Today, like every other day, I woke up and got into the shower. While in the shower I heard this weird noise. When I got out of the shower, Stephen was looking on his iphone and he said there was an earthquake in Chile. Then we heard that weird nose again and I said “Isn’t that the tsunami warning?” So that started the day.
We sat at home and watched the news that said that Oahu would be hit by 11:37am and to evacuate the flood zones. We luckily live way far from the flood zones. The house we are buying, not so much.
There were also multiple warnings to not try and surf the tsunami. I am glad they warned me because I had grabbed my board and was about to head out there.
Well we were bored so we decided to walk to Walmart to get “emergency supplies”.
These were our emergency supplies.
We were definitely preparing for the worst.
There is a park area and parking lot down the street from our house. It was packed with people from the flood zones who were hanging out with their animals waiting for the tsunami to pass. It was an interesting sight.
We sat at home and watched the news. They had a camera at Hilo where the first wave was supposed to hit at 11:05am. Well by 11:40 I fell asleep watching because there was nothing happening. I woke up about a half hour later and turned to Stephen and said “Was there a tsunami?” He said “Nope, let's take a nap.”
That ends our first tsunami experience.
Saturday, February 27, 2010
Friday, February 26, 2010
Natural Childbirth (sorry for this novel of a post)
First off, let me start by saying, no, I’m not pregnant. Now that that’s out of the way, how did I get interested in natural childbirth? I think it all started when my best friend Anna had her baby two years ago. I asked her how it was to give birth and she gave me an unexpected answer, especially considering she did not have an epidural, she said “It was one of the most wonderful experiences of my life.” This surprised me. It was such a contrast to what had I seen my entire life, movies and TV shows where women are sweating and screaming bloody murder, breaking their husband’s hand yelling at him, “You did this to me!”. Then of course you talk to women and they love to tell you their labor horror stories.
Labor has always been presented to me as something to fear, dread and try to get over with as soon and painlessly as possible. So when my friend described labor as a “wonderful experience”, it made me stop and think. Then the thinking turned to researching which was done though reading many web articles, watching a documentary called “The Business of Being Born” and then reading a book called “Pushed: The painful truth about childbirth and modern maternity care.” That’s when everything changed. I am writing this so that other women (and men too) will give a second thought to going into the hospital and assuming that the doctor will not do anything to put yourself or your child in danger. In this essay I plan to cover issues with doctors, induction, epidurals, VBAC, fetal monitoring, and caesarian section.
Now don’t get me wrong. This is not to say that hospitals are pointless and doctors are unnecessary and that childbirth is always perfect and risk free. There are times when there are complications and doctors and hospitals save the mother and baby’s life. I am very grateful for the work that they do but pregnancy is not a disease, it’s not an illness and labor is not a procedure. And let’s face it, what do doctors study and specialize in? Pathology! Their job is to intervene and control, not to step back and let nature take its course.
Here’s a quote from Pushed that explains it well,
"Americans trust doctors and they trust hospitals, and they equate the two with health. And people want what’s best for their babies. They assume that you decrease your risk by going to a hospital and having a top-flight doctor. What they don’t understand is that obstetricians are surgeons, and they know pathology, but they really suck at wellness."
You always need to remember, like any other job, doctors get paid and it’s not always quality instead of quantity that gets them that money. If you can’t trust car salesmen, contractors, plumbers and what not, why would doctors be different? The biggest controller of a doctor’s action these days is the insurance companies. In Florida, for example, the annual insurance rate for an OB doctor is $200,000! So as one doctor said, “If you get paid $2400 to deliver a baby and you pay out $90,000 in malpractice, you have to do a lot of deliveries to pay that fee.” Insurances don’t pay doctors by the hour, so they can either let a woman deliver naturally and it takes 12 hours or more or they can do a 45 minute C-section and take on more patents which equals more money.
It’s not only the money that controls doctors’ actions, it’s legal as well. The reason why their insurance is so high is because of all the malpractice suits. So doctors often have to base their actions, not on medical necessity, but on what’s going to keep them from being sued. As stated in Pushed;
"If a bad outcome occurs, it has to look like the doctor has done everything she or he possible could. In other words, physiological birth doesn’t look good in court; getting the baby out earlier, faster, and with as many medical interventions as possible does."
Doctors often do what they need to keep practicing. Self preservation is a strong instinct.
It might be helpful to show some statistics that show that maternity care in the U.S. is failing. First, maternal mortality rates: “women are 70% more likely to die in childbirth in the U.S. than in Europe.” As for infant mortality, according to the World Health Organization, we [the U.S.] rank second to last among 33 industrialized countries. Also, in 2002, infant mortality rose for the first time since 1958. There are obviously some problems.
To keep this from become a disorganized rant, I am going to attempt to put this into a chronological order of what happens when a woman comes into the ER in labor. The first issue starts right here. It used to be that hospitals would turn away women who were in just the beginning stages of labor. They understood then that there was no reason for the mother to spend so much time at the hospital. Now, they run a risk at sending a woman home because the “what if” of if something goes wrong while she is gone. So a woman comes into the ER in the very early stages of labor and she’s admitted and the clock starts ticking. What I mean by this is that many hospitals have a protocol about the amount of time it should take a woman to give birth otherwise it becomes “dangerous” or in other words, they don’t have enough time or beds to keep you that long. Many hospitals have a 24 hour rule that the woman needs to go into labor within 24 hours of their water breaking, and they don’t always wait that long. Studies have shown that 60% of women will go into spontaneous labor within 24 hours of their water braking and 95% will begin labor within 72 hours. So what’s the rush?
What happens next? They will lay the woman on the bed give her an IV and strap a fetal monitor to her belly. First problem, laying on a bed. Sorry to be a bit graphic here, but giving birth is like having a bowel movement. There are contractions of abdominal muscles to push something out. Now what is the best position in which to do this most important act? Well squatting of course! Now imagine instead that you are lying on a bed with your feet propped up in stirrups. Now try pooping! Oh wait, except you have been constipated and this is going to be an especially difficult one. This is how illogical it is to have the woman laying down. There are higher rates of vaginal tears and longer, more painful labor in this position. Not only is the position the problem but the lack of movement as well. It is much more comfortable for a woman to be able to move around and change positions. So why do doctors insist on the woman lying down? The electronic fetal monitor.
The electronic fetal monitor (EFM) is a device that monitors the fetal heart rate and was originally intended for use in managing abnormal, high-risk pregnancies. The early studies of the EFM showed great results and so it became a maternity ward staple and used on every woman as a precaution. The problem with the initial study? Same old story, those who originally tested the EFM held more than half of the company’s stock. Can we say “biased”? So what do the later studies say?
