Stress Management
To Awka Dioceasan Catholic Women Organization (CWO) Ekwulobia Sector, 2018 August Meeting, at St Joseph’s Catholic Pro-Cathedral, Ekwulobia.
By Okonkwo Chinenye Maryrose
Table of Contents
- Introduction
- Stress Management
- Using Self-Help Techniques
- Why is it so important to manage stress?
- Tip 1: Identify the sources of stress
- Tip 2: Practice the Four A’s of stress
- Tip 3: Get moving
- Tip 4: Connect to others
- Tip 5: Make time for fun and relaxation
- Tip 6: Manage your time better
- Tip 7: Maintain balance
- Tip 8: Learn to relieve stress
- Resources and references:
- Quick Stress Relief
- What is the fastest way to relieve stress?
- Talking face-to-face
- Tip 1: Recognize when you’re stressed
- Tip 2: Identify your stress response
- Tip 3: Bring your senses to the rescue
- Tip 4: Find sensory inspiration
- Tip 5: Make quick stress relief a habit
- Tip 6: Practice wherever you are
- Resources and references
- Conclusion
Introduction
Stress is often expressed as:- the changes in the environments that require our bodies to react and adjust in physical, mental and emotional responses.
- a normal part of all ages’ life.
- many events that happen to us and around us.
Types of Stress
Good or Positive Stress (Eustress):- Getting a job or business promotions.
- Greater responsibilities eg. Marriage, childbearing and higher posts.
- Keeping alert and ready to avoid danger.
Stress Management:
For Stress to be managed, serious consideration surveys the:- Attitudes and perception
- Sources
- Behaviors
- Impacts of Stress
Stress Management
Using Self-Help Techniques for Dealing with Stress
It may seem like there’s nothing you can do about stress. The bills won’t stop coming, there will never be more hours in the day, and your work and family responsibilities will always be demanding. But you have a lot more control than you might think. In fact, the simple realization that you’re in control of your life is the foundation of managing stress. Stress management is all about taking charge: of your lifestyle, thoughts, emotions, and the way you deal with problems. No matter how stressful your life seems, there are steps you can take to relieve the pressure and regain control.Why is it so important to manage stress?
If you’re living with high levels of stress, you’re putting your entire well-being at risk. Stress wreaks havoc on your emotional equilibrium, as well as your physical health. It narrows your ability to think clearly, function effectively, and enjoy life. Effective stress management, on the other hand, helps you break the hold stress has on your life, so you can be happier, healthier, and more productive. The ultimate goal is a balanced life, with time for work, relationships, relaxation, and fun-and the resilience to hold up under pressure and meet challenges head on. But stress management is not one-size-fits-all. That’s why it’s important to experiment and find out what works best for you. The following stress management tips can help you do that.Tip 1: Identify the sources of stress in your life
Stress management starts with identifying the sources of stress in your life. This isn’t as straightforward as it sounds. While it’s easy to identify major stressors such as changing jobs, moving, or a going through a divorce, pinpointing the sources of chronic stress can be more complicated. It’s all too easy to overlook how your own thoughts, feelings, and behaviors contribute to your everyday stress levels. Sure, you may know that you’re constantly worried about work deadlines, but maybe it’s your procrastination, rather than the actual job demands, that is causing the stress. To identify your true sources of stress, look closely at your habits, attitude, and excuses: Do you explain away stress as temporary (“I just have a million things going on right now”) even though you can’t remember the last time you took a breather? Do you define stress as an integral part of your work or home life (“Things are always crazy around here”) or as a part of your personality (“I have a lot of nervous energy, that’s all”)? Do you blame your stress on other people or outside events, or view it as entirely normal and unexceptional? Until you accept responsibility for the role you play in creating or maintaining it, your stress level will remain outside your control.Start a stress journal
A stress journal can help you identify the regular stressors in your life and the way you deal with them. Each time you feel stressed, keep track of it in your journal. As you keep a daily log, you will begin to see patterns and common themes. Write down: What caused your stress (make a guess if you’re unsure) How you felt, both physically and emotionally How you acted in response What you did to make yourself feel betterTip 2: Practice the 4 A’s of stress management
While stress is an automatic response from your nervous system, some stressors arise at predictable times- your commute to work, a meeting with your boss, or family gatherings, for example. When handling such predictable stressors, you can either change the situation or change your reaction. When deciding which option to choose in any given scenario, it’s helpful to think of the four A’s: avoid, alter, adapt, or accept.The four A’s – Avoid, Alter, Adapt & Accept
Avoid unnecessary stress
It’s not healthy to avoid a stressful situation that needs to be addressed, but you may be surprised by the number of stressors in your life that you can eliminate. Learn how to say “no.” Know your limits and stick to them. Whether in your personal or professional life, taking on more than you can handle is a surefire recipe for stress. Distinguish between the “shoulds” and the “musts” and, when possible, say “no” to taking on too much. Avoid people who stress you out. If someone consistently causes stress in your life, limit the amount of time you spend with that person, or end the relationship. Take control of your environment. If the evening news makes you anxious, turn off the TV. If traffic makes you tense, take a longer but less- traveled route. If going to the market is an unpleasant chore do your grocery shopping online. Pare down your to-do list. Analyze your schedule, responsibilities, and daily tasks. If you’ve got too much on your plate, drop tasks that aren’t truly necessary to the bottom of the list or eliminate them entirely,Alter the situation
