Wednesday, July 2, 2014

A Lesson from Sumatra, to Bali and Beyond

My husband and I chose to give birth at a small clinic in our neighborhood in Ubud, Bali, rather than returning home to the USA, where we were both born. Maternal and post-natal mortality rates are much higher in Indonesia than in the USA, but our pregnancy was textbook normal with no complications. We felt well-supported by the loving and attentive midwives at Yayasan Bumi Sehat.


After our daughter’s birth, we kept the placenta attached for about 24 hours, cradled in a small basket filled with flowers next to our newborn. There is credible research suggesting that leaving the placenta attached to a newborn baby for minutes or even seconds, rather than the standard practice of clamping and cutting it immediately after birth, can significantly reduce the baby’s risk of anemia and benefit brain development.

Where I come from, newborns’ umbilical cords are routinely clamped and cut within a few seconds after birth. Leaving them attached for even 30 seconds after an uncomplicated birth is better, as the cord continues to pulse with blood. About a third of the newborn’s blood remains in the placenta and umbilical cord immediately after birth. Waiting two to five minutes, until the cord stops visibly pulsing with blood, is even better for the baby.

Rather than implementing any standard practice without consultation, our midwife Ibu Robin asked us how we wanted to handle it. We said we didn’t want to keep her attached for a full lotus birth, which means waiting until the whole umbilicus and placenta dry and fall off on their own. We felt a little awkward holding our incredibly tiny and vulnerable little daughter. We anticipated feeling even more awkward if we tried to leave her attached to a flower-filled basket by nature’s strongest string for days, worrying that we might accidently tug away the short umbilicus and cause her belly to bleed. After 24 hours, her cord was certainly finished pulsing with blood.

Ibu Robin suggested we try a ceremony in which we would burn through the cord, rather than cutting it. She had originated this practice in Aceh, where her team had opened up a clinic to serve Sumatran families after the devastating tsunami of December 2004 that left them without so many and so much. She insisted that the burning was not only maximally hygienic—its original reason for being, with a shortage of hygienic equipment in the aftermath of the tsunami—but also had the benefit of driving any remaining chi or life force energy from the placenta into the baby. We liked this idea, so this is how we separated our new daughter from her placenta, ‘the forgotten chakra’ as Ibu Robin calls it.

My daughter and I curled on the bed, with my husband huddled beside us, and we placed a small piece of cardboard with a slice removed to accommodate the placenta between our baby and the fire. Ibu Robin and midwife Tracy sang the Gayatri mantra again as the candle’s flame seared through this lifeline to which she had always been attached. Our baby’s attention flared with the flame, and her eyes remained on its white-yellow light as we all bore witness to this early rite. We would take the placenta home along with her, in its own basket.

Tracy volunteered to help us dry and encapsulate part of it for me to take in case I had any post-partum depression. Pak Pastika from Bumi Sehat also helped us get a small mango tree and large pot, so that we could plant the rest of the placenta under the tree. Perhaps as it grows, we thought, we can transfer the tree to the earth, and it will still be here in Ubud, if some day our daughter returns to visit her birth place.

Order your copy of Becoming Home: A Memoir of Birth in Bali at CreateSpace or Amazon.