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birthpanama

~ Pregnancy & Birth in Panama

birthpanama

Category Archives: STORIES

Rocío

25 Saturday Jan 2014

Posted by partonaturalpanama in HOME BIRTHING, IMAGES, NATURAL BIRTHING, STORIES, WATERBIRTH

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Rocio

Rocio

Rocio Atencio

Together

Together

Rodrigo and Graciela are amazing OB’s. I was extremely fortunate to have found them (thanks to my hubby).
We have a beautiful baby boy thanks to their support when sorely needed. I recommend them to anyone who is looking for a second opinion, personal and humanized healthcare. Best wishes to all pregnant ladies and mommies out there!

Here is my story:

Panama City, Republic of Panama.

My story starts in 2008 in Houston, Texas USA, when after years of trying to conceive (1 failed IVF attempt), I finally got pregnant (naturally after a laparoscopy to remove some endometriosis). My daughter was born premature. My membranes ruptured at 25 weeks and Danielle Victoria was born at 26 weeks, weighing 2 pounds 7 ounces. She was a trooper from birth, a real fighter. To this date, she continues to be a feisty 5-year old (beautiful and healthy). We were lucky to be living in a city and country were prematures have a chance to survive and to be absolutely healthy.

I really never thought I would or could get pregnant again, but fortunately, God/destiny blessed my body once again. 

At 20 or 21 weeks, my first OBGYN indicated that my cervix was thinning and based on my past history (pre-term labor); he wanted to conduct a cervical stitch (cerclage). Since my husband and I were already looking into natural birthing options (due to my very dramatic first pregnancy), we immediately contacted Rodrigo and Graciela Aybar.

Dr. Graciela was very kind to make room to see me after I told her the story… A cerclage at around 22 weeks…. I was afraid that would conflict with our natural birthing plan. Both she and Rodrigo were there on the first appointment. They listened carefully and did a thorough examination… Both concluded that I needed to be on bed rest until I reached at least week 37 to ensure the baby wasn’t born pre-term like my first daughter. They also prescribed progesterone suppositories through the course of my pregnancy (until week 37).

My husband, who is an acupuncturist, took care of me the entire pregnancy. At any sign of contractions, he would immediately tell me he had to perform acupuncture to ease the contractions and to relax me. Acupuncture worked wonderfully!

Dr. Graciela and Rodrigo closely monitored my evolution and the health of my baby in-uterus.

I read a lot about natural births and water births. I decided I wanted something less stressful than my first experience. I wanted to be at home. My husband doesn’t like hospitals so he was totally happy that I would opt for a home, water and totally natural birth.

Since my first child was via C-Section, the doctors checked my scar and made sure I would be OK if I opted for a vaginal birth. They went to our home to make sure it was in good conditions for a water/home birth. We were ready for the day, my belly was huge and I was ready for my baby to decide when he wanted to come out into this world.

September 28, I started contractions at around 10PM. At around midnight, my water broke. I had called the doctors to let them know my evolution. As soon as I informed them that my contractions were 5 minutes in between, they headed our way, reaching our home at around 1AM with all their equipment (pool included).

It was 12 hours of labor. At 10:15 AM (9/29/2013), our son Fabian Corpas, was born! Absolutely and positively PERFECT!

I gave birth squatting and nobody told me I couldn’t eat or drink… I was free to move, to walk around my house, to be naked if I wanted to… hehehe…. Zero beeping from hospital machines and zero nurses monitoring every single movement. I didn’t tense up from that hospital smell… You know the one that gives you hibby jibbies….

The doctors were supportive and were constantly joking! They are a SUPER TEAM!!!! They were relaxed at all times! Their calm attitude gave me additional confidence that everything was going to be fine.

If I were to get pregnant again (I am 37), I would immediately approach our doctors Rodrigo and Graciela and plan for another home birth. It was an amazing experience….

A lot of people have approached me after giving birth and cannot believe that I had a vaginal birth after C-Section and cannot believe that I opted for a natural birth; when I explain the reasons behind my choice, they totally understand. A lot of women have said that nobody ever told them that a vaginal birth after a C-section was even an option. So I am always happy to share my story and talk about the wonderful couple that helped us during our pregnancy and during childbirth.

Rocio Atencio

Maru

31 Wednesday Jul 2013

Posted by partonaturalpanama in HOME BIRTHING, NATURAL BIRTHING, STORIES, WATERBIRTH

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Maru

Maru is Panamanian, her husband Felipe is Colombian.
They have a life project that is hallucinating
They live in a house that is part of the history of Panama in Casco Antiguo

Maru is joyful, sweet and intelligent. Felipe is restless, intelligent and with desires of changing the world.