"In two studies of high risk women assigned to either EFM or frequent listening by a nurse with a fetoscope, use of EFM was found to impart no benefit, but it more than doubled or tripled the cesarean rate."
Also,
"The National Center for Health Services Research reviewed more than 600 studies on the EFM and concluded that continuous EFM had yet to show improved fetal outcome, except in the case of very small babies."
So despite research, this device is still in use. As you read this, you will start to see the snow ball effect of these supposedly “harmless” “precautionary” interventions. Like the first quote stated this intervention triples the cesarean rate. Why is that? Well first of all, the main problem with the EFM is that it shows false drops in the fetal heart rate. When the doctor sees this he/she states “The baby is in distress!” and into the operating room they go. Also, the paper strip from an EFM is admissible as courtroom evidence and acts as a paper trail which forces doctors into doing C-sections.
Alright so now our poor mom has tubes and wires all over her and she is forced to stay in bed. What comes next? The doctor comes in, he/she’s in a hurry or because, like mentioned earlier, they admitted the mom too early, the doctor states “She is failing to progress. Time to induce.” And they give mom, in the conveniently ready IV, a dose of Pitocin. (In a study of low-risk first time mothers 70% received Pitocin.)
In natural childbirth the body releases a hormone called Oxytocin. Perhaps you have heard of it. It’s the same hormone released at orgasm for both men and women. It is also released during the rush of being in love or when you have the feeling of emotional connection with a friend and also it’s what causes the release of milk to a nursing baby. It is a powerful, emotional hormone that not only has a physical function but helps with emotional bonding between mother and child. In labor, it contracts the uterus in a perfectly rhythmic motion that allows for resting periods in between for mother and baby and ends with an “ejection reflex” that pushes the baby out. This rhythm is important both to give the mom a rest as well as give the baby a rest because the contractions cut off oxygen supply to the baby.
Pitocin, on the other hand, is an artificial oxytocin. This drug works very well in causing the uterus to contract. But that’s about it. This drug does not cross the blood brain barrier to also include the emotional affects of oxytocin. Also, Pitocin stops the production of natural oxytocin. The other problem with Pitocin is that it does not have the same natural rhythm. As one doctor described it, “These [Pitocin induced contractions] are bad-ass contractions. I personally think it’s cruel and unusual punishment to give somebody Pitocin without an epidural.” Pitocin induced contractions are stronger and more frequent than natural contractions. So what happens to the baby? It becomes oxygen deprived for too long and the handy dandy EFM detects a drop in the fetal heart rate and again off to the operating room we go. Inducing ups the woman’s chance of a C-section by two or three times. (Are you seeing a pattern yet?) “A recent American Congress of Obstetrics and Genecology survey found that in 43% of malpractice suits involving neurologically impaired babies, Pitocin was to blame.”
The physiologic process of birth is beyond what science and medicine can reproduce or understand. Doctors are beginning to put themselves in a place where they think they have it figured out better than nature has. Here’s what Pushed says about it;
"Although modern medicine can chemically mimic dilation and contractions with manmade prostaglandin and oxytocin, it has not been able to fully explain or successfully replicate the onset of labor. The moment when spontaneous labor begins is a moment that remains mysterious, a private hormonal conversation between mother and fetus that scientists have yet to fully decode."
"What we understand now is that the baby participates in the initiation of labor. In particular, the baby gives a signal when its lungs are mature. For a baby to be born it implies that the lungs are ready, because to be born is to breathe. In other words, induced labor is premature labor."
So now the woman has been induced and is in severe pain, now what is she screaming for? GIVE ME AN EPIDURAL!
Even in cases where the mom is not induced, epidurals are highly popular. Use of epidurals increased from 22% in 1981 to 66% in 1997 and is estimated to be 80% today. Like I said, very popular! Why is that? Well of course there is the obvious, less pain but also a misunderstanding of pain. In modern society there has been this equation; pain=bad. This is not true, it may seem like it, but it’s not. Take for example the rare disorder where people are born with the inability to feel pain. They usually don’t live very long. Pain is an important signal. As one midwife stated “Pain is important. It is not a side effect, rather it is a central component of normal birth, not something from which mothers should be distracted.” Here is how she puts it;
"What do we do when we experience pain in general? We respond to it. Consider a toe blister- you protect the wound with movement. You shift your gait, lift your heel, or even kick off your shoe. You move. And that is precisely what a woman needs to do in labor. She’s got to move to get this baby though the pelvis more easily. The baby’s position is key, and if a woman’s water is broken and she’s immobilized, the baby will have a harder time angling itself into the pelvis and working its way down and out. If the woman can feel labor, she’s moving, she’s tightening, she’s releasing, she’s moving her hips."
Also, if you have an epidural, we go back to the problem in the beginning, you have to stay in bed. As I have been trying to show all along, childbirth is a complex natural process that medicine cannot replicate. Because I am no doctor and do not have much medical knowledge and can’t explain it well, I am just going to use the book.
"Oxytocin is but one hormone in the bath of birth. Endorphins, natural opiates that are also secreted during sex, reach peak levels during birth and are responsible for the altered stated of consciousness that women often describe toward the end of labor-a reproductive version of the “runner’s high.” The endorphins stimulate release of prolactin, which is central to breastfeeding. Adrenaline and nonadrenaline, the fight-or-flight hormones, are released in both mother and baby. In the baby, these prime the lungs and protect the brain against the stress of birth. Epidural anesthesia blocks adrenaline as well as the endorphins."
So as you can see, pain is important. There is a reason for it. It’s a part of the process. Not to mention there are many natural ways to handle the pain plus if the woman was able to move and is not being induced, the pain is much more bearable. The feminist movement has pushed for easing the woman’s load and pushing for her right to do it the easy way. What they are doing though is calling women weak. A woman’s body is made to carry a baby and give birth. Women are strong enough to do it, without an epidural. Most of our own mothers did.
Alright, now for the big one, cesarean section, commonly known as C-section. If you couldn’t tell already, the previous interventions all tend to lead to this final and most invasive and unnatural of interventions. Let’s start with some statistics. In 2005, 30.2% of US women gave birth by cesarean section. Now let’s put some context on that number, the World Health Organization maintains that in developed country, the proportion of cesareans should not exceed 15%. We have doubled that.
