Chandler, Arizona
Sweet Pea ​Births
Sweet Pea ​Births
...celebrating every swee​t pea their birth
...celebrating every swee​t pea their birth
Blog
Monday Mantra: Nourish Body + Baby
Posted on May 22, 2017 at 12:48 PM |
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Source: Moxie Midwifery The one thing we can all do for our growing sweet peas is make an effort to eat well. As we come into the summer season, there is the opportunity to purchase from local farmers at community markets, and there are LOTS of sales at the stores. If you need to watch the budget, check out your grocery store circulars that come in the mail. I also like the EWG Dirty Dozen list. You can see it online or download it as an "app" on the smart phone. I use it to make the most of our grocery money. Any produce that is on the "dirty dozen" list is a known high-pesticide crop. Food on that list is produce that we will purchase in the organic section. Anything else on our list we buy from the conventional produce area in the grocery store or farmer's market. We also offer our students the Brewer Pregnancy Plan as a guideline for daily nutrition. It is a conscientious focus on high protein and whole food so that multi-vitamins become the gap filler and not the only source of vitamins and minerals during pregnancy. You can read more about the Brewer eating plane HERE and HERE. What's one small thing you can do this week to make better food choices while you are pregnant and/or breastfeeding? |
Monday Mantra: Centered + Peaceful
Posted on May 15, 2017 at 9:00 PM |
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Meditation: Moxie Midwifery This has grounded me so well lately. It's a great validation that I really have all I need to handle life's ups and downs...because as sure as the tides rise and fall, just as the waves crest and break...so moves the rhythm of life. It has been a great comfort to remember that I do not have to do it alone. Part of the "all I need" are the friends, allies, and resources that can be called in to help when it all gets to be too much. I can call a friend for a heart-to-heart talk, I can call a family member to come help when I can't make it to all the places I need to go, there are tremendous resources available to us online. Maybe a group in which to ask a question, a reliable webpage to use as the beginning of some research, or a phone call to a trusted care provider...the "all I need" is there if I am willing to admit I don't have all the answers and I don't need to do it all by myself. What are some of your favorite resources? |
Monday Mantra: Joy+Happiness
Posted on May 10, 2017 at 1:09 PM |
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Quote: Jennifer Hoperich, Moxie Midwifery There is the elusive, "I will be happy when" or "I will be fulfilled when" that is inherent in much of the positive-thinking, goal-oriented, resolution-focused thinking that is pervasive in our culture. What about now?? One of the reasons I love this affirmation is that it invites me to be happy and joyful NOW. It is also inviting me to think outside of myself and do for other. By finding joy and happiness in the service of others, I have the opportunity to have joy and happiness every moment. When one is pregnant, that "other" is the sweet pea growing inside. When your sweet pea is earthside, it's even easier to place them as the other in our lives. And as they get older, they join us in that act as they think of their own ways to serve and bring joy and happiness to those outside of themselves. It's quite the amazing circle of perpetual joy and happiness...jump on this merry-go-round, and let's enjoy the ride!! |
Monday Mantra: Radiantly Beautiful
Posted on April 17, 2017 at 3:33 PM |
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"I am radiantly beautiful, and my baby is too." Source: Moxie Midwifery+Meditation I love this affirmation. You can be beautiful, and then there is radiantly beautiful. Pregnancy, especially a first one, is potentially full of moments when we are trying to accept the physical changes that are taking over our body. There is no way to stop them, they just are. In fact, they must be in order for the Sweet Pea inside of us to grow and change and be ready to meet us earthside. If like me, you dreaded watching your body grow bigger than it ever had before, take a moment to breathe in the fact that you are growing a new human, and that you are still YOU. Look in the mirror and find one small thing that is radiantly beautiful about this process. If you are feeling good about all the changes, keep rocking it, mama!! Breathe in the radiance and shine it out. To all the mamas out there: You are radiantly beautiful. May 20 - August 19, 2017 Saturday evenings at 6:00 pm Willow Midwife Center for Birth and Wellness Mesa, AZ Disclaimer: The material included in this blog post 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 and related videos 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
|
FInding the Beauty
Posted on April 10, 2017 at 1:31 PM |
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REVIEW: ACOG Committee Opinion on Approaches to Limit Intervention During Labor and Birth
Posted on March 7, 2017 at 6:24 PM |
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Note: all words in this piece that are in “quotation marks”
are excerpts or quotes from the ACOG Committee Opinion published February 2017. HERE is that article. The American College of Obstetrics and Gynecology just came
to a very important conclusion in THIS Committee Opinion that was published in
February 2017: FINALLY. Yes, it is a little frustrating that it has taken years for
the doctors who manage pregnancy, labor and birth to acknowledge that less
intervention is best for birth outcomes.
