of delivery in the private sector. My take home point was the absence of midwives in the low-risk population. It was shocking. My supervisor decided to publish my article and all of a sudden I saw the value of my research: now I have a voice. When she suggested doing my Masters Research, it didn’t take much convincing. This time I looked at collaboration between midwives and obstetricians. Because that’s the only way a midwife can work; if she collaborates with the doctors. An article was published again I took home, we need more and better midwives.

The midwives…!

Again, not much motivation needed to agree with my professor’s suggestion to do a PhD. I took a year ‘break’ of studies and carried on. This time I want to go big. I want to do something for the midwives in South Africa! The profession needs to be strengthened. The majority of midwives are working in public sector and I was done with private sector, so this time I was going to focus on public sector. What are the midwives saying? What is going on? I am still in the process of finding that out and I need your voice to be heard!

If you are a midwife working in the public sector of South Africa with more than three years experience in maternal health, please take some time to do my survey!

Start survey 



Breath in, Breathe out…One Wave at a Time!

First pregnancy – Home birth

When one of my friends (in her mid twenties) mentioned that she was going to do a home birth, I must admit, I thought she was crazy or just naïve. It was her first baby, why take such a risk? This was two years ago, and oh, how my view has changed during this past year, as I journeyed through my own first pregnancy. I work with children and mothers with complications after birth and I always thought that the “safest” way for a baby to be born is in hospital. All the necessary equipment and trained personal are there; ready to help in the case of an emergency and the NICU and theater is just down the passage.

After working closely with premature babies over the past 3 years, I have come to realize that there are a lot of factors that can affect the baby during pregnancy, during labour and after the delivery, which has a direct or indirect impact on their development. I learnt what a massive roll oxytocin (the “love” hormone) and cortisol (the stress hormone) plays in our bodies. I learnt that if a woman is stressed during her pregnancy and delivery, this might have an effect on her labour and even affect how baby is born (this is just my opinion).

I realized that I knew very little about birthing a baby and what a mother needs during her labour process. My husband and I did an extensive 8-week ante-natal class (with extra sessions afterwards to desensitize my husband as he battled to deal with the thought of the whole birthing process). I did a lot of extra research, reading and speaking to professionals as well as mothers. What I found was that our modern day practices in hospital are still quite structured in such a way to make it comfortable for the healthcare practitioners and their preferences so that they can do their jobs well. When questioning certain protocols, I was told that unfortunately they couldn’t change the way they do certain things in hospital. This was odd to me, seeing that everyone seems to be pro-natural birth, but all I heard was the “what-if-something-goes-wrong” or “just-in-case-something-goes-wrong”.

This made me look into the possibility of a home birth. There were a few things that I wanted in place on my labour day and delivering at home would allow this to be a possibility.

One thing that was very important to me was that I did not want to be in a scenario where my baby or myself were at risk. We met with an advanced midwife, and asked her many, very direct questions to determine the “possible risks” of delivering at home. She answered all our questions and did not flower up the idea of a homebirth. After that, I knew that home births are safe for moms who are well informed with a low risk pregnancy and a strong support system. She made it very clear that it is no walk in the park, and that there is a 50% possibility that I would be transferred to hospital, seeing that she does not take any chances with mothers at home.

After my 37-week check-up, my Gynecologist reassured me that I was a good case for home delivery. My pregnancy was still low risk and she was happy to be the backup doctor on the day.

My water broke on the Friday evening around 7pm (at 38weeks and 2 days). I did not have any contractions at the time. After informing my midwife, she gave me 24h to go into labour, otherwise she advised that we go to hospital.   The next morning around 04h30, my contractions started! I waited till about 6am before I phoned my Doula (also a midwife) to inform her. She arrived about 20-30 min later and examined me. At that stage, I was 2cm dilated and in the early stages of labour.

I decided that I did not want to make use of any pain medication. I used various means of pain relief during the day. Initially, I was able to get through the contractions with focused breathing and movement, leaning on the kitchen counter and swaying side to side.

