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Sweet Pea Births

Chandler, Arizona

Sweet Pea Births

...celebrating every swee​t pea their birth

Blog

Getting Labor Started

Posted on October 21, 2016 at 12:29 PM Comments comments (0)
Among the common text questions I get, is "What can I/my friend do to get labor started?"

The answer I want to give: Wait.





My_theory is that here is nothing you can do that is going to start labor if the baby isn't ready.  And sometimes it's not the baby...it's the mother.  The mother has more factors in play that can be influenced: physical, chemical, mental, emotional...any one or all of these can delay the onset of labor.

Since we are an action-type of culture, here are the things I offer when I get this text.  All of them **do not** include "taking something".  They are all things to help the mother and baby align physically and emotionally with the oncoming labor and birth of the baby.

Along with "doing something", we also invite our students who send us this text to do some internal checks: is there anything they are worried about? That they have left to do or say before the baby arrives? Are there any unexplored conversations or feelings to face?

An extra disclaimer: for any of the body workers, do your homework and check out their certifying organizations. In addition, trust your instinct - if you do not feel comfortable with them, politely decline an appointment and call the next person on your list.

So, having said all that...here are some ideas to try if you feel like waiting is not an option...

For Mom:
Acupuncture - an ancient Chinese modality that involves inserting very fine needles along meridians of energy in the body.

Acupressure - if you are needle-averse, this uses applied pressure on the energy meridians.

Pregnancy Massage - your local childbirth educator, doula or midwife probably has at least one or two names for you to contact.  These practitioners specialize in releasing tension and opening the body.

Chiropractic Adjustment - again, your local birth workers may have some leads for you. A chiropractor trained in the Webster Protocol can do an assessment to see if the mother's body is optimally aligned for labor and birth.  
Making love - yes, really. If your partner is a man, his semen can help ripen your cervix with natural prostaglandins. If you were to be induced in the hospital, they will insert the synthetic version to get things going.  Whatever gender your partner is, as long as they can help you climax, there is a possibility that one contraction of muscles may encourage the uterine muscles to start contracting as well.  And if nothing starts, at least you (hopefully) both had an enjoyable time trying to get labor started.

Self-Reflection  - Is there anything you still want to do - say - accomplish before your Sweet Pea arrives? Any issues or fears you would like to explore or resolve? I encourage our students to do some kind of fear release exercise or an art exploration to access their right brain and see if anything new comes up or any ideas present themselves. Sometimes just naming them makes a huge difference in being emotionally ready for the birth journey.

For Baby:
Pelvic Rocking - encourages the baby into an optimal fetal position. When you are on hands and knees, it is more likely for them to put their heaviest side (spine-down) against your belly-button.

Deep Chest-Knee Position - kneeling on the floor, instead of resting on your hands, put your chest on the floor. This position helps to get a malpositioned baby that has found a comfortable spot out of that spot that isn't allowing labor to start or progress. Once the baby is out of the pelvis, you can try other things to get baby back into the pelvis with a better alignment. 

Miles Circuit - a series of three exercises to encourage optimal fetal positioning. Two doulas brainstorming over the phone gave rise to this popular labor tool.

Spinning Babies - a website that offers several ideas to encourage babies into an optimal fetal position.

Read more about how we used Webster Protocol and Deep Chest-Knee position in THIS post.

Disclaimer: 
The material included in this video is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The viewer 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 and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
 
Birthing From Within and Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson


Info Sheet: Vaginal Exams

Posted on March 4, 2016 at 2:01 PM Comments comments (0)
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
Pelvic or Vaginal Exam during Pregnancy (3rd Trimester)

According to Mayo Clinic, “as your due date approaches, your prenatal visits might  include pelvic exams. These exams help your health care provider check the baby's position and detect cervical changes.”


*History

Pelvic examination during pregnancy is used to detect a number of clinical conditions such as anatomical abnormalities and sexually transmitted infections, to evaluate the size of a woman’s pelvis (pelvimetry) and to assess the uterine cervix so as to be able to detect signs of cervical incompetence (associated with recurrent mid-trimester miscarriages) or to predict preterm labour (see Section 11.3).

In an RCT that assessed the relationship between antenatal pelvic examinations and preterm rupture of the membranes (PROM), 175 women were assigned to no examinations and 174 women were assigned to routine digital pelvic examinations commencing at 37 weeks and continuing until delivery.233 In the group of women who had no pelvic examination, ten women developed PROM (6%) compared with 32 women (18%) from the group of women who were examined weekly. This three-fold increase in the occurrence of PROM among women who had pelvic examinations was significant. 

Based on the above study the NCBI concluded, “Routine antenatal pelvic examination does not accurately assess gestational age, nor does it accurately predict preterm birth or cephalopelvic disproportion. It is not recommended.” 

Another study completed by the NCBI concluded, “In patients with a US-documented viable pregnancy, the pelvic examination did not contribute to the patient's immediate obstetric treatment. Occult cervical pathogens may be present in these patients.” 

Sources:

*PROS

Vaginal Exams can possibly measure:


  • Cervical Dilation
  •  Cervical Ripeness
  • Cervical Effacement
  •  Station of baby (position in relation to pelvis -5 to +5)
  • Position of the baby (anterior vs. posterior)
  • Position of the cervix
  • May find cervical anomalies, like early dilation and effacement, so that appropriate changes can be made to the woman's care, including bedrest, hospitalization, tocolytics, etc.
  • May stimulate the cervix so that a medical induction does not become "necessary"



*CONS

  • Increased risks of infection, even when done carefully and with sterile gloves
  • Increased risk of rupturing the membranes
  • May stimulate the cervix prematurely
  • Information collected does not accurately predict when labor will begin and may excite or disappoint women unnecessarily 

Sources:

*Links to explore

Pelvic Exams Near Term: Benefit or Risk? Talking to Mothers About Informed Consent and Refusal

Premature rupture of membranes at term. Retrospective study of 88 cases

Chorioamnionitis in the delivery room

Bacterial vaginosis and intraamniotic infection

Premature rupture of the membranes and ascending infection

Did you have vaginal exams in your third trimester before your labor started? Thoughts?
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

Q&A with SPB: Delivering the Placenta

Posted on October 6, 2015 at 9:54 AM Comments comments (0)
Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
This is a question that came up in class on Friday evening. I thought it would be great to answer it as a Q&A today:


Here is summary of the info:
Anywhere from 10 minutes to 1 hour could be considered range of normal as long as mom is doing well and not losing too much blood (<2 liters). Reference HERE

HERE is a great article to read about the delivery of the placenta and possible complicaitons. Dr. Rachel Reed, who writes the blog, Midwife Thinking, offers information and writes about a couple of scenarios that might interfere with the delivery of the placenta.

