Blessed be the Belly

How Twins are made!

2011-05-14T23:04:00.000-07:00

How twins are made...I thought this
Was just plain cute.

So this is how they do it...

One of life's great mysteries solved.

Only twenty years ago, no one would have
Understood this joke!)

Water/Home birth

2011-04-29T23:06:00.000-07:00

Today I attended my first home/water birth. WOW! What an experience! It was a total blessing to be apart of a team where there was so much respect and love in the home. Congratulations to Kristy & David on the birth of Noah David!

13 people

2011-04-22T11:54:00.000-07:00

http: //youtu.be/UpiEF5lI8Pw
Inspiration from a determined group of only 13 people who made an incredible accomplishmentin only 5 years

This video is a promotion for the work of The Trust Birth Initiative http://www.trustbirth.com copyright carla hartley 2010.

I guess you could say I've been busy....

2011-04-05T22:11:00.000-07:00

I'm sorry that I haven't been paying much attention to this blog. I've been abit busy loving on my new grandson! Isn't he just the cutest thing you've ever seen?

The Essential Ingredient: Doula

2011-03-12T10:30:00.000-08:00

Birth Quote

2011-03-07T17:37:00.000-08:00

"Just as a woman's heart knows how and when to pump, her lungs to inhale, and her hand to pull back from a fire, so she knows how and when to give birth!"

Virginia Di Orio

What does a doula do?

2011-03-01T00:19:00.000-08:00

“A doula enters the space of a labouring woman and is highly responsive and aware of her needs, moods, changes, and unspoken feelings. She has no need to control or smother. Every pregnant woman should have the benefits of a doula. This person does not detract from the role of the baby’s father or co-parent, by the way. It enhances it and leaves him (or her) free to do the very important job of loving the mother. ”

~Christiane Northrup, M.D. Women’s Bodies, Women’s Wisdom

A birth servant is...

2011-02-23T22:22:00.000-08:00

“You are a birth servant. Do good without show or fuss. If you must take the lead, lead so that the mother is helped, yet still free and in charge. When the baby is born, they will rightly say: ‘We did it ourselves!’" Tao Te Ching

Go to your baby!

2011-02-19T21:21:00.001-08:00

"Don’t stand unmoving outside the door of a crying baby whose only desire is to touch you. Go to your baby. Go to your baby a million times. Demonstrate that people can be trusted, that the environment can be trusted, that we live in a benign universe.” ~ Peggy O’ Mara

EZ SOX-The "I Can Do It" Sock!

2011-02-05T20:17:00.000-08:00

I found a really cute wbesite that I wanted to share with you. The EXSOX are for children and they are fun learning socks! What a wonderful and helpful tool for parents trying to teach their children how to put on their socks. Think of the confidence that your children will gain as they learn to dress themselves!

Check them out!
EZ SOX-The "I Can Do It" Sock!

When to Cut the Umbilical Cord: Advantages of Delayed Cord Clamping

2011-02-04T21:54:00.000-08:00

There has been alot of information and discussion about when to clamp the cord once your baby is born. After reading this article, and listening to a few of my sister doulas, I finally am understanding the reason why it is so important to wait.

When to Cut the Umbilical Cord: Advantages of Delayed Cord Clamping

If you are thinking about banking your baby's cord blood, this website gives you information that should be helpful in making that decision.

The Hucklebuck Song!

2011-01-31T17:11:00.000-08:00

If this doesn't get you dancing, I don't know what will!

And here are the words:

Ah here's a dance you should know

Ah baby when the lights are down low

I say grab your baby then go

If you don't know how to do it man you're out of luck

Push ya baby out then you hunch her back

Start a little movement in your sacrolliac

Wiggle like a stick wobble like a duck

That's what you do when you do the Hucklebuck

Oh - Workout

Ah here's a dance you should know

Ah baby when the lights are down low

Ah won't ya grab ya baby then go

A little bit of Twist a little bit of this

And if you don't know how to do it ask my little sis

Push your partner out then you hunch her back

Start a little movement in your sacrolliac

Wiggle like a stick wobble like a duck

That's what you do when you do the Hucklebuck

Oh - Move

A little bit of Twist a little bit of this

And if you don't know how to do it ask my little sis

Push your partner out then you hunch her back

Start a little movement in your sacrolliac

Wiggle like a stick wobble like a duck

That's what you do when you do the Hucklebuck

(Fadeout)

Here's a dance you should know

ya ya ya ya when when the lights are down.....

Breastfeeding help in Fresno

2011-01-29T22:13:00.000-08:00

I have a friend named Tess Johnson who is simply amazing when it comes to breastfeeding help, support and information. Tess offers a breastfeeding class once a month that helps you gather material and information so you will be successful with breastfeeding.

Go to her website for more information: http://www.tjlactation.com/

Great birth Quote!

2011-01-24T22:57:00.000-08:00

"To witness the birth of a child is our best opportunity to experience the meaning of the word miracle.”
By Paul Carvel

Information

2011-01-21T20:46:00.000-08:00

Great blog....
http://www.deardrmoz.com/

Great information...
http://www.drmoz.com/

7 Things NOT to Say to a Pregnant Lady.....

2011-01-19T22:31:00.000-08:00

My daughter is pregnant and due in a couple of weeks. She seems to think that 'she is done' and so ready to be not pregnant anymore. Then I read this and had to laugh because all I could think about was my precious daughter!

7 Things NOT to Say to a Pregnant Lady

...Especially Near the End

Submitted by allisonmusick

1)"You should have the baby on (specific date) because so-and-so was born on that day."
Really?!?! I don't care.

2)"Don't have the baby tonight/tomorrow because I have (specific activity) and don't want to miss it."
No problem, don't let our state of unbearable discomfort inconvenience you.

3)"You're only how far along? You're huge! " or "You're how far along? Wow, you're not very big."
We'll thank you to keep your comments about our size to yourself. If we wanted your opinion, we'd ask.

4)"When are you due? When are you due? When are you due?"
This may seem harmless but we've actually already told about 50 other people before you, and yes, all before 10am this morning. We were only barely talked out of getting a Sharpie and writing the date across our foreheads and our belly. If we look like we're about to pop, we probably are, so just assume the answer is: any day now.

5)"You're how many days overdue? Aren't you ready to have that baby yet?"
No. Didn't you know we enjoy being tortured?!

6)"When I was pregnant with my (first, fifth, twentieth), this is what happened…"
This might be fine. Sometimes moms-to-be are hungry for baby talk and eat it up. But it sort of depends on the point of the story, the person talking, the pregnant lady listening, and whether the info was solicited or not. A high-strung prego who's confiding in you about how scared she is of labor does NOT need to hear your horror story about how you, or such-and-such, had a 36-hour labor, needed 27 stitches and 5 epidurals, and couldn't see the baby for 2 weeks after it was born. Please, please use common sense! (If you don't have any, err on the side of mostly listening and not talking.) If you have to tell stories, encouraging stories are the only really safe kind.

7)"You really shouldn't hope for (an early baby, a fast delivery, anything positive, really) because (fill in statistics and/or whatever reason) …I'm just trying to keep you from being disappointed."

Repeat after me: DO NOT DISCOURAGE A PREGNANT LADY. We are vulnerable creatures, literally at the mercy of the slightest shift in our already-messed-up hormones. We are living day by day, sometimes hour by hour. If we want to hope for a purple baby with pink hair who comes out singing Italian arias, just smile and tell us how lovely that sounds. It's a leap for us to even talk to you about it, in some cases. So lie to us. Thanks.

The Bottom Line

Seriously...the bottom line is, while most of the time we are friendly people who are really excited about the new life being created inside us and are happy to talk about it, you have to understand how many times we've heard at least a few of the above mentioned questions or statements throughout the last nine months. When nearing the end of a pregnancy, it can become difficult to keep repeating the answers to the same questions over and over and over every single day, every time we see someone, and it can also get tiring to pretend we're interested in and excited to hear someone's opinion when we've already heard at least 20 others that day, and possibly 10 or more were the exact same thing. So please just take that into consideration. If you don't know what to say, a simple, "How are you doing?" is always appreciated. :)

Wonderful quote!

2011-01-17T20:17:00.000-08:00

A beautiful quote that I found on Kellymom.com

When we are giving to our children out of love and enjoyment, it is a positive. When we are giving to them because they have worn us down or we feel guilty, then it is a negative!

Don't go shoe shopping...

2011-01-14T12:18:00.000-08:00

Just a warning for you mamas who are late in your pregnancy...don't go shoe shopping...
Watch for a good laugh....
http://www.youtube.com/watch?v=MZ4jIS3rQgw&feature=related

Labor Induction Dance

2011-01-14T12:13:00.000-08:00

Please do not attempt this if there is any risk to the baby's health or to your health!!
http://www.youtube.com/watch?v=Hgzy1o44VRY&feature=related

Please pray for Carter Stiles

2011-01-13T15:08:00.000-08:00

It is always heartbreaking when we hear about precious babies and children suffering from some type of illness or disease. A dear sweet friend of ours, has a son who was recently diagnosed with Eosinophilic Esophagitis. Carter Stiles is only 2 years old, and he faces a life time of dealing with this. Please read the following letter from his precious mama, Brandy. Pray for the family, pray for Carter, and pray that this terrible disease will be cured!

Dear Family & Friends,

As many of you know, our son Carter age 2, suffers from a rare autoimmune disease called Eosinophilic Esophagitis ("EE"). Kids with EE are quite literally allergic to food. The proteins in food cause a build up in the digestive tract and blood of a white blood cell called an eosinophil. Eosinophils are meant to attack parasites, but the body of a child with EE mistakes food for a parasite. As a result, the build up of eosinophils
cause numerous and very serious health problems, including, failure to grow and thrive, uncontrollable vomiting, severe stomach and throat pain, inability to sleep, joint pain, just to name a few. Many kids with EE can only eat 1 or 2 foods and have a feeding tube to survive. CURED is a charity that I am actively involved with that raises money to find a cure for EE. CURED has donated over $2 million to research over the past 6 years. CURED has begun a $1 challenge. We are looking to find 500,000 people to each donate $1 or
more to CURED, since that is something that almost everyone can do in these hard economic times. If you are interested in donating, please write

Carter Stiles on your donation and mail it to CURED at P.O. Box 32, Lincolnshire, IL 60069. or go to http://www.facebook.com/l.php?u=http%3A%2F%2Fwww.curedfoundation.org%2F&h=7f31a and make a donation via pay pal. Furthermore, if you wish to go even a step further, please forward this email to your family and friends. The more we get the word out there, the morelikely it will be that we will reach our goal. Thanks for your help!!!

CURED Foundation
http://www.curedfoundation.org/
CURED is a not for profit foundation dedicated to those suffering from eosinophilic enteropathy, which includes eosinophlic esophagitis, eosinophilic gastroenteritis, eosinophilic colitis and other eosinophilic disorders.

Four Things to know before Writing a Birth Plan...

2011-01-12T21:16:00.000-08:00

As doula's we often suggest that our client write a birth plan. A birth plan is a written ''plan" of your wishes and desires during labor and delivery. Writing a birth plan helps the nursing staff, your doctor and your doula be able to help you have the type of labor and delivery that you would like to have. Of course, these plans can be totally interrupted should there be a medical crisis in anyway. The important thing to remember in writing a brith plan, is keeping in mind, that it is just a plan. Plans can change along the way and being open and accepting of this fact is important. This is an excellant article that gives insight into four things to know before writing a birth plan. Read it....

http://blogs.babble.com/being-pregnant/2010/10/18/four-things-to-know-before-writing-a-birth-plan/

2011-01-10T21:33:00.000-08:00

Welcome to the world!

Audrey Selma Tokat-Dunlop
Born Jan. 3, 2011
10:47 p.m.
7 pounds 3 oz
20"

Congratrations to Ani & Ryan!

Happy New Year & Happy Bellies!

2011-01-01T19:49:00.000-08:00

Happy New Year to you!

I've had the priviledge to do 2 belly casts this week. Both mamas were exactly the same number of weeks in their pregnancy (40+ weeks).

The first belly cast that I did was for Jessica. Jessica will be having a home birth when baby boy Connor decides that it's time. This will be Jessica's 3rd boy and she has big babies. I didn't take a picture while doing her cast, so this is what it looked like when I brought it home.

Today I did another fun belly cast. Ryan had contacted me a month ago and wanted me to do a belly cast during a baby shower for Ani. They decided to reschedule it. I went over today and had the best time with them. Baby Girl (they haven't disclosed her name to anyone yet) will be induced on Monday night.

After the cast came off....

When I got home, I laid the 2 bellies side by side and it was interesting to see them next to each other.

Another wonderful testimony

2010-12-31T20:47:00.000-08:00

I saw today that another one of my clients posted a testimony of my services on the website called doulamatch.net. Holly is an amazing mom of now 3, a full time student who finished her AA degree the week after little Ace was born! She's able to do this while her husband Juan is deployed. Holly was a delight during our times before the birth and so easy going. I really enjoyed working with Holly and Juan! Congratulations to you both!!

"I am a mother of three and for my third delivery my husband was being deployed to the east coast so I was hoping for support during the birth of our third child. I found Kathryn and I was happy to find that she is a very sweet and kind person. Kathryn was very patient and helpfull during the birth of my son. She almost seemed to read my mind as to what I needed from her. My husband amazingly was able to make the birth and was pleasently surprised as to how much support and assurance she gave us. My husband was able to take moments to himself because he new that I would be cared for. If I do have another child I will be calling on Kathryn and I will gladly recommend her to anyone who is looking for the support of a doula."

2010 Recalls

2010-12-28T13:32:00.000-08:00

Parents,
Here is a reminder list of the 2010 recalls. Please review it and take action if you have any of these tiems.
http://pregnant.thebump.com/new-mom-new-dad/baby-gear/recalls/biggest-baby-gear-recalls-2010.aspx?cm_ven=Responsys&cm_cat=Newsletter&cm_pla=Pregnancy&cm_ite=December%2028,%202010&MsdVisit=1

Thank you to The Bump for posting this list!

Doulamatch.net

2010-12-23T22:57:00.000-08:00

Today I was totally blessed by my last clients testimony that she wrote for Doulamatch.net! Heidi and Ryan were such a fun couple to work with. It was a total blessing to me to be privileged enough to help them and be apart of the birth of baby Leah! Thank you Heidi for your kind words.

"My husband and I were told Kathryn had her doula license while pregnant with our second child. The birth of our first child, Levi ended up being a C-section. I decided shortly after his birth I wanted to attempt a VBAC with our second child. We felt a doula would allow us more time to spend together during the birth process, to be more relaxed and have someone to advocate for us if necessary.

We met with Kathryn a number of times before the birth and she was always encouraging and willing to answer any questions. We were pleased she took on our family, as the due date was close to Christmas.

During the labor process Kathryn was very helpful, as she knew the answers to questions I had about the labor process (I did not labor as far with my first). She helped me focus on my breathing, when I would panic. Having her present made things more comfortable for me and my husband. For me, it felt like I had my mom in the room. I knew that she would not let me endure anything that was not necessary and she was going to support me in whatever decisions I made regarding the birth process. For my husband, having her there allowed him to be relaxed and not stress thinking about what he should or should not be doing for me. I could tell he was more at ease during this birth than with the birth of our son.

