Birth Stories:

Slater Matthew

A true miracle

Birth of Slater Matthew Jansen on the 21st January 2011.

Panarama Medi-Clinic, Cape Town.

Renier and Tenielle Jansen asked me to be part of the birth of their second son Slater  Matthew in Cape Town.

I come from Cape Town so it is always wonderful to go back down to the Cape and  work in the various hospitals in our country.  Tenielle’s baby was a little late so the gynaecologist decided to induce by rupturing the waters early in the morning at Panarama Medi-Clinic.  As a doula I was totally accepted into their labour ward and became part of the team for the day.  I would always like to thank the staff and midwives for making me feel so at home as this affects the patient and she felt looked after and comfortable too!  Tenielle progressed well and up until 7 cm she was coping extremely well to the point of me wondering why I was needed.   She sat on the birth ball and ate ice blocks and drank a fair amount of rehydrate and water, she walked up and down the corridors and she was really relaxed and in control of her labour.

By lunch time her pains became much stronger and her husband and I worked as a team helping her through her final stages of labour.  At this time one has to be quiet and resourceful for the mum.  I kept her face cool and massaged her lower back while saying “you can do this” etc.  This is where the doula plays the most crucial role in the labour process.  Peace and comfort with someone you trust makes it work!

Tenielle gave birth to a healthy 4.3kg son at 3pm without medication and a natural labour.

We then found out that his cord had a neat knot  (true knot) in it which must have happened sometime during her pregnancy where he swam through the cord.

Sometimes a baby will be born with a true knot in the cord; other times the blood vessels within the cord will be so curvy that they look like a knot. In extremely rare situations, a knot found in the cord of a baby who was stillborn will be presumed responsible for the baby's demise, as it may have tightened enough to stop blood flow through the umbilical cord. Unfortunately, there's no way to tell if a knot has formed before delivery. However, it may be reassuring to know that most cords have safeguards to keep this from happening.

According to studies done, the chance of having a fetus deliver with a true knot of the umbilical cord is on the average 1 percent to 2 percent. The chance of fetal death is increased with a knotted cord. The chance of fetal demise secondary to a knot blockage is 5 percent to 10 percent. As long as the knot remains loose, it generally does not harm the baby. However, sometimes the knot or knots can be pulled tight, cutting off the baby's oxygen supply. Cord knots result in miscarriage or stillbirth in 5 percent to 10 percent of cases. During labour and delivery, a tightening knot can cause the baby to have heart rate abnormalities that are detected by fetal monitoring.

We thank God for looking after our baby boy and keeping him 100% healthy.   Virginia Oosthuizen Certified doula.

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What I Do

I am living my dream while working with mums and babies. I see mums when they are 34 weeks pregnant and then go to their homes once they go into labour. I stay for the full duration of the labour and after the birth I assist them with breast feeding. I do another visit after the birth to see that all is well and to help where I can.  Mums are always welcome to call me in the event that they have any questions, whether before or after the birth. I am passionate about my work as a doula and I care and love all the families with which I work. Once you have been present at a birth you feel part of the family and it’s wonderful to hear news of the new baby’s life as he or she grows.

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