C-Sections are becoming more and more popular. Many women are even choosing C-sections without medical need. Why go though all that work and pain when you can just cut the baby out, right? Doctors seem to be deciding the same. One CDC study found that “1 in 9 first-time mothers in 2003 had a cesarean for no apparent reason.” It has also been found that “the strongest predictor of surgical delivery is not health status or age, but where and with whom a woman gets care.” Another study found that “the number of C-sections performed is driven by mostly nonmedical factors, such as provider density and local medical malpractice pressures, and is mostly unrelated to the mother’s medical condition.” Some doctors push C-sections more than others. Like I stated earlier, if the doctor is busy or overloaded with patents the most convenient thing for him/her is to do a C-section.
The next question then becomes, what’s so bad about C-sections? It’s more dangerous for the baby and the mom. Center for Disease Control research of 5.7 million US births found that “infants born by cesarean with no medical risk factors were nearly three times more likely to die within the first month of life than those born vaginally.” Three times more likely! That’s not worth the convenience if you ask me. And for the mom? It’s even worse. A woman giving birth by cesarean is four times more likely to die than a woman giving birth vaginally. According to a World Heath Organization study, the main cause of maternal deaths in industrialized countries is complications from anesthesia and cesarean section. The medical world may be less willing to inform you of these risks; in the consumer-friendly pamphlet on C-sections it suggests that “primary cesarean section is equivalent in risk to vaginal birth.”
Another problem with C-sections is what happens the next time you are pregnant. Vaginal birth after C-section (VBAC) is banned in over 300 U.S. hospitals. They claim that the risk of complications in having a VBAC are too great. There are right about one thing, there are many dangerous complications after a C-section, “an abruption, detachment of the placenta before birth, is twice as likely after just one cesarean section and is a major cause of infant death. Placenta previa, which occurs when the placenta grows over the cervix, is 50% more common after surgery and can cause complication for both mother and baby.” The specific complication they are worried about is a uterine rupture. A uterine rupture is when the uterine rips open along the C-section incision scar. How common is this complication that forces women into another C-section? Less than 1% of VBAC experience this. And what happens to that 1%? 90% of uterine rupture cases end with a healthy mom and baby. So as Pushed puts it,
"If you are a woman attempting a VBAC, you have around a 75% chance of delivering vaginally and avoiding another major surgery and at least a 99.5% chance of not suffering a uterine rupture. If you choose a repeat cesarean, you have a 99.8% chance of not suffering a uterine rupture and a %100 chance of having another major surgery, with all the risks and drawbacks that entails. These include longer hospital stay; longer and more painful recovery; higher risk of infection; organ damage, adhesions, hemorrhage, embolism, and hysterectomy; more blood loss; higher chance of re-hospitalization; higher chance of a complication with the next pregnancy; less initial contact with the baby; less success breastfeeding; higher risk of respiratory problems for the baby; and twice the risk of the most catastrophic complication of all: Maternal death."
So let’s just ask ourselves, why then are hospital banning VBAC and doctors refusing to do them? Something to think about.
Last part, are hospitals natural birth friendly? (If you don’t know the answer to this question then you really haven’t been listening) In the United States there is only one hospital (for those curious people, it’s in Oregon) that meets the standard for a “Mother Friendly” hospital. Here are the qualifications to be called “Mother Friendly”:
1. Labor begins spontaneously.
2. Women have freedom of movement during labor.
3. Interventions are medically justified rather than routine.
4. Women have continuous emotional and physical support.
5. Pushing occurs in any position but flat-on-back.
6. Mother and baby are not separated.
So now that I have shown you all the things that can and do go wrong with modern maternity care, what are your options? The most natural and non-invasive birthing method is having a midwife and doing a homebirth. This is what I am hoping to do. I understand that not everyone is comfortable with having a home birth. There are many “what ifs” to having a home birth and ideally you want that medical intervention, when needed. Birthing centers are another great option that is a good balance between a fully natural birth and medical help if necessary. Unfortunately, there are only 175 independent birthing centers, 25 in Texas and none in 12 states. So this is not an option for everyone. Another great option is to have a doula. This is a birthing coach that can help advocate for you while you are in the hospital. But keep in mind, the doula can’t interfere with what the doctor decides to do and with hospital policy. Most importantly, research this stuff for yourself. Know when medical intervention is “needed” and not just protocol. And remember, childbirth as a normal, physiological event to be directed by the woman’s body NOT a pathogenic, meaning unhealthy, procedure to be directed by the woman’s physician.
Babies are born, not delivered!
Labor has always been presented to me as something to fear, dread and try to get over with as soon and painlessly as possible. So when my friend described labor as a “wonderful experience”, it made me stop and think. Then the thinking turned to researching which was done though reading many web articles, watching a documentary called “The Business of Being Born” and then reading a book called “Pushed: The painful truth about childbirth and modern maternity care.” That’s when everything changed. I am writing this so that other women (and men too) will give a second thought to going into the hospital and assuming that the doctor will not do anything to put yourself or your child in danger. In this essay I plan to cover issues with doctors, induction, epidurals, VBAC, fetal monitoring, and caesarian section.
Now don’t get me wrong. This is not to say that hospitals are pointless and doctors are unnecessary and that childbirth is always perfect and risk free. There are times when there are complications and doctors and hospitals save the mother and baby’s life. I am very grateful for the work that they do but pregnancy is not a disease, it’s not an illness and labor is not a procedure. And let’s face it, what do doctors study and specialize in? Pathology! Their job is to intervene and control, not to step back and let nature take its course.
Here’s a quote from Pushed that explains it well,
"Americans trust doctors and they trust hospitals, and they equate the two with health. And people want what’s best for their babies. They assume that you decrease your risk by going to a hospital and having a top-flight doctor. What they don’t understand is that obstetricians are surgeons, and they know pathology, but they really suck at wellness."
You always need to remember, like any other job, doctors get paid and it’s not always quality instead of quantity that gets them that money. If you can’t trust car salesmen, contractors, plumbers and what not, why would doctors be different? The biggest controller of a doctor’s action these days is the insurance companies. In Florida, for example, the annual insurance rate for an OB doctor is $200,000! So as one doctor said, “If you get paid $2400 to deliver a baby and you pay out $90,000 in malpractice, you have to do a lot of deliveries to pay that fee.” Insurances don’t pay doctors by the hour, so they can either let a woman deliver naturally and it takes 12 hours or more or they can do a 45 minute C-section and take on more patents which equals more money.
It’s not only the money that controls doctors’ actions, it’s legal as well. The reason why their insurance is so high is because of all the malpractice suits. So doctors often have to base their actions, not on medical necessity, but on what’s going to keep them from being sued. As stated in Pushed;
"If a bad outcome occurs, it has to look like the doctor has done everything she or he possible could. In other words, physiological birth doesn’t look good in court; getting the baby out earlier, faster, and with as many medical interventions as possible does."
Doctors often do what they need to keep practicing. Self preservation is a strong instinct.