If we have a third child we will pick Kathryn again. We were very happy with our experience. We successfully had our daughter, Leah Susanna on 12/7/10 via VBAC (Kathryn's first VBAC). We would like to say, "Thank you Kathryn for helping make our birth process very positive." We will be passing your name along. I can say this birth was enjoyed much more than our first. This will always be a fond memory for us."

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Top Holiday Foods to Avoid

2010-12-21T22:08:00.000-08:00

This is the holiday season, and there seems to be food, cookies, candies and fudge everywhere! I find that I can resist most of that kind of food throughout the year. But once Thanksgiving hits, I find it difficult to say 'no' to such goodies. This article comes from 'The Bump' and is a great reminder for moms to be during this time of year. Please read it and then think about your precious baby and the benefits you will reap from following these tips.

http://pregnant.thebump.com/pregnancy/second-trimester/articles/top-holiday-foods-to-avoid.aspx?cm_ven=Responsys&cm_cat=Newsletter&cm_pla=Pregnancy&cm_ite=December%2021,%202010&MsdVisit=1

Breast Feeding Benefits Boys' Brains

2010-12-20T22:53:00.000-08:00

In today's medical news, there is a great article about how breastfeeding benefits boys' brains! Please read the entire article.
http://www.medpagetoday.com/Pediatrics/GeneralPediatrics/23982?utm_content=GroupCL&utm_medium=email&impressionId=1292828708032&utm_campaign=DailyHeadlines&utm_source=mSpoke&userid=152890

Medical News: Breast Feeding Benefits Boys' Brains - in Pediatrics, General Pediatrics from MedPage Today

2010-12-20T22:50:00.000-08:00

Medical News: Breast Feeding Benefits Boys' Brains - in Pediatrics, General Pediatrics from MedPage Today

Episiotomy vs. Tearing....

2010-12-18T13:11:00.000-08:00

I commonly hear women say that they are fearful of tearing during childbirth. However, the thought of a doctor cutting 'down there' is also something that makes us women raise our eyebrows and slightly whince.

This is an anaswer written by Angela Bolivar, C.N.M., A.R.N.P. I found this on the website http://www.parentsconnect.com/questions/birth_episiotomy_tear.jhtml

"I don't want to get an episiotomy, but is it safe to wait and possibly tear while giving birth?"

"An episiotomy is when the doctor slices the vaginal muscle tissue to help avert any tearing during delivery. It's often only a small cut—usually about and inch and a half long—but several studies suggest that they can sometimes do more harm than good, including making you tear more deeply. Deeper tears go through muscle, are more painful, take longer to heal and may lead to incontinence.

So in recent years doctors have become more conservative about using episiotomies. Today's medical guidelines state that the surgery should only be performed if the baby's heartbeat is decreasing or is in immediate danger and needs to be delivered immediately."

Answered by Angela Bolivar, C.N.M., A.R.N.P.

.

Why do families hire doulas?

2010-12-15T22:20:00.000-08:00

I am often asked why do families hire doulas when they have their husband or partner to be with them during the birth of their child. I find that many new parents find themselves in a situation where they are distant from extended family support systems during labor, childbirth, and the postpartum period. When this built in support network is not available, many parents are at a loss for accurate information and loving support. Every statisic that I read says that when a woman in labor feels safe and supported they have a more positive birth experience. We also know that when families lack the adequate support they desperately need during this time, they experience added strain both during the birth and afterwards. As mothers heal and parents adjust to life with a new baby at home, it can be difficult for everyone. Today's doula can provide this missing link for many new and growing families.

Mucus Plug...what is it?

2010-12-15T09:39:00.000-08:00

Many times during your pregnancy you will hear things that you've never heard before. There are so many new words to learn that it can get confusing trying to stay on top of everything. Today's word is: "Mucus Plug". What is it and how does it affect my pregnancy and birth.

"Definition: The plug of mucus that fills the cervix to protect against disease and infection. This may start leaking out as the cervix slowly starts opening before labor, or may come out in one big chunk. It can be pink or tinged with blood. It is also known as bloody show.''

When you begin to loose your mucus plug, it is a sign that your cervix is getting ready. This can be a long, slow process or a very quick one. Some women don't loose their mucus plug until they are in active labor. It is something that is normal and everyone who is pregnat will have one.

The Essential Ingredient: Doula's

2010-12-14T23:47:00.000-08:00

The Birth Tourist...

2010-12-12T19:59:00.000-08:00

Have you ever heard the word, 'Birth Tourist'? In the births that I have attended, I have run into several of them. This person may be a friend, a mother, a mother in law, a sister, cousin or whoever. This could be someone who simply appears and wants to 'watch the show'. They typically are not present to help you or support you, and they probably aren't looking for ways to enhance your birthing experience. But they come for their own gratification. And sometimes unfortuntaely, they can also come in the form of a medical professional, or medical students who are wanting to learn all about birth.

Beware on anyone who may try to lay a guilt trip on you by their request to be present at the birth of your child. As a birthing woman, you have the right to say " No spectators!, No lookie lu-lu's! " Birth is your private time, to be shared with your husband. It is a time that needs to be respected and guarded. This is a time where your wishes are to be supported unconditionally, no matter what.

As a birth doula, I feel very privileged for every birth that I am invited to. I am a guest and I have been invited to attend and invited to support, respect and guard you and your desires. My desire is to be helpful and invisible at the same time. I remind myself during a birth that this is, YOUR birth, YOUR body and YOUR baby and my goal is to help you achieve the birth that YOU want!

My labour Pledge

2010-12-12T19:24:00.000-08:00

Birthwares.com has some amazing posters and childbirth teaching aids. I found these 2 posters and just love them!!

Go to birthwares.com and find more

Bathing better than pethidine as pain relief during labor: Survey

2010-11-27T10:16:00.000-08:00

A great article on the benefits of taking a warm bath or shower during labor!!!

Bathing better than pethidine as pain relief during labor: Survey

How to Avoid a C-Section...hire a doula!

2010-11-27T09:20:00.000-08:00

On the website called, "The Bump" there is always good information about pregnancy and birth. You can get a weekly update sent to you according to the week that you are pregnant so you can know how much your baby is growing and developing. Below is one one of the questions from a section about 'How to Avoid a C-Section".

Q&A: Ways to Avoid a C-Section?

Flexibility (no pun intended) is the key. In my research I found articles that confirm that c-sections put the baby and mom at higher risk during and after birth than vaginal births do. Yes, c-sections are sometimes unavoidable (I have a small cervix and may not dialate fully because of scar tissue), but for me I am learning as much as I can now and I have hired a doula to help reduce the odds of me needing a c-section, induction or an epidural. Each woman does need to make her own choice, but for me I at least want to try before agreeing to a c-section. I'm due late May so I still have time to prepare my mind and body. I would recommend hiring a doula if you're expecting because they are a wealth of knowledge and resource that will only benefit you and your partner. They work with you throughout the last months of your pregnancy to help prepare you and ease your mind for giving birth, and stay with you throughout labor, delivery, and even an hour or so after. Statistically they have been proven to reduce the need for c-sections, etc. I found mine through the DONA website. Best of luck to everyone!!

The best answer...HIRE A DOULA!

Labour and childbirth: Positions for delivery

2010-11-19T10:04:00.000-08:00

5 Reasons to Avoid Inductions...The Risk of Inducing Labor

2010-11-10T18:51:00.000-08:00

Great article By Robin Elise Weiss, LCCE, About.com Guide

The induction of labor can be done for many reasons, including many valid medical reasons. However, the rise in the rate of social inductions, or elective inductions is on the rise. As the induction rate rises there are more babies and mothers placed at risk for certain complications. Here are five risks of induction that you may not know about:

1.Increased risk of abnormal fetal heart rate, shoulder dystocia and other problems with the baby in labor.

Labor induction is done by intervening in the body's natural process, typically with powerful drugs to bring on contractions or devices that are used to break the water before labor starts. Both of these types of induction can cause the baby to react in a manner that is called fetal distress as seen by fetal monitoring.

The nature of induction like contractions may also be more forceful than natural labor. This can cause your baby to assume or stay in an unfavorable position for labor making labor longer and more painful for the mother. It can also increase the need for other interventions as well.

2.Increased risk of your baby being admitted to the neonatal intensive care unit (NICU).

Babies who are born via induction have not yet sent signals to the mother to start labor. This means that they simply aren't yet ready to be born. This risk is worth it if the baby or mother's lives are in danger, but simply to take this risk for elective reasons may not be well advised.

When a baby is in the intensive care unit there is less ability for you to be with your baby or to hold your baby. Breastfeeding usually gets off to a rocky start as well. This can usually be avoided by giving birth when your body and baby say it is time.

3.Increased risk of forceps or vacuum extraction used for birth.

When labor is induced babies tend to stay in unfavorable positions, the use of epidural anesthesia is increased and therefore the need to assist the baby's birth via the use of forceps and vacuum extraction is also increased.

4.Increased risk of cesarean section.

Sometimes labor inductions don't take, but it's too late to send you home, the baby must be born. The most common cause of this is that the bags of waters has been broken, either naturally or via an amniotomy. Since the risk of infection is greater, your baby will need to be born via c-section.

A cesarean in an induced labor is also more likely for reasons of malpresentation (posterior, etc.) as well as fetal distress.

5.Increased risks to the baby of prematurity and jaundice.

Induction can be done before your baby is ready to be born, because your due date is off or because your baby simply needed more time in the womb to grow and mature their lungs. Your baby may also be more likely to suffer from jaundice at or near birth because of the induction. This can lead to other medical treatments as well as stays in the hospital for your baby.

Being born even a week or two early can result in your baby being a near term or late preterm infant. This means that your baby is likely to have more trouble breathing, eating and maintaining temperature.

Source:
*March of Dimes. (2006). If you’re pregnant: Induction by request. Retrieved September 21, 2007, from http://www.marchofdimes.com/prematurity/21239_20203.asp
*March of Dimes. (2006). Late preterm birth: Every week matters. Retrieved September 21, 2007, from http://www.marchofdimes.com/files/MP_Late_Preterm_Birth-Every_Week_Matters_3-24-06.pdf American College of Obstetricians and Gynecologists [ACOG]. (2004). ACOG Practice Bulletin No. 55: Management of postterm pregnancy. Obstetrics and Gynecology, 104(3), 639-646.
*Ben-Haroush, A., Yogev, Y., Bar, J., Glickman, J., Kaplan, H., & Hod, M. (2004). Indicated labor induction with vaginal prostaglandin E2 increases the risk of cesarean section even in multiparous women with no previous cesarean section. Journal of Perinatal Medicine, 32(1), 31-36.
*Condon, J. C., Jeyasuria, P., Faust, J. M., & Mendelson, C. R. (2004). Surfactant protein secreted by the maturing mouse fetal lung acts as a hormone that signals the initiation of parturition. Proceedings of the National Academy of Sciences of the United States of America, 101(14), 4978-4983.
*Cunningham, F. G., Leveno, K. J., Bloom, S. L., Hauth, J. C., Gilstrap, L. C., & Wenstrom, K. D. (2005). Williams obstetrics. (22nd ed.). New York : McGraw-Hill.
*Glantz, J. C. (2005). Elective induction vs. spontaneous labor associations and outcomes. Journal of Reproductive Medicine, 50(4), 235-240.
*Goer, H., Leslie, M. S., & Romano, A. M. (2007). The Coalition for Improving Maternity Services: Evidence basis for the ten steps of mother-friendly care. Step 6: Does not routinely employ practices, procedures unsupported by scientific evidence. Journal of Perinatal Education, 16(Suppl. 1), 32S-64S.
*Kramer, M. S., Demissie, K., Yang, H., Platt, R. W., Sauve, R., & Liston, R. (2000). The contribution of mild and moderate preterm birth to infant mortality. Journal of the American Medical Association, 284(7), 843-849.
*Tanner, L., & Associated Press. (2000, August 16). Death risk higher for preemies: Study reassesses danger for those born just a few weeks early. Dallas Morning News.
*Vahratian, A., Zhang, J., Troendle, J. F., Sciscione, A. C., & Hoffman, M. K. (2005). Labor progression and risk of cesarean delivery in electively induced nulliparas. Obstetrics & Gynecology, 105(4), 698-704.
*Wang, M. L., Dorer, D. J., Fleming, M. P., & Catlin, E. A. (2004). Clinical outcomes of near-term infants. Pediatrics, 114(2), 372-376.

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New Mothers Grow Bigger Brains Within Months of Giving Birth!

2010-11-06T18:45:00.000-07:00

New mothers grow bigger brains within months of giving birth: Warmer feelings toward babies linked to bigger mid-brains

ScienceDaily (2010-10-20) -- Motherhood may actually cause the brain to grow, not turn it into mush, as some have claimed. Exploratory research has found that the brains of new mothers bulked up in areas linked to motivation and behavior, and that mothers who gushed the most about their babies showed the greatest growth in key parts of the mid-brain. ... > read full article

GREAT news about insurance coverage!

2010-10-27T08:25:00.000-07:00

I just read this article on eligible and ineligible expenses for 2011. I've only highlighted the ones that related to pregnancy and birth below. However, I find it interesting that toilet seat covers and hand santizers will be a covered expense and a breast pump, breast shields and breast pads are not! What is this world coming to? But, with every bad news there is some good! Doula expenses are being reimbursed!

FSA, HRA, HSA: Eligible and Ineligible Expenses

Getting Reimbursement for Qualified Health Care Expenses from your Health Reimbursement Account (HRA), Health Savings Account (HSA) or Health Care Flexible Spending Account (FSA)

Whose expenses can be reimbursed?

Birthing tub - The cost of rental or purchase is reimbursable.

Breast Pump, Shields, Gel Pads - These items are not covered. This is CRAZY!

Childbirth classes - Expenses for childbirth classes are reimbursable, but are limited to expenses incurred by the mother-to-be. Expenses incurred by a "coach"- even if that is the father-to-be - are not reimbursable. To qualify as medical care, the classes must address specific medical issues, such as labor, delivery procedures, breathing techniques and nursing.

CPR classes - Expenses paid for CPR classes as part of birthing classes are reimbursable, otherwise a physician's diagnosis letter for the family member is required.

Doula - Expenses paid for a doula who's primary purpose is for delivery of the infant are reimbursable. Charges where the primary purpose is child care after delivery are not covered. An explanation of the primary purpose should accompany the claim.

Embryo storage - Expenses paid for embryo storage are reimbursable.

Hand sanitizer - Expenses paid for hand sanitizers are reimbursable.

Hypnobirthing Classes - This is a childbirth method that focuses on preparing parents for gentle birth including techniques of deep relaxation, visualization, and self-hypnosis and is covered.

Infant formula - The cost of infant formula is not covered, even if the mother was not capable of breast feeding.

Lactation Consultation - This is not covered unless there is a medical condition present for the nursing mother that prevents breast feeding of the infant
Maternity clothes - Expenses for maternity clothes are not reimbursable.