However, I am grateful that ACOG has caught up with Dr. Bradley and all
the other proponents of dignity in birth that know “It’s not nice to fool
Mother Nature.” The part that interests me the most as a childbirth educator
is how they treat the topic of pain relief and coping techniques in labor. There is the acknowledgement that, “pharmacologic
methods mitigate pain, but they may not relieve anxiety or suffering. “ And
then this statement: “None of the nonpharmacologic techniques have been found to
adversely affect the woman, the fetus, or the progress of labor, but few have
been studied extensively enough to determine clear or relative effectiveness.” So there is finally the recognition that nonparmacologic
techniques do not adversely affect the woman, the fetus or the progress of
labor. And to CYA, they have to state that there is no conclusive study to
determine effectiveness. Be that as it
may, it doesn’t matter to me as a childbirth educator if a study can measure
the effectiveness. What I do know as an
educator and a doula is that if the mother perceives a pain coping practice as
effective, it is being effective for her in that moment. The key to continuing that pain coping practice hinges on two
questions: “Is the mother okay? Is the baby okay”” As long as both the mother
and the baby continue to tolerate the intensity of labor, then the conclusion effectively
says LEAVE THEM ALONE. In the article there are two distinctions between pain coping
practices: The pain coping practices that have been studied and, “have
all demonstrated statistically significant reductions in pain in many studies” Water immersion consistently has been found to lower pain
scores (8, 34). Intradermal sterile water injections Relaxation techniques Acupuncture Massage “Other techniques may help women cope with labor more than
directly affect pain scores” Childbirth education Transcutaneous electrical nerve stimulation [TENS] Aromatherapy Audioanalgesia Here are some more areas of discussion in the committee
opinion that bring obstetric care into the humane versus management for their
convenience. I have included the
corresponding bullet points from the summary and also provided some lay-person
translation as needed. Latent Labor: Labor
Management and the Timing of Admission ·
“For
a woman who is at term in spontaneous labor with a fetus in vertex
presentation, labor management may be individualized (depending on maternal and
fetal condition and risks) to include techniques such as intermittent
auscultation and nonpharmacologic methods of pain relief.” IN OTHER WORDS: If your baby is head-down when you start
labor, then your labor management can be individualized and include intermittent
fetal monitoring (freedom to move as labor indicates) instead of continuous
fetal monitoring (thus anchored to the bed) AND mother is free to try any
method of pain relief of non-drug pain relief that she would like to try. ·
“Admission
to labor and delivery may be delayed for women in the latent phase of labor
when their status and their fetuses’ status are reassuring. The women can be
offered frequent contact and support, as well as nonpharmacologic pain
management measures.” IN
OTHER WORDS: If your labor has started and your bag of waters is intact, there
is no rush to admit you to the labor and delivery ward. If the mother is okay and the baby is okay,
phone contact and support from your care provider is the order of the day, and
the mother is free to continue with any non-drug pain coping practice that is
working for her. Term Premature Rupture of
Membranes ·
Obstetrician–gynecologists
and other obstetric care providers should inform pregnant women with term
premature rupture of membrane (PROM [also known as prelabor rupture of
membranes]) who are considering a period of expectant care of the potential
risks associated with expectant management and the limitations of available
data. For informed women, if concordant with their individual preferences and
if there are no other maternal or fetal reasons to expedite delivery, the
choice of expectant management for a period of time may be appropriately
offered and supported. For women who are group B streptococci (GBS) positive,
however, administration of antibiotics for GBS prophylaxis should not be
delayed while awaiting labor. In such cases, many patients and
obstetrician–gynecologists or other obstetric care providers may prefer
immediate induction. IN OTHER WORDS: If your bag of water breaks and you are not GBS-positive,
you as the patient can decline immediate induction and this committee opinion
instructs the care provider to support the patient in that choice. If you are informed, you also know this
includes declining vaginal exams that have the potential to introduce infection
and that water immersion is an available pain coping practice (see Henci Goer’s
Thinking Woman’s Guide to a Better Birth”). What bothers me a little is that if a woman is not
informed, it sounds like they are going to railroad her into the immediate
induction route. Yuck. As for women who are GBS-positive, the recommendation is
to admit the patient and start the administration of antibiotics. The committee says that the preference is for
immediate induction, but it doesn’t say one way or the other that it is the
best practice. You can go back to those
two important questions, “Is mom okay? Is baby okay?” If you get YES answers to
both of those questions, you may think about getting the antibiotics and then
postponing anything else that is offered until there is a medical indication “to
do something”. Continuous Support During
Labor ·
“Evidence
suggests that, in addition to regular nursing care, continuous one-to-one
emotional support is associated with improved outcomes for women in labor.” IN OTHER WORDS: LET
THE DOULAS IN THE ROOM!!! Routine Amniotomy ·
“For
women with normally progressing labor and no evidence of fetal compromise,
routine amniotomy need not be undertaken unless required to facilitate
monitoring.” IN OTHER WORDS: Amniotomy is the artificial breaking of
the bag of waters. You can read the info
sheet on this procedure HERE. What this committee opinion states clearly is
that THERE IS NO REASON to break the bag of waters if labor is progressing and
there is no evidence of fetal compromise.
