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Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

World Kindness Day 2017

Posted on November 13, 2017 at 1:58 PM Comments comments (0)
Thank you to FTD Florist for providing today's guest blog post - wishing you a joyful day today as you spread kindness in your corner of the world. ~Krystyna

There is a lot to be thankful for this year. Friends, family and the memorable times that you spend together are just a few. This World Kindness Day (November 13th) show those you love just how much you appreciate them. To help you get in the mood and brainstorm ideas on ways you can be kind this World Kindness Day, FTD has rounded up 30 of the best kindness quotes around to help inspire you. 

From waving to a stranger on the street, to sending an old friend an email, we hope these kindness quotes help inspire you to spread a little love. They even included a free printable card that you can write your own message on. Enjoy! 




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

The Parent Resource List

Posted on March 6, 2015 at 6:28 AM Comments comments (0)
We have a discussion/communication time in every Bradley™ class session.  Towards the end of the series, we ask, "What else do you need/want to learn before your Sweet Pea arrives?"

Our Winter Class came up with the most varied list that we have had in a long time.  There is a lot of information rattling around in my head after parenting and teaching for the last ten years, so I prepared this list for them and sent it out after class.  Since the work was done, I also wanted to share it with you.

Please leave us a comment if your favorite resource in these categories is not listed.  We are always glad to learn about more places that encourage and support growing families.

Baby/Toddler/Children’s Food
Annabel Karmel

Deceptively Delicious

Weelicious

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

Baby Massage
My friend Brie Hall teaches these classes and more
480-299-1154


Baby Sign Language
Note: I personally do not believe in "baby" sign language.  ASL is a language, and I believe it should be taught well *and* correctly.  We do not change the language we verbally speak, because infants eventually learn how to pronounce words correctly. I passionately believe the same is true for ASL - show your child the correct signs, and they will make their own modifications until they can do it well, and then they will have it as a tool for the rest of their lives.

Great resource online:
Joann Woolley


Local Signing Time instructor – alumni SPB Bradley™ mama, too :)
Tanya Bland
480-329-8835


On-line ASL lessons - this is how I started to learn ASL :)

Visual ASL Dictionary


Breastfeeding
Breastfeeding Group – Meets every other week on Fridays
Erin Rudd, facilitator (Bradley™ SPB alumni mama) – email Erin for schedule and location: [email protected]

Classes: Arizona Breastfeeding Center
480.442.8491

Dignity Hospital Groups: For more information, please call the ResourceLink toll-free 
1 (877) 728-5414,
Chandler Hospital Breastfeeding Group – Wednesdays @ 11:00am
Mercy Gilbert Breastfeeding Group – Fridays @ 10:00 am

KellyMom.com – reliable on-line IBCLC resource with HUGE archiveof Q&A

La Leche League Calendar

La Leche League Tear Sheets – highlights from the WomanlyArt of Breastfeeding

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Cloth Diapers
GoGo Natural – local mamaprenuer

Zoolikins
Two retail locations in Scottsdale & Chandler, AZ

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDevelopmental Milestones
Chandler Library – look for “Baby Brain Time” and enroll at the first opening – classes fill up quickly

In-Home Classes: Parents as Teachers

National Center for Infants, Toddlers and Families

New Directions Institute for Infant Brain Development 

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Dunstan Baby Language(Baby Sounds)
Priscilla Dunstan on Oprah

Purchase video

Local classes (Phoenix, AZ)

First Children And Growing Your Family
Sample visual birth plan:

Ideas for sibling preparation during pregnancy and handling postpartum:

Children’s Books to share with them:

Patience & Self-Discipline
These are all resources that I have found helpful as I grow as a parent.  Treat it as a buffet – take what works for you and leave the rest.  I am a huge believer that the best thing you can do is throw out the books and read your child.  That being said, it's good to have an idea list of things to try, and reassurance and validation that the path you are on is a good one...so, read to educate and empower yourself.  Try not to make yourself crazy trying to be a "perfect" parent (hint: they do not exist), or feel guilty about your choices.

A-ha parenting

Attachment Parenting

5 Love Languages

Gentle Hearts Parenting

Happiest Baby/Toddler on the Block

Janet Lansbury - Resources for Infant Educarers

Parenting with Love & Logic

What is your go-to resource as a parent?

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®.

The Birth-Day...Then Parenting!

Posted on January 6, 2015 at 1:05 AM Comments comments (0)
We are four weeks into our winter series - it is so exciting to be getting to know eight amazing couples in person...and this series, we have the pleasure of welcoming back on of our Spring 2013 couples as they prepare for Baby #2...from Canada!! The internet and web-chat rock!!


