Monday, January 10, 2011

Natural Birthing

On 6 January 2011 I googled the word natural, the second entry to appear was Medical Videos - Natural Vaginal Child Birth Delivery Video ... If you click on the link (beware it is quite graphic!) you will see that this links to a five minute video of a natural birth. This is the Natural Vaginal Child Birth Delivery Video. 2,792 people have liked this video and shared it on facebook suggesting that there are many people out there who like the idea of a natural birth. In our society today it is all too easy to opt for drugs to relieve pain or even elect for a caesarean in order to not have to ‘go through’ a labour experience.

Understandably there are births that come with complications and require medical intervention such as a delivery aided by forceps or ventouse or even an emergency caesarean but if this is not medically necessary is there a better way? I recently read an article on the Mail Online website Maternity meltdown: A devastating firsthand account of the chaos on wards - and why overweight mums are partly to blame. The article talks about staff shortages on labour wards and how this is becoming a major problem. The author does suggest that the number of births in the hospital that she works in has more than doubled over the past couple of years but she also says that a woman who is about to give birth and has been given an epidural is meant to be monitored constantly. Nowadays so many women are asking for epidurals surely this must take up much needed time as the midwives monitor these women continually. Having an epidural can also slow down labour so the women need to be looked after for longer periods.

The majority of pregnant woman avoid certain chemicals such as those in cigarettes and alcohol during pregnancy. There are also certain medications that pregnant woman should refrain from taking along with a selection of foods. A question I always ask is, why when having kept away from all of these things for 40 weeks would you then go and give your baby a shot of a chemical that in normal circumstances you would not let anywhere near you? Pethadine for example is a synthetic form of morphine. Diacetylmorphine (better known as heroin) was synthesized from morphine in 1874 and brought to market by Bayer in 1898. Yet many women - justifiably - find the pain of childbirth too difficult to experience and at the last minute are happy to be injected with these chemicals and in turn pass the chemical onto the baby. In some cases the fear associated with the pain could result in a prolonged labour and the pain relief/medical intervention become necessary but wouldn’t it be worth trying something else to help avoid this situation? Having a natural birth can be an amazing experience; using HypnoBirth can help to achieve a natural birth, most couples that have used the Fertility2Birth HypnoBirth programme have achieved the natural birth they so desired. For the mother, a natural birth increases the probability of an easier, healthier recovery due to no chemicals in the body, cutting of the perineum bruises from IV lines, or severe headache or backache due to side effect of epidurals. For the baby, a natural birth reduces the exposure to chemicals. A natural birth also reduces the likelihood of needing to separate the infant from its mother after birth, important for successful breastfeeding and bonding. Surely it’s worth a go to avoid taking in these chemicals, to avoid passing the chemicals on to your baby and to help out those busy midwives. You never know you might be able to tell your baby that his or her entrance to the world was an enjoyable magical experience.

Juliet Hollingsworth

Fertility & birth specialist at On Harley Street

Thursday, January 6, 2011

Spontaneous Birth Reflex / Maternal-Fetal Ejection Reflex / Natural Expulsive Reflex

Spontaneous Birth Reflex / Maternal-Fetal Ejection Reflex / Natural Expulsive Reflex

Research taken from:

ACDM ~ California College of Midwives ~

Characteristics of Clinical Competency

June 2001 Technical Bulletin #5

~ Maternal-Fetal Ejection Reflex ~

Designer Genes program a natural “labor saving devise”, the fruit of a physically and psychologically undisturbed labor in a healthy mother



There is a large difference between undisturbed spontaneous labour and birth. At a spontaneous birth (and by spontaneous I mean where the birth is undisturbed, natural and ‘with the body’) the spontaneity can be seen as a naturally advancing process combining biological and psychological resources making the birth tolerable for the woman and safe for the baby. It is accompanied by a dramatic increase in childbirth specific hormones – endogenous oxytocins – to stimulate uterine activity and beta endorphins (the source of the “runner’s high”) providing natural pain relief for the mother. Maternal hormones also trigger hormone production in the foetus to prepare it to breathe independently and maintain its body temperature after birth. The understanding of this reveals the problems that can arise when trying to provide medical care to a large percentage of healthy women who, if undisturbed, will have labours graced by a “labour-saving” mechanism -- the spontaneous birth reflex.



