Shopping Cart
Your Cart is Empty
Quantity:
Subtotal
Taxes
Shipping
Total
There was an error with PayPalClick here to try again
CelebrateThank you for your business!You should be receiving an order confirmation from Paypal shortly.Exit Shopping Cart

Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

Q&A with SPB: Healthy Pregnancy How-to

Posted on March 17, 2015 at 4:31 AM Comments comments (0)
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Today's VLOG is all about the things that you *can* control in the very unplannable process of pregnancy, labor, birth and the childbearing year.











LINKS

What can you control?
1. Pay attention to your nutrition
This is just as important for the father as it is for the mother.  A better diet creates higher quality sperm, and a well-nourished mother can feed her growing embryo-fetus-baby as it develops from zygote stage through pregnancy.  A breastfeeding mother is also growing her infant's brain - mindful nutrition is just as important after the Birth-Day.

HERE is the pregnancy nutrition program that we teach in The Bradley Method®.

2. Engage in an exercise program
Your ability to give birth does not hinge on whether or not you are an exercise fanatic before you conceive.  A mother who wants to prepare her belly, back and bottom to give birth can follow a pregnancy-specific exercise program. Even doing a few minutes a day of this low-impact, low-stress program can be a game-changer for mamas and their overall strength as they go into their labor.  


 
What can you influence?
1. Your experience
You have the responsibility to choose the right care provider and the right birth setting for you.  If you have a nagging feeling that persists, or if you see/hear/feel red flags at your prenatal appointments that your provider is not right for you, GO WITH IT.  Believe in yourself and your instinct.  Ask people you respect and who felt supported in their births who they chose and why...and then, maybe take a risk! Go on some interviews to see if maybe you want to make a switch.

2. Relaxation and Pain Coping
We do not know what kind of labor card you are going to draw.  What we do know is that all labors and births can benefit from mindfulness.  Whether you have a natural birth, a cesarean birth, or anything in between, there is a surrender.  There is a point when you will have to dig deep and say YES to the journey that you are on. 

There are many ways to prepare for your journey - HERE is an info sheet that explores the variety of classes available to birthing families.

What is part of the journey?
The rest of your story is entirely up to your baby, your body, and The Fates.  A story is about to unfold - and what a story it will be.  However you birth, that day is one day in the rest of your lives as a family.  Be open to the experience, look for the joys, and also watch for the surprises.  

It is in the unexpected and the trials that growth and transformation happen...a transformation that is necessary as we experience a rite of passage.  Before children, you are you.  After they are in your lives, you are now Mother, Father, or which ever name you choose for yourself.

I wish you a childbearing year that surprises you, grows you, and leads you to discover more about yourself than you knew when you started.



Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.




Labor Tools: Water

Posted on April 15, 2014 at 11:06 AM Comments comments (0)
The main topic of our Bradley Method® class on Friday night was the first stage of labor.  Through the course of class and discussing labor techniques, one of our students asked if we had used a birth tub, and was it a wonderful as they have heard.  I had to answer honestly, “I don’t know!”

What we do know and teach as part of the Bradley Method® curriculum is that water IS an effective labor tool for pain relief.  It is one of several comfort measures we discuss.  (Side note: It has many applications besides labor – think of the whole philosophy and practice of hydrotherapy.)  Personally, this is one we used effectively in all four of our labors. 

According to Penny Simkin, founder of DONA International and doula extraordinaire, “A warm shower anytime during labor is a marvelous soother and pain reliever, especially if you can sit on a stool and direct a hand-held shower head just where you want it (on your front or back). The warmth and skin stimulation reduce your awareness of the pain.” [1] (emphasis mine)
 
As far as using a birth tub: Laboring in a birth tub turned out not to be an option for us – in our first two labors, we weren’t educated enough to know that you could take a bath in labor even if your bag of waters had ruptured.  If you like baths – yes, you can!  As Henci Goer points out in her book, “The Thinking Woman’s Guide to a Better Birth”, there is research that shows you will not increase your risk of infection. [2]

I think of it this way: Do you remember that experiment in science class when you put a tissue inside a glass, turned the glass upside down, and then put that glass in a bowl of water?  What happened if you pulled the glass straight up?  The tissue was dry!  Your vagina works in a similar way – there is air in the vagina that prevents things from going upstream unless they are forced (i.e, risk of infection from a vaginal exam).

By our third labor, we knew better and were thinking of using our tub at home before we went to the hospital.  However, I fell down hard in early labor so we went to the hospital to check on the baby.  Because my bag of waters had already broken, we were admitted.  Our local hospital did not have the option of birth tubs at the time.
 
When it came time for our fourth labor and planned homebirth, we considered laboring in a tub since by that time, I had heard so many positive stories about laboring and birthing in a tub.  The deal-breaker for me was finding out that we would need a fish net to scoop out any “particles” – no thank you!! I am pretty squeamish when it comes to things floating in water.  I will say that a great majority of the birth stories I hear from women who plan to labor and/or birth in water are positive ones, they enjoy the overall experience, and they would do it again.
 
Setting up the ball for Krystyna to use in the shower||Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonMy amazing husband/coach did his part by holding the shower head over my lower back and waving it back and forth in active labor – all four times.  I remember our homebirth best: as we got into active labor, we used a birth ball covered with a towel in the shower so I could rock through the contractions and have the water on my back.  As labor intensified, I made a nest with towels and did tailor sitting, and eventually lay down in a side relaxation position so that Bruss could focus the water on my hard-working uterus.  We labored that way until it was time to push.

Laboring in the shower - natural childbirth || Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson









Coach Bruss timing contractions || Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

 










I included some links below to explore if you want to learn more about using water as a pain management tool, and also a link to Waterbirth International if you are exploring water birth.
 
Did you use water as a comfort measure? What worked for you?
 
REFERENCES
[1] https://www.childbirthconnection.org/pdfs/comfort-in-labor-simkin.pdf
[2] http://www.hencigoer.com/betterbirth/sample/

LINKS
More from Penny Simkin, DONA
http://www.birthlore.com/class/wp-content/uploads/2011/01/Showers-in-Labor.pdf
 
Barbara Harpber – Waterbirth International
http://www.waterbirth.org/research-documents

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.





It's Not A Plan, It's A Journey

Posted on January 28, 2014 at 7:09 PM Comments comments (0)
It feels so cliché to say, “the journey” these days – the words have been overused and applied to just about everything from meaningful life events to car commercials.

When it comes to your child’s birth, those words are just about right.  Some of us travel a long road through fertility hurdles to achieve pregnancy, then there is the journey through the trimesters and different milestones of pregnancy, and finally, the act of birthing that leads you down to the new path of parenthood.

Our current class has just started working on their birth plans.  When we teach that class, we give them a long list of options to consider, and talk about what they are and what their choices around those items might be.

Then we tell them to do their homework and that in actual labor, they will need to be flexible.  At the end of the day, the birth plan is not a blueprint.  It is an outline of the wishes you want for your birth if things stay healthy and low-risk from start to finish.

Our experience after the birth of our four children, and as instructors, has taught us that the real importance of writing a birth plan is the process: you and your partner sitting down to learn about your options in birth.  Whether you are birthing at home, a birth center or a hospital, we always recommend Henci Goer’s Thinking Woman’s Guide to a Better Birth.  She very clearly defines interventions, offers the pros and the cons, and shares the research to back up her position.

We encourage both parents to be involved.  Coaches, this is not one of the details to leave to Mama.  If she writes it alone, and you have no idea why she prioritized things the way she did, then how on earth can you make a decision about your child’s birth if and when she gets to a place where she will not or cannot speak up for herself anymore?  It is vitally important for both parents to know the priorities in birth for those times when decisions need to be made and Mama needs a voice to advocate for her and for Sweet Pea.