Today's post was inspired by a question that was asked right before we dismissed class on Friday night.  One of our students asked, "Is there a list of questions that can help us prepare to be parents?"
Bruss and I often quip that we could teach another set of classes after the Birth-Day.  What we teach for childbirth preparation is valuable, and there is definitely more than enough to share over twelve weeks to prepare for a healthy pregnancy and the birth journey.

The fact remains that the Birth-Day is just the beginning of a lifelong journey as parents!!  We could definitely do another twelve-week course that focuses on parenting...

And that still would not be enough.

Parenting is something that evolves over time, and with each child that is welcomed to the family.  I took a look at the list of questions that we created when we got a similar request two years ago.  Now that we have been parents for 730 more days, we were able to add a second page to the list! As our children have grown, so have we. We have had many more negotiations about what we value as a family.  Bruss and I have had to discuss most of these questions already.  As we celebrate our first child's tenth birthday this month, we know we are on the brink of discovering yet another set of questions.  Page 3 will be written as we navigate life with a *gasp* tween!

Some thoughts on parenting before I share our list:

  • I believe that the healthy mother who carried the child probably knows more about that child before they are born than any book on earth.  Choices like breastfeeding, babywearing, co-sleeping; any or all of those add to the bond between parent and child.  It is a bond that helps us sense when something is off, or when something is going well - an invisible thread that keeps the family growing together.

  • We do tell parents that there several good books about parenting written by very well-respected pediatricians and researchers in the field of infant and child development.  Some of my personal favorites are those from the Dr. Sears library and Dr. Harvey Karp. Just as important as the books is the communication between you and your partner. Talk to each other and see what you come up with between the two of you after you have done some reading. 

  • About all those "expert" opinions:  They are great for getting ideas or uncovering possible answers.  However, if something doesn't feel right or it is not working for you and your Sweet Pea, put down the book and read your child.  You and your partner have raised them - what does your gut tell you?  

  • Be flexible - each child is a unique individual.  You need to be a parent to each child, and that may mean changing or growing as they present their needs.  We say our fourth is breaking us...everything that worked with her older siblings from birthing to toddlerhood has been re-learned, because she doesn't respond to the same things.  And that's okay!  Our core value of love and respect allows us to honor that need and still retain our integrity as parents and nurturers.


Anytime we have followed our instinct, it has been rewarded with a sigh of relief that we pulled on a thread and followed it until we had an answer or a solution that fit our family.  It is our hope and prayer that the same will be true for you. 


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

So now for that list of questions...These are great conversation starters so you and your partner can try to find common ground.  Just as you would for a business, we believe it is important to set the core values for your family so that you can parent as a united front. 

The first page was created with the intention of having these conversations during pregnancy or within the first year of establishing your family.  




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


The second page is to glance at now. Pull it out again when your child starts doing organized activities or making connections at preschool and/or elementary school.




The first five questions on our list are:

What are some pregnancy/birth/parenting decisions that you want to make, that you suspect your family/friends will not agree with?  How will you be a united front?

How is your relationship with your parents?  How do you want to incorporate your child into your family, and your partner’s family?

How did your parents handle conflict between them?  How do you think you want to handle it when it happens in front of your child(ren)?

Were you spanked as a child?  How do you feel about it?  What do you think you want to do with your child(ren)?*

Were you tickled as a child?  How do you feel about it?  What do you think you want to do with your child(ren)?*

Ready for more discussion?? Click HERE for the complete list.  There is no charge for the file - you are welcome to download it for your personal use.  Please be kind and link back to this post/ cite our webpage if you would like to share it.

Come visit us again next Tuesday, when we share ideas about managing the first few weeks after the birth-day with your newborn!!


What are ways you and your partner established the groundwork for your growing family?
Please leave us a comment - it will be moderated and posted. 
 

*I absolutely do not believe in physical punishment/discipline, or any kind of physical contact with the child that violates them.  We believe that a child is whole human being from the day they are born, due full respect for their bodily integrity and physical, emotional and spiritual safety.


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®.

Mommy Con: January from Birth Without Fear

Posted on October 10, 2013 at 6:33 AM Comments comments (0)
Cassandra and I were part of the "media" contingent at MommyCon LA Babywearing World Record Event on Sunday, October 6, 2013.  We had such a wonderful time walking the floor, meeting vendors and being inspired by the wonderful speakers as we looked and listened to bring all the happenings back to you.  See the bottom of this posts for links to more of the activity! 

