Chandler, Arizona
Sweet Pea ​Births
Sweet Pea ​Births
...celebrating every swee​t pea their birth
...celebrating every swee​t pea their birth
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VBAC: The BIG picture of the risks
Posted on April 24, 2015 at 9:58 AM |
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If
you have had a previous cesarean, this is THE “drop” word for many care
providers when they have their “informed consent” talk with patients for
consequent pregnancies. Today I want to take a look at several other complications related to labor and delivery. If your care provider is expecting you to be influenced by risk factors for uterine rupture, I think it is fair to look at all the other risk factors of pregnancy and labor in order to create a bigger picture and put things into perspective. Pregnancy is generally considered a healthy time in a woman’s life. In order to make life, the woman’s body has to be able to support that life. In most cases, it is healthy women who become pregnant. What do we have to be afraid of? In most cases: nothing. However, as with many if not all things in life, there is a certain level of risk, and yes, sometimes things go wrong. So let’s start with the risk numbers for uterine rupture. Read THIS blog post for an in depth look at the numbers. Here is the summary of the incidence of uterine rupture, depending on what category you fall in:
So what are your risks of other complications of labor?
True statisticians are going to take issue with this oversimplification of
comparisons. In recognition that a
percentage is more than its face value, here are the ratios and the sources for
my information: Postpartum Hemorrhage: 1/5 – .2000 – 20% Definition: “Postpartum
hemorrhage is traditionally defined as blood loss greater than 500 mL during a
vaginal delivery or greater than 1,000 mL with a cesarean delivery. However,
significant blood loss can be well tolerated by most young healthy females, and
an uncomplicated delivery often results in blood loss of more than 500 mL
without any compromise of the mother's condition.” Quoted from Medscape “The incidence of postpartum hemorrhage is about 1 in 5 pregnancies, but this figure varies widely due to differential definitions for postpartum hemorrhage.” Stat SOURCE Preterm labor and preterm delivery: 1/9 – .1111 – 11.11% Definition: Baby born before 37 weeks Stat SOURCE Post-Maturity: 3-6% Definition: pregnancy past 42 weeks in which the placenta cannot provide the
nourishment to maintain a healthy fetus
Definitions of the types of breech:
Preterm Premature Rupture of Membranes before 37 weeks: 3% 3% of all pregnancies and occurs in approximately 150,000 pregnancies yearly in the United States Definition: a condition of pregnancy in which the mother’s blood pressure
starts to rise to dangerously high levels, the indicator for possibility of
more complications that are potentially fatal to mother and/or baby; 2% to 6% in healthy, nulliparous women (women who have never given birth yet) Stat SOURCE Placenta Abruptio: 1.0% Definition: the placenta separates from the uterine wall before delivery
of the baby
Stat & Quote SOURCE UTERINE RUPTURE STATS FALL HERE Umbilical cord prolapse: 1/300 – .0033 – 0.33% Definition: the umbilical cord precedes the baby in the birth canal Definition: the placenta grows too deeply through the uterine wall July 2012 study publication Stat SOURCE What do you think now that you have seen a wide array of complications and risks? 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. For more reading: Uterine Rupture in Pregnancy: Article dated July 31, 2012 Understanding Labor and Delivery Complications – The Basics from WebMD http://www.webmd.com/baby/understanding-labor-delivery-complications-basics The Risks of Cesarean Section http://www.motherfriendly.org/Resources/Documents/TheRisksofCesareanSectionFebruary2010.pdf 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®. |
Birth News
Posted on January 10, 2014 at 6:31 PM |
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These are probably going to keep being evening editions - thank you for your patience as we ramp up posting again in the New Year. I am really placing a high value on being Peaceful Mama for my kiddos, which means that being on the computer is taking a back seat to homeschooling and teaching classes this season. I will be back in full swing soon - until then, please do not hesitate to contact me via email (krystyna{at}sweetpeabirths{dot}com) if you have any pressing questions about pregnancy, natural birth or breastfeeding! Birth News FERTILITY NOTE: Please read this with a grain of salt - we have had students have beautiful, term babies even though they used IVF to attain pregnancy. Simply shared as a tool for discussion with your care providers as you weigh the benefits and the risks. IVF Pregnancies Are More Likely To Result In Stillbirth, Preterm Birth, Low
Birthweight, Or Neonatal Death
Medical Daily http://bit.ly/19V24Sc PREGNANCY NOTE:I am by no means suggesting that you *should* go get a flu shot – again, I am simply offering this as information to discuss with your care provider. See what Dr. Sears has to say about the flu shot during pregnancy HERE and HERE Flu shots in pregnancy protect babies from being born too soon, Canadian studies show
Ottowa Citizen http://bit.ly/1gqKeoL BIRTH Premature 'Water Breaking' During Pregnancy Linked to Bacteria
WebMD http://bit.ly/1d31rF3 POSTPARTUM Is Placenta Encapsulation the Answer to Postpartum Depression?