Please leave me a comment with your experience in this last phase of labor. Thankfully, all of ours were uneventful.  Also, let me know if you have a question for next week!

Bradley Method® natural childbirth classes offered in Arizona: convenient to Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, PaysonDisclaimer: 
The material included in this blog and video is for informational purposes only. It is not intended nor implied to be a substitute for professional medical advice. The viewer 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 and video contain information about our classes available in Chandler, AZ and Payson, AZ and is not the official website of The Bradley Method®. The views contained in this video and on our blog do not necessarily reflect those of The Bradley Method® or the American Academy of Husband-Coached Childbirth®.
 


Info Sheet: Amniotomy

Posted on February 6, 2015 at 9:23 AM Comments comments (0)
Amniotomy, Artificial Rupture of the Membranes, AROM - Info sheet for Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
*Definition
Amniotomy, also known as Artificial Rupture of the Membranes (AROM) is the surgical rupture of fetal membranes to induce or expedite labor.

Source: 
American Heritage Medical Dictionary

 
*History
Amniotomy is used to start or speed up contractions and, as a result, shorten the length of labour.
 
Artificial rupture of the amniotic membranes during labour, sometimes called amniotomy or ’breaking of the waters’ was introduced in the mid-eighteenth century, first being described in 1756 by an English obstetrician, Thomas Denman (Calder 1999). Whilst he emphasized reliance on the natural process of labour, he acknowledged that rupture of the membranes might be necessary in order to induce or accelerate labour (Dunn 1992). Since then, the popularity of amniotomy as a procedure has varied over time (Busowski1995), more recently becoming common practice in many maternity units throughout the UK and Ireland (Downe 2001; Enkin 2000a ; O’Driscoll 1993) and in parts of the developing world (Camey 1996; Chanrachakul 2001; Rana 2003). The primary aim of amniotomy is to speed up contractions and, therefore, shorten the length of labour.
 
The first recorded use of amniotomy in the United States was in 1810; it was used to induce premature labor. Amniotomy and other mechanical methods remained the methods of labor induction most commonly employed until the 20th century. Amniotomy, or artificial rupture of the amniotic membranes, causes local synthesis and release of prostaglandins, leading to labor within 6 hours in nearly 90% of term patients. Turnbull and Anderson found that amniotomy without additional drug therapy successfully induced labor in approximately 75% of cases within 24 hours.
 
Sources: 
 
PROS
  • Amniotomy was associated with a reduction in labour duration of between 60 and 120 minutes in various trials
  • There was a statistically significant association of amniotomy with a decrease in the use of oxytocin: OR = 0.79; 95% CI = 0.67-0.92 in several randomized trials
  • AROM does not involve any type of medication to mom or baby and is considered by some to be the most “natural” means of induction in a hospital setting.
 
CONS
  • In several randomized trials there was a marked trend toward an increase in the risk of Cesarean delivery: OR = 1.26; 95% Confidence Interval (CI)=0.96-1. 66.
  • Trial reviewers suggest that amniotomy should be reserved for women with abnormal labour progress.
  • In 15 studies containing 5583 women there was no clear statistically significant difference between women in the amniotomy and control groups in length of the first stage of labour
  • Evidence does not support routinely breaking the waters for women in normally progressing spontaneous labour or where labours have become prolonged.
  • [Once membranes are broken} most obstetricians want the baby birthed as soon as 6 hours post-onset to reduce the risk of infection from the introduction of bacteria into the vagina due to repeated vaginal exams. Some obstetricians will wait as long as 24 hours but that is less common. In contrast, midwives, who do not routinely perform cervical checks unless specifically indicated or requested, thus limiting the chance of infection, will often allow up to 36-48 hours as long as no indications of an active infection are present.
  • A large study of 3000 women’s opinions of the intervention was conducted by the National Childbirth Trust (1989). Two thirds of the women in this study reported an increase in rate, strength and pain of contractions following membrane rupture; they found these contractions more difficult to cope with, needed more analgesia and felt that the physiology of labour was disturbed.
  • When there is concern that labour is slowing down, benign measures to intensify contractions such as positional changes and movement may prevent the need for more invasive interventions (Simkin 2010). The Cochrane review of maternal positions and mobility during first stage labour supports the positive impact mobility has in shortening labour (Lawrence et al. 2009).
  • Smyth et al. 2007 studies showed that amniotomy is not an effective method of shortening spontaneous labour and increases the risk of caesarean section and more fetal heart abnormalities
 
Sources:


 
*Link List
 For further exploration on your part


What do you think? Is this an option you would consider, or that you chose for during your birth?
 

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®.

 

Birth Story: Baby P Born At Home

Posted on January 29, 2015 at 10:02 PM Comments comments (0)



We are thrilled and honored to share a very special birth story today.  Our guest blogger, Cassandra is a newly minted mother of two - congratulations!!  Today she shares the story of Baby P's arrival. It is the complete opposite of last week's marathon labor birth story. She and Baby P definitely had a different path!



Baby P is baby #2 for our family; you can read my son’s home birth story from 2012 here on the blog.

