Home Births Up 29% from 2004-2009

A new CDC report looks at the trends of home birth from 1990-2009. While home birth was relatively stable from 1990-2004, after that there was a 29% rise in the number of home births, though still a very low number.  You’re more likely to have a home birth if:

  • Non-hispanic white woman
  • Over 35
  • Married

Interestingly enough 33% are listed as being attended by “other.”  This is dad, mom, EMT, etc.  I wonder if this is in part by midwives not wanting to be listed on the birth certificates.

While many like to cite the rise in the home birth rate as being from Ricki Lake and Abby Epstein’s Business of Being Born, it wasn’t released until May 2008. (See trailer below.) So what’s your take? Why do you think the rates of home birth are increasing?

MacDorman MF, Mathews TJ, Declercq E. Home births in the United States, 1990– 2009. NCHS data brief, no 84. Hyattsville, MD: National Center for Health Statistics. 2012.

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Helping Mothers $1 at a Time

Disaster strikes. We’ve all seen it on the news. Sometimes it’s close to home, like the Hurricanes Katrina and Rita and sometimes it feels more distant, as in the tsunami in Japan. Every year 13 million people will become refugees and 20 million will be displaced within their own countries. Women and children constitute as 80% of the world’s refugees and displaced people. Circle of Health International (COHI) is working to see that when disaster strikes, some of the most vulnerable, the pregnant mothers and newborns, are well cared for in these times of need.

Recently they launched a fundraiser to get midwife Karen Feltham, CNM to Haiti to help at a birth center. Karen’s ten day trip is planned to HCM Maternity Clinic in Fond Parisien, Haiti, an earthquake-affected region. The birth center is staffed by two Haitian midwives and serves more than 2,000 women a year. The midwives provide high quality care and effectively manage routine births, but outcomes for mothers and babies could be improved with additional training and support. I am pleased to say that they met their goal early on on the campaign, because of readers like you who understand the need of the work that Karen is doing to protect mothers and babies.

But the sad fact remains that Haiti is not the only place where we are having problems, nor will it be the last natural disaster. Nearly 400,000 women will die each year from pregnancy-related causes. 99% of these deaths will occur in de­veloping countries, according to the World Health Organization (WHO). For each woman who dies, 20 others will suffer from serious complications. In poor countries, a mother’s death leaves her new­born at risk of dying as well. The need for quality and accessible reproductive health care in crisis settings is urgent. In areas where conflict and turmoil is rampant, nurses and midwives are the primary reproductive health care providers. They provide up to 80% of direct patient care around the world every day. So, COHI is continuing to raise money to fund more missions for Karen and midwives like her. Please consider donating your time or money, even just a $1 to help make birth safe for mothers everywhere, even in the worst of situations.

So a recap of what you can do to help COHI help mothers affected by natural disasters:

As COHI says, “Midwives, nurses and other health care providers are working night and day around the world to help women and children in crisis settings. It is not a simple path they tread, yet slowly and deliberately they continue, each day, with each birth, to enact their belief in midwifery through peace. But they cannot do it without your help and support.”

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Beyonce’s Baby Blunder

An official statement was made today that says Baby Blue is taking over a whole floor, but is in an executive suite, with their own security detail and that she was not born via c-section, scheduled or otherwise.

As you’ve probably heard by now, Beyonce Knowles and her husband, Jay-Z, welcomed their daughter, Blue Ivy, this past weekend. You might expect this post to be about the reports that Beyonce chose a scheduled c-section, but honestly no, I have a different bone to pick with the whole situation.

The NY Post is talking to a dad who was prevented from visiting his premature twins because of security for Beyonce and her entourage.  Apparently there have been several such shut downs at the hospital during her stay, which reportedly encompasses a whole floor, minus the NICU, and costs an estimated $1.3 million for her stay.  This is also sad, that families in their times of need can’t get to babies.  What about moms who needed to nurse babies?  What about families who may have only had a few hours left with a baby who was very ill?  This is ridiculous.

The public health person is me started churning this over in my mind last night as I tried to sleep.  My first thoughts were to the waste of money.  Shouldn’t all patients have privacy?  Be it Beyonce and Jay-Z or me or you or anyone?  Okay, so that’s annoying, they get to pay extra and have windows darkened and people restricted from being in the halls.  The average person can’t afford it and probably doesn’t want it or care.  But then I started wondering – what about all the women in labor who were registered to have babies at Lenox Hill around now.  Do they get shunted to other hospitals?  In labor?  At what cost and to whom?  Maybe they just get shuffled to another area of the hospital, one less convenient for them and the medical staff, an area that maybe isn’t set up to specifically care for obstetrical patients.  What about the fancy modular birthing beds and birth balls that Lenox Hill brags about on their online tour? Did those move too?