It took my husband quite a while to wrap his head around the fact that things are HAPPENING! We still laugh about the fact that he asked me if he could put up some shelving (whilst I am rocking through contractions). I had to very calmly tell him: “I don’t think we will get to put up shelving today”. I think it was his way to cope and keep busy

Back to the contractions…When movement was not that effective any more, I combined the breathing with TENS treatment to assist me during contractions. That helped quite a lot, until I went into active labour around 11am. After that, I wanted downward pressure on my lower back during every contraction, with every breath I breathed out. My midwife was notified when I transitioned into active labour and she arrived around midday. At that stage I was 6cm dilated. I also made use of a gym ball during active labour to help take the edge off from the contractions. Between the two midwives and my husband, they worked very hard to help and coach me through each contraction. We were such a great team and I am extremely grateful to them!

When my contractions got really strong, they suggested that I tried sitting in the birth pool. The warm water was really relaxing between contractions, but did not assist with any pain relief during contractions. The only thing that helped was rhythmical and focused breathing as well as the downward pressure with every breath I breathed out during contractions. I still recall my Doula saying to us at our anti-natal classes that labour contractions are like waves, and you need to try stay on top of the wave. Towards the end, music (I set up a playlist with music a week before I went into labour) was very helpful to break the silence and had a subconscious calming effect, which also assisted with dealing with the pain. I cannot recall actively listening to the music, but I do recall the relief before the pushing phase.

I reached the transition stage of labour in the birth pool. The pain is something that you do not want to re-imagine. Instead of being fearful of the next contraction, I focused on tackling each one as they got stronger, something that athletics (running hurdles) and surfing taught me. Not to fear the hurdle/wave, but to push forward instead of backing down. With that said, when it got quite bad, I recall thinking to myself: “This is our first and last baby. I am not doing this EVER again!” The pain was like nothing I have ever experienced in my life. I recall my Doula saying to me at some stage: “Not long to go”, and thinking to myself: “She better not be lying to me!” I had to constantly decide to fully trust the midwives and followed their instructions as best I could.

When they saw I was ready to push, they helped me out the pool and on to a birth stool. My husband sat behind me and assisted with the downward pressure on my back during contractions.

The pushing phase was once again a different type of pain, unlike anything I have ever experienced. During the pushing phase, my midwife asked me if I wanted to look “down there” using a mirror. When I looked, I saw nothing, even though it felt like her head should already be visible! Everything in me did not want to push, because it felt like I am going to fracture my pelvis by pushing, but I realized that there was no turning back at that point.   I closed my eyes and re-focused. With the coaching of the ladies, it took about three contractions (that I can recall) and our healthy baby girl was born.

My husband’s favourite moment was looking over my shoulder and seeing our little girl being born, spit out the amniotic fluid and taking her first breath. After crying for a bit, she started making sucking movements with her mouth. I completely missed this part as I still had my eyes tightly shut at that stage. She was handed to me straight away and as I sat back against my husband with our baby in my arms, he burst out crying and then I realized we did it, and I burst out into tears. At that moment my placenta spontaneously came out as well. I was so grateful, as I did not want any artificial hormones injected. Time of birth 13h50 (for baby and the placenta)! Weight 2.84kg, 49cm long.

I was assisted to my bed, where I lay skin-to-skin with my baby, while the midwives cleaned up. During that time, our baby started to bob her head and wiggle around. She found my breast within minutes and started suckling all by herself. That was such an amazing moment for me as this was one of my biggest desires, for my baby to be born un-medicated and given an opportunity to initiate breastfeeding within the first moments of her life, which she did! I am so proud of her!

Afterwards we all sat on the bed reflecting on the day and my midwife prayed, thanking Jesus for His tangible presence throughout the day and the birth of our precious little girl.