I have been blogging about certain aspects of my second pregnancy on Sweet Pea Families over the course of the last few months; fears, affirmations, newborn essentials, and most recently musings over my labor, what it would be like and who would be there. I had grand visions of a coming together of many women in the late afternoon or evening, laboring peacefully in the birth tub with plenty of laughter and wearing the cute new bra and panty set I purchased to look nice for the photographer that would be there. My daughter would definitely be born in the water since coincidentally her brother, even though we were in the tub, was born over the water. But, as it turns out (again!) babies decide things for themselves and we, as mothers are simply a vessel for whatever their life holds for them.

My son was born at 43 weeks 3 days from my LMP. Dates were ambiguous due to irregular cycles and lack of ultrasounds, but with no vernix, long fingernails and an aging placenta at birth he was definitely a longer cooked baby. Going that far past my “due” date was definitely an emotional time: not knowing what to expect as a first time mom, worrying, comments from family/friends/strangers, etc. etc.

Baby #2 was surprisingly conceived after my first cycle at 25 months postpartum. I got a positive pregnancy test on cycle day 30 and a twelve week and then twenty week ultrasound both matched up with my LMP due date. So, this time was different, we knew! It was always in my mind that maybe I just cooked babies a little slower than most but as the pregnancy progressed I didn't really think there was any way I was going to go past my due date. I was so cramp-y this time, so much more pressure down low, so much more active, I had a completely different lifestyle chasing an almost 3 year old every day than during my first pregnancy.  But alas, my due date came and went and then a whole other week passed. At 41 weeks I was having doubts about the baby coming out any time soon and really just couldn’t believe I had gone so far again. 

At 41 weeks 1 day, a Monday, I was feeling good and talked with my midwife about just waiting it out another week and seeing what the weekend held. At 41 weeks 2 days, Tuesday, I was totally done being pregnant. My son and I had a great, exhausting day that day. We played at home, went grocery shopping, had a coffee and muffin date and met with a friend at the park to play in the sunshine for 3 whole hours. We came home and made dinner and he stayed up past his bedtime while my midwife came over for our weekly appointment. We chatted about the risks of the pregnancy progressing past 42 weeks, how we (my husband and I) each felt, what natural induction methods she likes to use and ultimately I decided I really just wanted a membrane sweep right then.

I had one with my son that resulted in losing my mucus plug and then starting labor two days later and I was ready. It was the night of a super new moon and I finally felt at ease to try and do something (at this point we weren't employing any kind of help labor start tactics). If my baby and body weren’t ready I trusted that nothing would happen anyways and we would continue waiting.

We were done with the sweep around 7PM with caution from my midwife that there could be spotting and cramps during the night, all totally normal and to try some nipple stimulation if I wanted. My son went to bed and my husband and I settled in on the couch for some Netflix while I hooked up to my breast pump for exactly ten minutes. We went to bed shortly after as we were both really tired from a long day and I fell asleep pretty quickly. I felt cramps on and off through the night in a very sleepy haze, my son slept horribly and was crying most of the night but thankfully my husband was comforting him and I spent most of the night able to drift in and out.

I woke up at 6:40AM and had what felt like bad period cramps, sharp, painful cramps super low in my pelvis that went away very quickly. I wondered if I should still be having cramps 12 hours after the sweep (?) and hoped they would go away soon. I got up to go to the bathroom and brush my teeth and had lots of bowel movements. This used to happen to me every time I had period cramps so I wasn’t surprised; and afterwards laid back down to try and sleep some more until my son woke up. 

He was up a little bit after 7AM and I was still having the cramps so I text my husband around 7:15 and asked if he could come home for a little bit to be with our son until these cramps went away. I was fine in bed but T was asking for breakfast, etc. and I just felt icky and wanted to stay resting. He didn’t respond so T and I read books in bed and then looked at photos on my phone. Around 7:45 I was still having them so I called my husband (he hadn’t seen the texts) and asked him if he would just come home from work for a little bit. T and I stayed in bed cuddling, goofing off, laughing and watching videos of him on my phone. 

Around 8:30AM my husband finally walks in just as I was about to call him again, he had brought breakfast and I was so happy because I was starving! I used the opportunity to finally get up and go to the bathroom again and the cramps were still coming, fairly frequently and kind of radiating down and out into my pelvis. Definitely still cramps though, did not feel anything like a “contraction”. We decided to call the midwife as she emphasized calling her as soon as I suspected anything since my son was born fairly quickly after active labor began. 

I dialed her at 8:37AM and left a message. She instructed on her voicemail that if she didn’t call back in 15 minutes to call our other midwife. Right afterwards I text our photographer, she has a son that she needed to make arrangements for so I wanted to give her as big of a heads up as possible if there was any chance I was going to be in labor today. “Hi it’s Cassandra, I might be in labor today!” I told her about the sweep the night before and that I was just having cramps so I wasn’t sure and I had called my midwife but was just waiting to hear back and that I would keep her updated. After that I came out of the bathroom and tried to lean into our hallway wall during one of the cramps to see if that alleviated the pressure, it didn’t so I headed back to the bathroom. I was starting to think this was a membrane sweep gone horribly wrong and I had brought these insane cramps on myself and now who knew what was going to happen!  

I felt much better on the toilet. I would push down into the sides of the toilet seat during the cramps and kept having to pee or poo so it was better anyways. 15 minutes passed so I called our second midwife at 8:51AM. We talked for 8 minutes about what was happening (cramps, mucus tinged with blood, bowel movements) and I had two of the cramps while I was on the phone with her. She said she couldn’t tell I was having them and it sounded like early labor stuff and to try and lie down and rest between them, eat something and to let her know when they seemed to undergo a change. So I got off the toilet and lay down in bed and asked my husband to bring me some pancakes. I was still so hungry and so happy to be eating, I had two bites and then another cramp came and I immediately needed him to take the food away from me. I also did not want to be lying down. There was NO way I could rest; so back to the toilet I went.

