Categories
Family & Friends Holidays Running

Valentine’s Day 5K- A Matter of Time

On Sunday I ran in the Run Denver Valentine’s Day 5K Race.   After the hills in the last 5K race in January left me struggling at the end of the race, I have been working on more strength training, running longer distances, and more hill running.  

 On Thursday during my training run, I ran the distance just under 29 minutes.  This was the fastest pre-race time I have had, and felt pretty confident I could run faster than that on Sunday, and get my personal best.  Later I saw the weather report for Sunday.  It called for snow and temperatures in the 20’s.  Running in the colder weather doesn’t bother me too much. I dress in layers, and usually end up shedding some of them.  But the snow gets packed down, and turns to ice.  It makes it harder to run as fast.  

I also tried to figure out a definite plan on how fast I needed to run to hit my target time. When I ran my best time, I started out at a faster pace and was able to maintain it.  But since I have been running longer distances, I have noticed if I start out slower, I get an incredible surge of energy after about 2.5 miles. After the last race, I did not want to be so tired at the end!  I was debating between a negative split, and running a steady, faster pace.  My friend gave me a good idea to break out the times on how fast I needed to run each mile to reach my target time.  I liked that, because it gave me a definite goal to hit for each mile. 

On Sunday morning it was snowing and cold.  When I got to the race, it was still snowing, and it was 18 degrees out!  The path was shoveled, but there was a lot of ice pack, because the park is a really popular park for running.  This race was a bit different for me too, because no one came with me.  My dad had a cold, and I didn’t have the heart to ask anyone else to get out of bed on a cold, snowy, Sunday, Valentine’s Day morning to come stand in snowy, 18 degree weather!

Since I didn’t have my trusty equipment manager to hold all my stuff, I jogged back to my car to put my registration stuff away, and by the time I got back to the start line, it was time to line up.  I hadn’t stretched, and since the race had a timer chip, I figured I would stay back for a few minutes and finish warming up.  The previous races with timing chips start when you cross the start line. There were probably about 25 other people who had the same idea as I.    

It was nice to start after the majority of the runners had gone. I hit the “start” on the timer on my watch as soon as I crossed the start line.  It was much less cramped.  I was shooting for a 10 minute mile for the first mile and a few minutes into it, I knew it was going to be hard to get my time. The course was really icy. When my feet landed, they slipped.  I had forgotten to bring my YakTraxs, which are awesome on the ice. 

The end of the first mile wasn’t marked, so I wasn’t exactly sure when I finished the first mile.  I was passing a lot of people, and I was enjoying running. I felt like I was running pretty well, despite the ice. There were patches where it was just wet pavement, so I tried to maneuver to these as much as I could.  

I saw the sign marking the end of two miles and my watch said 19 minutes.  I didn’t bother looking at the seconds, but I was happy with the pacing.  I focused on my breathing and trying to keep an even pace, so I wouldn’t tire out too much at the end.  It was getting a bit more difficult to get deeper breaths though because of the cold.  I kept passing people, and since I started after everyone else, there wasn’t anyone that was passing me.  That was kind of a neat psychological edge.  

I saw the marker for mile 3, and my time was just under 25 minutes.  I figured I was in good shape- I had just run a 5 minute mile!  I had never run a mile that fast.  But the end of the course was a hill- not a steep one, and I was doing okay, but I was getting tired. I wasn’t able to get any deep breaths, so my breathing was very shallow.  I was trying to pass someone a few steps ahead of me, and saw the finish line in sight.  If I gave it my all to pass, I probably wasn’t going to have enough left to finish.  So I didn’t sprint to the finish.  I held my pace, and made it to the finish line!

I wasn’t as tired as I was at the end of the last race, and felt much better. I stood for several seconds and breathed.  I went over the volunteer to have her remove the timing chip off my shoe, and remembered I hadn’t checked my watch!  I looked at it and it said 28:48.  I had waited about 30 seconds before I stopped it, but wasn’t worried about it, since the timing chip kept track of that.  I figured my time would be just over 28 minutes.  While that wasn’t my personal best, I felt great considering the weather and the course conditions.  I wanted to also finish in the top 15% for my age group, and I had a good feeling I did. 