It might be helpful to show some statistics that show that maternity care in the U.S. is failing. First, maternal mortality rates: “women are 70% more likely to die in childbirth in the U.S. than in Europe.” As for infant mortality, according to the World Health Organization, we [the U.S.] rank second to last among 33 industrialized countries. Also, in 2002, infant mortality rose for the first time since 1958. There are obviously some problems.
To keep this from become a disorganized rant, I am going to attempt to put this into a chronological order of what happens when a woman comes into the ER in labor. The first issue starts right here. It used to be that hospitals would turn away women who were in just the beginning stages of labor. They understood then that there was no reason for the mother to spend so much time at the hospital. Now, they run a risk at sending a woman home because the “what if” of if something goes wrong while she is gone. So a woman comes into the ER in the very early stages of labor and she’s admitted and the clock starts ticking. What I mean by this is that many hospitals have a protocol about the amount of time it should take a woman to give birth otherwise it becomes “dangerous” or in other words, they don’t have enough time or beds to keep you that long. Many hospitals have a 24 hour rule that the woman needs to go into labor within 24 hours of their water breaking, and they don’t always wait that long. Studies have shown that 60% of women will go into spontaneous labor within 24 hours of their water braking and 95% will begin labor within 72 hours. So what’s the rush?
What happens next? They will lay the woman on the bed give her an IV and strap a fetal monitor to her belly. First problem, laying on a bed. Sorry to be a bit graphic here, but giving birth is like having a bowel movement. There are contractions of abdominal muscles to push something out. Now what is the best position in which to do this most important act? Well squatting of course! Now imagine instead that you are lying on a bed with your feet propped up in stirrups. Now try pooping! Oh wait, except you have been constipated and this is going to be an especially difficult one. This is how illogical it is to have the woman laying down. There are higher rates of vaginal tears and longer, more painful labor in this position. Not only is the position the problem but the lack of movement as well. It is much more comfortable for a woman to be able to move around and change positions. So why do doctors insist on the woman lying down? The electronic fetal monitor.
The electronic fetal monitor (EFM) is a device that monitors the fetal heart rate and was originally intended for use in managing abnormal, high-risk pregnancies. The early studies of the EFM showed great results and so it became a maternity ward staple and used on every woman as a precaution. The problem with the initial study? Same old story, those who originally tested the EFM held more than half of the company’s stock. Can we say “biased”? So what do the later studies say?
"In two studies of high risk women assigned to either EFM or frequent listening by a nurse with a fetoscope, use of EFM was found to impart no benefit, but it more than doubled or tripled the cesarean rate."
Also,
"The National Center for Health Services Research reviewed more than 600 studies on the EFM and concluded that continuous EFM had yet to show improved fetal outcome, except in the case of very small babies."
So despite research, this device is still in use. As you read this, you will start to see the snow ball effect of these supposedly “harmless” “precautionary” interventions. Like the first quote stated this intervention triples the cesarean rate. Why is that? Well first of all, the main problem with the EFM is that it shows false drops in the fetal heart rate. When the doctor sees this he/she states “The baby is in distress!” and into the operating room they go. Also, the paper strip from an EFM is admissible as courtroom evidence and acts as a paper trail which forces doctors into doing C-sections.
Alright so now our poor mom has tubes and wires all over her and she is forced to stay in bed. What comes next? The doctor comes in, he/she’s in a hurry or because, like mentioned earlier, they admitted the mom too early, the doctor states “She is failing to progress. Time to induce.” And they give mom, in the conveniently ready IV, a dose of Pitocin. (In a study of low-risk first time mothers 70% received Pitocin.)
In natural childbirth the body releases a hormone called Oxytocin. Perhaps you have heard of it. It’s the same hormone released at orgasm for both men and women. It is also released during the rush of being in love or when you have the feeling of emotional connection with a friend and also it’s what causes the release of milk to a nursing baby. It is a powerful, emotional hormone that not only has a physical function but helps with emotional bonding between mother and child. In labor, it contracts the uterus in a perfectly rhythmic motion that allows for resting periods in between for mother and baby and ends with an “ejection reflex” that pushes the baby out. This rhythm is important both to give the mom a rest as well as give the baby a rest because the contractions cut off oxygen supply to the baby.
Pitocin, on the other hand, is an artificial oxytocin. This drug works very well in causing the uterus to contract. But that’s about it. This drug does not cross the blood brain barrier to also include the emotional affects of oxytocin. Also, Pitocin stops the production of natural oxytocin. The other problem with Pitocin is that it does not have the same natural rhythm. As one doctor described it, “These [Pitocin induced contractions] are bad-ass contractions. I personally think it’s cruel and unusual punishment to give somebody Pitocin without an epidural.” Pitocin induced contractions are stronger and more frequent than natural contractions. So what happens to the baby? It becomes oxygen deprived for too long and the handy dandy EFM detects a drop in the fetal heart rate and again off to the operating room we go. Inducing ups the woman’s chance of a C-section by two or three times. (Are you seeing a pattern yet?) “A recent American Congress of Obstetrics and Genecology survey found that in 43% of malpractice suits involving neurologically impaired babies, Pitocin was to blame.”
The physiologic process of birth is beyond what science and medicine can reproduce or understand. Doctors are beginning to put themselves in a place where they think they have it figured out better than nature has. Here’s what Pushed says about it;
"Although modern medicine can chemically mimic dilation and contractions with manmade prostaglandin and oxytocin, it has not been able to fully explain or successfully replicate the onset of labor. The moment when spontaneous labor begins is a moment that remains mysterious, a private hormonal conversation between mother and fetus that scientists have yet to fully decode."
"What we understand now is that the baby participates in the initiation of labor. In particular, the baby gives a signal when its lungs are mature. For a baby to be born it implies that the lungs are ready, because to be born is to breathe. In other words, induced labor is premature labor."
So now the woman has been induced and is in severe pain, now what is she screaming for? GIVE ME AN EPIDURAL!
Even in cases where the mom is not induced, epidurals are highly popular. Use of epidurals increased from 22% in 1981 to 66% in 1997 and is estimated to be 80% today. Like I said, very popular! Why is that? Well of course there is the obvious, less pain but also a misunderstanding of pain. In modern society there has been this equation; pain=bad. This is not true, it may seem like it, but it’s not. Take for example the rare disorder where people are born with the inability to feel pain. They usually don’t live very long. Pain is an important signal. As one midwife stated “Pain is important. It is not a side effect, rather it is a central component of normal birth, not something from which mothers should be distracted.” Here is how she puts it;
"What do we do when we experience pain in general? We respond to it. Consider a toe blister- you protect the wound with movement. You shift your gait, lift your heel, or even kick off your shoe. You move. And that is precisely what a woman needs to do in labor. She’s got to move to get this baby though the pelvis more easily. The baby’s position is key, and if a woman’s water is broken and she’s immobilized, the baby will have a harder time angling itself into the pelvis and working its way down and out. If the woman can feel labor, she’s moving, she’s tightening, she’s releasing, she’s moving her hips."