I listened to my husband and son playing a Frozen matching card game in the other room and was still trying to understand what might be happening to me. The cramps got stronger and I asked for a chair from the kitchen to put backwards in front of the toilet so I could drape my arms over the back and press into it during the cramps. At 9:17AM I had a cramp that left me shaking and immediately breaking out into sweat all over. This was intense! I text my midwife “Ok getting hot and sweaty and shaky. Can’t rest” and she responded she was on her way. There was also a lot of blood after that and I finally knew this was definitely labor. 

Midwife called at 9:21 while she was driving and I couldn’t even really talk to her. I text my photographer at 9:24 and said “Ok def in labor. Midwife coming over now, 15 mins away.” She wrote back that she would be over in about 15 or 20 minutes too! This was when I told my husband to start filling up our tub – it had been inflated and ready to go for weeks and he just needed to fit the cover on it and then add water.

I had wanted to alert my friends from my blessingway when I was in labor and now that midwives and photographer were out of the way I could finally let them know. I sent out a text to everyone in the group at 9:27AM that said “Baby’s coming, send love – need it already <3” I remember trying to make sure that I included everyone and that I was trying to count the names and count the girls in attendance and it was hard for me to concentrate, but I did get everyone! The responses were just starting to come in when my midwife walked in about 9:30AM. 

Just before then I was starting to get worried about continuing to do this on my own as my husband was tending to the tub and playing with our son so I was really happy to see her. She asked if I was pushing and I was kind of caught off guard, pushing!? No way, what? I was definitely not pushing! Then another wave came and AH! There was a head! I was pushing!? I half yelled out that I was pushing and she asked if I could feel the baby’s head. I said no but then I barely reached up and the head was right there. She told me I needed to get off the toilet, which was seriously the last thing I wanted to do. She helped me down onto the birth stool where I tried to sit and then hold myself up against her but it was really unstable and I needed to get down. This entire time I could feel baby’s head right there. When I got off the stool I felt her head kind of suck back up a little and wasn’t sure where I was going or what I was doing but I heard hands and knees and I just kind of fell onto the floor in that position, head facing the corner, butt facing the doorway. This all happened in a couple of minutes and soon our photographer, Kirsten, walked in. She was greeted in the bathroom doorway to my bum and then a little bit of baby’s head starting to come out.

On the next push I moaned out so loud and low, it didn’t even really sound like me, I think this was the first noise I made the entire time. I was proud of myself that it was loud and low and not high pitched screaming (like I was with T). I knew I had to keep it that way and gosh the burning, ah! I literally just gave way to the burning, told myself it was happening and just feel it, don’t fight it and then her head was out! I said I wanted the rest of her out, just get her out! but I knew that wasn’t what I really wanted. Tearing so badly again was one of my biggest fears around labor and I knew this was the moment. My midwife told me to pant and I tried but couldn’t really so I started just breathing shortly and blowing raspberries, I could do that and it calmed me down and gave me something to focus on while I just stayed in hands and knees with her head out. I heard my husband say something like oh my gosh eyes! A little nose and mouth, awww! I kept up my breathing/blowing and then all of a sudden her body was out!

Birth story - Baby P born at home

She handed her to me and I sat back on the bathroom floor and held her, it was 9:51AM. Not even an hour and a half from when my husband walked in the door with breakfast and our baby was here, so mind blowing.

I felt fantastic. I had so many emotions rush me all at once and I felt energized and ecstatic and it will definitely be engrained in my mind as one of the best moments of my life. I got up and walked to the other room to lie down in bed and seriously just could not believe how great I felt. T was right there in the doorway watching the entire time and once I got settled in bed  he climbed right up to touch and kiss his new baby sister.

Birth story - Baby P born at home

Needless to say the tub was not filled up enough for me to get in it once I had to get off the toilet and the pictures are not going to be anything like I had imagined. I did not get to diffuse my Serenity blend or light my beeswax candles or stare at the affirmation wall I had created in the bedroom, but I wouldn’t change anything about it. So intense, but so quick and so perfect. It was a beautiful sunny day and after everything was cleaned up we all hung out in bed as a family of four watching movies, reading books and playing games and I couldn’t have even imagined the amount of bliss I felt.  
Birth story - Baby P born at homeI needed no stitches, which literally made me want to jump up and down and cry out with joy and I have felt pretty great every single day since.
 
Birth story - Baby P born at home

I learned so much from baby P’s birth, there was not a single sensation that felt the same as my last labor and birth. Again, mind blowing. It was a great reminder to throw out any and all expectations I may have surrounding this little girl and being her mama, as we truly are never in control.

Congratulations, Cassandra, Eric, and new big brother T !!
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®.

Birth Story: Penelope

Posted on January 9, 2015 at 9:12 AM Comments comments (0)
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson
It’s birth story day!!  This week I am sharing a birth story from our Fall 2012 class.  In today's video, Courtney is talking about her family's birth journey with our Winter 2012-13 class.  Jake was working, so Courtney shares his words of wisdom for coaches, too.

Here is their backstory: 

  • Courtney was diagnosed with Gestational Diabetes via blood glucose test (usually administered between 24 – 28 weeks of pregnancy)
  • High Blood Pressure was measured at office visits from 36 weeks on; whenever she checked her blood pressure at home, it was normal
  • Midwife recommended induction at 38 weeks due to risks of having gestational diabetes (large baby, possible stillbirth) – Courtney negotiated for more office visits, more monitoring, and extra ultrasounds to “buy” two extra weeks of pregnancy


How their birth journey progressed:
  • Courtney and Jake agreed to induction on her due date with prostaglandin gels
  • After about 12 hours at the hospital, the couple was told that labor had not progressed enough so they agreed to an amniotomy (artificial rupture of membranes)
  • Baby was born vaginally with no other interventions at 11:56 pm


In Courtney's own words:

 

Video Highlights:
Note: Looking back, Courtney was so grateful she advocated for a longer pregnancy.  One of the biggest concerns about gestational diabetes is that babies are larger than average.  At birth (40 weeks gestation), their baby weighed 6 pounds, 9 ounces and measured 21 inches long.  This is clearly *not* a baby that would be called “large for gestational age” when you consider the average birth weight for a term baby is about 7.5 pounds.

