​You have been on an incredible journey throughout your pregnancy and giving birth to your new baby. In fact, this has been a rite of passage where you yourself have moved through a transformation of your own and in a sense have been re-birthed from Maiden to Mother in your own life.

The first weeks, months & even years after birth, is a very sacred time for you and your baby. In, many ancient traditions it is highly recommended for mother and baby to stay at home being cared for by family and friends at least for the first 40 days or longer. During this time, the mother can rest and is fed nourishing foods to sustain her while she recovers from the birth, and conserves her energy for the many hours of feeding and caring for her new baby. If a mother is breastfeeding, it is also important that the new mum is kept hydrated while her body is busy producing litres of milk for her baby every day.

In indigenous or ancient cultures women probably birthed mainly in nature such as a quiet forest, cave, waterhole or lake where she felt safe and secure. As civilizations developed women began birthing in designed space for women menstruating and birthing such as a “Red Tent”, or “Moon Hut”. Here she would stay until she felt fully recovered from the birth and was ready to venture back out into the world and resume her usual daily activities and responsibilities. For some women this may have been 4 – 6 weeks & for other women perhaps, 4 – 6 months depending on how the birth unfolded and her health and resilience in this post birth period.
For most of us, we don't have the luxury of being cared for ‘hand & foot” 24 hours around the clock, however, there are some ways to create our own Red Tent in your home and living spaces.
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Within your home or private space, you may call in support from your partner, family friends, the community, healers and other professionals. This may be an attitude that you need to develop if you are not accustomed to asking for help or reaching out for assistance. However, this is a wonderful skill to develop early on in motherhood as it will help sustain you over the many years of mothering, so that you can receive as you give to your child or children. This receiving may be anything from someone making you o cup of tea or a meal, getting a massage, your house cleaned or holding you baby for a 10 minutes while you shower. Importantly, having a support network of people who you can talk with is vital especially for the first 12 months. This generates oxytocin and other feel good hormones, which help establish a healthy mental & physical wellbeing.

Establish a Rhythm
In the beginning, it may feel like any routine you had while you were pregnant has gone completely out the window! That’s ok and part of the process of re-adjusting to life with your baby. Yes, initially your baby will set the rhythm depending on their sleep and feeding times. Even in these early days, you can still be setting up a routine for yourself, for instance, find a period of time every day you enjoy having a shower or bath, for instance between 9-10am everyday. This time frame will vary depending on you and what feels most relaxing & nourishing. And you can do the same for your meal and sleep times. Find an approximate time for breakfast lunch and dinner, and an ideal bedtime. Eventually, over time your baby will fall into your routine more and more.
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​I know when I became a mother, I changed, and in a good way. I was the same person with the same face, the same history, the same story but something was different. The word ineffable reflects the metamorphosis that occurs when a woman (or person) becomes a parent. It is hard to put into words the profound shift in identity and purpose that happens when you give birth and slowly grow into motherhood. My guest Kari says in this interview “you don't wake up a mother, it is something you grow into.”

When you become a parent, pre-birth expectations drop away as reality kicks in. Life that perhaps was once goal or career orientated shifts as life with a baby forces a new daily rhythm. A slowing down, surrendering and letting go for a new way of being in the world.

My guest Kari Azuma, leadership development coach and mother, from Santa Barbara, California joins us in a conversation about her transition to motherhood, birth as an opportunity for personal evolution and finding your passion and power as a mother.

This episode focuses the lens on motherhood; my guest Kari specifically works with mothers. Yet, whatever gender you identify as this episode speaks to all parents in the metamorphosis that occurs with the birth of a new family member.

I ask Kari about her reality post having her baby. What it means to slow down. There is a notion of six weeks postpartum and then you go back to your pre-pregnancy self, back to your pre-pregnancy clothes, job, sex life and interests as if you never had a baby. This concept intersects with being measured up against your pre-child state and your new life with a baby or young children. You can't always go at the same pace or speed at which you once could and you are not always interested in the things you once were.

Part of pregnancy and the journey to becoming a mother involves dreaming and planing, what life will be like with your baby. I ask Kari, about her pre-birth expectations of life with a baby and what a more truer perspective of becoming a mother is. Kari says “one thing you can count on, is that there are unknowns. To know that life isn't going to be a straight line. Have a plan and be open to the mystery of becoming a mother.”

Sometimes birth doesn't go to plan, despite how much preparation and planning happens. Kari, mentioned her birth was a traumatic experience. I wanted to know more about her experience and how it has shaped and changed her perspective on life, work and herself.

More covered in this episode:
Postnatal depression.
Motherhood as a powerful opportunity for transformation.
Birth as a Rite of Passage and the commercialism of motherhood

Take a listen to our interview with Kari Azuma here:

Connect with Kari at kariazuma.com.
This episode was written and produced by Lara Martin.

I don't know about you, but subconsciously I've been looking for this word - matrescence - and the social movement it will bring, for a long time.