In recognising this phenomenon Dr. Michael O’Dont first named it the Fetal Ejection Reflex. It is now common to add the word Maternal to the name to make it clear that the baby does not, independent of the mother eject itself from the body but rather the birthing mother allows the spontaneous energy to run through her to safely birth the baby. Dr O’Dont was trying to identify the biological mechanism responsible for rapid, apparently easy deliveries. The normal spontaneous birth reflex is the “physiological” process (biology + psychology) that makes birth mechanically successful, physically tolerable for the birthing mother and safe for the baby. At a certain time after the cervix is fully dilated the mother experiences a dramatic event in which the body simultaneous opens up (relaxes normal muscle resistance) while forcefully propelling her foetus downward. This reflex overcomes the usual soft tissue resistance and takes advantage of momentum to press the baby down and out. This reflex has the exact same biological chain of events as vomiting but in the opposite direction. It is a natural response similar to a reverse sneeze, or the way our body naturally moves food through itself. Historically speaking it was the inclination of second or more time birthing mothers to have very quick births that scared obstetricians and caused them to bring mothers in early and induce them by artificially rupturing the membranes.



A crucial part of the Maternal Fetal Ejection Reflex (MFER) is the psychological comfort of the mother. Michael O’Dont described this as creating psychological circumstances for the mother so she “feels secure and unobserved at the same time”. He observed that the birth attendant’s first responsibility is not to disturb the natural process. For many mothers her need to be undisturbed is balanced by an equally powerful need to be in the right place and have family members of great psychological importance, as well as the doctor or midwife present, before she can permit, at least at a subconscious level, the labour process to unfold. For those who prefer hospital care, these mothers must have arrived at the hospital before the MFER can complete itself.



The MFER is a constant exception to the rules of labour as expressed by Friedman’s Curve*, which graphically represents labour as a relentlessly slow and painful process. Most importantly, this linear concept sees labour and birth as solely dependent on hard work and the ability of the mother to tolerate the pain rather than using her internal resources to help with or surrender to her labour. The picture society has of labour and delivery is one of incredible effort in which the mother labours with slow incremental progress. The MFER is almost the opposite of that expectation. While it is impossible to predict who will experience the MFER many birth attendants have observed that a calm or confident mother is more likely to do so than a fearful, anxious one who feels greatly unsure of herself or is afraid of birth.



A true MFER appears to provide the calm that can only be matched in a medical setting through the use of an epidural. Often (but not always) the MFER is enhanced by submerging the mother in deep water after she has reached 5cm dilatation and letting her and her husband or partner focus together with as few caregiver interruptions as possible (vaginal examinations for example). Dr O’Dont describes this as permitting the mother to feel secure and unobserved at the same time. Unfortunately this spontaneous birth reflex is easily disturbed and often (but not always) obliterated by medication during the delivery period.



The MFER appears to represent in birth what sex researchers Drs Master and Johnson identified as the orgasmic plateau, that is to say a state of being during which an overriding internal mechanism triggers a series of discrete but perfectly timed and attuned events of physiology which fire off in domino fashion when the conditions are right. Hence the term orgasmic birth. At this point it is a natural reflex and happens regardless of the individual’s wishes so, during labour this means that even if contractions seem painful or the mother is clearly anxious, the labour will be briskly moving and result in a normal spontaneous vaginal delivery without anaesthesia and often, without significant perineal trauma, perhaps even before the doctor or midwife arrives.



The MFER is very much a primitive natural instinct and it is the neo-cortex part of the brain (the most recently developed) along with the disruptions of a disturbed birth (examinations, bright lights, loud noises, unfamiliar people etc) that can prevent the MFER from happening as birthing mothers often feel very far from “secure and unobserved”. The MFER is often not recognised as it can follow a lengthy and even painful latent stage. For hospital births it may include both induction and epidural before this fast-finish. The MFER often comes at the end of a long, psychologically difficult latent phase, it is not necessarily perceived by either the mother or the midwife as a “fast birth”. There are five elements for a successful normal spontaneous vaginal birth and a long latent phase appears to set up the circumstances so that all five elements are present. The five elements required are as follows:



1. A healthy Mother, a normal pregnancy & a spontaneous onset of labour at term

2. An understanding of the physiological and psychological aspects of spontaneous labour and birth by both parents and practitioners

3. Physiologically appropriate response by family and professional caregivers to the normal physical, biological and gravitational demands of spontaneous labour and birth

4. Psychologically appropriate response by family and professional caregivers to the emotional and psychological needs of the mother to the normal stresses and sensations of labour and birth

5. Willingness of the mother to accept pressure of uterine contraction and the anxiety of not knowing how much harder the process may be or how much longer the process may take.