Health24 http://bit.ly/1iWKgZG Doctors report uptick in number of babies with RSV, a respiratory virus, this flu season
abc13.com http://bit.ly/1gqJ8cC BREASTFEEDING Study Links Breastfeeding to Lower Risk of Rheumatoid Arthritis
Science World Report http://bit.ly/1iWMTKQ 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®. |
A New Chapter: Meet Cassandra
Posted on March 5, 2013 at 8:48 AM |
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Bruss and I would like to welcome Cassandra to the Sweet Pea Births Family. She will be a regular contributor to the blog and you will start seeing her around the internet on our other social media platforms. I am looking forward to sharing her areas of expertise with our students and readers. Bienvenidos, Cassandra! ~KRB I am wife to my wonderful husband, Eric, of four years, and
mother to our one-year-old son. I quit my career in telecommunications finance
at 34 weeks pregnant and have stayed home ever since. SAHM, wife, mother, all
roles I am still struggling to understand, identify, navigate, and balance a
year later.
In 2009 I began a whirlwind adventure into all things
nutrition, holistic healing, natural living, conscious consumerism, and
sustainability, not only for our earth but also for us! This led me to obtaining
a certificate in Holistic Nutrition from the Southwest Institute of Healing
Arts in 2010 and exploring the world of healthy pregnancy and natural home
birth before becoming pregnant in 2011. Now my days are filled with post
partum/nursing nutrition, toddler nutrition, gentle parenting, and being the
best facilitator to my son as he explores the world.
My pregnancy was filled with tons of herbs/herbal tea,
chiropractic care, yoga, massages, nutritious food, walking, weight training
(until my due date!). Everything progressed
very normally. At 43 weeks 4 days (according to the date *I* believed my
baby was conceived), I woke up around 9:00 am and while laying in bed felt some
slight cramps that were coming and going about every 5/6 minutes. I had no
signs of labor up until this point and I knew this could last for days or even
weeks so I just relaxed, read, and then got ready for the day. My husband was
taking me on an afternoon date to see The Lorax!
While I was getting ready they were coming a little stronger
and by the time I met my husband at 1:00 pm, I was stopping for a breath at each
one. I LOVED the movie but about an hour into it I just couldn't get
comfortable during the contractions and I asked if we could leave so I could
lie down (I still haven't seen the end of that movie!).
We got home about 4:00 pm and I tried laying on the couch
while my husband changed our bed sheets and made me something to eat. That
wasn't very comfortable and I settled in on the floor. Around 5:45 pm I called our doula. I knew it could still be a
very long time and didn’t want her to come prematurely but wanted to give her a
heads up so she could plan her night. She was on her way to teach a birth class
which was from 6:30-8:30 pm and I told her to just come after! She had to run
home and get her things and said it would probably take about an hour and I
figured I could definitely go on like this for three more hours and 9:30 pm would be perfect. The bed was now ready so I got in, surrounded myself with
pillows and tried to rest, but they were really coming now. I also had to get
up and pee a lot, which was no fun. I felt the best lying down, I needed to be
supported and just try and sink into the bed when a contraction would come. I
tried the birth ball for one and I just felt so unstable without the support of
the bed and pillows all around me. I would have some on the toilet though and
would brace myself against the door; the support of the door and the toilet
beneath was good too. Around 6:45 pm they were more intense and hard for me so I
started moaning through them, it actually really helped. I decided I needed to
call our doula back and have her come now. I also called our midwife then to
give her the heads up as I was definitely feeling this was the real thing and
hoping to have my baby with us sometime the next morning. Our doula arrived around 8:00 pm, and I was so happy to see her. I was still
in bed, surrounded by pillows and not opening my eyes – just moaning through
each contraction. She set up the birth tub and it was super noisy but I didn’t
mind at all, during my contractions I was in my own world and although I would
still have my eyes closed between contractions I could still hear and
understand everything going on around me. I am not sure what time it was when the first batch of hot
water was in the tub but that is when I got in, it wasn’t very deep but it was
actually perfect. The water felt good. I got on my knees and laid over the side
with my arms outside, I began to lose it a little in the pool. The contractions
were so strong and honestly I wish I could describe how they felt but I can’t,
I couldn’t really explain to my husband right after and by now I can’t remember
as vividly. They were HARD though, I got really scared that this was going to go
on for hours and hours and hours and I knew I wouldn’t be able to last that
long. I kept asking my doula if she thought I had a lot longer left and she
just kept telling me to focus on each contraction and not think about anything
except that one. She held my hands and repeated “think about being soft and
open in front of your baby” during the contractions and I did. I spread my legs
out wide during each and thought about my cervix as butter melting away.
Between contractions all I wanted to do was rest, I just wanted to lie down. I
started sitting back in the tub during the breaks just to try and find some
relief, even though it was more work to get back up as soon as I felt another
contraction coming. During this time I had a non-stop feeling that I had to pee.