Lukas arrival kept us waiting, but when he took the decision of coming to meet us, he did it so fast that Graciela almost didn’t make it. I was in the United States in a workshop that I went in The Farm, together with Ina May Gaskin.

Graciela got to tell Felipe, when she was on her way to Casco Antiguo, that Maru should get in the bathroom tub of their house. When we visited their residence before the birth, we saw the tub and it was an excellent alternative instead of the birth pool… and so it was!!

Maru has a fantastic Blog and this was what they wrote telling the story of the arrival of Lukas to the World.

June 6
Week 41: Lukas Arrival.
As I was running up the stairs I heard Maru scream “!Felipe! !Come look!”. Not even two minutes had passed since I left her with Graciela (her gynecologist), to go down and open the door to Jimena (her doula).
Submerged in the tub where I left her just a few minutes ago (if not seconds) I saw Lukas for the first time. Just born he rests in his mommy’s lap, he passes his hands through his face and try’s to open his eyes. It’s 2:10 a.m. of the 24th of May 2013.
The storm that for hours lashed with clamorous strength the doors and windows of our house (in Casco Viejo and the same one that for over a year we worked to restore and remodel for his arrival), passes…. The rest of the dawn goes on with calm.
We let the water from the bathtub drain a little meanwhile the placenta got out; I cut the umbilical cord and take Lukas in my arms so that Maru can take a shower, she dries up: Graciela and Jimena help her to the bed that we had prepared we put Lukas in her shest again. Easily but without a pause he “crawls” all the way to her breast and he sticks to it; Jimena looks for fruit and water so that Maru eats and drinks; we wait a little longer and we pass Maru and Lukas to our bed.
Graciela goes out first and then Jimena…It’s about 4:30 a.m. Everything had happen as we wanted it, yet we never imagined.
Always, when Maru and I thought about having kids, we expressed our desire that when we did it was going to be a natural birth. When we were pregnant we told the gynecologist that we went first. But for some reason, the assurance that we receive from him in that and other appointments didn’t satisfy us.
And because it wasn’t enough we decided to know about the miracles of medicine, about how medical intervention safes mothers and babies when they need to be saved, about the benefits of such intervention in situations of high and very high risks for one or the other. We also found out how miracles of modern medicine had been converted into a “menu” of options so that the mother and father “get to choose” how their babies come into the world.
We also found out the little importance that hospitals pay to natural births. Yes, in the “menu” that today exists for giving birth, natural birth is seen as the “bread” that in the restaurants is “for free”. Seriously now a day’s natural births seen from the optics of health managers, doctors, nurses and support staff, it’s like that besides the resources that demands and costs it has to be “for free” and worst than anything it “takes away the hunger of the dinner guests”
Hospitals and doctors are taking the place of managers of “fast food chains” and in a clear conflict of interest they are stopping to offer “bread” so that they can increase their incomes and lessen the marginal costs per “client”. The saddest part of all is the process of dehumanization that turns out of their commercial strategies so that the miracles of medicine those that save lives and prevent risks, today are sold like the only way to prevent the normal risks of healthy births that require very little or any medical intervention.
The worst is that they are telling the women that they can’t give birth by their own means. And to make sure of that they put in practice very stretch ranges for what it turns out “acceptable” concerning the number of weeks and estimated weight of the babies so that they can be given birth “naturally”. So that for the moment of labor very strict protocols of medical and hospital intervention where they apply enemas, intravenous leaking, fetal monitoring and hormones to induce contractions and so on. This without counting with the “manage” protocols of newborns that means the least interaction possible between the mom and her baby and between this and that instead of offering options they silence the parents voices in saying how their babies are going to be birthed and what the conditions of their first days between us should be.
I don’t know about you but as we knew these things we were terrified, to say the least. So much, that Maru and I had to do a deep reflection about what it meant to her as a woman to be pregnant and giving birth, about what it would mean to Lukas the way he was going to arrive to the world but most of all if been responsible like we were been, to raise our child that for that moment we had conceived, we also had to be responsible of the way he was going to arrive to the world without delegating such responsibility in an inverted system without even caring because of their own conflict of interests. We investigated and then discovered the option of giving birth home and in water.
We knew Jimena first from the PANAMAMÁ foundation and she referred us to Rodrigo and Graciela. With the company of the three we started building the strength to give birth just as humanity had been doing for millenniums. I’m not going to tell you that it was easy..It wasn’t. Not only because of our own doubts but if it was the right thing to do. Also because of the fears of others were passed to us because of the boldness of our decision.
For months we threw away all the reasons of “certainty” the system has and built enormous reserves of confidence in our own humanity. Of that self confidence that allows you to open doors to the unknown and the humanity that allows you the strength to go through the threshold and go throughout the roads that are revealed for one to travel. Reserves that we almost used entirely between the weeks 38 and 41 to the point that we almost got weakened because of our impatience and the ones around us, of wanting to have in our womb our baby that didn’t arrived…until it came !AND IN WHAT WAY!
To be fair those last week’s felt like how the escalators must feel when they see that the zenith the more it shows the more elusive it turns in their try to conquer her. We felt that it made us confer more times that we had in months in our “sherpas”; felling that demanded from them (they actually) a profound intervention in the last days of our pregnancy.
So much that the afternoon that preceded the dawn that Lukas arrived we were in the phone with Jimena and in the check up that Graciela did to Maru. At 6:30 p.m. on Thursday we attained the peace that we hadn’t had in days, we knew it would last little but it worked to give space to Lukas to be born in the next seventy two to ninety six hours without altering our birth plans. Calm that let us help the locksmith that came to change the locks and then having dinner and going to sleep. (At least me that by 10:15 p.m. was in deep sleep)
Calm that was with us during the time Maru felt contractions but didn’t wake me up, she was doing her own monitoring and they were every 4 to 5 minutes when she woke me up pass 11p.m. When we called Graciela she told us that because of the check up she did that afternoon it wasn’t probable that she was in labor she told us to rest and that most probably were practice contractions of the body,that we needed energy for what it was coming. We called Jimena to tell her the contractions were deeper in frequency and intensity, so we went into the shower to see if the hot water would help to calm them. When I went down to fill the bathtub I heard Maru´s exclamations than more than pain it were enormous releases of energy, we called Graciela and Jimena again who decided to come, We went downstairs to the bathtub Maru got in, we lighted the candles and put on the meditations that we had prepared for the birth. All in between the exclamations that announced that the contractions had increased in frequency and intensity and that would get lost in the tropical thunderstorm outside that would hit the windows and doors.
The calm started to vanish when Maru got worried because of the intensity of the pain she was feeling and that if this was the beginning of the birth to please give instructions for when it got real to give her medicines for the pain so she could tolerate it, for when the exclamations were louder than the storm outside and all the neighbors from the block heard her I called Graciela that told me that the storm couldn’t let her get there faster but that she was at 5 minutes from our house by that time I felt powerless of seeing how Maru would twist and changed position and would shout..
And just then when I felt that all the brightness was been consumed by the confusion of the moment the cell phone ranged and it was Graciela that she was downstairs. I went downstairs like a lightning I opened and rushed upstairs running. Maru looked at me scared ¡LOVE IM BLEEDING! To what Graciela answered with the calm of her experience “WHAT YOU ARE IS GIVING BIRTH, WHAT A BEAUTY MARU, ¡LUKAS IS COMING!” She checked her and said…¡WAO! You have 8 centimeters of dilation. The phone ranged and it was Jimena downstairs. I went down again as a lightning.
Between me going down and upstairs again, something extraordinary happened. Maru tells me that when she heard Graciela tell her how much she was dilated, she told her that she wanted to push to what she answered “then push”. She got on her knees in the bathtub laying her arms in the edge and she pushed…BLUB “What was that” “the head Maru, push again”…BLUB, and Lukas was out. For when they put him in her lap Maru screamed ¡Felipe! ¡Come look!
It was 4:30 a.m. and everything had happen as we wanted it to be, yet we never imagined.
They say that the name Lukas derives from the Latin Greek Loukas which means “the one that brings light”. Our son brought it in the middle of the storm. Son we love you.
Dr. Rodrigo Aybar