If you can’t avold a stressful situation, try to alter It. Often, this involves changing the way you communicate and operate in your daily life. Express your feelings instead of bottling them up. If something or someone is bothering you, be more assertive and communicate your concerns in an open and respectful way. If you’ve got an exam to study for and your chatty roommate just got home, say up front that you only have five minutes to talk. If you don’t voice your feelings, resentment will build and the stress will increase. Be willing to compromise. When you ask someone to change their behavior, be willing to do the same. If you both are willing to bend at least a little, you’ll have a good chance of finding a happy middle ground. Create a balanced schedule. All work and no play is a recipe for burnout. Try to find a balance between work and family life, social activities and solitary pursuits, daily responsibilities and downtime.Adapt to the stressor
If you can’t change the stressor, change yourself. You can adapt to stressful situations and regain your sense of control by changing your expectations and attitude. Reframe problems. Try to view stressful situations from a more positive perspective. Rather than fuming about a traffic jam, look at it as an opportunity to pause and regroup, listen to your favorite radio station, or enjoy some alone time Look at the big picture. Take perspective of the stressful situation. Ask yourself how important it will be in the long run, Will it matter in a month? A year? Is it really worth getting upset over? If the answer is no, focus your time and energy elsewhere. Adjust your standards. Perfectionism is a major source of avoidable stress. Stop setting yourself up for failure by demanding perfection. Set reasonable standards for yourself and others, and learn to be okay with “good enough.” Practice gratitude. When stress is getting you down, take a moment to reflect on all the things you appreciate in your life, including your own positive qualities and gifts. This simple strategy can help you keep things in perspective.Accept the things you can’t change
Some sources of stress are unavoidable. You can’t prevent or change stressors such as the death of a loved one, a serious illness, or a national recession. In such cases, the best way to cope with stress is to accept things as they are. Acceptance may be difficult, but in the long run, it’s easier than railing against a situation you can’t change. Don’t try to control the uncontrollable. Many things in life are beyond our control-particularly the behavior of other people. Rather than stressing out over them, focus on the things you can control such as the way you choose to react to problems. Look for the upside. When facing major challenges, try to look at them as opportunities for personal growth. If your own poor choices contributed to a stressful situation, reflect on them and learn from your mistakes. Learn to forgive. Accept the fact that we live in an imperfect world and that people make mistakes. Let go of anger and resentments. Free yourself from negative energy by forgiving and moving on. Share your feelings. Expressing what you’re going through can be very cathartic, even if there’s nothing you can do to alter the stressful situation. Talk to a trusted friend or make an appointment with a therapist.Tip 3: Get moving
When you’re stressed, the last thing you probably feel like doing is getting up and exercising. But physical activity is a huge stress reliever-and you don’t have to be an athlete or spend hours in a gym to experience the benefits. Exercise releases endorphins that make you feel good, and it can also serve as a valuable distraction from your daily worries.Tip 4: Connect to others
There is nothing more calming than spending quality time with another human being who makes you feel safe and understood. In fact, face-to-face interaction triggers a cascade of hormones that counteracts the body’s defensive “fight-or-flight” response. It’s nature’s natural stress reliever (as an added bonus, it also helps stave off depression and anxiety). So make it a point to connect regularly-and in person-with family and friends. Keep in mind that the people you talk to don’t have to be able to fix your stress. They simply need to be good listeners. And try not to let worries about looking weak or being a burden keep you from opening up. The people who care about you will be flattered by your trust. It will only strengthen your bond. Of course, it’s not always realistic to have a pal close by to lean on when you feel overwhelmed by stress, but by building and maintaining a network of close friends you can improve your resiliency to life’s stressorsTips for building relationships
- Reach out to a colleague at work
- Help someone else by volunteering
- Have lunch or coffee with a friend
- Ask a loved one to check in with you regularly
- Accompany someone to the movies or a concert
- Call or email an old friend
- Go for a walk with a workout buddy
- Schedule a weekly dinner date
- Meet new people by taking a class or joining a club
- Confide in a clergy member, teacher, or sports coach
Tip 5: Make time for fun and relaxation
Beyond atake-charge approach and a positive attitude, you by carving out “me time. Don’t get so caught up in the hustle and bustle of life that you forget to take care of your own needs. Nurtufing yourself is a necessity, not a luxury. If you regularly make time for fun and relaxation, you’ll be in a better place to handle life’s stressors.Set aside leisure time.