Write your birth plan, and consider it as a work in progress.  You will have a discussion (or two or three) with your care provider to get their input on what is realistic given your birth space and your care team.  Once it’s representative of what you want and what your care team can provide, print several copies and keep at least one in the vehicles you drive.  You can read in more detail about birth plans HERE

Then do everything you can to control the things you can control about pregnancy and birth.  I outlined them in yesterday’s post.  In a nutshell, they are eat well, exercise, education about pregnancy, birth and normality in birth, avoid harmful substances, and practice relaxation every day.  You will learn all about those things in a Bradley™ class.  Realistically, The Bradley Method® is not for everyone.  Whichever childbirth preparation method you use, seek training in all of those areas to keep your pregnancy as healthy and low-risk as possible.

You do everything right.  You arrive at your Birth-Day.  The unexpected happens and your birth includes several interventions, maybe even a cesarean birth.  Did you just fail your Bradley™ or other childbirth class?

NO.

Your stellar nutrition built a strong, healthy baby.  It has made you a stronger mama.  As I heard in my Bradley Method® training from an obstetrician: the physical trauma of a cesarean is equivalent to a fatal car crash.  The only reason cesareans are not fatal is because trained surgeons in a sterile operating theatre perform them, and all precautions are taken to deliver a healthy mom and a healthy baby out of the operating room.* Your good nutrition makes it possible to withstand and recover from the physical trauma: whether it’s flushing drugs out of your system and/or surgery. Your body and immune system are much better equipped than someone who paid no attention to nutrition in pregnancy.

Your exercise regimen will also improve your physical profile.  This physical strength will also be an asset if you are recovering from interventions and/or the trauma of surgery.

Your education about natural childbirth will fill your toolbox with information to use as you labor.  Your education about normalcy in birth will help you identify when things have started to change out of healthy and low risk, and give you the tools to make an informed consent decision after having a dialogue with your care provider.  I am happy to say that very few, if any, of our students feel like their interventions happened “to” them.  They agreed to interventions or surgery after exhausting all their tools, all their questions, and coming to the shared decision that their Sweet Pea’s birth story was meant to be that way for the best Healthy Mom, Healthy Baby outcome.

Your avoidance of harmful substances means that your baby is having the healthiest start possible.  That is a gift you can celebrate no matter how they enter the world.

Your daily practice of relaxation is a great habit that will serve you well into parenthood.  Finding stillness may help ease your remorse about the variations in your birth.  They are great tools to use and fall asleep when your baby is sleeping: really, do it! Everything else can wait while you bond with your baby and catch some rest between marathon nursing sessions as they grow in their first month.  As your children age and start to explore their boundaries, deep breathing and calmness are phenomenal tools to have at your disposal – trust me on that one!!

However your birth story goes, remember and treasure all the things that went well.  These are the things that your birth plan cannot capture.   
  • Did you and your partner labor well up to the point your wish list deviated? 
  • Did you get to preserve some elements of your natural birth: low lights, immediate skin-to-skin, breastfeeding soon after birth? 
  • Did your child benefit from delayed cord-clamping? 
  • What did your Sweet Pea look like – smell like – feel like? 
  • When did your eyes lock in instant recognition? 
  • How did it feel to kiss this amazing creation of love and miracles? 
  • When did you and your partner share a kiss of joy as you welcomed your newest family member?

Remember that The Birth Plan is not set in stone.  It is a piece of paper that outlines your wishes after your long journey through conception, pregnancy and labor.  You cannot capture all the wishes, hopes and dreams on one side of 8.5x11 inches of paper.  You can record what you want to happen as long as your labor and delivery stay healthy and low risk. 

The rest of the journey is up to you.  We hope it will be an empowered, deliberate journey to the Healthy Mom, Healthy Baby birth of your Sweet Pea.

*The risk of complications for pregnancy and surgery increases with each cesarean.  If you had a cesarean, we encourage you to seek education about the possibility of a VBAC.  ICAN is a great place to start.

Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

Birth News: December 12, 2013

Posted on December 12, 2013 at 12:58 PM Comments comments (0)
A bigger selection of topics today...check out the news if you are "trying" to get pregnant, and more motivation to keep your pregnancy healthy, low-risk and as stress-free as possible.  Also, new study from ACOG that shows that there may be risks with the use of Pitocin.

Happy Thursday to all of you!  

P.S. I also did an early morning posting of our Wordless Wednesday from yesterday...the day got away from me!  Enjoy a peek into our home as we celebrate the season.

FERTILITY
Low folate in male diet linked to risk of offspring birth defects
“Previous research has shown that what mothers eat during pregnancy affects the health of their offspring. But now, a new study suggests that a father's diet prior to conception could also play an important role in their child's health, particularly when it comes to consumption of folate.”
Medical News Today http://bit.ly/1h3oVdw

PREGNANCY
Right amount of fat and protein, key to babies
"The early childhood diet and that of the mother during pregnancy determines the health of a child later life. This is the claim that the EU-funded research project Early Nutrition is trying to substantiate by the time it is due to be completed in 2017." 
From Medical Xpress http://bit.ly/1h3mTKr

Study shows moms may pass effects of stress to offspring via vaginal bacteria and placenta
“As a newborn passes through the birth canal, the microbiome of a mother’s vagina ends up in the offspring’s gut. In the first study, the team, led by Tracy L. Bale, PhD, Professor of Neuroscience in the Perelman School of Medicine, Department of Psychiatry and the School of Veterinary Medicine Department of Animal Biology at Penn, found that changes in the microbiome produced by stress in pregnant mice altered the microbe population in the newborn’s gut and correlated to changes in the developing brain.”
“In a parallel animal study, Bale and colleagues were looking for predictive biomarkers of maternal stress and found that a specific protein in the placenta, OGT, may have implications for brain development in offspring. The single enzyme is known as O-linked-N-acetylglucosamine transferase or “OGT,” which is important in a wide variety of regulatory functions, including development.

The researchers found that placentas associated with male mouse pups had lower levels of OGT than the placentas associated with female pups, and levels of OGT in the placenta were even lower when their moms were stressed.”
The Almagest http://bit.ly/1h3nBaI

BIRTH
Early lung infection exacerbates asthma risk in preterm birth children
"A Swedish study of children admitted to hospital within the first year of life for lung infection has found that the increased risk this poses for later development of asthma is exacerbated by low gestational age.
Early respiratory infection and preterm birth are both known to be markers of increased subsequent asthma risk, but the relationship between these two factors has been unclear."
News Medical: http://bit.ly/1cz66Og

Study Finds Adverse Effects of Pitocin in Newborns
"These results suggest that Pitocin use is associated with adverse effects on neonatal outcomes. It underscores the importance of using valid medical indications when Pitocin is used.”
 http://bit.ly/1jIzyEO

Vaginal Births Without Epidural Anesthesia Lead To Happier Moms, Point To Potential Cure For Postpartum Depression
"Maternity care may play a role in determining a mother’s overall level of satisfaction during birth and months after labor. A mother’s decision on the mode of baby delivery and whether they opt for pain relief during labor will affect her overall happiness. A recent study finds a vaginal birth without epidural anesthesia increases the odds of happiness for new moms."
From Medical Daily http://bit.ly/18FRafX