Not to “help things along”. Not
to “speed labor”. Not “to see what
happens”. NONE. DO NOT break the bag of waters. The only reason stated for breaking the bag of waters is
in the case of the need of an internal fetal monitor. This monitor is screwed
into the baby’s fontanel, so in order to facilitate access to said fontanel, the
bag of waters needs to be out of the way. Intermittent Auscultation ·
“To
facilitate the option of intermittent auscultation, obstetrician–gynecologists
and other obstetric care providers and facilities should consider adopting
protocols and training staff to use a hand-held Doppler device for low-risk
women who desire such monitoring during labor.” IN OTHER WORDS: Get with the program and learn how to do
labor evaluation with a hand-held Doppler device. P.S.: Midwives have been doing this for
years. There are many risks associated with continuous fetal
monitoring – for more information I recommend you read THIS Cochrane review
that shows how a decrease in fetal monitoring increases positive birth
outcomes. There are many cases of false
positives with continuous fetal monitoring.
These false positives result in a more aggressive management of labor
that often leads to an increase in unnecessary cesarean birth outcomes. While there is a time and a place and much
gratitude for cesarean births that are needed, it is devastating for a mother
to read her operative report and realize that her cesarean birth could have
been avoided with a different approach to her care. Techniques for Coping With
Labor Pain ·
“When
women are observed or admitted for pain or fatigue in latent labor, techniques
such as education and support, oral hydration, positions of comfort, and
nonpharmacologic pain management techniques such as massage or water immersion
may be beneficial.” IN OTHER WORDS: Don’t push the epidural if the patient
wants to try some other things first. ·
“Use
of the coping scale in conjunction with different nonpharmacologic and
pharmacologic pain management techniques can help obstetrician–gynecologists
and other obstetric care providers tailor interventions to best meet the needs
of each woman.” IN
OTHER WORDS: Treat your patients as individuals!! What works for one does not
work for all. And pain is not the only
marker for labor management. As stated
in the committee opinion, “pharmacologic methods
mitigate pain, but they may not relieve anxiety or suffering.“ If the mother can handle the pain and is
doing something that does reduces anxiety or suffering, that is ok. It may be hard to watch, however, doing
nothing is fine as long as the mother and the baby are doing well. Hydration and Oral Intake in
Labor “Women in spontaneously progressing labor may
not require routine continuous infusion of intravenous fluids. Although safe,
intravenous hydration limits freedom of movement and may not be necessary.” IN OTHER WORDS: Routine use of IV fluids is
out!! Yeah!! The whole tone of this committee opinion is to treat patients as
individuals, so if there is no medical indication and the patient declines
routine IV, then leave her to labor without IV fluids. HERE is the summary of research presented at the Anesthesiology® 2015 Annual
Meeting. It states that, “most healthy women can skip
the fasting and, in fact, would benefit from eating a light meal during labor…improvements
in anesthesia care have made pain control during labor safer, reducing risks
related to eating”. Maternal Position During
Labor ·
“Frequent
position changes during labor to enhance maternal comfort and promote optimal
fetal positioning can be supported as long as adopted positions allow
appropriate maternal and fetal monitoring and treatments and are not
contraindicated by maternal medical or obstetric complications.” IN OTHER WORDS: As long as labor is progressing and mom
and baby are well, let a mom labor in whatever position she deems useful. When it’s time to monitor the baby, any
position that allows for monitoring to happen is still acceptable. The easiest for
the nurse and the most uncomfortable position for the mother/baby is to have the
mother lie on her back (supine).