Include rest and relaxation in your daily schedule. Don’t allow other obligations to encroach. This is your time to take a break from all responsibilities and recharge your batteries.Do something you enjoy every day.
Make time for leisure activities that bring you joy, whether it be stargazing, playing the piano, or working on your bike.Keep your sense of humor.
This includes the ability to laugh at yourself. The act of laughing helps your body fight stress in a number of ways.Take up a relaxation practice.
Relaxation techniques such as yoga, meditation, and deep breathing activate the body’s relaxation response, a state of restfulness that is the opposite of the fight or flight or mobilization stress response. As you learn and practice these techniques, your stress levels will decrease and your mind and body will become calm and centered.Tip 6: Manage your time better
Poor time management can cause a lot of stress. When you’re stretched too thin and running behind, it’s hard to stay calm and focused. Plus, you’ll be tempted to avoid or cut back on all the healthy things you should be doing to keep stress in check, like socializing and getting enough sleep. The good news: there are things you can do to achieve a healthier work-life balance.Don’t over-commit yourself.
Avold scheduling things back-to-back or trying to fit too much into one day. All too often, we underestimate how long things will take.Prioritize tasks.
Make a list of tasks you have to do, and tackle them in order of Importance. Do the high-priority items first. If you have something particularly unpleasant or stressful to do, get it over with early. The rest of your day will be more pleasant as a result.Break projects into small steps.
If a large project seems overwhelming, make a step-by-step plan. Focus on one manageable step at a time, rather than taking on everything at once.Delegate responsibility.
You don’t have to do it all yourself, whether at home, school, or on the job. If other people can take care of the task, why not let them? Let go of the desire to control or oversee every little step. You’ll be letting go of unnecessary stress in the process.Tip 7: Maintain balance with a healthy lifestyle
In addition to regular exercise, there are other healthy lifestyle choices that can increase your resistance to stress.Eat a healthy diet.
Well-nourished bodies are better prepared to cope with stress, so be mindful of what you eat. Start your day right with breakfast, and keep your energy up and your mind clear with balanced, nutritious meals throughout the day.Reduce caffeine and sugar.
The temporary “highs” caffeine and sugar provide often end in with a crash in mood and energy. By reducing the amount of coffee, soft drinks, chocolate, and sugar snacks in your diet, you’ll feel more relaxed and you’ll sleep betterAvoid alcohol, cigarettes, and drugs.
Self-medicating with alcohol or drugs may provide an easy escape from stress, but the relief is only temporary. Don’t avoid or mask the issue at hand; deal with problems head on and with a clear mind.Get enough sleep
Adequate sleep fuels your mind, as well as your body. Feeling tired will increase your stress because it may cause you to think Irrationally.Tip 8: Learn to relieve stress in the moment
When you’re frazzled by your morning commute, stuck in a stressful meeting at work, or fried from another argument with your spouse, you need a way to manage your stress levels right now. That’s where quick stress relief comes in. The fastest way to reduce stress is by taking a deep breath and using your senses-what you see, hear, taste, and touch-or through a soothing movement. By viewing a favourite photo, smelling a specific scent, listening to a favorite piece of music, tasting a piece of gum, or hugging a pet, for example, you can quickly relax and focus yourself. Of course, not everyone responds to each sensory experience in the same way. The key to quick stress relief is to experiment and discover the unique sensory experiences that work best for you.Resources and references:
- Stress Management: Enhance your well-being by reducing stress and building resilience-Harvard Medical
- School Special Health Report
- Assert Yourself – Centre for Clinical Interventions
- Managing Stress for a Healthy Family – American Psychological Association
- Authors: Lawrence Robinson, Melinda Smith, M.A., and Robert Segal, M.A. Last updated: July 2018.