Later in the afternoon the results were posted online and I was shocked to see my “official” time was 31:18!  I thought it was a mistake.  I hadn’t cleared the time from my watch and looked at it again, and it showed 28:48.  I e-mailed the time keeper for the race and asked him how I could have an almost 3 minute discrepancy.  The official results placed me 13th in my age group out of 58 runners and 149th out of 311. 

I was not happy with that at all!  The only race I ran slower than that was my very first race.  Even when I struggled at the last race, my time was 31:00 and I know I didn’t struggle as much during this race. I haven’t run a 5K distance over 30 minutes in over a month.  I just knew the results weren’t right, and it was frustrating!  I talked to my friend and also posted what happened on my Daily Mile account, and it made me feel a bit better to hear that sometimes the results get messed up.  But I was disappointed.

I thought about it clearly, and realized I didn’t need an “official” result to tell me how I ran.  I knew from the way I felt (and my watch), that I really ran the race in the 28 minute range- not in the 31 minute range.  While I won’t have an “official” result, it doesn’t discount my running.  Even with the weather and the ice, this was the second best time I’ve ever had.  It felt great to achieve that. 

Shortly after this, the time keeper e-mailed me back, and said the chips didn’t record individual start times- they all turned on at the same time.  He even asked if I started later than the main crowd.  Since I did, that explained the discrepancy.  I figured I started about 3 minutes after everyone else, so that would have put my time right about at 28:18- just about what I thought it would be at when I finished, and what my watch showed. 

I’m glad I got resolution on why the time was off, and it was a good lesson for me to learn.  You can’t always rely on what a clock or a timer chip says you have done.  They are devices, and even I didn’t stop my watch the exact moment I was done.  But I still knew I didn’t run a 31 minute race.  When I looked at how the 28:18 time lined up, it would have “officially” put me in 7th place for my age group, and 87th overall.  It also put me in the 12% for my age group, so I met that goal! 

I’ve joked that I have “graduated” to the next level- the 7K race, which I will be running in next month, but I’m not done with 5K’s. I am going to run in a fifth 5K and try to “officially” beat my personal best. 

After this timing fiasco, and always trying to “guesstimate” my distances, I have a very cool announcement to make soon, which will be perfect timing.  🙂

Categories
Cole Household Mothering Pregnancy & Birth Ryan

I’m a Pigsty Expert

I’ve been working with Ryan and Cole for a few weeks now, on cleaning up their playroom, and organizing everything. It is amazing at times how two boys can be so messy.  We started with the bookcase.  I took out every single book- all 500 of them (so it seems) and kept the ones that are age appropriate, and packed up the baby ones. 

Then we started in on the cars, trucks, trains, and anything else with four wheels.  Then I started finding  tire treads everywhere.  Evidently, Cole likes to take the tread off, and then throw all of them behind larger objects in the playroom. 

Every toy has many other little parts, and trying to find all the parts to the toys to put them away is taking so long.  Cole has been practicing cutting with scissors.  There are always scraps of paper everywhere that makes the floor look like Times Square after New Year’s.  Add to that, Ryan now uses the playroom as his “classroom” to play school.  Everytime I pick up a marker, or put a book away, he tells me he needs that- those are his teaching materials.   He really does have a class too.  He’s recruited the neighborhood children, and after they are all home from real school, they are now assembling in our playroom to play school.

The room is a wreck, and on Friday I finally had some more time to work with the boys and I was determined we were finally going to get the playroom clean and organized.  All was going well until five minutes into it, when I discovered “spit balls” all over the place.  When I asked what they were, Ryan said that was his science experiment- he was making paper.  

I told the boys that there was to be no more water in the playroom.  Then I uttered those five words- those five words I heard growing up: “This room is a pigsty!”  The boys looked at me. The rest of the interaction went like this:

COLE: Mommy, what is a pigsty?