I would get out of the tub and go to the toilet but during contractions it
started feeling so much better if I pushed like I was peeing. Our doula put a
chux pad outside of the pool and I spent a couple contractions coming back from
the bathroom leaning on the outside of the pool and pee would dribble out each
time. She said a little bit of pee in the pool was fine and I was SO happy
because it seriously felt so much better when I could do that during the
contractions. Somewhere in here I was asked if I wanted the student
midwives to come hang out in the other room but I said no, surprisingly (for my
worrisome nature) I didn’t feel like anything was wrong and the only thing I
was worried about was that labor was going to go on forever and I wouldn’t be able
to make it through. I started feeling some spasms on the right side of my belly
during three contractions and then at 9:55 pm my water broke! It was the wildest
feeling ever, I really had NO idea what it was – it felt like a big gush and
then bubbles coming out. I don’t know if I made a weird face or something but
my doula immediately asked if my water broke and then I knew what it was! The very next contraction was a pushing contraction – it was
the craziest thing I have ever felt. It was like my stomach was literally
ejecting my baby out. It would happen about three times each contraction. It
wasn’t as “painful” as the other contractions but VERY overwhelming and
honestly scary to me because it was SO strong and so involuntary – my body was
doing it all without me and it was nuts! I don’t think I actually pushed with
the contractions for awhile, I didn’t feel like I was doing anything – it felt
like my body all on it’s own. My doula told me to reach down and see if I could
feel my baby and I could! His head was about half a finger inside. After a few contractions his head was closer, and then I
would feel it come down and go back up. It then started coming down and staying
down, but during the break between contractions would go back up.
My husband replaced my doula in front of me holding my hands
during these contractions while she went behind me and put counter pressure on
my back. It felt amazing, I didn’t really feel that much pressure in my
back/bum and I think it was because she was doing that. The beginning of a
couple came without her ready and they were SO MUCH WORSE. Our midwives arrived around 10:40 pm. They checked my baby’s
heart rate and it sounded good and I was relieved. I hadn’t felt any movement
from him and a couple of times it crossed my mind that maybe he wasn’t ok or
alive (I know that is awful but it was in my thoughts). Pretty soon I started
feeling burning on the inside, then a couple more contractions later and I was
feeling a terrible burning on the outside – I could reach down and feel my
son’s head RIGHT there. I had felt something slimy sticking out of me earlier and my
doula had checked me with a flashlight and mirror and saw that it was just part
of my bag of waters. Our midwife noticed the same thing at this point and wanted
to make sure she knew what it was, she couldn’t get a good look with the
flashlight so she told me I needed to stand up. I thought there was no possible
way in the world that I could stand up even if I tried but somehow everyone
helped me up, a contraction hit and my baby just shot/tumbled/fell right out,
it was 11:20pm on March 7th, 2012.
Later this week I will be sharing Part 2 so watch for
it on Friday! In the mean time I would love to hear from you in the comments: where did
you birth your baby(ies)? Was it what you expected or planned, why or why not? 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. ~KRB Disclaimer: 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®. |
Rupture of Membranes
Posted on October 16, 2012 at 5:06 PM |
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The set up: We were
reviewing information from the previous class on vaginal exams, and reminding
students that *anything* going upstream once the membranes have ruptured has the
potential to introduce infection. We
were also reviewing what the pros and cons were to having an amniotomy
(artificial rupture of membranes) performed. The question: How long is too long to have your membranes
ruptured? The answer: Our
answer was to remind our students that once the membranes rupture, care
providers do not want patients putting anything in the vagina and discourage augmenting labor with intercourse (what!?). In addition, we have the privilege of having a pediatrician
in attendance in our classes (she is going to be the assistant coach for one of
our students), and I was happy to have her input. She said that there are several studies that
cite 48 hours as the time when the risk of infection rises. So I set out to find these studies and I did not find them. I did find that the medical term for one of the infections is chorioamnionitis, and this has been tied to risk associated with the number of vaginal exams in labor: "Chorioamnionitis is an inflammation of the fetal membranes (amnion and chorion) due to a bacterial infection. It typically results from bacteria ascending into the uterus from the vagina and is most often associated with prolonged labor. The risk of developing chorioamnionitis increases with each vaginal examination that is performed in the final month of pregnancy, including during labor." From Wikipedia Here is a link
that explains the risk of infection and the signs to look for that might
indicate that the mother is developing an infection:
Here some additional links that you might also like to
review:
In conclusion, we want all of our students and readers to
remember that it is up to them to educate themselves – what are the benefits
and risks to any of the procedures or protocols of pregnancy, labor and birth? It is up to you to read up on the variations
and complications of labor. Once you are
informed, then you can decide what course of action you may want to take in
regards to your own situation and use that as a starting point for discussion
with your care provider. Disclaimer: 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®. |
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