– The absence or severe dysfunction of any of these elements can generate symptoms that may ultimately require medical or surgical intervention



Unfortunately for most women nowadays, undisturbed labour in which all five elements can be present is rarely seen.









*Dr. Friedman did his residency in the 1950s. He was not a man to suffer fools gladly and he considered a lot of his superiors to be fools. He felt that they made medical judgments based on their intuition and not on science, so he set out to accumulate the research data necessary to give the profession a firm scientific foundation.

Dr. Friedman used his spare time to compile detailed observations about every labouring woman who came through his hospital. His aim was to find out what ‘normal’ labour looked like. Using observations from tens of thousands of women, he created a curve. Women who followed the curve were almost certain to have a vaginal delivery. Women who fell off the curve were more likely to need a C-section.

Dr. Friedman was the first to say that you should not section a woman in latent phase (when contractions have started but the first stage of labour has not yet been reached) because a long latent phase was not a sign that the baby doesn't fit. He insisted that you should not section a woman in the active phase of labour unless she failed to make a certain amount of progress in a certain amount of time. When Dr. Friedman used to tell stories about the genesis of the curve, he would express the utmost disgust for doctors who would say, "She looks like a C-section to me".

Dr. Friedman was very anti forceps. He concluded, correctly, that forceps hurt babies and should be banned. He used to travel around the country testifying for the families of children who had been injured by forceps. When he would appear, the family would win.








http://www.joyousbirth.info/forums/showthread.php?t=41731&pagenumber=


Juliet Hollingsworth

Fertility & Birth Specialist at On Harley Street

Fertility2Birth HypnoBirth Programme


Fertility2Birth Fertility Programme

Wednesday, December 1, 2010

Habits are hard to break....

Habits are hard to break....

Or are they? According to Wikipedia habits are routines of behaviour that are repeated regularly and tend to occur subconsciously, without one being conscious about them. Habitual behaviour often goes unnoticed in persons exhibiting it, because a person does not need to engage in self-analysis when undertaking routine tasks.

We were not born with habits; habits are simply something we learnt to do. Smokers – do you remember the first time you smoked? I am sure you did not enjoy that first taste of smoking, yet you learnt how to smoke. Nail biters, more difficult to remember the first time it was done but was it really that enjoyable to want to do it again? Or was it something that made you feel secure in a nervous situation? Or maybe gave you something to do with your hands when bored. The list of common habits could go on and on but the one thing that is similar across the board is that the owner of the habit would feel weird if they didn’t ‘do’ their habit. For example, the smoker would feel weird and not know what to do with their hands whilst standing with other smokers. The nail biter may feel more anxious in a nervous situation without biting their nails. Another thing that is quite common is for the habit to involve the hands, smoking, thumb sucking, nose picking, nail biting, hair twirling. These habits are generally thought of to be nervous habits. There are more involved habits such as tics; vocal or motor. These can be more complex and can stem from muscle tension or medical disorders so are often solved in a different way.

The reason the body feels weird when not doing the habit is because it has become a learned reaction. If you are a driver you will know that if you are in the passenger seat and the person driving the car gets a bit too close to the car in front your foot will try and push down on the imaginary brake pedal in front of you. This is a learned reaction; as is putting your knife and fork in the correct hands when you sit down to eat. Learned reactions are things that we were not born knowing how to do but become as instinctual as natural reactions such as excessive breathing whilst exercising. To try and stop learned reactions can be as weird as trying to stop a natural reaction as the subconscious mind has learnt to automatically react in this way. The conscious part of our mind is the area that controls things we are aware of, the subconscious things we are not aware of. Once a habit is formed it is being controlled by the subconscious mind. Therefore to break the habit we have to become aware of it, this is where will power comes in. Will power is great – when it works. With will power you are willing yourself to do something, therefore you need to keep reminding yourself what it is you are trying to achieve, this has its own problems. To continually remind yourself what you are trying to achieve you have to think about what it is you want to stop yourself doing. This can become a battle in your own mind as you consciously tell yourself that you do not want to bite your nails again / smoke another cigarette / suck your thumb whilst your subconscious mind keeps trying to do what it is you consciously do not want to do. When in hypnosis the subconscious mind is open. Just like when you are asleep and your subconscious mind takes over, allowing you to continue breathing and functioning whilst dreaming and resting the hypnotic state is very similar. When in hypnosis one is not asleep but just on the edge of sleep. Perfectly calm and relaxed with the subconscious wide open ready to accept any suggestions that it chooses to accept. Hypnosis can help, so that habits are not hard to break. When using hypnosis to overcome a habit the therapist will give you suggestions that break the link between your thoughts and the habit, allowing you to stop the habit for good without the need for will power.