Home births are up and less expensive than hospital births
"For the third straight year the United States has fallen in rank in the World Health Organization’s international ranking for maternal mortality. The U.S. currently ranks 58, meaning in 57 nations women have a better chance of surviving childbirth than they do here. The U.S. fares a little better in infant mortality, ranking 34 in the world at keeping infants alive through the birth process. If this sounds outrageous, consider also that the U.S. spends more money on maternity health care than any other developed nation. Licensed midwife Sondra Londino, who recently opened Birthroot Midwifery, a private practice in the Fall Creek area, explains why out-of-hospital births have increased by 41 percent from 2004-2010 and how a midwifed home birth provides a safe and satisfying birth experience." 
Ithaca Times : News http://bit.ly/18FSsHX

Retrospective cohort study: Timely Progestin Lowers Risk for  Preterm Birth
“Our report suggests that progestin prophylaxis can reduce the rate of recurrent spontaneous preterm birth when barriers to care and treatment are aggressively removed and that the gestational age at initiation may affect the success of progestin prophylaxis," the authors write.”
Medscape: http://bit.ly/1jSYpGg

BABIES
Safe Baby Wearing: Facing in or Facing Out?
“When people find out that I'm an at-home Dad, there's often an image that comes to mind that is not quite accurate, and is largely fueled by the "TV depiction" of stay-at-home and work-at-home Dads: A group of four or five guys standing around a park with outward-facing babies dangling from their chests. If this happens anywhere, I have not witnessed it, nor been a part of such a gathering in the past 4+ years of my career as a parent. When I have seen babies worn by other parents (and sometimes myself), the big question has always been "which way is the right way - inward or outward." It's been the subject of vigorous debate among parents, but the folks at Boba Family just might have the answer, and that answer is inward.”
From The Rock Father http://bit.ly/1jT1lT5

BREASTFEEDING
Malnutrition Decreased With Breastfeeding
“Professor Christophe Lacroix at the Institute for Food, Nutrition and Health, ETH-Zurich, led a study which found  the important good bacteria that babies receive from breast milk comes from their mothers gut. This is part of the innate support that assists babies with acquiring strong immune systems. It is also part of building colonic health and the babies gut.”
Las Vegas Guardian Express http://bit.ly/18FOWNH


Just for fun: 
maybe we should have therapy dogs for labor!
Therapy Dogs Help Students De-Stress During Finals
"Whether it's taking a break from the books, the workplace, or even the crowds at some of the country's busiest airports, four-legged friends are being used to help people feel good.

Scientifically, that's exactly what they're doing. Dr. Katherine Zupancic is a professor at SCC and says when people play with animals during stressful times, a hormone called Oxytocin is released that makes people happy."
From 1011HD http://bit.ly/1h3m6cs


Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.


Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

Birth News RoundUp 11-14-2013

Posted on November 14, 2013 at 7:21 PM Comments comments (0)
Just in time for some dinner-prep or nighttime reading, here are the articles that caught my eye over the last few days.  Thoughts and prayers being sent to the families in the Philippines.  It is amazing to see how the miracle of life continues on in the face of destruction and devastation.

As we approach Premature Awareness Day on November 17, I am guessing there will be more articles about preemies and NICU care - if they don't make it on here, make sure to check our Pinterest Boards for the articles we find and want to save for future reference.

If there are any other topics you are interested in, please leave me a note.  I am an avid reader and there is so much information to cull through on a daily basis.  I would like to include the topics that are important to you!
 
FERTILITY
Asthma May Lengthen Time to Get Pregnant

"Getting pregnant may take longer for women with asthma, a new study from Denmark suggests.
Researchers analyzed information from more than 15,000 women in Denmark, including 950 who had asthma.
When asked whether they had ever spent more than a year trying to become pregnant, 27 percent of women with asthma said yes, compared to 21 percent of women without asthma."
More on LiveScience: http://bit.ly/HWig8Y
 
PREGNANCY
U.K. Study Finds There May Be A Way For Doctors To Predict Preeclampsia In Pregnant Women
“A recent study done in the United Kingdom and published in an American Heart Association Journal, found that by checking the placental protein levels, doctors may be able determine whether a woman will develop preeclampsia.”
Read the article from NY1: http://bit.ly/HWhbye

Study discovers that senescence also plays a role in embryo development
“One of the main mechanisms the body uses to protect itself against cancer is to switch off defective cells by making them senescent; these cells do not die but stop dividing: their life cycle stops. A team of researchers from the Spanish National Cancer Research Centre (CNIO) in Madrid and another one from the Centre for Genomic Regulation (CRG) in Barcelona have discovered, and are publishing in two articles in the journal Cell, that this switching-off mechanism also takes place in embryos, and not as a response to cell damage but as part the normal process of development…The occurrence of senescence during embryonic development has important implications for understanding how the body grows and is shaped.”
Read the rest of the article on MedicalXpress.com http://bit.ly/17tCcGn

My note: Something to look into if there is a high risk pregnancy:
Topol Predicts Genomic Screening Will Replace Amniocentesis
"Chromosomal aberration screening could be done between 8 and 10 weeks in the first trimester, to screen for trisomy 13, 18, and 21. It is pretty darn remarkable that there are 4 simple blood tests capitalizing on the cell-free DNA from the fetus in that 1 tube of maternal blood, from which we can determine chromosomal aberrations and gender as well as a whole lot more in terms of sequencing the fetal genome."
...
"This is a very exciting time. Until now, we have completely relied on amniocentesis and chorionic villi sampling, which carry a significant risk, although low. And, of course, expense, all sorts of trepidation, and anxiety are factors. To be able to do this noninvasively with a tube of blood, with accuracy that is as good as amniocentesis, is pretty darn remarkable."
More on MedScape.com: http://bit.ly/1e5oXAy

BIRTH
My note: For our VBAC students/readers – this is an oldie but a goodie:
ICAN of Atlanta: Laboring On the Monitors
In most hospitals, continuous external fetal monitoring (cEFM) is part of the protocol for women having a VBAC. It can also be necessary for reasons such as induction or other medical concerns. One common misconception about cEFM is that you have to stay in bed in order to be monitored. This might be something the nurses tell you, or just something you think and the nurses don’t bother to correct you on. Either way, mobility and gravity are your best friends in labor. Though the monitors do limit you to a small radius where the cords will reach, there are many positions that can still be used for your comfort and to help labor progress. (Also, don’t forget frequent bathroom breaks!)
Read the rest of the article and check out the picture gallery: http://bit.ly/1e5opKV

Delayed umbilical cord clamping reduces complications
"Waiting only one minute to cut the umbilical cord for a pre-term baby greatly reduces complications, says Alberta Health Services.

"Since delayed cord clamping was introduced at the Royal Alexandra Hospital in 2008, fewer babies are experiencing complications related to their bowels and core temperature.

“Now, in that minute before we clamp the cord, a baby takes his first breaths and pulls in some blood from the placenta. This extra blood stabilizes the baby’s blood pressure and it is thought that the stem cells help fight infection and repair damaged cells.”

"European studies show that the delayed cord clamping also significantly reduces the risk of brain injury and hospital-acquired infection. And it cuts the need for blood pressure support in babies born between 22 and 36 weeks of gestational age."
News story from the Alberta Health Services and Edmonton Sun: http://bit.ly/1e5sgI3
 
Evan Rachel Wood opens up about childbirth
“Evan Rachel Wood has praised her husband, Jamie Bell, for supporting her during childbirth.

“The 'Charlie Countryman' actress decided to welcome their son into the world naturally in July at their home in Los Angeles, and revealed her husband, 27, was ''wonderful'' during the experience.”
Read the Contactmusic.com here: http://bit.ly/1cZllmtBabies

My note: An FYI if you or anyone you know has had weight-loss surgery:

Study Ties Weight-Loss Surgery to Higher Risk of Preemie Birth
“Babies born to women who've had weight-loss surgery are more likely to be premature and to have low birth weights, a new study found.