ME: A pigsty is where pigs live, and it is dirty, messy, and gross.  Just like this room.

COLE: But we aren’t pigs- we are boys.

ME: But your room looks like where pigs live.

RYAN: Pigs live on the farm, in mud. There’s no mud in here. 

ME: Yes, but their sty is where they live on the farm, and there probably is mud in here- we just haven’t found it yet.

RYAN: When did you see a pigsty? 

ME: I see a pigsty every time I walk in this room.  

RYAN: Pigs like to be dirty.

COLE: Yea, pigs like to be dirty, and we like our playroom.

ME: Well I don’t, and we aren’t going to keep this room like a pigsty anymore.  We are going to clean it up, until we are done.

RYAN and COLE (silence and then): OINK, OINK!

On Saturday we worked all day, and we made a lot of progress.  After the second trash bag was filled, I realized I am a full-fledged pigsty expert. And I remembered this: (watch at the 3 minute mark to 4 minutes)

Clearly, I’m following the universally-accepted-standard-mother sayings.  When we start in on the pigsty room again, I”ll just have to step it up a notch and tell the boys, “if you think this room is going to stay a pigsty, you have another thing coming.” 

I am sure the response will be the same: oinks, and they will probably ask what is the other thing coming is.  🙂  

Categories
c-sections Current Events Health Pregnancy & Birth

Maternal Death Rates Rise- C-Sections Now Considered a Factor

On February 2, 2010 California Watch, published a story about California’s maternal mortality rate.  It reported the maternal mortality rate in California had increased from 4.3 deaths per 100,000 births in 1996 to 16.9 deaths per 100,000 births in 2006 (the last year statistics are available).

The article cites some factors that are thought to be contributing to this upward trend, and it was not a surprise to me to read that C-sections, and repeat C-sections are one of the main factors officials are finally now considering for the increase in deaths.   The article points out that C-sections are now the number one surgical procedure performed in the United States.

How can California, have such a high maternity mortality rate?  One would think, after the way modern medicine is used in birth today, that the opposite would be true.  This trend is actually not just being seen in California- the entire US maternity mortality rate has also been increasing to the point that it is worse than in some developing countries.  As of 2007, the United States ranked 41st in maternity mortality out of 171 countries.

Officials are now conceding that the increasing C-section rate, might have something to do with the maternal mortality death rate.  As the California Watch article points out, “doctors face a condition called placenta accreta, where the placenta grows into the scar left by a previous C-section. In surgery, doctors must find and suture a web of twisted placental vessels snaking into the patient’s abdomen, which can hemorrhage alarming amounts of blood. Often, doctors must remove the uterus.”

Along these lines, while researching this blog post, I came across an interesting report from The Joint Commission dated January 10, 2010 on preventing maternal death.  It cited a study by the CDC which listed the six leading causes of maternal deaths between 1991 and 1997. The second leading cause was was hemorrhaging, causing 17% of the deaths. The fourth cause was infection at 13%.   The report goes on to identify and cites two out of the four common preventable errors that lead to death were: failure to pay attention to vital signs following a C- section, and hemorrhaging following a C-section.

It is interesting that a leading cause of maternal death is hemorrhaging, and one of the most common errors that leads to death is hemorrhaging after a C-section. The CDC reported on these findings thirteen years ago, and officials are just now seriously considering there could be a link between C-sections and a significant rise in the maternal death rate?   It doesn’t seem like this has been a hidden fact, or that the research wasn’t being done.  This seems more like a case where statistics and research has been emerging for years, but has been largely ignored or brushed off by medical officials.  Until now.  When California’s maternal death rate is worse than some countries like Bosnia or South Korea.