Maternity support - Expenses paid for a maternity support band are reimbursable

Parental assistance - Expenses incurred with an agency to assist parents with newborn care (which may include nurturing are not covered unless prescribed by a physician for a medical condition.

Toilet seat covers - Expenses incurred for the purchase of toilet seat covers are reimbursable.clude nurturing are not covered unless prescribed by a physician for a medical condition

Ultrasound - 4D/Elective - Ultrasounds that are solely for the purpose of identifying the sex of the fetus are not covered.

Yoga class - Expenses paid for yoga class are reimbursable when the activity is to treat a medical condition physician's diagnosis letter is required.

To read the entire article see:
http://www.cigna.com/our_plans/medical/fsa/fsa_health.html

Do you clean your baby's pacifier with your spit?

2010-10-25T13:12:00.000-07:00

I had a daughter who loved her 'plug' . It would often fall on the fall, and I would pick it up, stick it in my mouth to clean it off and give it back to her. This article from The Stir at Cafe Moms is a great insight on why this is not a good idea. Hope this helps you as well.

"Why Cleaning your pacifier with your spit is not a good idea."

WAAAAAH!" Know what that sound is? A baby who lost their pacifier.

If you use them, babies will drop them. Fact.
They will land in the last place you want them to. Also fact.

Often you hear moms say they pop it in their mouth for a second, or just brush it off.

The thing is, there's actually a little more to consider before you put that pacifier in baby's mouth after it's fallen out.

First off, stop putting it in your mouth to "clean" it. Anything you're willing to put in your mouth is fine for your baby, and actually, your saliva is the worst thing about this whole scenario.

While genetics, diet, and dental hygiene affect your kiddo's dental health, so does the prescence and level of bacteria -- specifically, Streptococcus mutans. Brand new baby teeth have soft enamel and are very susceptible to decay, and your premature introduction of the bacteria from your mouth can actually infect your baby's mouth and rot their teeth. So can kissing them on the mouth and sharing spoons, but consider the level of saliva you transfer in each situation, and generally, your pacifier "trick" is one of the worst, especially considering you generally try to get your saliva all over the pacifier to "get off the germs." Oh, the irony. In fact, it's pretty likely moms are the main cause of this bacteria, as the higher the mom's level, the higher the baby's, even when genetics are taken into consideration aside from that.

So, your germs are worse than the dirt you just licked (and um, yuck for YOU, too). But how about that dirt? When is it an issue? Does the 5-second rule count?

I think we all know the 5-second rule is crap (if you didn't, you do now). It doesn't matter how long something is on the ground -- it touches what it touches, period. The issue with pacifiers especially is that moisture makes much more bacteria stick -- and thrive.

Two different studies -- one about salmonella and one about e. coli -- both showed that it didn't matter if things were picked up quickly or if they sat there -- they were affected or they weren't, period. And salmonella can survive in a dry environment, such as your carpet, for 28 days. Ick.

So if they drop it, especially because it's wet (more things stick and bacteria thrives), it doesn't matter if you snatch it up right away, there's germs on it -- period. If you're confused, check out this handy chart. (There are exceptions made if it's a raw steak and you're a puma, you know, just in case.)

So what SHOULD you do?

Well, buy a pacifier clip, or wash the pacifier with hot water and soap. Or both. Keep spares for this exact reason.

If you wouldn't let your child lick the spot it fell, it needs to be cleaned before going back in their mouths. Your home carpet is probably okay (if not, vacuum!), but the floor at Wal-Mart? Not so much.

Does this information change your view on the 5-second rule or using your saliva to clean the pacifier?

http://thestir.cafemom.com/baby/110060/why_cleaning_the_pacifier_with

I know I've been away....

2010-10-13T22:38:00.001-07:00

I have a good excuse! I have been in the process of having my website and blog updated. Stay tuned for new posts soon!

Belly Dancing during labor!

2010-09-22T08:09:00.000-07:00

Here's a challenge for you mama's at the end of your pregnancy!

2010-09-21T16:03:00.000-07:00

Heading Home: Safe clothing and accessories for newborns

2010-09-20T13:33:00.000-07:00

I love the internet and all the information I find! I simply can not write better articles than what I find! Hope you enjoy them too! This great reminder came from CentralValleyMoms.com!

By admin on Sep 20th, 2010
ShareThe following is an excerpt from “Heading Home With Your Newborn: From Birth to Reality” (Second Edition):

You’ll want to always take safety into account when choosing baby clothes.

Fortunately, there aren’t too many hazards lurking out there when it comes to baby clothing if you just put the necessary forethought into your purchases. An organization called the CPSC (Consumer Product Safety Commission) provides safety standards for clothing as well as other baby and consumer products, and routinely issues recalls to alert the public about potentially unsafe items. In addition to directing you to the CPSC website (www.cpsc.gov) for the purpose of identifying specific products as potentially unsafe, we’ve listed below some good general baby clothing safety considerations.

– Safe at sleep. Baby sleepwear should be flame-resistant and/or snugfitting. That said, not all pajamas for babies come with a flame-resistant or flame-retardant finish. After determining that loose-fitting clothing could catch fire more easily, the CPSC required in 2000 that all tags and labels on children’s sleepwear alert potential purchasers if they are not flame-resistant and therefore need to be snug-fitting. In other words, check the labels.

– No strings attached. Simply put, anything in which a baby could potentially become entangled is best left on the rack. While prevention measures have made it far less likely to find potentially dangerous outfits in the stores, items with strings or large, loose hoods should be carefully scrutinized before purchase. The CPSC recommends that no strings whatsoever be used in the neck or hood region and advises shortened drawstrings (measuring no more than 3 extra inches at either end) at the waist.

– Loose object liability. Get in the habit of evaluating baby clothes for small and potentially removable objects. The most obvious, of course, are buttons. It’s amazing how many small 3-dimensional objects you can find attached to baby clothing in the name of fashion these days. If it isn’t securely fastened, be sure to avoid or remove anything your child could choke on should it come loose.

Pediatricians, moms and authors, Laura A. Jana, MD, FAAP, and Jennifer Shu, MD, FAAP, offer a wealth of “parent-tested, pediatrician-approved” advice in “Heading Home With Your Newborn: From Birth to Reality,” Second Edition (American Academy of Pediatrics, September 2010). Available on the American Academy of Pediatrics official website for parents, HealthyChildren.org at www.healthychildren.org/heading-home. Also available in bookstores nationwide.

By LAURA A. JANA MD, FAAP, AND JENNIFER SHU, MD, FAAP
Read more: http://centralvalleymoms.com/2010/09/20/heading-home-safe-clothing-and-accessories-for-newborns/#ixzz106USmxlF

10 Reason to Take a Hospital Tour

2010-09-20T13:07:00.000-07:00

1.Get to know the lay out.
          When it's finally labor time, you may feel a bit discombobulated. Learn how to get there and which way works best. More importantly, learn about where to park and where labor and delivery are located.

2.Find out what resources are available.
          Does the hospital you are looking at offer a lactation consultant, level III nursery, refrigerator in postpartum, hair dryer, etc.

3.Learn about visiting policies.
          Who can visit when or where is a very important thing to learn. Can you have guests in labor and delivery? Can they stay for the whole birth? What about if you have a c-section?

4.Explore class options.
          Many hospitals have class offerings. They may offer childbirth class, breastfeeding, baby care and infant CPR. They are usually at a free or reduced rate for patients choosing to give birth in that hospital.

5.Figure out what is available in labor and delivery.
          Labor and delivery offers many options, what does your hospital offer? Do they have birth balls, squat bars, showers, telemetry fetal monitoring, water tubs, etc.? Do they have policies about when you could have an epidural or other pain medications in labor? A tour is a good time to find this out.

6.Know where to go when it's labor.
          Some hospitals want everyone to go to the emergency room (ER), while others want you to only go to the ER if it's after visiting hours. Some will have a triage, or early labor room for you to be checked in, others have you go directly into a labor and delivery room (LDR).

7.Meet the staff.
          While it might not be the same staff that is there the night you come in to give birth, it still gives your hospital a more human feel. It might also give you peace of mind.

8.Ask questions.
          Asking questions is a great way to find answers and develop a feeling of ownership.

9.See about a sibling policy.
          If you have other children, learning about the sibling policy is a must. You will need to know when a sibling can be present. Do they need to stop at the nurse's station? How old do they have to be? Should they have a special class?

10.Familiarity.
          If you're nervous about going to the hospital, a quick trip can be very beneficial. It gives you a chance to look around and become familiar with your surroundings. If a group tour isn't your thing, ask for a private tour.

Article from About.com: Pregnancy & Childbirth

VBAC's ....a safe option.

2010-09-16T10:49:00.000-07:00

Great article from The Ohio State Medical Center!

Vaginal Birth a Safe Option After Multiple C-Sections

Posted 9/12/2006

COLUMBUS, Ohio – Very few, if any, obstetric topics have raised more discussion and controversy in the past several years than VBAC, or vaginal birth after cesarean section. Most studies on this subject have come from small, single institutions or have relied on birth certificate data with all of its inherent inaccuracies.

Mark Landon, M.D.

In his most recent analysis of multicenter data collected over four years, Dr. Mark Landon evaluated the risk of complication and success of VBAC in women who had undergone more than one prior cesarean delivery.

The 19-academic center study was led by Landon and conducted through the National Institutes of Health, Maternal Fetal Medicine Units Network. Its data included more than 45,000 patients with previous cesarean section, which included almost 18,000 women undergoing a trial of labor or an attempt at VBAC.

“This was the first large study of VBAC in which certain outcomes, such as uterine rupture, were studied prospectively,” notes Landon, who serves as vice chairman of obstetrics and gynecology at the Ohio State University Medical Center.

Landon found that the risk of uterine rupture was 0.9 percent in cases of women with a history of multiple prior cesarean deliveries undergoing a trial of labor, compared with 0.7 percent in the cases of patients who had experienced only one previous cesarean delivery. These data challenge the notion that women with more than one prior cesarean are at dramatically increased risk for uterine rupture with a VBAC attempt.

“We looked at the outcomes associated with uterine rupture, including catastrophic outcomes such as stillbirth, or hypoxic brain injury to the baby,” says Landon. “And the good news is that the vast majority of uterine ruptures fortunately are associated with healthy infants. The absolute risk of catastrophic rupture with poor outcome is, in fact, quite small.”

Landon’s study confirms that uterine rupture is the complication with the greatest risk attributable to trial of labor; however, it also shows the risk for uterine rupture is not significantly increased in women with multiple prior cesarean deliveries compared to a single prior operation.

“The study has confirmed that the majority of women with multiple prior cesarean deliveries undergoing trial of labor can expect to achieve a successful vaginal birth,” says Landon, whose findings were published recently in the journal Obstetrics and Gynecology.

The benefits of VBAC include a faster recovery time and avoidance of the operative risks of cesarean section, which is a major operation.

“Beyond these obvious benefits, there seems to be a component that is not completely tangible,” notes Landon. “It goes along with the experience of vaginal childbirth, which certain women value, and there is probably not a price that you could put on that for a certain subgroup of women.”

Each case should be individualized, says Landon, in terms of the risks involved, the likelihood of success of VBAC, and the individual woman’s desire to proceed with attempted vaginal delivery vs. cesarean section. “Future childbearing plans are important, since the risk of cesarean complications rises dramatically after three operations,” according to Landon.

Landon advises that women should carefully research the topic of VBAC, looking for a physician who is willing to share data in an unbiased manner, who supports the concept of VBAC provided that a woman is an appropriate candidate, and who is willing to evaluate each case individually.

“About two-thirds of women who have had a previous cesarean delivery are actually candidates for VBAC,” says Landon. “VBAC after multiple cesarean sections should remain an option for eligible women.”

The Ohio State University Medical Center has consistently been named one of America’s best hospitals by U.S. News & World Report magazine with nine specialty programs being listed as among the country’s best in the most recent edition. Also, 173 faculty members are included in the most recent edition of the nationally acclaimed directory, “Best Doctors in America.”

DOULA Movie coming to Fresno!

2010-09-15T16:50:00.000-07:00

Childbirth Resource Network will be showing the new DOULA movie on Thursday, Oct. 7, 2010
at the Woodwood Park Library. Doors open at 6:30 and the movie begins at 7:00. It will also be a "Meet the doula night". This is an event you won't want to miss!!

Precious Jewels!

2010-09-10T16:25:00.000-07:00

The most precious and valuable jewels you'll ever have around your neck are the arms of your child!

Boy or Girl??

2010-09-09T10:12:00.000-07:00

I love all of the old wives tale tests that are suppose to determine the sex of your baby during pregnancy! Some people swear by them as being accurate while others roll their eyes. Here is 'The Ring Test'.

"To conduct the this old wives tale you simply take your wedding ring and tie a thread about 12 inches long to it. Sit or lie down and hold the thread over your pregnant belly. The ring will either go in circles or side to side (back and forth).

If the ring goes in circles, you're expecting a baby boy. If the ring goes side to side you are expecting a girl according to this old wives tale."

What tests have you done and have they been right?

Tomato juice

2010-09-07T21:20:00.001-07:00

Did you know that
Tomato juice is an excellent source of vitamin A, which the fetus needs for cell growth and good vision.??

A Belly Grows!

2010-09-05T18:20:00.000-07:00

This is such a great idea!!

Magic- A Belly Grows from The Panic Room Videos on Vimeo.

What really matters....kindness

2010-09-04T23:12:00.000-07:00

I love the daily thoughts from this site!

Kindness begets kindness. Gentleness begets gentleness. Children can only become who they look up to and that is you. Model what you want them to become.

©Rebecca Thompson, 2008
The Consciously Parenting Project
http://www.consciouslyparenting.com

Can you hold your baby too much?

2010-09-02T12:26:00.000-07:00

Love this article! In my opinion, you can never hold your baby too much!

Hold your baby and young child often. Use a sling or soft carrier to “wear” baby while doing household chores. Children are not spoiled by being held or carried. When they do not need it, they will let you know. Being held creates security. This is true even of older children. If they need to be held, they will allow you to hold them. We all need to be held sometimes, even as grown-ups. Why would children be any different?

Do you remember having the experience of being held when you were upset or having a hard time? Perhaps it was a grandmother or another family member if you don't remember being held by your own mother. Create those positive memories for your child today. And tomorrow. You truly cannot hold your child too much!

©Rebecca Thompson, 2008
The Consciously Parenting Project
http://www.consciouslyparenting.com

A Promise to My children!

2010-08-30T15:36:00.001-07:00

PROMISE TO MY CHILDREN:

I will love you, nurture you, talk with you, share with you, hold you, support you, respect you and trust you. I will know you are doing the best you can in any given moment and I hope you know I'm doing the same.

Tips For Protecting Your Baby's Health in the Final Weeks Before Birth

2010-08-30T10:47:00.000-07:00

New press release Aug. 30, 2010, 4:35 a.m. EDT

Tips for Protecting Your Baby's Health in the Final Weeks before Birth

MINNETONKA, Minn., Aug 30, 2010 (BUSINESS WIRE) -- Medical experts are concerned about the significant number of elective deliveries (C-sections and induced labor) that are being scheduled for non-medical reasons prior to 39 weeks of pregnancy. This troubling trend can lead to serious health consequences for the baby, as well as potential dangers for the mother.