At 2:00 pm, the third person to take the stage on Sunday was January Harshe, founder of Birth Without Fear, sponsored by Nüroo.  She started a facebook page with a simple message - that birth does not have to be scary, and that we have choices.  That message has resonated and grown into an incredible community that is active on-line 24/7.

Here are the notes I took as she delivered her message on Sunday:

You are judged for your choices no matter what you make.  Life is hard – we are all doing our best.  The last thing we need to do is judge others – be kind to one another.

Choices – you do have a choice when it comes to birth.

With her fourth child, she decided to have complete faith in her body.  We are indoctrinated with unrealistic images of birth in the media – either it’s completely zen calm and peaceful (my note: and in the middle of nowhere somewhere beautiful), or it’s a major emergency when mother and baby need to have a life-saving operation.

There is a choice not to cut – you can choose to birth via cesarean or vaginally – you can choose to breastfeed or pump or to give formula.

The days when the OB told a mom what to do and how it’s going to go – that is changing.  She's striving to make them numbered.

January wants to tell as many women as possible that they have a choice:
My body
It’s up to me how I birth

What is another mom going through?  How does she need to heal?  “This is my vagina – if I want to have a baby out of it – it’s my choice.”

If you can’t find someone to support your choice – do more than sit online and complain.  Start acting as a consumer – demand change.

I heard a paradigm shift in her presentation:
You hire your care provider to do a service.  Find someone to do the job you want them to do.  If they don’t listen, respect your choice, then you know it’s time to hire someone else.

The last thing you want is to go home with a new baby and the trauma from a bad birth experience.  Your care provider doesn’t have to live with your birth – you do.

If there were no moms birthing in the hospitals any more, they would be quick to change their policies!

We need to take the power back for ourselves – our daughters – our granddaughters.

The feeling of “I rocked this birth – I can do anything” should not be rare and exclusive.

We need to go into birth feeling supported and empowered.

How we birth affects our postpartum experience.

If you have postpartum depression, and you always feel like you are going to cry – Cry.  It’s okay – you are still a good mom. (melt – I love this woman’s message!!)

After a VBAC with her third child, within 15 minutes her care provider started tearing apart her birth and her choices and deflated her "VBAC high".  The care provider was callous and careless, and her postpartum experience left her questioning herself.

With her fourth child, she decided to get “in the zone”.  She and her husband made their choice about how they were going to birth.  If anyone came into “the zone” with negative energy, she punched them out (jabs at the air with a couple of side punches to the great delight of the audience) and went back into her “zone”.

She birthed her baby without any drama, complications, and she had her family around her after the baby was born.  They welcomed their new child together.  Her postpartum experience was very different – down to the breastfeeding relationship.

In talking with midwives at The Farm, they do not have any incidence of postpartum depression.  One of the midwives stated that she thinks PPD is a symptom of nuclear family living in isolation.  In communal living, women support and help each other; when they see a need, they take care of it.  In nuclear family living, women are isolated and alone.  It is seen as weakness to need help.

January believes that we need other women.  We need to cry and celebrate together, be okay with doing each other’s dishes, bringing meals, letting mamas take a shower.  We need to support each other with no judgement and help each other with love.

Empower birth.
Support the postpartum period.

My note…even more kudos to this woman for being there for the mamas at Mommy Con.  She has her own conference coming up this weekend – not even a mention or a peep about it when she had the perfect platform for self-promotion.  Truly she is a woman who is changing the world, one interaction at a time.

Want more Mommy Con scoop??
HEREare my notes from Dr. Robert Sears - He talked about vaccinations during pregnancy, postpartum, and for infants.
 
HERE are the notes from Jessica Martin-Weber of The Leaky [email protected]@b - Her talk was about parenting and being confident in our choices.
 
HERE are the notes from Abby Theuring of The Badass Breastfeeder - Her talk was about empowering breastfeeding as a society

HERE is a link to our tour of the convention floor.

HERE is a link to the Babywearing Fashion Show.

HERE is a link to pictures of the Babywearing World Record.

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®.


TT: Why It's Okay to Ask Questions of Your Care Provider

Posted on August 8, 2013 at 9:05 AM Comments comments (0)
Although World Breastfeeding Week: Close to Mothers has come to a conclusion, we continue with Breastfeeding Awareness Month in the USA.  We will be bringing back our "In Their Own Words" for the rest of the month.