I have my own theory that the higher a state’s C-section rate is, the higher the maternal death rate will be.  While the CDC reports on the C-section rate for every state, not every state publishes their maternal death rates.  I could only come up with an handful of state statistics for 2006 on maternal death rates.  It’s not enough to draw a definite conclusion.  But consider that  Pennsylvania had 19 maternal deaths and their C-section rate was 29.7 percent.  Washington had 20 maternal deaths and their C-section rate was 28.4 percent.  Compare that to California who had 95 maternal deaths and a 31.3 percent C-section rate, and Texas, who had 90 maternal deaths with a 33.2 percent C-section rate.

It’s no secret that other countries who have lower C-section rates also have lower maternal death rates.  In Ireland for instance, the C-section rate averages around 21 percent.  A joint UN/WHO report in 2007 found that Ireland also had the lowest maternal death rate in the world for women dying during or after pregnancy.  Only one out of 47,600 women died, compared with one in 4,800 in the United States.  The C-section rate in the United States in 2006 was 31.1 percent.  It has been projected (but not confirmed yet) that the C-section rate in the US for 2007 will be 31.8 percent.

The California Watch article tells of a medical director in California, Dr. David Lagrew, who in 2002, banned elective inductions at his facility before 41 weeks  or pregnancy, except in rare incidents.  Inductions more than double the chances of C-sections.  The article says,  “as a result, Lagrew said, the operating room schedules opened up, and the hospital saw fewer babies admitted to the neonatal intensive care unit, fewer hemorrhages and fewer hysterectomies.” (bold print mine)

This should have been great news, but as expected, the hospital lost money.   On average a C-section costs twice as much as a vaginal birth.  Yet, we are constantly told that revenue has nothing to do with the increasing C-section rates.  It is because the C-section is “medically necessary.”

If Dr. Lagrew was able to decrease “medically necessary” C-sections in California, right when the maternal death rate was increasing, it ought to be done elsewhere. If Ireland can have the lowest maternal death rate in the world, despite not having all the technological advances that the United States has, and has a considerably lower C-section rate than the United States, that should tell all the officials out there who are trying to figure out why the maternal death rates are increasing, that C-sections are a significant factor in maternal death rates.

It is the white elephant the medical community, and hospitals in general won’t admit, despite research pointing them in this direction for years-decades in some instances.  And yet, the C-section rate continues to climb, and more women are dying during pregnancy and childbirth.

I looked up the modern version of the Hippocartic Oath that doctors take upon graduation.  After reading these, it is hard to be convinced that most doctors have these oaths in mind in regards to C-sections and births in the United States:

I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment and therapeutic nihilism.

I will remember that there is art to medicine as well as science, and that warmth, sympathy, and understanding may outweigh the surgeon’s knife or the chemist’s drug.

I will not be ashamed to say “I know not,…”

and the last one:

I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty. Above all, I must not play at God.

Maybe it is as simple as that.  Maybe if more doctors and hospitals realized a woman’s body is capable in most cases of giving birth without surgery, and let their bodies do what they are capable of doing-just like Dr. Lagrew did, maternal mortality rates would drop in our country. Maybe when “Big Business” gets out of the birthing process, C-section rates will decline, improving maternal health.

The answers to solving the increasing maternal death rate are out there, and have been for years. The question that demands an answer is, when will the majority of the medical community stop ignoring the answers?

Categories
Breastfeeding c-sections Health Mothering Pregnancy & Birth

The C-Section Difference

It has been a while since I have written on the topic of C-sections.  However, a post I wrote almost two years ago, The Reality of C-Sections, remains the most popular post on A Mama’s Blog.  It has received over 11,000 page views to date.  I decided to share my C-section experience and what I learned so others could be informed, and make decisions about C-sections based on knowledge.  I would have never been able to go out and tell 11,000 plus people my experience, so I am pleased the post has been successful. 

Of course not everyone agrees with me, and I get passionate comments from women on both sides of the issue.  Some women have chosen to share their own C-sections stories with me privately, and in the comments.  Some are horrifying.  Some are heartbreaking.  I have cried at many of the stories, because so many of the causes given for the C-sections seemed so unnecessary to begin with, and the toll the surgery has taken in these experiences, is extensive.