Marijke once again.

10 Monday Jun 2013

Posted by partonaturalpanama in HOME BIRTHING, HOSPITAL BIRTHING, NATURAL BIRTHING, STORIES, WATERBIRTH

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Marijke once again.

A little over two years ago, her daughter Jiske was born. It was an unforgettable experience.

Now Marijke had an impact on us once again, with her sweet personality extremely sensitive and secure.

This second birth of Marijke in water was calm.

Graciela and I were with Marijke and Joris that day. Truthfully it was wonderful to see them together throughout all the labor that we didn’t wanted to interrupt them. They would relax, listen to music and caress each other. Later on she asked to get into the pool and there they continued in the intimacy of her maternity.

It was an easy and sweet birth. Janne was born as beautiful as her sister and parents.

A couple of days later Marijke wrote to us:

Dear Rodrigo & Graciela,

I’m sitting on my bed feeding Janne. Her name is Janne, I believe we forgot to tell you at the night she was born. And I’m so grateful that our beautiful girl is healthy and happy. You must know that I’m even so grateful to you. What a beautiful day it was, as soon as Graciela walked through our door my first contractions diminished and got a rhythm, both Janne and I knew that now everything was going to be just fine. I was alert during the whole birthing process, knowing each second from start to finish, so different than from Jiske’s birth. But again a very quiet, peaceful experience. Thank you for making this possible! Thank you for being here in Panama, for your warmth, your guts, expertise and common sense and just being you.