Tuesday, November 9, 2010

Harley Street Hypnotherapy

I have recently become part of a brand new clinic in Harley Street. At On Harley Street a very warm welcome awaits you, we are a group of therapists brought together by our dedication and passion to our specialist areas of work and by our commitment to bringing you the very best level of care and professional service.

On Harley Street provides a multi-disciplinary approach to its clients, offering you choice, experience and a holistic approach to your needs. The clinic has actively sought out professionals at the top of their field, with years of experience in their chosen specialist area, giving you the confidence and peace of mind that you are in the best hands. Whilst I can see you for other reasons at Harley Street I am the Fertility and HypnoBirth specialist; there to help you if you are struggling to conceive, many people do not realise that psychological health is almost more important when trying to conceive than physical. Or are already pregnant and want to experience what is known as the Spontaneous Birth Reflex/Maternal Foetal Ejection Reflex. An amazing natural reflex only experienced during the calmest, most natural births in which the baby is expelled rapidly and safely with minimal pain just as nature intended.

Although, when we work together you will always get treated in a special way, seeing me at my Harley Street practice means you will have your sessions in a central location within luxurious, tranquil surroundings. The service you will receive when arriving at On Harley Street will be second to none truly allowing you to feel comfortable in this prestigious environment.

HypnoGastricBand in Australia

Something very exciting happened this month as we welcomed four new practitioners from Sydney, Australia.

We now have over thirty practitioners across the country and worldwide! If you would like to lose weight easily and without dieting seek out your local practitioner now! Or are you a hypnotherapist that would like to become a practitioner? Email me for details.

Chilean Miners - Is the world cruel to some or is it the way we perceive things?

Chilean Miners - Is the world cruel to some or is it the way we perceive things?

Much of my work with clients involves helping others to deal with situations in a different, more positive way. Recently I have seen two examples of how people in identical situations can react very differently. There are some people in the world who often feel that they have been dealt an unfair hand, is this so or is it just that people react differently to situations? I try to help others see the positive in everything and this is the way I choose to live my life.

I wonder if you can see where this is going! Recently the world watched as 33 Chilean miners were rescued from the mine in which they had been trapped for over 69 days. During the rescue one thing that stuck in my mind was the specific order in which they were rescued. This order was determined by their psychological well being. Thirty three men that had been through an identical situation yet each one had a different reaction. Some were incredibly strong and appeared almost unaffected by the experience, others suffered awfully - yet they had all been through exactly the same thing. Juan Illanes, the third miner to be rescued, when asked what his time in the rescue shaft was like replied “like a cruise”, what a fantastically positive reaction. There are many reasons (which I may go into at a later date) that some people feel more able to cope with certain situations sometimes without seeing a problem at all, whilst others find the same situation taking over their life until whatever has happened is resolved.

Another example was in an episode of Ben Fogle’s Extreme Dreams, a group were led on a twelve day trek through the Guyana jungle to reach an amazing view of the Kaiteur Falls. There was one member of the team who victimised himself, he argued with the team daily, he continually diminished the morale of the team and on the last day when they were only half a kilometer away from the end began complaining saying he could not go on, giving every excuse possible why it was more difficult for him than the others. Again an example of someone in an identical situation to others yet felt he was in a worse situation.