The Lord provided in every little detail. A few days later reading through my “birth plan” where I wrote down my desires for the birth, I felt like I received the biggest undeserved gift ever. I could tick off every box! Looking back at the day, I could not have asked for a more beautiful, ‘peaceful’, unmediated home birth to welcome our precious girl into this world.

Just Dropping In…

My mom once told me that you give birth in a similar way your mom did, and since my mom had quite easy labour experiences, I was never concerned about the whole process. My midwife and friend, Margreet, said during an ante natal class that for a first pregnancy, it can take up to six hours for your baby to finally greet the world, from when you are about five centimeters dilated….so I was super relaxed.

We live in Jeffreys Bay, about an hours drive to hospital, and my husband works up to three hours drive away from home, but with six hours to kill, that would give him enough time to get home, have a shower and get us to hospital in time to meet our new baby, or that’s what I thought.

Another friend of mine asked me after her son’s birth (about three years ago), what I thought contractions felt like, and we both agreed that it must be quite an intense tightening sensation around your abdomen, as the movies always portray. And she then said that she experienced it as rather gentle cramps (in the beginning though). We had this discussion again in my last week of pregnancy, and I remember feeling rather excited about the birthing process when I went to bed that night.

I woke up around 03:30 am, feeling gentle cramps, and started timing them while I messaged my sister in law in New Zealand (since she has three boys and would be awake this time of day), trying to find out whether this was Braxton hicks or the real deal. An hour later, we figured I am still okay and that I probably might be needing my rest. The contractions were about 4 – 6 minutes apart, lasting about 90 seconds. But I was rather chilled, because it wasn’t painful at all, so I went back to sleep again.

We were also advised in our antenatal class to find something to distract you from labour once it starts, like bake a cake, or go for a walk. Well, my husband read an article on superfoods eirlier the week, so my distraction was making superfood-cookies for him to take to work. (This ended up being my breastfeeding snacks a week later.) By 11:30 I finally finished the cookies, and was rather exhausted, with the odd gentle cramp as I discribed earlier. So I had a lie down on the couch, once again keeping tract of my contractions and its intensity.

An hour later, I asked Margreet whether she would be able to come see me around 13:00. I felt rather relaxed and wanted to have lunch first. In the meantime, my contractions were getting more intense, and getting to an uncomfortable state. By 12:45, just before Margreet arrived, I told my husband: ‘I think this is it, we should probably start heading to hospital sometime soon’. When Margreet arrived, she was more interested in our dog (her very cool surf buddy) and our new house (which we moved into only two weeks before), since I seemed way too chilled for someone in labour. On examination, I was already 5 centimeters dilated. In a very relaxed manner, Margreet tried to tell me to maybe start heading towards the hospital, and that she will notify the labour ward that we are on our way. To my husband she said quietly ‘Get to hospital NOW!’.

We arrived in the labour ward at around 14:00. Then it was documentation time, and checking my contractions and baby’s heartbeat, but both mommy and baby were super relaxed. By 15:00 I was 7cms dilated and the hospital nurse called for a delivery cart to be prepared. I found it quite comfortable bouncing on a big exercise ball, and ‘blewing my contractions away’ as Margreet told me to do. The contractions weren’t nearly as painful as I expected it to be. It was definitely uncomfortable though, to such an extent that I had to pause my sentences and blow the contraction away first. The hospital midwife showed me a position to try out, by standing with my elbows resting on the bed, and my back bent forward, knees slightly bent and hip width apart. So I tried it, and that’s when my water broke. Immediately I felt an intense pressure, and that was pretty much when I realized again what exactly was happening here. Why I was in hospital, because for a very short period of time, I sort of forgot exactly what I was in for.