This series shares chronicles from students and readers about their own breastfeeding journeys.  Each mother has a unique story, one that I trust will empower you if you are learning about breastfeeding, and inspire you if you are in the trenches, struggling as you learn to breastfeed with your Sweet Pea.

Today's "Thoughtful Thursday" is not about breastfeeding specifically.  However, since a family's birth experience precedes the breastfeeding relationship, birth outcomes tend to directly influence the choice a mother makes about breastfeeding.  My thought relates to having a dialogue with your care provider about your birth:

"My obstetrician is trained medical professional.  He has years of schooling and experience about birth.  Who am I to question them?  Is it okay to question how they do what they do?"

I recently watched the documentary, "Business of Being Born" from start to finish.  The quote that stands out in my memory, the one that will forever resonate as we continue to teach childbirth preparation courses, is this one:

“The point here is there's not a good history in obstetric practice of careful study of the long term effects of all these interventions."
Dr. Marsden Wagner, former director of Women‟s and Children‟s Health, World Health Organization 

This excerpt from a press release summarizes the doctor's statement:

"THE BUSINESS OF BEING BORN touches on a number of past medical interventions that have gone terribly wrong. The film explores the use of the drug scopolamine in the 40s, 50s and 60s that put mothers into a kind of “twilight sleep” that didn‟t stop pain, but merely eliminated the memory of pain by attacking the brain functions responsible for self-awareness and self-control, resulting in a kind of psychosis, followed by post-traumatic stress-like memories in thousands of new mothers. In the 30s doctors routinely took x-rays of the pelvis, resulting in babies with cancer. In the 70s, use of the drug thalidomide, used for morning sickness, caused birth defects, while in the 90s, the drug Cytotec was used to stimulate contractions in mothers who had undergone previous Cesarean section. This was later found to cause ruptured uteruses and high infant mortality."  
Read more about the movie here:
http://www.thebusinessofbeingborn.com/press/BusinessofBeingBorn.pdf

We need to remember that obstetricians are trained surgeons, working in a field that has no long-term studies on any of the interventions they are offering.  They are comfortable in their intervention paradigm.  If you are planning to go the "natural" route, it is worth your time to engage them in a conversation about care they are going to provide that is outside of their status quo. 

That's why, "Yes," it is okay to engage your care provider in a respectful dialogue about your birth choices that will in turn influence your ability to form the breastfeeding relationship you want with your child.  I would add the caveat *especially* if you are choosing to birth within the traditional doctor-hospital-patient paradigm.  Plug into the groups that advocate evidence-based birth.  Know what is normal and what the variations of normal are.  

As part of today's Thoughtful Thursday, I want to take a moment to remind you of a very important event being planned for Labor Day 2013.  The advocacy organization, Improving Birth, is holding their second annual RALLY to bring attention to the state of maternity care in the United States.

Ask questions, be informed, and if you are in an area where there is a Rally for Change going on, please get your family there and show up for evidence-based birth. 


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®.


10 Good Things

Posted on November 16, 2012 at 10:09 AM Comments comments (3)

I got a desperate text this week from an alumni mom.  A mama in her circle heard these words from her OB, “Nothing good happens after 40 weeks,” as a reason for her to schedule an induction.

All I could think, was, "WOW!" and how grateful I was that our care providers did not have that belief.

Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
 I want to preface this post by 
clearly stating that this is not medical information, nor am I medical professional.  What follows are consideration and discussion points for a couple who is thoughtfully weighing their options.

Here are two sites that do offer reputable information:
  1. PubMed offers an ABSTRACT of a Harvard Study that questions the current method of establishing due dates.  Their study found that white, low-risk women delivered after their due date.  The median for first time moms (primipara) was found to be 8 days past the estimated due date.  Moms in their 2+ pregnancy (multipara) were 3 days past.
  2. Childbirth Connection offers an evidence-based analysis of the concerns, methods and options available to birthing families when faced with the choice of induction.

As we say in class, your due date is not an expiration date.  So what might be going on with your baby and your body when your due date comes and there is still no sign of labor?  If you are having a healthy, low-risk pregnancy, there could be a variety of things happening that are still within the “range of normal”.  If you believe that your body and your baby have their own timeline, here are some points to ponder as you decide whether or not to have an induction at 40 weeks, or realistically, whenever it is offered in a healthy, low-risk pregnancy.