Also, if you have an epidural, we go back to the problem in the beginning, you have to stay in bed. As I have been trying to show all along, childbirth is a complex natural process that medicine cannot replicate. Because I am no doctor and do not have much medical knowledge and can’t explain it well, I am just going to use the book.
"Oxytocin is but one hormone in the bath of birth. Endorphins, natural opiates that are also secreted during sex, reach peak levels during birth and are responsible for the altered stated of consciousness that women often describe toward the end of labor-a reproductive version of the “runner’s high.” The endorphins stimulate release of prolactin, which is central to breastfeeding. Adrenaline and nonadrenaline, the fight-or-flight hormones, are released in both mother and baby. In the baby, these prime the lungs and protect the brain against the stress of birth. Epidural anesthesia blocks adrenaline as well as the endorphins."
So as you can see, pain is important. There is a reason for it. It’s a part of the process. Not to mention there are many natural ways to handle the pain plus if the woman was able to move and is not being induced, the pain is much more bearable. The feminist movement has pushed for easing the woman’s load and pushing for her right to do it the easy way. What they are doing though is calling women weak. A woman’s body is made to carry a baby and give birth. Women are strong enough to do it, without an epidural. Most of our own mothers did.
Alright, now for the big one, cesarean section, commonly known as C-section. If you couldn’t tell already, the previous interventions all tend to lead to this final and most invasive and unnatural of interventions. Let’s start with some statistics. In 2005, 30.2% of US women gave birth by cesarean section. Now let’s put some context on that number, the World Health Organization maintains that in developed country, the proportion of cesareans should not exceed 15%. We have doubled that.
C-Sections are becoming more and more popular. Many women are even choosing C-sections without medical need. Why go though all that work and pain when you can just cut the baby out, right? Doctors seem to be deciding the same. One CDC study found that “1 in 9 first-time mothers in 2003 had a cesarean for no apparent reason.” It has also been found that “the strongest predictor of surgical delivery is not health status or age, but where and with whom a woman gets care.” Another study found that “the number of C-sections performed is driven by mostly nonmedical factors, such as provider density and local medical malpractice pressures, and is mostly unrelated to the mother’s medical condition.” Some doctors push C-sections more than others. Like I stated earlier, if the doctor is busy or overloaded with patents the most convenient thing for him/her is to do a C-section.
The next question then becomes, what’s so bad about C-sections? It’s more dangerous for the baby and the mom. Center for Disease Control research of 5.7 million US births found that “infants born by cesarean with no medical risk factors were nearly three times more likely to die within the first month of life than those born vaginally.” Three times more likely! That’s not worth the convenience if you ask me. And for the mom? It’s even worse. A woman giving birth by cesarean is four times more likely to die than a woman giving birth vaginally. According to a World Heath Organization study, the main cause of maternal deaths in industrialized countries is complications from anesthesia and cesarean section. The medical world may be less willing to inform you of these risks; in the consumer-friendly pamphlet on C-sections it suggests that “primary cesarean section is equivalent in risk to vaginal birth.”
Another problem with C-sections is what happens the next time you are pregnant. Vaginal birth after C-section (VBAC) is banned in over 300 U.S. hospitals. They claim that the risk of complications in having a VBAC are too great. There are right about one thing, there are many dangerous complications after a C-section, “an abruption, detachment of the placenta before birth, is twice as likely after just one cesarean section and is a major cause of infant death. Placenta previa, which occurs when the placenta grows over the cervix, is 50% more common after surgery and can cause complication for both mother and baby.” The specific complication they are worried about is a uterine rupture. A uterine rupture is when the uterine rips open along the C-section incision scar. How common is this complication that forces women into another C-section? Less than 1% of VBAC experience this. And what happens to that 1%? 90% of uterine rupture cases end with a healthy mom and baby. So as Pushed puts it,
"If you are a woman attempting a VBAC, you have around a 75% chance of delivering vaginally and avoiding another major surgery and at least a 99.5% chance of not suffering a uterine rupture. If you choose a repeat cesarean, you have a 99.8% chance of not suffering a uterine rupture and a %100 chance of having another major surgery, with all the risks and drawbacks that entails. These include longer hospital stay; longer and more painful recovery; higher risk of infection; organ damage, adhesions, hemorrhage, embolism, and hysterectomy; more blood loss; higher chance of re-hospitalization; higher chance of a complication with the next pregnancy; less initial contact with the baby; less success breastfeeding; higher risk of respiratory problems for the baby; and twice the risk of the most catastrophic complication of all: Maternal death."
So let’s just ask ourselves, why then are hospital banning VBAC and doctors refusing to do them? Something to think about.
Last part, are hospitals natural birth friendly? (If you don’t know the answer to this question then you really haven’t been listening) In the United States there is only one hospital (for those curious people, it’s in Oregon) that meets the standard for a “Mother Friendly” hospital. Here are the qualifications to be called “Mother Friendly”:
1. Labor begins spontaneously.
2. Women have freedom of movement during labor.
3. Interventions are medically justified rather than routine.
4. Women have continuous emotional and physical support.
5. Pushing occurs in any position but flat-on-back.
6. Mother and baby are not separated.
So now that I have shown you all the things that can and do go wrong with modern maternity care, what are your options? The most natural and non-invasive birthing method is having a midwife and doing a homebirth. This is what I am hoping to do. I understand that not everyone is comfortable with having a home birth. There are many “what ifs” to having a home birth and ideally you want that medical intervention, when needed. Birthing centers are another great option that is a good balance between a fully natural birth and medical help if necessary. Unfortunately, there are only 175 independent birthing centers, 25 in Texas and none in 12 states. So this is not an option for everyone. Another great option is to have a doula. This is a birthing coach that can help advocate for you while you are in the hospital. But keep in mind, the doula can’t interfere with what the doctor decides to do and with hospital policy. Most importantly, research this stuff for yourself. Know when medical intervention is “needed” and not just protocol. And remember, childbirth as a normal, physiological event to be directed by the woman’s body NOT a pathogenic, meaning unhealthy, procedure to be directed by the woman’s physician.
Babies are born, not delivered!
Wednesday, February 24, 2010
Nail Polish and My Split Personality
I love nail polish.