I have received many comments from women who say their C-sections were great experiences and they have no regrets.  I have received accusations from other readers who think I am trying to scare women.  I have been called every obscene name at least twice.  

I don’t mind a difference of opinion that is conducted in a respectful manner, but after my health issues last year, I have less of a tolerance for rude comments and readers taking personal shots at me.  Lately, whenever I see a comment has come in on the C-section post, I get butterflies in my stomach, and hope it isn’t a nasty comment.  I have defended my position so many times in the comments there really isn’t anything new that I can offer, that I haven’t already stated.  If it is a comment attacking me personally, I delete the comment.  It serves no purpose to anyone to state an argument in that manner.

I have been thinking about closing comments on that post.  At what point does a discussion run its course?   But then I will receive a comment from someone who has thanked me for writing the post.  Or a woman shares her C-section experience.  So many women have said they have cried while typing out their stories, and I believe just by being able to type out the words, it helps heal.  I know, because writing helped me start to heal from the unresolved issues I had from my C-section.

On Sunday a very touching story from Sarah was posted on her C-section experience. (It is the fifth to the last comment currently in that post’s comments).  Her experience brought tears to my eyes, and as soon as I read this sentence that she wrote, “i am not sure that i will ever get over the emotional trauma i experienced when my daughter was born,” I realized closing the comments would be a mistake.  Reading this from Sarah made me realize how deeply the emotional trauma can run from a C-section.  While it lessens, it never fully goes away.  Just like the positive aspects of birth never go away, the negative emotional tolls don’t either. 

Six years has passed since my own less than ideal and emotionally traumatic C-section.  It is disheartening on some level to read that some C-sections are even worse than mine was six years ago, and that they are still being performed at an alarming rate- almost one in three births in the United States is a C-section.  (This figure is from 2007, and is probably higher for 2008 and 2009 but the rates have not been released).  It seems at times for those of us who believe C-sections should be reserved for true medical emergencies, it is an uphill battle.  What difference really can we have?

I found out how much of a difference one person’s experience can have this past weekend.  I was getting my haircut, and only have it cut every few months now.  My stylist, “Emily,” told me she was seven months pregnant, and of course I congratulated her.  Emily is young- at least young from my perspective- she probably is not older than 25.  She knows I have two boys, and she asked me what hospital my kids were born at.  I told her, and told her I had a C-section with my first son and a VBAC (vaginal birth after cesarean) with my second son.  Emily asked me which was better- the C-section or the vaginal birth.

I told her the VBAC by far.  I told Emily I was holding my baby seconds after he was born, versus not being able to hold my baby for an hour after birth with a C-section.  I told her I was able to eat 30 minutes after the VBAC, versus three days after with a C-section.  I told her I bonded instantly with Cole after he was born, versus five days with Ryan, after the C-section.  I told her I was nursing Cole within minutes after the VBAC, versus an hour with the C-section.  I told her I felt better three days after the VBAC birth versus twelve weeks, with the C-section.

Emily was quiet for a minute, and I was wondering what her reaction was going to be.  She put down her scissors and told me, “Thank you.”  I was a little surprised, because I was expecting her to tell me she had heard C-sections weren’t that bad.  Emily told me that she wanted a natural birth, and so many people have tried to talk her out of a natural birth.  She also said so many have told her that she’ll end up with a C-section anyway.   Emily said she was starting to doubt if she could really give birth naturally, but hearing my comparisons, it firmed her resolve.  Emily said unless she had a medical emergency, she was going to give birth naturally, and not let anyone talk her into a C-section!  It was so encouraging to hear a younger mother with that attitude.  I told her of a few resources that could help her even more, and she thanked me again for being honest about my birth experiences. 

I have thought about this exchange for a few days now, and after reading Sarah’s sentence, the realization became very clear.  Emotional trauma from a C-section does not ever completely vanish. It will always be- to some extent or another- with us.   It doesn’t matter if it was a week ago, twenty years ago, or if it was a medically necessary C-section or not.  We can never go back and undo what was done.   But our honest experiences with C-sections can be more powerful to someone who is seeking information than any books, or medical professional.