I was asked to get onto the bed for the birthing process, but with the pressure I felt, i couldn’t imagine it being comfortable at all sitting down, and the bed was still very high. I managed to get onto the bed on my hands and knees. As I tried to find a way to lay down, I had two more contractions. I was still standing on my knees hugging my husband who was standing on the opposite side of the bed, when my baby ‘fell out’. The midwife barely had enough time to put her gloves on, that’s how quickly it happened. Our baby girl was born at 15:45. To me, giving birth was really easy, and a rather pleasant experience. I would definitely do it again, but next time, I might have to skip the baking…


My home-birth – the best experience ever

I wanted the most natural experience as birth is normal part of nature… Home-birth was the best experience ever.
I come from a family and society where most births were caesarean and it was unheard of in this time to give birth at any place other than a hospital. Birth was thought of to be something medical and that birth at home was for the olden days.

When I found out I was pregnant, it was a surprise and after a bit of a rocky start my pregnancy progressed well and Thanks to The Almighty I had no complications.

The first step was to decide which doctor I’m going to go to for my check ups and delivery. I have a passionate aversion to hospitals and always have preferred alternative natural treatments and health care professionals to medical doctors. Knowing a few ladies who have had successful homebirths for 3 and 5 kids each respectively, something was born into my heart and I told my family I was going to do home birth.

I knew nothing about the procedure at this time but it’s the decision that my heart felt at rest with. I was hoping for everything normal. My hubby was very supportive and in fact very glad that I chose this option. My mother, who has had 4 ceasars out of 5 children also supported my decision, but being a mother she did have concerns.

The next step was to find a midwife, the lady who had delivered the ladies I know was no longer practicing but after a few enquiries and referrals, we were directed to a midwife, but unfortunately after the first appointment it turned out that she and I were scheduled to be giving birth around the same time. Thankfully she referred and set up my next appointment with my current midwife a brilliant lady from J-Bay, Margreet. Happy at having found someone at last and that my dream seemed to be unfolding finally, we drove to the peaceful coastal town, a mere 30 min from PE, for the first check-up with her. All went well and thankfully continued well as baby grew and pregnancy progressed. We were happy with what she had to say and I was very soon very happy and comfy with her as my midwife.

At 36 weeks on a Sunday night reaching home late after a braai, I just got into bed and I experienced a sharp cramping in my stomach, which continued. When I checked it appeared the show had begun. This was the first sign of labour. It was a shock to see red too, having not seen anything for about 9 months! Going back to bed I told my hubby and we both started getting excited. The pain came aprx every 10min going down to every 7 min. Somewhere in the early morning I sent a message to Margreet, telling her what I had experienced. She was super fast and a light sleeper too apparently, as she called back within a few min and after asking questions and establishing my progress!

It turned out I was still in very beginning stage. Our doula would come at 7am to do a check up. As the morning grew I became increasing uncomfortable and pain got worse. But what was a better place for me to be feeling like this other than my home?? I was super comfy in my on home and in my own personal space. I could rest as I wished, which was on the bouncing ball mostly, as it helped ease the pain. Around 5am some water burst! My mom, my brick, came around 6 am and our doula, Michelle, was there soon after. After doing an internal around 7am, which by the way is more horridly painful than the contractions and the birth itself 😉 I was only 3cm dilated. It was very disheartening all night aprx 6 hours and only 3cm!!!

But then she helped me do what I believe as a miracle…. breath.

I was supposed to have a training session with her that week but labour came before the appointment!
So, for the next few hours it was 1, 2, 3, 4 in….. and 1, 2, 3, 4, 5 out. Or along those numbers, memory failing right now. But what this teaches you, it to relax. It makes your body relax. It lets your body give into the contraction. You can actually feel your body opening. Whereas when I had remained tensed all morning with the contractions, my body could not do what it needed. I tell you, it was like a miracle. Within the next 5 hours I was 9cm!