“These pregnancies should be considered at-risk and require careful monitoring by doctors, said the researchers at the Karolinska Institute, in Sweden.
“But the study authors also pointed out that weight-loss surgery has numerous benefits for mothers, such as reducing the risk of diabetes, heart disease, cancer and stroke. In addition, obesity is a known risk factor for both mother and baby during pregnancy and childbirth.”
This article is from Newsday: http://bit.ly/1cZl3ft

BABIES
Smart jacket for premature babies

“Together with the Máxima Medical Center (MMC), Eindhoven University of Technology has developed a prototype wireless 'baby jacket' for very premature babies in intensive care units. The jacket, which includes monitoring sensors, is comfortable to wear and was designed to reduce the baby's stress and make it easier for the parents to hold their baby outside the incubator. This is expected to benefit the later development of the baby.”
Read the rest of the news story at MedicalExpress.com: http://bit.ly/17tD9hG

NEW STUDY: Quiet conditions are bad for new-borns in care

“Neonatal intensive care units are full of life-saving equipment and people. It could be that the noise that the equipment makes also helps new-borns recover from serious health conditions.
“At the end of the study, the researchers found that babies who stayed in private rooms had less mature brains than those who stayed in an open ward. With the private rooms, the researchers are of the opinion that the noise abatement effort made things too quiet for these babies. This matches other research which indicates that babies need stimulation to thrive.”
Read more at the digitaljournal.com: http://bit.ly/1e5qLcQ
 
BREASTFEEDING
Breastfeeding FAQs on www.ajc.com

My note: List of several common questions asked by breastfeeding mothers.  Don’t necessarily agree with some of the opinions scattered within (i.e., “follow your doctor’s vaccine schedule”) – for the most part, great stuff and lots of other external links to explore.
Brought to you by the Atlanta-Journal Constitution at http://bit.ly/1duymR4

Anything jump out at you this week??
Please leave us a comment - it will be moderated and posted. 
 
Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®. 

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson

Meet the Doula: Jennifer

Posted on October 3, 2013 at 9:41 AM Comments comments (0)
This month's featured doula is Jennifer Valencia.  She is a doula that serves Central and Northern Arizona.  She believes that birth is a sacred time and every mother should be nurtured and respected as she brings her baby earth side.

When was the first time you heard the word, “doula”?
The first time I heard the word doula was probably in 2006, some time before my first baby’s birth. I didn’t really understand the full scope of benefits of a doula until the birth of my second child when I experienced a DONA certified doula.

How did you decide that becoming a doula was part of your journey?
I had a friend who was having her baby a few months before my first son was born and she was made to labor alone because “only the father” was allowed into the hospital after hours, per their policy. I knew this kind of treatment was not right and I advocated to make a difference before my son’s birth. Besides the role of advocacy, I knew I wanted to make a positive difference in the lives of mothers, babies and families at this very significant time in their lives.

Are you a birth and/or a postpartum doula?
I am a birth doula.

How long have you been a doula?
I have supported friends and family in their birth experiences prior to becoming a doula but began to take a much more active role in my training in 2012 and providing support to my community with local birth circles. I have completed my requirements to become a CD(DONA) and my certification is pending. I am also educated in the Social and Human Services field and am in the process of obtaining my MSW. I have taken advanced doula training- certified in TENS support for labor. I love to bring essential oils into the birthing room.

What do you enjoy the most about being a doula?
I enjoy providing women with evidence based knowledge surrounding prenatal care, pregnancy, birth and their newborn so that families can be empowered in their birth experiences. I am honored to hold a sacred space for women and their partners, allowing them to have a more intimate birth experience with confidence. I love seeing her joy as she meets and bonds with her newborn for the first time.

What is your philosophy when you go to a birth space?
I believe that birth is a sacred time and every mother should be nurtured and respected as she brings her baby earth side. As a doula, I hold that sacred space and strive to build confidence in childbirth and the ability of a woman’s amazing body. I believe that birth is a normal life event. I believe that birth matters; it is a transformational time, shaping the kind of mother and person a woman is.

How do you work with and involve the Coach?
I strive to create an intimate space, not just for the mother, but for the family. I provide perspective and support for a woman’s partner to participate at their comfort level to enhance the support they provide. Prenatally, we talk about “what to expect” and I focus on building confidence and trust in birth as a natural process that is different for every woman and every birth. A partner or other loved one brings compassion and intimate knowledge of you, while a doula brings knowledge, confidence and experience to the birthing room. Together, a doula and your coach make a strong support system. When the partner is desired as the primary support person, I work behind the scenes; I quietly offer ideas for the coach to support the mother and keep both of their basic needs met. I consider myself having “successfully” supported an intimate birth when mom remembers me as a nice person in the room and dad felt confident in his ability to support her. When the coach prefers to be in the moment and enjoy the birth experience but not be the main pillar of support, I am sure to include the coach’s presence so that the mother is very connected with him but I support her physical and emotional labor needs.

What is the toughest situation you have ever dealt with?  How did you handle it?
I have been in a birth where hospital staff does not listen to the mother’s desires for her baby or take the time to listen to her views of a situation. There wasn’t much I could do against the “policy” but I could still support the mother- I took the time to listen and validate her feelings and advocate for her within my scope of practice as a doula. I helped her feel more empowered and overcome a situation where she felt disregarded.

What keeps you working as a doula?
I keep working as a doula because I long for every mother to have a safe and satisfying birth experience. I have seen the difference a doula makes and am eager to bring awareness about evidence based birth into my community by providing opportunities for mothers to connect and support one another in the birth circles. Not to mention I love these adorable babies and empowered mamas!

What does your fee cover – how many visits or hours?  Is there a different charge for a shorter labor or longer labor?
My basic birth doula service includes a minimum of two prenatal appointments, on-call availability 24/7, access to my lending library and at least one postpartum appointment. Prenatal appointments generally last about 1.5hrs, include basic childbirth education and are for getting to know each other and how I can help you achieve the birth you desire. I will provide continuous emotional and physical support for the mother and her partner throughout labor, birth and up to four hours after. Postpartum appointments vary in length and are for talking about your birth experience; I also provide basic breastfeeding counseling and referrals as needed. My basic birth doula services are $500, however, I believe in a doula for every woman who wants one; if money is a concern when hiring a doula, my basic services are offered for a donation. I have packages that include more extensive childbirth education, belly casts, birth stories, massages, yoga and more, starting at $550.  My fee does not vary based on the length of labor.

Do you offer any other services to your clients?
I offer belly casting and placenta encapsulation, tinctures and more.

Just for fun, what do you do when you are not doula-ing?
I enjoy rock climbing, hiking and spending time with my husband and children.

About our doula:  I am Jennifer Valencia.  I have two beautiful children and a wonderful, supportive husband. I have been drawn to the field of birth work since 2006 and am now obtaining my certification through DONA International. Because I have had a VBAC, mothers seeking a vaginal birth after cesarean have a special place in my heart. I feel honored to walk along side families in Arizona during this very beautiful time. As a birth doula, I support women of Yavapai County, Flagstaff and Phoenix. I attend birth in any setting- hospital, home or birth center.  Find me online at www.guidingangelsbirthservices.com, via email at
[email protected], or call me at 928.300.1337.


Disclaimer: 
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonThe material included on this site is for informational purposes only.  It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

AZ Hospital Report Cards

Posted on September 27, 2013 at 6:00 PM Comments comments (0)
Did you know that the state of Arizona is now keeping a database on hospitals?  You can check on several different statistics.  For today's post, I am going to focus on the childbirth information you can find out about a hospital you may be considering for your birth or as a back-up for a birth center or home birth.