To open a hospital, you need to get a certificate of need (CON).  That says there is a need for these services in this community.  Who is meeting the needs of this community while the whole floor is taken up for one family? While I used to think that Brad Pitt and Angelina Jolie were crazy to have their first baby, Shiloh, in Namibia with their LA physician by their side for her scheduled c-section, at least I know that once they were out of the OR, there wasn’t all this craziness in the clinic where she gave birth.  Even Michael Jackson, known for his extremes, simply took the baby and immediately left the hospital, paying for care in his own home.

Photo © Dreamstime

Posted in Celebrities, Cesarean Section, Government, Hospital Birth, Media | Tagged , , , , , , , , | Leave a comment

Do Nurse-Ins Work?

Nurse In Needs

This past week there were mass nurse-ins all over the country to protest a mother who had been harassed by Target in November. My first inclination was excitement, I’m all about the activist activity.  I quickly joined the private Facebook group and started plotting our local nurse-in.  I’d never been to a nurse in, particularly with my own nursling.

As I started inviting other breastfeeding moms, just knowing they’d be jumping at a chance to join a nurse-in and support other moms.  Most everyone said yes, but I had a few that declined.  Of those that declined most were busy or didn’t have a nursling and didn’t feel that they could go because of that reason.  I had one mom who said that she didn’t believe in nurse-ins, despite her avid support for breastfeeding.  For the first time I thought about what it was that we were doing and what would it accomplish.  I didn’t pause for long, because in my heart I knew it was the right thing to do.

The morning of the nurse-in, I logged in to tell all the people who were attending where I’d be.  I packed up.  I brought:

  • Breastfeeding law cards for our state and nation
  • Breastfeeding brochures in English and Spanish
  • My iPad for tweeting during the nurse-in
  • Talking points
  • My camera
  • My nursling

I ensured I was wearing clothing were I could nurse my older nursling discreetly because it’s how I nurse, not with a cover, just not hanging out.  I also chose my public health shirt to throw in the message that breastfeeding is a part of a larger conversation about the health of a nation and a world community.

I left the house with no idea what to expect.  Would someone talk to us?  Notice us?  Ignore us?  What would the other moms be like?  Would any dads show up?

It was an amazing morning. We spent almost two hours in Target at the coffee shop. Moms, dads and babies, sitting around drinking coffee.  We met our babies’ needs by feeding them when they needed.  We talked about going back to work with a new baby, pumping, nursing around older siblings, nursing a baby with a disability, skin to skin after a cesarean birth and many more parenting topics.  In the end we decided that we weren’t sure Target even noticed us.  We had several customers stop us to say, “What an adorable baby!” or other such comments about our kids.

We also decided that we were being radical and showing exactly what the world needed to see, people being parenting, which included normal infant feeding – breastfeeding.

Do nurse-ins work?  We think so, but perhaps we’re more low key activists who simply have a differently radical agenda.

Posted in activism, Breastfeeding | Tagged , , , , | 3 Comments

These Could Be Breastfeeding Ads

Every year my family sits down to decide what our giving priorities will be for the upcoming twelve months.  We pick a variety of projects after looking through many.  So in the process of reading about various water projects, I stumbled upon Charity Water.  It’s a really interesting concept, and we spent a lot of time watching their videos and reading about them.  One of their creative ad banners caught my eye: a bottle filled with dirty water.

While I absolutely agree that this is a huge problem and I want it to stop, clean water is not the only way to prevent these diseases.  Breastfeeding can also play a huge part in the process.  I see it as a two fold issue.  Talk to me in the comments about your charity plans and how you support breastfeeding and/or clean water.  What can we do to make the breastfeeding part of this ad banner heard?

Posted in activism, Breastfeeding | Tagged , , | 2 Comments

There is No M in Maternal Child Health

Today there is a new blog out there entitled, “The M in MCH.“  It’s written by an amazing woman named Michelle Breen.  I first met Michelle in the early 90s.  She hired me as an intern health educator in reproductive health at a local health department.  She was bright, funny, sarcastic and really taught me a lot.  (And I was at that age where I thought I knew plenty.)