Many expectant mothers are not aware of the dangers of delivering too soon. A recent UnitedHealthcare survey of first-time mothers found that more than 50 percent believe it is safe to deliver their baby before 37 weeks, even if not required because of a medical complication. However, medical research has revealed that babies born between 34 and 36 weeks are more likely to die than full-term infants and, if they survive, are more likely to have developmental delays than babies born full-term.

"Unfortunately, many expectant mothers are not aware of the risks associated with early elective C-sections and induced labor. Expectant mothers may believe that at 36 weeks they have completed their nine months of pregnancy, but Mother Nature's formula for healthy babies is actually 40 weeks," said Tina Groat, M.D., National Medical Director for Women's Health, UnitedHealthcare. "Experts agree that education is important to improving health and well-being for mothers and their babies. Women should talk with their doctors about the best time to deliver in order to reduce complications."

Women who are considering an early delivery or who receive a recommendation from their doctor to deliver prior to 39 weeks should ask the right questions before scheduling their delivery. The March of Dimes, a partner of UnitedHealthcare in promoting healthy pregnancies, suggests the following:

-- About early delivery: -- Is there a problem with my health or the health of my baby that may make me need to have my baby early?

-- Can I wait to have my baby until I'm closer to 39 weeks?

-- About inducing labor: -- Why do you need to induce labor?

-- How will you induce labor?

-- Will inducing labor increase the chance that I'll need to have a C-section?

-- About C-sections: -- Why do I need to have a C-section?

-- What problems can a C-section cause for me and my baby?

-- Will I need to have a C-section in future pregnancies?

For more information and tips on having a healthy pregnancy, visit www.healthy-pregnancy.com
Copyright Business Wire 2010

What really Matters - Dad

2010-08-29T21:27:00.000-07:00

When a baby is born, it's easy for dads to feel left out and neglected. So much attention is put on the new baby and the recovery of mom, that dads can easily felt lost in this new adventure. Here is a great short article on the important role that dads play in a childs life. Thank you dads for all that you do!!

"Dad is so important! In the very early weeks, dad’s role is mainly to support mom in breastfeeding and helping to create the space for mom and baby to bond, though dad can spend some special time bonding with baby, too! (Truly, my husband was my biggest cheerleader when my son was born and I wouldn’t have breastfed without his support.) As the baby grows, dad’s job is to expand the child’s world. Dad is the key to helping baby learn about the world away from mom and learning that not everyone will respond with synchrony to the child. This is important! Dads also have a unique way of interacting that is important for optimal development of the child. Dads are usually about fun, while mom is usually about needs getting met. (Though sometimes this can be reversed and this is okay, too.) Babies and young children need both interactions to be healthy and balanced."

Thanks, dads!
©Rebecca Thompson, 2008
The Consciously Parenting Project
http://www.consciouslyparenting.com

Supporting Cast

2010-08-28T17:34:00.000-07:00

Supporting Cast

You're not in this alone. Surround yourself with a caring birth team.

By Barabra A. Hotteling, MSN, WHNP, LCCE, CD(DONA)

Giving birth will be one of the most memorable events of your life. It may be hard to imagine how you will respond to the powerful physical and emotional aspects of labor. But no matter how you feel, it is bound to be easier if you are surrounded by a team of people you trust before, during and after the birth.

A Doula's Role
The word doula means “woman care-giver” in Greek; its origin refers to the female who attended to the lady of the house during childbirth. Historically, doulas were aunts, sisters, cousins or friends who helped cook and clean, as well as offered support. Today’s doulas perform similar services. There are more than 5,000 professionally trained doulas in the United States, available to any woman who wants continuous non-medical support at childbirth. Studies show that the presence of a doula at a birth results in shorter labors with fewer complications and fewer interventions, such as Pitocin, forceps or cesarean. Research shows that women supported by doulas request pain medication less frequently; they also report greater satisfaction with the birth and their partner’s participation.

Doulas provide a variety of services, depending on your personal preferences. Even though you won’t need to meet with your doula until your third trimester, it’s best to start interviewing prospective ones early, to make sure your first choice can accommodate you. Once labor begins, doulas can help in many ways, including reminding you to listen to your inner wisdom. Having someone by your side to answer questions and let you know that you are doing well can empower you to see the light at the end of the tunnel. A doula can help communicate your preferences to other members of your support team, allowing you to relax and focus so childbirth is ultimately more satisfying.

A Partner's Compassion
While a doula can provide incredible support, your partner is still your most vital source of emotional comfort. He or she knows the subtle signals that express your needs, as well as your preferences for touch, music, scents and tastes. Most important, your partner is likely to be the lighthouse you focus on during contractions. He or she may choose to participate in your birth in a variety of ways, but that love and presence cannot be replaced by anyone else. Talk to your partner now about his or her role, what you think you’ll need during this time and who can best help you get it.

The Rest of the Team
If you are giving birth at home or in a birth center, your midwife will pay attention to the physical condition of you and your baby and guide you through labor and birth. In a hospital, doctors and nurses will evaluate your progress and attend to your physical needs, but because they have other patients, they usually are unable to provide the continuous support that leads to the best birth experience. Consider inviting family or friends who can stay with you throughout labor and birth. Show them your birth plan and encourage them to go to childbirth classes with you or take a tour of the birth center or hospital if you are not giving birth at home. Often, women do not want anyone other than their partner present at birth; others feel more comfortable with greater support. As you learn more, choose the birth team that helps you feel most empowered and confident on the big day.

After Pains: Contractions

2010-08-26T14:04:00.000-07:00

After pains are the name given to contractions that occur after labor and you have given birth. These contractions signal the process of involution, the process of your uterus shrinking back down to its prepregnancy size and shape. They are not a cause of concern.

Your uterus has spent the last nine months of pregnancy growing nearly twenty-five times its original size. The contractions after the birth help it shrink back down in about four to six weeks.

While after pains are not a reason to worry, they can cause discomfort or even pain. Some mothers will notice them more than others, particularly if this is not your first baby. Some say that the after pains increase after each subsequent baby, though not everyone reports this to be true. For pain, you can use comfort measures like warm packs (with your practitioner's approval), massage of the fundus through your abdomen, and certain medications (Ibuprofen works well for most women.).

You may notice these contractions most intensely in the first few days after giving birth. You may also notice them more when you nurse or breastfeed. This happens because the uterus is still sensitive to the oxytocin released while nursing. Some mothers find that trying to ensure they are using their comfort measures or medications immediately before breastfeeding can ease the discomfort while nursing.

Do not be concerned if you do not feel after pains. Not every mother feels them. This does not mean that your uterus is not healing. Ask your postpartum nurse to help you learn to feel your uterus, then you can check it's progress for awhile to reassure yourself.

After Pains

Contractions After Birth
By Robin Elise Weiss, LCCE, About.com Guide

What Really Matters - Birth

2010-08-25T22:07:00.000-07:00

Plan for a natural birth. Birth is intended to be a natural experience for both mother and baby. Plan to have a good support system present at the birth. Research shows that mothers who have a doula or other supportive woman mothering the mother have fewer complications, lower c-section rates, an easier time breastfeeding, and bonding with the baby after birth. While some complications cannot be avoided, strive for the most natural birth possible.

If there are complications during the birth and the birth is traumatic for mother or baby, seek support for yourself and learn how to support your baby through it. Birth traumas can have a lasting impact if not addressed properly, even though baby can’t remember it cognitively. Traumatic memories are stored in the cells of the body, rather than in the cognitive part of the brain and can affect the child's neurological development.

The decisions we make around birth can have a lasting impact, so plan your baby's transition into the world accordingly!

©Rebecca Thompson, 2008
The Consciously Parenting Project
http://www.consciouslyparenting.com

Moms-to-be need vitamin D | Pregnancy Information, Pregnancy Calendar Week by Week, Tools at Fit Pregnancy

2010-08-24T16:14:00.000-07:00

Great information on Vitamin D

08.19.10 Study suggests lack of "sunshine vitamin" plays a role in developing this pregnancy complication.

New findings published in the American Journal of Obstetrics and Gynecology suggest that women who develop preeclampsia have lower blood levels of vitamin D than healthy moms-to-be, Reuters reports.

Most experts recommend a vitamin D blood level of at least 42 nanograms per milliliter for overall good health. The women in the study who suffered from preeclampsia had an average of 18 nanograms per milliliter, according to the Reuters report.

Preeclampsia is a complication involving high blood pressure, swelling and abnormal kidney function that occurs in 2 percent to 3 percent of pregnancies in the U.S. Preeclampsia is a silent danger that can sneak up on the healthiest of women. But it can be treated if caught in time.

Currently, the daily recommended vitamin D intake for pregnant women is 200 IU to 400 IU. Most prenatal vitamins contain 400 IU. However, in a separate study, researchers at the University of South Carolina found that a 4,000 dose can be better for moms-to-be. "The study ... showed women replete in vitamin D had lower rates of preterm labor and preterm birth, and lower rates of infection," according to Carol Wagner, M.D., the study's lead author, as quoted in Science Daily.

Getting enough D can be tough, though. For many people—especially expectant women and young children—sunscreen, protective clothes and lack of outdoor time limit sun exposure. According to our experts, vitamin D is found in fortified milk and cereals; certain types of fish, such as tuna, sardines and salmon; and supplements. Exposing your body to sunlight can also help you raise your D levels.

For more on vitamin D, plus the top 20 super foods that are packed with essential nutrients for moms-to-be, check out our Power Hungry feature.

Maria Vega is Fit Pregnancy magazine's copy editor.

A Nursery that Grows with the Baby

2010-08-23T22:16:00.000-07:00

Came across this article and it has alot of wonderful things to consider when planning your nursery!

Nursery preparation can seem daunting: where do you begin? Here are a few smart steps to get you started. One size does not fit all

When it comes time to plan for your baby's nursery, don't just hit the shops until you have a plan. A smart plan emphasizes safety and convenience, facilitates organization, and can save you both time and money. Put first things -- like safety -- first.

As you purchase furnishings for your nursery, remember that little hands like to explore. Cracks, crevices, holes, and slots are there for prodding -- virtually nothing is off-limits in the mind of a child. Think safety first when making your wish list for furniture, bedding, and accessories.

Hand-me-down cribs and changing tables initially save on expenses, but can cost more in the long run if they are unsafe. If the slats on the crib are not up to code, a child could get his head or arm stuck between them and do bodily harm.

Also remember that gliders can pinch curious fingers, rockers can smash fingers and toes, and flimsy shelves can fall onto baby as she is trying to stand or walk. Toy chests provide storage and additional seating when closed. However, they can injure or even trap a child if not equipped with a special safety hinge that remains open until closed by an adult.

Stow away!

* Nursery storage is not limited to the traditional changing table or decorative wooden shelves.

* Provide additional storage for your child's growing wardrobe by installing a customized closet organizer in the nursery closet.

* If you relocate frequently or don't want to install a permanent unit, hang a 3-tiered crate over the dowel rod in the closet.

* If you have limited wall space, move baby's chest of drawers into the closet to increase floor space. Or invest in a heavy-duty bookcase made from plastic to store toys, clothes, and out of season clothing in your closet.

* Use under-bed storage to store baby clothes that are out of season, too big, or outgrown. Keep an extra one on hand for outgrown clothes, then take to your favorite charity, resale shop, or hand down to relatives when full.

* Make a home for all those treasures you will want to keep for years to come. Photographs, baby's footprints, and other memories can be stored in a box under baby's bed, filed on a regular basis.

* Don't forget the little things in life, because they truly do multiply. Rattles, teethers, socks, mittens, and anything with small parts will take over the living areas in your home if you don't contain them from the very start. Clear plastic shoeboxes hold all types of small items for baby. Invest in boxes with good-fitting lids so that you don't have frequent spills on the nursery floor. Plastic boxes with hinged lids carry blocks, locking rings, and bath toys for an active child.

* Corral the plethora of stuffed animals you will quickly accrue by hanging a toy hammock in the child's room, or use a doll playpen. If you would like to store toys that are not frequently used, wrap a tension rod or dowel with Velcro, then wedge it between floor and ceiling. The furry toys stick to the Velcro, adding height and dimension to your room.

Ages and stages

* Bear in mind that your baby will not stay little for long. Your newborn will quickly outgrow a bassinet, so if you don't have room for one, consider using a Moses basket or heavy duty stroller. Both are small, easily stored, and portable.

* Try to stay a step ahead of your baby's exploration by baby proofing before he arrives home from the hospital. You are never completely prepared for crawling, pulling up, sitting, or walking. Each baby develops at a different rate, and although your baby is not sitting up yet, he soon will be. Maybe he'll be a roller and will roll into a fan or humidifier on the nursery floor. Be prepared for anything by organizing in advance for safety. You'll soon be so busy with the daily routine of feeding, bathing, and cuddling your baby that these milestones will creep up on you when you least expect it.

* Once baby begins to crawl and pull up, you will probably want to move stacked clothes and toiletries from the changing table to a closet or high ledge where they can't be rearranged by your little decorator. Convert the changing table to a toy shelf. Remove the changing pad after your child grows too big, securing the straps underneath. You now have additional shelving for toys or stuffed animals.

*Nurture your child's need for independence by hanging a second clothes rod in the nursery closet (or use a hanging crate as described above). This allows toddlers to help decide what to wear, reducing the temptation to climb and reach favorite outfits.

*Storing toys in plastic tubs eliminates clutter, but it also teaches your child to pick up on a regular basis. Tape or glue colorful pictures or stickers to describe the contents within. Baby will have fun matching, and it teaches early math and language skills.

*Purchase a set of colorful stacking bins. Use in a single layer when baby is small, then stack two and three high as she grows. Keep them in the kitchen, by the phone, in the living room, and bathroom. They're practically indestructible, and grow with the needs of your baby.

Closing thoughts

Planning for the arrival of your first baby can be fun, creative, and practical. Be as frivolous or frugal as you like, and still be well-organized. Plan, shop, and plan some more. Remember that you can always change your system at any time when it stops working for you and your child.

Keep an eye out for creative uses of wicker baskets, baby wipe containers, and other things to contain the clutter in your nursery. No matter how much you organize it, you'll find that it mysteriously multiplies, taking over your entire house. But don't worry -- by that time, you'll be so enchanted by your little one that you won't mind at all.

You will grow with the flow of things adapting your standards to focus on more important things, like rocking, singing, bathing, and catching stolen moments with your baby.

Debbie Williams is an author, speaker and organizing strategist who offers tools and training to help you put your life in order. Copyright Debbie Williams.

A Dad's Experience with A Doula

2010-08-18T17:40:00.000-07:00

"After writing last week about a father's role in the birthing room, it occurred to me that I would be remiss not to address my own personal experience in the delivery room as you might find it surprising and perhaps even helpful.

Like many dads, I attended birthing class with my wife, watched videos and even read a book or two on the subject of birth. However, studying for the experience and being in the frontlines of a birth are, of course, two different things; and as prepared as I tried to be for the occasion, I thank our lucky stars that we decided to have a doula present with us in the hospital room.