Which labor tools worked for you to manage the intensity?

  • Changing positions and moving around: we the used birth tub, knees on bed and arms draped over back of the bed, side lying position
  • Being surrounded by people who support your choices is probably the most important thing: husband spoke up and asked people who were in the room to leave; midwife was amazing; everyone on staff who walked in the room acknowledged reading and supporting their birth plan
  • Peppermint oil for nausea – helped control the pace of her breathing
  • Unspoken communication with a loving coach – even though it felt silly at the time, the practice in classes and at home paid off because he knew what she wanted with the wave of a hand.

 
What would Jake (husband) say if he were here?

  • Be prepared for everything
  • Expect everything to not go the way you want it
  • Try to predict what she needs so she does not have to say it


Some images from their birth:
 
Courtney & Jake's Birth Journey
Courtney & Jake's Birth Journey
Early labor after induction with prostaglandin gels. They are using the labor position we call "The Prom Dance".
Courtney & Jake's Birth Journey
Using the deep tubs available for laboring at Mercy Gilbert Medical Center
Courtney & Jake's Birth Journey
Courtney & Jake's Birth Journey
Courtney & Jake's Birth Journey
The awe that hits many couples after Sweet Pea arrives...we hope that you are supported in your birth choices so you can feel awed by your birth journey, too.
 
PostScript:
Courtney and her husband Jake were the last couple that enrolled in that class series with a last-minute phone call, “We really need to get into this class!”  You would be hard-pressed to find a birth worker who would say no to them!!  It is so humbling to hear that saying yes to them when we had a full class already made a big difference for their birth. I praise God for His wisdom and His incredible design.

 
What did you learn from your birth journey?
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®.

 

Info Sheet: Stripping Membranes

Posted on April 18, 2014 at 7:04 PM Comments comments (0)


The information below is paraphrased and/or quoted from the listed sources.

*Definition of the procedure
Stripping Membranes
Stripping membranes, sometimes called "sweeping of the membranes" or "membrane sweeping", is a method used to try to start labor. The health care provider puts her or his finger into the cervix – the mouth of the uterus – and uses the finger to separate the bag of waters from the side of the uterus near the cervix. This releases local prostaglandins/hormones that can trigger contractions. It can be done in your doctor or midwife's office.
 
The National Institute for Health and Clinical Excellence (NICE) notes that for the purpose of it's guideline, membrane sweeping is regarded as an adjunct to induction of labor rather than an actual method of induction.
 
Sources: 
  1. http://www.midwife.org/ACNM/files/ccLibraryFiles/Filename/000000000669/Stripping%20Membranes.pdf
  2. http://www.medscape.com/viewarticle/703499
  3. http://www.webmd.com/baby/guide/inducing-labor?page=2
  4. http://www.guideline.gov/syntheses/synthesis.aspx?id=24079
 
 
*History
Sweeping (or stripping) the membranes (sometimes referred to as a 'strip and stretch') is an old method of induction that was first documented in the year 1810.

The available evidence suggests that sweeping the membranes promotes the onset of labor. For women thought to require induction of labor, a reduction in the use of more formal methods of induction could be expected. For women near term (37 to 40 weeks of gestation) in an uncomplicated pregnancy there seems to be little justification for performing routine sweeping of membranes. Sweeping of the membranes is probably safe, provided that the intervention is avoided in pregnancies complicated by placenta praevia or when contraindications for labor and/or vaginal delivery are present. There is no evidence that sweeping the membranes increases the risk of maternal and neonatal infection, or of premature rupture of the membranes. However, women’s discomfort during the procedure and other side-effects must be balanced with the expected benefits before submitting women to sweeping of the membranes.
 
According to the American College of Obstetricians and Gynecologists (ACOG), stripping membranes increases the likelihood of spontaneous labor within 48 hours and reduces the incidence of induction with other methods.
 
Sources: 
  1. http://www.birth.com.au/induced-labour/sweeping-the-membranes-for-induction-about#.UydpR_0q6DE
  2. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0CC4QFjAB&url=http%3A%2F%2Fwww.update-software.com%2Fpdf%2Fcd000451.pdf&ei=42knU-W_B8vwoASYlIDYAw&usg=AFQjCNG1TDfgdKgCsUPnWdnaq63XUBCU6w&bvm=bv.62922401,d.cGU

 
*PROS

  • It is a drug free…method of stimulating labor
  • It may mean you avoid further intervention
  • You can have it performed at home or in your health care providers office
  • Spontaneous delivery is more likely
  • Has been found to reduce the risk of post term gestation, or pregnancy continuing past 41 weeks.

Sources:

  1. http://www.birth.com.au/induced-labour/sweeping-the-membranes-for-induction-about#.UydpR_0q6DE
  2. http://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=2&cad=rja&uact=8&ved=0CC4QFjAB&url=http%3A%2F%2Fwww.update-software.com%2Fpdf%2Fcd000451.pdf&ei=42knU-W_B8vwoASYlIDYAw&usg=AFQjCNG1TDfgdKgCsUPnWdnaq63XUBCU6w&bvm=bv.62922401,d.cGU

 
In a randomized trial of 274 women, the women who underwent membrane sweeping had:

  • Higher spontaneous vaginal delivery rate (69% vs 56%, P=.041)
  • Shorter induction-to-delivery interval (mean 14 vs 19 hours, P=.003)
  • Fewer requirements for oxytocin (46% vs 59%, P=.037)
  • Shorter duration of oxytocin infuson (mean 2.6 vs 4.3 hours, P=.001)
  • Greater satisfaction with the birth process

Source: http://www.obgmanagement.com/home/article/membrane-sweeping-and-gbs-a-litigious-combination/08f78b0aa97dff9559c698c2bc0658ba.html#1809OBGM_Article2-box1
 
*CONS

  • Possible discomfort during procedure
  • Possible discomfort after procedure
  • Possible abdominal cramping after procedure
  • Possible spotting after procedure
  • The cramping that may occur in the 24 hours after your membranes are stripped can make it hard to rest or sleep; this means that you might lose some sleep before actually going into labor. 