It’s like getting a new outfit, only a lot cheaper. I am convinced though that my nails have some sort of weird toxic oils that come out of them (that sounds a lot grosser than I meant it to be, sorry about that) because nail polish doesn’t harden when I put it on, it just stays soft and tacky. Except for the wonderful Revlon nail polish. I love this stuff. It works great on my toxic nails.
About once a week (usually on Thursday night because Stephen is gone at church band practice) I paint my nails. I have a whole routine. First, I start with cutting and filing my nails. Then I use the Satin Hands kit by Mary Kay (thanks Nancy!) to make my hands and cuticles super soft, and satiny of course. Then the painting. Wait, wait, back up. I forgot the most important and best part! Picking the color!
Now this is a very important decision because this will be the color I will be committing to for the next week. That's a pretty big commitment. This decision may very well determine my outfit choices (I usually don’t care but if it really clashes or really matches, it can make or break it for me) as well as my mood for the week. Take for instance, the color I chose this week.
Electric Pink.
Also, an example of an outfit that was totally inspired by the nail color.
Most of the colors I own fall into two categories, really bright, or really dark. I have been stuck in a dark color rut for a few months now. Don’t get me wrong, I love my black, silver and navy blues but I was in need of a change. So I decided to go for something bright and funky. So all week now I have been wearing brighter colors and when I look down at my nails the brightness makes me smile (side note, nail polish colors also affect my perfume choice, while wearing this color I always want to wear my Pink Sugar perfume that smells like cotton candy, where as when I wear the dark colors I wear my Kat von D Sinner perfume, but I am rambling, maybe I will do a post on perfume and my moods...anyways, moving on.)
This may all seem very random and superficial, especially the former (cause who really cares about my nail polish choices right?), but I find it to be a very good analogy for myself and my personality. I have two sides.
On one side I am the bright, cute, quiet, sweet little Megan.
On the other, I am the edgy, tattooed, outspoken, fiery redhead.
So in conclusion, chose your nail polish wisely, it may say more about you than you think.
Tuesday, February 23, 2010
The Body is an Amazing Thing
Two and a half years ago I ran 26.2 miles. Don’t believe me, need proof, see exhibit A.
Exhibit A: Me sprinting (that's right, sprinting, and up hill at that) to the finish line after 4 hours and 47 minutes. (check out those hot thigh muscles, oh yeah)
Today, I could barely (and I mean BARELY) run a mile. So sad. So pathetic. I just felt the need to express my disappointment in the disintegration of muscles into fat when not in use.
Exhibit A: Me sprinting (that's right, sprinting, and up hill at that) to the finish line after 4 hours and 47 minutes. (check out those hot thigh muscles, oh yeah)
Today, I could barely (and I mean BARELY) run a mile. So sad. So pathetic. I just felt the need to express my disappointment in the disintegration of muscles into fat when not in use.
Monday, February 22, 2010
Hell Raiser
Giselle is a most definite hell raiser/trouble maker/ terrorist. Those are a few of the names we yell at her. She is very sweet but a bit crazy. She runs around like a psycho and meows funny. She loves to knock things down and most of all, she loves to climb up high. Her favorite spot is on top of the cabinets in the kitchen. She can, amazingly enough, jump all the way from the counter to the top of the cabinets.
She loves to hang out up there and just watch me from above. I think it makes her feel powerful.
Here she is, perched up high, watching her subjects do her bidding, plotting her world domination.
She loves to hang out up there and just watch me from above. I think it makes her feel powerful.
Here she is, perched up high, watching her subjects do her bidding, plotting her world domination.
Sunday, February 21, 2010
My New Obsession
You may have noticed that I have been posting a lot more lately. What is the reason for this new found obsession? Partially, from boredom of no good TV, from a lack of other hobbies, from lack of satisfaction at work, need for photographic inspiration and most of all, from The Pioneer Woman. Who is she? Well she is an amazing blogger and my inspiration for my current blogging obsession. Her blog is so interesting and fun to read. She takes simple everyday stuff and makes it fun and interesting. It all started by me reading her love story about her and her husband. I spent 2 straight days at work doing nothing but reading it (don’t tell my boss). At the end I felt like I knew her, as if we were friends. (That sounds a little lonely and pathetic but true all the same) She has such a witty way of writing that shows you her life, personality and sense of humor. I could never hope to be as good of a blogger as her but I can still have fun trying. I hope to have more people reading this so tell your friends how awesome this blog is :o)
If you want to join in the obsession go to thepioneerwoman.com
If you want to join in the obsession go to thepioneerwoman.com
Saturday, February 20, 2010
The War
I realize some of you may not be too familiar with Hawaiian culture. So I will attempt in my blog to educate you on all the important points in the rich history of Hawaii. Today, we are going to learn about an epic battle that has been going on for centuries. It’s the battle between dog, and coconut.
They are mortal enemies.
Both are of the opinion that “This Island is not big enough for the two of us!”
So the battle began.
Dog, being the larger and more mobile, obviously had the upper hand.
Dog started by intimidating the coconut with vicious barking.
Then there was the gnawing..
…oh the gnawing! I can still hear it in my sleep.
It was a gory scene that the other coconuts in the trees above could only watch in horror!
Dog would even throw coconut in the air at an attempt to break him open! It was quite vicious.
Dog did a lot of kicking as well.
There was one thing that dog did not see coming...
The secret weapon of the coconut...
Endurance.
So in the end, the battle was won by coconut...
...but the war wages on!
They are mortal enemies.
Both are of the opinion that “This Island is not big enough for the two of us!”
So the battle began.
Dog, being the larger and more mobile, obviously had the upper hand.
Dog started by intimidating the coconut with vicious barking.
Then there was the gnawing..
…oh the gnawing! I can still hear it in my sleep.
It was a gory scene that the other coconuts in the trees above could only watch in horror!
Dog would even throw coconut in the air at an attempt to break him open! It was quite vicious.
Dog did a lot of kicking as well.
There was one thing that dog did not see coming...
The secret weapon of the coconut...
Endurance.
So in the end, the battle was won by coconut...
...but the war wages on!
Friday, February 19, 2010
Cherimoya anyone?
A few weeks ago at the farmers market we discovered a strange fruit. They had a sample of it and we tried it. Stephen loves it! It’s his new favorite fruit. He says it tastes like candy. Apparently Mark Twain agrees because he is known to have said that cherimoya “is the most delicious fruit known to man.” I on the other hand am not so sure about it. It’s one of those things that no matter how much I try it I just can’t seem to categorize it into “good” or “bad”, just “different”. So what is a cherimoya?
Here is the outside.
Here is the inside.