Yes, you're reading this correctly. As a dad, I strongly encourage parents to have a doula present at the birth, especially if it's in the hospital. I realize that for many dads this might be considered some sort of demotion of their role in the birthing process, but I see a doula's job rather differently. Let me explain.

First, when my wife, Deborah, and I initially interviewed doulas, we were looking for someone who could work with both of us and who would be respectful of my role in the delivery process. We ultimately hired a doula, named Sabine, who was very considerate of what our needs were as parents. While it was an additional cost to hire her, we thought it would be worth the extra money. Little did we know how true this would be as I'll soon explain.

When the day came for the baby to arrive, Sabine was there, not just to support Deborah, but myself in the process as well. The nurses seemed a bit taken aback by her presence but we were so glad she was there.

While Sabine was supportive of us, she took a backseat to our doctors and nurses; but then, after 19 hours of intense labor, it seemed that our baby was not going to arrive by natural means. The doctor then informed us that surgery would be necessary. At this, Sabine spoke up and asked for a few minutes to try some alternative birthing positions to help along the process. The doctor nervously granted the request and when Sabine instructed my wife to get off her back, the nurses were less than thrilled.

A few minutes later, our first son, Charlie, was born naturally. If not for Sabine, Deborah would easily have had a caesarian birth as were 32 percent of births in this country in 2007 - up 53 percent from 1996. In our home state of New Jersey, 38.3 percent of births in 2007 were caesarian. The reasons for these increased rates are often attributed to hospitals seeing caesarian births as a more controlled, efficient approach as well as having less insurance liability than a vaginal birth. The World Health Organization suggests that the rate should be no more than 15 percent. As a dad, I find the statistics about caesarian births in our country to be problematic and I feel very grateful that a doula like Sabine was present in both of our son's births.

So, if you're a dad-to-be and you are hesitant to rescind your position as the only advocate for the delivery of your child, consider the percentage of caesarian births in this country and how those statistics might change with an experienced doula by your side, giving you and your partner the support you deserve during one of the most challenging and meaningful days of your life."

(Dana H. Glazer is the award-winning director of the feature length documentary film, The Evolution of Dad. To learn more about the film, please visit www.evolutionofdad.com)

"The Middle Wife"

2010-08-18T17:34:00.000-07:00

I come across some of the best stories! I hope you all enjoy reading them as much as I do!!

The Middle Wife,

by an anonymous second grade teacher

When I was a kid, I loved show-and-tell. So I always have a few sessions with my students. It helps them get over shyness and usually, show-and-tell is pretty tame. Kids bring in pet turtles, model airplanes, pictures of fish they catch, stuff like that. And I never, ever place any boundaries or limitations on them. If they want to lug it in to school and talk about it, they're welcome.

Well, one day this little girl, Erica, a very bright, very outgoing kid, takes her turn and waddles up to the front of the class with a pillow stuffed under her sweater. She holds up a snapshot of an infant.

"This is Luke, my baby brother, and I'm going to tell you about his birthday."

First, Mom and Dad made him as a symbol of their love, and then Dad put a seed in my Mom's stomach, and Luke grew in there. He ate for nine months through an umbrella cord."

She's standing there with her hands on the pillow, and I'm trying not to laugh and wishing I had my camcorder with me. The kids are watching her in amazement.

"Then, about two Saturdays ago, my mom starts saying and going, 'Oh, Oh, Oh, Oh!' Erica puts a hand behind her back and groans. 'She walked around the house for, like an hour, 'Oh, oh, oh!' (Now this kid is doing a hysterical duck walk and groaning.)

"My dad called the middle wife. She delivers babies, but she doesn't have a sign on the car like the Domino's man. They got my Mom to lie down in bed like this.' (Then Erica lies down with her back against the wall.)'And then, pop! My mom had this bag of water she kept in there in case he got thirsty, and it just blew up and spilled all over the bed, like psshhheew!" (This kid has her legs spread with her little hands miming water flowing away. It was too much!)

"Then the middle wife starts saying 'push, push,' and 'breathe, breathe. They started counting, but never even got past ten. Then, all of a sudden, out comes my brother. He was covered in yucky stuff that they all said it was from Mom's play-center (placenta) so there must be a lot of toys inside there. When he got out, the middle wife spanked him for crawling up in there."

Then Erica stood up, took a big theatrical bow and returned to her seat. I'm sure I applauded the loudest. Ever since then, when it's show-and-tell day, I bring my camcorder, just in case another 'Middle Wife' comes along.

Cheers!
-Rachel

http://isaiah61midwife.blogspot.com/2010/03/middle-wife.html

How to get rid of bloating and indigestion

2010-08-17T16:01:00.000-07:00

Trust us, we feel your pain. You can blame these not-so-fun pregnancy symptoms largely on the hormones your body is producing (what else is new?), specifically all the estrogen and progesterone. Your body’s making more of both now to relax smooth muscle tissue. Unfortunately, this causes your gastrointestinal tract to relax a little too much, leading to side effects like bloating, indigestion, constipation, stomachaches and, yes, all that horrific gas you’ve been having lately.

But sadly, you can’t blame it all on the hormones. Believe it or not you could actually be adding to your own discomfort just by what you’re eating or what you wear.Here’s a list of the most common causes of bloating and indigestion during pregnancy.

See if you’re guilty of a few of them (or all of them!):

• Eating greasy, fatty, or highly seasoned foods
• Drinking too much caffeine -- chocolate, soda, coffee, or other drinks
• Eating big meals
• Eating too fast
• Lying down/not moving much after eating
• Wearing restricting clothing

Sound familiar? Try these tips to help cut back on the bloating:

• Eat several small meals throughout the day
• Pace yourself while eating and drink less during each meal
• Drink water throughout the day and avoid caffeinated drinks
• Try to avoid lying down following a meal. But if you’re totally pooped, at least prop up your upper body with some pillows when you lie down.
• Wear loose and comfy clothing

If you’re still suffering, talk to your doc immediately to see if maybe something else is to blame.

Another great article from 'THE BUMP"

Did you know..??

2010-08-16T15:44:00.000-07:00

Did you know: Babies are born with very poor vision but can recognize their mothers almost right away?

A promise to my children!

2010-08-16T15:39:00.001-07:00

Growing Roses...

2010-08-15T23:10:00.000-07:00

"Attending births is like growing roses. You have to marvel at the ones that just open up and bloom at the first kiss of the sun but you wouldn't dream of pulling open the petals of the tightly closed buds and forcing them to blossom to your time line." Gloria Lemay

Safe Sleeping with your children!

2010-08-15T23:06:00.001-07:00

Why is a Doula Better Than Your Best Friend?

2010-08-14T21:56:00.000-07:00

I read this great article on: http://www.birthinghandsdc.com//

Why a Doula is Better Than Your Best Friend

When we are pregnant, most women “know” on some more or less abstract level that this will eventually end with a birth. Chances are good that around 30 weeks or so, the thought that you will actually have to go through this birth yourself and that you will have to open and push this baby out of your body becomes clear in a much less abstract way. This is when many expectant parents begin to more seriously prepare and gather their resources and support people around them, including making a plan for how they would like birth to go, who will be there and what their roles will be.

In my first pregnancy, this part of my preparation included taking a Birthing From Within class, chatting with my midwives about when they would be there and asking my best friend if she would come as well. I never considered hiring a doula because, in addition to my partner and my best friend, I had not one or two, but three midwives. I figured I’d be set for support. I learned through first hand experience why, even with five loving, supportive people in the room, that a doula to offer continuous labor support might have been a good idea.

A doula is someone who is knowledgeable about normal birth and familiar with possible medical interventions in a way that most family and friends are not. She gets to know you and your desires before birth so that she can better help you when you are in the thick of it. In labor she can be a buffer or bridge depending on the need. She can translate from “obstetric” language to everyday language in the event that parents misinterpret doctors, nurses or midwives.

On the day of your baby’s birth your doula is someone who will remain with you continuously and whose role is unique. She is someone who will not be having a baby that day (or grandchild, niece or nephew). She won’t be watching a loved one in pain and isn’t likely to be overwhelmed by the resulting combination of high running emotions and exhaustion common for laboring parents. She is someone who will be on-call for you, get to know you, who will accompany you through the whole process and who will not be attending dozens of other births that week or that month.

Even if your midwife or doctor can be on call for you, your doula will be there to attend to your emotional and spiritual well being in a way that your midwife or doctor simply will not.

The beauty of continuous labor support from a doula is that it can look however a laboring mother needs it to look. For one woman this might mean a constant companion there to hold her hand and speak words of encouragement and reassurance through each contraction, then wipe the sweat from her brow, and stroke her hair in between… and for another it might mean a trusted presence knitting in the next room, holding the space, listening and keeping watch, at the ready if needed, but out of sight and earshot in order for this woman to have the privacy she needs to birth in her own body. Both are forms of continuous support. For many mothers, the support they instinctively want and need shifts through the course of labor depending on where they are and what else is happening around them and, ultimately, may include a combination of a little bit of both of these ends of the spectrum.

For yet another woman, the term continuous labor support could mean having a person there solely for the purpose of backing up her husband or partner – offering reassurance, water, and suggestions to her partner as he or she stays physically and emotionally in contact with the mother. Sometimes a team approach works best and a partner can remain in front of a laboring mother maintaining eye contact, while a doula provides massage and counter pressure on her back or hips from behind her. It’s the mother’s facial expressions, body language or directly spoken requests that tell her doula what support she needs in any given moment.

On the day your baby is born, your doula will most likely be the one and only person in the room in that in between space who can understand what is happening from multiple perspectives. She will work to get to know you to get a sense of who you are emotionally and spiritually as well as what fears and hopes you have for your labor, birth and postpartum period.

A doula is also familiar with terms of midwifery and obstetrics. She knows her way around a labor and delivery room and can be trusted to explain medical terms or proposed procedures. Yet she isn’t a part of the medical staff and influenced by the powerful force of a hospital’s or particular practice’s work routines and day-to-day rhythms and expectations for birth. Most importantly, she is someone who is comfortable with and knows birth and knows the value and benefits of the unique kind of continuous labor support she offers.

Midwives and doctors must focus on fetal and maternal health and safety and may not be able or inclined to consistently attend to a mother’s emotional needs – especially if she wants more support early on before “active labor” has begun.

Friends who offer loving support but are unfamiliar with or at all wary of birth, can miss how important it is that support begin early in labor and be continuous. They can also be unprepared to help parents make difficult decisions along the way – during active labor and pushing as well as in the immediate postpartum period.

And partners who remain present throughout with no one else to back them up can get exhausted or emotionally overwhelmed.

Each of these possibilities were in fact realities in my first labor and birth. It seemed fitting then, that at my second birth, in addition to loving family and friends, I had not one, but two doulas (and just one midwife). My doulas offered me what I now understand was the invaluable benefit of continuous labor support.

Affirmation for the day!

2010-08-12T23:35:00.001-07:00

If left alone in labor, the body of a woman produces most easily the baby that is not interfered with by its mother's mind or the assistant's hand. If left alone, just courage and patience are required. Faith, if she is a believer, is the secret to having a healthy baby and being a happy mother. -Grantley Dick-Read

New baby

2010-08-11T22:20:00.000-07:00

Nia Evangeline Co

Born: July 31, 2010

7 lbs. 14 oz. 20"

Congratulations to Kristen, Allen & big

brother Jackson!

How to Stop needless Induction of Labor

2010-08-09T21:29:00.000-07:00

Another great article written by: Robin Elise Weiss, LCCE

While there are still a good number of people who don't want to believe that labor would be induced for no medical reason, the fact is that it happens, daily. Notice I said no medical reason, this means you might think "tired of being pregnant" is a reason, but when it comes to the safety of your baby, most people aren't that tired of being pregnant. Recent reports from medical journals have shown that the vast majority of women don't really truly grasp the concept of full term, particularly as it relates to your baby's safety. (If you spontaneously go into labor at week 37 or 38 the risks to your baby are incredibly low, but being induced at week 37 or 38 increases the risks of interventions, including NICU stays, breathing problems and even surgical births.) This is where your doctor or midwife comes into play, or your hospital.

A new study had 27 hospitals across 14 states elect to use one of three programs designed to reduce the number of elective inductions in the 37th and 38th week of pregnancy, not medically indicated inductions, just the social or elective inductions. The hospital could choose to:

     •Institute and enforce a policy of no elective inductions at week 37 or 38;
     •Institute a policy of no elective inductions in week 37 or 38 but allow the practitioners to police      themselves; or
     •Institute an education/awareness program around the dangers of elective induction at the 37-38 week mark.

At the seven hospitals who changed to the institute and enforcement of no elective deliveries at week 37 or 38, they saw the biggest drop in elective deliveries in the two year period. The least effective was the education only policy. The good news is that there were dramatic benefits for the babies, with a 16% drop in the number of NICU admissions. If this were to occur at every hospital the savings could be as high as $1 billion as save over half a million days for babies in the NICU.

So what can you do in the mean time? The most important thing is to realize that every week of pregnancy counts. Being born prior to spontaneous labor can carry risks, big and small. Your baby's brain undergoes a lot of changes in the last weeks of pregnancy, as does the development of lung tissue. You will also find that babies born after spontaneous labor have higher breastfeeding rates. So, if offered an induction, ask why. Use your BRAIN. What are the:

     •Benefits
     •Risks
     •Alternatives
     •Intuition (what's your gut say)
     •Not now, or do nothing

If it's not for a medical complication, or it is something that can be watched more closely, that might be a safer option for you and your baby. Stay in contact with your practitioner, ask questions and don't be afraid to find out what is being proposed and why.

http://pregnancy.about.com/b/2010/08/04/how-to-stop-needless-induction-of-labor.htm?nl=1

Delayed Cord Clamping

2010-08-08T21:52:00.000-07:00

Excellent article by Penny Simken about the advantages of delayed cord clamping.

It is becoming very clear that delaying cord clamping has real advantages for the baby (and possibly for the mother, but, at this time the science is not as clear on advantages for the mother).

After birth, for about 3 to 6 minutes, there continues to be transfusion of blood through the umbilical cord between the placenta and the baby. There is a substance, “Wharton’s Jelly,” in the cord that begins to swell when the cord hits the air. As it swells it constricts the blood vessels in the cord, preventing further passage of blood through the cord. That’s the right time to clamp the cord, unless there are compelling medical reasons to remove the baby to a warmer for treatment.

Even though it is unlikely that the blood carries oxygen to the baby (because oxygen stops crossing to the placenta as soon as the baby is born, well before the placenta separated from the wall of the uterus), delaying clamping is the best way to ensure that the baby gets the optimal volume of blood and right number of red blood cells. Studies indicate that when clamping of the cord is delayed for at least two minutes, the baby is significantly less likely to be anemic at 3 and 6 months of age.

The best place for the baby during these minutes is skin-to-skin on the mother’s belly – not held up above the mother or below the mother, because gravity can cause more blood than optimal to either leave the body or enter the body. Also, no one should “milk the cord” to get more blood into the baby. There have been few scientific trials of waiting until the cord stops pulsating, but many midwives and doctors who believe in non-interference with the normal process feel that the best way to ensure that the baby gets the right amount of blood is to have the baby on the mother and wait until the cord stops pulsating. My guess is that your midwife’s usual practice is to leave the cord alone until it stops pulsating. I hope this is helpful.