  • Some people worry that membrane stripping may cause the bag of water to break or cause mothers or babies to become sick. Studies have found that membrane stripping does not make them more likely.
  • Possible risk of spreading infection for mothers that are GBS positive

Source: http://www.medscape.com/viewarticle/703499
 
*Links with other options to explore



Was this intervention part of your birth story? What is your insight? 
Please leave us a comment - it will be moderated and posted. 
 
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®.

 

Birth News Roundup: Dec 19, 2013

Posted on December 19, 2013 at 6:44 PM Comments comments (0)
I didn't include it in the roundup listing, because I hope that by now, everyone has seen this:
Pope Francis Encourages Breast-Feeding Mother in a Public Place!  Here is the story from the  NYTimes.com http://nyti.ms/1bfhrPl

BIG props to Pope Francis for encouraging the mama to Feed The Baby!!

Here are some other noteworthy articles from the past week:

FERTILITY
First Baby Conceived Using New Eeva IVF Technique Born in Great Britain 
“Oliver Lush-Camps is more than just a miracle to his parents, Katy and Jonathon; he’s a miracle to science. Born with the help of the Wessex Fertility Clinic, little Oliver is the first baby to be born using the ground-breaking time-lapse photo technology, Eeva (Early Embryo Viability Assessment).”
Growing Your Baby: http://bit.ly/JK7yDv

Non-invasive method devised to sequence DNA of human eggs
Researchers have  for the first time determined the genome sequence of human egg cells without destroying them.  The feat, reported today in Cell, could help couples who undergo in vitro fertilization (IVF) by allowing them to choose a genetically healthy embryo to implant into the mother without disturbing the embryo's growth.
Nature News & Comment http://bit.ly/1jmGdag

Physicians awarded $4 million to study effects of fertility treatments and obstetric care
"We are trying to understand what is causing the increased risk of problems for pregnancies achieved by in vitro fertilization," said Pisarska. "It is the first study of its kind in humans and it is unique because we will be able to look at the earliest point in human pregnancy, when the fertilized egg implants, to determine if the adverse outcomes are the result of the genetic make-up of the parents that led to problems conceiving in the first place, or whether it is the result of the infertility treatments themselves."
Phys.org http://bit.ly/1ceVi9V

PREGNANCY
Study identifies biomarker linked to poor outcomes in pregnant lupus patients
Investigators found that an imbalance of angiogenic factors, proteins required for the development of the placenta and the health of blood vessels, is associated with poor pregnancy outcomes. Increased levels of an anti-angiogenic protein called sFlt1 in pregnant lupus patients placed them at increased risk of placental insufficiency and preeclampsia, a potentially life-threatening complication. Scientists determined that higher levels of sFlt1 reduce the activity of other angiogenic proteins (placental growth factor, PIGF; vascular endothelial growth factor, VEGF) that are necessary for growth of the placenta and the mother’s blood vessels.
“Pregnant women with lupus or antiphospholipid syndrome are at increased risk for adverse outcomes, particularly preeclampsia, yet identification of those destined for complications has been elusive,” said Jane Salmon, MD, director of the Lupus and APS Center of Excellence at Hospital for Special Surgery and lead author of the study. “We prospectively studied patients to see if we could find a biomarker early in pregnancy that would predict a poor outcome.”
The Almagest http://bit.ly/1ceXm1L

BIRTH
Almost Two-Thirds of Attempted VBACs Are Successful, Study Finds
Almost two-thirds of women who attempt a natural delivery after having a cesarean section for their first birth are successful, according to a study recently published in BJOG: An International Journal of Obstetrics and Gynaecology.

The study, conducted by the Office for Research and Clinical Audit (ORCA) at the Royal College of Obstetricians and Gynaecologists and the London School of Hygiene & Tropical Medicine, aimed to investigate the factors that determine the uptake and success rate of vaginal birth after cesarean.

The data from 143,970 women, who had their first baby by cesarean section between 2004 and 2011, showed that just over half (52%) attempted a vaginal birth after cesarean section (VBAC) for their second baby.
hcp.obgyn.net http://bit.ly/1ceUOAB

Rural-Urban Differences Abound for Induced, Cesarean Births
Labor-induced births for no medical reason increased at a relative rate of 77.7% at rural US hospitals from 2002 through 2010 compared with a relative rate increase of 17.3% for urban hospitals, according to an
article published in the January 2014 issue of Medical Care.

With as many births that take place in the United States every year, the trends have major health, policy and financial implications as current health reform measures go into effect, and rural–urban differences should be considered when implementing payment policies, the researchers write.
http://bit.ly/1ceWpX7

Elective Early-Term Deliveries Increase Complications for Baby and Mom
Historically, a full-term pregnancy is calculated as 40 weeks after the last menstrual period. A term pregnancy occurs at 37 weeks or beyond, and an early-term pregnancy is considered to be 37 weeks to 38 weeks and six days. According to the researchers, approximately 10 to 15 percent of all deliveries in the United States are performed before 39 completed weeks of gestation without a true medical indication for early delivery.
"Morbidity and mortality rates have increased in mothers and their babies that are born in the early-term period compared to babies born at 39 weeks or later," says Jani Jensen, M.D., obstetrician and lead author of the study. "There is a need to improve awareness about the risks associated with this."