When Michelle left for a few hours, my hubby and mom took turns to support me, rubbing my back which was aching by now, helping me by counting for my breathing. I could not focus on breathing correctly without assistance. The pain started getting much worse. I could barely walk and sat on the bouncing ball mostly before going to the bed.
Around 12pm Margreet came. By then I wasn’t too aware of my outside surroundings, more so of the consuming pain and a downwards pressure. Another internal showed I was about 9cm dilated. Yay! Now there was something happening.
I cannot be sure what happened around me in the next 3 hours, memory very hazy. .. I didn’t want hubby to stop rubbing my back, it was damn sore. I was on the birthing stool next. And Michelle had returned. Somewhere after 2pm Margreet did another internal and broke some more water.

I was fully dilated. My body was ready to push. By 3:20pm we had a beautiful healthy baby boy, 2.46kg. A sweet bundle of true joy. A few stitches and warm shower later I was trying to feed my baby and although slightly shaky, very much better already!

I cant say I was afraid, not before and not during birth. It was what I wanted and Thanks to my Almighty He gave me the wisdom to decide something against the norm which by the way is thee ultimate natural and normal humane way and the strength & health to have a normal home birth. Almost 4 years later, with a very much bouncing bundle of limitless energy, I write this story of my birth. All details as best I could remember. Whenever the time may be, I’ll go the same route again without thinking twice. If you have a healthy pregnancy, go for it! Its an experience you wont regret ever!

First time ZAMBIA

Just back from a week of Zambia with my dear friend, housie and fellow mission hearted medical person: Mari.  If I don’t use this moment to write some impressions down, life is going to carry on quickly and the writing will not happen.  There is something about going somewhere for the very first time, you can only experience the first time once… I love it so much.  This trip was a bid of a surprise that has come my way and I did not have any chance to ponder too much upon it and do some research about the country. So it was a true empty canvas for me.  The first impression was from the air, the beautiful Zambezi finding it’s way through the african planes.  Then Livingstone, a clean beautiful settlement where the people have the biggest smiles.  Even though I came with little expectations, I was quite surprised to see the beautiful houses, the tarred roads and way too many South African franchises, they seem to import everything…!  Yet the shocking realization that the Kwacha is stronger than our Rand…! And so does my first impressions carry on.  The purpose of the visit determines what kind of impressions one gets and I could not have asked for better exposure to this beautiful place.
We were blessed to be hosted by a beautiful Zambian family.  I met this couple when they were expecting their third child in our clinic in J-Bay, about two years ago.  That pregnancy and birth birthed a vision in their heart to see a Healthy Mom and Baby Clinic become a reality in Zambia.  After a couple of emails and meetings in J-bay, I seemed it fit to go visit.  This couple are leaders of an organization called Elijah Mission International.  Their Mission is ‘to confront injustice and empower individuals to be agent of change in their communities’ and their vision ‘see communities where God’s dream is realized for every individual’. They are involved in different projects to empower youth through arts and music and run different programs, to be honest I am not too sure what they all do as I was connected to Anne, who heads up the clinic’s work.
Anna, a beautiful woman that has learned to allow God to be the centre of her life and tapped into His big heart for the world.  A nurse by trade, a wife of a Zambian doctor, a daughter of an American family. She caught on to Elijah’s Ministries vision and stepped in to make it a reality.  We met the team, did some home visits, school visits and prayed.  But more than everything, we could be there to walk alongside another woman for a week, to cheer her on, to look with her and see where it is going.  What a privilege.
Saturday tourist day, yes I can do the tourist thing too.  We couldn’t have asked for a better touring guide than Bruce himself, an intelligent, well travelled Zambian that could tell us so many ins and outs we would never get from the Lonely Planet guides.  Victoria Falls were magnificent and seeing the sun go down over the mighty Zambezi just made the day complete.

Mighty waters.... Majestic
Mighty waters…. Majestic

The Sunday we visited Overland Missions, a dream come true for me.  I have been following this organization for a while.  Walking on their base, seeing some salty sold out people that live out the great commission, travel the roads no one else would and reaching people groups of which governments say they don’t exist… I was moved to the core.
A F R I C A  my heart beats for you.