According to this committee opinion, other positions are now within
range of acceptable. Positions such as side
lying, hands and knees, or tailor sitting are all examples of other positions
that allow for fetal rotation and engagement in the pelvis while keeping the
mother still enough to undergo fetal monitoring. Second Stage of Labor:
Pushing Technique ·
“When
not coached to breathe in a specific way, women push with an open glottis. In
consideration of the limited data regarding outcomes of spontaneous versus
Valsalva pushing, each woman should be encouraged to use the technique that she
prefers and is most effective for her.” IN OTHER WORDS: Don’t tell a woman how to push. If she follows her instincts, the baby will
come out. Valsalva pushing is when a
woman is directed to do forceful pushing during a contraction for a certain
count with no regard to what her body is doing physiologically. Physiological pushing allows for a woman to
work with her contractions: as she feels the peak, she will push as long as is
comfortable. End of story. Immediate Versus Delayed
Pushing for Nulliparous Women With Epidural Analgesia ·
“In
the absence of an indication for expeditious delivery, women (particularly
those who are nulliparous with epidural analgesia) may be offered a period of
rest of 1–2 hours (unless the woman has an urge to bear down sooner) at the
onset of the second stage of labor.” IN OTHER WORDS: “Nulliparous” means a woman that has not
given birth before. Unless there is a
medical reason for the baby to be born as soon as possible, women, including
those who have epidural analgesia, are to be allowed a time period between the
time they are completely dilated (10 cm) and pushing. If the woman is monitored and both she and
baby are shown to be well, up to two hours can be allowed for the baby to
descend into a position that creates the urge to push, thus making the pushing
phase more effective. Sometimes the cervix is open and the baby is still high
in the pelvis, thus there is no urge to push.
When the pushing phase begins before there is an urge to push, this
effectively “starts the clock” by which a care provider or hospital policy may
deem it necessary to intervene with a vaginal operative birth (vacuum or
forceps delivery) or a cesarean birth. I hope this little review offers you the confidence as a consumer to advocate for what you know is right for you and your baby. Our inner wisdom about birth is present and powerful if we can allow it a voice in our labor space. Disclaimer:
Birthing From Within and Bradley
Method® natural childbirth classes offered in Arizona: convenient to Chandler,
Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale
|
Just Tell Me
Posted on February 28, 2017 at 9:39 AM |
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I was reminded again yesterday how prevalent the stigma still is around the struggle after a baby is born: baby blues, postpartum depression, onset of anxiety in the postpartum period... The transition into motherhood is hard. The first child is pretty shocking, even if you have a good support system. Nothing can prepare you for the overwhelming emotion and experience of holding a helpless newborn, the blood that is dripping out of you for the next few weeks, and then learning to breastfeed on top of all that. It is doable, and people have been doing it for generations, so you know in your head it's possible...but your body is screaming WTF just happened here. On top of all this, is the pressure from society to pretend that nothing happened. Bounce out of bed with full make-up, pose for some pictures, host everyone who wants to come meet the baby, and fit into your pre-pregnancy clothes by the time the six-week check up comes around or you are a slug who just can't get it together. As you add Sweet Peas to your family, there is still an adjustment period. The love happens - you will have enough. The adjustment for me was learning how to manage the time and the house with 2+ children. A wise woman once told me, "Lower your expectations every time and you will do great." Another wise woman reminded me, "They are not all two at the same time." More on those topics another day...back to the topic at hand. An older woman asked me why I write about postpartum so much...her generation just got on with it. She asked me why this was such "a thing" for women of this day and age. My answer is I DON'T KNOW. Is it the food we are eating that doesn't support the hormonal shift as well as it used to? Is it that we know now that drinking and smoking are not the best stress relievers for mothers of newborns?Is it the pressure of social media to "fakebook" and we are speaking up to say, "not today"? Is is the age of the internet that allows us to gather information and know that we are not alone? I have no idea. My point today is, it is okay to ask for help if you need it. Maybe you don't need help. Maybe you had a satisfactory birth experience and your support network is amazing and enlightened and you are doing great. Yeah!! Bonus points for you. (and I don't believe you) There are also GOLD STARS waiting for you if you are able to say two of the hardest words, HELP