Quick Stress Relief
Using Your Senses to Relieve Stress on the Spot Ever wish a stress superhero could save you from the tension of traffic jams, chaotic meetings, arguments with your spouse, or a toddler’s tantrums? Well, you can be your own stress-busting superhero. Using your senses, you can tap into the power to reduce the impact of stress as it’s happening and stay in control when the pressure builds. Like any skill, learning how to ease stress in the moment takes time, experimentation, and practice, but the payoff is huge. When you know how to quickly relieve stress, you can stay calm, productive, and focused no matter what life throws at you.What is the fastest way to relieve stress?
There are countless techniques for managing stress. Yoga, mindfulness meditation, and exercise are just a few examples of stress-relieving activities that work wonders. But in the heat of the moment-during a high pressured job interview, for example, or a disagreement with your spouse-you can’t just excuse yourself to meditate or take a long walk, For these situations, you need something more immediate and accessible. One of the speediest and most reliable ways to stamp out stress is by engaging one or more of your senses- sight, sound, taste, smell, touch-or through movement. But since everyone is different, you’ll need to do some experimenting to discover which technique works best for you..Talking face-to-face: another rapid stress reducer
Social interaction is your body’s most evolved and surefire strategy for regulating the nervous system. Talking face-to-face with a relaxed and caring listener can help you quickly calm down and release tension. Although you can’t always have a pal to lean on in the middle of a stressful situation, maintaining a network of close relationships is vital for your mental health. Between sensory-based stress relief and good listeners, you’ll have your bases covered.Tip 1: Recognize when you’re stressed
It might seem obvious that you’d know when you’re stressed, but many of us spend so much time in a frazzled state that we’ve forgotten what it feels like when our nervous systems are in balance-when we’re calm yet still alert and focused. If this is you, you can recognize when you’re stressed by listening to your body. When you’re tired, your eyes feel heavy and you might rest your head on your hand. When you’re happy, you laugh easily. And when you’re stressed, your body lets you know that, too. Get in the habit of paying attention to your body’s clues.Observe your muscles and insides.
Are your muscles tense or sore? Is your stomach tight, cramped, or aching? Are your hands or jaw clenched?Observe your breath.
Is your breathing shallow? Place one hand on your belly, the other on your chest. Watch your hands rise and fall with each breath. Notice when you breathe fully or when you “forget” to breathe.Tip 2: Identify your stress response
Internally, we all respond to the “fight-or-flight” stress response the same: your blood pressure rises, your heart pumps faster, and your muscles constrict. Your body works hard and drains your immune system. Externally, however, people respond to stress in different ways. The best way to quickly relieve stress often relates to your specific stress response:Overexcited stress response
If you tend to become angry, agitated, overly emotional, or keyed up under stress, you will respond best to stress relief activities that quiet you down.Under excited stress response –
If you tend to become depressed, withdrawn, or spaced out under stress, you will respond best to stress relief activities that are stimulating and energizing.The immobilization or “frozen” stress response
Do you freeze when under stress? The immobilization stress response is often associated with a past history of trauma. When faced with stressful situations, you may find yourself totally stuck and unable to take action. Your challenge is to break free of your “frozen” state by rebooting your nervous system and reactivating the body’s natural “fight-or-flight” stress response. Physical movement that engages both your arms and legs, such as walking, swimming, running, dancing, climbing, or tai chi, can be particularly helpful. As you move, focus on your body and the sensations you feel in your limbs rather than on your thoughts. This mindfulness element can help your nervous system become “unstuck” and move on.Tip 3: Bring your senses to the rescue
To use your senses to quickly relieve stress, you first need to identify the sensory experiences that work best for you. This can require some experimentation. As you employ different senses, note how quickly your stress levels drop. And be as precise as possible. What is the specific kind of sound or type of movement that affects you the most? For example, if you’re a music lover, listen to many different artists and types of music until you find the song that instantly lifts and relaxes you. Explore a variety of sensory experiences so that no matter where you are you’ll always have something you can do to relieve stress. The examples listed below are intended to be a jumping-off point. Let your mind run free and come up with additional things to try. When you find the right sensory technique, you’ll know it!Sight
- Look at a cherished photo or a favorite memento. Use a plant or flowers to enliven your work space. Enjoy the beauty of nature-a garden, the beach, a park, or your own backyard.