Then click on the 2011 AZ Hospital Compare to get to this page:


Once you are on the AZ Hospital Compare Page, click on the "Hospital Quality Ratings" tab or picture icon.

When you are there, make your selections from the drop down menus to find the statistics you are looking for...and then click on the "Get Reports" button at the bottom of the page.



There are two tabs on the next screen - the first one has one set of stats (Newborns with birth injury or infection, Obstetric injury after a vaginal delivery with medical instruments, and Obstetric injury after vaginal delivery without medical instruments) and the second tab shows this information below:


We are so lucky here in Arizona - I know there are a lot of challenges...however, having a Health Director who is committed to transparency is amazing.  Although these stats are two years old, it's the closest a consumer can get to a clearer picture of the type of care they can expect to receive in care facilities around the state.

How does your area hospital rate in the survey?

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Disclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.

Upcoming Events: August 12 to 16, 2013

Posted on August 11, 2013 at 7:49 AM Comments comments (0)
Looking for something to do with your family this week?  Cassandra and I are posting events and classes in our respective geographic areas…look for us…maybe we will see you there!!

Do you have an event that you would like to add to our upcoming events calendar?  Scroll down to the end of this post for more information.

Disclaimer:  A listing here does not imply nor signify endorsement by Sweet Pea Births, or our families.

These are events for expecting families, and families with newborns to 6 months old.  There are some great get-out-of-the-house opportunities for work-at-home mamas.  For more family - toddler fun, visit our listing at Sweet Pea Families.

MONDAY, AUGUST 12, 2013
Where are you going to be today?  Let us know and offer us some ideas for next week :)

TUESDAY, AUGUST 13, 2013
La Leche League – Tempe  
LLL is an international, nonprofit, nonsectarian organization dedicated to providing education, information, support, and encouragement to women who want to breastfeed. All women, especially pregnant and nursing mothers, are welcome to attend our meetings. For more info and the full meeting notice please visit: http://www.lllofaz.org/
Desert Cross Lutheran Church @ 9:30 am
8600 S McClintock Dr. (Just north of Warner Rd)
Tempe, AZ

Smart Play: Newborns (birth to 4 months old)
Who knew there was actually a science to the most beneficial techniques to use when interacting with your baby to help their brain develop? In this class, participants will learn how play affects their child’s lifelong brain development, what toys/activities are best for their child at this age, and how to look at a toy and instantly see its developmental benefits. Babies welcome and encouraged!  These are some of the techniques Brie shared on Channel 3’s “Your Life A to Z” on her June 27th appearance!  Class costs $10 per person or $12 per couple.  To register for this class, call 480-299-1154 or visit www.babybasics4u.com
Baby Town  @ 9:30am-10:30am
3787 S. Gilbert Rd.  
Gilbert, AZ
480-299-1154

Smart Play: Babies (4-6 months old)  
Who knew there was actually a science to the most beneficial techniques to use when interacting with your baby to help their brain develop? In this class, participants will learn how play affects their child’s lifelong brain development, what toys/activities are best for their child at this age, and how to look at a toy and instantly see its developmental benefits. Babies welcome and encouraged!  These are some of the techniques Brie shared on Channel 3’s “Your Life A to Z” on her June 27 appearance!  Class costs $10 per person or $12 per couple.  To register for this class, call 480-299-1154 or visit www.babybasics4u.com
Baby Town  @ 11:00 am – 12:00 pm
3787 S. Gilbert Rd.  
Gilbert, AZ
480-299-1154 

Pottery Barn Kids Story Time
Kids of all ages are invited to story time every Tuesday at 11:00 am.  Members receive an official book club passport at their first story time, plus a special gift after attending five story times.  To locate a store near you, click HERE http://www.potterybarnkids.com/customer-service/store-locator.html
Store Near You @ 11:00 – 11:30 am
Chandler Fashion Center
3111 West Chandler Blvd
Chandler, AZ 85226
(480) 899-7155
Scottsdale Fashion Square
7014 e. Camelback Road
Scottsdale , AZ 85251
(480) 423-3813

Homebirth Circle 
Come join the beautiful space and share thoughts about life, babies and love.  The circle is open to any adult and lap babies only.  Feel free to bring a healthy snack to share.
Freedom and The Seed Office @ 12:00 pm – 2:00 pm
123 Baseline Rd, Suite 205
Tempe, AZ  
480-528-1689

Fish Feeding
Come see an 18,500 gallon freshwater aquarium that offers an up-close view of trophy-sized catfish, bass, striper and blue gill.  Feeding includes an informative presentation about the fish.  Saturdays and Sundays at 2:00pm and Tuesdays at 6:00pm.  Also, every day kids can help us feed the trout in our Trout Stream at 1:30pm.
Bass Pro Shop Trout Stream @ 1:30 pm
Bass Pro Shop Aquarium @ 6:00 pm
1133 N Dobson Rd
Mesa 85201
602-606-5600

WEDNESDAY, AUGUST 14, 2013
Blossoming Moms Breastfeeding and Postpartum Support
Pregnant moms are welcome too! 
Facilitator: Michelle Hottya 818-606-5687
Blossom Birth and Wellness Center @ 11:00 am
2928 N 16th Place
Phoenix, AZ 85016     

Dignity Healthcare Breastfeeding Support Group
Group meets every Wednesday with the exception of major holidays… For more information, please call the ResourceLink toll-free 1 (877) 728-5414, Monday through Friday from 8 am to 5:30 pm
Chandler Regional Medical Center's @ 11:00 am to 12:30 pm
1955 W Frye Rd
Chandler, AZ 85224

Inn Mommies: Breastfeeding Support and Snugglers Group 
Birth to six months: This group for expecting and new mommies and open to women giving birth at home, at Babymoon Inn or in a hospital and is facilitated by Amey Clark, RN. For more info visit http://babymooninn.com/community/
Babymoon Inn @ 1:00 pm
202 East Morris Drive
Phoenix, AZ  
(602) 314-7755  

Phoenix Public Market
“our Open-Air Market is a natural gathering place that celebrates neighborhoods and the neighbors. It offers an eclectic high-quality mix of: Fresh in-season fruits and vegetables, produce, flowers, jams, baked goods, dried beans, free-range eggs and honey, live plants and unique local arts and crafts, tasty hot foods, music, and more.
Open Air Market @ 5:00 pm – 8:00 pm
721 N Central
Phoenix, AZ    

CALIFORNIA
The Little Car Show 
A display of little cars benefiting the Veterans Transition Center. Downtown Pacific Grove.  For more information visit www.marinamotorsports.org or the Chamber of Commerce HERE
Downtown PG @ 12:00 am to 5:00 pm
584 Central Avenue
Pacific Grove, CA 93950 
Contact: John Moulton 484-1966

La Leche League Meeting – Pacific Grove
LLL is an international, nonprofit, nonsectarian organization dedicated to providing education, information, support, and encouragement to women who want to breastfeed. All women, especially pregnant and nursing mothers, are welcome to attend our meetings. For more info and the full meeting notice please visit http://lllnorcal.org/groups/MontereyPeninsulaCA.html
Parent's Place @ 5:00pm
1025 Lighthouse Ave
Pacific Grove, CA

THURSDAY, AUGUST 15, 2013
Where are you going to be today?  Let us know and clue us in for next week :)

