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Monthly Archives: November 2007
Babies Need Time to Breastfeed
Recently, I attended a birth of a baby who was born a month early. She had good muscle tone and a strong cry. The extra staff members that came to examine her agreed that she was healthy. So when the mother was finished with the placenta, I suggested that the time was right for breastfeeding. We talked about proper alignment and tried several positions. The mother squeezed some colostrum from her nipple and let the baby taste it. We waited for the baby to open her mouth wide enough, mother poised with areola ready. The baby latched on – hooray! – then let go. Ok, let’s try that again…..And again….the baby was sucking one time and releasing her latch.
We stimulated the reflex point in the roof of her mouth as a reminder that it’s time to suckle. Once she got the hang of it, I took my finger away. The mother was ready to get the baby latched on. This time she stayed. I felt triumphant, watching this little creature nurse and seeing her mother’s worries slip away.
Within minutes – like 5 – the nurse came and insisted that she take the baby upstairs to the nursery. She said, “Well, it’s been an hour, so I need to take your baby. They’re going to be looking for your baby upstairs.” The mother, who was exhausted and probably didn’t realize how long the baby had actually nursed or how long it takes to get your baby back from the nursery, pulled the baby off of the breast and handed her right over to the nurse.
There is nothing happening in the nursery that is more important than giving each baby sufficient time to breastfeed, even if a nurse is expecting a new patient. What matters most is whether or not the baby was given as much time as she needed for breastfeeding. Baths, eye ointment, injections, measurements; these are not things that need to happen immediately following birth. Breastfeeding is known to be most successful when it begins within the first hour after birth. If the first hour is taken with procedures, then mother and baby need more time.
Non-emergency newborn care is fairly simple: When the baby is born, make sure he is warm and dry and breathing. Then feed him. Everything else can wait! Continue reading
Posted in Baby, Breastfeeding, Labor and Birth
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Patient Advocates
I recently found a site and blog called Every Patient’s Advocate with information on patient advocacy. It was quite interesting. Here’s the deal in my field, we already have a ton of patient advocates, probably more so than any other medical specialty out there – doulas.
Doulas are specially trained to help women and their families make decisions about their medical care during pregnancy through early parenting. Doulas help women research and find out all of their choices, not just the choices on the surface or readily offered by an eager doctor or midwife, but all of the choices. Doulas help women gain the information that they need to make informed choices that work for them – individualized care, not cookie cutter obstetrics.
Doulas can help with the following:
- 50% reduction in the cesarean rate
- 25% shorter labor
- 60% reduction in epidural requests
- 40% reduction in oxytocin use
- 30% reduction in analgesia use
- 40% reduction in forceps delivery
Information was obtained from Mothering the Mother: How a Doula Can Help You Have a Shorter Easier and Healthier Birth, Klaus, Kennell, and Klaus (1993).
In addition to doulas, think of how the childbirth educator serves as the educational arm of the pregnant woman’s life. Health education in general is taking a lesson from Lamaze and other leaders in the field of health education and trying to encourage patients to know something about what’s going on rather than blindly putting their faith in a fallible system.
Have you secured your patient advocate yet? If not what are you waiting for?
Continue reading
Birth Data
Every year, the CDC compiles a list of birth data. This includes the cesarean rate for that year, the vaginal birth after cesarean (VBAC) rates, teen pregnancies and more fields than you probably can imagine. The last year we have data for is 2005. Typically the data for the next year is released in Novemeber, but we are expecting the preliminary birth data for 2006 to be released on December 5th.
In 2005 the cesarean rate was 30.2%. I’m predicting that the cesarean rate has gone up and that the VBAC rate has gone down. What’s your guess? Continue reading
Posted in General, Labor and Birth, Teen Pregnancy, VBAC
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On This Day of Rampant Consumerism…
Consider buying the babies in your life some safe and natural toys, free of harsh chemicals and lead. Here is a great place to get started; cool mom picks. Continue reading
Posted in Baby, Jennifer
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Thankful…
It wouldn’t really be Thanksgiving if I didn’t tell you what I was thankful for, would it? So I’m going to give you a list of things I’m thankful for as it relates to birth!
- I’m thankful for the inner wisdom of women to give birth.
- I’m thankful for all the doulas out there helping women reach their goals in birth.
- I’m thankful for the midwives who work long hours and are really caught between a rock (medical community) and a hard place (the families they serve).
- I’m thankful for the physicians who are out there trying to make a difference from within the system.
- I’m thankful for women who know what they want and aren’t afraid to do everything within their power to get it.
- I’m thankful for powerful drugs that prevent or cure infections or stop hemorrhage – when needed.
- I’m thankful for life saving surgeries used at appropriate times.
- I’m thankful for the lactation consultants who also have an uphill battle to help women do something that should come so naturally.
- I’m thankful for nurses who do the grunt work and get very little credit for it.
- I’m thankful for all the birth advocates, in whatever way you’re helping, for doing your small part to change the birth environments in your neck of the woods to be a safer place for moms and babies.
Happy Thanksgiving! Continue reading
Posted in General
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Is it Safe to Eat Fish during Pregnancy?
At this time of year, we all have food on our minds.
One question that pregnant women and mothers of small children frequently ask is,”Is it Safe to Eat Fish?”
There are many health benefits of eating good quality fish. The fish oil supports brain function and steadies the emotions. Women who consume fish or fish oil regularly during pregnancy have a lower rate of postpartum depression. Fish oil is also good for treating joint inflammation and ADD.
The following link offers a handy tool for consumers. The Monterey Bay Aquarium’s Seafood Watch program has created a printable business card sized list of safe fish, moderately safe fish and fish to avoid eating.
Continue reading
Posted in Pregnancy
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