  • Keep in mind that this list may also apply during labor, when you may be “failing to progress” per the expected dilation measurements.  The Bradley Method® offers the possibility that your body might have a Natural Alignment Plateau while mama and baby make their last adjustments.  This period with no measurable dilation is often followed by an acceleration of labor and the birth – more about that HERE.

#1.  Physical alignment of the baby within the pelvis and in relation to the birth canal.  Babies like to move.  The time before labor starts can be used to encourage baby to get into an optimal position and possibly save you some work whilst in labor.  If you are in labor already, then the proper alignment is even more important for an uncomplicated second stage.

#2.  Softening of the cartilage in the mother’s pelvis.
  It is a moving part that can stretch to allow the passage for the baby inside of you.

#3.  Increasing the flexibility of the ligaments and tendons around the pelvis.
  They can also stretch to help ease baby through the birth canal.

#4.  Cartilage is softening and/or molding of the baby’s head to allow for passage through the birth canal.
  The baby may also be undergoing some adjustments for their passage into the world.

#5.  Colostrum is being made just for your baby.
  The time is being used for the breasts to form all the immunities necessary to protect the baby after they are born.

#6.  Baby may need more contractions to massage and stimulate the baby’s systems on-line. 
In pre-labor, Braxton-Hicks contractions are the “test drive” as mom and baby prepare for labor.  During labor, one of benefits of contractions is to help “wake up” all the baby’s systems in preparation for life outside the womb.

#7.  Lungs are preparing for breath of air by being coated in surfactant.
  Without enough surfactant, the baby cannot breath.  HERE is a study that found a link between lung readiness and stimulating factors for labor to start naturally.

#8.  Psychological changes for the mom.
  Has mom accepted the responsibility and dependence of this new life?  Is she in her safe place for labor to start and/or progress?

#9.  Psychological changes for the baby.
  Has the baby accepted that they will be an independent being outside of their mother’s body?  Do they feel like they are a part of your family?

#10.  Baby is growing.
  This one does not apply so much in labor.  However, Dr. Bradley gives a great reminder in his book, Husband-Coached Childbirth.  He reminds us that baby’s do not know about hard and fast rules.  He uses the analogy of an apple tree.  A few apples are going to ripen early and fall off early.  The majority of the apples will ripen together at the expected time during the harvest.  Finally, there will be several apples that for whatever unknown reason, ripen at the end of the harvest season, the bumper crop.

As in nature, babies arrive in a range.  Remember that the numbers, averages, are a collection of data that is analyzed to arrive at one “easy” number for planning purposes.  There is a real danger of "harvesting our apples" to soon, to the detriment of the baby’s health.  The March of Dimes has focused an entire campaign to discourage elective induction before 39 weeks since there were so many complications from inducing labor before babies were ready.  Get more information HERE

If your ovulation or conception dates are off, you might be inducing a baby to come who is before their gestational 39 weeks.  Then that child has been forced to arrive before they are ready, adding a host of complications to what might have been an uncomplicated process if it had been allowed to happen in nature’s time. 

I will end this post by asking you to consider two things:
  1. Take the time to read the information offered by Childbirth Connection on induction – and read ALL of it.  HERE is that link again.
  2. LISTEN to your care provider, which is why it is so super important to choose a provider you trust implicitly.  They are the expert in pregnancy and labor.  They have prior experience and training that leads them to make the recommendations they are making to you today.  If you know your care provider is using evidence-based practice, then you know that they are asking you to consider actions supported by research and probably not asking you to do something for their convenience.

You have an instinct to help guide you to a Healthy Mom, Healthy Baby outcome.  That is what your care provider wants for you, too.  Whatever your path, making an informed decision and choosing a Healthy Mom, Healthy Baby outcome is a win-win every time.

When was your child(ren) born? 

If you want to have fun and participate in a VERY INFORMAL poll, please put your baby’s gestational arrival dates in the comments section.

Here are our babies:
Puma ~ 39 weeks, 4 days
Night Owl ~ 40 weeks – yes, right on his date!
Charger ~ 38 weeks
Otter ~ 38 weeks


LINK LIST:
Harvard Study Abstract:
  • http://www.ncbi.nlm.nih.gov/pubmed/2342739

Childbirth Connection Induction Pages
  • http://childbirthconnection.org/article.asp?ck=10651

Lung Protein as Labor Signal

  • http://www.utsouthwestern.edu/newsroom/news-releases/year-2004/fetal-lungs-provide-a-signal-initiating-labor-ut-southwestern-researchers-find.html

March of Dimes 39 Weeks Campaign
  • http://www.marchofdimes.com/pregnancy/getready_atleast39weeks.html 

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®. 