When women are told they need to “get over” their traumatic C-section births, by ignoring the parts of their birth experience which were negative, or traumatic, it doesn’t “magically” make everything better.  It harms the women again, because now it isn’t acceptable to share or to talk about anything that isn’t a positive birth experience. 

There are still women, like Emily, who believe their bodies are capable of giving birth the way they were intended to do so.  There are women who don’t believe insurance companies, hospitals, drugs and surgeries are the answer to birth.  These women want to know the truth, and are seeking answers.  On the opposite side, there are so many women who had no one who shared their C-section experiences with them, when they had to make their decisions.  There are women who have lost so much, and and have been hurt from C-sections.  How do these two sides come together?

By telling our stories.  It doesn’t matter that some won’t agree with you.  It doesn’t matter that some will tell you to get over it.  It doesn’t matter that some will tell you, you should be grateful your baby is healthy.  It doesn’t matter that some will accuse you of trying to be overly dramatic.   It doesn’t matter that not all C-sections are traumatic for everyone.  What does matter is ours was.  What does matter that someone else’s will be too.  What does matter is we talk about it.  It matters that we share our stories, and honor our birth experiences- all of them. 

For the women who refuse to accept a C-section is the normal way to give birth, by sharing our experiences, we confirm their instincts, and they confirm ours- a surgical birth is not usually the best way to give birth.  Most importantly, by talking about it your spirit starts to heal.  A little at time.  Never completely, but enough. Our experiences become patched together like a quilt.  This is enough to make a difference, one birth at a time.

Categories
Family & Friends Health Mothering Running

Pieces of the Running Puzzle

Before I had my kids, I used to workout.  In a real gym.  With actual exercise equipment like treadmills and weights.  Not that carrying around a baby who was 15 pounds eight weeks after he was born (Cole) or a toddler who was 25 pounds (Ryan) at the same time wasn’t a good workout, but it wasn’t exactly the same.

After having kids, there wasn’t time for gym workouts.  My workouts tapered off into walks with the stroller.  This was easier when there was only one baby, because a two-and-a-half year old doesn’t want to ride in the double stroller- no, they like to walk.  Very slowly.  And while that is fun, it is not a workout.  

When it came time to renew the membership, I realized I had been there maybe once during that past year to take the boys swimming in the kiddie pool.  It couldn’t be justified to pay for something that was not being used.  I cancelled the membership.  I still took the boys for walks several times a week, and would get out at times by myself for a longer walk, a short jog, or in the summer, a bike ride. 

Over the years, I have forgotten (not sure when exactly) how much I liked and benefited from strength training.  I would spend hours each week at the gym working the various muscle groups with weights.  Fast forward almost seven years later, and that has been how long since I have done any type of strength/core exercises.

When I was trying to figure out what was causing my shin splints, it made sense that my shin muscles weren’t very strong.  When I was talking to Alison about it she made the point that my other leg muscles might not be very strong either, and that could be putting more stress on my shins than necessary.  This seemed like a logical explanation, so I have decided the seven year break from strength training is over!

Alison showed me some wonderful stretches and exercises last week her personal trainer had given her, specifically for running.  These were designed to use weights, and they targeted not just the legs, but the entire body, and core strength.  I was sore from them for a few days, but it really proved the point that several of my muscles groups could stand a lot of improvement.   

I’m really excited that Alison’s trainer is going to have a running workshop soon.  I am sure I will learn a lot more from her.  In the meantime I am taking it cautiously, and working with three pound weights to get started.  At home.  Because I still don’t have enough time for an actual gym membership, but for the times I can squeeze it in, I am now thinking along the lines of the rec. center.

I really appreciate all the helpful advice and suggestions my friends share with me.  To achieve my running goals, I feel like there are all these little pieces of the puzzle that have to come together.  By adding strength training back into my routine after all these years, it feels like I found another part of the puzzle!   Slowly but surely, I am going to solve the puzzle.  One piece at a time.