FRIDAY, AUGUST 16, 2013
Barnes & Noble Storytime
If You Were a Panda Bear by Wendell and Florence Minor:  If you were a Panda bear, guess what you would wear? A black-and-white suit and eye patches-how cute! You'd be very shy; you'd eat lots of bamboo. Then you'd take a long nap. What a good thing to do! Join us to learn about bears of all types!
Store Near You @ 10:30 AM
Chandler Fashion Mall
3111 W. Chandler Blvd #2054
Chandler, AZ 85226
480-792-1312

Dignity Healthcare Breastfeeding Support Group
Every Friday with the exception of major holidays… For more information, please call the ResourceLink toll-free 1 (877) 728-5414, Monday through Friday from 8 am to 5:30 pm
Mercy Gilbert Medical Center @ 10:00 am to 11:30 am
3555 S Val Vista Dr.
Gilbert, AZ 85297

Free Outdoor Concert – Tempe
Bring the family out to enjoy great live music performed by a variety of musicians.  Choose from two stages of entertainment.  For more information click HERE
Tempe Marketplace @ 7:00 pm
2000 E Rio Salado Pkwy
Tempe 85281
480-966-9338

Free Outdoor Concert – N. Phoenix/Scottsdale

Bring the family out to enjoy great live music performed by a variety of musicians.  Choose from two stages of entertainment.  For more information click HERE
Desert Ridge Marketplace @ 7:00 – 9:00 pm
21001 N Tatum Blvd
Phoenix 85050
480-513-7586

Free Concert - Chandler
Dmitri Matheny Group featuring Clairdee! 
First introduced to jazz audiences in the 1990s as the protégé of Art Farmer, Matheny has matured into “one of the jazz world’s most talented horn players” [San Francisco Chronicle], a leading figure on the international jazz scene and one of the most prolific musicians of his generation.  Celebrated for his warm tone, soaring lyricism and masterful technique, American musician DMITRI MATHENY has been lauded as “the first breakthrough flugelhornist since Chuck Mangione” [San Jose Mercury News].
**No tickets required; all shows are FREE.  All seating is first come, first served.  Doors open at 6:30pm, and seating starts at 7pm.  Suggested donations: $5/person, $10/family.**
Chandler Center for the Arts @ 7:30 P.M. 
250 N. Arizona Ave. 
Chandler, AZ

CALIFORNIA
Celebrate the Outdoors: Making Tracks
Throughout the month of August, MY Museum celebrates the outdoors with a special activity every Friday! Join us August 16th and make tracks! Learn how to distinguish the footprints of our furry and feathered friends in the Peninsula. Fun for all and free with admission.  For more information and admission prices, visit http://www.mymuseum.org/plan/calendar/
Monterey County Youth Museum @ 3:30 pm – 4:30 pm
425 Washington Street
Monterey, CA 93940


Do you have an event you want to add to our list?  We are happy to list your event in our weekly blog posts.  Any event, class, support group or meeting that fits into our philosophy of pregnancy, childbirth and parenting will be considered for our listing.  We reserve the right to decline requests that do not promote healthy families and peaceful parenting.

To submit your event:
Please follow this format (same as above).  Anything that is not "copy-paste" ready may not be posted - it will depend on how much time I have between homeschooling and loving on four littles.  If I don’t sleep, it seriously impedes my ability to be a peaceful mama, and that is not fun for anybody.  Thank you for understanding!  

Submit your event information to:
krystyna {at} sweetpeabirths {dot} com

Information to send me:
Event Name
Description & Cost
Location Name & Time
Address
Contact Phone Number

For more family - toddler fun, visit our listing at Sweet Pea Families


Please leave us a comment - it will be moderated and posted. 


Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.



Warning Labels: Induction Drugs

Posted on June 7, 2013 at 4:20 PM Comments comments (0)
This is the second post in the series that looks at the small print on the drug information sheet for consumers.  In our first post, we looked at the details of drugs used in epidurals.  Here is the fine print for the drugs used by hospital practitioners to induce labor.  This may be offered for a variety of reasons.  

Whenever a drug or procedure is offered, we encourage our students to look at the benefits and the risks.  There are circumstances where the benefits clearly outweigh the risks.  It is up to each family to individually decide what works best for them and their baby.  In the spirit of informed consent, here is the fine print and FDA Pregnancy Category for Cervadil (Brand Name for a form of Dinoprostone), Dinoprostone, Cytotec (Misoprostol) and Pitocin.


To be clear – we are not anti-care provider or anti-drug.  We are grateful for modern medicine that saves lives in circumstances when Mother Nature needs help.  It exists for a reason, and we are thankful for the opportunity to meet all the Healthy Moms and Healthy Babies when we hold a class reunion.

Please read and consider this information as you prepare for the birth of your baby.  I included the link to find the complete drug label on-line.  As with last week, everything is in direct quotes because the information is pulled from the drug information made available by the Federal Drug Administration (USA).

CERVADIL: Pregnancy Category C
http://www.drugs.com/pro/cervidil.html
Cervidil is contraindicated in:
"- Patients with known hypersensitivity to prostaglandins.
- Patients in whom there is clinical suspicion or definite evidence of fetal distress where delivery is not imminent.
- Patients with unexplained vaginal bleeding during this pregnancy.
- Patients in whom there is evidence or strong suspicion of marked cephalopelvic disproportion.
- Patients in whom oxytocic drugs are contraindicated or when prolonged contraction of the uterus may be detrimental to fetal safety or uterine integrity, such as previous cesarean section or major uterine surgery (see PRECAUTIONS and ADVERSE REACTIONS).
- Patients already receiving intravenous oxytocic drugs.
- Multipara with 6 or more previous term pregnancies."

"Warnings
Women aged 30 years or older, those with complications during pregnancy and those with a gestational age over 40 weeks have been shown to have an increased risk of postpartum disseminated intravascular coagulation. In addition, these factors may further increase the risk associated with labor induction (See ADVERSE REACTIONS, Post-marketing surveillance). Therefore, in these women, use of dinoprostone should be undertaken with caution. Measures should be applied to detect as soon as possible an evolving fibrinolysis in the immediate post-partum period.
The Clinician should be alert that use of dinoprostone may result in inadvertent disruption and subsequent embolization of antigenic tissue causing in rare circumstances the development of Anaphylactoid Syndrome of Pregnancy (Amniotic Fluid Embolism)."

"Precautions
General: Since prostaglandins potentiate the effect of oxytocin, Cervidil must be removed before oxytocin administration is initiated and the patient's uterine activity carefully monitored for uterine hyperstimulation. If uterine hyperstimulation is encountered or if labor commences, the vaginal insert should be removed. Cervidil should also be removed prior to amniotomy.
Cervidil is contraindicated when prolonged contraction of the uterus may be detrimental to fetal safety and uterine integrity. Therefore, Cervidil should not be administered to patients with a history of previous cesarean section or uterine surgery given the potential risk for uterine rupture and associated obstetrical complications, including the need for hysterectomy and the occurrence of fetal or neonatal death.

2. Drug Interactions: Cervidil may augment the activity of oxytocic agents and their concomitant use is not recommended. A dosing interval of at least 30 minutes is recommended for the sequential use of oxytocin following the removal of the dinoprostone vaginal insert. No other drug interactions have been identified."

"Post-marketing surveillance:
Immune System Disorders: Hypersensitivity
Blood and lymphatic system disorders: Disseminated Intravascular Coagulation (See WarningsSection)
Reproductive system: Reports of uterine rupture have been reported in association with use of Cervidil some required a hysterectomy and some resulted in subsequent fetal or neonatal death.
Vascular Disorders: Hypotension
Pregnancy, Puerperium and Perinatal Conditions: Amniotic fluid embolism"
"Contraindications:
Hypersensitivity to dinoprostone, prostaglandins, or any components of the product; patients in whom oxytocic drugs are contraindicated or when prolonged contractions of uterus are considered inappropriate; ruptured membranes; placenta previa; unexplained vaginal bleeding during current pregnancy; when vaginal delivery is not indicated; acute pelvic inflammatory disease; active cardiac, pulmonary, renal, or hepatic disease (suppository only)."