BEST Communication Skills

Posted on September 25, 2012 at 6:00 PM Comments comments (0)
We got the opportunity to use our communication skills from our Bradley™ training over the weekend.  It is always a good reminder that the skills we teach in class can serve us long after labor and birth.
 
Our Angelika was in the hospital with an infection in her neck.  It looked like a big boil, and as it turns out it was filled with pus and she needed minor surgery.  As we navigated the hospital system, here are the things we teach in class that we applied over the weekend.
 
Trust your instincts.  I have small, crazy veins that work well as long as you are not trying to poke them for an IV.  I had a feeling that Angelika was the same as I, and I told our nurse that I was concerned they were going to blow out her veins unless they used the smallest needle.  I also asked for an anesthesiologist to do her IV line and save us a lot of trouble.  Even though we never used their skills for an epidural, they were the best at sticking me with the needles for an IV when we were in labor.
 
The hospital staff is trying to do their job.  I needed to hear this after the nurses completely ignored my concerns and went ahead and did the IV their own way.  After blowing out two of Angelika’s veins, I was fit to be tied, and Bruss reminded me that they were only trying to follow their protocol and not get in trouble.
 
Ask for the help you need.  Bruss could see my frustration and he looked for the charge nurse to ask for her help.  He explained that the staff was not hearing our requests and he asked for alternatives to consider if the IV was not going to work.  She convinced him that IV antibiotics were the best chance Angelika had for getting the highest dose of antibiotics she needed to head off an abscess. 

Ask for written information.  Between being stressed, tired, and having a hard time understanding some of the staff, I felt like I was just nodding and agreeing without knowing what I was hearing.  A great question we teach our couples to ask in class is, "Can you write that down for me?"  Remembering that little nugget was a big help in learning exactly what our baby was being administered and what they were going to do with the precious little blood they were able to extract for lab tests.
 
Communication between the couple is essential.  I could tell that Bruss was upset with me.  I used my words to ask him what he was upset about and to please tell me what he saw our options to be.  He articulated that he thought I was being unfair to the nurses who were only trying to do their job, and he also conveyed the information from the charge nurse.  Since we both wanted what was best for our daughter, I agreed that they could try one more method to try to get an IV line in.  And we compromised by agreeing that if they couldn’t get it in on the third try, then we would be a united front in telling the staff that they were done trying and we were going to insist on intramuscular injections to get her the antibiotics she needed…since we were now five hours past her last scheduled dose.
 
Advocate for your child.  I knew that I knew that she did not have the kind of veins that are easy to work with.  Unfortunately, I had to prove myself at our daughter’s expense.  However, after having followed the nurse’s protocol, I also had the standing to insist they were not going to submit our child to any more poking unless it was done by the anesthesiologist.  As a parent, (or a patient), you have the right to say no to any suggested treatment and ask for the kind of care that you know your child (or you) need.  If they are not willing to provide that care, then keep going up the ladder of command until you get the help you need. 
 
As it turns out, Angelika did have an abscess and surgery was our chosen treatment plan to deal with the infection and start her on the path to healing.  We finally got the right person to do her IV line – the anesthesiologist did it after she was sedated in the operating room.
 
The anesthesiologist, with the benefit of having more open veins after the administration of anesthesia, was able to get an IV line in with only two tries.  Angelika got her surgery, and then got four doses of IV antibiotics.  We were released the day after surgery and are now happily at home recuperating with the rest of the family.
 
When we were discussing our concerns with our surgeon at our follow up visit, he reminded me of a very important distinction in hospitals.  If you are at a teaching hospital, and you are concerned that you are not receiving the kind of care your child needs, insist on seeing the attending physician.  A teaching hospital lets the least trained doctors learn by making diagnosis and having it signed off by the most senior level doctor.  If that process is not what you want, ask for the most senior care provider when you sign into the hospital.
 
We were not at a teaching hospital, our issue was more of an administrative one.  I was glad we had tools to make our interactions less abrasive than they could have been.  In the end, we were happy with the level of care we received after our surgery.
 
Last but not least, remember to say thank you.  We know that the people at the hospital were only trying to do their best at the job according to the rules set down by the hospital.  The surgery staff was amazing, our doctor/surgeon was amazing, and we thanked them all before we left the hospital.  In addition, they will be getting thank you notes later this week to remind them how much we appreciate their dedication in what is often a thankless job.
 
In which situations have your communication skills come in handy?
 
Disclaimer: 


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

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®.