The increased risks for newborns include morbidity, such as respiratory (breathing) difficulties, feeding difficulties and problems such as cerebral palsy although the overall risk is low. These morbidities can also lead to higher rates of admission to the neonatal intensive care unit (NICU).
An elective early-term delivery requires a pregnant woman to be induced, which involves medication or procedures to help start labor. This can lead to a prolonged labor requiring deliveries with instruments such as forceps or a vacuum and may cause infection or hemorrhaging. There is also an increased risk of needing to have a cesarean delivery, and long term there could be more surgical complications for the mother. "It's not an entirely benign procedure that we are talking about," says Dr. Jensen.
HealthNewsDigest.com http://bit.ly/1ceWNVv

POSTPARTUM
Postpartum Sitz Bath DIY
There is nothing more relaxing than a hot bath - especially for a mama who has given birth. An easily prepared combination of herbs can add to the natural healing qualities of warm water; a Sitz bath following birth can help ease bruising, tears and abrasions that often accompany many vaginal (and Cesarean Section) births. The ingredients needed for this simple Sitz bath can be found in local health or bulk food shops, equally, one can acquire these herbs from any accredited online herbal shop.
African Babies Don't Cry: http://bit.ly/1ceYzpH

BREASTFEEDING
What Kind of Breastfeeding Schedule Is Normal?
Why won’t your baby let you put him on a 4-hour breastfeeding schedule that other moms talk about?
Why does it seem that your baby wants to nurse all the time?
Because the 4-hour schedule isn’t normal. 
Research has shown that frequent nursing may be more biologically normal than the three-or four-hour schedule new parents are expecting!
Think about it. How often would you eat if you were trying to double your weight in less than six months? 
Plus it is simply not as healthy.
They even tell us adults that 6 smaller meals are better than 3 regular meals for our bodies. Why should babies need less?
Breastfeeding Magazine.com http://bit.ly/1ceS9XG

UAE’s first ever session on reducing Autism cases via Breastfeeding: Shifts Autism fight from Therapy to Prevention
Children with Autism often struggle with emotional bonding, which is facilitated by the oxytocin system. However, it has been found that breastfed children have higher oxytocin levels, boosting their chances of evading Autism. Medical researchers have further confirmed that breastfeeding significantly strengthens the nervous system of both the child and its mother.
AMEinfo.com http://bit.ly/1bfgKpd

BABY
Full of love, baby overcomes challenge after challenge
For five months, the family bonded in the NICU after scrubbing clean from the outside world, around tubes and machines, and between visits from nurses and doctors. Jane fought with necrotizing enterocolitis – a gastrointestinal disease that can result in death for premature babies. As babies her same age were leaving the unit for their homes, Jane was kept under watch as she grew strong enough to breathe on her own. Even as a tiny being in an isolette, the baby was filled with love.
ksl.com http://bit.ly/1ceTNsm


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 (1)
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

Posted on October 17, 2013 at 12:18 PM Comments comments (0)


I hope you enjoyed our Mommy Con recap in lieu of a "Birth News" installment last week.  Here are the articles I have collected that I thought would be of interest to those of you TTC, currently pregnant, or getting close to welcoming your babies.  

This week was also Remembrance Day for families that have experienced the grief of loss.  I open this post with an event to honor their brief passage through our lives.


Remembrance Service for Miscarriage, Pregnancy Loss and Infant Loss
Memorial service for those lost through miscarriage, still birth or neonatal complications.
The Bereavement Support Teams at Chandler Regional and Mercy Gilbert medical centers, invite you to a service in memory of those little ones lost through miscarriage, stillbirth or neonatal complications. Join us in love, support and comfort, as we mourn and remember these babies.
The memorial service will occur on Friday Oct. 18 at 5:00 PM.  Mercy Gilbert Medical Center’s Healing Garden, 3555 S. Val Vista Drive.
To learn more, visit MercyGilbert.org 
Source: AFN http://bit.ly/1hHSVdt

FERTILITY
New Test May Spot Which Embryos Stand Greatest Chance of Survival
“Doctors have unveiled a new test for determining which embryos have the best chance of survival.

The amount of mitochondria found in the cells of an embryo appeared to be a marker of its health, doctors reported Monday at the International Federation of Fertility Societies and American Society for Reproductive Medicine annual meeting in Boston. Research presented at meetings is considered preliminary until published in a peer-reviewed medical journal.

Higher levels of mitochondria -- the "powerhouses" of cells -- seemed to indicate an embryo was under stress and less likely to successfully implant in a woman's uterus, said study co-author Dr. Dagan Wells, a scientific leadership fellow at Oxford University in England.”
Source: US News and World Report http://bit.ly/GX1A0z

Increase seen in donor eggs for in vitro fertilization, with improved outcomes
“Between 2000 and 2010 in the United States the number of donor eggs used for in vitro fertilization increased, and outcomes for births from those donor eggs improved, according to a study published by JAMA. The study is being released early online to coincide with its presentation at the American Society for Reproductive Medicine and the International Federation of Fertility Societies joint annual meeting.”
Source: Science Codex http://bit.ly/16i1SFf

PREGNANCY
BPA exposure may increase miscarriage risk in pregnant women
“A new study presented Oct. 14 at the American Society for Reproductive Medicine's (ASRM) annual meeting in Boston found women with the highest levels of BPA, or bisphenol A, in their blood were significantly more likely to miscarry than women with the lowest levels of the ubiquitous chemical.

"Many studies on environmental contaminants' impact on reproductive capacity have been focused on infertility patients and it is clear that high levels of exposure affect them negatively," Dr. Linda Giudice, president of ASRM, said in a statement. "These studies extend our observations to the general population and show that these chemicals are a cause for concern to all of us."
Source: CBS News http://cbsn.ws/16iirkz

Air pollution tied to high blood pressure in pregnancy
“Pregnant women who live in neighbourhoods with lots of air pollution may be slightly more likely to develop high blood pressure, a new study says.”

Caveat:
“Abbott, who was not involved in the research, said it had some key limitations. For example, some factors that affect a woman's risk of getting high blood pressure, such as her weight, were not taken into account. In addition, the study did not look at whether any women moved to a different neighbourhood while pregnant or spent most of their time away from home, where pollution was measured.