"General advice:
Carefully examine vagina to determine degree of effacement and appropriate length of endocervical catheter to be used for application of gel (10 mm if 50% effaced, 20 mm if no effacement).
Patient should be in dorsal position for administration and remain supine for 15 to 30 min after administration of cervical gel.
Following administration of vaginal suppository, the patient should remain in the supine position for 10 min.
Following administration of the vaginal insert, the patient should remain in a recumbent position for 2 h.
Inserts do not require warming prior to administration.
Suppositories and gel must be brought to room temperature. Do not use external sources of heat (eg, hot water bath, microwave oven) to decrease warming time.
Wait at least 6 to 12 h after administration of gel before using IV oxytocin; a dosing interval of at least 30 min is recommended after removal of insert.
Do not use dinoprostone vaginal suppository for extemporaneous preparation of any other dosage forms or for cervical ripening or other indications in the patient with term pregnancy."

"May augment effect of other oxytocic agents; avoid concomitant use. For the sequential use of oxytocin following dinoprostone cervical gel administration, a dosing interval of 6 to 12 h is recommended. A dosing interval of at least 30 min is recommended for the sequential use of oxytocin following the removal of the dinoprostone vaginal insert."

"Pregnancy Category C. Contraindicated if fetus in utero has reached viability stage except when cervical ripening is indicated."

"Lactation: Undetermined."

"Special Risk Patients
Use with caution in patients with asthma, glaucoma, or raised IOP, hypotension or hypertension, CV or renal or hepatic impairment, anemia, jaundice, diabetes, epilepsy, compromised uterus, infected endocervical lesions, acute vaginitis, in patients with cases of non-vertex or non-singleton presentation, and in patients with a history of previous uterine hypertony.
-Anaphylactoid syndrome of pregnancy Intracervical placement of dinoprostone may result in inadvertent disruption and subsequent embolization of antigenic tissue, and rarely leads to development of anaphylactoid syndrome of pregnancy (amniotic fluid embolism).
- Incomplete pregnancy termination If dinoprostone pregnancy termination is incomplete, take other measures to ensure complete abortion.
- Postpartum disseminated intravascular coagulation An increased risk has been described in patients whose labor was induced by physiologic means. Women who are 30 y and older, those with complications during pregnancy, and those with gestational age more than 40 wk are at risk.
- Pyrexia Transient pyrexia (temperature elevations in excess of 2°F), possibly due to the dinoprostone effect on hypothalamic regulation, was observed in 50% of patients receiving suppositories at the recommended dosage. Temperature returned to normal on discontinuation of therapy.
- Ruptured membranes Exercise caution when administering dinoprostone cervical gel or vaginal insert to patients with ruptured membranes.
- Uterine hyperstimulation Placement of dinoprostone cervical gel into the extra-amniotic space has been associated with uterine hyperstimulation. When using the vaginal insert, if uterine hyperstimulation is encountered or if labor starts, the vaginal insert should be removed."

CYTOTEC/MISOPROSTOL: Pregnancy Category X
http://www.drugs.com/search.php?searchterm=Cytotec
"Generic Name: misoprostol (MYE-soe-PROST-ol) Brand Name: Cytotec Do not take Cytotec to reduce the risk of stomach ulcers caused by nonsteroidal anti-inflammatory drugs (NSAIDs) if you are pregnant. Cytotec may cause abortion, premature birth, or birth defects if taken during pregnancy. Life-threatening..."
(My note: yes - this is just how it appears - with the ellipsis there)

"Misoprostol has been assigned to pregnancy category X by the FDA. Animal studies have failed to reveal evidence of fetotoxicity and teratogenicity. In studies of women undergoing elective first trimester abortion, the administration of misoprostol 400 mcg for two doses caused increased uterine contractions and bleeding in 41% of cases, and partial or complete expulsion of uterine contents in 11% of cases." 

"Breastfeeding Warnings
Misoprostol is rapidly metabolized in the mother to misoprostol acid which is biologically active and is excreted in human breast milk. There are no published reports of adverse effects of misoprostol in breast-feeding infants of mothers taking misoprostol. The manufacturer recommends that caution should be exercised when misoprostol is administered to a nursing woman."
"What should I discuss with my healthcare provider before receiving Pitocin (oxytocin)?
You should not receive this medication if you have ever had an allergic reaction to oxytocin."

"To make sure oxytocin is safe for you, tell your doctor if you have:
genital herpes;
diabetes;

    • high blood pressure;
    • a heart rhythm disorder;
    • a history of cervical cancer;
    • a history of severe infection in your uterus;
    • a history of difficult labor because you have a small pelvis;
    • if you have ever had surgery on your cervix or uterus (including a prior C-section);
    • if your pregnancy is less than 37 weeks; or
    • if you have had 5 or more pregnancies.’’

"Tell your caregivers at once if you have a serious side effect such as:
fast, slow, or uneven heart rate;
excessive bleeding long after childbirth;
headache, confusion, slurred speech, hallucinations, severe vomiting, severe weakness, muscle cramps, loss of coordination, feeling unsteady, seizure (convulsions), fainting, shallow breathing or breathing that stops; or dangerously high blood pressure (severe headache, blurred vision, buzzing in your ears, anxiety, confusion, chest pain, shortness of breath, uneven heartbeats, seizure)."

"Less serious side effects may include:


    • nausea, vomiting;
    • runny nose, sinus pain or irritation;
    • memory problems; or
    • more intense or more frequent contractions (this is an expected effect of oxytocin)."

"For Health Professionals
Hepatic side effects have included neonatal jaundice."
Read more at HERE 

"Genitourinary
Genitourinary side effects have included pelvic hematoma. Excessive doses have produced pelvic fracture, uterine hypertonicity, spasm, tetanic contraction and rupture."

"Hematologic
Hematologic side effects have included postpartum hemorrhage and fatal afibrinogenemia."
Read more HERE 

"General side effects have include low Apgar scores at 5 minutes. Fetal death has been reported."
Read more HERE 


As you can see from the insert information and the pregnancy categories assigned by the FDA, these are not inherently safe just because they are commonly used.  Any parent who is being asked to use these should do so after careful consideration of the risks and the benefits.  You can use this series of questions to help you determine if the benefits outweigh the risks:
  • Is Mom okay?
  • Is Baby okay?
  • What are the benefits of using this drug?
  • What are the risks of using this drug? (You have the right to read the drug insert for yourself in the care facility)
  • What else is going to happen if we say yes? (Additional procedures, time in bed, time being monitored, position for mom, etc.)
  • What are the expected results?  What if we don’t see them? 
  • What are the alternatives if we choose not to do this?
  • What does our intuition tell us?
  • What happens if we choose to do nothing?

Any advice to offer about being induced?
Please leave us a comment - it will be moderated and posted.  *I think* that the amount of traffic you so generously generate has led to a lot of spam posting.  In an effort to keep the spam to a minimum, I am taking the time to moderate comments now.

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Disclaimer:  
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.


Two Paths to One Truth

Posted on June 4, 2013 at 7:28 AM Comments comments (0)
The final open meeting of the Midwifery Scope of Practice committee was held yesterday, June 3, 2013.  The whole time I have been attending or watching the livestream recordings, there has been a nagging thought that was tugging on my brain.