If....

2010-08-08T20:55:00.003-07:00

"If a doula were a drug, it would be unethical not to use it."

- John H. Kennell, MD

What a GREAT dad!

2010-08-06T22:58:00.001-07:00

When to Make your Pregnancy Announcement

2010-08-05T09:13:00.000-07:00

There has always been alot of discussion about when to make the big announcement that you are pregnant. Below is a great article with alot of pros and cons on when to tell the world your big news!

Finding out you are pregnant probably sends a flurry of emotions through your body. You might expect to feel nervous, excited, surprised, scared, delighted and many more emotions. After the bottom of your stomach drops out when the pregnancy test turns positive, you may be excited about spreading the news that you are expecting a baby.

Probably the second person to know that you're expecting will be your husband or partner. There are many creative ways to make a pregnancy announcement to your honey. Finding a way to tell him in an unexpected manner can be fun. Or perhaps he was the one holding your hand while the pregnancy test ran.

Those are the easy decisions. The next group of people you may tell will be your family or close friends. From that group you move on to acquaintances and finally you tell anyone who will listen. While this is typically the order in which most families share the news of their pregnancy, you may wonder if you need to put some time between getting the big news and sharing it.

When to tell others is a hotly debated topic. Sharing the joyous news of your pregnancy is a very personal decision. Some choose to share the good news early and often. They will tell anyone who will listen. Before the pregnancy test stick has dried they are on the phone calling their friends and family.

The other extreme is to tell no one. This group may also wait to tell until they have reached a predetermined point in their pregnancy. Then they may tell only on a need to know basis, often waiting until their expanding abdomen shouts the news for them.

Both sides of this coin have a point. Here is a break down of some of the issues on each side:

Advantages to Telling Early

•Lots of support early in pregnancy
•Able to share your good news and excitement
•Earlier offers of physical help
•More advice from others about practitioners
•Help with early decisions
•If you miscarry, you will have support from everyone

Disadvantages to Telling Early

•Too much advice
•Good news travels fast, you may not be the first to tell someone
•If you miscarry everyone knew you were pregnant

Advantages to Waiting to Tell

•Time to digest the news
•Make decisions without input of others
•If you miscarry you don't have to retract the pregnancy announcement

Disadvantages to Waiting to Tell

•No help/support from others
•If you miscarry everyone wonders why you are sad, and you have to backtrack your explanation

As you can see there is not a clear-cut answer. You might choose to tell early, knowing that if you had a pregnancy loss that you would need the loving support of family or friends in the grieving process. You may wish to wait until the risk of miscarriage or ectopic pregnancy has past before sharing the news of your pregnancy. There is not one right answer. What works for your family is the right way for you to share the good news.

By Robin Elise Weiss, LCCE, About.com Guide

Breastfeeding...

2010-08-04T21:38:00.000-07:00

You don't know how true this is!!!
Created By: JessicaInSeattle
http://alliancebreastfeeding.com/shopping/zazzle-com-products/

Too Many C-Sections......

2010-08-03T20:50:00.000-07:00

The rise in cesarean-section deliveries in recent years has been characterized by some as a key indication of the overmedicalization of childbirth. While the procedure undoubtedly saves lives and leads to better health outcomes for mothers and infants who face problems during pregnancy and labor, many experts say the procedure is being performed too often, and in many cases for nonmedical reasons, putting healthy women and babies at undue risk of complications of major surgery.

The rate of C-sections has reached more than 31% in the U.S., a historical high, according to 2007 data from the American College of Obstetricians and Gynecologists (ACOG). The reasons for the increase are many and have been widely discussed: the rising rate of multiple births, more obesity in pregnant women, the older age of women giving birth. In fact, C-sections have become so common that many women may have an inflated sense of safety about them. "For the most part, moms and babies go through the process healthy and come out healthy, so maybe there's this sense that we're invincible," says Dr. Caroline Signore of the Eunice Kennedy Shriver National Institute for Child Health and Human Development.

But C-section carries all the attendant risks of major surgery; and data show that compared with vaginal birth, cesarean delivery increases the odds that a mother will end up back in the hospital after birth with complications such as bleeding or blood clots.

Now obstetrics experts are actively seeking ways to drive down the number of C-sections. On July 21, the ACOG issued new guidelines recommending that hospitals allow most mothers who desire vaginal birth after cesarean, or VBAC, to attempt a trial of labor, including some mothers who are carrying twins or have had two prior C-sections. Despite studies showing VBAC to be safe for most women — ACOG data suggests that 60% to 80% of women who attempt VBAC will succeed — many hospitals have urged women to undergo a repeat cesarean over the past decade, largely to avoid medical risks and malpractice suits.

Another factor contributing to high C-section rates is the increase in induced labor, especially between 37 weeks and 38 weeks of gestation — a period obstetricians describe as "early term." (While any birth between 37 weeks and 41 weeks is considered full term, some experts distinguish the earlier period.) The use of labor induction in the U.S. has risen from less than 10% of deliveries to more than 22%, between 1990 and 2006, according to data from the Centers for Disease Control and Prevention, and research suggests that induced labor results in C-sections more often than natural labor. A study published in the July issue of the journal Obstetrics & Gynecology found that among more than 7,800 women giving birth for the first time, those whose labor was induced were twice as likely to have a C-section delivery as those who experienced spontaneous labor.

The study's lead author, Dr. Deborah Ehrenthal of Christiana Care Health System in Newark, Del., says that she was not surprised to see an association between induction and risk of C-section, since previous studies had come to the same conclusion. But Ehrenthal says she was surprised by the high rate of induction overall. In her study of ethnically and socioeconomically diverse mothers delivering before 41 weeks' gestation, who did not have pregnancies complicated by breech presentation, 44% of women had their labor induced.

The rate is significant because ACOG guidelines, which have been in place since 1982, recommend against elective inductions in the early term, or anytime before 39 weeks. Research shows that after 41 weeks' gestation, at which point it is standard policy to induce labor, it may lower the risk of medical complications for mother and baby — including the risk of stillbirth — and even decrease the likelihood of C-section delivery, but those same effects are not seen in women who induce labor before the 41-week mark.

Medical reasons for earlier induction may include advanced size or lack of proper growth of the fetus and maternal issues like diabetes. But in an editorial accompanying Ehrenthal's paper, Signore also suggests that the high rate of early-term induction may reflect lifestyle choices: health care providers' and new parents' desire to control the timing of delivery. "Many women believe that delivering a few weeks early is just as safe as delivering on the projected due date and may request delivery for any number of reasons of comfort or convenience," Signore writes. "However, we must remember that incautious use and timing of interventions — particularly in elective cases — can lead to unnecessarily poorer outcomes for women and newborns."

Among the women whose labor was induced in Ehrenthal's study, nearly 40% of cases were categorized as elective. In other words, there was no pressing medical indication for induction. Extrapolating from the study findings, Ehrenthal suggests reducing the use of elective labor induction could lower the national C-section rate by as much as 20%.

Several hospitals have already begun reducing medically unnecessary induction as a way to lower the rate of cesareans. In 2006, the Magee-Womens Hospital in western Pennsylvania began limiting the pool of women eligible for elective inductions to those delivering after 39 weeks. The hospital also established stricter protocols for elective induction in women after 39 weeks — insisting on high levels of cervical "ripeness" as measured by the standard Bishop score before induction — and prohibited other labor-hastening efforts, such as the use of cervical ripening agents. Additionally, the hospital instituted a new scheduling system requiring physicians to document specific reasons for induction when used.

Researchers found that under the new policy the overall induction rate dropped 33% and the rate of elective inductions fell by roughly the same amount. What's more, the total number of C-sections among first-time mothers who underwent elective induction dropped 60%. The results of the Magee-Womens study were published in April 2009 in the journal Obstetrics & Gynecology.

If a relatively simple policy shift based on medical evidence can successfully cut the rate of induced labor and C-sections at a single hospital, experts say similar changes applied broadly may help lower the rate of C-sections on a national level.

But as with the new guidelines regarding VBACs, decisions about labor induction and other issues surrounding childbirth must be shared by women. Patients should be informed and included in the decisionmaking process, Ehrenthal says. "Unlike the decision to do an emergency C-section where there's no time to talk, usually there is time to have a discussion about induction," she says.

Read more: http://www.time.com/time/health/article/0,8599,2007754,00.html#ixzz0vYrgjsUl

Frequent Urination in Pregnancy

2010-08-02T13:59:00.000-07:00

A commmon complaint that I hear is how often a pregnant woman needs to urinate througout their pregnancy. It can a definate inconvenience when a bathroom is difficult to find. You will discover that you quickly memorize the locations of bathrooms in the many places that you go during the day. This is a great article written by Robin Elise Weiss, LCCE.

Frequent urination can be an sign of early pregnancy. This pregnancy symptom can start in early pregnancy and continue through the third trimester. Many women will notice the increased need to pee, even before the other "classic" pregnancy signs.

In the early weeks of pregnancy, the need to pee often is caused by extra blood and fluid used in pregnancy that is excreted through your kidneys. As your pregnancy progresses the baby will actually grow large enough to put pressure on your bladder, causing you to feel the need to go more often. This is usually a whole pregnancy symptom.

To lessen this need at night you can try to drink more fluids during the day. Then cut back on the amount of fluids at night. You should also consider avoiding drinks that increase your need to urinate, like coffee, tea and other caffeinated drinks. Caffeine tends to act as a diuretic.

Frequent urination during pregnancy is not generally a sign that something is wrong with you or the baby. Though you may experience the following symptoms if you have a urinary tract infection (UTI) or bladder infection:

    •burning during urination
    •fever
    •abdominal pain
    •backache
    •even more frequent urination

If you ignore a urinary tract infection you could experience preterm labor. Be sure to talk to your midwife or doctor if you have any of these symptoms.

Towards the end of pregnancy as your baby drops into the pelvis in preparation for labor, you may also experience more pressure on your bladder. When trying to urinate, you can lean forward to make sure that your entire bladder is emptied. It may also mean that you leak a bit of urine when you sneeze, cough or laugh if your bladder is full. This is called stress incontinence and will most likely go away with the birth of your baby and a fair amount of kegel exercises.

By Robin Elise Weiss, LCCE, About.com Guide.See More About:pregnancy symptomssigns of pregnancyfirst trimesterthird trimester

Todays Tip by Dr. Sears

2010-07-30T22:47:00.000-07:00

Today's Tip: HOW FOOD TALKS TO THE GENES

An exciting new test is coming soon to your doctor’s office! Suppose you have a new baby. At birth a sample of cord blood will be analyzed for your child’s “quirks,” or genetic tendencies toward common diseases: cardiovascular disease, diabetes, cancer, Alzheimer’s, and so on. Included in this test will be a printout of which foods increase this risk. Your doctor may then say, “Billy carries a genetic tendency toward insulin-resistant diabetes, so he absolutely should not drink soda.”

This fast-growing field is called nutrigenetics (or nutragenomics), and it focuses on how food “talks” to the genes. New discoveries show that if a certain genetic tendency is present, say, for diabetes, some foods “turn on” this gene, and the child eventually gets diabetes. Other foods can “turn off” the gene. While you can’t change your child’s genes, you can control the on/off switch by controlling how and what your child eats.

Information from Ask Dr. Sears.com

Ten Reasons to Wear Your Baby

2010-07-28T20:57:00.000-07:00

Below is a great article about wearing your baby and the benefits for everyone. However, it has come to my attention that not only babies receive benefits from you wearing them...but puppies also do. This is a friend of mine with her new puppy.

1. Wearing a baby is convenient.
    When we carry a baby in a sling, we can walk around freely and not have to worry about negotiating steps, crowds or narrow aisles with a stroller. Plastic "baby buckets" and removable car seats are heavy and awkward for parents, babies often look uncomfortable, and they are kept at knee level. A sling can block out excess stimuli when breastfeeding a distractible baby, and it allows for discreet nursing in public places. A sling can also double as a changing pad, blanket, or cushion when away from home. I've found my sling especially handy when negotiating busy airports with a small child and several bags!

2. Wearing a baby promotes physical development.
    When a baby rides in a sling attached to his mother, he is in tune with the rhythm of her breathing, the sound of her heartbeat, and the movements his mother makes – walking, bending, and reaching. This stimulation helps him to regulate his own physical responses, and exercises his vestibular system, which controls balance. The sling is in essence a "transitional womb" for the new baby, who has not yet learned to control his bodily functions and movements. Research has shown that premature babies who are touched and held gain weight faster and are healthier than babies who are not1. Mechanical swings and other holding devices do not provide these same benefits.

3. Babies worn in slings are happier.
    Studies have shown that the more babies are held, the less they cry and fuss2. In indigenous cultures where baby-wearing is the norm, babies often cry for only a few minutes a day – in contrast to Western babies, who often cry for hours each day. Crying is exhausting for both the baby and his parents, and may cause long-term damage as the baby's developing brain is continually flooded with stress hormones.3 Babies who do not need to spend their energy on crying are calmly observing and actively learning about their environment. Baby-wearing is especially useful for colicky babies, who are far happier being worn, but placid, content babies and children will also benefit greatly from the warmth and security of being held close.

4. Baby-wearing is healthy for you!
    It can be challenging for new mothers to find time to exercise, but if you carry your baby around with you most of the day or go for a brisk walk with your baby in her sling, you will enjoy the dual benefits of walking and "weightlifting". A long walk in the sling is also an excellent way to help a tired but over-stimulated child fall asleep.

5. Toddlers appreciate the security of the sling.
    Slings are usually associated with infants, but they can be very useful for toddlers as well; most slings accommodate children up to 35 or 40 pounds. The world can be a scary place for toddlers, who feel more confident when they can retreat to the security of the sling when they need to do so. Toddlers often become over-stimulated, and a ride in the sling helps to soothe and comfort them before (or after!) a "melt-down" occurs. It can be very helpful in places like the zoo, aquarium, or museum, where a small child in a stroller would miss many of the exhibits.

6. Baby-wearing helps you and your baby to communicate with each other.
    The more confidence we have in our parenting, the more we can relax and enjoy our children. A large part of feeling confident as a parent is the ability to read our baby's cues successfully. When we hold our baby close in a sling, we become finely attuned to his gestures and facial expressions. Many baby-wearing parents report that they have never learned to distinguish their baby's cries – because their babies are able to communicate effectively without crying! Every time a baby is able to let us know that she is hungry, bored or wet without having to cry, her trust in us is increased, her learning is enhanced, and our own confidence is reinforced. This cycle of positive interaction enhances the mutual attachment between parent and child, and makes life more enjoyable for everyone.

7. Slings are a bonding tool for fathers, grandparents, and other caregivers.
    Slings are a useful tool for every adult in a baby's life. It makes me smile when I see a new father going for a walk with his baby in a sling. The baby is becoming used to his voice, heartbeat, movements and facial expressions, and the two are forging a strong attachment of their own. Fathers don't have the automatic head-start on bonding that comes with gestation, but that doesn't mean they can't make up for this once their baby is born. The same goes for babysitters, grandparents and all other caregivers. Cuddling up close in the sling is a wonderful way to get to know the baby in your life, and for the baby to get to know you!