Michelle was a fighter for birth rights and I walked followed along, both at work and extracurricularly.  This went on for years and I took it for granted that we’d always have Michelle in our corner.  Then Michelle moved.  While she left, I never forgot her contributions to our state, our city and my own passion. I was even inspired to go to grad school to seek my own MPH partially because of her. Thankfully I’ve found her in the past few years on Facebook.  We’ve chatted and watched each other from the distances.  She’s been active where she is locally as well as on a national level with various midwifery organizations.  But that’s her story to tell…

My job today is to announce that she’s started this blog and that, while it’s brand new, I’m sure it’s going to be fabulous and insightful, just like she is…

The M in MCH: Midwifery is the M in MCH

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No Room at the Inn – Christmas Inductions

Christmas Baby Photo © iStockPhotoIf you’re listening to any number of people who are due in the next few weeks and trying to get an induction, what you hear a lot of, is “I’m calling to get a bed for induction, but they are too busy for me…”

There is no room at the proverbial inn these days.

This is because many doctors, midwives and women are jumping at the chance to have an induction of labor, not for medical reasons, but for a variety of seasonal reasons, including these holiday top 5:

  1. I don’t want my baby born on Christmas.
  2. I want to be home in time for Christmas.
  3. My baby is my present this year.
  4. I don’t want to be in the hospital for Christmas.
  5. I want my doctor to be the one to deliver my baby.

Seriously, the hospitals are perfectly prepared if you have your baby on Christmas.  It won’t shut down.  There are a full complement of staff and services available.  In fact, if you’re planning for an epidural, you’re less likely to have to wait for it given the demand on hospital services this week.  One hospital here actually has had moms laboring in the halls waiting hours because their huge anesthesiology staff can’t really accommodate the laboring women as quickly as the women would like.  This is when a mom calls to get in for an induction and the nurses say, “Call back in four hours to see if there is an open bed…”

Are you hearing women talk about not being able to get into the hospital for an induction?  What’s your take?

Photo © iStockPhoto

Posted in Hospital Birth, Induction | Tagged , , | 1 Comment

Giving Life: A Risky Proposition

Last night ABC’s 20/20 showed a special entitled Giving Life: A Risk Proposition.  There were some great tweets last night while watching it, it was like sitting in a room of very smart girlfriends, you can catch those at on Twitter still at #RiskyBirth. (Or the TweetReport Archive.)

While many were stunned and shocked, others knew what the basics were.  One comment I saw said that she felt like it was a huge commercial for misoprostol.

Did you see it?  What’s your take?

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Harassing Breastfeeding Mothers

There have been multiple incidences of breastfeeding mothers being harassed recently.  Here are two of the most recent ones:

Target – Houston, TX

Bettina Forbes from Bestforbabes.org posted yesterday about a mom from Houston feeling harassed in her local Target store for breastfeeding her baby.  This is despite a policy in place that says breastfeeding in welcome, although there is some weird wording here.  You can read Bettina’s story here: Target Employees Bully Breastfeeding Mom Despite Corporate Policy

Michelle Hickman, the mother in the post, has started a Facebook page to rally for a nurse in at all Targets on December 28th at 10 a.m.   Best for Babes also outlines some additional cases involving Target and harassment.

Care to get in touch with Target about this, after reading the whole story, please:

Target Corporation, 1000 Nicollet Mall, Minneapolis, MN  55403

Guest Relations: (800) 440-0680

guest.relations@target.com or Target Corp. Contact Form

Washington D.C.

Another incident involving breastfeeding harassment was in Washington, D.C. Simone Maningo-Truell dos Santos was nursing her 4 month old baby in the hall at the Henry Daly Building.  There is a law that protects her right to breastfeeding, but two different guards told her she would have to stop, including telling her it was public indecency. (Thanks to @KristenCampbell for sharing this with me!)

What to Do if You’re Harassed for Breastfeeding

These two incidences are both within the last couple of weeks.  This is NOT old news.  So what do you do if you feel like you are being harassed for breastfeeding?

  • Know what the law says about breastfeeding in your state or situation.
  • Ask to speak to a manager or someone in charge.  Be firm but polite.
  • Go above their heads when needed.
  • Always document names, times, titles – any info you can get.
  • Ask for help!

Have you ever experienced breastfeeding harassment?

Posted in activism, Breastfeeding, Legal | Tagged , | 1 Comment

Maternity Care with Heart

If you haven’t checked out this video by Childbirth Connection, you should. It’s a great visual representation of something I’ve been saying for years – we need all of the options available, not just some and not just to some women.  Leave your thoughts in the comments and be sure to pass this along…

Maternity Care With a Heart from Childbirth Connection on Vimeo.

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