Some people are lucky and naturally see the positive in situations; some have used techniques such as NLP or hypnosis to change the way they view life so that everything that happens can be turned into an opportunity, there are however a lot of people that don’t know (yet) that we can choose how to feel about situations, we can choose to feel that something is a problem, choose to allow something to cause us anxiety, choose to allow something to cause stress OR we can learn some powerful techniques to bounce through life, to let problems skim the outside but not penetrate into us. Choose to life a happy positive life where we give a nonchalant wave of our hand and say its fine.

Tuesday, September 14, 2010

Derren Brown – Hero at 30,000ft

Over the weekend I managed to catch Derren Brown’s latest TV show Hero at 30,000 feet (http://www.channel4.com/programmes/derren-brown-the-specials/4od#3120303). I absolutely loved the programme and want to highlight the way in which his work in this programme is pretty much the same as my work as a hypnotherapist (only I’m yet to help anyone land an aeroplane!)

If you didn’t see the programme try and watch it using the above link as it is really good viewing. To cut a long story short Derren started with a man who was pretty weak in character. He was stuck in a rut, a dead end job still living at home with his parents and generally not doing what he wanted in life. Over the period of a month Derren worked with the man to help him transform his life. Only the man didn’t know this was happening.

Derren started by giving the man certain challenges. The first was to put him right in the middle of an armed robbery. As a hypnotherapist I know that when in shock or confused the brain goes into a state where it is more able to accept suggestions. The ‘robber’ (who was of course an actor) said to the man as he was leaving the scene “you’ve done nothing with your life”. This had a big impact on the man so much so that he mentioned it to the ‘shopkeeper’ (also an actor) later on.

A couple of times throughout the month Derren woke the man from his sleep, having fitted discrete speakers in his bedroom. He called the man down to the garden and spoke to him. Again I know that hypnosis is the stage before sleep. If you look at brainwaves, when one is in a normal, alert awake state they are in beta, alpha is a relaxed state, maybe taking a walk in the garden. Theta is a daydream like state, theta is also the hypnotic state. Have you ever arrived at a destination after having driven a route you drive often and realised that you can’t remember driving the last five miles?! This is you in a hypnotic state and also your brainwaves in theta. Lastly delta, this is the sleep state. I have just explained to you here that hypnosis is the state just before sleep and the state in which we can be awake but forget what we have been doing. This explains how Derren was able to wake his subject from sleep, ask him to get dressed and walk downstairs out into the garden, speak to him and then have him forget it in the morning. It should be noted that Derren also mentioned that the man was highly suggestible – a plus for any hypnotist! Derren spoke to the man about what he should be doing with his life, said some things that would make him think about life in general (what a miracle it is and how we should make the most of every opportunity etc) and got him to touch a crocodile on the back!

The final challenge (there were others) was to have the man lay on a train track in a straight jacket with a train hurtling towards him. Now I am sure there was some camera trickery here and the man did not manage to jump up with the train only one inch away from him but even if the train was a mile away from me I would be shitting it – excuse the language here but I most definitely would! All of these challenges helped the man to learn how to take risks and also to appreciate life a little more.

The final challenge showed the man offering to land an aeroplane that he thought was crashing. I am sure there are people confused about the fact that Derren managed to keep a man in a hypnotic state or maybe asleep for long enough to land the plane, get him to a simulator and begin the experience but remember what I have told you. The man is highly suggestible, he was in shock (he thought his plane was going to crash) and he had experienced this feeling a few times already over the previous few weeks – he was the hypnotist’s dream subject. Of course the man did it; he landed the plane safely although he was told exactly what to do step by step – perhaps, in reality, not as difficult as it sounds.

Over the month what Derren did was helped the man to see things from a different perspective. He helped the man to find the resources within himself to make the changes in his life. He helped him to see that risk isn’t always so bad and that things he may have feared in the past were not so scary. He helped him to have experiences that gave him good feelings (for example organising a street party), things like this would have made him want to go on and do more of the same to get the same good feelings. The hypnosis was just an add on, a bit of a helping hand if you like. Hypnotherapy is all about you finding the strength within yourself to make the changes you so desire.

All hypnosis is self hypnosis, you cannot be hypnotised if you do not want to be, I cannot make you do anything you do not want to do – however if it is something you want to do and you allow yourself to be hypnotised your brain will be ready and willing to accept those suggestions that are thrown at you. You too can start to make some amazing changes in your life, just like Matt from Derren’s show.