Matrescence is the "time of mother-becoming", as defined by anthropologist, Dana Rafael back in the 1970's in her essay "Matrescence, Becoming a Mother, A New/Old Rite de passage".

How is it this much needed term has taken so long to enter common parlance?  Why is it when pregnant, we don't speak of ourselves as 'going through matrescence' and spend our pregnancy preparing for this great transition when the baby arrives?

Feminist motherhood writers such as Andrea O'Reilly would have a lot to say on the reasons behind this, but in this piece, I'm keen to simply be a part of raising awareness of the term matrescence.  Why? Once we have a name for an issue, it makes it so much easier to start addressing it.

Dr Oscar Serrallach holds a similar passion for raising awareness of matrescence and the need for support for it, because he sees most women across multiple generations have suffered from a lack of awareness, and therefore a lack of support for this profound transformation of women. 

Oscar got involved in this work through witnessing Caroline, his partner and mother to his three children, go through her own transformation and subsequent depletion of her health.  He also saw mothers coming through through his medical practice literally worn down to a mere shadow of their former selves by the hardship of insufficiently supported parenting. 

This wearing down we have witnessed in mothers of young children, and perhaps experienced in ourselves, leads to years of depletion, "postnatal depletion" as Oscar calls it, where a woman suffers physically, mentally, emotionally, creatively, spiritually.

"Like adolescence, matrescence needs support" says Oscar.  This transitional period holds within it the potential for a woman to forge a new identity for herself and gain new insights in the world and her place in it.  However to achieve fully fledged motherhood, a woman needs time and support to integrate her birthing and postnatal experiences into her new role.

Catch my interview with Oscar about Matrescence and postnatal depletion below.

The only part of my interview that couldn't fit into our national network podcast is Oscar's discussion of hormonal psychiatry, a burgeoning field that practitioners such as Dr Kelly Brogan are championing.   Oscar cited a study of four severely depressed postnatal women who experienced rapid recovery after a 60 hour infusion of Brexanolone, which is related to the hormone allopregnanolone.  This hormone is produced by the placenta, along with more than 200 hormones, and gaining a lot of interest in circles where perinatal depression is being researched and treated.

• Description of and discussion regarding Matrescence by Aurélie Athan, Ph.D
• Dana Rafael, who first coined the term Matrescence (as well as doulas)
• Dr Alexandra Sacks, psychiatrist raising awareness of Matrescence
• Dr Arne Rubinstein on the transition into motherhood as a rite of passage
• Dr Sarah Buckley on the hormones of birth and the rewiring of mothers' brains
• Our interview with midwife Jayne Alder about surviving the postnatal period
• Our other resources for matrescence
• The Postnatal Depletion Cure by Dr Oscar Serrallach

Oscar also discusses the "massive upgrade" that happens to women's brains as a result of pregnancy, birth and the postpartum period, and some of the research for this is listed below.

• Pregnancy leads to long-lasting changes in human brain structure, Hoekzema, et al, 2017
• The maternal 'baby brain' revisted, Barha and Galea, 2017
• The plasticity of human maternal brain: Longitudinal changes in brain anatomy during the early postpartum period, Swain, Pilyong Kim, et al, 2010
• Mother's milk programs offspring's cognition, Sarah L Parylak, Wei Deng & Fred H Gage, 2014

​By Sally Cusack

Are you a healthcare services consumer? Specifically - have you accessed any form of maternity healthcare services in the last few years? 

On Friday May 25th 2018, Sally Cusack & I spent the day up at Tweed Heads, attending a Consultation workshop as part of the governments plans to develop a National Strategic Approach to Maternity Services. The consultation was hosted by the Australian Health Ministers Advisory Council (AHMAC). The expected outcome for the NSAMS project is a document to guide national maternity services policy.

Along with about 20 other people we debated and discussed, listened and contributed to the conversation. What should maternity services look like in the future? What are the main frameworks and who are the key stakeholders? What’s missing from the current system and how do we go about attaining a system that delivers better outcomes for mothers, their babies, their families and those that work within these systems?

I have the beautiful Sally Cusack in the studio, join us as we discuss all this and more on this special episode of Pregnancy, Birth & Beyond. 

The following definitions are taken from the Health Consumers NSW website. Visit their site for more information about consumer engagement. 

Health Consumer
Health Consumers are people who use health services, as well as their family and carers. This includes people who have used a health service in the past or who could potentially use the service in the future. 

Maternity Consumer Advocate
A health consumer representative is a health consumer who has taken up a specific role to provide advice on behalf of consumers, with the overall aim of improving health care.
A consumer representative is often a consumer member of a committee, project or event who voices consumer perspectives and takes part in decision making on behalf of consumers. A health consumer representative may be nominated by and accountable to, a consumer organisation.
Usually the role is working with a health service (or consumer organisation) and is often in a volunteer capacity. Sometimes the role comes with a small payment to cover the consumer’s costs.

Copyright
PBB Media
Producer/Host: Annalee Atia
Interviewee: Sally Cusack