For those reasons, Abbott told Reuters Health, more research is needed to determine whether there are any blood pressure-related benefits to moving to an area with less pollution, or to staying indoors on high-pollution days while pregnant. "I would not make any recommendations to my patients based on this research," she said. The author is a student at the Boston University School of Medicine, and Abbott is a former professor of hers.”
Source: Health24 http://bit.ly/17p8qlI

Babies can be born dependent on drugs, even prescription medicine
"Neonatal Abstinence Syndrome is a medical condition that occurs when a baby has been exposed during pregnancy to opiates," Neonatal Nurse Practitioner Carla Saunders explained.
In Jason's case, his mother took a specific prescription medicine for chronic migraine headaches, one she was told was safe for her unborn child.”
Source: WBIR.com http://on.wbir.com/16i1Ddk

Maternal cardiac function may predict outcomes in preeclampsia 
“Women at high risk of early preeclampsia who show signs of abnormal hemodynamic function earlier in pregnancy may be more likely to have adverse pregnancy outcomes, new data suggest.”
My note: this is a very small study – only 36 women in sample size
Source: OBGYN News http://bit.ly/16iiVXU

Using Prenatal Corticosteroids does not Increase Children’s Death Rate
“Even though the majority of pregnancies result in healthy live births, pregnant women still have to take some measures to prevent complications from arising. For some women, taking prenatal corticosteroids is necessary to curb preterm births, which increase the infant's and mother's risks of having potentially life threatening problems during and post birth. Women who are at high risk of giving birth prematurely are usually recommended to receive one dosage of this type of therapy. According to a new study, receiving multiple courses of prenatal corticosteroids does not appear to increase or decrease the risk of death or disability for children.”
Source: Counsel & Heal http://bit.ly/GY1gP9

NATURAL BIRTH
Birth gets the brain ready to sense the world
"Our results clearly demonstrate that birth has active roles in brain formation and maturation," says senior study author Hiroshi Kawasaki of Kanazawa University in Japan. "We found that birth regulates neuronal circuit formation not only in the somatosensory system but also in the visual system. Therefore, it seems reasonable to speculate that birth actually plays a wider role in various brain regions."
Source: Medical Xpress http://bit.ly/16iftMK

Birth Prepares the Newborn Brain to Sense the World with Sensory Maps
“A lot of things happen during birth. Chemical processes change in the brain as children travel through the birth canal. Now, scientists have discovered that the actual act of birth in mice causes a reduction in a brain chemical called serotonin. This triggers sensory maps to form, which prepares the mice to sense the world and prepares mice for survival outside the womb.”
Source: Science World Report http://bit.ly/1by6YAE

Searching for the secrets behind anesthesia 
"Surprisingly, even though we use these drugs in easily 250 million patients every year across the world, and have been using them since about 1850, we don't know how they work," said Roderic Eckenhoff, a professor of anesthesiology at the University of Pennsylvania.

"There is concern right now, for example, that these drugs could have a durable cognitive effect, in other words, they might not leave the brain entirely unchanged," he explained."
My note: If this doesn't make people question epidural drugs, I do not know what will.  There is an appropriate use for them, however wholesale acceptance looks to be irresponsible.
Source: NewsWorks http://bit.ly/1fUyGgZ

My note: So between messing with birth and introducing drugs...we have to wonder if we are changing the incidence of depression by continuing to question the idea that Birth Matters:
Oxytocin Dysfunction Seen in Both Depressed Moms and Kids
"A dysfunctional oxytocin system may underpin the long-term harmful effects of maternal depression on child development, suggesting a potential for oxytocin-based interventions, researchers say.

"Infants of depressed mothers have long-lasting difficulties both in general and specifically in social and emotional outcomes, such as social engagement with others, the capacity for empathy, which underpin the capacity for intimacy," Ruth Feldman, PhD, psychology professor at Ban-Ilan University, Ramat Gan, Israel, who worked on the study, told Medscape Medical News." 
Source: Medscape http://bit.ly/16icnbN

BABY
Seattle Children’s researcher finds a clue to the mystery of SIDS
“A physician and researcher at Seattle Children’s Hospital made another breakthrough in his research into Sudden Infant Death Syndrome (SIDS), a mysterious disease that leaves grieving parents looking for answers that science has yet to provide.

The latest finding supports his earlier work, which indicates that SIDS babies don’t necessarily have a problem with their brain. Instead, Dr. Daniel Rubens’ research has indicated that problems with hearing and the inner ear may be linked to SIDS.”
Read the full article at http://bit.ly/GRzYdi

Screening for newborns a lifesaver
“Today every state tests babies at birth for PKU — but not just that. There are now more than 50 disorders that can be picked up through screening, 31 of which comprise the "core conditions" of the government's Recommended Uniform Screening Panel. Other conditions are likely to be added to the panel. All but two of them — hearing loss and critical congenital heart disease — can be detected by automated analysis of a few drops of dried blood from a heel stick done within a few days of birth." 
Source: Worcester Telegram & Gazette http://bit.ly/GY2YzP

BREASTFEEDING
This Is Breastfeeding In Real Life
“Turner started taking pictures of nursing moms around five years ago. Her shots were posed and “idealized,” she told HuffPost Parents over e-mail. But she wasn't interested in the improbable scenes of women on mountaintops in flowy clothing with happy and cooperative babies one sometimes sees: she wanted to represent real moms’ experiences. Gradually, she started to take her camera out into the world, where babies actually eat. “Most women I know are breastfeeding one child while sitting on a bench in the park or the mall and trying to fish crackers out of a diaper bag for another kid all while wearing an old t-shirt with a spit up stain on it,” Turner said.”
Bradley Method® natural childbirth classes offered in Arizona: Chandler, Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale, Payson Source: HuffPost OnLine http://huff.to/GX1ZQA

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®.



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