Let’s take a closer look. The texture is similar to that of a mango.
Stephen enjoying this most heavenly of fruits.
I must admit. This scene was a bit of a set up. This particular cherimoya was unfortunately sour, and Stephen hates sour food! So I told him to pretend like he was enjoying it for the pictures but this was his real face after tasting it.
Here is the outside.
Here is the inside.
Let’s take a closer look. The texture is similar to that of a mango.
Stephen enjoying this most heavenly of fruits.
I must admit. This scene was a bit of a set up. This particular cherimoya was unfortunately sour, and Stephen hates sour food! So I told him to pretend like he was enjoying it for the pictures but this was his real face after tasting it.
Thursday, February 18, 2010
Tuna Breath
This morning I was making tuna salad for lunch out of our leftover tuna we got from the farmers market. Bagheera was around and he loves canned tuna so I decided to see if he liked fresh tuna. Well I gave him a little piece and he loved it! He went nuts! He followed me around all morning begging for more. Ever seen a cat beg? If not, this is what it looks like.
Look at the intensity in those eyes! If I had to guess, I would say that he is coming up with a diabolical plan to kill me so that he can have all the tuna to himself.
I am pretty sure he would have given his left paw for some more.
Oh my, what have I started! If this gets out of hand, he may need to go to tuna rehab.
Alright, enough with the cheesy jokes.
Look at the intensity in those eyes! If I had to guess, I would say that he is coming up with a diabolical plan to kill me so that he can have all the tuna to himself.
I am pretty sure he would have given his left paw for some more.
Oh my, what have I started! If this gets out of hand, he may need to go to tuna rehab.
Alright, enough with the cheesy jokes.
Tuesday, February 16, 2010
Willow Turns One!
Today was Willow’s first birthday. We don’t know her real birthday (Lilo is the only one we know) so I made one up for her. I choose the day that we got her, the 16th of May and then subtract how old she was, 3 months. So, her birthday is February 16th. She is still staying with Tonya, the lady from Pawprints Animal Rescue where we got her from. She has been there for 5 months now. We try to take her for the day at least once a month. I really miss her. I went and picked her up in the morning with Lilo. They are always so excited to see each other. There is no doubt that she remembers us! I brought her home and gave her a bath. (She is currently living with about 10 other dogs so she usually smells a little) The first thing she always does when she gets home is jump up on the couch and curl up on her favorite spot. She played with Lilo and Giselle. Bagheera just hissed at her and walked away. We then took the dogs to the dog park. They love the dog park. Lilo still rolls on her back when she meets new dogs, what a wuss! Willow on the other hand always finds one dog she doesn’t like. This time it was a female basset hound. I don’t know why, but she just doesn’t like some dogs. She senses something about them. Last time it was a whippet. The time before that it was a pit bull. Tonya says Willow can sense the weakness in some dogs and this is her dominating them. I’m not so sure. Maybe I’ll ask Caesar :o)
Here’s the dog park. Pretty huh?
Saying “hi” to the other dogs.
Lilo found a mini-me!
Willow loves to run!
The birthday girl!
All this running around makes us thirsty!
Here’s the dog park. Pretty huh?
Saying “hi” to the other dogs.
Lilo found a mini-me!
Willow loves to run!
The birthday girl!
All this running around makes us thirsty!
Monday, February 15, 2010
Valentine's Weekend, Part 2
Valentine’s Day started with church of course, being a Sunday. Stephen jammed on his saxophone during worship and sounded great as always. Pastor gave a good sermon about God’s love which reminded us all of how imperfect our love is compared to God’s unchanging love. It’s very fitting to remember on Valentine’s Day how God loved and continues to love us despite who we are and what we do, because we are sinners who could never deserve that love. It reminded me that in marriage we are to love each other whether the other person deserves it our not.
After church we went home and Stephen gave me a beautiful bouquet of tulips (I guess he caught on to the hint when I told him last week that I wanted tulips for Valentine’s Day. I find it’s helpful to let him know my expectations, like when I told him when and what I expected as a proposal. I think he appreciates it as well ;o)
This is what I got him for Valentines Day (well this plus a back, foot and hand massage which is quite a gift being that I hate giving massages).
It’s a book on penmanship and practice books. And yes, this was something my dork-nerd husband really wanted. He wants to take up the art of letter writing but his penmanship is terrible, hence the books.
Stephen surprised me with a wine tasting before our dinner. It wasn’t quite what we expected; it was pretty much the same as the one we go to for free every Thursday. We did get to taste chocolate wine which was interesting. It tasted like chocolate Bailey’s. (Sorry I don’t have any pictures, I forgot the camera) Then we walked around the shopping center and he got shaved ice and I got bubble tea. We then drove to Chinatown to the restaurant. We were really early so I slept in the car while he watched political clips on his iPhone.
We went to the restaurant Indigo which is a blend of Asian, French and Mediterranean cuisine. It started with a waitress coming up to our table and offering us a shot of this special liquor. By “special” I mean, she said it a blend of herbs and infused with male and female lizards and, get this, a seahorse. (It was supposed to be a virility thing) We took it and it was terrible, but really funny. (I kept asking him if the seahorse has kicked in yet, sorry, too much information :o) Also, regarding the seahorse liquor, there was an elderly couple that came into the restaurant. She looked like she was doing fairly well but the husband was pretty hunched and had an oxygen tank. So the waitress came over to their table and I saw her explain the liquor just like she did for us. I then heard the wife tell the husband louder so he could hear that they were being offered a virility drink and she busted out laughing! I was trying so hard not to laugh! It was so funny! Needless to say she declined the drink, I guess she didn't think he was up to it :o) The dinner was good and we shared a good bottle of wine. We had a good time. It was a great Valentine’s Day.
After church we went home and Stephen gave me a beautiful bouquet of tulips (I guess he caught on to the hint when I told him last week that I wanted tulips for Valentine’s Day. I find it’s helpful to let him know my expectations, like when I told him when and what I expected as a proposal. I think he appreciates it as well ;o)
This is what I got him for Valentines Day (well this plus a back, foot and hand massage which is quite a gift being that I hate giving massages).
It’s a book on penmanship and practice books. And yes, this was something my dork-nerd husband really wanted. He wants to take up the art of letter writing but his penmanship is terrible, hence the books.
Stephen surprised me with a wine tasting before our dinner. It wasn’t quite what we expected; it was pretty much the same as the one we go to for free every Thursday. We did get to taste chocolate wine which was interesting. It tasted like chocolate Bailey’s. (Sorry I don’t have any pictures, I forgot the camera) Then we walked around the shopping center and he got shaved ice and I got bubble tea. We then drove to Chinatown to the restaurant. We were really early so I slept in the car while he watched political clips on his iPhone.