- Surround yourself with colors that lift your spirits.
- Close your eyes and picture a place that feels peaceful and rejuvenating.
Smell
- Light a scented candle or burn some incense.
- Experiment with different essential oils.
- Smell the roses-or another type of flower.
- Enjoy clean, fresh air in the great outdoors.
- Spritz on your favorite perfume or cologne.
Touch
- Wrap yourself in a warm blanket. Pet a dog or cat.
- Hold a comforting object (a stuffed animal, a favorite memento).
- Give yourself a hand or neck massage.
- Wear clothing that feels soft against your skin.
Taste:
Slowly savoring a favorite treat can be very relaxing, but mindless eating will only add to your stress and your waistline. The key is to indulge your sense of taste mindfully and in moderation.- Chew a piece of sugarless gum.
- Indulge in a small piece of dark chocolate.
- Sip a steaming cup of coffee or tea or a refreshing cold drink.
- Eat a perfectly ripe piece of fruit.
- Enjoy a healthy, crunchy snack (celery, carrots, or trail mix).
Movement
If you tend to shut down when you’re under stress or have experienced trauma, stress-relieving activities that get you moving may be particularly helpful.- Run in place or jump up and down.
- Dance around.
- Stretch or roll your head in circles.
- Go for a short walk.
- Squeeze a rubbery stress ball.
Sound
- Sing or hum a favorite tune.
- Listen to uplifting music.
- Tune in to the soundtrack of nature-crashing waves, the wind rustling the trees, birds singing.
- Buy a small fountain, so you can enjoy the soothing sound of running water in your home or office.
- Hang wind chimes near an open window.
Vocal toning
As strange as it may sound, vocal toning is a special technique that reduces the stress hormones adrenaline and cortisol. Try sneaking off to a quiet place to spend a few minutes toning before a meeting with your boss and see how much more relaxed and focused you feel. It works by exercising the tiny muscles of the inner ear that help you detect the higher frequencies of human speech that impart emotion and tell you what someone is really trying to say. Not only will you feel more relaxed in that meeting with your boss, you’ll also be better able to understand what he’s trying to communicate.How to tone
Sit up straight and simply make “mmmm” sounds with your lips together and teeth slightly apart. Experiment by changing the pitch and volume until you experience a pleasant vibration in your face and, eventually, your heart and stomach.Tip 4: Find sensory inspiration
Having trouble identifying sensory techniques that work for you? Look for inspiration around you, from the sights you see as you go about your day to memories from your past.Memories.
Think back to what you did as a child to calm down. If you had a blanket or stuffed toy, you might benefit from tactile stimulation. Try tying a textured scarf around your neck before an appointment or keeping a piece of soft suede in your pocket.Watch others.
Observing how others deal with stress can give you valuable insight. Baseball players often pop gum before going up to bat. Singers often chat up the crowd before performing. Ask around about what people you know do to stay focused under pressure.Parents.
Think back to what your parents did to blow off steam. Did your mother feel more relaxed after a long walk? Did your father do yard work after a hard day?The power of imagination.
Once drawing upon your sensory toolbox becomes habit, try simply imagining vivid sensations when stress strikes. The memory of your baby’s face will have the same calming or energizing effects on your brain as seeing her photo. When you can recall a strong sensation, you’ll never be without a quick stress relief tool.Take a break from technology
Taking a short hiatus from the television, computer, and cell phone will give you insight on what your senses respond to best. Try tuning Into relaxing music instead of talk radio during your commute. Or try riding in silence for 10 minutes. Stuck in a long line at the grocery store? Instead of talking on your phone, take a moment to people watch. Pay attention to what you hear and see. Instead of checking email while waiting for a meeting, take a few deep breaths, look out the window, or sip some tea. While waiting for an appointment, resist the urge to text and give yourself a hand massage instead.Tip 5: Make quick stress relief a habit
It’s not easy to remember to use your senses in the middle of a mini-or not so mini-crisis. At first, it will feel easier to just give into pressure and tense up. But with time, calling upon your senses will become second nature. Think of it as like learning to drive or play golf. You don’t master the skill in one lesson; you have to practice until it becomes second nature. Eventually you’ll feel like you’re forgetting something if you don’t tune into your body during challenging times. Here’s how to make it habit:Start small.