8. Slings are a safe place for a child to be.
    Instead of running loose in crowded or dangerous places, a child in a sling is held safe and secure right next to your body. Slings also provide emotional safety when needed, so that children can venture into the world and become independent at their own pace.

9. Slings are economical.
    Slings cost far less than strollers, front-carriers or backpacks. Many mothers consider the sling to be one of their most useful and economical possessions. Inexpensive used slings can be found in consignment and thrift stores, and new ones can be bought for about $25 -$50 (U.S.) - not bad for an item many parents use daily for two years or more! A sling can also be sewn for the price of a length of cotton, some rings and batting; sling patterns are available.

10. Baby-wearing is fun.
     Who doesn't love to cuddle a precious little baby? And when your baby is older, having her in the sling makes conversations easier and allows you to observe her reactions to the wonders of the world around her. It's also fun for baby, because when she is up at eye level, other adults notice and interact with her more. Your child will feel more a part of your life when she is in her sling, and you will find yourself becoming more and more enchanted with this special little person.

by Laura Simeon, MA, MLIS

I Support Breastfeeding!

2010-07-28T20:44:00.000-07:00

Infant Car Seat Guide

2010-07-27T17:24:00.000-07:00

New baby on the way? Congrats! You’re in for quite a ride. Researching car seats is often one of the first things expectant parents do, since they won’t be allowed to give their new babies their first rides without a car seat. There are lots of infant car seats for sale out there, and they all meet minimum government safety standards. Which one’s really best, and how much do you have to spend to get it?

First, you don’t have to get an infant seat. Unless your baby is really tiny, you can get by with a rear-facing convertible seat. Many parents prefer an infant, or “bucket” seat because they can transport the baby, sleeping or awake, without removing him from the seat–and as all new parents know, when the baby’s asleep, you’ll do just about anything to keep him that way.

You’ll use an infant car seat for anywhere from a few months to a year. Most seats are outgrown when the baby is 22 to 30 pounds and up to 32 inches long or so. Growth charts put the average baby hitting those marks at about a year. In my experience, once a baby is able to sit up, she will want to sit up, which is pretty hard to do in a bucket seat. Sitting up usually occurs long before a baby outgrows an infant seat.

Look for:
■5-Point Harness
■Front harness adjuster
■EPS foam
■Extra bases available for your other car(s)
■Compatible with your stroller

You’ll also want to think about how much infant seats weigh if you think you’ll be carrying it around often. The lightest seat below weights a full two pounds less than the heaviest seat below.

Reviewing the Seats

To begin my research for this guide, I studied data and ratings at these sites: ConsumerReports.org, ConsumerSearch.com, CarSeatData.org, Car-Safety.org, American Academy of Pediatrics 2009 Car Seat Safety Guide, and National Highway Traffic Safety Administration (NHTSA) Ease of Use Ratings. Using that data, I narrowed the field to these four top-rated seats:

Graco SnugRide (7.5 lbs.*) ($80-$150, depending on model)
BabyTrend Flex Loc (9.45 lbs)($80-$90)
Graco SnugRide 32 (9.5 lbs) ($140-$150)
Chicco Key Fit 30 (9 lbs.)($170-$200)
*seat weight without base

Then I asked car seat techs and aficionados to rate the seats above and offer recommendations. Here’s a condensed version of what they told me:

■Car seat tech Amanda says, “My top two picks are the Chicco Keyfit (especially the 30) and the Graco SnugRide 32. They both have all the features that make a seat easy to use and install. The Keyfit is definitely my favorite infant seat right now.”

■Car seat tech Wendy says, “I highly recommend both the Chicco KeyFit and Graco SnugRide 32.”

■Car seat enthusiast Karen says, “The SnugRide 32 is absolutely my first choice… I used that with my son and I liked the harness, ease of installation and weight/height limits.”

■Car seat enthusiast Gretchen says, “I would recommend either the KeyFit or the SnugRide 32, as they both have built in lock offs for easy installation. They also both have higher weight limits.”

Summary

■Graco SnugRide: Doesn’t fit tiny babies very well. Easily outgrown. Amazon’s best-selling seat. Lightest seat at 7.5 lbs. Many variations and price points. Can be cheapest seat, depending on model.

■BabyTrend Flex Loc: Narrow. Good if you have two or more car seats in your back seat.

■Graco SnugRide 32: Easy to install. Good up to 32 lbs, 32 inches (great for tall kids). Recommended by Consumer Reports and Car Seat Data.org. Can install without base. Favorite of our techs and enthusiasts. Handle can be left up (good for small cars). Drawback: heavy at 9.5 lbs. sans baby.

■Chicco Key Fit 30: Fits newborns well. Good up to 30 lbs. Easy to install. Favorite of our techs and enthusiasts. Recommended by Consumer Reports. Can install without base. Handle can be left up (good for small cars).

Recommendations: BC recommends the Graco SnugRide 32 for overall use, the Baby Trend Flex Loc if you’re short on back-seat space, and the less expensive Graco SnugRide if cost or weight of seat is the most important factor. Again, all four are great seats.

Article from: Baby Cheapskate Infant Car Seat Guide

New Law from the Department of Labor

2010-07-27T09:21:00.000-07:00

Great news for breastfeeding moms! The Department of labor has recently issued a fact sheet on the new law that allows break time for nursing moms!

U.S. Department of Labor

Wage and Hour Division

(July 2010)

Fact Sheet #73: Break Time for Nursing Mothers under the FLSA

This fact sheet provides general information on the break time requirement for nursing mothers in the Patient Protection and Affordable Care Act (“PPACA”), which took effect when the PPACA was signed into law on March 23, 2010 (P.L. 111-148). This law amended Section 7 of the Fair Labor Standards Act (FLSA).

General Requirements

Employers are required to provide “reasonable break time for an employee to express breast milk for her nursing child for 1 year after the child’s birth each time such employee has need to express the milk.” Employers are also required to provide “a place, other than a bathroom, that is shielded from view and free from intrusion from coworkers and the public, which may be used by an employee to express breast milk.”

The FLSA requirement of break time for nursing mothers to express breast milk does not preempt State laws that provide greater protections to employees (for example, providing compensated break time, providing break time for exempt employees, or providing break time beyond 1 year after the child’s birth).

Time and Location of Breaks

Employers are required to provide a reasonable amount of break time to express milk as frequently as needed by the nursing mother. The frequency of breaks needed to express milk as well as the duration of each break will likely vary.

A bathroom, even if private, is not a permissible location under the Act. The location provided must be functional as a space for expressing breast milk. If the space is not dedicated to the nursing mother’s use, it must be available when needed in order to meet the statutory requirement. A space temporarily created or converted into a space for expressing milk or made available when needed by the nursing mother is sufficient provided that the space is shielded from view, and free from any intrusion from co-workers and the public.

Coverage and Compensation

Only employees who are not exempt from the FLSA’s overtime pay requirements are entitled to breaks to express milk. While employers are not required under the FLSA to provide breaks to nursing mothers who are exempt from the overtime pay requirements of Section 7, they may be obligated to provide such breaks under State laws.

Employers with fewer than 50 employees are not subject to the FLSA break time requirement if compliance with the provision would impose an undue hardship. Whether compliance would be an undue hardship is determined by looking at the difficulty or expense of compliance for a specific employer in comparison to the size, financial resources, nature, and structure of the employer’s business. All employees who work for the covered employer, regardless of work site, are counted when determining whether this exemption may apply.

Employers are not required under the FLSA to compensate nursing mothers for breaks taken for the purpose of expressing milk. However, where employers already provide compensated breaks, an employee who uses that break time to express milk must be compensated in the same way that other employees are compensated for break time. In addition, the FLSA’s general requirement that the employee must be completely relieved from duty or else the time must be compensated as work time applies.

Deciphering Your Medical Chart

2010-07-26T17:05:00.000-07:00

Deciphering your medical records should be fairly straight forward, but your doctor or midwife probably writes notes on your chart that have acronyms or abbreviations that relate to you and your baby's health. Here are some of the most common ones that you might notice and what they mean:
1.hCG: human Chorionic Gonadotropin (hCG) is a hormone. It is the hormone that is looked for in pregnancy tests, both urine and blood. Your practitioner may be monitoring yours to evaluate the health of your pregnancy.

2.EDD:   Estimated due date is the date that would equal 280 days from the first day of your last period or based on the due date given by ultrasound. It may also be written as EDC or estimated date of confinement.

3.US:   This stands for ultrasound. It might mean that one has been ordered or simply that you have been counseled about ultrasound.

4.CRL: Crown to rump length is a measurement used for your baby early in the pregnancy, in the first trimester.

5.FHT:   This means fetal heart tones. It might be written when heard with a plus sign or it might be drawn in over an area of the body on the chart to indicate where your baby's heart tones were heard.

6.FM: Fetal movement is used to indicate if you have felt fetal movement or quickening (you first feeling of fetal movement) or where you are feeling fetal movement.

7.PTL:   Preterm labor may be on your chart to indicate that you are at risk of preterm labor, that you have been screened or counseled about preterm labor.

8.GBS:   This stand for group B strep. This screening exam is typically done between weeks 34-36 in your prenatal care. You may also have tested positive previously or have a history of Group B strep and have that indicated on your chart.

9.NCB:   Natural childbirth is indicated by NCB. It may be in reference to a previous birth or our upcoming birth plans.

10.LOA:   This is a position that your baby can be in, left occiput anterior.

If you see anything on your chart that you are unclear about or you aren't sure what it means, never hesitate to step up and ask. Remember, these are your medical records. You have the right to know what is written in there and have the ability to have corrections made if there are errors.

10 Things You Might Find on Your Prenatal Chart

Deciphering Your Medical Records
By Robin Elise Weiss, LCCE, About.com Guide

Childbirth

2010-07-25T18:40:00.000-07:00

This is a great illustration of what happens in childbirth.

Information from Empowered Birth.com

Naming the Baby

2010-07-22T10:14:00.000-07:00

The subject of baby naming has suddenly been a topic of conversation in our household. So, when I found this article, I knew I needed to post it!

If you're having a baby that is not your first, you are likely to hear some baby names from siblings. These are usually bad baby names. To celebrate that, I'd like to offer your four things you shouldn't let your older child name the baby:

1.Broccoli

If you ask a child to name a baby, they are going to go with items that they love, if you make that mistake at dinner for the sake of family style conversation, the ideas will be food centered. Obviously you can use this to tell how your older child is feeling about the new baby. The suggestion of the favorite food, cookie, versus the least favorite food, broccoli holds many clues. But neither is really a good name for a baby.

2.Elmo

Every toddler out there has a version of a favorite character be it from television or a book. You too could have a new baby named Dora, Elmo, Skippyjon, etc. The problem is, well, I think it's pretty obvious that you wouldn't want your child to have to live up to those standards.

3.Fairy Princess Sparkle

While having multiple middle names may be coming back into style, the multiple first names, particularly when they number three or more is just excessive. This really shows just how indecisive a toddler can be, even when it comes to baby naming. And that doesn't even address how her little brother would feel with a name like that. Sure you could make a masculine version, perhaps Wizard Prince Oak Tree? Nah, that doesn't work either.

4.Spoon

Inanimate objects may be all the rage for some, but they don't go over well for most babies. Think long and hard before choosing a name that your older child picked because it was the first thing he or she saw when you asked them to help.

Just remember, there are plenty of things that your child can do to help prepare for the new baby, but consider leaving the baby naming to the grown ups.

Article written By Robin Elise Weiss, LCCE, About.com Guide

Instructions for babysitters

2010-07-21T21:52:00.000-07:00

Parents all learn the importance of leaving complete instructions for a babysitter. Afterall, they are leaving a very important treasure in the care of someone else. A few months ago, my husband and I were asked to babysit for several days. However, this request came from our daughter and son in law...and the request for babysitting was for their dog, Olivia. Below is the email that I received with my instructions:

1. Let hers sleep in your bed. Just put a cow toe up there and her's blankey and hers will be ok. She will wake up around 6 and think about getting up for a while, but when her starts whining that means her
ready to go potty.

2. be very very very careful when opening doors. She is thinking about darting, I can see it in hers eyes .

3. be careful when picking her up from daycare...her is soooo squiggily!

4. Tighten her collar if you take her for a walk

5. I put a variety of clothing options for restraints if you need them!

6. If you take her to our house, leave her light on in the bathroom, her no like weewee in the dark

7. send me pictures 2 x per day at least!! :)

8. Show her my picture four times a day, and remind her I love her and am coming home for hers.

9. Don't forget to pick up all decorations or posibly chew toys her might want to destroy for fun.

The end.

Thank you for taking care of her! You a good girl and Davey is too. We are thankful to have you~!

Hopefully this will give new parents are few more ideas when leaving your children with a babysitter!

Fun Quotes

2010-07-19T23:28:00.000-07:00

I recently found some fun birth quotes that I thought might speak to some of you!

**Think of stretch marks as pregnancy service stripes. ~Joyce Armor

**The moment a child is born, the mother is also born. She never existed before. The woman existed, but the mother, never. A mother is something absolutely new. ~Rajneesh

**Any mother could perform the jobs of several air traffic controllers with ease. ~Lisa Alther

**There's nothing like a mama-hug. ~Terri Guillemets

Information about Group B Strep

2010-07-17T20:12:00.000-07:00

As many as 8000 babies in the United States could be born with serious Group B Strep disease, and possibly 10% of those babies will die. Of the babies who do survive Group B Strep menigitis, approximately 20% of them will have permanent handicaps such as hearing or vision losses or learning disabilities.

What is Group B Strep? Group B Strep (GBS) is a bacterium found in the lower intestine of healthy adults and also in the vagina of approximately 10-33% of all healthy adult women. According to the Centers for Disease Control, many individuals carry Group B Strep in the bowel, vagina, bladder or throat and do not become ill. They are simply carriers or said to be "colonized." GBS should not be confused with the strep that causes strep throat, as that is Group A Strep. GBS colonization is not contagious. It is important to note that GBS is NOT a sexually transmitted disease.

Since 1 in 5 pregnant women carry GBS in the rectum or vagina, those babies who come in contact with GBS during birth may begin showing signs of complications such as sepsis (blood infection), pneumonia or meningitis (infection of the fluid/lining around the brain) during the first few hours after birth. Premature babies are more at risk due to their premature body systems. The babies may be exposed during the journey through the birth canal, where they may swallow or inhale the bacteria. Having a cesarean section is not likely to prevent GBS. Babies who present symptoms soon after birth may have problems regulating their own body temperature, fever, seizures, breathing problems, stiffness, or extreme limpness.

Babies who have late onset GBS/meningitis may show signs of stiffness, limpness, inconsolable screaming, fever and lack of interest in feeding. Babies with a positive blood or spinal fluid culture are typically treated with IV antibiotics. GBS cannot be contracted through breastfeeding and women who are colonized may breastfeed without concern.

Some research indicates that GBS may cross the intact amniotic membranes, thus exposing the baby in utero. There, it may cause preterm births, stillbirths or miscarriage.