We went to the restaurant Indigo which is a blend of Asian, French and Mediterranean cuisine. It started with a waitress coming up to our table and offering us a shot of this special liquor. By “special” I mean, she said it a blend of herbs and infused with male and female lizards and, get this, a seahorse. (It was supposed to be a virility thing) We took it and it was terrible, but really funny. (I kept asking him if the seahorse has kicked in yet, sorry, too much information :o) Also, regarding the seahorse liquor, there was an elderly couple that came into the restaurant. She looked like she was doing fairly well but the husband was pretty hunched and had an oxygen tank. So the waitress came over to their table and I saw her explain the liquor just like she did for us. I then heard the wife tell the husband louder so he could hear that they were being offered a virility drink and she busted out laughing! I was trying so hard not to laugh! It was so funny! Needless to say she declined the drink, I guess she didn't think he was up to it :o) The dinner was good and we shared a good bottle of wine. We had a good time. It was a great Valentine’s Day.
Saturday, February 13, 2010
Valentine's Weekend, Part 1
First let me start by saying, Stephen is terrible with surprises. He always wants to tell me ahead of time what it is. It’s a good thing I have a stronger will and tell him not to tell me. The whole day yesterday he kept saying to me “You want to know what we are doing tomorrow? I really want to tell you.”
So today, a Saturday mind you, Stephen made me get up early and told me we were going somewhere. So we head up to North Shore area, Waialua to be exact and we pull into this parking lot and I see a farmers market and I think “um, what’s the big deal, we go to the farmers market all the time, what’s so special about this one? Then I see the sign (I have provided a blue arrow so you can see what my eyes were drawn to)
That’s right, chocolate mill! Does my man know me or what! So this place was the old sugar mill (FYI they don’t make sugar in Hawaii anymore, outsourcing I guess) that they now use for these little cute shops. First we went to the soap factory, very cute. We bought a sample packet of their different scented soaps plus a bar of peppermint soap I really wanted.
Then we walked over to the coffee/chocolate mill. It wasn’t quite what we expected. You might have noticed on the sign it said “free mini tours”. Well this is what the tour consisted of; a man came up to us, showed us the coco pods
Then the beans
Then walked us outside and pointed at a tree 50 yards away and said “That’s the coco tree”. The coffee part of the tour included him pointed to the drying boxes and saying “That is where we dry the coffee beans”. I think I would call that a micro tour. But we did get free samples of coffee, and let me tell you, Hawaiian coffee is really good. And we bought a dark chocolate bar for me and a milk chocolate bar for Stephen. And it was very good chocolate. Also included here is a picture of Stephen being silly, which in case you didn’t know, he is all the time. (He tries very hard to keep up a serious persona but I do my best to reveal his true self, which is that he is a completely goofy dork/nerd)
Then we went to the famers market and bought some produce. We bought some peanuts to make homemade peanut butter; we’ll see how that goes. We also bought 2 coconuts. The lady put a straw in one so we could drink the milk. Yeah, coconut milk, not so tasty as you would think. When we got home Stephen smashed it open with a hammer and gave a chunk to Lilo (who is currently outside gnawing on it). Oh, also at the farmers market, we bought some Ahi that a guy was selling out of the back of his truck. Stephen is going to grill it for dinner tonight. Stephen has another surprise for me for tommorrow, I'll see if I can keep me from telling me what it is till then.
So today, a Saturday mind you, Stephen made me get up early and told me we were going somewhere. So we head up to North Shore area, Waialua to be exact and we pull into this parking lot and I see a farmers market and I think “um, what’s the big deal, we go to the farmers market all the time, what’s so special about this one? Then I see the sign (I have provided a blue arrow so you can see what my eyes were drawn to)
That’s right, chocolate mill! Does my man know me or what! So this place was the old sugar mill (FYI they don’t make sugar in Hawaii anymore, outsourcing I guess) that they now use for these little cute shops. First we went to the soap factory, very cute. We bought a sample packet of their different scented soaps plus a bar of peppermint soap I really wanted.
Then we walked over to the coffee/chocolate mill. It wasn’t quite what we expected. You might have noticed on the sign it said “free mini tours”. Well this is what the tour consisted of; a man came up to us, showed us the coco pods
Then the beans
Then walked us outside and pointed at a tree 50 yards away and said “That’s the coco tree”. The coffee part of the tour included him pointed to the drying boxes and saying “That is where we dry the coffee beans”. I think I would call that a micro tour. But we did get free samples of coffee, and let me tell you, Hawaiian coffee is really good. And we bought a dark chocolate bar for me and a milk chocolate bar for Stephen. And it was very good chocolate. Also included here is a picture of Stephen being silly, which in case you didn’t know, he is all the time. (He tries very hard to keep up a serious persona but I do my best to reveal his true self, which is that he is a completely goofy dork/nerd)
Then we went to the famers market and bought some produce. We bought some peanuts to make homemade peanut butter; we’ll see how that goes. We also bought 2 coconuts. The lady put a straw in one so we could drink the milk. Yeah, coconut milk, not so tasty as you would think. When we got home Stephen smashed it open with a hammer and gave a chunk to Lilo (who is currently outside gnawing on it). Oh, also at the farmers market, we bought some Ahi that a guy was selling out of the back of his truck. Stephen is going to grill it for dinner tonight. Stephen has another surprise for me for tommorrow, I'll see if I can keep me from telling me what it is till then.
Tuesday, February 9, 2010
Buy Local
Stephen has gotten into this new "buy local" kick so now every other Saturday we drive 30 minutes across island to go to the farmers market. We try to buy as much of our groceries there as we can (the goal is to go to the grocery store as little as possible). We mostly get fruits and vegetables. We have been trying things we wouldn't usually, like kale, swiss chard, cherimoya or Okinawain sweet potatoes. Then it’s my job to come up with recipes that use these ingredients. Sometimes it ends up good, other times...not so much. We are also looking into buying organic, free range, local meat. There is a cattle company here that you can buy beef in bulk from (by bulk, I mean, a half or whole carcass). That way we could just keep it frozen and use it throughout the year. We also hit Whole Foods because it’s near the farmers market. I have been trying different kinds of dairy. I have had goat milk ice cream, very good. Sheep’s milk yogurt, interesting but good. I also have tried almond milk, not bad. I have soy and greek yogurt in the fridge to try still. Here is a picture of all the things we got this week for $35.
I know this looks like play dough, but its mashed Okinawain sweet potatoes. Very delicious.
I know this looks like play dough, but its mashed Okinawain sweet potatoes. Very delicious.
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