ME. I just read an affirmation today that really sparked me along with running into some friends who reminded me just how important postpartum care is to families who are struggling: "It is healthy for me to say what I need and accept help". When your childbirth educator, doula, midwife or anyone else in your life you cares about you calls you and asks how you are doing, for your own sake, tell us the truth!! We expect to hear, "I'm fine!" "Things are great!" "All good!" What we are listening for are the in-betweens: the pauses, the crack in your voice, the tiredness as you speak. We have been there - we know it is hard - we know it's an adjustment, and we want to help you. We will try to find a way to see you if we are concerned. So just make it easier for us to help you - tell us without shame, because we have been there, too. Please tell the people who ask you and want to be there for you what you need. We will show up and we will support you in any way we can as you make the transition from maiden to mother. It is okay - you are still a great mom. |
Doula Services
Posted on February 21, 2017 at 9:55 AM |
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Q&A with SPB: Extended Family in the Birth Space
Posted on February 7, 2017 at 6:42 AM |
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We continue on with our "Ask the Doula" series. Today my friend Darcy shares her thoughts on how a doula might handle family members in the birthing space: Here is a summary of Darcy's thoughts for you: Recognize that family may have been waiting for 9-10 months
sometimes longer Honor all family at a birth As a doula, I try to make myself small if there are a lot of people. I make the effort not to take up more space than I need to Roles: do you assign everyone in attendance something to do? That would be something to discuss with the couples during a prenatal visit with the doula. Ask: Who is coming? Prepare them for what is happening during the birth process
so that they can share them with the family Once the baby is out, everyone is very excited! Remind the family that even though the baby is here, it’s
not the end of the work for mom. Sometimes there is repair work that needs to be done. Give mom+partner power to say they need space or that people
are welcome. Goal: Empower the nuclear family It is so individual ~ every family is different There may be cultural elements to consider Every one has a good vision for what they want Tools to Be able to set up boundaries Good words: No – this is enough Or now is the time – you get this much time Empower moms to set up the boundaries they need for their
nuclear family THANK YOU, Darcy, for your time and your thoughtful answer <3 Connect with Darcy Newlin: Email: [email protected] Phone Number: 602-402-0855 Disclaimer:
Birthing From Within and Bradley
Method® natural childbirth classes offered in Arizona: convenient to Chandler,
Tempe, Ahwatukee, Gilbert, Mesa, Scottsdale
|
Feeding Sweet Peas Home-Grown Goodness
Posted on February 2, 2017 at 10:40 PM |
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Thank you to Jenny Silverstone, from Mama Loves Best, for writing our guest post in support of breastfeeding, one of our favorite topics here at SPB. Feeding our Babies Home-Grown Goodness Motherhood isn’t always easy. You often have to make choices that aren’t always simple or popular. You sometimes have to dig deep to get the information you need to make the crucial decisions that will affect your baby for the rest of his or her life. Every choice you make for your baby counts, whether it’s the birthing method, the products you use, or the food choices you make for your child. When it comes to nutrition for your baby, breasts are best. It’s not just rhetoric -- science backs up what many mothers have long suspected. Our breasts are here for a reason, and that reason is to give our babies the nutrition they need to get a great, healthy start in life. As moms, we are fully equipped to give our babies everything they need, if only we learn to trust ourselves and know that we’ll find our way on this incredible journey. At MomLovesBest, we are committed to helping moms find the information they need to make the best choices for their kids and their families. Our new infographic, The 111 Benefits of Breastfeeding, gives everyone compelling reasons to consider breastfeeding their babies. This infographic details the health benefits for both babies and mothers, and what breastfeeding can do for society as a whole. After all, we’re all on this crazy ride called motherhood together -- by working together to educate, grow and learn, we can help the newest generation of mothers and their babies live healthier, happier lives. While motherhood can be a lot of responsibility, you’ll find that it doesn’t feel like a sacrifice at all -- you’ll treasure every moment, even the difficult ones. That first smile, laugh or kiss from your baby is worth any effort you go through! Read the full article to learn more about each benefit at Disclaimer: The material included in this blog 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
|
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