The Group B Strep Association stresses policy that has GBS testing for every woman. Testing can be done around 35-37 weeks of pregnancy. A swab sample from the vagina and rectum can show culture results in approximately 2-3 days and is relatively inexpensive (usually under $50). This test, known as the LIM or selective broth medium test is considered the best test, although sometimes it can be inaccurate. A positive culture means that the woman is colonized but the test does not show if she has the disease and cannot predict if the baby she is carrying will get the disease.

Maternal risk factors for developing GBS disease:

*Positive culture for GBS colonization at 35-37 weeks.
*Having already had a baby who had a GBS infection.
*GBS bacteria in urine.
*Membranes rupture more than 18 hours before birth.
*Premature labor (less than 37 wks)
*Developing high fever in labor (greater than 100.4F)
*African American race
*Less than 20 years old.
Source: Group B Strep Association

If a mother has been identified as being positive or colonized, she should receive IV antibiotics approximately 4-6 hours before the birth of the baby, or sooner such as at the time of hospital admission. Since all medications, including antibiotics, do have side effects, the Group B Strep Association suggests limiting their use to those women with one or more risk factors listed in the above table.

Not all care providers routinely test for GBS - some base their testing on evaluation of risk factors alone. The Group B Strep Association states "Babies are healthy in at least 95% of births where the mother is properly tested and treated for GBS colonization." The Centers for Disease Control and American College of Obstetricians and Gynecologists concur with the Group B Strep Association that testing at 35-37 weeks and IV antibiotic therapy offers the best protection in comparison to evaluation of risk factors alone.

Information from: Birthsource.com

Car Seat Safety

2010-07-16T22:11:00.000-07:00

Parents,
Please watch this video and consider what it says.

Pottery Barn Recalls Cribs!

2010-07-14T18:33:00.001-07:00

Important information about how important it is to check your crib to make sure it is safe for baby!

Benefits of Breastfeeding

2010-07-10T13:04:00.000-07:00

Human milk is uniquely suited for human infants

􀂃 Babies were born to be breastfed.
􀂃 Human milk is easy to digest and contains more than 200 components that babies need in the early months of life.
􀂃 Factors in breast milk protect infants from a wide variety of illnesses.
􀂃 Children who have been breastfed have less risk of becoming overweight or obese, even as adults.
􀂃 Research has shown that children who had been breastfed had higher IQs.

Breastfeeding saves lives

􀂃 Lack of breastfeeding is a risk factor for sudden infant death syndrome (SIDS).
􀂃 Human milk protects premature infants from life-threatening gastrointestinal disease.
􀂃 Breastfed children have lower risk of dying before their first birthday. Breastfed infants are healthier
􀂃 Formula fed infants have twice the risk of having ear infections in the first year than infants who are exclusively breastfed for at least 4 months.
􀂃 Breastfeeding reduces the incidence, and lessens the severity of a large number of infections, including pneumonia and meningitis in infants.
􀂃 Breastfeeding protects infants against a variety of illnesses, such as diarrhea and infant botulism.
􀂃 Breastfed babies have less chance of allergies, asthma and eczema.
􀂃 Evidence suggests that exclusive breastfeeding for at least two months protects susceptible children from Type I insulin dependent diabetes mellitus (DDM).
􀂃 Breastfeeding may reduce the risk for subsequent inflammatory bowel disease, multiple sclerosis, rheumatoid arthritis and childhood cancers.

Breastfeeding helps mothers recover from childbirth

􀂃 Breastfeeding helps the uterus to shrink to its pre-pregnancy state and reduces the amount of blood lost after delivery.
􀂃 Mothers who breastfeed for at least 3 months may lose more weight than mothers who do not breastfeed.
􀂃 Breastfeeding mothers usually resume their menstrual cycles 20 to 30 weeks later than mothers who do not breastfeed.

Breastfeeding keeps women healthier throughout their lives

􀂃 Exclusive breastfeeding for the first 6 months can help in child spacing among women who do not use contraceptives (The Lactation Amenorrhea Method).
􀂃 Breastfeeding reduces the risk of breast and ovarian cancer.
􀂃 Breastfeeding may reduce the risk of osteoporosis.

Breastfeeding is economical

􀂃 The cost of infant formula has increased 150 percent since the 1980’s.
􀂃 Breastfeeding reduces health care costs.

Breastfeeding is environmentally sound

􀂃 Unlike infant formula, breastfeeding requires no fossil fuels for its manufacture or preparation.
􀂃 Breastfeeding reduces pollutants created as by-products during the manufacture of plastics for bottles and metal for cans to contain infant formula.
􀂃 Breastfeeding reduces the burden on our landfills, as there are no cans to throw away.

This information came from the WIC website.

WIC can help you with breastfeeding. Find out if you qualify.

WIC serves low-income pregnant women, breastfeeding and new moms,

and children under 5 years old.

WIC is an equal

opportunity program.

Women, Infants and Children Supplemental Nutrition Program

Call Toll-Free:

1-888-WIC WORKS

Skin to Skin cuddles helps Moms & Babies!

2010-07-10T09:56:00.000-07:00

Mothers who said they used skin-to-skin contact with their infants reported breastfeeding for longer than those who didn't. (CBC) It's not just newborns who benefit from skin-to-skin cuddling — moms do, too, researchers in Nova Scotia have found. In skin-to-skin contact, the mother sits and holds her baby, who is wearing just a diaper, on her bare chest, facing toward her for hours at a time.

When researchers at St. Francis Xavier University in Nova Scotia tracked 100 mothers and babies over four years, they found mothers who used skin-to-skin contact reported breastfeeding for a longer period, less postpartum depression, and a closer relationship with their babies compared with mothers who did not use the method.
The snuggled babies in turn were more alert, the team found.
Previous studies have shown that skin-to-skin contact is good for babies, especially premature babies, because the close contact replicates conditions in the womb.

For the mother, the close contact stimulates the hormone oxytocin, which helps to promote maternal feelings, said Ann Bigelow, who teaches psychology at the university and was one of the lead researchers.

"Because the baby is being held so close to the mother, the mother learns the baby's signals," Bigelow said. "So the mother is aware when the baby is about to wake up or when the baby is hungry. She gets to know her baby sooner."

Study participant Kerri Ellen Gabriel said the skin-to-skin contact helped to create an instant bond with her daughter, Kyra, during the first three months of breastfeeding.

"It was a very easy thing to do during breastfeeding," Gabriel recalled. "It just felt so nice."

The researchers have produced a DVD for mothers and health-care workers about skin-to-skin contact, hoping to spread the word that creating a closer bond requires no special equipment or complicated instructions.

The study was funded by the Nova Scotia Health Research Foundation.

Read more: http://www.cbc.ca/health/story/2010/07/08/skin-to-skin-babies-mothers.html#ixzz0tIcNx2nz

Mothering the Mother

2010-07-09T23:34:00.000-07:00

Another great interview in support of having a birth doula attend your birth with you and your husband/partner.

Visit msnbc.com for breaking news, world news, and news about the economy

Getting your Insurance Company to Reimburse Doula Services

2010-07-06T14:53:00.000-07:00

While some hospitals and birthing facilities offer doulas at no cost to expectant couples, most couples do have to pay for their own doula. This means, due to financial concerns, many couples who need a doula are not able to get one. On the doula side of it, doulas are not charging what they’re worth as they try to keep rates affordable for their clients. However, there is a solution—many insurance companies will reimburse doula services, if you know how to get it.

Pay your Doula First

Your insurance company does not cover doula services; they may reimburse you for the doula fee. This means you have to pay your doula first before you can get reimbursement. Therefore, you have to pay her. Let her know you’re asking your insurance company for reimbursement—she may have tips to help you get it.

Send in the Right Paperwork

If your insurance company accepts your doula’s NPI number, you will want to send it in along with a 1500 Universal Claims form. You will need your doula’s invoice to do this. If you’re having problems with your insurance company, DONA International suggests sending in your doula’s invoice with a letter explaining what a doula is and how they reduce costs.

Expect Rejection

Many couples are finding their insurance company initially rejects the claim. You will have to resubmit it repeatedly, probably with additional information. The good news is that more and more people are getting insurance reimbursement—the more people who get it the less time this process to likely to take. DONA has a sample letter (click here to see) to send in to the insurance company if the initial claim is rejected.

Information from Theonlybabystop.com

Why Hire A Doula? 5 Myths Debunked

2010-07-01T22:13:00.000-07:00

Another GREAT article about why you should consider hiring a doula!

Why Hire a Doula? 5 Myths Debunked

As doulas become more common on birth teams around the world, I get fewer blank stares when I tell people what I do. Most people have at least a nominal sense of what a doula does, even if the lines are a bit fuzzy for them. Over the years, however, I've noticed some common misconceptions about doulas and their role in birth. Since I hear these myths again and again, allow me to debunk a few for you.

Myth #1: A doula would interfere with the bond between me and my husband or partner in labor.

Your partner in life makes an ideal birth partner. He or she knows you best, and that bond can't be replaced by a doula—or anyone else—in labor. Doulas don't come into a birth and take over.

A good doula actually facilitates involvement. We can remind your partner about what you learned in class. Hips hurting? Here, I know a great technique for that. Dad, try this. We can also complement a partner's strengths. I've been to births where the dad fell into a really natural role as mom's physical support, and I offered more verbal reassurance. Even with great prep beforehand, he just might not know what to say.

Because we've studied and often seen a lot of births, doulas can be invaluable in unexpected situations. Has labor slowed down? Dad might not think about nipple stimulation, stair climbing, acupressure, visualization or thumb sucking (yes, thumb sucking). We also carry a great bag of tricks. My own doula bag includes goodies like tennis balls for counterpressure, peppermint oil to combat nausea, a gardening knee pad for kneeling dads, and mouthwash to refresh anyone on the birth team when mom's senses are incredibly heightened.

Doulas make sure dads take care of themselves too, with comfort measures and breaks during a long birth. Even the most amazing birth partner needs to eat and pee every once in awhile! We can reassure him when things are going normally, and help interpret and demystify hospital protocol. We're his doula too.

And finally, if the two of you are working beautifully together, we're skilled at backing off and letting that happen. I don't feel lost in moments of just observing. There's still real value in simply honoring and protecting a couple's birth space.

Myth #2: If I have a midwife, I don't need a doula.

Most of my clients birth with midwives. While it's true that doulas and midwives do share some common skills and goals, their roles are actually quite different. A doula is your sounding board from the minute you hire her. She'll help you process your hopes and fears about the pregnancy and birth, answer questions and connect you with resources. If you just need to talk every day for a week, she'll be there. You never have to wait for your next scheduled visit.

And unless you're having a home birth, even the best midwife won't meet you in your living room and support you through early labor. Doulas often connect with their clients at home, laboring with them there and helping them with the transition to the hospital or birth center. After arriving at your birth place, a midwife can't guarantee you'll be her only patient in labor. Your doula is there for you, and only you.

Midwives offer birth knowledge and suggestions for coping with labor, as do doulas. However, a midwife's final responsibility rests with the health of mom and baby. At a certain point in almost every birth (and sometimes at many points), a midwife must turn her attention from support to the medical aspects of birth. She watches for complications, advises on interventions or approaches, and serves as medical guardian.

A doula doesn't perform any clinical tasks and stays focused solely on support. She nurtures you in the calm and beautiful spells, but also if there are any frantic, scary moments. "You're doing such an amazing job, this is normal." "I trust your decision-making process." "Stay strong, you're almost there." "Listen to your body." "Don't be scared, we're here with you."

Myth #3: My doula will protect me against the hospital staff.

Not even the best doula can "save" a couple from an interventionist doctor, midwife or hospital. It is up to you to advocate for yourselves, and make your wishes known to the staff.

First of all, a doula can be kicked out of a birthing room very quickly if she steps on any toes. Second, we might have to work with these same people again next week or next month—to serve our clients well, it's best not to have an antagonistic relationship.

That's not to say that a doula can't play a more subtle advocacy role. The first thing we might do is to help you figure out if the practice you're with is a good match for your birth goals, and if not, help identify another provider who might be more complementary. We'll also encourage you to talk with your provider about all your hopes and expectations beforehand, so there's less chance of any surprise at the actual birth.

And during the actual birth, we can remind you of your birth plan, share what we know about options, suggest questions, and help you sort through your feelings and priorities. I've also given couples a gentle "heads up" when I've seen a medical intervention about to be performed without their consent. And when the pressure is on to make a medical decision, assuming it's not an emergency, a doula can suggest some time alone to think and talk. Just removing the pressure of someone standing over you waiting for an answer can help a couple think through their options and priorities with clearer heads.

Myth #4: I can't afford a doula.

We spend incredible amounts of money on preparing for a baby in this country. Dare I say it, many of those dollars go toward unnecessary accoutrements. Pretty much, for a newborn, you need diapers, some onesies and a breast. A sling is handy. That's it. Your baby will never miss that fancy diaper stacker, sticker-shock crib or those adorable matching baskets. By comparison, women process their births for their entire lives. And unnecessary interventions can have long-lasting emotional and physical effects for mom and baby. We get one chance to birth our babies. So for some couples, affording a doula is merely a matter of shifting priorities.

In almost every community, if you truly want birth support, there is a doula in your price range. Doula work is demanding and doesn’t usually pay very well. Still, many are willing to adjust their fees on a sliding scale for low-income mothers. Bartering and payment plans are also common. If the doula you first approach doesn't do pro bono work or has reached her limit, she can usually help connect you with a new doula who will work at a very low cost as she gains experience. Call doula certifying organizations like DONA International (www.dona.org) for a list of doulas working toward certification, or visit BellyWomen.net for connections to free or low-cost doulas.

Myth #5: All doulas wear patchouli and long skirts, and they only like natural birth.

This one's easy to debunk, since I'm living proof. Patchouli gives me a headache, and I can't remember the last time I wore a skirt. Some doulas are crunchy, some look a lot like your grandma or your banker, and some of us are more of the sensible shoes, soccer-mom set.

As for going natural, you can find doulas who themselves had medicated births or cesareans. Many doulas feel comfortable supporting any couple, no matter what kind of birth they're hoping for.

Others, and I include myself in this sect, have a true love for natural birth but also a strong sense of compassion for women faced with challenging situations or true medical complications. We're not in your body, and we can't completely know what the labor experience is like for you. Medications and interventions, while vastly overused, certainly have their place. The core of a doula's role is support—support for your decision-making process, and your innate wisdom about the best path for your birth. I've witnessed some truly beautiful births that included Pitocin, narcotics, epidurals, or even c-sections.

A good doula nurtures and supports you on your birth journey, wherever it leads you. One of my clients told me after her VBAC that during her birth she felt surrounded in love. That's much more important to me than whether someone experiences my idealized version of a "perfect birth." If every family I work with feels surrounded in love, I've done my job.

Jessica English is a doula, natural childbirth instructor and the owner of Birth Kalamazoo. Her two boys were both born naturally into their daddy's hands, one in the hospital and one at home. She had doula support for both journeys, of course. Jessica moonlights in freelance writing and public relations, but feels lucky to call birth her day (and night) job.

What is a Doula and why should you hire one?

2010-06-30T23:22:00.000-07:00