The Director of Health Services wrote THIS blog post that really helped me clarify the thought that had been rolling around in my head, and I couldn’t quite pin it down until I read his post:

Excerpt:
“In the draft rules, there are a handful of tests that women need to take if she wants to have Licensed Midwifery services.  These tests (HIV, Hepatitis B, blood glucose, and blood Rh factor) are the only way for the midwife to establish that the birth will be low risk and safe for the health of the newborn and mom.  The mom-to-be can still refuse the tests, but that means she wouldn’t be able to have a Licensed Midwife present during the home-birth because it wouldn’t be possible to determine if the birth is low-risk and suitable for a home delivery.”
       ~Will Humble, Arizona Department of Health Services Director

Here is an excerpt from the comment I left him:

"The ADHS is approaching birth as something that needs to be established as “low-risk” in order to proceed at home. Those of us who have had a homebirth, and the care providers who support us, have a belief that pregnancy and birth are low-risk from the outset.

The medical model wants birth to be proven safe; the midwifery model believes birth is safe until it is proven otherwise. We will continue to go around and around about what is best for mothers and babies until some sort of resolution is found between those two disconnected approaches to pregnancy and birth."

The good news is: thanks to the public outcry against the mandatory testing, that part of the rules and regulations is being left alone for the most part to stand as it was.  Some minor updates are being made to take account new information about infectious disease since the rules were last updated in 1999.  For the most part, consumers and midwives were happy with the verbal agreement reached by the committee about how testing is going to be written in the updated rules.

Sadly, the issue of the "Us Versus Them" mentality that exists between the medical model and the midwifery model has not been resolved.  Here are two interactions that happened at the June 3, 2013 Midwifery Scope of Practice Meeting that clearly illustrate the disconnected paradigms in two approaches to one fact of life: Birth Happens.

1.) The medical community does not understand the scope of midwifery training.
Transcript of video (http://www.livestream.com/azdhs) starting at time stamp 13:18
Maria Manriquez, MD, FACOG, President of ACOG Arizona: “In your explanation, that’s then inferring that you continue care of the neonate.  Does that imply that you are not providing the infant with a pediatrician or a doctor of it’s own at the appropriate time?  Correct me; I am assuming you are not implying that you then become the provider for the newborn?  You are practicing out of scope of practice! You’re not pediatricians or lay pediatricians!” 

Wendi Cleckner, CPM, points out that on page 24 of the May 24, 2013 version of the rules, the parameters of a midwife’s care for the newborn are clearly stated.  (There are 16 different clinical observations a midwife must make about the newborn, and if necessary, protocols for referrals that she will follow that are in the best interest of the baby, before she can say her role in that infant’s care is complete.)

Janice Bovee, CNM, MSN, “Midwifery, including Certified Professional Midwives and Certified Nurse Midwives, in our programs, and in our training; we include mother’s pregnancy, intrapartum care, birth, postpartum care and care of the newborn.  We are trained in that.  That is part of the midwifery model.”

Thank you, Janice for defining the scope of practice for midwives for Dr. Manriquez and anyone else who is unclear about exactly what midwives are trained to do.  A midwife is trained to practice in the home setting, so she must assume some of the care that a pediatrician would perform in the hospital setting because childcare is not in the obstetrical job description.  Whether she works in the home, a birth center or a hospital, a midwife is willing, capable, and knowledgeable in the care of both the mother and the neonate as part of her scope of practice every day of the week.

(Side note: can you see how midwives start to lower the cost of healthcare in this simple illustration?  One person caring ably for two people, instead of two people caring for two people.)

2.) The medical community does not understand the rigors of midwifery training.  The fact that practitioners of midwifery care are not learning to do surgery does not mean that their training is inconsequential. 
The second exchange, that occurs at time stamp 26:23 of the meeting:
Maria Manriquez, MD, FACOG, President of ACOG Arizona: “Is there any room for demonstrating actual; I know that you’re at least, that’s what Wendi has communicated, that you have to demonstrate physical competency?  So, all of the physician providers have to demonstrate competency.  So what physical competency is demonstrated by licensed midwives?  So there’s an exam, there’s NARM certification, but it doesn’t spell out specifically what and who signs off on that particular practitioner.”

Wendi Cleckner, CPM: “That’s what we’re adopting as the CPM process, is NARM.  The national organization does all of that and there is a clinical aspect; that you are in front of a qualified examiner who takes you through scenarios, you have to work on models, you have to demonstrate your clinical skills in front of them, and then they pass or fail you.”

Maria Manriquez: “We break it down even more specific.  So you can be knowledge, medical knowledge approved but not clinical, and vice versa.  So, is there an opportunity to have that information?”

Wendi Cleckner: “It’s on the website of NARM.”

Maria Manriquez: “So on the website, I could go and look you up and see that you had passed both the medical knowledge portion and the (unintelligible)?”

Wendi Cleckner: “If I did not pass all the sections, I would not be a CPM.  You would not be certified, you would not get your license, if you didn’t pass all the sections.”

Mary Langlois, CPM: “You also have to pass an apprenticeship.  So, you have a preceptor who is designated to oversee your competency.  So you’re taught by the preceptor, and the preceptor also does skills check offs and oversees you and helps you manage the deliveries.  So not only do you have to complete the clinical side, and then you would have to complete all your documentation, you take it to NARM, you take the practical examination, you pass that, then you take the written.”

I especially love Mary’s comment because it reminds us that the midwifery model is personal not just to the woman receiving care, but also to the woman who is providing the care.  Another women who saw her passion, helped her hone her skills, and took the time to teach her.  She was not taught in an amphitheater setting, and not in a residency program designed to weed out the weak links, but in the intimate, person-to-person knowledge transfer, one or two students at a time.

Without too much extrapolation, I think it is easy to see that the medical model of training looked at the eons-old midwifery model of knowledge transfer and sterilized it to suit the needs of the medical community.  If we are honest with ourselves, we need to ask ourselves what the conflict is really about. 

Is it really about the safety of the mothers and the babies, or is it the continual push of one system against another?  One system still trying to prove it’s soaring above the other one that is merely trying to stay grounded and true to its roots.

As Bradley™ teachers, Bruss and I recognize that there is real value brought to the table by both knowledge sets.  We help couples find a path to stay healthy and low-risk so that they a variety of birth options available to them.  If they want midwifery care at home or at a birth center, great!  If they want midwifery care in the hospital – fantastic!  If they feel comfortable with the obstetrical approach, we know there are care providers that support natural birth.  They have choices. 

Although very seldom, occasionally there are developments that move a couple’s pregnancy or birth out of the healthy and low-risk category wherever they are seeking care.  We want those couples to have specialized obstetrical care so that they, too, can have a Healthy Mom, Healthy Baby outcomes like their low-risk counterparts.

Director Humble and his team are in the unique position of being able to set the tone and the groundwork for collaborative care to really take root in the United States.  It is our hope and prayer that a peaceful, respectful and collaborative model of care will be pioneered in the state of Arizona. 

Please leave us a comment - it will be moderated and posted. 
*I think* that the amount of traffic you so generously generate has led to a lot of spam posting.  In an effort to keep the spam to a minimum, I am taking the time to moderate comments now.
 
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included on this site is for informational purposes only.
It is not intended nor implied to be a substitute for professional medical advice. The reader should always consult her or his healthcare provider to determine the appropriateness of the information for their own situation.  Krystyna and Bruss Bowman and Bowman House, LLC accept no liability for the content of this site, or for the consequences of any actions taken on the basis of the information provided.  This blog contains information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained on this blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.