I will keep on spreading the word of your good work here, where I can I would love to help you gain more and more recognition of your practices. And when we ever leave Panama, I will never forget you! I want you to know how grateful I am to you both!

I wish you a beautiful Christmas and so many more beautiful births.

Lots of love

Marijke, Joris, Jiske and Janne!

Barbara Harper Part II

15 Wednesday May 2013

Posted by partonaturalpanama in HOME BIRTHING, IMAGES, NATURAL BIRTHING, NEWS, STORIES, WATERBIRTH

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Unforgettable

Unforgettable

Together

Together

Discussing all the pointsDiscussing all the points

Together

Together

As part of the visit of Barbara Harper to our country and in coordination with the United Nations World Fund Population, we traveled to the Chiriquí Province located to the west of the Republic.

We visited the Ngäbe Buglé region. This indigenous region is the biggest and has the most population of the country, it also covers a territory that involves three provinces in Panama: Chiriquí, Veraguas and Bocas del Toro.
The so called “lagoons” of poverty the biggest in Panama are precisely located there. There are foreigner enterprises that are developing big scale hydroelectric projects, using the innumerable rivers, exporting electricity to neighbor countries, and the indigenous from the region, meaning the owners of those lands, do not count with electric light.

There in the high lands of the region we went with Barbara and we held encounters with the Ngäbes empiric midwifes and health staff assigned to those areas. We were in the Health Center of Hato Chamí the District of Nole Duima of the Nedriní Region.

We shared experiences and talked for hours with them, we saw videos of water births and natural births. We had to translate from English to Spanish and from Spanish to Ngäbe and vice versa.

We have to point out emphatically: that the traditions, the way of performing the deliveries, the bond between mother and child, childbirth and maternal breastfeeding of our Ngäbe Buglé population are perfect.

It’s extraordinary how the husband keeps her company and supports her during birth, the wisdom and peace of the midwife that accompanies the mothers.
The exchange was truthfully productive and exciting. Like Barbara Harper used to say, it is the language of infinite love that has no boundaries nor obstacles of any kind.

It profoundly caught our attention the support of the nurse assigned and all of the staff at the center.

It was an extraordinary experience.

The day after in David, Barbara Harper performed a magisterial conference in the Infirmary Faculty of the National University of Chiriquí.
In the conference participated approximately 80 students of obstetrician infirmary, were there´s a group of about 25 of them that are preparing to give support in the care of pregnant women in the Ngäbe Buglé region.
Literally it was a two hour presentation and exchange without anyone even blinking.

All of these show that we are moving forward. That the women in our country every day are more active in the defense of their rights to a natural and soft maternity, free of unnecessary interventions and respectful of the intimacy of the woman and her family.

We must thank the invaluable support of all the staff at the United Nations World Fund Population assigned to the Ngäbe Buglé region that performs an irreplaceable job.

Dr. Rodrigo Aybar

Reflections

26 Tuesday Feb 2013

Posted by partonaturalpanama in ABOUT US, HOME BIRTHING, HOSPITAL BIRTHING, NATURAL BIRTHING, NEWS, STORIES

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Why we speak about natural delivery in our Blog ?

Why we decided to be in contact with pregnant women around the world ?

The main reason is because Panama is a little country in Latinamerica , with the same reality of the rest of the world in Maternity Care.

In our publics hospitals the cesarean section’s rate arises 45%. In private hospital the situation in worse: 85%!

In the last ten years the rate of maternal mortality increased in alarming way.

The increase of cesarean sections, had not improve the neonatal healthiness. In opposite we have more preterm children and more chronic diseases like asthma, allergic and visual disorders.

The birthing process is considered a disease, and not a natural, biological and physiological event.

In our country when a low risk pregnant woman arrive to the hospital in labor, immediately she receive ” treatment ” like she were sick.
The team prohibits her to eat or drink even water.

She cannot walk.

They fasten in her body during all the delivery process a Fetal Monitor.

The physician and nurse team, begin always the application of intravenous Pitocin.

She receive a countless vaginal “evaluations “.

These are some of the reasons why my wife and me began three years ago a frontal struggle to change this reality in Panama.

In general we can be happy, because the women response has been marvelous .

We are changing the way to receive our children.

In our Blog, we will speak a lot and continuously about all these topics .

Dra. Graciela A. De Aybar
Dr. Rodrigo Aybar

Irene

Irene

All together

All together

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