Instead of testing your quick stress relief tools on a source of major stress, start with a predictable low-level source of stress, like cooking dinner at the end of a long day or sitting down to pay bills.Identify and target.
Think of just one low-level stressor that you know will occur several times a week, such as commuting. Vow to target that stressor with quick stress relief every time. After a few weeks, target a second stressor and so on.Test-drive sensory input.
If you are practicing quick stress relief on your commute to work, bring a scented handkerchief with you one day, try music another day, and try a movement the nextHave fun with the process.
If something doesn’t work, don’t force it. Move on until you find what works best for you. It should be pleasurable and noticeably calming.Talk about it.
Telling friends or family members about the stress-relief strategies you’re trying out will help you integrate them into your life. As an added bonus, it’s bound to start an Interesting conversation: everyone relates to the topic of stress.Tip 6: Practice wherever you are
The best part of sensory-based strategies is the awareness that you have control. No matter where you are or what you’re doing, quick stress relief is within arm’s reach.Quick stress relief at home
Entertaining.
Prevent pre-party jitters by playing lively music. Light candles. The flicker and scent will stimulate your senses. Wear clothes that make you feel relaxed and confident.Kitchen.
Ease kitchen stress by breathing in the scent of every ingredient. Delight in the delicate texture of an eggshell. Appreciate the weight of an onion.Children and relationships.
Prevent losing your cool during a spousal spat by squeezing the tips of your thumb and forefinger together. When your toddler has a tantrum, rub lotion into your hands and breathe in the scent.Sleep.
Too stressed to snooze? Try using a white noise machine for background sound or a humidifier with a diffuser for a light scent in the air.Creating a sanctuary.
If clutter is upsetting, spend 10 minutes each day to tidy. Display photos and images that make you feel happy. Throw open the curtains and let in natural light.Quick stress relief at work
Meetings During stressful sessions, stay connected to your breath. Massage the tips of your fingers. Wiggle your toes. Sip coffee. On the phone: Inhale something energizing, like lemon, ginger, peppermint. While talking, stand up or pace back and forth to burn off excess energy, or take calls outside when possible. On the computer: Work standing up. Do knee-bends in 10-minute intervals. Suck on a peppermint. Sip tea. Lunch breaks: Take a walk around the block or in the parking lot. Listen to soothing music while eating. Chat to a colleague. Your workspace. Place family photos on your desk or mementos that remind you of your life outside the office. Quick stress relief on the go In traffic. Play music or listen to an audiobook. Take a different route to see something new. Do neck-rolls at stoplights. Sing in the car to stay awake and happy. Public transportation: Take a break from reading, cell conversations, and music and tune into the sights and sounds around you. Try noticing something new even if it’s the same old bus ride. Running errands: Wear a special perfume or lotion so you can enjoy it while you rush from place to place. Carry a stress ball in your pocket. Take a mental “snapshot” or “postcard” at each destination. Waiting in lines. Instead of worrying about time slipping away, focus on your breathing. People watch. Chat with the person ahead of you. Chew a stick of minty gum.Resources and references
- Stress Management: Enhance your well-being by reducing stress and building resilience – Harvard Medical School Special Health Report
- The Road to Resilience-American Psychological Association
- Meditation: A simple, fast way to reduce stress-Mayo Clinic
- The Effect of Music an the Human Stress Response – NIH
- Authors: Jeanne Segal, Ph.D., Melinda Smith, M.A., and Lawrence Robinson. Last updated: July 2018.
CONCLUSION:
Avoid long lasting of STRESS as to disturb life activities, Failure to manage stress well or excessive stress may lead to serious health issues.Important midwifery skills
What midwifery skills are most important to learn before you are responsible at a birth? How do you attain those skills?
Personally, I think it is up to the mother to decide whether or not I have the skills to protect her environment while she gives birth. With every birth I attend I have a takeaway. So, if I had to say, it has always been a numbers game: the more births, the more teachings.
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